Episode 28 Casualty

The NHS has its faults, but I just thought after today you would

see the commitment that I make to it.

Which is why I've decided to recommend you

-for a major trauma course.

-Oh.

You're new, right?

I am.

-Gem.

-Rash.

Before you hang the wrong person, you need to know that...

I was mentoring him on the cases that were blogged about.

I can take it from here.

-Oxygen away, stand clear.

-Clear.

-Shocking.

She's back in sinus rhythm.

You animal, you smashed it.

You didn't dob me in, was it because you still like me?

I couldn't like you less.

-Ethan...

-It's Dr Hardy, and that is all I'll ever be to you.

Get off me! I said get off me!

Get off me! He jumped on me! He jumped me from behind.

Right, can we have him restrained a bit more, please?

Don't touch him.

-Calm down for me, mate.

-Electric's off, yeah?

Right, let's see what we've got.

Right, let's get a better look at you.

That's a bit forward, innit?

At least buy me a pint first.

Resps 20, but shallow. I've got a pulse, but it's irregular.

I'm worried he's got an arrhythmia.

Can we get the pads on just in case?

Blade is still in the wound.

Right, there's our entry point.

He's going to need proper medical attention,

we need to get him to the hospital as well.

Exit wound is in his left thoracic region.

-Can you tell me what happened?

-He went for me from behind.

I fell on it.

Right, and what about your wrist?

Must have been from when I fell.

I'm going to get a tourniquet on your leg.

-Sam...

-BEEPING

..he's arrested.

Come on! Keep up!

So, now you have finally made it into resus without throwing up,

there must be someone in this building you want to impress.

I mean, it's not like you have standards.

If I wasn't so tired, I'd be offended.

What about Gem?

Gem? No! Stop with this, will you?

Why, did she say something?

Come on. Race you!

Hey, Gem. Rash has something he wants to ask you.

See you inside.

I hope you're going to have a shower before your shift, Dr Masum?

Don't be late.

So impressed right now.

Yeah. Cool. I'll see you.

He's in VF.

We need to shock.

-Is that a pacemaker?

-We've got to shock anyway.

Right. Fully charged, everyone clear?

-Clear.

-Shocking.

There's no output.

-Is he alive?

-Right, let's secure his airway with an i-gel.

If we need the adrenaline, have we got it?

Yeah, it's in the bag.

OK.

Yeah, we're in, we're secure.

He's still in VF, we need to shock again.

Charging up.

Everyone clear?

Clear.

Shocking.

-RADIO:

-3006, 3007 arriving...

I've got a weak pulse.

Second unit have just arrived.

-Get back on him.

-Well done.

-Yeah.

INMATES JEER AND SHOUT INSULTS

I'm going to break your legs when you get back here!

What you looking at?!

I've made real progress. I've finally pushed through resus

and now I've been dealing with just bumps and grazes ever since.

I thought I'd proved myself.

Come on, I want a slice of the action.

All right, Bruce Willis, I hear what you're saying.

There's actually an ambulance heading here now from prison.

One of the traumas is an inmate.

Good enough?

-Prison?

-Mmm.

Well, do you want it or not?

-Yeah, yeah, I do.

-All right, cool.

Do me a favour, find Dr Hardy, give him that.

I'll meet you at the main entrance.

I don't suppose you did me one?

Two sugars, I believe.

Now that is what a hero looks like.

-Hide.

-Munroe.

Oh, there you are.

Ethan!

Dr Hardy...

Two seconds. What is it?

Well, I've just barely seen you all week.

I know. Yeah.

I don't want it to be like this.

I messed up!

I don't know what else to say, apart from I'm sorry.

What I wrote, I never intended you as the target.

You humiliated me.

And now you're upset because there's bad blood?

Is there anything else? Because I'm a bit busy.

Rash has got your X-rays.

Right, thank you.

Almost there.

Lock up your nurses.

Well, ours are called Charlie, Jacob and David.

Once inside, you stay to the left of the trolley, so I can hand

over to the doctors properly and we'll go straight through to resus.

-This scar.

-That's an old one.

-Playground fight?

-Not that old.

It's from the Falklands.

-Whoa, really?

-Yeah.

I'm sorry. These are for Dr Hardy.

I'll take them. We're treating Frank together.

Again?

My Uncle was in the Royal Marines.

