Casualty S43E03
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00:00I'm pregnant.
00:01I need you all to be free to do what you do best.
00:04If that means making some enemies, then so be it.
00:06This is the second time I've seen you buck responsibility.
00:08You're the one bucking responsibility!
00:10You're fired. Get out.
00:11You know what?
00:12Have your witch hunt without me.
00:13I quit.
00:14I can't put a roof over his head.
00:16If I can't find a suitable place, the Home Office will revoke his visa.
00:18I've got to get back up for surgery, but what about my place?
00:22My nana passed away a couple of months ago,
00:25and she was the only family I had, so...
00:27The patient you brought in, Gloria Scott,
00:28she asked me to give this to you.
00:29As your nurse, I can only give you advice,
00:31and I'd say, go for it.
00:33I now know what sort of man you really are.
00:36I always knew that you were not good enough for my daughter.
00:39But don't worry, I don't want to break Claire's heart.
00:41Just make sure you don't either.
00:43I put my reputation on the line backing you for this job.
00:46I'm sure you'll want to create the best possible impression.
00:49Sorry, Stevie, there's no baby.
00:52There's a mass on your ovary.
00:58Excuse me, I don't feel well.
01:01OK, look, I have somewhere I need to be,
01:03but have you spoken to reception?
01:05Actually, I feel a bit woozy.
01:07Yeah, OK, let's get you sat down,
01:10and I will let someone know you're here.
01:12What's your name?
01:13Kate Bezic.
01:15OK, Kate Bezic, thanks.
01:16It's my arm, you see.
01:19OK, let's have a look.
01:22Right, OK.
01:24Can I get a wheelchair, please?
01:26Thanks, Lamorna.
01:28Right, just take some nice deep breaths, right?
01:31Hey, Dylan.
01:32Dylan, do you mind taking over here?
01:34She needs recess.
01:35Oh, yeah, OK.
01:40Right, I've got it.
01:42Cheers.
01:57Oh, yeah, I'm Steven Ash.
01:59I'm a few minutes late.
02:00Oh.
02:01But nothing in this life is real,
02:04and time alone won't help to heal,
02:06getting to the hardest part.
02:10Time is running out for us,
02:12and all our dreams will turn to dirt.
02:14Never dream it'd be so hard.
02:21It's tearing me apart.
02:25Must be something that I can't do.
02:30I'm through with chasing stars and howling at the moon.
02:38I'm done with being young.
02:42I'm waiting for the sun to rise.
02:47I'm done with being young.
02:49I'm waiting for life to start.
02:54Steven Ash.
02:55Steven Ash.
03:26OK, so, like, whatever it is,
03:29just, I can deal with it.
03:32Well, you do have a mass on your ovary.
03:35How big?
03:36Six centimetres.
03:38It would explain the symptoms you've been experiencing,
03:41the pelvic pain, bloating, irregular periods.
03:44Right.
03:45Yeah, all of which I put down to stress.
03:48It's easy to explain these things away.
03:52So, are we thinking, is it benign or...?
03:56I don't have any answers yet.
03:58We'll have to remove it and send it for histology.
04:02What about my blood?
04:04Normal.
04:05Your CA125 test was normal as well,
04:08which is a good sign.
04:11Yeah, that's good.
04:14In terms of, like, wait time,
04:18in terms of, like, wait time, you know,
04:21between getting this out and, you know,
04:24what are we talking?
04:26Our guidelines say 62 days from referral.
04:29OK.
04:30Our guidelines downstairs say it's a four-hour wait time,
04:34but I'm yet to see us stick to it.
04:36We try to stick to it as best we can.
04:38Have you got any support at home?
04:40A partner, family?
04:48Bill?
04:50No, just me.
04:51Well, I'm happy to answer any other questions.
04:54You can get in touch via my secretary any time.
04:58Great, thank you.
04:59Thanks.
05:00Obviously not going to waste any more of your time.
05:03I know this is difficult,
05:05but try not to worry if you can.
05:08Yeah, thank you.
05:10She's still bringing them in.
05:12Yeah, I see that.
05:14And so we are keeping them here for now, are we?
05:17No.
05:18What if we don't have to?
05:19We triage, admit, transfer or discharge as quickly as possible.
05:22OK, I hear that, but I think...
05:24Listen, if we crack on, we can have this place clear by lunchtime.
05:28OK, well, leave it with me.
05:30Good, thank you.
05:32Fine, if you need me.
05:36Morning.
05:39Something I said?
05:41Rather something he did.
05:43Terrence's cousin and a popular fellow with the rest of the staff,
05:47so maybe bear that in mind.
05:53Anyway, take-home message was keep calm, carry on.
05:56Are you sure you're OK?
05:58Yeah, yeah, absolutely.
06:01Good, OK, someone's looking better.
