Lizzie's Last Stand Doctors


Lizzie's Last Stand

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Transcript


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-Hannah, have you got your shoes on?

-Yes.

-Yeah?

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-What about your coat?

-Yes.

-Have you got your homework?

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-Yes.

-Stop playing with the rabbit!

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-Have you got your lunchbox?

-Yes.

-Come on, then. Hurry up, Hannah!

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-Have you rung the garage yet?

-Not yet.

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Oh, love, it's on its last legs!

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I'll do it today.

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Oh, gosh!

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Sorry, did we wake you up?

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Bad night?

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Have a lie-in.

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I'll come and help once I've dropped madam off.

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I'll manage.

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Mum, I don't mind helping.

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Hi, Grandma.

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Morning, love.

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Come on, you. School!

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SHE WHEEZES

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THEY MOAN

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-Stay.

-No.

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No, I have to get to work.

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I could lie here all day,

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having no meaningful employment to prise me from my bed.

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Or should I say YOUR bed?

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You have only been looking for a few days, and trying to find work

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at the weekend is never a good idea.

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Thank you. For not saying "I told you so2.

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I'm sure you will find something soon.

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Ah! The lawn needs cutting.

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Why do these weeds grow so much quicker than my bedding plants?

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-One of life's little mysteries.

-Hm.

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Right. Might as well make a start.

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I think it is going to be a fine day.

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Make sure you find the time to enjoy it.

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I can relax when I've found a job.

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If I lose one, I get another. That's how it's been all my life.

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Until now.

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You will be fine and, if you need some help to tide you over, I will help.

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Here you go. Welcome to the VPAS team.

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So, how was the course?

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It was brilliant. We learned loads.

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I loved it, especially the role play. It was very insightful.

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I actually got quite tearful when I was a housebound widow with angina.

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She did actually cry.

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I did. That's empathy. I'm quite an empathetic person.

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What are you talking about?

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Ha!

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"Vuh-Paz"?

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It's pronounced "Vee Pass".

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-Is it now?

-Oh, here we go!

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So, this is this year's sticking plaster for that

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ever-increasing wound in the NHS budget.

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At least we're doing something.

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Amateurs shouldn't meddle. This will end in tears, Hollins. Always does.

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SHE WHEEZES

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You should have waited. There's plenty of time.

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Hannah's supposed to take that to school.

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I'll drop it off later.

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She doesn't need it till this afternoon.

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Dodgy knees.

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Maybe I can get Dr Reid to take a look after she's sorted you out.

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Shall we take the wheelchair?

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What are you up to?

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I'm choosing a father for my baby.

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So, what do you think?

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Software engineer or tennis coach?

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The one in the shorts. Bit out of your league, though.

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I'm not looking for a relationship.

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It's purely a financial arrangement.

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I send money, they send sperm.

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You can't do that. It's unethical.

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It's against the law to sell sperm.

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In this country.

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Ohio? You're buying it from the US?

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Yeah, Americans are so much more relaxed about this sort of thing.

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They ship worldwide in tanks of liquid nitrogen.

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I suppose that's why it's so expensive.

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-That and the vetting.

-Vetting?

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Yeah, background checks, references.

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Gold Star Donor Dads weed out the fakers and the slackers,

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-leaving you to focus on the important things.

-Valerie...

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So what do you think? Blond or brunette?

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I think it's really great that you're putting so much thought into this.

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I mean, my mum got wasted and met some bloke down the pub.

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There's a "but" here, isn't there?

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In a few years, you could have a four-year-old asking about their daddy.

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You might want to have a think about that.

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I would have loved to have known my dad.

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I don't know, it's like... It's like I'm missing half the story.

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Oh, goodness!

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-There you go.

-Thank you.

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You're welcome.

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Elizabeth Hopkin for Dr Reid.

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Oh, look, perfect timing.

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Mrs Hopkin, hello. Would you like to come through this way?

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I want to do this on my own.

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Don't be silly.

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Please, love.

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Mum...

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-You ready?

-Mm.

-OK, just take it slowly.

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She'll be fine.

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Oh, dear!

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-Oh, are you OK?

-Sorry.

