0:00:38 > 0:00:40You are a natural.
0:00:40 > 0:00:42You need to start thinking about stepping it up to the next level.
0:00:42 > 0:00:44Next level?
0:00:44 > 0:00:49I am acutely aware that I have issues that I need to work through.
0:00:49 > 0:00:52Promoting you was a logical decision.
0:00:52 > 0:00:53Managing your own ward
0:00:53 > 0:00:56is the next natural step in your career progression.
0:00:56 > 0:00:59- FLETCH:- Colette does know that this is happening, right?
0:00:59 > 0:01:01ARTHUR: What has happened, it's happened,
0:01:01 > 0:01:05but we have got to entrust ourselves to our work and our patients.
0:01:05 > 0:01:08- You agreed?- # Riding high in April, shot down in May... #
0:01:14 > 0:01:17It's hardly the Colosseum. But it's home.
0:01:20 > 0:01:24- You OK?- Yeah, yeah, just, er, stuff on my mind.
0:01:25 > 0:01:27We've all been there.
0:01:27 > 0:01:29- The transition to CT1's never easy.- No.
0:01:30 > 0:01:33Bigger balls to juggle. More pressure to make the right call.
0:01:35 > 0:01:37Just don't let yourself get distracted.
0:01:37 > 0:01:40Seize the chance to shine. That's what you're here for.
0:01:42 > 0:01:44OK, I'm going to grab a word with the head honcho.
0:01:44 > 0:01:46Yeah? I'll see you up there. Yeah?
0:01:50 > 0:01:51You're a good doctor.
0:02:03 > 0:02:05- You genuinely don't get it, do you? - Of course I do...
0:02:05 > 0:02:08Why anyone would actually care about improving themselves.
0:02:08 > 0:02:10Um, just not first thing in the morning
0:02:10 > 0:02:13when I've been hauled out of bed and refused a single drop of caffeine!
0:02:13 > 0:02:16My car, my rules. You be late on your own time, girl.
0:02:16 > 0:02:18You are just pure evil, do you know that?
0:02:18 > 0:02:20Well, maybe if you and half the cast of Magaluf Weekender
0:02:20 > 0:02:24hadn't drowned out my research all night, I might be nicer.
0:02:24 > 0:02:27- Jonny Mac'll back me up. - Oh, no, don't include me in this!
0:02:27 > 0:02:31When have you ever known my kid sister to show an ounce of ambition?
0:02:31 > 0:02:32Um, excuse me.
0:02:32 > 0:02:34Just because I know how to have a good time,
0:02:34 > 0:02:36it doesn't mean that I haven't got any drive!
0:02:36 > 0:02:38And so what happened to taking it to the next level -
0:02:38 > 0:02:40that course description Jonny gave you?
0:02:40 > 0:02:42I'm reviewing my options.
0:02:42 > 0:02:44Whilst using it to prop up the coffee table? Yeah.
0:02:44 > 0:02:47Um, no. We decided not to bother!
0:02:47 > 0:02:48So, Jonny and I were chatting
0:02:48 > 0:02:51and I'm thinking of applying straight for the nursing training.
0:02:53 > 0:02:55- A nursing degree?- Mmm...
0:02:55 > 0:03:00Mmm... We've more homework planned today. She's showing real promise.
0:03:00 > 0:03:03Right, well, you do know what's involved?
0:03:03 > 0:03:04Uh, yeah.
0:03:04 > 0:03:05Great. Good for you!
0:03:08 > 0:03:10- SHE SIGHS - I need some chocolate.
0:03:18 > 0:03:20You're cutting it fine.
0:03:20 > 0:03:23We can't all be up with the birdies, can we?
0:03:23 > 0:03:26So what's the latest with Sacha and Essie?
0:03:26 > 0:03:27Ooh...
0:03:27 > 0:03:29- Morning, Mr Levy!- Morning, morning.
0:03:33 > 0:03:34Zosia not with you?
0:03:34 > 0:03:35Last time I saw Dr March,
0:03:35 > 0:03:38she was falling into an unlicensed cab with a bearded Russian
0:03:38 > 0:03:40and half a bottle of home-made vodka.
0:03:40 > 0:03:44Right. Team Levy. Gather round!
0:03:44 > 0:03:45A day of unmitigated optimism.
0:03:47 > 0:03:50Erm... I have a very full theatre schedule.
0:03:50 > 0:03:52In my absence, I have decided to leave
0:03:52 > 0:03:56our resident CT1, Dr Digby, in charge.
0:03:56 > 0:03:59I want you all to report to him,
0:03:59 > 0:04:01and I expect your full cooperation.
0:04:05 > 0:04:08Good. Put your best foot forward and good luck!
0:04:08 > 0:04:09You're going to need it.
0:04:14 > 0:04:18This is the time to put those leadership skills into action, OK?
0:04:18 > 0:04:22Now, there'll be spot checks throughout the day, but...
0:04:22 > 0:04:23I'm joking.
0:04:23 > 0:04:26Oh...! OK. HE LAUGHS NERVOUSLY
0:04:26 > 0:04:28So where's, er, Zosia?
0:04:28 > 0:04:31Zosia? Not sure.
0:04:31 > 0:04:36- Right. First on your list, locate your junior doctor.- OK.
0:04:36 > 0:04:37OK. Good.
0:04:42 > 0:04:44Breathe in...
0:04:44 > 0:04:46And out...
0:04:46 > 0:04:51Imagine the sand beneath your feet. Feel the warmth of it.
0:04:51 > 0:04:53The grains between your toes.
0:04:53 > 0:04:55Let your heels sink into the ground
0:04:55 > 0:04:58- as deep as they'll go. Deeper and deeper.- Zosia?
0:05:00 > 0:05:01You OK?
0:05:03 > 0:05:05Practising visualisation techniques.
0:05:06 > 0:05:09Yeah, I can see that.
0:05:09 > 0:05:12Mr Benson was experiencing anxiety about his hernia op.
0:05:12 > 0:05:15Right, what time does your shift start?
0:05:15 > 0:05:16They'll cope.
0:05:16 > 0:05:18I won't be long.
0:05:18 > 0:05:20- OK, one more time... - SHE BREATHES IN
0:05:28 > 0:05:31Just once more. For me?
0:05:31 > 0:05:32Mum, I know what to do.
0:05:37 > 0:05:39I can do it meself.
0:05:39 > 0:05:42I said, I can manage, you silly cow!
0:05:42 > 0:05:44Do you people get, like, special training or what?
0:05:44 > 0:05:47- Don't speak to her like that. - And you are?- Never mind who I am.
0:05:47 > 0:05:50But touch her again, we'll have you transferred before the blood dries.
0:05:50 > 0:05:53- Now sit down.- I'm OK to walk.
0:05:53 > 0:05:54Yep -
0:05:54 > 0:05:58that's great, but do me a favour. Get back on the trolley.
0:05:58 > 0:06:00OK. Come on.
0:06:00 > 0:06:02Right, I can take it from here. Thank you.
0:06:04 > 0:06:06So you're just off the plane?
0:06:08 > 0:06:10What happened to your head?
0:06:10 > 0:06:11I stood up too fast.
0:06:11 > 0:06:14Says here that you jumped over railings. Were you messing about?
0:06:14 > 0:06:17What are you, me mum?
0:06:17 > 0:06:18Nurse Morley?
0:06:18 > 0:06:20Right, this is Laini Stevenson, 18 years old,
0:06:20 > 0:06:23referred from the ED with a 4cm laceration to her head.
0:06:23 > 0:06:26Let's clean the wound, fetch a suture trolley
0:06:26 > 0:06:28- and tell Mr Di Lucca that she's here.- OK.
0:06:28 > 0:06:31And, Nurse...? Where is everyone?
0:06:35 > 0:06:39Bloods for Mrs Patel, bed six. Can you check her IV, please?
0:06:39 > 0:06:41Yes. Zosia, it's Arthur. OK...
0:06:41 > 0:06:44- Where are you? We need you here. Just call...- Dr Digby...!- Yep!
0:06:45 > 0:06:50Now, this is Abi McBride, she's 12 years old. This is her mum, Kate.
0:06:50 > 0:06:53Abi's just been referred from the ED with stomach pains,
0:06:53 > 0:06:55er, fatigue, diarrhoea and...
0:06:55 > 0:06:57Burning pains in her hands and feet.
0:06:59 > 0:07:01Now, unfortunately for her, Paeds is currently full
0:07:01 > 0:07:03so until we can get her transferred...
0:07:03 > 0:07:05You're stuck with us, I'm afraid.
0:07:05 > 0:07:08But, this is Dr Digby. He's going to be in charge.
0:07:08 > 0:07:11Any problems, he's going to refer them to me. OK?
0:07:11 > 0:07:16Ah - yes. Can we get her changed and find her a bed, please? Thank you.
0:07:16 > 0:07:18Nice glasses, by the way!
0:07:21 > 0:07:24Right. Thoughts?
0:07:24 > 0:07:27Er, possible appendicitis? Gastroenteritis, maybe?
0:07:27 > 0:07:30- But the pain in the hands and feet is odd.- Mm.