He served there, too.

-What?

-Oh, nothing.

Your accent, I just thought...

Actually, my uncle was English, just like my mum.

You were right to come in.

You have a fractured dislocation of the shoulder...

Hang on. There's a metal foreign body in here.

It's a bullet.

It's the one that took me out of action.

Battle of Goose Green.

-An actual bullet?

-Yeah.

Right, thank you.

OK.

Thank you, Dr Masum, I'm sure you have patients of your own

to attend to.

Yep, of course. Sorry.

OK, Mr Tennant, orthopaedics are ready for you,

so we're going to get you up there and back in shipshape, all right?

-I will call a porter.

-Actually, you can take him.

-Would you excuse us for a moment?

-Yeah.

I've cleared it for you to spend this week in Orthopaedics.

I thought it'd be a good experience for you.

Before you thank me,

the head of department there, Ms Alex Broadhurst,

now she's one of the leading specialists.

She's brilliant, she doesn't suffer fools

and she's a real stickler for detail.

I'm sure I'll get along just fine with Miss Broadhurst.

-Ms.

-Ms.

-Yes.

She also happens to teach at the International Trauma Course.

OK? You haven't heard this from me,

but she reserves the right to choose one trainee to go with her for free.

So there is a space up for grabs.

OK.

-Thanks.

-Please don't embarrass me.

Yeah, yeah.

Enjoy.

Right, he's 19 and starred up, meaning that he's a young offender

deemed too dangerous, so they moved him to adult prison.

You sure you've got this?

Yeah.

-Noel, are we good?

-Just one sec.

-Yep, we're good.

-What's going on?

Some starred up prisoner and a prison guard have been injured.

Starred up? You want my advice, don't give him an inch.

OK, here we go, here we go.

Rash, you take the stab wound, please.

Iain, cubicle three, please.

OK, through here, please.

Ms Broadhurst?

It's very simple.

If it happens again, I'll have no choice but to assume you don't

know your intergluteal cleft from your olecranon.

I'll make sure the board assumes the same thing. OK?

-So sorry for bothering you, I'm...

-Dr Kinsella.

F1 joining us from ED. Graduate of Swansea.

Winner of the Contribution to Operations Support Award.

-I know.

-Well, the pleasure's all mine.

-We'll see.

And this must be Dr Edward McAllister.

-Orthopaedic F1.

-Eddie, please.

Thanks so much for agreeing to us shadowing this week.

And Dr Kinsella, was it?

Great that they let you up from the coal-face.

Oh, have you forgotten something?

Ah, yes, your patient, Frank Tennant.

Why don't you and Dr McAllister treat him together?

One of you can assist in his operation.

I'll see you on the ward.

This'll be fun. I didn't realise there'd be competition.

Oh, come on, don't be coy.

The International Trauma Course?

I wasn't being coy.

I just don't see any competition.

Everything all right?

I have to share you.

Right, this is Tony Hughs, 57 years old.

At approximately 09:15, he suffered an electric shock

from an industrial toaster.

Initially unconscious. However, shortly after arrival,

he went into VF arrest, OK? He's had two shocks before ROSC,

he was in respiratory arrest, so he's been ventilated

and intubated since.

Entry wound is his right hand.

Exit, left thoracic region.

Right, OK, let's get some bloods off then, please.

Check his FBC, U&Es, CK and clotting.

Let's repeat the 12 lead, yeah?

Just one more thing, I think he's got a pacemaker,

-but that's unconfirmed.

-Oh, right, OK. Duffy, let's get a technician

down here from the cardiac department, soon as we can, please.

Sure. I'll contact burns and plastics to let them know about him.

OK, your heart rate's up.

Yeah, well...

I know what they say about prison,

but it's not every day another bloke tears my trousers off.

-OK.

-Right, Jack, any numbness?

Nah.

-Can you feel this?

-Go easy, mate.

What you going to do, then? Are you going to cut it out?

Well, we have to see if it's involved a bone first.

Do you want to tell me how it happened?

Not especially.

Surprise, surprise.

I was just cleaning up after breakfast.

He's jumped on me from behind.

I don't know why.

All I done was push him off.

What, you don't believe me...?

Honestly? No.

Oh! Sorry, mate! You all right?

Honestly, that was just a reflex.