06:03Couldn't look any worse, could I?
06:05Sorry about before. I'm a panicker.
06:08Guess you can't be in this job.
06:10Yeah. Right, so a few stitches,
06:12we'll get that wound cleaned in theatre
06:14and you should make a full recovery, OK?
06:16Let's talk to Dr Keele first,
06:18but can we try and get Miss Bezic moved to cubicles ahead of plastics?
06:21Great, thank you. Excuse me.
06:24Hey, Jodie, you want to catch me up?
06:28No, no, I've got it. Are you all right?
06:30No, cos you treat me all the time, so let me do it.
06:32You can resist.
06:333-0-0-7, receive it.
06:36Indy, we're up.
06:38Is that a wife in prison?
06:40Isn't that on the other side of town? Is there not a crew closer?
06:43What, it's your first time at His Majesty's Pleasure?
06:45Yeah. It's like any other show.
06:47Just keep your wits about you, all right?
06:49See what you write, shotgun. Sort the kit in the back.
06:52OK.
06:58All right, let's get him into place.
07:02OK, tell you what, let's do...
07:04OK, we'll do 500g solubionamol and we'll do 500mcg epitronium, OK?
07:08OK. Are you OK there? Yeah.
07:10OK, start right, guys.
07:12Yeah, we think that this is Jack.
07:16One, two, three, left.
07:18Left. Yeah.
07:20He was found disorientated and confused after a fall in the street.
07:26He's got a head injury and a suspected fractured left wrist.
07:31Refused to splint, refused to be monitored.
07:34GCS 14, took one off a verbal.
07:37He's agitated and distressed, so watch out.
07:41OK, is that him? Yeah.
07:43Do you want me to take a look at that? No, I'm fine. I live.
07:46Thank you, Jan. Hi, Jack.
07:48Jack, I'm Dr Nash. Oh, no.
07:50Hiya, Jack. I know there's a lot going on, OK?
07:53Do you know where you are?
07:55OK, this is Holby City Hospital.
07:57Jack, do you know your full name, by any chance?
07:59What's your name, Jack? Do you know your surname?
08:02No, no, no. Try and stay nice and calm for me, Jack, OK?
08:06All right, are you starting to faint? Yeah, OK.
08:08Right, let's get him onto his side, please.
08:10OK, Karen, can you monitor airway, please?
08:12OK, let's get a line in and we'll give you 4mg of razopam, OK?
08:16Jack? OK, I'm with you.
08:21Witness for you.
08:23Are you ready with the data? No, no.
08:25Charge at the 150, stand clear.
08:28Shocking.
08:32Right, again, charge at the 150, stand back.
08:35Shocking.
08:40Rhythm change.
08:43We've got a pulse but no spontaneous breathing,
08:45so, yeah, continue to support his breathing with the BVM.
08:48Can we get repeat orbs, ECG and VBG? Thank you.
08:52I'm sure he's been in before. I recognise him.
08:55Yeah, he's been in a few times, apparently anorexia.
08:58I take it he's been referred to the relevant services.
09:01Anybody? Well, it's not my job.
09:03I haven't been asked.
09:05I'll check his records, see if he's with a specialist.
09:07Good plan.
09:14By the way, Obi's flight is on time, he'll be arriving after work.
09:20I told you I'd be there. It's up to you whether you want me to meet.
09:23It's up to me.
09:28Time check, please.
09:30Coming up to nine, another dose of the risepam?
09:32Yeah, let's prep four milligrams, please. OK.
09:36Hold on a second, hold off, hold off.
09:38He's coming out a bit.
09:41Jack, I'm just going to get you onto your back, OK?
09:44You're in Holby City ED and you're safe, OK?
09:49OK, let's run bloods, do pain relief
09:52and I want to get him booked in for CT.
09:54OK, you get the pain relief?
09:56Yeah, he's wearing a wedding band.
10:00Do we have anything else with him?
10:02Yeah, you have a jacket.
10:04Sarah, can you take care of the bloods as well, please?
10:09Isn't that one of those things they give to people with dementia?
10:12I told him that makes sense that he was so confused.
10:15Here we go.
10:18There's something in the back of that.
10:20Peter and Jacqueline Garrett.
10:23OK, yeah, so Jack's not him, it must be the wife.
10:26There's a number here, do you want to ring it?
10:28And I'll get him booked into CT while he's stable.
10:30Are you sure? You've got a lot going on.
10:32I can get someone else to deal with it.
10:34No, it's fine, I'm good. OK.
11:21Hello, darling.
11:23Walk straight, don't look left or right.
11:39Oh, fuck!
11:45You OK?
11:51Right, let's go.
12:01Keep moving.
12:15Hello, mate. Is this the one?
12:17Yes, this is Samuel, four to five. He's been involved in an altercation.
12:20OK.