0:07:30 > 0:07:32OK, what do you suggest?
0:07:32 > 0:07:35Er, full history, examination of all relevant areas, FBC,
0:07:35 > 0:07:40U and Es, LFTs, amylase, stool sample for analysis and...
0:07:40 > 0:07:42abdominal ultrasound?
0:07:42 > 0:07:43Excellent. Excellent.
0:07:43 > 0:07:46So. Everything fine? All in control?
0:07:46 > 0:07:50- Yeah, absolutely.- OK. Where's Zosia?- Oh...
0:07:50 > 0:07:53Right. Today is about taking responsibility.
0:07:53 > 0:07:55Managing your juniors.
0:07:55 > 0:07:58- "Oh..." is not an option.- OK.
0:08:01 > 0:08:03ROCK MUSIC OVER EARPHONES
0:08:10 > 0:08:13Morning, everyone! There you go!
0:08:13 > 0:08:14Oh, nice one. Er, Nurse Fletcher...
0:08:20 > 0:08:22Tell me this isn't the rota.
0:08:22 > 0:08:25Morning to you too, gorgeous. Fancy a doughnut?
0:08:27 > 0:08:28Look. I've got a system.
0:08:28 > 0:08:30Right, so Sarah's in today, is she?
0:08:30 > 0:08:31Uh...Majorca.
0:08:31 > 0:08:33- Ruth?- Still off sick?
0:08:33 > 0:08:36- OK. So you've called in Chloe?- OK. OK.
0:08:36 > 0:08:38You know Ric is going to have a canary?
0:08:38 > 0:08:39I will sort it.
0:08:39 > 0:08:42- Why? You going to put your pinny on? - If you'd like me to.
0:08:42 > 0:08:44Nurse Fletcher...
0:08:44 > 0:08:46Ooh, I love when you get all headmistress with me.
0:08:46 > 0:08:49Nurse Fletcher, if you value your job...
0:08:49 > 0:08:51Is that what this is all about?
0:08:51 > 0:08:53- Aw, Collywobble... - OK, don't call me that!
0:08:53 > 0:08:56- Are you worried that you're going to lose me?- Oh, please.
0:08:56 > 0:08:58- Oh, come on, I am growing on you! - Yeah, like fungus.
0:08:59 > 0:09:03You love having me here. I can tell.
0:09:03 > 0:09:04You know what?
0:09:04 > 0:09:06It's your funeral.
0:09:07 > 0:09:09What? No detention? No lines to write?
0:09:15 > 0:09:16(Right...)
0:09:16 > 0:09:19And apply pressure... Excellent!
0:09:19 > 0:09:21Did it!
0:09:21 > 0:09:22- You OK to go on?- Yep.
0:09:22 > 0:09:25OK. Up next we have protecting the airways.
0:09:25 > 0:09:26So, who are we dealing with?
0:09:26 > 0:09:28Patients prone to respiratory problems.
0:09:28 > 0:09:30Correct. And what is our aim?
0:09:30 > 0:09:33To make sure that she doesn't choke or drown in her own saliva.
0:09:33 > 0:09:36Also correct. Although you may want to tone down the graphics
0:09:36 > 0:09:37when the patient is present.
0:09:37 > 0:09:39With your permission...?
0:09:41 > 0:09:45Right. You tilt the head back, pushing the lower jaw forward
0:09:45 > 0:09:47like so.
0:09:47 > 0:09:48The mouth is placed downwards,
0:09:48 > 0:09:52ensuring the fluids drain from the airways.
0:09:52 > 0:09:57Lastly, we keep the patient's chin well up to keep the epiglottis open.
0:09:57 > 0:09:58There.
0:10:01 > 0:10:03You gotta stay sharp when you're ordering different cocktails
0:10:03 > 0:10:05- for every punter on the bus.- Wow.
0:10:05 > 0:10:08It's hardly rocket science, is it?
0:10:08 > 0:10:10Obviously there are people that'll make out
0:10:10 > 0:10:12it's a much bigger deal than it really is.
0:10:12 > 0:10:14You know - the people that like to throw their weight around,
0:10:14 > 0:10:16giving it the big "I am"...
0:10:16 > 0:10:19But - no offence, but 95% of this nursing stuff,
0:10:19 > 0:10:21a performing seal could do.
0:10:21 > 0:10:22JAC CLEARS HER THROAT
0:10:24 > 0:10:26Ms Naylor! You all right?
0:10:28 > 0:10:31Lobectomy candidate, possible TB, Bay Two.
0:10:31 > 0:10:34I'll introduce you, then I'll need you to run the prelims.
0:10:34 > 0:10:37Oh, and, er, you can bring the performing seal.
0:10:37 > 0:10:40GASPING AND CHOKING
0:10:40 > 0:10:41He's having a heart attack!
0:10:46 > 0:10:49Dave Robson, 53. Scheduled for a bypass.
0:10:49 > 0:10:51Supposed to be nil by mouth.
0:10:51 > 0:10:52'Any problems like this before?'
0:10:52 > 0:10:56Nothing. Abi's never even set foot in a hospital.
0:10:56 > 0:10:59Oh, you don't know what you're missing. I pretty much live here.
0:10:59 > 0:11:01Do you, er, live nearby, or...?
0:11:02 > 0:11:05She's very shy. We haven't long moved here.
0:11:05 > 0:11:08We wanted to be nearer Granny and Grandad.
0:11:08 > 0:11:11OK. Do you want to pop up onto the bed, Abi?
0:11:11 > 0:11:15I'm just going to er...give your tummy a little feel.
0:11:15 > 0:11:18But I think you're going to need to help me out with this one.
0:11:18 > 0:11:21So, this pain in your hands and feet...
0:11:22 > 0:11:25..can you, er, describe it for me?
0:11:25 > 0:11:28It tingles. Sometimes it feels like burning.
0:11:28 > 0:11:30And how long has it been going on for?
0:11:30 > 0:11:32A couple of weeks or so. She's getting worse.
0:11:37 > 0:11:40Um, well - we're going to need to run a few tests.
0:11:40 > 0:11:42That may take some time.
0:11:42 > 0:11:44Would you like us to call anyone for you? Abi's father, or...?
0:11:44 > 0:11:47Abi's dad isn't around.
0:11:47 > 0:11:49Sorry.
0:11:49 > 0:11:52Right, well - don't worry, we're going to get to the bottom of it.
0:11:52 > 0:11:54And we'll get someone to come and run those blood tests shortly. OK?
0:12:00 > 0:12:03Wow. Psycho Mum. No wonder the kid doesn't speak.
0:12:03 > 0:12:05There's no pain in the lower right quadrant
0:12:05 > 0:12:07and there wasn't any guarding...
0:12:07 > 0:12:10What? Do you think the mother's making it up? Munchausen by proxy?
0:12:12 > 0:12:15OK, well, let's just get those blood tests sent off,
0:12:15 > 0:12:16see if that throws up any clues.
0:12:16 > 0:12:17Clues?
0:12:17 > 0:12:19Zosia! Where have you been
0:12:19 > 0:12:21and what did you do to yourself?
0:12:21 > 0:12:25Oh, Arthur. All those hours spent honing your social skills.
0:12:25 > 0:12:26So, a mystery case?
0:12:27 > 0:12:29How are you feeling?
0:12:29 > 0:12:30Top of the world, Ms Naylor.
0:12:30 > 0:12:31Any pain? Nausea?
0:12:31 > 0:12:34Oh - nothing a couple of antacids wouldn't sort out.
0:12:34 > 0:12:37Judging by your entrance, you're sticking to the diet.
0:12:37 > 0:12:39Dave's lifestyle is an ongoing issue.
0:12:39 > 0:12:41Too much time on the road.
0:12:41 > 0:12:43Nothing better to do than snack?
0:12:43 > 0:12:46- We haven't been introduced. Nurse, Doctor...?- Actually I just...
0:12:46 > 0:12:47I hate to interrupt
0:12:47 > 0:12:50this no doubt scintillating insight into the art of pillow-plumping
0:12:50 > 0:12:52but I must get on.
0:12:52 > 0:12:545mg of morphine. Check his fluids.
0:12:54 > 0:12:58FBCs, Us and Es, cardiac enzyme, X-ray, full chest X-rays.
0:12:58 > 0:13:01He's showing signs of arrhythmia so keep a close eye on him.
0:13:01 > 0:13:03Where do you think you're going?
0:13:03 > 0:13:06Full patient history. Temperature. Weight. Pulse.
0:13:06 > 0:13:09You can finally put all that nursing expertise to good use.
0:13:15 > 0:13:19Right, so bed five needs mobilising, bed seven needs a discharge
0:13:19 > 0:13:20and bed six, that's Mrs Fieber,
0:13:20 > 0:13:24she needs fluids and 5mg of morphine. Thanks.
0:13:24 > 0:13:25Between us, I promise...
0:13:30 > 0:13:31Yeah, I know I did.
0:13:31 > 0:13:34It's just that this sickness thing has wiped us out.
0:13:34 > 0:13:35Look, I'll tell you what -
0:13:35 > 0:13:38how about I have them now and we put them down for next week?
