Box of Delights Doctors


Box of Delights

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Transcript


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We don't have to go yet.

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Just want to allow plenty of time.

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Because reasons?

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That's what I say.

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I know. I'm the reason.

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It's a new place.

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Pretty sure I know where it is, but just in case.

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I was thinking...back in the '90s,

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everyone was talking about sick building syndrome.

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-Everyone, Suki.

-OK, deep breath. This isn't the '90s.

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And don't forget - new building, but...?

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Familiar face.

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Bang on, babe!

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And I'll be there, too.

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I will be brief as this is your lunch break. Mrs Hollins,

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would you not like to take a seat?

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-No, I'll stop here. Megan's expecting another patient.

-Ah. Fine.

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Did you both read the e-mail I sent you about the vulnerable patients' assessment scheme?

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Yeah, and I'm all for it, in theory.

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Good. Miss Pitman, how do you feel about doing the assessments?

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Now, when you say assessment...

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You've had this morning's dose.

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I needed to see, to know which ones I need.

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Mum, she's an expert. She'll know what they are.

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Do we have to go?

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You need a repeat prescription.

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I hardly slept last night. Earworm.

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Everybody's Free To Feel Good.

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I get that. Baby by Justin Bieber.

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There's no tablet big enough to get that out of your head.

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Can you get my scarf?

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# Everybody's free to feel good

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# Everybody's free to feel good. #

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So I would be working to a checklist?

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It will be more flexible than that, but, yes.

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And then you supply a written evaluation to the doctor.

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I just don't understand how I would have the skills to make that judgment call.

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I mean, I know I'm intuitive, you do pick up things, but...

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Well, you will get training.

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They're not just going to let us loose with a clipboard and

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a novelty nurse's outfit!

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Perish the thought.

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Miss Pitman, I think it would be good for us to be more proactive

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to those patients in need.

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To be honest, I am so excited about getting out from behind that desk

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just once in a while.

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-BUZZING

-Oh, there we go.

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Yeah, thank you, Mrs Hollins.

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What? You still have reservations?

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Well, it's the responsibility. I'm glad you think I have the skills

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to do it, and I believe I do, too. It's just the pressure,

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on top of our reception duties.

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Right. Very well.

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With just Mrs Hollins and myself, there will be more work to share

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between us and, as we are getting a fee, there are compensations.

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-A fee?

-Oh, yes. Yes, for each assessment.

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-On top of our...your regular salary?

-Yes.

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Well, I suppose, like you say, with training...

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I do not want to put any pressure on you.

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No, you're right, this is about vulnerable patients who need

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extra special care and attention.

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Well, I'm very glad that you see it that way.

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And I'm sure it will go extremely well,

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especially with someone as caring as Dr Vere spearheading the scheme.

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-Dr Vere?

-Yes.

-Right.

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Is it me or is it hot in here?

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It's fine.

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There's no air, I can't breathe. I'll wait outside.

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You'll be called any second.

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It's like a ghost town. Where is everybody?

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Why is she staring at me? It's the scarf, isn't it?

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Bad choice, let's go.

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OK, focus on me. Now your breathing.

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In through the nose, hold, and out through the mouth.

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# Everybody's free to feel good

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# Everybody's free... #

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Mum?

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# To feel good. #

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Debra?

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It's a new place. Why'd you have to change?

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New place, same old me. Come through.

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Hi, Suki, how's things?

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Yeah, major.

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Don't leave. Promise.

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Not going anywhere.

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Afternoon.

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I've just walked from St Phil's.

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-The whole way?

-Yeah.

-Seriously impressed.

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Spring is in the air, and I'm keeping it in my step.

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Something's got to change. I mean, I don't like change but...something.

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Right. Tell me more about what's been going on.

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Well, nothing. That's the thing. That CB...

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T.

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Yeah, CBT - that doesn't work any more, and neither do the tablets.

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-Are you sticking to the prescribed dosage?

-Yeah.

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I mean, I'd take more, I'd want to, but Suki talks me down.

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I don't know how I'd manage without her. She's good with that mindfulness.

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Well, that's part of the CBT. That's effective for you, then?