12:22Hello, Samuel. My name's Jacob.
12:27OK. I'm going to need more gauze.
12:29And I'll pack around the wound and keep the shank as still as possible.
12:32OK. And if he whoops...
12:35Is she going to be doing anything?
12:37Assisting. She's training. Is that all right?
12:39I don't know, I don't have a problem with it.
12:41OK. Let's get a line in.
12:43Shall I scratch?
12:48Oh.
12:50Good girl.
12:55OK.
12:57So, these guys are all booked in. This guy is a priority, though, yeah?
13:00Thanks. OK.
13:02Oh, careful, careful.
13:04Careful.
13:06Vic said you look like a haven of organisation, innit?
13:08So glad I picked up a low-gum shift down here.
13:10You all right? Yeah. Sorry.
13:12Rita, did you get the... Sorry, what room for one more?
13:14Where, exactly?
13:16I need to be in recess, I've got to go.
13:18No-one wants to be the next Howick.
13:20No, I hear that, but this is ambulance...
13:22Please, there's no-one else. Thank you. Thanks.
13:24Yeah, erm... OK, Oscar, can you check outside, make sure no-one's waiting?
13:28Thank you. Hello, I'm Rita.
13:30Oh, have you, erm, checked in at the reception?
13:33Yeah. OK.
13:35Let's find you somewhere.
13:37A little bit more private.
13:41OK.
13:44OK.
13:46Yeah.
13:48Why don't you tell me what's going on?
13:50I need that morning-after pill.
13:54It's all right, Peter.
13:56I'm just going to put your arms down by your side so you can go in this way.
13:59Can I get you OK? No, no, no.
14:01Don't do that, don't do that. Please let go.
14:03Peter, Peter, stop doing that, OK, Peter?
14:05I know you're scared, but can you just let go of her arm, please?
14:08There we go. Let go.
14:10That's it. OK.
14:12Are you OK? Mm-hm.
14:14Can I go and give his wife a call, see where she's at?
14:16OK. All right, you round? Yeah, no, he seems to be calm with me.
14:19OK, look, I want you to take a nice deep breath for me, all right?
14:23Let's breathe in through your nose, nice and slow.
14:26Right through your mouth.
14:28OK. Now, look, I need to get you into this scanner so I can get you scanned
14:32and work out what medication to give you.
14:34I want Jack.
14:36Yeah, I know, I know. She's on her way and she'll be here, OK?
14:39I promise you.
14:42But for now, can I just move you really slowly into the scanner?
14:46Really slow.
14:50Yeah? Yeah. Let's do that.
14:52OK, good man.
14:54You're doing really well, all right?
14:56You're doing really well.
15:07Sorry.
15:10Hello there.
15:12Why don't you tell me what's going on?
15:14I went to the pharmacy but I didn't have enough money
15:17and the woman there was really...
15:20I'm sorry. I'm not going to judge you.
15:23I promise.
15:25Can you tell me when it happened?
15:27Last night.
15:29Last night you had sex?
15:32And did you want it to happen?
15:35Yes. Yeah?
15:37This isn't... I'm not...
15:40It was with my boyfriend.
15:42OK, great. And I'm just trying to get all the information.
15:45I know the questions can feel a little bit personal.
15:48I'm really sorry about that.
15:50I have to check.
15:52Lola, how old are you?
15:5614.
15:58My boyfriend is too, though, and...
16:01And we love each other.
16:03And we've been talking about doing it for ages.
16:06We just didn't know that condoms split that easily.
16:10So it's your first time?
16:12Yeah.
16:14OK, well...
16:16Seeing as you are 14,
16:18I think it's best if we get a parent or guardian here for you.
16:22No, please.
16:24My mum's just started working nights and I don't want to disturb her.
16:28And it's my body and my choice, right? Mm-hm.
16:32I don't want a baby.
16:34Ooh!
16:36OK. Get it out, my love.
16:39There we go.
16:41Good. Better.
16:43I had a drink before we did it.
16:47But only one though.
16:49This is what hangover's like.
16:51Don't think so. I'm just going to...
16:54..check your temperature.
16:56It's going to be a bit cold in your ear.
17:01Hey, what's going on?
17:03I've got really bad cramps.
17:05OK, lean back for me. There you go.
17:08Whereabouts exactly?
17:10All over.
17:12OK.
17:16OK, that paracetamol should start to take the edge off your pain.
17:19I've still got this thing sticking out of me.
17:21I'm afraid that needs to stay in until we get you to hospital.
17:25I'll do something to kick off some of it later.
17:27There's a man with a stick cramp in his place.
17:29Right, that should hold.
17:31Indy, can you do another set of those?
17:33Yep. I'm just stepping out, yeah?
17:38Bee, can you find out the best way out of it?
17:41So you're training her to jump, then?