0:13:38 > 0:13:40Yeah. OK. No worries.
0:13:41 > 0:13:45I appear to be a scrub nurse down for my final theatre slot.
0:13:45 > 0:13:49Er, yes, and I am going to sort that out for you straightaway.
0:13:49 > 0:13:52In fact we seem to be a bit thin on the ground generally.
0:13:52 > 0:13:57- Er, we... OK, we have had a couple of staffing issues...- Issues?
0:13:57 > 0:14:01- Well, more like blips, but I'm on it.- Good.
0:14:01 > 0:14:04Because I'm sure I don't need to remind you about the importance
0:14:04 > 0:14:05of maintaining a full nursing quota.
0:14:05 > 0:14:07Absolutely not.
0:14:08 > 0:14:11Right, well, er... I'll leave it with you. Ms Sheward.
0:14:15 > 0:14:18What's going on in her head, do you think?
0:14:18 > 0:14:22Boys. Shoes. Drink. More boys.
0:14:22 > 0:14:24Right. I was talking about Zosia.
0:14:24 > 0:14:26DOMINIC LAUGHS SARCASTICALLY
0:14:26 > 0:14:28Seriously, I think this might be more than, er...
0:14:28 > 0:14:30She's just moving on.
0:14:30 > 0:14:32- OK. She was really late.- And...?
0:14:32 > 0:14:34And, I practically had to wrestle this off her.
0:14:34 > 0:14:38Oh, cos heaven forbid she steal some of your thunder from Poppa Levy.
0:14:38 > 0:14:40How come you're so blase about it all of a sudden?
0:14:40 > 0:14:42Because if we don't stop talking about it,
0:14:42 > 0:14:43people are going to notice!
0:14:43 > 0:14:46Look at you, you're running around like a demented rodent
0:14:46 > 0:14:48- checking on her every move... - I care what happens to her!
0:14:48 > 0:14:52We just act normal. Ride this out. She'll get over it.
0:14:53 > 0:14:55Look at her. Does that look like a girl in crisis to you?
0:14:55 > 0:14:57One patient history, two cannulations,
0:14:57 > 0:14:59a fluid balance chart and a chest drain.
0:14:59 > 0:15:02- Do you really think that's the best use of my time?- One second.
0:15:02 > 0:15:04I was wondering how soon Abi's ultrasound might be.
0:15:04 > 0:15:07Yep, I'm going to be right over. It's next on my list.
0:15:09 > 0:15:11Er...
0:15:13 > 0:15:14..nasogastric tube. Bed seven.
0:15:18 > 0:15:21# At the end of a storm
0:15:21 > 0:15:26# There's a golden sky And the sweet... #
0:15:26 > 0:15:27Rough night?
0:15:27 > 0:15:31- Sorry! Just a few mates over from my last job.- Holiday reps.
0:15:31 > 0:15:33Ooh - where were you based?
0:15:33 > 0:15:35Spain and Greece mainly.
0:15:35 > 0:15:38Oh, what I wouldn't do for a day on the beach now with a bottle of ouzo.
0:15:38 > 0:15:40Driving take you far?
0:15:40 > 0:15:43Most of Europe. It's a young man's game now, though.
0:15:43 > 0:15:44Played havoc with me family life.
0:15:44 > 0:15:46My missus gave it up in the end.
0:15:46 > 0:15:49Did well to get out now. Make a career for yourself.
0:15:50 > 0:15:54- So. Male nurse, eh?- Uh-huh.- Bet you get loads of stick, don't you?
0:15:54 > 0:15:55Er, only from Ms Naylor.
0:15:55 > 0:15:56DAVE LAUGHS
0:15:58 > 0:15:59Excuse me.
0:16:01 > 0:16:04Present from me youngest. Lucky charm.
0:16:04 > 0:16:08My grandad was a Red. Didn't miss a match,
0:16:08 > 0:16:09until he got sick.
0:16:09 > 0:16:11Is he...?
0:16:11 > 0:16:13Yeah, a few years back. Emphysema.
0:16:14 > 0:16:16What's with the three?
0:16:17 > 0:16:19It's a nickname. Stupid.
0:16:19 > 0:16:21Dave's bloods and ECG.
0:16:21 > 0:16:24- Thanks... How's Florence Nightingale coming along?- Great!
0:16:26 > 0:16:30Right, his thyroxine is elevated, there's no sign of infection.
0:16:30 > 0:16:32- Let's get an angiogram.- Mm-hm.
0:16:32 > 0:16:35So you genuinely believe she can't hack this?
0:16:35 > 0:16:38- Course she can. She's an Effanga. - So...?
0:16:38 > 0:16:41Come on! There's no way she's taking this seriously.
0:16:41 > 0:16:43I think you underestimate her.
0:16:46 > 0:16:48Right. Better get you weighed!
0:16:48 > 0:16:49My favourite bit.
0:16:49 > 0:16:52Swing your legs out. You OK to walk?
0:16:52 > 0:16:53Why? Where are we going?
0:16:53 > 0:16:56Treatment Room. Up the ward.
0:16:56 > 0:16:59Right-ho... Kiss goodbye to the last of my self-respect.
0:17:01 > 0:17:05Actually, stay there. Wait a sec.
0:17:09 > 0:17:12- Lost something?- Er, yeah. The ultrasound machine.
0:17:12 > 0:17:14It was here earlier.
0:17:14 > 0:17:16Maybe the phantom pregnancy took it.
0:17:16 > 0:17:20Or... Wait a minute, maybe it was Dr March...
0:17:31 > 0:17:33Dr Digby! You joining us?
0:17:34 > 0:17:37Yes. Thank you, Dr March. I'll take over from here.
0:17:44 > 0:17:47Sorry, mate, no can do. Erm, have you spoken to HR?
0:17:47 > 0:17:49I'm over my quota.
0:17:49 > 0:17:51Look, a loan. A couple of hours. That's all I need.
0:17:51 > 0:17:53Just to get them off my back till it's sorted.
0:17:53 > 0:17:58- Is it really that bad?- Mate, you got no idea.- Don't I? Jac! This is...
0:17:58 > 0:18:01Adrian Fletcher. I'm the new Ward Manager on AAU.
0:18:01 > 0:18:03Have we met?
0:18:03 > 0:18:05I'd remember. Let me guess -
0:18:05 > 0:18:07either you're here to pick the brains
0:18:07 > 0:18:09of the Clinical Nursing Manager of the Year...
0:18:09 > 0:18:11- You know what, Jac...?- Which strikes me as unlikely.
0:18:11 > 0:18:16Or you're canvassing support for yet another intoxicating night of bingo.
0:18:16 > 0:18:19- Or, you're looking for sponsorship. - You know, Jac, this is not your...
0:18:19 > 0:18:20Well, besides appearances,
0:18:20 > 0:18:22Nurse Maconie here does actually have a job to do.
0:18:22 > 0:18:26So unless there's some pressing business that I've failed to cover,
0:18:26 > 0:18:29I suggest you scurry on back to the emergency room
0:18:29 > 0:18:32and raise funds for your half marathon on your own time.
0:18:32 > 0:18:33That's... That's not your call!
0:18:40 > 0:18:42- Nothing showing up. - What does that mean?
0:18:42 > 0:18:44It means we're able to rule out appendicitis.
0:18:44 > 0:18:45We should order a CT.
0:18:45 > 0:18:47Yes. Thank you, Dr March.
0:18:47 > 0:18:50I think actually in this case an MRI would be more suitable.
0:18:50 > 0:18:51What's a CT for?
0:18:51 > 0:18:53To highlight any bowel pathology.
0:18:53 > 0:18:56Right, OK. Why don't you help Abi clean up, yeah?
0:18:57 > 0:18:59How long will an MRI be?
0:18:59 > 0:19:02Er, right, yeah. I'm going to order it now,
0:19:02 > 0:19:04and then, um... yeah,
0:19:04 > 0:19:05we've got the bloods coming back
0:19:05 > 0:19:07so we should know more when those come through.
0:19:07 > 0:19:09OK. Dr March...?
0:19:12 > 0:19:14OK, right. You want to go back
0:19:14 > 0:19:16for the first bit of bread before you start going over the cactuses.
0:19:16 > 0:19:19- And try and keep your energy levels about half, yeah?- Thanks.
0:19:21 > 0:19:23Um... Yep!
0:19:25 > 0:19:27Right, er... What are you doing?
0:19:27 > 0:19:29We needed to get going.
0:19:29 > 0:19:31Right, you're not qualified to interpret an ultrasound!
0:19:31 > 0:19:34Arthur, it's a glorified TV set, not the dashboard of Apollo 13.
0:19:34 > 0:19:36- What is your problem today?- Whe...
0:19:36 > 0:19:39- I'm afraid these are going to have to go.- No!
0:19:39 > 0:19:41But they can't run the test with them on.
0:19:44 > 0:19:47Could you touch your nose for me, please?
0:19:50 > 0:19:51Excuse me.
0:19:51 > 0:19:54Any headaches? Vomiting?
0:19:54 > 0:19:59- Sometimes.- Do you mean BEFORE you hit your head?
