• 2 days ago
Casualty - Season 40 Episode 9

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Transcript
00:00I should have known something was up. You haven't been right for weeks. Out running
00:06at all hours. Fighting. I'm apologising. I want us to be able to work together. You
00:12know, like workmates. Yeah. Yeah, me too. I'm Sir Riggett. Hi. Hi. Hi. I'm Inglesey.
00:20I work with Nicole. I'm Rosie. It's going to take more than some shiny new equipment
00:24and a hug to make a difference, Siobhan. And if you can't see that, then really you're
00:28adding to the problem. There's a programme going out on TV tonight about us. How did
00:33they get the footage? A whistleblower? Fair play to the whistleblower, because that took
00:37some balls. You know, the porters are taking a bit. Is that silly? How many of us are there?
00:42Does it really matter who it was? Please, you need to please call my daughter. Thank
00:55you, guys. You've done great. Step aside, please. Tell me your name. Halima. Halima,
01:02my name is Jacob and this is Jan. Hi, you there. Yes, SRG's here. Why are you? Tell
01:09the police. No, my daughter. SRG's here. Why are you? I need to tell her. Oh, no, no, no.
01:17I need to tell her what he's going to do. We need to intervene. I need to tell her what
01:21he's going to do. Halima. No, Halima's my daughter. He's taken her. He's going to kill
01:27her. Please. Hey, bro. Whoa, cuz. You look awful, man. Honestly, you need to bin off
01:40your assessment. If I delay, it'll throw out my Caesar schedule. Got him. Don't worry,
01:46You wouldn't be interested. Are the bloods back to cubicle five? Yeah, the whistle blower.
01:54Yeah. Friend's going to send some evidence my way. It's on the board. Seen some emails.
02:00Yeah, okay. Significantly raised ALT, INR, paracetamol. Can we make Dr. Hossain a word
02:06to get the nut started? Patrick, is there really any point? We've got enough challenges
02:10without our own colleagues stabbing us in the back. How much time away does one person
02:17need? Look at this. Oh, is it okay if I still leave early for Ubi? Yeah, of course. Bet
02:23five o'clock can't come soon enough. Listen, guys, Patrick reckons he's got a lead on whoever
02:29gave the TV interview, so be prepared. Are we ever going to move on from this or what?
02:35At least it showed that this place needs a serious injection of staff and money. Did
02:39you ever read the news? Shaft in your employer? Yeah, that never ends well.
03:09Dylan? Yeah? Any chance you can keep an eye on Patrick for me in resales? I'm see-through
03:30acting rash today. Okay. Are we going to bring anybody else in on this yet? Yeah, but I'm
03:34keen not to put anybody else in the firing line, really. Oh, okay. Are you okay? Yeah,
03:41absolutely terrified. Really, you don't need to be. It's just a normal day. I happen to
03:45be watching, which I suppose does sound quite terrifying, doesn't it? Let's take cubicle
03:49three-three, okay? Okay. Hi, Mr. Porter. I'm rash. I'll be treating you today. This is
04:00Dr. Keogh. Hi. He'll be observing, if that's okay. It's just a run-of-the-mill assessment,
04:04as long as it's okay with you. Yeah, go for it. I understand you injured yourself at work.
04:08Is that right? Yeah, it's my chest. Okay. How does that feel? Yeah, that's... Take your
04:24control over. They've tracked the car, my love. Police are in pursuit. That's because
04:29of you with the number plate. They've found a lemur, so I can give you some of that morphine
04:36now, yeah? No, no. I know what that stuff does. You don't need to be in so much pain.
04:45I'll be out of it. I can't. I need to know she's safe. Please. Okay. Your lungs sound
04:57normal. Your OBs are good. Your BP's okay. 130 over 80. Sorry, I could have sorted it
05:02out at home. Customer won't pay till I get checked out. Right. What is it you do? Tree
05:09surgeon. Okay. Could you raise your arms for me? Put them behind your head. Yeah, just
05:14like that. Yeah, that's definitely a lot worse. Okay. Could you lean back? Yeah, I thought
05:23I'd dislocate my arm when the branch came down. There's no shoulder damage. I think
05:28your chest muscles took the brunt. Can I get back out there? I can't afford to lose any
05:33more work. My wife, she's not earning it at the minute. Well, it's still a nasty strain.