17:43Yep.
17:45I must be so proud.
17:47Don't. Stop!
17:49Aargh!
17:55Indy!
17:57Aargh!
17:59OK, Peter, you're back in recess.
18:03Stevie? Yeah?
18:05These are Mrs Sullivan's results.
18:07OK. OK, that's good.
18:09Yeah. Nebuliser's working.
18:11Ulcer's stabilising.
18:13Can you call the ward and get her moved as soon as possible?
18:15Cheers. Stevie? Yeah?
18:17That was Mr Garrett's wife on the phone.
18:19She's obviously been worried sick.
18:21Been to all his go-to places, including the day centre across town.
18:24So she's over an hour away in public transport.
18:26He might not even have an hour.
18:28The CT showed chronic subdural acute bleeding.
18:32If his ICP goes up, you know,
18:34he's going to come in and, you know,
18:36it's going to be game over.
18:38Unless there's another way. Like what?
18:40Well, if he was on any other medication, for example,
18:42like blood thinners... It's possible.
18:44Yeah, OK. Bloods haven't come back yet.
18:46Tell you what, do a rodent test
18:48and call the lab, flag it as urgent.
18:50Thanks.
18:56I haven't got a lot of time.
18:58That's fine, it's not going to take a long time.
19:00So she says it was consensual,
19:02boyfriend's the same age.
19:04Sounds like it was an accident.
19:06OK, and you think she's guilt-competent?
19:08You're certain she has the capacity to make the decision herself?
19:10Yeah. I took her temperature.
19:12She seems mildly pyrexic as well.
19:14So she's been drinking?
19:16Well, she said she only had one.
19:18I think there's something else going on.
19:20I don't know.
19:22OK.
19:24She said she only had one.
19:26I think there's something else going on.
19:28Her abdomen seems especially sore.
19:30OK, where is she?
19:32Just there.
19:34Right, can I get a screen?
19:36Lola.
19:38So this is Dr Massam.
19:40Is he giving me the prescription?
19:42We're just going to make sure you're OK first.
19:44Nurse reminds me that you've been feeling sick.
19:46When did that start?
19:48When I woke up.
19:50And do you have a pain in your tummy?
19:52OK, do you mind if I examine you?
20:00There's no chance you could be pregnant already?
20:02No, absolutely not.
20:04OK.
20:06Do you remember when I said we've got to check everything?
20:08Yeah.
20:10OK, thanks.
20:14What about the emergency contraception?
20:16I looked it up and it said the sooner you take it,
20:18the more effective it is.
20:20Yeah, and I can sort your prescription?
20:22Yes, please.
20:24But I'd like to do some tests first.
20:28OK.
20:30Thanks.
20:32Rita?
20:34Yeah.
20:36You were right to be worried.
20:38Her abdomen is quite sore.
20:40She's showing clear signs of MSitis, right?
20:42Yes, but we need to do some tests
20:44before we diagnose,
20:46so let's do some routine bloods,
20:48a urine dip,
20:50an ultrasound scan,
20:52just give her one gram of IV paracetamol for the pain, please.
20:54Well,
20:56I guess Dr Byron is sticking to his plan,
20:58even after last week.
21:00Yeah, looks like it for now.
21:02How's Tariq?
21:04He's in Dubai, planning his future
21:06while we are a doctor down.
21:08Look, I know it's difficult, but everyone's pitching in.
21:10We're a team.
21:12A team?
21:14Yeah.
21:18I've got to get this one on the patient.
21:20Rita, could you do a surgery referral
21:22on my behalf, please, for Lola,
21:24query appendicitis, and get her up as soon as we can?
21:26Trying my hardest.
21:28You OK?
21:30Yeah.
21:32OK.
21:38Hey, you OK?
21:40I didn't mean... I'm sorry.
21:42Is he all right?
21:44Yeah, he's OK.
21:46He said his hand slipped.
21:48Is that right?
21:50Yeah.
21:52Well, is there something I need to know?
21:54No, absolutely not.
21:56Get off! I want the girl in here!
21:58I want the girl!
22:00No, you don't get to pick and choose.
22:02No, Jacob, it's fine. No, it's fine.
22:04No, I just need as much gauze as possible.
22:06We need to stop this bleeding.
22:08Mate, you need to keep still so I can give you something to slow the bleeding.
22:10I can't!
22:12Will you listen to us? We're trying to save your life.
22:15Thank you, darl.
22:17Let's get pressure on this.
22:23There you are.
22:25Right, Peter Gavitt's rotum test.
22:27You were right, prolonged clotting,
22:29which matches the clotting test we sent off with his bloods earlier.
22:31Yeah, yeah, yeah.
22:33He is on blood thinner. He's a pixaban.
22:35Hello?
22:37No. No, they won't operate with his condition.
22:39Is his wife on her way?