Yeah, I'm OK. We'll do an X-ray to work out exactly what we're

dealing with here. Excuse me.

The shoulder is made up of a ball and socket joint.

So the head of your humerus, the ball, has come out of the socket.

Not only that, but the shaft has been fractured.

So the operation will be to put the ball back in the socket

and to stabilise the fracture using a plate and screws.

Sounds scary, but it's all pretty much straightforward.

Yeah, yeah, but it says here the operation includes

the removal of the bullet.

-Yes, that is right.

-No, it's not.

I don't want that.

I thought you would want it removed.

I've lived with that bullet for 36 years.

It's part of me now.

But purely on medical terms, I mean, with the fresh damage,

it could inhibit our ability to set the plates,

or your flexibility after the operation.

Well, hang on, that's not strictly true, is it?

Not strictly speaking, no.

If Frank doesn't want it removed...

I mean, the man's risked his life for ours, it's his choice.

Thank you.

It's not a problem.

Dr Kinsella, please rework the consent form.

Dr McAllister, you will assist in theatre.

OK, so his pacemaker's all right, then.

That's good, thank you very much.

Right. OK, can we book him a head CT, please,

-and arrange a bed on ITU?

-Sure.

Dr Masum here has had an...

altercation with our prisoner patient.

I can't find Dr Hardy, so I was wondering whether you'd be willing

to take over the treatment, then Dr Masum...

Oh, right, OK.

What? Actually, no need.

Spare me the boring details. I wish I got to choose my patients.

-Colleagues too, for that matter.

-Thank you.

Duffy, can we give him some saline, please?

Can we chase up the bloods and keep an eye on his potassium levels?

Thank you for this.

He needs a urinary catheter inserting, as well,

so you can do that.

Thanks.

Right, this is you.

Doctor'll be in shortly.

Play nice, he might even get you a cup of tea.

You reckon, yeah? Hot drinks and me don't really go that well together.

Ask old Keith here. He's got the scars.

Well, I can promise you the bed's more comfy than you're used to.

And you'd know, yeah? Listen, give me a break.

I did some time in Featherfields, so, yeah, I would know.

Featherfields? What for?

Stole a car. Someone got injured.

Ancient history now.

What about you?

I was into my cars too for a bit.

But I was put away for violent robbery and assault.

What, that's supposed to impress me?

It weren't like that.

I was just a dumb kid.

I was sleeping on the streets.

I ended up breaking into this house for a bit of cash.

I didn't know the owner was still in.

They fell down the stairs.

Not fun, is it, inside?

Free food, free board.

Can't be that bad.

Even now? Adult prison?

Easiest time I ever did.

Do they let you have visitors?

Who?! Nobody gives a monkeys about me.

Why, are you offering?

What, so you mean you don't speak to anyone?

Well, my Uncle Phil, but...

..he's in some old people's home now, so...

I just keep myself to myself. Safer that way.

From the other prisoners?

From everyone.

What do you mean?

Prisoners aren't the only ones inside, are they?

Do you mean that other guard?

Hello, Mr MacLellan.

My name's Dr Keogh.

What happened to the other one?

I've no idea. Now, the good news is that the stab wound,

the blade hasn't involved the bone.

So I'm going to send you for a CT and angiogram just to make sure

the artery...

Can't we just cut out all this foreplay, just pull it out?

Yeah, if you enjoy the idea of bleeding to death.

No? OK, well, in the meantime, shall we have a look at this

other wound, yeah?

Right, OK, well, that needs cleaning and closing.

Not sure why that's not been done. I'll do that.

-How did you get this?

-When I slipped.

Right. And these other bruises?

Forget it, yeah? It's old news.

OK, fair enough.

Come closer, Dr Kinsella, you're missing all the fun.

So, we can clearly see how the plate is stabilising the fracture.

Suction, please.

And there's our infamous bullet.

Very lucky man.

A centimetre or two to the left, it would have

severed his cephalic vein.

-And it's safe to set a plate that close?

-Uh-huh.

Right. Dr McAllister, I'd like you to do the final screw

and close him up.

Nice and neat please,

I'll be checking back the images on the intensifier.

Listen, do you mind taking this?

What?

I didn't want to make a massive deal about it,

but one of my contact lenses is giving me a bit of grief.

I don't honestly think it matters which of us does it.

Besides, I know you're desperate.