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No, no, you don't have to apologise. Are you worried about your mum?

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She's been through so much. She's got emphysema. It's getting worse.

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I can't bear the thought of losing her.

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Oh, hey. We see a lot of patients with lung problems and, honestly, you know,

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loads of them manage just fine once they stop the smoking, they get on the right meds.

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Mum's never smoked.

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She's not dragging about a bottle of oxygen because of a bad lifestyle choice.

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Makes it even harder for her, being judged.

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I didn't mean to.

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Non-smokers don't get emphysema, right? Well, they do.

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I'm sorry. I didn't mean to jump to...

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Everyone assumes she's been puffing away for years.

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Mum's sick cos she hasn't got enough Alpha 1 in her body to protect her lungs.

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Alpha 1?

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It's a protein.

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Most people produce enough to keep their lungs safe.

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Safe from what?

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Pollution, dust, bacteria, viruses.

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So her lungs get damaged just from breathing?

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If you're an Alpha, you've got to be really careful.

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No aerosols, no bonfires, people with colds, and definitely no smoking.

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Do you know? We had another patient, couple of years back,

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and she moved abroad.

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For the treatment?

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Um... There's a treatment?

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Alpha 1 augmentation therapy - that's why we're here.

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Mum's volunteered for a drugs trial.

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So, how are you?

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Bit better since the infection cleared up.

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Good.

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Lizzie, I'm going to get straight to the point.

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It's bad news about the trial, I'm afraid.

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The research team think that your condition is too far advanced.

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So the treatment won't work on me?

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It's not that it wouldn't work. It could very well slow the progression

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of your emphysema. The problem is that you don't meet the criteria.

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You've lost too much lung function already,

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and it's a lengthy trial. They want to focus on patients

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who are going to benefit the most.

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I'm sorry.

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I know it's disappointing.

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-They said no?

-It's all right.

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No, it's not all right. Can't you do something?

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Make them change their minds?

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Mel, let's go.

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This was her last chance!

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Look, I appreciate you're upset.

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"Upset" doesn't even begin to describe it!

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Shouting at Dr Reid isn't going to help.

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Well, it helps me!

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I am sick and tired of watching you get worse and worse.

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I'm sorry. Is there a problem?

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Oh, can you prescribe Alpha 1 antitrypsin therapy?

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Please, love.

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I am not a clinician. I am the practice manager.

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Oh, well, perhaps you'd like to explain to my mother why the NHS

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doesn't provide the only treatment that can stop her lungs from disintegrating?

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Melissa! Please don't.

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Take care.

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What is Alpha 1?

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It's an inherited genetic condition.

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Genetic?

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Yes, Valerie. Genetic.

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I need caffeine.

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CAR ENGINE SPLUTTERS

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I warned Tom to sort it.

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Breakdown service. Come on!

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Have you got it?

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Here we go. Auto Rescue.

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Have you got Alpha 1?

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I reckon Mr Keats should go on the VPAS list.

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Heavy smoker, misses half his appointments.

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-At least he took the leaflet.

-That's good.

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-The giving up smoking one?

-Yeah.

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Dumped that in reception on his way out.

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Right, well, I'll schedule a visit.

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Why can't we just concentrate on the people who would actually like our help?

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What's up?

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Mrs Hopkin. Why can't she get the treatment that she needs?

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It's complicated.

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She hasn't got enough of this Alpha 1 in her system,

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so her lungs get damaged.

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Top up the Alpha 1 - lungs protected.

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Bingo, everybody's happy.

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Alpha 1 therapy is very expensive.

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A patient has to have it at least every week for the rest of their life.

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-It's all about the money.

-No, it's about value for money.

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A lifetime's treatment can cost up to

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a million or more - that's just for one person.

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A million pounds?!

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Yes, and there's still a question mark over how effective it is.

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And you're saying it doesn't work?

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No, I'm saying that it's difficult to prove how much difference it makes.

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PHONE RINGS

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Hello? Yeah. Thanks for getting back.

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Andy Coleman mentioned you were looking for casual staff?

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Oh, no. OK. No problem. Thanks anyway. Yeah, bye.

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All right. Thanks, Carol.

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You have to get Melissa on the trial!