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But I'm getting the anxiety thing almost every day.

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This is the first time I've left the flat in a month.

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And why do you think that is?

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Just coming to a new place - it's a nightmare.

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Why did you have to move? I liked the old place.

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I can see why that might be difficult for you.

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But I go where I'm wanted, and the Mill needs my experience.

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I need it, too.

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You still have it.

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I want something stronger or more of what I'm taking now

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because this place is further away for me and you're seeing more people now.

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Debra, you're at a stage where, ideally, I'd like to see you

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easing off the medication - you know, exploring coping mechanisms that are non-medicated.

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-No!

-One thing to consider is a home treatment team.

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They'll come see you regularly, assess where you might be struggling...

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Assessment? What, like being assessed fit for work?

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You hear about that. No, no, no, no, no, no! It's their way of cutting your benefits

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or ending them. I've got a daughter!

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Yeah, I know.

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I can barely support us as it is.

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You can't take my benefits!

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OK, Mrs Brindley, well, mind how you go.

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Thank you, thank you. Bye-bye, doctor.

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-Thank you.

-Bye.

-Bye.

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Long consult?

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Oh, yeah, she was the chatty kind.

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-Needed someone to listen, more than anything.

-Well, there you go.

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Just the kind of behaviour that shows you are the right man for the job.

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-Sorry?

-She's a vulnerable patient, the scheme -

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Mrs Tembe's been briefing us.

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Oh, right, she's been...

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Yeah, well, telling us that you are the doctor that we're going to answer to,

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which sort of makes you our boss.

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Just as long as you don't check my spelling.

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I wouldn't let that happen.

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They just have to hit F7 and then spellchecker kicks in.

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No(!) Well, I would never have known that(!)

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Live and learn!

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Can I just say that finding out that you're the doctor we're

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working with is... Can we say clean page?

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-No animosity?

-Oh, well... It's not all of them.

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I've been meaning to have a talk with Mrs Tembe.

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Yeah?

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Yeah, I wanted to tell her...

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What a great team we'd be?

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Yeah, yeah. Exactly.

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Aw, don't you just want to give him a little cuddle?

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No, cos that would be sexual harassment.

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And calm, even breaths.

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I don't like this room. I like the old one.

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You said the colour of the walls made you feel like you were being smothered in a salad bowl.

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I got used to it.

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Come and sit down.

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Now, when I say a home treatment team will assess you,

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it has nothing to do with the DWP or benefits, all right?

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Debra?

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This is purely for your health and wellbeing. That's pretty.

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It's my box of delights. Suki's idea.

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May I?

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You said to create a calm space at home.

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I've seen it.

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That's my calm space that I can take with me.

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I keep my tablets in it.

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What a great idea.

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And it helps, having this with you?

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Sort of. Can I?

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Now, I would like to see you coming off the medication at some point.

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I don't think you're quite ready yet,

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but we have to think of the long-term effects.

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Something stronger?

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That would be a backward step.

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We'll keep things as they are for now.

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Doing this scheme will benefit us all in the long run.

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We'll be using resources better...

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I'm just a bit disappointed that you're going with the whole Tembe flow.

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I mean, you even sound like her.

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What about the rapid response thing?

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That was all pie in the sky. I mean, you were right.

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Can you really imagine me turning up to something like a car pile-up and then not panicking?

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Yeah, actually.

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Nah. This is the right choice all round.

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Really. I'm happy.

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It's good that you've considered it from all angles.

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And you're right. I mean, the VPAS is a challenge in itself.

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It's pen-pushing! You're coasting.

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You're not making waves.

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No, I'm not. I'll be heading the team, for a start.

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But what do YOU really want?

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This is about you, not someone else's plan for you.

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Will you sort my prescription, then?

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-I could have done that on the way home.

-I had to get back.

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You've still got a few days.

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I like knowing they're here.

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I've got a tutorial in half an hour.

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-I missed the last one. It was really important. Course tutor said...

-For me?

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I'll drop by the pharmacist, see if they'll do a home delivery today.

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I don't know what I'd do without you. Don't hang around after your studies.

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Make yourself some chamomile. You did OK at the doctor's.