0:19:59 > 0:20:00How often?
0:20:01 > 0:20:03Most days.
0:20:03 > 0:20:05How's your appetite?
0:20:05 > 0:20:08Well, I'm not anorexic, if that's what you're getting at.
0:20:08 > 0:20:10OK, FBC, U and Es, LFT
0:20:10 > 0:20:13and let's play it safe and order a head CT.
0:20:13 > 0:20:15You mean...stick me in a tube?
0:20:15 > 0:20:17Yeah, it's just to rule out anything serious.
0:20:17 > 0:20:19Oh, you're the expert now, are you?
0:20:19 > 0:20:22No. But I will be sticking you back together.
0:20:22 > 0:20:24- Any changes, let me know, yeah? - Yup.
0:20:27 > 0:20:31- Were you on your own when you fell?- Why?
0:20:31 > 0:20:33Well, I just thought maybe you were pushed.
0:20:34 > 0:20:36I was with my boyfriend.
0:20:36 > 0:20:37Where's he now?
0:20:37 > 0:20:39The ED. He hurt his ankle,
0:20:39 > 0:20:42- he'll be here soon. - You both fell?
0:20:43 > 0:20:45He was...he was trying to catch me.
0:20:46 > 0:20:49Right. Just need to let that set.
0:20:49 > 0:20:51Do your parents know you're here?
0:20:53 > 0:20:55I doubt it. Me dad's dead.
0:20:56 > 0:20:58Right, well, what about your mum?
0:20:58 > 0:21:00- Do you want us to call her?- No.
0:21:05 > 0:21:07- Boyfriend?- Hardly!
0:21:10 > 0:21:12Sorry, excuse me. Nurse Fletcher...?
0:21:12 > 0:21:14Sorted. Half an hour.
0:21:14 > 0:21:17Right, cos we really need you here.
0:21:17 > 0:21:20You can start with Lisbeth Salander over here.
0:21:20 > 0:21:21Who?
0:21:21 > 0:21:24Sorry. Forgot you can't read. Second coat and a head CT.
0:21:26 > 0:21:28- Ah. Excuse me...- Yep?
0:21:28 > 0:21:31- Erm...- I won't be a moment. Sorry, won't be a moment.
0:21:31 > 0:21:33Just bear with me. Zosia, Zosia!
0:21:33 > 0:21:36Ah... Look, OK. Um, maybe I... Er,
0:21:36 > 0:21:39I haven't handled the past few weeks as well as I could have...
0:21:39 > 0:21:42- Thank you.- ..but, um... Sorry, what are these?
0:21:42 > 0:21:43Abi's test results.
0:21:43 > 0:21:46- Er...how did you get those? - I told them who my father was.
0:21:46 > 0:21:48- Any news?- Results came back clear.
0:21:48 > 0:21:51Maybe it's time you called one of the other doctors.
0:21:51 > 0:21:53I think we should chase the MRI.
0:21:53 > 0:21:56Like Mr Levy, or a consultant.
0:21:56 > 0:21:57OK, erm - Kate,
0:21:57 > 0:21:59um, how would you... How would you like a little break?
0:21:59 > 0:22:00I'm fine.
0:22:00 > 0:22:03No, er, but Dr March perhaps could take you for a cup of tea,
0:22:03 > 0:22:06and then I can sort all of this out.
0:22:06 > 0:22:09Digby! General surgery. Anything jumping off the treadmill?
0:22:10 > 0:22:12- ALARMS SOUND - What's going on?
0:22:12 > 0:22:16- Pulse 120, BP 130/100.- Dave?
0:22:16 > 0:22:20I need to get an IV... And we need 250mg of digoxin.
0:22:20 > 0:22:21Coming right up.
0:22:21 > 0:22:24All right, Dave. I need you to calm down for me, OK?
0:22:26 > 0:22:29No pulmonary or respiratory problems.
0:22:29 > 0:22:32Ultrasound, blood tests were clear and, er, I've ordered an MRI.
0:22:32 > 0:22:34Any other symptoms?
0:22:34 > 0:22:38She's complaining of pain in her hands and feet...
0:22:38 > 0:22:41So I was thinking, er, acroparesthesia maybe?
0:22:41 > 0:22:45- Hmm. How long's this been going on for?- Well, a week or two,
0:22:45 > 0:22:47but it's a bit difficult to tell cos the mum's quite...
0:22:47 > 0:22:49Have you spoken to the child?
0:22:49 > 0:22:51Well, no, cos the mum's quite...
0:22:51 > 0:22:54I understand Mr Levy has you managing the juniors?
0:22:54 > 0:22:56Yeah. Yeah.
0:22:56 > 0:22:57Are you on top of that?
0:22:57 > 0:22:59Yeah, absolutely! It's all, er... tickety-boo.
0:23:02 > 0:23:05Get an EMG, let me know what shows up on the MRI
0:23:05 > 0:23:08and talk to your patient.
0:23:08 > 0:23:09Great.
0:23:11 > 0:23:12Tickety-boo.
0:23:22 > 0:23:25Hi, Abi. Can I take a seat?
0:23:25 > 0:23:26OK.
0:23:29 > 0:23:30Right, you're doing very well.
0:23:32 > 0:23:35Being a... Being a doctor sometimes feels like that.
0:23:36 > 0:23:39Lots of hidden obstacles and missing links.
0:23:41 > 0:23:44You see, working here, you need facts.
0:23:44 > 0:23:47It's a bit like being a detective.
0:23:47 > 0:23:50Is that why you wanted to be one? Because of all the facts?
0:23:52 > 0:23:55Yes, but also I wanted to... to help people too.
0:23:56 > 0:23:59But you can't always. Can you?
0:23:59 > 0:24:02Doctors can't always cure people.
0:24:02 > 0:24:04What makes you say that?
0:24:06 > 0:24:08Do you think you can cure ME?
0:24:10 > 0:24:14Yes. If I have all the information, I can.
0:24:18 > 0:24:20I got to level five.
0:24:22 > 0:24:24Dad's going to be really annoyed.
0:24:24 > 0:24:25Dad?
0:24:26 > 0:24:27I thought your mum said...
0:24:31 > 0:24:34Your pulse rate is a bit high but apart from that...
0:24:34 > 0:24:36Is there someone we can call? A friend...
0:24:36 > 0:24:39No! I'm fine as I am, thank you.
0:24:39 > 0:24:41Let's get 2.5mg of bisoprolol.
0:24:42 > 0:24:44What happened?
0:24:44 > 0:24:47- Precursor to a heart attack.- Why?
0:24:47 > 0:24:49Atherosclerosis. Reason he's here.
0:24:49 > 0:24:50But why now?
0:24:50 > 0:24:53Oh, I don't know. His smoking, his weight...
0:24:53 > 0:24:54His weight?
0:24:54 > 0:24:56Well, you weighed him! Didn't you notice?
0:24:56 > 0:24:58We'll know more when we get his results.
0:24:58 > 0:25:01- Well, shouldn't we be observing him or something?- Whoa!
0:25:01 > 0:25:03You're not a Ward Sister yet, you know!
0:25:03 > 0:25:06By the way, it was really good what you did with Jonny earlier.
0:25:06 > 0:25:09You might just end up getting a degree after all. At a push...
0:25:11 > 0:25:13So she's secretly in contact with her father -
0:25:13 > 0:25:15it's none of our business.
0:25:15 > 0:25:16It is if the mother's lying.
0:25:16 > 0:25:17Then why don't you ask her?
0:25:19 > 0:25:21- Might I have a quick word? - Abnormal muscle function.
0:25:21 > 0:25:24Polyarteritis nodosa. Trichinosis. Muscular dystrophy.
0:25:24 > 0:25:25Right, I'm not sure we should...
0:25:25 > 0:25:27Dr Digby, we need to arrange a muscle biopsy.
0:25:27 > 0:25:30That's ridiculous. So he's 37?
0:25:30 > 0:25:32And how old are you?
0:25:32 > 0:25:33Age is irrelevant.
0:25:33 > 0:25:35Now, I thought that was size...
0:25:35 > 0:25:37You do know he's old enough to be your dad, right?
0:25:37 > 0:25:40- You know who you sound like?- OK, very funny. On the stairs, please.
0:25:40 > 0:25:43Right, park your bum there for me.
0:25:44 > 0:25:47I'm taking it that your mum doesn't approve?
0:25:47 > 0:25:49Didn't approve of his lifestyle.
0:25:50 > 0:25:53- And how did you meet?- Online.
0:25:53 > 0:25:54Er, dating website?
0:25:54 > 0:25:56Kind of.
0:25:56 > 0:25:58What about you and Nanny McPhee?
0:25:58 > 0:25:59Who?
0:25:59 > 0:26:03- Ms Sheward. She's got her eye on you.- You reckon?
0:26:03 > 0:26:06- You going to make a move? - Um... (We've got previous.)
0:26:07 > 0:26:10So - when was the last time you saw your mum?
0:26:13 > 0:26:15Four months ago. Day I moved in with Jace.
0:26:17 > 0:26:19OK. Now, perfectly still.