05:39You'll need to take it easy until it settles, but we'll get you some pain relief and teach
05:44you some breathing exercises. Right, here we are. Cheers, mate. I'm 33. Yeah, cubicle
05:56two. Hello, stranger. Don't you know each other? Hi. Hi. This is Astrid Watson, as you
06:05know, 44 years old. She's tripped up a flight of concrete steps. There's reports of initial
06:10LOC for roughly around a couple of minutes. She's got a deep laceration on the right-hand
06:14side of her head, as you can see. She's fine, cleared at the scene. All labs are stable.
06:19GCS has been 15 throughout. Pupils are equal and reactive. She's had a gram of IV paracetamol
06:25as a bystander that called in. Okay. Yeah, I had a fall. That's what the kid said.
06:30Look, I'm some sort of octogenarian. I knew you were lying about your age. Do you ever
06:35stop? Not that I'm complaining. He's where party made the way outside almost bearable.
06:41Have you thought about stand-up? Absolutely. Did you hear about the woman who kept falling
06:45off a bike? It was a vicious cycle. Oh, get out. I... See you later. Get out, Ian. Thank you.
06:53Right, I'm going to clean up that wound and check you over again, see if you need any fluids.
06:58Okay. So, how are you doing? Good. Okay. I'll just do a pulse check.
07:08It's just that I haven't seen you at NA for a few weeks. God, your thoughts are loud.
07:16No. Hey, I'm not using again. Okay. Yeah. Okay. It's just you've injured your head
07:25bad enough to be in here, and you're not exactly in the category of patients that has a fall.
07:30Yeah, well, I did, so... Okay. And your heartbeat is racing.
07:34Hey, what's going on? How are you feeling? I feel a bit woozy, actually. I don't feel great.
07:38Okay. All right. Just lie back for me, darling. Lie back for me. It's all right. We'll take care
07:42of it. Okay? Just stay there a minute. Cam, can you get me a towel, please? Thanks.
07:48Oh, thanks. Mr. Porter's coding and GP letter are ready. Should I...?
07:59Yeah. Yeah, you can do that without my supervision. That's fine.
08:03Raj, I do think you should give some thought to the FRChem exam. I think
08:06it would really help your application. Yeah? Okay. Thanks.
08:10Tom? Tom? Tom, can you hear me? Can I get the crash trolley, please?
08:28Here you go. Here you go. Here you go. Bag.
08:32What happened, Raj? I don't know.
08:33Okay, Dylan, can you get pads on? Can we check what rhythm is it?
08:50He's in BF. Okay, so charging to 150.
08:54And everyone off? Clear?
08:57Clear. Shocking.
08:58Okay, signs of life. Yeah, we've got Ross.
09:05Okay, right, let's get him to recess. We'll get a 12-lead on him and I'll call cardiology.
09:12You okay? Yeah.
09:14Well done. Still no change.
09:21Yeah, okay. Valsalva's not doing it. Let's get a 6-milligram bolus of adenosine
09:26with a 20-millisaline flush, please. Yep.
09:28All right, my love, I'm just going to set you up, okay? Now, you're okay, but your heart's
09:33still going a bit fast. So Cam's going to give you a drug that will help with that, okay? It'll
09:38bring it down. The only thing is, this drug feels really awful, okay? So just don't be scared,
09:45just breathe through it. It's just a side effect. All right, my love, it's going in now. That's it.
09:51Okay, all right. Flush in.
09:57Yeah, it hasn't touched the sides. You're still in SVT. Draw up another 12 milligrams,
10:02please, and another 20-millisaline flush. Oh, no, no, no.
10:04Okay, sweetheart, listen. Listen to me. Tell me.
10:08What have you given me? Have you taken any drugs?
10:10You need to tell me the truth. Oh, no, stop, stop. I can't feel my...
10:14Okay, let's go again.
10:16I know. I know. No, this is just the drug. Okay.
10:20Oh, no, please stop. Stop.
10:22Oh, my... You know you're killing me. Please stop.
10:24We're trying to help you, my love. We're trying to help you. It's okay. It's just the drugs. It
10:28will pass. Flush in. All right, my love, just breathe through it. It's okay. It's okay. There
10:34we go. Still no change.
10:38Okay, draw up another 12, please. Astrid. Astrid, listen to me. This is really important. Now,
10:43I'm not judging you, but I need to know, have you taken anything today? I need to know so I know
10:48how to treat you, because we're going to have to give you another dose, darling. So tell me the
10:51truth, please. Please.
10:52I took cats. Please stop.
10:55All right.
10:55It was just a bit of a cat.