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Love you.

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Do you know what these are?

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Don't you?

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Indulge me.

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Er... Looks like some kind of anti-inflammatory, maybe a multi-vitamin.

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So not some generic brand of SSRI, then?

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No. Is that what they're supposed to be?

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For a patient with severe anxiety problems.

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How are her symptoms?

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She did claim they were getting worse and that she wants something stronger.

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And you think she might have a point?

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What did she say about this?

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She doesn't know. I borrowed them.

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She doesn't react well to change.

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Do you think that a pharmacist could mix things up?

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It's not impossible, but it's doubtful.

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Yeah, that's what I thought. They check everything twice at the dispensing point, but...

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I don't know. I don't think it's a one-off.

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Financial gain's the only thing that I can think of, but I don't see it.

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One pharmacist, X amount of patients not getting the right meds.

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It's not worth the risk, in my opinion.

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I suppose so. Thanks.

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I think Emma's still at lunch. Do you want a coffee while you wait?

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-Go on, then, seeing as it's you.

-Oh, no, Emma's on the patio.

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-Oh, well, there you go. I'll let her know you're here.

-I'll do the coffee, then, shall I?

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-No, you don't have to do that.

-It's no problem.

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Oh! You and me are going to get on famously, boss.

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Boss?

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Oh, yeah, that scheme I was telling you about. Back in a sec.

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How do you take it?

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-White and one, please. What, the vulnerable patients' scheme?

-Yeah.

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Yeah, we've been talking about that at work, as well.

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-You know, I think there's going to be some crossover between us.

-Oh, nice.

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Giving the public extra support.

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Well, personally, I think that we should just have more doctors out and about.

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-I agree.

-It's all a matter of resources, though, isn't it,

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taking the world over? Where do you spend your budget?

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Not to mention the fact that you're not just a GP or a policeman.

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You're a social worker, as well.

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Cheers. Or a counsellor, or a surrogate parent.

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Well, Karen's the one that'll be doing the initial assessment -

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you know, seeing the patients.

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Being nosy in an official capacity - wow, she'll lap it up!

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I'll be making the decisions once she's done the leg work, though I did think...

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Well, I was veering towards rapid response as a speciality.

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You must come into contact with that, right?

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I certainly do.

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OK. Um...

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PHONE RINGS

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-Hello?

-Debra? It's Megan.

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Just a quick question - I forgot to ask you when you were here.

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Do you have a specific pharmacist you use for your prescriptions?

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Suki usually deals with that. She sometimes gets them delivered. Why? Is there a problem?

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-No.

-Will the prescription get filled? Have they stopped making them?

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-Is that it?

-No, of course not.

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You knew this might happen. That's why you were talking about me not taking them.

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This is a trick!

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Debra, it's not a trick. Is Suki there?

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Can I speak to her?

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No, she's at college. What have you done?

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OK, I need you to focus on your breathing. Remember that exercise that I showed you?

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Do that for me.

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I'll be with you as soon as I can.

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So it was you applying the pressure?

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Oh, yeah. I was the only one with a spare pair of hands.

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The paramedic said, "Put that on there."

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I mean, I've done that lots of times, but there was

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so much blood in the lay-by, I was amazed he had any left.

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You see, I'd have tried to do all that by myself.

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Why would you do that?

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My neck on the line.

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-Must be a real rush sometimes.

-What's got you all revved up?

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Oh, Rob's just telling me some stories about when he's worked with the rapid response team.

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Oh, my hero! Emma's just printing off your report.

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Oh, OK. I was telling Sid about paramedic Gavin -

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the Zorro of the M40. Nobody quicker with a cannula.

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Was he the one with the dodgy eye? Kept winking?

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No, that was Brian Bell.

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Oh, yeah!

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You know, if you really are interested, I can put you in contact with someone.

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That would be brilliant.

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Yeah, maybe you could go out and shadow a crew.

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Seeing everyone trying to save lives, all pitching in, not knowing what they're going to face...

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Um, but I will have to focus on getting this VPAS stuff off the ground for now.

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I mean, that's going to take up all my extra time.

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Yeah, of course, but if you do decide....