-What happened?

-The drill bit chipped on something.

-Chipped on what?

-I don't know!

He's bleeding. Suction, quick.

Is it the cephalic vein?

I don't know.

Oh, wait, there it is.

OK, it's fine.

-We better get Ms Broadhurst.

-Are you kidding? No.

Look, I've got the pieces.

That's all of them.

Vitals still stable.

No harm done.

All I'm saying is, the cuts, the bruises,

the cagey way he was answering you, it all fits.

Yeah, but the bruises could have just as easily been

caused by another inmate as the guard.

He's scared of them. You can see he was anxious.

Well, couldn't he have said something? He's a big boy.

-Boys.

-Huh?

"One cannot bring up boys to be eagles

"and expect them to be sparrows."

That means if men are forced into being...

Yeah, yeah, yeah. I know what the words mean, Noel, thanks.

The prison guard, Tony Hughs.

Maybe he caused this.

I feel like that's what he was trying to tell me.

No matter what you feel, Gem,

it's not our job to go delving about in the underworld, all right?

We simply don't have the time.

Now, can't you just stick to porting and shuffling things

backwards and forwards? Whatever.

Honestly, you should see this guy.

I swear the term punch-me-face was designed with him

specifically in mind.

Well, I'm sorry you're not enjoying the leisurely pace of Orthopaedics.

What is that supposed to mean?

It's not exactly fun, us picking up your slack.

Oh, is that what everyone has been saying?

No, it's not you they're annoyed with.

It's our elusive Clinical Lead. Seriously, I never see the guy

unless he's in my face shouting about something.

Well, he's got a lot on.

It's not his fault you wimped out on a patient because he scared you.

He nearly broke my nose!

You should do one thing outside your comfort zone every day.

Case in point.

-Have you asked her out yet?

-Give it a rest.

This isn't sixth form.

She might say no.

Rash, sometimes I think I'm more of a man than you'll ever be.

Dr Munroe, did you arrange for Dr Masum

-and Dr Keogh to switch patients?

-Yeah.

You didn't think to check with me?

Sorry. I couldn't find you,

so I thought I would just solve the problem,

instead of handing it over.

OK, this works, for the record. So, next time, use it, yeah?

Everything all right?

Yes, fine, thank you.

You know, if you're struggling, your team might moan,

but they will pick up the slack.

I appreciate your concern, I do.

But I could really do without the fatherly pep talk right now, OK?

Well...

OK, maybe I could do without having to soak up all the grief

that you've been handing out to your team.

So it looks like we're both having to deal with things

that we don't particularly want to today, doesn't it?

Sorry?

I know it's her.

The blogger.

Just because she let you down doesn't mean they all have.

They won't trust you until you learn to trust them.

As for Alicia...

well, I think maybe it's time you made it official.

Either that, or just suck it up and move on.

OK. You can either wait outside the doors there or, if you'd prefer,

with the radiographer. All right?

Are you claustrophobic at all?

You mean, am I used to confined spaces?

Yeah, I see, I see. That's very good.

If you haul yourself on to the bed for me.

The radiographer will be in just a moment to talk you through

the final points of the procedure.

I could listen to this guy for hours.

-What's this?

-No idea.

You just dropped it.

Just chuck it.

And forget about it, all right?

Can you just lie back for me, please?

How you feeling, Frank?

Like I've gone ten rounds.

Thirsty, bit dizzy.

Did you feel like this before the fall?

Not really.

Your red blood cell count is low.

You know, I'm going to do some bloods for U&E's.

Really? Well, I mean, he has just had major surgery.

-It's enough to make anyone dizzy.

-Better safe than sorry.

Do the bloods.

Good work today Dr McAllister. Very neat.

I expect it to heal nicely.

I'll pop by later. Keep an eye on him, please.

Excuse me. Call of nature.

Dr Masum. I've been looking for you.

You have? Well, here I am.

-It's kind of delicate.

-OK.

You can call me Rash, by the way. I should have said that before. OK.

OK. I think Jack might be up to something.

Jack?

The prisoner.

You've seen the cuts on his wrist, he's got these old bruises.

And he kind of hinted the prison guard you're treating has

been abusing him.

Look, I don't know what he's up to, but he dropped this.

He trusted me to keep it a secret.

But if something happens, I don't want people thinking I'm involved.