10:57Okay, my darling, can you get me five-milligram diazepam IV instead, please?
11:01Okay, yeah.
11:04You're happy now.
11:05Massive tombstone rhythm. He was having an MI, masked by the muscle pain. I didn't spot it.
11:17Karen, can you get 2.5 milligrams of dimorphine, 300 milligrams of aspirin?
11:22I'll let the cath lab...
11:24Tom, hey, you're in whole BED. It's Dr. Massam. You fell unconscious.
11:29What happened?
11:31Your heart, it stopped beating, but we've got it going again. We'll give you some medication
11:35to help stabilise.
11:36My heart?
11:37Yeah, we'll alert cardiology. They'll investigate further, devise a management plan.
11:42From what we've seen, I think you might need a stent.
11:45Is this because of my dad? He died at 55. Heart attack. But I'm nothing like him. I don't smoke,
11:53don't drink. I look after myself.
11:55Dr. Keogh.
11:57Excuse me, Raj.
12:01This is a poor muscle, that's all.
12:02It's a good job you came in. Shall we call your wife?
12:05No, no. She's got chemo today.
12:11I'm sure she'd want to know.
12:12Not until I've seen the specialist, find out what's going on. Please. She's going through enough.
12:23Dylan, I didn't ask him about his family history. I didn't think it would be cardiac. I'm sorry.
12:30He didn't present with any comorbidity.
12:32Yeah, but if I'd asked a few more questions...
12:34No, no, no. We've all been there. I mean, I didn't order an ECG for a pulled muscle.
12:38Let's carry on with the assessment.
12:41Can we?
12:42Yeah, we've got an acid attack on the way and pre-alert ETA in about five minutes.
12:46So, shall we prepare for that one?
12:48Yeah.
12:52Okay. I think we've caught a little blood vessel there. So, can you get me a gram of
12:56paracetamol and pass through the local thanks bed?
12:59Oh, Chris, your car. I'm so sorry. It looks like a murder scene.
13:04Right, I'm going to numb this up for you. It'll be a sharp scratch, okay? Ready?
13:11Okay. And the other side.
13:17Oh, and my jacket. I love that jacket.
13:20We'll get it cleaned.
13:21There's no point. It's ruined.
13:22Then I'll buy you a new one for later Christmas present or something. We'll work it out.
13:27Aw, you're too good to me.
13:29So, what happened?
13:30An escape room. We worked out a brilliant solution to a clue.
13:33Convinced one of the props was sugar glass.
13:34And it wasn't.
13:35Oh, dear.
13:38Right. Now, can you feel that? No? The other side? Nothing?
13:45Good. Right, what I'm going to do is pop a little suture in there and tie off that vessel, okay?
13:52Sorry, I'm getting in the way here. Shall I grab us some food?
13:55Oh, yeah, please. Chocolate, if there's any.
13:57The vending machine is down the corridor on the left.
14:01Can you grab that? Thanks. Thank you.
14:06Right. There we go. That's the little spurt assorted.
14:13Can you wiggle your fingers for me?
14:16Okay. Now, there might be a bit of tendon damage with that middle finger.
14:19What's that mean? How bad?
14:21Sorry, can you bandage up, get an x-ray and speak to...
14:26Plastics.
14:26Thank you. I'll be two minutes.
14:30Oh, hello. Where was you, Beth?
14:32Hiya. You know what I did? I had the horrible vitamins after breakfast.
14:38Can you not get us the gummy ones, like kids?
14:40No, I will. I will.
14:41Tendon damage, can it be fixed?
14:43I've got a break. I promise.
14:43It's my cotton hand and my hairdresser.
14:46Try not to worry. The x-ray will tell us more.
14:49Okay.
14:50Shall we wait for your boyfriend? He can come up with you.
14:52Oh, we're not... No, we're just mates.
14:56Oh. Oh, okay.
14:57We've known each other since uni, so we are pretty close, I guess.
15:01But, no, we don't need to wait.
15:03We'll start with the x-ray. Take it from there.
15:06This is no structural injury. 29.
15:08Victim of a significant acid attack approximately 60 minutes ago.
15:11Suffered extensive burns to the face, scalp, arm and chest...
15:13Has he stopped him yet? Is she saying...
15:15...sustained whilst trying to escape.
15:16Still following, but they won't let him get away.
15:19Are you sure we can't call anybody? Your parents?
15:22No, how will they find us here? I don't understand.
15:25I've been so careful.