22:41I don't know.
22:44Okay, look, tell you what, give her a call,
22:46get her to jump into a cab, and I'll cover it with her gauze.
22:48That's really kind of you.
22:50I just want to buy him some time, get on top of this bleed.
22:52We need a reversal.
22:54Yep.
22:58Hey, Flynn.
23:00Yeah?
23:02I'm dexon at alpha.
23:04What about it?
23:06I need it for a patient.
23:08For whom exactly?
23:10It's a subdural bleed in resus, but full disclosure, it's not looking good.
23:12Well, how long?
23:14I doubt he's going to last the shift,
23:16but that's why I need the reversal, because his wife is on her way,
23:18and I want her to get here.
23:20Thousands of pounds to buy you time? I can't do it.
23:22Flynn, they need to say goodbye. That's important.
23:24Well, look, if it doesn't increase his chances of survival...
23:26Oh, hold on a second.
23:28No, our job's not just about chances of survival.
23:30It's also about quality of care. You know that.
23:32Stevie, come here.
23:36Look, I know you're going through a tough time at the moment,
23:38but if it's affecting your ability to make decisions,
23:40then we need to have a different conversation.
23:42No. No, we really don't,
23:44because this is not about my tough time.
23:46It's about their tough time.
23:48I thought you'd get it.
23:54Are you sure you're happy in the back?
23:56Absolutely.
23:58You know we can put her back at any point?
24:00Jacob, I've got this.
24:02All right.
24:04I need to change that cannula.
24:06Indeed.
24:08Now, Dad,
24:10I need you to keep it on.
24:18Yeah, well, can you get it here as soon as possible?
24:20Because I can't stress how urgent this is.
24:24OK, thanks.
24:28Guys, can I just grab you for a second?
24:30Look, I just wanted to make it clear that
24:32now this is just palliative management,
24:34so keep the pain relief going.
24:36He's getting close, so I think
24:38now's the time to move him.
24:40So let's clear next door, get it set up,
24:42and we'll make it as peaceful as we can.
24:44Yeah? Thank you.
24:46Do you want to deal with it in the next door?
24:48Peter.
24:50Hey.
24:52I'm going to move you somewhere quieter, OK?
24:54Jacqueline's on her way.
24:58Yeah, x-ray, we're expecting him.
25:00Oh, do you mind staying up there?
25:02As soon as he's done, bring him straight back down.
25:04Hopefully I'll have found a cubicle for him.
25:06Fingers crossed, eh?
25:08Our new boss might be right, you know.
25:10Could well have cleared this place by lunchtime.
25:12Only if it's a late lunch.
25:14I know it's challenging.
25:16At least he's got one thing right.
25:18He's put one of the best in charge.
25:20Not that I've got favourites, of course.
25:24What's the update on Lola?
25:26Still waiting for bloods.
25:28Did he speak to surgery?
25:30Yep, they could not have been less helpful.
25:32I spoke to Mr Leach.
25:34He queried possible gastroenteritis
25:36and when I told him it's unlikely,
25:38given the symptoms she's presenting,
25:40dismissed it completely.
25:42Do you want me to escalate it?
25:44No, no problem.
25:46Why is it saying bloods are still pending?
25:48It's been ages.
25:50Come on.
25:54Yeah, what's up?
25:56Could you just...
25:58Dr Byron.
26:00Yeah.
26:02Why wouldn't I be?
26:04I just received a call from haematology
26:06about an andexanate alpha request.
26:08Do you know about this?
26:10I know the case, yeah.
26:12Tough one.
26:14May I see the notes?
26:16Why?
26:18It has absolutely nothing to do with surgery.
26:20No, but any drug costing more than 10k
26:22requires a board approval sign-off.
26:24It's not a small amount of money.
26:26I don't have the notes to hand.
26:28Well, maybe then you could tell me
26:30what the patient prognosis is.
26:32Poor.
26:34I'm glad I came down.
26:36We can't justify this kind of spend.
26:38What do you mean, we?
26:40This is my budget.
26:42You still have to answer to someone.
26:44Yeah, if this is about Mr Garrett,
26:46I can explain the pathway.
26:48No, you do not need to justify
26:50your clinical decisions.
26:52In this case, she does.
26:54Not to me.
26:56I can assure you of that.
26:58If Dr Nash feels this drug provides
27:00the best possible care, then I agree.
27:02You might, but I don't.
27:04Then I am more than happy to go over your head
27:06if that's what it takes.
27:08This patient needs reversal immediately,
27:10and we are going to make sure that he gets it.
27:12Well,
27:14if this is the way you want to run your department,
27:16let's see how my fellow board members
27:18look upon this.
27:26Thanks.
27:28Is this the pre-alert?
27:30Yes.
27:32Is there anything else I need to say?
27:34Obs was deteriorated.