Dr Masum? We need you in here.

Just one minute. I'll go see to this.

-He's regained consciousness.

-OK.

OK, let's sit you up.

Nice and easy.

That's it.

Steady, steady.

Here, see if you can manage some water, OK?

-Jack...?

-Yeah, he's here.

You're in Holby City Emergency Department, OK?

Is he... Is he all right?

Jack? Yeah, he's fine.

Tony, do you remember what happened?

Yeah. He... He was trying to harm himself.

So he finished his breakfast duties, then went off to make a phone call.

Next thing I know, he's back in the kitchen with a knife to his wrist.

I was obviously worried, so I tried to grab him from behind.

So why would he do that?

When he first arrived with us, he was jugged.

-Jugged?

-Scalding water poured down your back.

The poor lad gets a kicking every other day, to be honest.

He probably thinks I'm following him around.

I'm not, I'm just trying to look out for him.

We just don't have the resources

to monitor the inmates properly, you know.

Has he ever raised a complaint?

No, that would be asking for help.

Some family members will, but Jack hasn't got any.

-No family at all?

-None that I've ever seen.

This phone call that he made, can you find out who it was to?

I can try, if you can find me a phone.

Tony, his injuries would seem to suggest that he wasn't trying

to kill himself.

Well, what then?

I'm only telling you what I saw.

Broadhurst was asking after you. I covered.

-What you doing?

-Something's not right.

Frank is dizzy, his blood pressure's up,

-he's complaining of a headache. I just don't know why.

-Here.

That supposed to make everything better, is it?

Look, I know I took credit for the surgery,

but what else could I do?

Correcting her would have made us both look bad...

You are just like every other privately-educated boy

in medical school.

You're completely lost in a conversation

-unless you're sticking the knife in.

-Wow, that's a generalisation.

Yeah, but it's true though, isn't it?

Do you ever stop to think about things from someone else's

point of view?

Ms Broadhurst is a first generation British Pakistani who grew up on

a council estate.

She's clawed her way up through the system despite men like me.

She looks at me and sees the enemy.

So, yeah, I want to impress her.

And if you need to hear me say it, then, I'm sorry.

None of us can help who we are.

Please, Noel? Two minutes?

Look, I'm sorry, Gem.

If Dr Hardy catches you doing personal work on hospital computers,

it's going to be little lovely old me

that gets it in the neck and not you.

-You'd take the wrap for me?

-Well, it would be my responsibility.

Hold on, I wouldn't have much of a choice, would I?

That is so kind of you.

-Thank you. I appreciate it.

-Well, you're welcome, I guess.

-Yes, madam?

-Cheers, Noel.

Thanks.

Can you please take a seat and I'll get someone to look at you

as soon as they're available.

Hello!

Iain, are you here, mate?

Hey.

What are you... What are you doing?

-Oil change.

-Nice.

Bit of TLC on the old girl?

Yeah. Well, she's done more miles than the rest.

She's not due a service for another month, so I thought

I'd top her up... Pass us that semi synth, will you?

Yeah, sure.

-Coffee?

-Nice one.

-Here you are.

That's windscreen washer fluid.

-Yeah, I know, I was just...

-What do you want, Rash?

I wanted to ask about Jack, the prisoner from this morning.

It's a bit delicate, but did he seem suicidal to you?

Sam dealt with that one. But I didn't notice nowt unusual.

I wouldn't say suicidal.

Actually, he was more compliant than I expected.

Ah, Dr Kinsella. I was just talking to Dr McAllister.

I wondered if you'd both join me for dinner tonight at my club?

Great. Thanks.

FRANK SCREAMS IN PAIN

Help me, would you?

Lie him back.

Who are you people? Get out of my house.

Frank, you're in hospital.

Distended abdomen. What are our differential diagnoses?

Some kind of bowel obstruction.

I ran a blood test.

He does have high levels of sodium and potassium.

Lead.

It could be lead poisoning.

I know it's really unusual, but the bullet...

OK. Let's make him comfortable

and get the lab to run a toxicology screen on the bloods.

If positive, what then?

Increase his IV fluids?

He'll need a nasogastric tube and possibly chelation.

Good. Run the tests, quickly.

That's right. According to the information I have

from Stonehurst Prison, the inmate Jack MacLellon made a call

to this number at 9:05 this morning?