0:26:23 > 0:26:24Bring it on.
0:26:27 > 0:26:29It's by far the most direct route. Simple procedure,
0:26:29 > 0:26:31- local anaesthetic... - And quite possibly painful.
0:26:31 > 0:26:33It's worth it.
0:26:33 > 0:26:34- She's a child.- So?
0:26:36 > 0:26:38Right, even if you're right, there's no guarantee
0:26:38 > 0:26:40we can keep her still long enough to take the sample.
0:26:40 > 0:26:42Then we give her a general. We can do it together,
0:26:42 > 0:26:46- I'm familiar with the theory. - Right, Zosia, just stop!
0:26:46 > 0:26:48Are you sure you're up to this?
0:26:48 > 0:26:49What?
0:26:49 > 0:26:51Managing and medicine.
0:26:52 > 0:26:54Course I am. Just...
0:26:54 > 0:26:58There's no shame in asking for help, you know.
0:26:58 > 0:27:00- I'll page Sacha.- No! Just...
0:27:00 > 0:27:02Look, Abi's my patient, OK?
0:27:02 > 0:27:05Just, please... Just trust me to do my job.
0:27:07 > 0:27:11Jonny. Chest drain, Bay Two. Thought our girl could observe.
0:27:11 > 0:27:12Dave Robson's angiogram.
0:27:12 > 0:27:15Thanks. Where's his history?
0:27:15 > 0:27:16Erm, I put it in his file.
0:27:19 > 0:27:21Come with me.
0:27:29 > 0:27:32Your weight. It's exactly the same as last month.
0:27:32 > 0:27:33That's convenient.
0:27:35 > 0:27:40Don't blame the girl. Couldn't face the walk of shame.
0:27:40 > 0:27:43If anything I'd say you've lost a few pounds.
0:27:43 > 0:27:44Why didn't you say?
0:27:44 > 0:27:48- I'd be shouting it from the rooftops!- Um...
0:27:58 > 0:27:59Levothyroxine.
0:27:59 > 0:28:02You've been taking thyroid tablets to lose weight?
0:28:02 > 0:28:03I read about them on the internet.
0:28:03 > 0:28:04Me mate got them for me.
0:28:04 > 0:28:07Well, it'll explain the arrhythmia.
0:28:07 > 0:28:09Won't affect the op, will it?
0:28:09 > 0:28:12Let's up his beta-blockers. With me.
0:28:18 > 0:28:20- Congratulations.- I thought...
0:28:20 > 0:28:22You are aware that idiocy of this magnitude
0:28:22 > 0:28:25could mean the difference between life and death?
0:28:25 > 0:28:27Um, what was that?
0:28:27 > 0:28:31To be fair it was the tablets that made him collapse.
0:28:31 > 0:28:35May I remind you how entirely dependant you are on my goodwill?
0:28:35 > 0:28:38If you want a career in this hospital, any career,
0:28:38 > 0:28:39I recommend you hold that thought.
0:28:45 > 0:28:47Kate. Hello. Can I just have a...
0:28:51 > 0:28:56Right, we've actually decided not to proceed with the muscle biopsy.
0:28:56 > 0:29:02- Why not?- Well, I'd like to run another test. EMG.- Oh, no.
0:29:02 > 0:29:06You're familiar with it? Nerve conduction studies, yep.
0:29:06 > 0:29:08- Well...- Er...
0:29:09 > 0:29:15Right, when I spoke to Abi earlier, she mentioned her dad.
0:29:15 > 0:29:17So?
0:29:17 > 0:29:19Well, I'd understood that he wasn't around.
0:29:19 > 0:29:24Well, she sees him occasionally. Is that a problem?
0:29:24 > 0:29:29No. It's just that, um...if he's involved in Abi's life...
0:29:29 > 0:29:31Which he's not.
0:29:31 > 0:29:34OK. But we really need to contact him
0:29:34 > 0:29:36- before going ahead with any treatment.- Why?
0:29:36 > 0:29:40I'd understood only one signature is required...
0:29:40 > 0:29:45Unless you have reason to doubt my mental state. Do you?
0:29:47 > 0:29:50No. No, no, no, um...
0:29:50 > 0:29:53I'm going to arrange the test and then I'll come back...
0:29:58 > 0:30:00I need to get hold of the dad.
0:30:00 > 0:30:03I thought you were meant to be managing this rabble.
0:30:03 > 0:30:05She knew what the tests were.
0:30:05 > 0:30:09OK, well, then I suggest chasing the transfer up with Paeds.
0:30:09 > 0:30:12Or, if not, then phone St James's. We don't need this.
0:30:23 > 0:30:25Seriously, what were you thinking?
0:30:25 > 0:30:26It wasn't that big a deal!
0:30:26 > 0:30:28Fudging medical notes! Talking back to Jac...
0:30:28 > 0:30:29Um, she was on one!
0:30:29 > 0:30:33She's Director of Cardiothoracic Surgery! She's allowed to be!
0:30:33 > 0:30:35Ah, you're your own worst enemy, you know that?
0:31:03 > 0:31:06HORN BLARING
0:31:10 > 0:31:11Come on!
0:31:13 > 0:31:17Jonny? It's Dave. I think he's in trouble. He's in his lorry.
0:31:26 > 0:31:28Yeah, he's here. OK...
0:31:28 > 0:31:31Dave? Dave!
0:31:32 > 0:31:36Please, wake up! Oh, gosh.
0:31:36 > 0:31:38Come here...
0:31:41 > 0:31:43One, two, three... Come on!
0:31:51 > 0:31:53Four, five, six, seven...
0:31:53 > 0:31:54Get out of the way!
0:31:57 > 0:31:58I can't feel a pulse.
0:32:00 > 0:32:02- What do you think you were playing at?- He wasn't breathing,
0:32:02 > 0:32:05- I was trying to save his life! - By shattering his ribcage?
0:32:05 > 0:32:07There was no-one here! What was I supposed to do?
0:32:07 > 0:32:10- You get some training, or you call for help!- I did!
0:32:10 > 0:32:12Any response?
0:32:12 > 0:32:15We might need to intubate. Consider this an official warning.
0:32:15 > 0:32:18If you so much as touch a patient from now on, you are out!
0:32:23 > 0:32:26- You OK?- Yeah, I'm just short a couple of nurses.- Never have guessed!
0:32:26 > 0:32:28Management are out for my blood.
0:32:28 > 0:32:30Do you know what, I'm not sure how much longer I'm going to last.
0:32:32 > 0:32:34- Nice pinny.- Sorry. Must dash.
0:32:34 > 0:32:37- Do you often fall asleep in the day?- Why?
0:32:37 > 0:32:40Your head CT has come back clear but your calcium is way up.
0:32:40 > 0:32:42Which would explain the vomiting and the loss of appetite.
0:32:42 > 0:32:45One possible explanation could be a long term overdosage
0:32:45 > 0:32:48of vitamin D3. Do you take any supplements?
0:32:48 > 0:32:50I don't get out much in the sun.
0:32:50 > 0:32:52Why? Do you start to glitter?
0:32:52 > 0:32:54See, this is why we don't tell anyone.
0:32:55 > 0:32:57We?
0:32:57 > 0:32:59Me and Jace. And the others.
0:33:00 > 0:33:03We're nocturnals...
0:33:03 > 0:33:04Creatures of the night.
0:33:08 > 0:33:10- It's a real thing!- Yes, we know.
0:33:10 > 0:33:12The problem is that you're taking too much.
0:33:12 > 0:33:15Not only will D3 increase your need for daytime sleep
0:33:15 > 0:33:17but it could be doing lasting damage.
0:33:17 > 0:33:19I'm more tired because of it?
0:33:19 > 0:33:21Come off it straightaway and if you don't feel better
0:33:21 > 0:33:23in a couple of days, then contact your GP.
0:33:23 > 0:33:24So I can go?
0:33:24 > 0:33:26We still are waiting for your LFT results,
0:33:26 > 0:33:29and I'd like to keep an eye on that head wound, but
0:33:29 > 0:33:30should be a couple of hours max.
0:33:32 > 0:33:35Have you heard anything from the ED about my boyfriend?
0:33:35 > 0:33:37No. But I'll let you know if we do.
0:33:39 > 0:33:41- Still no sign of the cavalry. - They'll be here.
0:33:55 > 0:33:58About a 1.5cm incision along the outer thigh.
0:33:58 > 0:34:00Minimal scarring.
0:34:00 > 0:34:02- Any sign of Zosia?- No.
0:34:04 > 0:34:06- OK. So clear so far?- Er, yeah.
0:34:06 > 0:34:09Right, so then we take two samples, small samples.
0:34:09 > 0:34:11About one centimetre squared.
0:34:11 > 0:34:14Before you say anything, I approached Dr March.
0:34:14 > 0:34:17I want the procedure to go ahead.
0:34:17 > 0:34:19Right. Kate, um... The muscle biopsy is...
0:34:19 > 0:34:22Why are you so determined not to treat my child?
0:34:22 > 0:34:24OK, that's not...
0:34:24 > 0:34:26Who's the Head of Neurosurgery?