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Thanks, Rob.

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Yeah. You know, if you want more background information about the police,

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you could do a lot worse than talk to Emma.

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What's that?

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Oh, nothing. We were just... sharing war stories.

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Excuse me?

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Hi, are you delivering to flat 4?

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I might be.

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I'm the doctor that wrote the prescription,

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if it's for Debra Stock.

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Right.

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Do you deliver here often? I mean, is it always you?

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If she gets her prescription done at the same place, then, yeah, it'll be me.

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And...sorry, I know this might sound a bit out there, but

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-you count them out and then count them back in again?

-I what?

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You check the deliveries at the pharmacy, and then that's it, they go in the van?

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Yeah, of course. What is this? Has someone complained about stuff going missing?

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So there's no opportunity for, say, tampering?

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Every delivery is stapled shut, prescription on the outside.

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They're loaded in here, there's an inner cage that locks independent.

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-Now, unless someone's made a complaint...

-No, sorry.

-..I've got a delivery to make.

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-Oh, Mrs Tembe! I was wondering if I could have a word with you, if you've got a minute.

-Er...

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Maybe I could come and see you between patients?

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Well, yes. Yes, of course, Dr Reid. Um, is there a problem?

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Heads up, ladies.

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In your office?

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Right, hello.

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-OK, so there is a change of plan.

-You're doing the full marathon?

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Hm! Only with you by my side. No, I'm going to walk to the supermarket.

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-I need you to pick me up from there, OK?

-What could we possibly need?

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The fridge is absolutely groaning!

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Get something nice for tomorrow night.

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For dinner with Mrs Tembe and JJ.

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You have forgotten, haven't you?

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Um, do we have to?

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Yes! OK, think of it as another themed evening,

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and you're playing the role of a gracious host, OK? So start practising.

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I appreciate the escort. Not the nicest neighbourhood, is it?

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I'm here to see my patient.

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And I was only joking.

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Dr Sharma. Thanks.

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-Debra Stock?

-She's my mum.

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I should give it to her.

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She can't come to the door right now.

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Yeah, I spoke to her on the phone. How bad is she? I can vouch for her.

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OK. One tamper-free package.

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Thanks. This is the worst I've seen her in ages.

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Debra?

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# Everybody's free to feel good. #

0:17:590:18:02

Focus on your breathing. Slow it down.

0:18:020:18:04

I can't get it to stop. I'm going to run out of tablets, and then what?

0:18:070:18:10

You're not going to run out of tablets. The pharmacy just delivered a refill. You'll be fine.

0:18:100:18:14

-I'll get some water.

-No, open the new supply.

0:18:140:18:16

They're the wrong ones! They're not right. They're the old ones.

0:18:270:18:30

Debra, look at me. This is the correct prescription.

0:18:300:18:34

When did they change in appearance?

0:18:340:18:36

I don't know. Suke?

0:18:360:18:38

-I don't remember. Think when I started using a different place to get them.

-How long's that been?

0:18:380:18:42

This new place - I usually get them delivered. You saw.

0:18:440:18:46

But not always. Depends where I go.

0:18:460:18:49

Right. Because there's something muddled about all this.

0:18:490:18:53

There's always some muddle where Mum's concerned.

0:18:530:18:55

KNOCK ON DOOR

0:18:560:18:58

-Now a good time?

-Er... Yes, yes, of course.

0:18:580:19:01

I take it you are unhappy about something?

0:19:030:19:06

It's the VPAS.

0:19:060:19:08

What? You think it is a bad idea?

0:19:080:19:10

No, I think it's a great idea.

0:19:100:19:12

Oh, well, good.

0:19:120:19:14

It's just, as practice lead in elderly care,

0:19:140:19:16

I'm a little annoyed that it was given to Sid and not me.

0:19:160:19:20

Dr Reid, it did not even occur to me. Let me reassure you...

0:19:210:19:27

Particularly as the elderly are going to be

0:19:270:19:29

a large percentage of the scheme's target group.

0:19:290:19:32

You make a valid point. And I will consider it.

0:19:340:19:39

Right. Well, I'll leave you to consider it, then.