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It's just not possible.

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Her lung function's not too bad. If she starts the treatment now,

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-she doesn't need to get like this.

-Mum!

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Lizzie, the trial is full.

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They have all the patients they need.

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Come and sit down.

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SHE WHEEZES

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I tried. After your appointment,

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I called Professor Caine and I asked him to reconsider.

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But...

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I'm sorry.

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I have decided that you are my best option.

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What?

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I need some information on genetics, and you're my go-to person when

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it comes to anything scientific or technical.

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What's your interest in genetics?

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I would rather not say at this stage.

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Are we talking Mendelian inheritance, mitochondrial DNA, gene expression? Take your pick.

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Never mind.

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-Good weekend?

-Ha.

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Do you want to sit here? I'll get your wheelchair.

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SHE COUGHS

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She's an Alpha 1. Same as me.

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Cab for Mrs Hopkin?

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Oh, um... Well, I'll...

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That's why I insisted on going back in to see the doctor.

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Any joy from Dr Reid?

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Do you think I'm silly to make a fuss?

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No, of course not. I would break doors down for my kids.

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Ta.

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St Phil's, please.

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Poor lady! You take it for granted, don't you - breathing?

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-Well, I hope you're pleased with yourself!

-Sorry?

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Putting ideas into Mum's head.

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All she needs is a wild goose chase to St Phil's.

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I didn't tell her to go to St Phil's.

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She's planning on kicking Professor Caine's door down.

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He's running the clinical trial.

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Now, I need to be here for the breakdown service, and I can't trust

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her in a cab, and now I'll have to drag my husband out of work,

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so if you'll just mind your own business!

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Mum?

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Mum!

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I'm all right.

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You have to stop this now!

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I'm not going home.

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You're not going to St Phil's!

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I can protest here.

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Hardly anyone knows about Alpha 1, and it's time they did.

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Karen, can you help me with the cardboard, please?

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What makes you think this protest's going to make any difference?

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Love, if you want to make things happen, you've got to cause a stir.

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Now, you can help me or you can walk away.

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Oh, what a surprise!

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It's not a good time?

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It's just that I have a meeting.

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-I shouldn't have come.

-No, no, of course I am glad to see you.

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It's just that this is a...

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Well, it is a busy week.

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Are you trying to get shot of me already?

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No, no! No, I am glad to see you.

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One moment, please.

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How long has this been going on?

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Mrs Hopkin? Not long. I was just about to give you a call.

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Well, I am very sorry for her predicament, but if they want to protest,

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they should do it outside Parliament!

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But their car's broken down.

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And public transport's not very good when you're dragging an oxygen tank.

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I'd better get on.

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Right. Well, I will see you later.

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Day off?

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No, he's just between jobs.

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Right. Well, I had better go. Please tell Dr Clay what is happening.

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Mrs Hollins, I do not expect to see her there when I return.

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Thank you. They said they may send someone over later.

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And maybe they won't.

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How long do you plan to keep this up?

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As long as it takes.

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It's not as if I've got to be somewhere else, is it?

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And what happens when your oxygen runs out?

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Then you can bring me some more.

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Haven't I got enough on my plate?

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-I don't need it so much if I sit still.

-Mum...

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..don't do this to yourself.

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You could catch cold.

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You could end up with pneumonia again.

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Hannah was terrified you were going to die the last time.

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I'm doing this for Hannah.

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No child should grow up watching their parent turn into an invalid.

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No. No, they shouldn't. But this isn't the way.

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We could look into leaving England, moving abroad.

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Clutching at straws!

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This is all my fault.

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No.

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I gave you this. I gave you Alpha 1.

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Mum, it's not your fault.

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SHE COUGHS

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Did you know that almost all diseases have a genetic component?

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Can't say I've given it much thought.

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Well, you should, especially if you're thinking of bringing

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a child into the world.

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There's more than blonde hair and a good backhand at stake.

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Finally, you've seen sense.

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It's a reproductive nightmare out there.

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Does this mean it's off?

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No, it just means I'm going to look closer to home.

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Not here?

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Well, I wouldn't see that there should be an issue. It's a male imperative to spread their seed.