27:36Rest was 24. Sat's 97 on high flow.
27:38BP's dropped 8.4 over 56.
27:40He's tachy at 128.
27:42GCS 13.
27:44External breathing's controlled.
27:46Ready?
27:48Yep.
27:50One, two, three, lift!
27:52He's had one gram of IV paracetamol.
27:54One gram of TXA and five milligrams of morphine.
27:56Thank you very much.
27:58OK, let's, um...
28:00Let's get that monitoring on as soon as we can.
28:02He has another large ball cannula.
28:04Let's cross-match four units and have two units.
28:06Ready?
28:08Type-specific.
28:10Yeah.
28:16So sorry about this.
28:18Do you know what?
28:20They promised me that these are going to be fast-tracked.
28:22OK?
28:26There we go.
28:28Look at that!
28:30You're doing so well.
28:32No, I'm not.
28:34I messed up.
28:36You didn't.
28:38You know what's happening?
28:40You're feeling sick, the pain in your stomach.
28:42It's got nothing to do with last night.
28:44No?
28:46No. Well, we've got to wait for the results.
28:48But we think it might be appendicitis.
28:50That's serious, isn't it?
28:52Yeah, it can be, if it's not caught early.
28:56Will I need an operation?
28:58Yeah, most likely.
29:00But I think
29:02let's just wait for the results to come through.
29:06I can't do this by myself.
29:08I know I said I could, but I can't.
29:10I want my mum.
29:12Can you call her, please?
29:14Yeah. Do you know what?
29:16I've actually got a little confession to make.
29:18I've already called her.
29:20I had to as soon as we thought it was appendicitis.
29:22I'm sorry.
29:24It's OK.
29:26Is she angry?
29:28No. No, not at all.
29:30She just wants to make sure that you're OK.
29:32She's on her way now.
29:34Hi.
29:36I was expecting Mr Leach.
29:38He's already made his diagnosis,
29:40but seeing as you're so keen on a second opinion...
29:42Is this the patient?
29:44Yes. Lola is presenting
29:46with acute pain in her right iliac fossa.
29:48Bloods? I'm resending now.
29:50Is everything OK?
29:52I don't know how you can expect us to do our jobs
29:54if you can't even do yours. Hang on a minute.
29:56I don't need the results to let you know
29:58it's definitely not gastroenteritis, it's appendicitis.
30:00Who says that nurses don't want to be doctors?
30:02With all due respect...
30:04I don't want to be a doctor, actually.
30:06I just want to be taken seriously
30:08when I tell you my patient is very sick.
30:10Go on, then, Mr Edmonds.
30:12Let's give her some privacy.
30:16OK.
30:24Hi, Lola.
30:26May I examine you?
30:28OK.
30:30Shouldn't take long.
30:36Sorry, this might be sore, Lola.
30:38Yeah.
30:42Guarding in right iliac fossa,
30:44and she's going to be attending us at McBurney's Point.
30:46Yeah. Like I said, she needs to be transferred upstairs
30:48cos she needs surgery.
30:52Unless you're still not going to listen to me.
30:54Are you prepared for her to get sepsis down here
30:56in a very busy ED?
30:58Of course not.
31:00Make the necessary arrangements
31:02for the patient's transfer.
31:08Right, so 800mg
31:10at a rate of 30mg per minute.
31:12Then we'll step down to 8mg per minute
31:14over 120 minutes.
31:16And we'll keep the old school in.
31:18Make sure there's no side effects.
31:20Are we good?
31:22Yeah, ready. I'm just going to flush his cannula.
31:24OK.
31:32Right.
31:42OK.
31:46Hopefully this will buy us a bit more time.
31:50Surely she should be here by now.
31:54I can stay if you want.
31:56No, no, no, it's fine.
31:58I'd like to stay with him if that's OK.
32:00Yeah? Yeah.
32:06OK.
32:12Mr Redman will look after you now.
32:14And I'll get your mum to meet you upstairs.
32:16Did you tell her?
32:18You know, about the other thing?
32:20Nah, that bit's up to you.
32:26Mr Whiteboard doesn't hold grudges, does he?
32:28I hope not.
32:30Hey, come on.
32:32I'm just so fed up
32:34of having to prove myself down here.
32:36I just want to be able to do my job, you know?
32:38You just did.
32:40If you don't appreciate that, then...
32:42Stop!
32:48Are you two together, then?
32:52We haven't put a label on it.
32:58Just hang in there, Peter, OK?
33:00Not long.
33:02Peter, if you can hear me, just hold on a while longer, OK?
33:04She's on her way.
33:06Just...
33:08Maybe a while longer.
33:10Uh...
33:16Here we go.
33:18I'm so sorry. It took so long.
33:20It's just the traffic and...
33:22It's OK.