15:27Four milligrams of montazatron, one gram of ibuprofen.
15:29My Halima, my darling girl.
15:31Who's Halima?
15:32Yeah, that's her 12-year-old daughter.
15:35He attacked her and then took the girl.
15:38Irrigated the burns with water.
15:39Ready, steady, slide.
15:42Sean, could you get monitoring attached, please?
15:44I'm going to step back and lead on this.
15:45Could you do the primary survey?
15:46Yeah, of course.
15:47Can you get some litmus paper from the eye room immediately?
15:50Yeah.
15:51My name's Dylan. I'm just going to have a look in your mouth, if I can, please.
15:54That's it, well done. Well done.
15:57OK, so we've got patient airway, obviously,
15:59but I think that's the first signs of edema there.
16:01OK, Mrs Chowdhury, you have some swelling around your throat caused by the acid.
16:05It might affect your airway. It might get worse.
16:07So I'm going to contact our anaesthetist.
16:09They might come down and want to put a tube down your throat to help your breathing.
16:13OK, we'll put you to sleep.
16:14OK, if they think you need a tube and we don't proceed,
16:18it might give us some real difficulties helping your breathing later on.
16:20Not until I know she's safe.
16:21OK, look, I would strongly advise that we do follow...
16:23I'm not having any more men. Tell me what to do.
16:27OK, OK, OK.
16:29Well, we've got equal bilateral air entry.
16:32I think we can delay, but I wouldn't want to for any longer than is absolutely necessary.
16:36What are we looking at?
16:37We've got arm, chest, face, nose, eyes, ears, nose, eyes, nose,
16:42we've got arm, chest, face.
16:45I'd say partial thickness, about 12% burns.
16:47Yeah, yeah. Right, she's 60kg, 4mls per kilogramme,
16:5112% is around three litre of fluid.
16:54Can we do first half from eight hours from the injury?
16:58Rita, can you deal with that, please?
17:00Siobhan, can I have some chemical neutraliser, please?
17:03OK, I'm just going to put this off and have a look.
17:12The bottom line is, you're using ketamine is now causing you serious heart problems.
17:16I'm not using, OK?
17:19Look, it was just a bit, I told you.
17:21It was Paul, OK?
17:23He just got in here and it wouldn't stop and I just needed a sudden break.
17:27Yeah, but look, Astrid, either way,
17:29you're using enough that it's starting to cause you serious electrical problems,
17:32your heart's beating in crazy rhythms...
17:34God, you're loving this, aren't you?
17:36Sending in some cocky consultant to have a go.
17:38I'm just explaining what's happening.
17:39But listen, Astrid, I know you.
17:41I know what it took for you to get clean and stay that way,
17:44how hard you fought.
17:45If you're struggling...
17:46I'm not.
17:47Then you need to speak to your sponsor, OK?
17:49Maybe this was the push you needed.
17:52When I... I know that I couldn't have gotten any lower before I...
17:57Yeah, right.
17:58Does your mate know?
17:59Do you have patience that you treated them when you were off your tits?
18:04At least the only person I harmed was myself.
18:06OK, OK, I'm not having this.
18:07Just go and take five.
18:08I'm fine.
18:09Walk away, junkie.
18:10Off your trot for your next little bump.
18:13Run away, Faith.
18:14I see you, mate.
18:15I know who you are.
18:22Sorry, pet, I was just grabbing a snack.
18:24Did Plastics get back about Miss Cooper?
18:26Yes.
18:28Did you know eating nuts helps with a baby's neuropsychological development?
18:32It's all the folic acid and the omega stuff.
18:34No bony damage, no foreign objects.
18:38So it is just the suspected severed flexor tendon.
18:41Isn't her tetanus up to date?
18:42Yes, and the antibiotics have been given.
18:44Got chicken and avocado wrap for my dinner
18:46and then carrots with a spinach dip later.
18:48Rosie made the lot.
18:49So keep me away from the canteen chips.
18:52You know, the pregnant body is amazing.
18:53If it tells you it wants deep-fried potatoes, that's what you should have.
18:56Nope, not on her list.
18:58Honestly, she's amazing.
18:59It's like I've got my own personal chef.
19:02God knows how I'm going to feed myself once her baby pops out.
19:04Do you think Rosie has maybe a little bit too much to say about your diet?
19:08I mean, the calls at work, checking up on you.
19:11What if she had told you when you were...
19:12Mate, there's a thing. I'm guzzy.