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So who? Sid?

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No, he's a bit nervy. I bet he cried a lot as a baby.

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Mm. Jimmi?

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There's quite a lot of baggage there.

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Rob?

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Plodding. No, actually, I'd prefer a doctor.

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Al!

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What, and lumber my baby with the stroppy know-it-all gene? No.

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That leaves Heston or Daniel.

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Heston!

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Can you really imagine loving a little baby with Heston's face?

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Yes.

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I need to drop something at my daughter's school.

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Can you keep an eye on Mum?

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Of course, yes. Sorry... How did she get on with the Gazette?

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They're not interested. Two women sitting in a car park?

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It's not much of a story, is it? She already feels invisible.

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And about social media?

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Have a go at that, did she?

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Mm. Well, her 25 online buddies are very sympathetic but,

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apart from that, nobody cares.

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Hi. Could I speak to Lisa Watson, please, of the editorial department?

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Hi, I'm calling from the Mill Health Centre. I understand you're sending

0:20:340:20:38

a TV crew to cover the protest here? Oh!

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Oh, that's a relief. Oh, yeah, we really don't want any publicity to escalate the situation.

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Oi! Put that chair down! ..I'm so sorry. We're hoping that the police

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are going to come over shortly and sort it all out.

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I've got to go.

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Do you fancy coming in for a cuppa?

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I should be here, in case a journalist comes.

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Well, we can keep an eye out from reception.

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Yay!

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What you need is some supporters to help you man the barricades.

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Can you hold that for me?

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See, it's amazing what you can organise with

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a smartphone and the right contacts.

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There we go.

0:21:380:21:39

Sperm donor?

0:21:420:21:43

What would I have to take into consideration, medically speaking?

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Um, well...the fertility clinic will take care of all of that side of things.

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Oh, I don't think I want to go through a clinic.

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I don't much fancy being impregnated by a stranger.

0:21:560:21:58

Yeah, I'd rather use somebody I know.

0:22:000:22:02

OK. Well, Valerie, I would strongly advise against DIY sperm donation.

0:22:030:22:09

It can get very complicated.

0:22:090:22:10

Humour me.

0:22:100:22:11

OK. Well, the donor has to be in good health, free from any STIs, there have to be no

0:22:130:22:17

underlying conditions, you have to be aware of any genetic issues.

0:22:170:22:21

Oh, I'm very mindful of rogue genes. So, would you be willing to

0:22:210:22:27

donate your sperm, hypothetically?

0:22:270:22:29

Probably not.

0:22:330:22:34

May I ask why?

0:22:340:22:36

I'm just trying to get a male perspective.

0:22:360:22:38

I... If I'm going to father a child, I think I'd probably want to be involved.

0:22:380:22:43

So if I was going to create a life, I'd want to be there to be part of it.

0:22:450:22:49

And then, of course, there's the woman. She would be important as well.

0:22:490:22:56

Is that all?

0:22:590:23:00

Thanks.

0:23:010:23:02

-PROTESTORS:

-Save our NHS! Help the Alphas! Save our NHS! Help the Alphas!

0:23:110:23:18

I want to help the Alphas as well, but if you block the entrance,

0:23:180:23:21

I'm going to have to call the police.

0:23:210:23:23

What is going on here?

0:23:230:23:25

Help the Alphas!

0:23:250:23:26

Mrs Hollins, I asked you to deal with this!

0:23:270:23:30

They're community activists. I think Mrs Hopkin must have called them.

0:23:300:23:33

I am sorry, you are trespassing on private property.

0:23:330:23:37

I will have to ask you to leave.

0:23:370:23:39

-Do you want me to call Rob?

-No. No, I will deal with this myself, thank you.

0:23:390:23:42

Where did all these people come from? Where's Mum?

0:23:420:23:44

Your mum's been very busy.

0:23:440:23:46

-Lizzie?

-Mum?

0:23:490:23:51

-Lizzie!

-Mum!

0:23:510:23:52

Karen, call an ambulance.

0:23:520:23:54

LIZZIE GROANS

0:23:540:23:56

All right, Lizzie. Don't panic. All right. Slow breaths, remember? Purse your lips.