0:34:26 > 0:34:28- Mr Self. Our CEO.- I want to see him.
0:34:28 > 0:34:31Right, I don't think it's going to make any difference.
0:34:31 > 0:34:34- I don't care what you think! I want a third opinion!- Kate...
0:34:41 > 0:34:43Have you got me that scrub nurse yet?
0:34:43 > 0:34:45Er, yeah. All sorted.
0:34:45 > 0:34:47No-one mentioned that the dress code had changed.
0:34:47 > 0:34:50It's, erm, a back to basics day!
0:34:50 > 0:34:53In fact, I've got a sponsorship form in my office if you want to...
0:34:53 > 0:34:55- No. That's OK. Catch me later.- OK.
0:34:55 > 0:34:57Great! Could you hand one of them out?
0:34:57 > 0:34:59- No, look, I have to go.- Why?
0:34:59 > 0:35:02Urgent paperwork, but... backup'll be here soon.
0:35:02 > 0:35:05- Yeah! Yeah, any minute. - Good luck!- Thanks.
0:35:08 > 0:35:10I COULD stay if you really need me to.
0:35:10 > 0:35:12No. You're all right. Get yourself off.
0:35:18 > 0:35:20Laini?
0:35:20 > 0:35:22Laini... Laini. Laini.
0:35:26 > 0:35:30Lying. Denying my existence. Forcing Abi to lie...
0:35:30 > 0:35:31I'm not doing this.
0:35:31 > 0:35:35What? All so we can end up back where we started?
0:35:35 > 0:35:36You were contemplating surgery!
0:35:36 > 0:35:39Not surgery. A test.
0:35:39 > 0:35:41Just another test.
0:35:43 > 0:35:44We had an agreement.
0:35:44 > 0:35:45You had an agreement.
0:35:45 > 0:35:47How many more times, Katie?
0:35:47 > 0:35:50Well, we'll never know, will we? Because you haven't got the...
0:35:50 > 0:35:51So Abi's been ill for how long?
0:35:54 > 0:35:57She first got the pain in her arms just before her eighth birthday.
0:35:57 > 0:36:00And she's been through all the relevant neurological tests?
0:36:00 > 0:36:01Are you a registrar?
0:36:03 > 0:36:07I've met enough consultants to know you're not one of them.
0:36:07 > 0:36:10Abi was diagnosed with psychosomatic disorder.
0:36:10 > 0:36:13- Katie has had trouble accepting this.- Don't, Adam...
0:36:13 > 0:36:17She's struggled with depression and anxiety since her father...
0:36:19 > 0:36:21..her father took his own life.
0:36:22 > 0:36:24I'm sorry.
0:36:24 > 0:36:30This isn't about me. Abi's illness is not psychosomatic.
0:36:30 > 0:36:32Yes, it is.
0:36:32 > 0:36:34And every time we go through this,
0:36:34 > 0:36:37every time we pitch up at a new hospital, we only make it worse.
0:36:39 > 0:36:42Perhaps you need some time alone. Dr March...?
0:36:42 > 0:36:45- This test...- Not now, Zosia.
0:36:45 > 0:36:47- I still think it's worth considering...- Please.- Zosia!
0:36:50 > 0:36:52Sorry.
0:36:52 > 0:36:54How long ago did it start?
0:36:54 > 0:36:56- It's had two coats of glue. It should have stayed.- Thanks.
0:36:58 > 0:37:01No. That level of bleeding's not normal. Looks like a haematoma.
0:37:01 > 0:37:03- We'll need to evacuate. - What does that mean?
0:37:03 > 0:37:05Oh, it's nothing to worry about.
0:37:05 > 0:37:08- It's just a simple operation under a general anaesthetic.- Gas?
0:37:08 > 0:37:10You'll be in and out before you know it.
0:37:10 > 0:37:11Can you call your ED?
0:37:11 > 0:37:14- I still can't get through to Jace on his mobile.- Yeah, OK.
0:37:14 > 0:37:17- You want us to call your mum?- No.
0:37:22 > 0:37:24She needs someone here to look after her.
0:37:24 > 0:37:27Someone who's not a thirtysomething-year-old flake.
0:37:27 > 0:37:29We need to respect her wishes.
0:37:29 > 0:37:31It's up to the nurses to look after her.
0:37:31 > 0:37:32If only we had any.
0:37:35 > 0:37:38- Fletch...?- There she is! That's her.
0:37:39 > 0:37:42- You just accept it? - I didn't say that...
0:37:42 > 0:37:45The verdict of a distraught father and a bunch of faceless consultants?
0:37:45 > 0:37:46It makes a difference.
0:37:46 > 0:37:48This is because of Kate's mental health issues.
0:37:48 > 0:37:51Of course it's not! It's because Abi's been seen, over and over,
0:37:51 > 0:37:54- by people far more qualified than us! - Do you know your problem, Arthur?
0:37:54 > 0:37:56Why in 30 years' time, I'll be running this place
0:37:56 > 0:37:59and you'll still be bumbling about in registrar's clothes
0:37:59 > 0:38:01- like sad old Mr Levy? - OK, keep your voice down!
0:38:01 > 0:38:04- You haven't got a spine! You just follow the herd...- That's not true.
0:38:04 > 0:38:07Taking everything at face value. Admit it.
0:38:07 > 0:38:08You can't cope so you're just giving up!
0:38:08 > 0:38:11- I have no intention of giving up! - Then let me do the biopsy!
0:38:19 > 0:38:22You're exhausted and you're overwrought.
0:38:22 > 0:38:24Certainly in no condition to operate.
0:38:24 > 0:38:27So go home. Relax.
0:38:27 > 0:38:28Come back tomorrow.
0:38:31 > 0:38:33That's not a request, Dr March.
0:38:40 > 0:38:43No use playing dumb, girlie. It was me that called the ambulance!
0:38:43 > 0:38:45What do you want? A medal?
0:38:45 > 0:38:46So come on, where do you stash it?
0:38:46 > 0:38:48Maybe you should talk to the boyfriend.
0:38:48 > 0:38:50I would, only he's gone!
0:38:50 > 0:38:51I went to your ED first.
0:38:51 > 0:38:53- Said he'd gone home with a twisted ankle.- When?
0:38:53 > 0:38:54Hour ago, maybe?
0:38:54 > 0:38:57Fuss he was making, I was hoping he'd broke it.
0:38:57 > 0:39:00- Nice.- You don't know the half of it. He's a nasty piece.
0:39:00 > 0:39:02Been robbing us off for months.
0:39:02 > 0:39:04Always with a different scrap in tow.
0:39:06 > 0:39:08You all right?
0:39:08 > 0:39:11Scowl at me all you like!
0:39:11 > 0:39:14Every night he was in last week and it wasn't you with him.
0:39:14 > 0:39:17- You need to calm down just a little bit.- Oh, no, you don't!
0:39:17 > 0:39:19Yeah, come on. Let's talk about this somewhere else.
0:39:19 > 0:39:21I know your game. There's a principle here!
0:39:21 > 0:39:23She's just a kid, mate!
0:39:23 > 0:39:25Oh, really? Well, we'll see about that!
0:39:25 > 0:39:29- No, you can't go in her bag!- I'll prove it! What a nasty, lying...
0:39:29 > 0:39:30Ha!
0:39:33 > 0:39:35Tinned spaghetti.
0:39:35 > 0:39:37So. Who's the bad guy now?
0:39:43 > 0:39:45Collapse in the street and any Tom, Dick or Harry can do what I did
0:39:45 > 0:39:48- but it happens in a hospital... - I get it! I get it!
0:39:48 > 0:39:52- But still, you have no training. Jac was right.- Seriously?
0:39:52 > 0:39:53There's a protocol.
0:39:53 > 0:39:56- Yeah, well, you know where she can stick it!- Maconie. He's stable.
0:39:56 > 0:39:5915 minute obs, repeat cardiac enzyme and prep for theatre.
0:39:59 > 0:40:01Thank you.
0:40:02 > 0:40:04Listen, you need to get yourself calm,
0:40:04 > 0:40:07lie low for a few days and THEN have a word with her.
0:40:07 > 0:40:09Hmph.
0:40:09 > 0:40:13Look, don't give up. Not now. OK?
0:40:17 > 0:40:20You do know how dangerous it is not to drink anything, don't you?
0:40:20 > 0:40:22Worth the risk.
0:40:22 > 0:40:24You have no idea, boy, what a slippery customer he is!
0:40:24 > 0:40:28Well, technically, not a customer at all.
0:40:28 > 0:40:29Right, we need to get him on fluids.
0:40:29 > 0:40:31Er, saline drip, please, and hourly obs.
0:40:31 > 0:40:34- Let me know if anything changes, will you?- Yep.
0:40:37 > 0:40:40That's a lot of trouble to go to over a tin of spaghetti.
0:40:43 > 0:40:44Have you got kids?
0:40:44 > 0:40:48Four. And before you start, they know not to shoplift.
0:40:50 > 0:40:53Do you know how many girls like that we get through the doors?
0:40:53 > 0:40:56She needs her mum, not a petty theft charge.
0:40:56 > 0:40:59Why not go after the real culprit?