Yeah, sure I'll hold.

Sorry, Dr Masum. Can you give these to Gem for me, please?

Yeah, sure.

Noel, hang on, did you say these were for Gem?

Yeah, it's some info about Anders Hospice, Knott Way.

-She was looking it up earlier.

-Why?

I'm on the phone to them right now.

Yep. Yes, that's right,

we're treating Mr MacLellan here at Holby City ED.

Well, it's a little unorthodox,

but it may have a bearing on our treatment.

I was wondering if you could tell me what the

nature of his call to you was?

When was this?

OK.

No, no that's been very helpful. Thank you.

-Duffy, have you seen Gem or Dr Hardy?

-No.

OK, we need to find them.

Dr Masum!

-He's arresting.

-OK, let's bring the bed down.

It must be his pacemaker.

Hang on.

He's in PEA arrest.

I need to see his previous ECG readings.

I did his ECG five minutes ago.

Right, there! At the end of each set. Tall tented T-waves.

-It's hyperkalaemia.

-You're sure?

Yeah, from the electrocution.

His muscles contracted, myoglobin's released.

OK, we're going to need to flood his heart with calcium to

protect against the effects.

Can we get 10ml of 10% calcium chloride,

followed by ten units of insulin and a bag of dextrose?

-OK.

-OK. Two...

Hang on, before you put the cuffs on...

we're going to move you in a minute, actually.

Oi, listen, can I get one of them bottles?

I've got to spend a penny.

Yeah, yeah, you can have this one.

Now, your CT and angiogram came back clear, there's no damage to the

artery, so, miraculously, theatre is clear at the moment.

We're going to prep you for surgery.

Do you have any allergies that we need to know about?

-Are you on any medication?

-No, why?

-You're not putting me to sleep, are you?

-Well, yeah.

It's a complex surgical procedure

and we need to give you a general anaesthetic.

I don't want that.

Well, with the best will in the world, there's not really a choice,

unless you want to lose the use of that leg entirely?

No, didn't think so.

Look, can I get some privacy?

Yes, yeah, yeah, of course. You do what you need to do,

let us do what we need to do,

and we'll have you back in your cell in no time at all, all right?

Now, I need to have a quick word with you in terms of protocol

about the procedure we're about to do.

Would you mind coming with me?

Calcium chloride going in.

-Come on, come on. Keep it coming.

-Yeah.

OK, pulse check.

I'm getting an output. Rate about 70. Nice work.

OK, let's get him on some IV dextrose

and get a cardiologist down here as quick as we can.

I'll be back in a minute.

I think I know what you're planning and you need to stop right now.

-What're you doing?!

-Don't make a sound.

You're helping me out of here.

Please.

It's...for him to wake up and find himself restrained...

Dr Keogh, have you seen Gem?

Gem?

Hang on.

It's never going to happen.

Get me to that car park, yeah?

Gem. Everything all right?

-Yeah, good. Cheers, mate.

-Yeah, we're fine.

Noel. Noel, has Gem been through here?

Yeah, she's just got in a lift with that prisoner guy.

-He took Gem.

-What?

-Noel, we have to find her!

You won't get far like this.

Come on, come on!

You need to get that leg seen to.

Excuse me, excuse me.

-Dr Masum?

-Sorry!

I'm telling you, you won't.

Argh!

Give me that, give me that.

Get in, go!

Listen, I just need half an hour, that's all.

This isn't going to work. They know you know you've gone,

-they'll come after us.

-What, you think I don't know that?!

Please!

There she is!

Jack, stop, stop!

-Get back! You let us go!

-OK!

-I'll cut her! I swear I'll do it!

OK, OK. Let's just take a breath, all right?

-Listen, we're driving out of here, all right? No fuss!

-Rash...

-Listen, I know where you're going...

-Get back!

-I know where you're going and I know why.

-Just back off!

The Anders Home, the hospice.

Jack, it's too late, OK?

Your uncle, he's dead.

You spoke to them this morning. He'd had a stroke. I know.

But he passed away.

Two hours ago.

I know it doesn't change things, but they said he didn't suffer...

in the end.

I just wanted to say goodbye.

I know.

I'm really sorry, OK?

It's all right, OK? It's OK.

Lead poisoning?

After all these years?

Toxicology confirms it.