0:23:560:24:02

That's it. Through your nose. That's it.

0:24:020:24:04

-Ambulance, please.

-Well done.

0:24:040:24:06

-All right. Don't panic. Purse your lips.

-Mill Health Centre.

0:24:060:24:08

LIZZIE GROANS

0:24:080:24:11

-KNOCK ON DOOR

-Come in.

0:24:110:24:13

What?

0:24:160:24:18

I've decided who my sperm donor is going to be.

0:24:180:24:20

Daniel.

0:24:230:24:24

He's the obvious choice, really. I mean, he's intelligent, tall, good-looking.

0:24:240:24:29

He's already sired two healthy offspring.

0:24:290:24:31

Valerie, I'm not sure you've thought this through.

0:24:310:24:34

Don't you think Daniel might want a say in it?

0:24:340:24:38

I'll tell him when he gets back from holiday.

0:24:380:24:40

Karen, do me a favour. Get rid of that lot, will you?

0:24:460:24:49

No, no! I want them to see.

0:24:490:24:52

-You... You've got to talk to them.

-Mum...

-Tell them about Alpha.

0:24:530:24:59

Could you tell us what's going on?

0:25:090:25:10

My mum, Lizzie Hopkin, is the bravest person I know.

0:25:100:25:13

She has a rare genetic disorder called

0:25:140:25:16

Alpha 1 antitrypsin deficiency.

0:25:160:25:19

She's lost her home, her job...

0:25:200:25:22

-This is my fault. I encouraged her.

-..her independence because of it...

0:25:220:25:26

I'm not cut out to work with vulnerable patients.

0:25:260:25:28

-Karen, don't be silly.

-Every day gets harder for her to breathe...

-Some of our patients have no-one.

0:25:280:25:32

..harder to do the most basic of things for herself.

0:25:320:25:34

You can make a difference. You already have.

0:25:340:25:36

All of this because her body doesn't produce enough of

0:25:360:25:38

a protein that should protect her lungs.

0:25:380:25:41

You bunking off early?

0:25:490:25:51

No, I'm just trying to be spontaneous.

0:25:510:25:53

I'm leading you astray.

0:25:530:25:54

Well, there is a little time before my next meeting.

0:25:540:25:57

So, what have you been up to?

0:25:570:26:00

Cleaning out your pots.

0:26:000:26:01

Did I do something wrong? They were full of dead stuff.

0:26:030:26:05

Well, no, not dead. Dormant. Late-flowering perennials.

0:26:070:26:13

I'm so sorry. I'll replant them.

0:26:130:26:15

JJ...

0:26:150:26:16

-it is all right.

-I've trashed your plants!

0:26:160:26:20

You were trying to help. It is a lovely thought.

0:26:200:26:22

I really do appreciate you trying to contribute,

0:26:220:26:25

but I do not expect it.

0:26:250:26:26

I expect it. Unfortunately, I'm knocking on and unemployed.

0:26:260:26:30

So my options are limited.

0:26:300:26:31

Why don't you move in?

0:26:330:26:34

Until you are back on your feet?

0:26:340:26:36

Well, that's a big step.

0:26:360:26:37

Is this a ruse to try to get me into bed permanently?

0:26:390:26:42

What...no! Practical measures, that is all.

0:26:420:26:48

So you're offering me the spare room?

0:26:480:26:50

We do not need to change the sleeping arrangements.

0:26:510:26:54

I just want to help you financially, that is all.

0:26:560:27:00

You know, there's a word for a man who gets paid for his...services.

0:27:020:27:05

I am being serious.

0:27:070:27:09

Do you want to move in or not?

0:27:100:27:12

Ooh! Assignation with the head-shrinker.

0:27:220:27:26

-What did you eat for lunch? Razor blades?

-What?

0:27:260:27:29

No one person is a superhero.

0:27:290:27:32

Except you. Die-hard Hollins!

0:27:320:27:33

One more stunt like that and you're out of here.

0:27:330:27:36

-Look, she rang me.

-If she rings, don't answer!

0:27:360:27:38

You used to be there on my friendship scale.

0:27:380:27:42

Right now, you're there.

0:27:420:27:44

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