0:19:420:19:46

How long have you felt the treatment hasn't been helping you?

0:19:500:19:54

She's always been a bit up and down.

0:19:540:19:55

Has it been worse since the change in tablets?

0:19:550:19:58

Well, she's better now, thanks to you.

0:19:590:20:01

Why are you doctoring your mother's medication?

0:20:040:20:06

-What?

-These are not any SSRI that I recognise.

0:20:060:20:09

And you're the only one that could be doing the swap.

0:20:090:20:11

This is rubbish! Why would I do that?

0:20:110:20:13

It's like you want her incapacitated and dependent on you, and I can't think why.

0:20:130:20:16

Oh, I don't know, cos you're wrong?

0:20:160:20:18

What are these? Something illegal?

0:20:180:20:20

She wouldn't do that, not my Suke.

0:20:200:20:23

I don't know how much of a risk there is in you taking them,

0:20:240:20:27

not to mention how long you've been off your prescribed medication.

0:20:270:20:30

Stop attacking us! You're meant to be helping.

0:20:300:20:32

Suki, I need to know.

0:20:340:20:35

Look at your mother. If you've interfered in her treatment, you're the cause of all this.

0:20:360:20:41

Stop it!

0:20:410:20:42

Tell her she's wrong. Oh, my God! I don't need this.

0:20:420:20:45

They're sugar pills! Only sugar.

0:20:450:20:49

Harmless.

0:20:490:20:51

You've been selling her antidepressants?

0:20:510:20:53

I don't get it. Why are you saying that?

0:20:530:20:57

To someone you think needs them more than your mother?

0:20:570:20:59

To anyone.

0:20:590:21:01

There's always someone out there who wants to take something to go up,

0:21:010:21:04

come down, numb their way through life.

0:21:040:21:07

-No!

-You did it all the time!

0:21:070:21:09

All your '90s house culture, Up All Night, Groove Is In The Heart,

0:21:090:21:12

-Es are good!

-You're dealing?

0:21:120:21:15

Why do you think she's so messed up now? Drugs!

0:21:150:21:18

Trashed her brain, wrecked her health, and who's been paying for it?

0:21:180:21:21

The daughter she gave a stupid name!

0:21:210:21:23

Suki's a beautiful name, like you.

0:21:230:21:25

I didn't feel beautiful, taking care of myself and you

0:21:250:21:29

since I could walk.

0:21:290:21:30

Dressed and fed myself, stayed at home on my own.

0:21:300:21:33

You were loved and free.

0:21:330:21:35

Free? To do what? Clean up your sick?

0:21:350:21:40

Put up with all the freaks you brought here that I had to

0:21:400:21:43

call Dad or Uncle, act all cool cos Debra's daughter had to be?

0:21:430:21:47

That's no reason to make things worse for both of you.

0:21:470:21:49

What do you know? I sell her tablets to put myself through college

0:21:490:21:54

so I can have a proper chance,

0:21:540:21:55

a decent life, get away from all this useless crap.

0:21:550:21:58

KNOCK ON DOOR

0:22:000:22:01

Come in. Oh, Dr Vere. Thank you for coming so quickly.

0:22:010:22:07

It's OK. It sounded urgent.

0:22:070:22:10

Please take a seat. It is about VPAS.

0:22:100:22:14

Oh, yeah, Karen and Valerie told me they're on board,

0:22:140:22:17

-said they're looking forward to working together.

-Right.

0:22:170:22:19

It's just that Dr Reid has indicated that she is interested in heading up the scheme.

0:22:190:22:25

She has?

0:22:270:22:28

I know that you had set your heart on this being your development specialism,

0:22:280:22:33

-but I just wondered how you felt about stepping down.

-Um...

0:22:330:22:39

I would completely understand if you wanted to continue, of course...

0:22:390:22:43

No, no, no! Emma is a senior member of staff and my landlady.

0:22:430:22:49

No, Dr Reid would not use that as leverage and, of course,

0:22:490:22:53

I would back you if you wanted to...

0:22:530:22:54

No, no, no, it makes sense.

0:22:540:22:57

I mean, she has got way more experience.