I mean, the bullet could have been aggravated by the fracture.

We don't know.

We can treat you for the poisoning.

But the surgeon agrees, it has to come out.

I know it's important to you.

Oh, you know nothing.

You know how I told you my uncle fought in the Falklands?

What I didn't tell you was that he died there.

I think it would have been a real honour for men like him

to know that you've moved on.

Look, if you don't let us take it out, there's a real chance

it's going to cause you further serious discomfort.

It already causes me discomfort.

It hurts...

When it's damp or cold, it hurts.

That's why I keep it.

You have any idea what I did at the Battle of Goose Green?

I hid.

First sign of incoming fire, I just froze.

Hardly got any shots away.

And then one came and hit me in the back.

And it was over.

And the relief...

Do you think that makes you any less of a man?

This thing is the only reason I've been able to live with myself.

Do you know what I think?

It's time to stop hiding.

You seen Dr Hardy? I need him to sign these off.

I think he's in a meeting.

Honestly, he makes this impossible.

Is that why you wrote all that stuff on the blog?

And no, I haven't told anyone else yet.

Why on earth did you do that?

You must have known he would take a lot of that personally.

I don't know.

I felt helpless and angry, and it was an outlet.

It was on impulse and then it just took on a life of its own.

Look, I know I've hurt people.

Are you going to tell anyone?

Well, they have a right to know.

Though, I don't see how that would help anyone.

It's not been easy here lately.

But the one who'll be feeling that most is Ethan.

Thanks.

Sorry, sorry.

Bit rich from Frank today, don't you think?

All those years he had everyone believe he was a war hero.

-I thought he was pretty brave, actually.

-Brave?

Telling the truth.

It's hard living with something like that.

I don't quite know why you're defending him.

It's not like he made treating him easy.

I mean, the guy patently hid the fact he had all the

symptoms of lead poisoning.

Well, we don't know that for sure, do we?

I mean, the poisoning could have been

exacerbated by the complications in surgery.

Perhaps one of you should explain?

In his surgery, you asked Eddie to do the final screw.

But I did it instead.

Why?

I asked her to.

I was excited.

But the drill slipped, causing some damage.

We recovered the fragments...

But, in retrospect, you think it may have aggravated the bullet

and exacerbated his lead poisoning?

And neither of you thought to tell me about it?

We didn't want to create a complication where we didn't

think it was necessary. I mean...

We were thinking about the International Trauma Course.

We both wanted to join you.

We were just trying to impress.

Well.

There it is.

Shall we eat?

OK, people, can you just move back, please?

Just move back across the line. Thank you very much.

Jack, I did ask about viewing your uncle's body.

Yeah, well...

I should have just asked for compassionate release

as soon as I heard.

I just thought that with my record...

I don't know.

-I just...

-Just don't like asking for help?

Look, I know you've had it tough inside,

but it seems like Tony's got your back.

There you go.

Every cloud...

I'm sorry about your nose, yeah?

Forget about it.

Check you out, tough guy.

My office, 9am tomorrow.

-We'll talk more. Goodnight both of you.

-Night.

I know it was Eddie who asked you to take over,

and to hide your mistake.

How? And the fact you played along makes you just as culpable.

You're confident in your actions, but it's not enough.

You have to trust in your judgment.

Some will play the game, pass blame, score points,

but it's not the only way.

I see something in you, Dr Kinsella.

Get some rest.

The competition isn't over yet.

Well, I'm sorry to say you won't be left with any battle scars

to brag about. Pity.

The old mug could do with a bit of character.

Oh, I don't know. I'd say it's already pretty characterful.

In a good way, I mean.

Right.

-I'm a bit shaky. Is that normal?

-Yeah.

You've suffered a shock.

You release adrenaline,

your blood pressure, your heart rate goes up.

Lots of endorphins released.

It can play tricks on your mind.

Make you do strange things.

What do you recommend I do?

Officially? An early night, lots of water to keep yourself hydrated.

Unofficially, a massive glass of wine.

Are you asking me out for a drink, Dr Masum?

I'm just kidding.

Well, I'm all done.

Good to go. Police are happy to speak to you tomorrow.

Thank you so much, Rash, I owe you one.

Come on you.

Have a nice evening.

-See you tomorrow.

-You too.

Rash?

What I said before about the running...

..I take it back.

Today I was impressed.