33:24Is he still...? Yeah.
33:26Oh, thank God.
33:28Um, his records show
33:30that he has a DNA in place?
33:32That's right.
33:34Will he be able to hear me?
33:36Yeah, I'm sure he will.
33:40He did it.
33:42Hi, love.
33:44I'm here.
33:46We're together.
33:50You're not alone now.
33:52You don't have to worry
33:54about anything any more.
33:58How lucky we've been, eh?
34:00You made sure
34:02our life was full of joy.
34:06I love you.
34:08Always have.
34:12Always will.
34:20Mum?
34:36Mum?
34:44You OK?
34:46Yeah.
34:48Can you put some music on?
34:50Want some indie?
34:52Hey!
34:54We love it.
35:06Thanks.
35:32I am so sorry.
35:36Is there anyone you want me to call for you?
35:38Is there any family you want to be here?
35:40Yeah.
35:42We met later in life.
35:44All we had was each other.
35:50Jacqueline, they're going to want
35:52to move him to a side room,
35:54but you're welcome to
35:56be with him there, to sit with him
35:58for as long as you need.
36:02And thank you for everything you did today.
36:04I was terrified I wasn't going to make it.
36:06I don't know what I would have done
36:08if I didn't get to say goodbye.
36:10But you got me here.
36:14I'll never forget that.
36:20Belfast?
36:22Mm-hm.
36:24Me too.
36:26Yeah. Yeah, I figured.
36:30I'll let them know that you're happy
36:32to have him moved, OK?
36:42Ah, latest OBS, please.
36:46He should be in the ITU by now.
36:48There aren't any more beds.
36:50Let me give them a call.
36:52I've called them, and they're full.
36:54Um, I checked his notes,
36:56but there isn't any more information.
36:58I'm going to have to make the referrals again.
37:00No, cos that's going to push them to the back of the queue.
37:02Follow up with psychiatric and diet and nutrition directly,
37:04explain to them what's happened.
37:06And you think that'll make any difference?
37:08It's worth a try, isn't it?
37:10Look, I don't need to know the details,
37:12but if you two need to take five, then I can...
37:14No, we're fine. It's OK.
37:16Yeah, yeah, and I'm Angelina Jolie.
37:18Go on, you probably haven't had a break all shift.
37:20It'll do you good.
37:30Come on.
37:42You OK?
37:44Yeah, yeah.
37:46Look, I really appreciate what you did, I do,
37:48but you do know I can fight my own battles.
37:50Yeah, we have met before, Stevie.
37:52Look, it's not about one patient, anyway.
37:54It's about the whole department.
37:56I'm not going to let anybody just walk all over us.
37:58OK, that's more like it.
38:02Hey, any word on our asthma patient,
38:04the one who went up to her respiratory?
38:06No, nothing.
38:08But your patient with the wound on her arm?
38:10Yeah.
38:12She had a cardiac arrest in there, apparently.
38:14What?
38:16But she wasn't showing any cardiac signs.
38:18Yeah, it's just one of those things, I guess.
38:24You moved your stuff out of our room?
38:26I saw before I came to work.
38:28Obie will be here tonight, what else could I do?
38:30You said we were going to keep talking.
38:32Well, this isn't about us.
38:34Look, I just need...
38:36I want Obie to settle in properly.
38:38Our home, our school, I want him to be happy.
38:40And he won't be if he finds out his mam's a rich and lesbian.
38:42OK, look, I don't like having to pretend
38:44that we're flatmates, but I...
38:48In Nigeria, that's how it would be.
38:50Look, I understand if you want us to move in together,
38:52but I don't want Obie to have to move out.
38:54Look, I understand if you want us to move out in the meantime.
38:58I get it.
39:00Are you ever going to tell him?
39:02I hope so.
39:04When?
39:08Look, I just want us to get to know each other again.
39:12Then I can help him understand who I am.
39:14What makes me happy.
39:18That's you, by the way.
39:20Look, I just need to be mum again for a little while.
39:22Nothing has to change.
39:26I just...
39:28I never thought I'd be someone's guilty little secret.
39:32You never know.
39:34That might be fun.
39:36Hm.
39:38You want to sneak in around?
39:40My flat doesn't have a bake shed.
39:42You'll have to meet us by the bins.
39:44Oh.
39:46Yeah, well, beggars can't be choosers.
39:48Come on.
39:50Better get back.
39:52Can't leave Angelina on her own for too long.
39:56All right.
39:58You win.
40:00Sneaking around might have its perks.
40:04How's the looking?
40:06Er...
40:08Don't tell me I can't help.
40:10OK, it's still an uphill struggle
40:12taking patients upstairs.
40:14What about transfer services?
40:16The whole nursing team have been trying.
40:20OK.
40:22Well, let's see what they say when the boss calls.