0:22:570:22:59

Yeah, it's only right it goes to her. It's a good decision.

0:23:000:23:04

Thank you.

0:23:040:23:06

I know you just want this to succeed.

0:23:060:23:09

And, once again, I apologise, and I commend you for seeing it this way.

0:23:090:23:14

How could you do this to me?

0:23:230:23:25

I didn't do it to you, I did it for me.

0:23:250:23:27

It's understandable, to put yourself first,

0:23:270:23:29

but there are long-term consequences for both of you.

0:23:290:23:31

It's all your mess, shoved onto my life, and I've been cleaning it up.

0:23:310:23:35

You don't even want to get better.

0:23:360:23:38

That's not true.

0:23:380:23:39

This is payback, far as I'm concerned.

0:23:390:23:41

I had no support from you when it counted so I took what I could.

0:23:410:23:45

-How could you?

-See?

0:23:450:23:47

Even now, it's still about her, always has been.

0:23:470:23:49

Selfish cow. You're a useless mother!

0:23:490:23:53

Suki!

0:23:530:23:55

I hate that name!

0:23:550:23:56

I was a good mother, no matter what she says.

0:24:090:24:11

I'm not judging.

0:24:110:24:13

Will she come back? How will I cope?

0:24:130:24:16

Baby steps, Debra.

0:24:160:24:17

You're back on your proper medication, which will start acting soon.

0:24:180:24:21

I don't have my box of delights!

0:24:210:24:22

Maybe we should start looking at decreasing your dosage.

0:24:220:24:25

You have been managing without it.

0:24:260:24:29

I think we start seeing the positive in this -

0:24:290:24:31

look at how we move forward from this point.

0:24:310:24:34

I'm going to stay at a friend's.

0:24:500:24:52

For how long?

0:24:520:24:53

You know, what you did was dangerous for your mum,

0:24:550:24:58

but just as dangerous for anyone you sold the tablets to.

0:24:580:25:01

Free country.

0:25:010:25:02

You're playing with people's lives, including your own.

0:25:030:25:06

And you risk making Debra more dependent on you,

0:25:080:25:10

which would be a bigger burden.

0:25:100:25:12

She won't be my problem much longer. I'll finish college,

0:25:120:25:15

get a job, get the hell out.

0:25:150:25:17

Will you tell the police about the tablets?

0:25:190:25:21

No, provided you stop selling.

0:25:250:25:26

And talk to Debra before making any more decisions.

0:25:270:25:30

I look at the future sometimes, and all I see is her,

0:25:320:25:36

clinging to me like some walking dead thing.

0:25:360:25:39

Making progress with your mum will give you more freedom,

0:25:400:25:43

I'm sure of it.

0:25:430:25:44

I don't want to end up like her.

0:25:450:25:48

I know.

0:25:480:25:49

I've seen too many people your age ground down by having this kind of responsibility.

0:25:530:25:57

You could do with a therapist of your own.

0:25:590:26:02

Would you see someone? For me, Suki?

0:26:020:26:06

Susan. I want to be Susan from now on.

0:26:060:26:09

Hiya, Rob? Yeah, it's Sid. You all right? That offer - does it still stand?

0:26:260:26:32

Yeah? Brilliant. No, cos, like you said, first-hand experience, all of that...

0:26:320:26:36

Dr Vere seems to be taking his change of circumstances very well.

0:26:380:26:42

Well, young people tend to bounce back very quickly, Mrs Tembe.

0:26:420:26:46

-Goodnight.

-Night.

0:26:460:26:48

I know what you did.

0:26:500:26:51

I don't know what you're talking about.

0:26:530:26:55

I mean, tonight is your chance to find out about JJ.

0:27:000:27:03

So are you done for the night?

0:27:050:27:06

-Um, no.

-That's a shame.

0:27:060:27:08

I was going to ask if you wanted to go for a drink.

0:27:080:27:11

It looks delicious.

0:27:110:27:12

You could sell that recipe for a small fortune.

0:27:120:27:14

Well, the recipe for this is safely ensconced in a bank vault,

0:27:140:27:18

away from thieving...hands.

0:27:180:27:21

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