19:15Hiya, is he feeling any brighter?
19:17Plastics have had a look at your notes
19:18and unfortunately they think you are going to need surgery to repair that tendon.
19:22But it can be repaired fully.
19:24So how long for time and recovery?
19:27Well, chances are they'll do the operation tomorrow
19:29but it's going to be a good few months before you get the use back, I'm afraid.
19:32So I won't be able to work?
19:34Hey, hey, don't worry.
19:36Are you going to keep my clients happy, are you?
19:38Cut the hair till I'm back, make sure you don't jump ship.
19:41No, obviously...
19:42Do you have any idea how long it's took me to build that list?
19:45Your workmates can help you out.
19:46And for everything else, I'm here.
19:48Whatever you need, however long.
19:50Shall I grab you some overnight things in case?
19:52No, please.
19:52If your friend's a problem, you have a spare room...
19:54Chris, please stop.
19:56It's really kind and it's not that I don't appreciate it.
19:59But the thought of you going through me knicker drawer...
20:02I don't mind.
20:02Well, I do.
20:04We'll just see if plastics won't admit you, OK?
20:08Because you're not.
20:10I really think with everything that your body's going through,
20:12a general anaesthetic would enable us to intubate you.
20:17And that would really help.
20:19And it says Halima, she's 12 years old.
20:22Halima, is that my Halima?
20:2340 kilograms, backseat passenger in a 50-mile-long RTC during police chase.
20:28She's got a suspected broken left clavicle with seatbelt bruising.
20:32Abdul's turned on the right-hand side.
20:34She's tachy 125, resp's 26.
20:37Sat's 96 on the high floor.
20:38BP's improved to 100.
20:41Start the primary survey.
20:42Can we give them a moment together?
20:43I think it would help both of them.
20:44Yeah, yeah.
20:46Thanks.
20:47Tommy, OK?
20:49You'll be able to hear her.
20:50Put your hands out for me.
20:51I appreciate the taking that hand over,
20:53but I think Max and I have it from here.
20:55Great. We're drowning in cubicles.
20:58There you go, there you go, there you go.
20:59Oh, oh, I'm sorry.
21:03I'm here, I promise.
21:04I'm not going anywhere.
21:05But mum, you said he's your brother, but you haven't got a brother.
21:10I couldn't tell you.
21:12It's true.
21:13You said we were hiding and it was my fault.
21:16No, no, you don't listen to him.
21:18I brought Shane.
21:19No, no, no, he's lying.
21:21My uncle, that's the truth.
21:22He is, but the rest, he's lying, OK?
21:26What did I do wrong? He hate me.
21:28No.
21:28The police were following him, but he was dead.
21:31Oh.
21:33Rash, rash.
21:34BP's dropping.
21:35Rest her down.
21:36OK, let's keep her on the trolley
21:39and let's get our leads and monitoring attached, please.
21:43She's breathing.
21:47Abdomen's guarding.
21:48Internal bleeding.
21:49I think it's probably the spleen.
21:50Can we get some bloods up, please?
21:52And a TXA infusion.
21:53I'll activate the major hemorrhage protocol.
21:56Yes, and can you fast-fleet the surgeons?
21:58Yeah.
21:58OK, let's start with the Oneg.
22:00Activate major hemorrhage protocol, please.
22:01Resusc A and E.
22:0210 mils per kilogram and monitor the response.
22:04OK, let's get that blood up, please.
22:06And can we fast-fleet the surgeons, please?
22:07Also, resusc A and E.
22:09Scar on her head.
22:10I don't think they treated her.
22:11But was she here a couple of weeks ago?
22:15Oh, God.
22:16They were waiting among us for Calpol.
22:19All right, Rita, we need to get these bloods through.
22:21Rita.
22:23Rita, the transfusion.
22:25Rita.
22:26That's how her brother found them.
22:28Because they were on the TV show.
22:31OK.
22:41Hiya.
22:42Lovely to see you.
22:43Oh, Rosie.
22:44Don't put your place in the queue.
22:46I brought Nicole something for tea.
22:48She never has time to cook.
22:51Perhaps you could get it to her?
22:54I'm sure she can get something from here.
22:56Yeah, but it'd save her the bother.
22:58She should decide what she eats.
23:00Don't you think?
23:01We sorted the menu together.
23:03Well, baby is not the only thing in her life.
23:05I appreciate you're looking out for her.
23:07But I really don't think this is any of your business.
23:12Obsessing over her food, phone calls at work,
23:15showing up mid-shift.