40:26Hi, yeah, Dr Byron, ED clinical.
40:28Can I speak to the duty manager, please?
40:30You nearly done?
40:32Done.
40:34A few of us are heading to the anchor.
40:36How did it go with Lolly Cook?
40:38Oh, Nurse Amman.
40:40I take it you've heard?
40:42Er, no, but nobody tells us anything down here.
40:44Acute appendicitis.
40:46Caught just in time.
40:48Any longer, it could have been very nasty indeed.
40:50And, you know, I can't remember
40:52the last time a nurse behaved
40:54in the way that you did.
40:56Yeah, um, about that,
40:58I really didn't mean to overstep.
41:00No, no, no, no, it took balls.
41:02I respect that.
41:04And, you know, I think we could do with someone
41:06like you on our team.
41:08Sorry?
41:10There's an opening for an advanced nurse practitioner.
41:12Any position.
41:14Don't need to be advertised formally.
41:16But I'd be very happy to put in a personal recommendation.
41:18What do you think?
41:20I don't know.
41:22If you want to advance your career,
41:24this could be a very smart move.
41:26I realise that down here has its limitations.
41:28But with surgery,
41:30you get adrenaline and authority.
41:32That sound good?
41:34I don't know what to say.
41:36I don't believe that for a second.
41:38Yeah.
41:42Yeah.
41:44Good.
41:46Right.
41:48Prepare for movement in the corridor right away.
41:50What's all this about?
41:52I've just recruited one of your nurses,
41:54Dr Byron.
41:56Sorry?
41:58You said yourself you have a cracking team down here.
42:00And I agree.
42:02Just the calibre I need upstairs.
42:04Oh, and whilst I'm here,
42:06I heard with the board about your decision earlier.
42:08And they're very keen to keep a close eye
42:10on your spending.
42:12Starting with a freeze on your agency nurse budget.
42:16What?
42:18Do feel free to contact the board if you have any issues.
42:20I look forward to your application,
42:22Nurse O'Mahon.
42:36Welcome to the dark side.
42:46Busy once a day?
42:48Aren't they always?
42:50Fancy going to the anchor for a couple?
42:52Sorry, I promised Teddy I'd join him at the gym.
42:54Aww.
42:56Indy? Hmm?
42:58Well, it's either that or I'm home alone
43:00watching Sort Your Life Out with a pinwheel.
43:02Nice shout.
43:04I'm running early tomorrow.
43:06Sorry.
43:08Stacey Solomon it is, then.
43:10You can buy me a label maker for Christmas.
43:12Sorry, Jan.
43:16You know,
43:18you did well at the prison.
43:20Yeah? Yeah.
43:22You kept your cool, you focused on the job.
43:24And that isn't easy sometimes.
43:26Say that again.
43:28Trust me, you will make a great parent, no doubt about it.
43:30Just don't overthink it.
43:32Alright? Alright.
43:34Alright, see you tomorrow. See ya.
43:54Maria, are you okay to let the porters know
43:56that he'll soon be ready for mortuary?
43:59Thanks.
44:20Bye, Peter.
44:24I really hope you weren't scared.
44:28No.
44:48Hey.
44:50Hey.
44:52What you did was really thoughtful.
44:54Oh, yeah. I'm a little exhausted.
44:56Take away tonight.
44:58There will be a lot of carbs if you want to join us.
45:00Come on. We'll watch a film.
45:02You can join in the family debate.
45:04Horror versus rom-com.
45:06You always vote for a rom-com.
45:08Yeah, do you know what? I'm going to go home and get an early night, actually.
45:10You? An early night?
45:12Yeah, well, I hear some people swear by them,
45:14so, you know, I'm going to try it.
45:16Alright, well, you know, if you change your mind, you're always welcome.
45:18Yeah, I know.
45:26Bye.
45:32Not taking any chances with you, are they?
45:34Not many get a private room.
45:38You all right, Dad?
45:42I didn't expect you to...
45:44No, me neither.
45:46Look at you.
45:48Bossing all this medical malarkey.
45:50You missed Nana's funeral.
45:52I know.
45:54I was all dressed to go,
45:56but when the time came,
45:58I just couldn't face it.
46:06Is that why you stopped visiting?
46:08I just didn't like being reminded that you chose that life over me.
46:10I didn't.
46:14I haven't.
46:16And even now, you're in there fighting.
46:18I mean, you should be keeping your nose clean.
46:20So what are you doing here, then, if you can't stand me?
46:22Honestly, I don't.
46:26I don't know if it's my job, like,
46:28just seeing what matters to people when they're sick.
46:32You?
46:36You're all that matters to me, aren't you?
46:42This isn't me excusing anything you've done,
46:44but if you want some company...
46:46Serious?
46:52Yeah.
46:56Yeah, I'd like that.
47:16I'd like that.
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