0:40:59 > 0:41:01He's not going far on a twisted ankle.
0:41:01 > 0:41:05What is she anyway? 15?
0:41:05 > 0:41:06Give or take.
0:41:09 > 0:41:12Tell her, call her mum.
0:41:20 > 0:41:23He was pulling rank. Ordered me to go home.
0:41:25 > 0:41:28Arthur?
0:41:28 > 0:41:30- She was exhausted, so I, um... - Oh, come on.
0:41:30 > 0:41:33Goes with the territory, Digby. Dr March is no exception.
0:41:33 > 0:41:34I thought she needed a rest.
0:41:34 > 0:41:38I reached a diagnosis before you and you did not want to lose face.
0:41:38 > 0:41:40This is the McBride case, right?
0:41:40 > 0:41:41He was giving up.
0:41:41 > 0:41:43Sucked in by the husband's negativity
0:41:43 > 0:41:45and a bunch of old hospital reports.
0:41:45 > 0:41:47OK, I'll check this over after my next meeting.
0:41:49 > 0:41:51Why didn't you come and speak to one of us?
0:41:53 > 0:41:54I'm sorry.
0:41:58 > 0:42:00Sacha, this is clearly not working.
0:42:04 > 0:42:07I'm relieving you of your responsibilities.
0:42:09 > 0:42:13Dr March, can you take charge of the F1s till I'm out of theatre?
0:42:13 > 0:42:14Any problems, page me or Mr Self.
0:42:18 > 0:42:20Dr Digby, can you return to your CT1 duties?
0:42:29 > 0:42:32Can't help meself! I've tried,
0:42:32 > 0:42:33Lord knows.
0:42:35 > 0:42:37Just like the diets, though.
0:42:39 > 0:42:44Three eggs, three rashers, three sausages...
0:42:44 > 0:42:45The lads wouldn't get it.
0:42:47 > 0:42:49Your mates don't know you're here.
0:42:51 > 0:42:53Left Doris unlocked.
0:42:56 > 0:42:58I should've listened to your boss.
0:42:58 > 0:43:01Listen, no-one can tell you how to live your life.
0:43:01 > 0:43:05Just don't leave it too late to decide, OK?
0:43:08 > 0:43:10Sleep by day, spaghetti by night...
0:43:10 > 0:43:12We have to nick stuff. We can't get jobs.
0:43:12 > 0:43:15You should try my line of work.
0:43:15 > 0:43:19Come on, you'd be perfect! Someone who actually wants to work nights?
0:43:19 > 0:43:21I'll never have a normal life.
0:43:21 > 0:43:25Who told you that? Jace? Cos if he did, he's an idiot.
0:43:26 > 0:43:29Mum. Said change or leave so I moved out.
0:43:32 > 0:43:33Still no luck?
0:43:33 > 0:43:36He wasn't trying to catch me. He just tripped running away.
0:43:39 > 0:43:41He was a rubbish kisser, anyway.
0:43:42 > 0:43:45You and Fletch not going to happen?
0:43:45 > 0:43:46You like giving him a hard time.
0:43:46 > 0:43:48Yeah, he gives as good as he gets.
0:43:48 > 0:43:51He's nice. Be a shame if he left.
0:43:52 > 0:43:53Why would he leave?
0:43:55 > 0:43:57He thought he might get sacked.
0:43:58 > 0:44:01Um, I need to get on. The porter'll be here in a minute.
0:44:02 > 0:44:04Listen, my mum can be a right old cow,
0:44:04 > 0:44:07but if I was going to surgery...
0:44:07 > 0:44:08I'd still want her there when I woke up.
0:44:13 > 0:44:15Oi!
0:44:17 > 0:44:19- It's under B for...- OK. OK.
0:44:58 > 0:45:00ENGINE STARTS
0:45:17 > 0:45:21Come in, come in. Ten-four, this is Huggy Bear, over...
0:45:21 > 0:45:23VOICE OVER RADIO: Breaker, breaker. What's your 20?
0:45:23 > 0:45:25How about ya, Number Three? Got your ears on?
0:45:26 > 0:45:27Hello...?
0:45:29 > 0:45:32Oh, that's great. I'll let the Ward Manager know.
0:45:32 > 0:45:33Thanks. Bye.
0:45:40 > 0:45:42So, Laini's mum'll be here soon.
0:45:43 > 0:45:44Go on. Say it.
0:45:44 > 0:45:46I know you want to.
0:45:49 > 0:45:52- So, will you be getting off then? - If that's still OK?
0:45:53 > 0:45:55Yep, see you tomorrow.
0:45:55 > 0:45:57- Great.- Great.
0:46:02 > 0:46:05Oh. I was on the phone to HR earlier.
0:46:05 > 0:46:08They didn't seem to know about any bank nurses.
0:46:08 > 0:46:11That's because I went straight to the agencies.
0:46:11 > 0:46:13These agencies?
0:46:15 > 0:46:17Look, what do you want from me?
0:46:21 > 0:46:22D'you know what? I'm done.
0:46:22 > 0:46:25I haven't paid off the deposit on the flat,
0:46:25 > 0:46:27Nat won't budge on the maintenance.
0:46:27 > 0:46:28I'll just talk to Ric when he comes out.
0:46:30 > 0:46:33Are you crazy? What about your contract?
0:46:33 > 0:46:37I'll work till the end of the month, take the money and then laters.
0:46:37 > 0:46:39Why does the thought of that bother you so much?
0:46:39 > 0:46:42Because I happen to think that you have the makings of a great nurse.
0:46:42 > 0:46:44And we'll miss you.
0:46:44 > 0:46:45Aw.
0:46:45 > 0:46:47Right, I have a patient to check on, so...
0:46:53 > 0:46:56Thanks for locking up. SHE CHUCKLES
0:46:56 > 0:46:58So you're really going?
0:46:58 > 0:47:00- I miss the sun.- Ah.
0:47:00 > 0:47:02CHOKING
0:47:02 > 0:47:04Dave...? What is it?
0:47:04 > 0:47:06Jonny!
0:47:06 > 0:47:09Mo? Jonny! I need some help.
0:47:13 > 0:47:16Dave? Dave, can you hear me?
0:47:16 > 0:47:17Don't! OK, stand clear.
0:47:17 > 0:47:19BP's dropping.
0:47:21 > 0:47:24Right, he's hypotensive. We need to get him to theatre.
0:47:27 > 0:47:29Dr Digby?
0:47:29 > 0:47:31I'm sorry. There was nobody else about. It's Abi.
0:47:36 > 0:47:37What's HE doing here?
0:47:38 > 0:47:41She was sick. I was trying to clean her up, and...
0:47:46 > 0:47:47Do you mind if I...?
0:47:51 > 0:47:53How long have you had that?
0:47:53 > 0:47:55I don't know.
0:47:55 > 0:47:56Well?
0:47:58 > 0:47:59Er...
0:48:03 > 0:48:08Have you ever noticed anything unusual about um...Abi's eyes before?
0:48:08 > 0:48:09Why?
0:48:11 > 0:48:13Could you take her glasses off for me, please?
0:48:13 > 0:48:16Going to have a really quick look in your eye. Just look straight at me.
0:48:24 > 0:48:29Vortex keratopathy. It's, um... It's a whorl pattern on the cornea.
0:48:30 > 0:48:33Very unusual...
0:48:33 > 0:48:36Just excuse me for five minutes.
0:48:36 > 0:48:37I'll be back, OK?
0:48:39 > 0:48:40Fabry's disease.
0:48:40 > 0:48:43Tingling pain in the arms and legs, cornea verticillata,
0:48:43 > 0:48:44skin abnormalities.
0:48:46 > 0:48:48Extremely rare, especially in girls.
0:48:50 > 0:48:54I want to run enzymatic analysis of her plasma, and genetic testing.
0:48:57 > 0:48:58Yup, all right.
0:48:58 > 0:49:00Digby...?
0:49:00 > 0:49:02Keep me informed this time.
0:49:04 > 0:49:06OK, clamp off.
0:49:09 > 0:49:10Slow switch off.
0:49:13 > 0:49:15BEEPING
0:49:15 > 0:49:18BP's dropping. He's arresting.
0:49:18 > 0:49:20Charge to 20. Clear!
0:49:23 > 0:49:25Charge again. Clear!
0:49:26 > 0:49:28HEART MONITOR RESUMES
0:49:28 > 0:49:29Let's get him back on bypass.
0:49:29 > 0:49:32The ECG's showing inferior ischemia.
0:49:32 > 0:49:35Let's have a scalpel and a balloon pump, please.
0:49:40 > 0:49:42OK, so we need to arrange more specific blood tests
0:49:42 > 0:49:44and we'll have to get you and Kate screened.
0:49:44 > 0:49:46It's an hereditary condition.
0:49:46 > 0:49:47Where is she?
0:49:47 > 0:49:49Dr March took her into theatre...
0:49:51 > 0:49:53Mr Self approved it.
0:49:58 > 0:50:02Yeah, it's Arthur. We need you in theatre right away.
0:50:02 > 0:50:05Yeah, it's Zosia. It's serious.