23:16Don't you think that's a bit much?
23:18OK, I better go.
23:24Sorry to have bothered you.
23:26No, I...
23:27Hey, Jen.
23:28Have a look at this.
23:30Oh, look at him.
23:33Is that a smile or wind?
23:34I've been a lot of both.
23:38Yo, Teddy.
23:39What do you reckon, mate?
23:41Got his granddad looks or what?
23:43Hey, what happened here?
23:45Boxing.
23:46Go away, somebody, with a dodgy ticker.
23:48Best thing to do for my heart is stay fit.
23:50Ah, good on you, man.
23:51Don't encourage him.
23:52No, no, it's a proper sport, Jen.
23:53I mean, I was 22 as an amateur.
23:55Oh, good, yeah?
23:56You know what, a bit of advice.
23:58Don't block it with your face.
23:59Yeah, yeah, funny.
24:00Well, if you're so good, why don't we spar later?
24:02Nah, man, man, fighting days are long gone.
24:053006, job coming through to you.
24:07Query stroke.
24:08Can I get your mobile on this one?
24:10All received.
24:11Over.
24:19Hey.
24:21Thanks, honey.
24:25Hey, hey, hey, hey, hey.
24:27Sweetheart, look at me.
24:29They are confident they can operate, yeah?
24:32They're going to repair that spleen.
24:33I'm sure of it.
24:34Yeah?
24:39Sat's 88%.
24:41OK, Miss Chowdhury, your oxygen levels are dangerously low.
24:44Don't put me to sleep.
24:46Not until her leave is off surgery.
24:48OK, we can't hold off any longer.
24:49If we don't protect your airway now, then we can't...
24:51We need to be here when she wakes up.
24:54But what he said, this is my fault, not hers.
24:59I was meant to keep her safe.
25:00You did.
25:01You did. The police found her because of you.
25:04I need to see for myself that she's OK.
25:07I need to tell her the truth, because he's right.
25:13I lied about everything.
25:16I couldn't bear it, what they thought of us.
25:21I didn't want her to feel scared or ashamed.
25:26You can tell her.
25:27OK, you can tell her all of this.
25:29No one will stop you.
25:30And I promise you, Halima is in the best possible hands.
25:33But she's going to need her mum.
25:35OK, so please let us help you.
25:41Yeah?
25:41Yeah?
25:43Yeah, OK.
25:44Rita, can you get the airway trolley, please?
25:46Rockeronium, fentanyl, and propofol.
25:48Um, fast-speed anesthetics.
26:08Dillon?
26:09Yes?
26:10I heard about our acid attack victim.
26:12Perhaps now you understand why I need to get to the truth.
26:16Look, I think the fallout from the TV program
26:18has obviously been awful for everybody.
26:20We can agree on that.
26:21But your obsession with trying to find out
26:23who it was that went to the press in the first place,
26:25your tunnel vision, your rigidity of thought.
26:28You're the expert there.
26:30Sorry, say that again.
26:32Aren't you due your autism assessment?
26:36OK, you can waste your time with this vendetta all you like.
26:40As far as I can see, you're no closer to finding out who it was.
26:42In the meantime, some of us have actually got patients to treat.
26:44So if you don't mind, that's what I'm going to go and do, mate.
26:46All right?
26:46Dillon?
26:47Yeah?
26:48I haven't wasted my time.
26:50I know who it is.
27:00Hey, uh, Lachlan Daniels, M for Faith.
27:04Do you want to tell me what happened?
27:05Yeah, I'd rather not.
27:07Uh, it says here that you, uh, put your hand out when you fell.
27:11Did you twist your wrist at all?
27:13I hope what that woman said.
27:14I don't really want you treating me, to be honest.
27:16Look, I'm really sorry you feel like that.
27:18But I can assure you that I'm...
27:19Excuse me, love.
27:20Could you step me in for, uh, Nurse Faith, was it?
27:23Because of her drug history.
27:24Jodie, it's fine.
27:25It's not.
27:25I don't really want a druggie treating me, to be honest.
27:28So can you get someone else?
27:29Is that all right?
27:30All right.
27:30Everything all right?
27:31No, not really.
27:33Is there any chance she's on something?
27:36What are you talking about?
27:37Excuse me.
27:37Her drug history.
27:38She did it before.
27:39Listen, pal, I don't know what you've been told,
27:40but first of all, that is none of your business.