0:50:06 > 0:50:07Hurry.
0:50:07 > 0:50:09OK, Dr March. Thank you, thank you.
0:50:09 > 0:50:11Could you take that for me, please?
0:50:11 > 0:50:12What are you doing?
0:50:12 > 0:50:14Right now you could lose your job.
0:50:14 > 0:50:17- You could sabotage your whole career. - Don't be such a drama queen.
0:50:17 > 0:50:20- What if someone were to catch you? - They'd find me treating a patient.
0:50:20 > 0:50:21- That's what we do.- Yes.
0:50:21 > 0:50:23You're not qualified to treat her, are you?
0:50:23 > 0:50:25Even supervised, you've never done this before...
0:50:25 > 0:50:28- I know what I'm doing. - She has new symptoms.
0:50:28 > 0:50:30- I'm aware of that. - Right. But I've spoken to your dad.
0:50:30 > 0:50:32And, er...we have a potential diagnosis.
0:50:32 > 0:50:34Arthur, not everything is a competition!
0:50:34 > 0:50:37Please... just let me pass so I can treat my patient!
0:50:37 > 0:50:40- Just stop! Stop! - Let go or I will call Security!
0:50:40 > 0:50:41Zoshi...?
0:50:41 > 0:50:42Hey.
0:50:55 > 0:50:56You off then?
0:50:56 > 0:50:58Yeah.
0:50:58 > 0:51:00Before you go, say bye to your patient.
0:51:08 > 0:51:12So, you finally getting off?
0:51:12 > 0:51:14Yep, I called my mate in Val d'Isere.
0:51:14 > 0:51:16There's jobs going for the winter.
0:51:16 > 0:51:19Smoke a Gauloise for me, won't ya?
0:51:19 > 0:51:22- I'll send you a carton.- Nah.
0:51:22 > 0:51:25It's for real this time.
0:51:25 > 0:51:26You'll be OK.
0:51:27 > 0:51:30Spent all that time worrying what I'd do if I couldn't drive
0:51:30 > 0:51:32and then the decision's made for me.
0:51:32 > 0:51:33Hey. Come on, number 3.
0:51:33 > 0:51:36Hey! Number 3! THEY ALL CHEER
0:51:40 > 0:51:43Ten-four, come in buddy. They're here for the footy.
0:51:43 > 0:51:45Give them a chance, eh?
0:51:45 > 0:51:49Hey, thanks for today. Lucky break getting a nurse like you.
0:51:49 > 0:51:52ALL: # Walk on
0:51:52 > 0:51:55# Walk on
0:51:55 > 0:52:00# With hope in your heart...
0:52:00 > 0:52:09# And you'll never walk alone
0:52:09 > 0:52:19# You'll never walk alone... #
0:52:24 > 0:52:29Ah, so you've taken over my case. Good girl.
0:52:29 > 0:52:31What's the verdict?
0:52:33 > 0:52:37Um, flared pain in the hands and feet,
0:52:37 > 0:52:41possible muscular infection or some form of genetic disorder.
0:52:41 > 0:52:43We're taking a muscle biopsy.
0:52:43 > 0:52:44Excellent.
0:52:44 > 0:52:46And, er, where's your team?
0:52:47 > 0:52:48Your anaesthetist?
0:52:49 > 0:52:54I... There was no time. It's important we move fast.
0:52:54 > 0:52:56Not such good form though, now that I'm involved.
0:52:58 > 0:53:01The patient's prepped.
0:53:01 > 0:53:04Yeah, better still to go by the book, otherwise I'll be...
0:53:06 > 0:53:08Tell you what, darling.
0:53:08 > 0:53:11Why don't you and I grab a coffee - a glass of wine, even -
0:53:11 > 0:53:14and talk through the procedure whilst Dr Digby here
0:53:14 > 0:53:17books us a slot for, say... tomorrow morning?
0:53:18 > 0:53:20Then you and I can do it together.
0:53:21 > 0:53:24- Um, what about Abi?- I'm sure she's been through enough for one day.
0:53:24 > 0:53:27- Digby, could you make sure Abi gets back to the ward please?- Yeah.
0:53:27 > 0:53:28And you'll book a slot for tomorrow?
0:53:31 > 0:53:37So... Father and daughter team, eh? Let's talk through the process.
0:53:45 > 0:53:48- Why are you looking at a vampire website?- Oh, I'm not,
0:53:48 > 0:53:51- I'm just making some notes for Laini's mum.- That figures.
0:53:52 > 0:53:54Elisa, will you do me a favour,
0:53:54 > 0:53:56will you change the saline in bed number two?
0:53:56 > 0:53:58And will you let Dr Tressler know his patient's been prepped?
0:53:58 > 0:54:01- Psst! Fletch!- Yeah?
0:54:03 > 0:54:05Breakfast later?
0:54:05 > 0:54:07Seriously? I'm nearly divorced. Four kids.
0:54:07 > 0:54:09Heaven knows what else is going wrong in my life,
0:54:09 > 0:54:12so you need to pick on somebody your own age.
0:54:12 > 0:54:14- Laini!- Mum.
0:54:17 > 0:54:18Nurse Fletcher!
0:54:19 > 0:54:20Yes.
0:54:20 > 0:54:25I've just had a very interesting conversation with Nurse Morley...
0:54:25 > 0:54:29Is it true? That we've been three staff down all day?
0:54:29 > 0:54:31No. We're fine.
0:54:31 > 0:54:35A couple of the girls called in sick last minute, but...
0:54:35 > 0:54:37Nurse Fletcher arranged backup.
0:54:39 > 0:54:41Oh, look, there's two of them now.
0:54:42 > 0:54:44So you're saying that there IS no problem?
0:54:44 > 0:54:45No problem. Excuse me.
0:54:47 > 0:54:51Well, let's just hope they've got more brains than the last one.
0:54:56 > 0:54:58Close your mouth, the flies'll get in.
0:55:04 > 0:55:05Cheers, Col.
0:55:14 > 0:55:17Um, I'm Colette. Been looking after Laini.
0:55:17 > 0:55:18It's great that you came in.
0:55:20 > 0:55:23Look, I know I went against what you said earlier
0:55:23 > 0:55:27and I get why that's not OK. But I helped save someone's life,
0:55:27 > 0:55:29and at the end of the day, what's the point of me being here
0:55:29 > 0:55:31if I can't help a person when they need it?
0:55:31 > 0:55:34I'm going to be a nurse whether you like it or not.
0:55:34 > 0:55:35Whether it's here or somewhere else.
0:55:35 > 0:55:37Wait!
0:55:39 > 0:55:43If you're going to persist in performing procedures on my ward,
0:55:43 > 0:55:45then you'd better get qualified. Fast.
0:55:50 > 0:55:52Thanks.
0:55:52 > 0:55:55I'll ask Ms Sheward to look it over when you're done.
0:55:55 > 0:55:59Whatever your instincts... resist them.
0:56:09 > 0:56:11Yes!
0:56:11 > 0:56:12So the results will take a few days
0:56:12 > 0:56:17but if our hunch is correct then there are enzyme replacements, so...
0:56:17 > 0:56:19No surgery?
0:56:19 > 0:56:21Dr Digby, thank you.
0:56:22 > 0:56:25Oh - OK, so when you get to level eight
0:56:25 > 0:56:28there's going to be a big black spider going to come after you.
0:56:28 > 0:56:31You've got to remember to attack its back legs first, OK?
0:56:31 > 0:56:33- Got it.- OK. Very important.
0:56:36 > 0:56:39Dr Digby...I'm sorry.
0:56:39 > 0:56:41I was looking out for my girl.
0:56:41 > 0:56:43None of us have been at our best today, so...
0:56:50 > 0:56:54You did the right thing. I'll take it from here.
0:56:54 > 0:56:55Oh, Sacha!
0:56:55 > 0:57:00Um, Dr March and I are just going to slope off.
0:57:00 > 0:57:01No problems, I trust?
0:57:01 > 0:57:03Oh, no, no, no. We'll make a consultant of him yet.
0:57:03 > 0:57:05- Good night.- Good night.
0:57:06 > 0:57:08You seem to have wangled your way back into favour, I see.
0:57:12 > 0:57:13It's nice work.
0:57:16 > 0:57:19And is everything all right with you? How's the... What's the...
0:57:19 > 0:57:20Yeah, yeah.
0:57:20 > 0:57:24- Um, we're going to give the long distance thing a bit of a go.- Great.
0:57:24 > 0:57:26Thank you.
0:57:34 > 0:57:36What did you tell him?
0:57:36 > 0:57:37Just what he needed to know.
0:57:49 > 0:57:52So, er, we're away to Albie's for a few pints
0:57:52 > 0:57:54and we'll...see you tomorrow, I guess.
0:57:54 > 0:57:55Oi!
0:57:55 > 0:57:58Well, we just assumed you'd want to keep on working.
0:57:58 > 0:58:01Oi! I'm doing a course, not joining a convent!
0:58:01 > 0:58:05- You two are not funny!- Did you think we were going to leave you behind?
0:58:05 > 0:58:07Yeah, poor little girl!