27:43And secondly, whatever's happened to her in the past,
27:45it's exactly that, in the past.
27:47Okay, nice speech, mate,
27:48but I don't see why I should take your word for it.
27:50Sorry.
27:52Okay.
27:54All right.
28:00Shut the door.
28:05Sit.
28:06Sit.
28:10An email has been brought to my attention.
28:13Shall I read it to you?
28:18It's clear that the only way to effect change
28:20within a system paralysed by ineffectual local management
28:24is aggressive direct action,
28:27of which it will be my duty to engage
28:29should the problems listed below not be addressed forthwith.
28:32You're certainly thorough in your assessment
28:35of the ED's shortcomings.
28:38Now, I've been asking myself,
28:40what might constitute aggressive direct action?
28:46There wasn't a specific thing, necessarily.
28:49I hadn't really thought it through.
28:51Really?
28:52I'm not denying I sent the email.
28:54I did, at a time of high emotion and personal difficulties,
28:58but that interview, that footage,
29:00had nothing to do with me.
29:01Which I'm sure you thought we'd all believe.
29:05Is this because I saw you pocket that clamp in recess,
29:08which, quite frankly, is a bizarre thing to do?
29:10Our ability to help patients relies on trust and respect,
29:13which you destroyed in one selfish and traitorous swoop.
29:17No.
29:17Conspiring with a TV company
29:19known for creating disaster narratives
29:21for a scandal-hungry audience.
29:22One email, one small, ill-advised action...
29:24The appalling consequences of which are all too real.
29:27The threats, the abuse of power,
29:30the abuse...
29:30And shall we talk about how Nasrat Chowdhury's attacker
29:32knew that she was in holding?
29:33It doesn't mean that I'd do something as explosive
29:36as go to the media,
29:36although maybe to get through to you, I should have.
29:42You think I'm the whistleblower?
29:59Rash, Rash, Rash, I just...
30:02I need you to know how much I think of you and I respect you,
30:06and it doesn't matter what Patrick says, OK?
30:08Rita, I...
30:09I don't care what you think.
30:16Oi, Tarek.
30:17Have you heard what went down with Rash?
30:19Look, Patrick's so off the mark, man.
30:21I've never met anyone less rebellious than my cousin.
30:23Well, he has been looking seriously stressed.
30:25Yeah, cos he's grieving for his dad.
30:27Yeah, cos he's grieving for his dad.
30:29Look, until I hear it from Rash, I'm not buying it.
30:31Yeah, Lachlan Daniels X-ray, soft tissue damage as expected.
30:34Can you let him know and sort him out? Thanks.
30:37Fair and concise instructions, as ever.
30:43Erm, so the sprain is relatively minor,
30:46erm, with anti-inflammatories, elevation and regular ice packs,
30:49should be all right, I think.
30:50It'll take a few weeks, maybe till a month.
30:54OK?
30:55Jodie?
30:56Yeah?
30:56Can I borrow your eyes a second?
30:58Yeah.
30:59Erm, OK, you see here?
31:01Yeah.
31:02It's a transcephoid perilunate dislocation.
31:04Oh.
31:05I know it's hard to see with the angle of the X-ray, but it's there.
31:08That bit?
31:09Mm-hm.
31:10OK, erm...
31:12Do you want me to...?
31:13No.
31:14It's fine.
31:15I'll tell him.
31:16OK.
31:18Right, Mr Daniels.
31:20Look, I'm sorry to tell you
31:22that your injury's a bit more serious than we initially thought.
31:25Although there is no fracture,
31:27the force on your wrist has caused the dislocation.
31:29So I'll refer you to orthopaedics,
31:31and it may need manipulating and surgery.
31:34The good news is that I think you'll make a full recovery.
31:37It's just going to take about two to four months.
31:39OK?
31:40By recovery, I can still use it, though, yeah?
31:42If nothing's broken.
31:43No, it's really important that you let the joint heal fully
31:46to reduce the risk of arthritis development.
31:48No, I can work through a bit of pain.
31:49It's all right.
31:50You know, it's part of the course of weight training.
31:52You push yourself so you damage the muscle fibres,
31:54and then they repair and they build up a bit stronger and better.
31:57Mr Daniels, it is not the muscles that you have damaged, OK?
32:00It is the ligaments and the tendons holding the joint in place.
32:04Now, they need time and they need rest.
32:06Look, you're a fit guy.
32:08Surely you can just dial it down for a little bit.
32:10Maybe even try another form of exercise.
32:12Seriously, I can't use it at all.
32:14No. No, I'm really sorry.
32:16But I have to.
32:17Really, I... No, I need to.
32:19I need to.
32:23Really, I have to.
32:28I don't know what to do if I can't.
32:30OK, OK. All right, all right.
32:32Just take a deep breath with me, OK?
32:34Take a deep breath in.
32:35And out.
32:36And again.
32:38Everything's going to be OK.
32:40All right, all right.
32:41Everything's going to be OK.
32:50SHE SIGHS
33:02One of the hardest parts of the job is seeing the kids waiting for hours
33:05and the parents so stressed, you just feel helpless.
33:08Excuse me.
33:09Hiya. Sorry.
33:10I just wondered if my daughter could maybe have some cow pot while we're waiting?
33:14Yes, could you get this lady some cow pot?
33:16Sorry you've had such a long wait.
33:18Hi.
33:19Hi. Sorry, I just didn't know we'd be waiting so long.
33:22Oh, no. Sorry, we need to process.
33:24OK.
33:25We came, so that's been, like, nine hours, so...
33:28Nine hours. That is a long time. I'm so sorry.
33:30I won't grab that.
33:31It's OK. Thank you.
33:35Management keep making promises, but nothing changes.
33:39If anything, it's getting worse.
33:42Sorry, I just didn't know we'd be waiting so long, so...
33:45Oh, no.
33:48SIREN WAILS
33:49SIREN WAILS
34:16I assume Chris isn't going to bring your things.
34:19I don't think I'll ever feel the way he does.
34:21I had to tell him, didn't I?
34:23I think you did.
34:24I kind of enjoyed it, though, you know.
34:26The attention.
34:27Didn't think it was a big thing, but if it was the other way round...
34:31I've been such a crappy mate.
34:34I don't know how to fix it, but I guess now I've got time on my hands to work it out.
34:40Can I have a word, please?
34:42No worries, I'll take it.
34:45Nicole, is everything OK?
34:47I can't believe you spoke to Rosie like that.
34:50She's in bits.
34:51She would give anything to obsess over the prenatal qualities of nuts,
34:55or have morning sickness, or incredibly sore boobs, but she can't.
34:59This is her baby, grown inside and lay.
35:02Her pregnancy, not mine.
35:04And it definitely isn't yours.
35:06So just back off, all right?
35:08Worry about your own kid.
35:10Is...
35:12Is it OK if we be a nice, still stay?
35:14I'm hardly going to take it out on him, am I?
35:17Shouldn't you have left already?
35:22No!
35:23Hey.
35:24How's our great leader doing?
35:26Hey, Patrick.
35:28Er...
35:29Sinking to new lows, if you can believe that.
35:31Very keen to avoid recess, though.
35:33Almost too keen, if you know what...
35:35Oh, sorry, Stephen, we'll do this later.
35:37Rash, they managed to save the daughter's spleen.
35:39She's on the recovery board.
35:41So when we get a moment, we should probably go through a formal statement for the SLE.
35:45Dylan, you're stretched enough. Let's not waste any more of your time.
35:48Whatever's happening with Patrick, forget that.
35:50Look at what you did today for Tom Porter, for the Chowdhuries.
35:53The Chowdhuries, it was the worst day of their lives.
35:55And what did you do? You treated them with compassion,
35:57with competence, with professionalism.
35:59Dylan, please, I...
36:01I've got a patient in cubicle three.
36:06Yeah, the poor guy was really panicky, but I calmed him down.
36:09Spoke to him in the end.
36:10See? That's good. There's an upside to being a junkie.
36:12Empathy for all addictions.
36:14Exercise to crack.
36:15Recovering junkie. Thank you very much.
36:17OK, mate, here we are.
36:23What did he say?
36:24Nothing.
36:26Maybe everything.
36:28My heart is his. I want him so bad.
36:31But how do I tell him?
36:33My Yorkshire lad, Dave Caddigan, age 15, Glasgow.
36:36I just... I've hurt him so much.
36:39OK, look, enough with the teenage yanks. Stop beating yourself up.
36:42Go and talk to him.
36:43Don't let your woman beat you up either.
36:45See you in a bit.
36:47That's it. There we go.
36:49Well done, mate.
36:50Well done.
36:58Hey, Astrid.
37:00Um, do you mind if I do your abs before you leave?
37:03Yeah, I do. Actually, yeah, could you get someone else?
37:06Cos of your drug history.
37:07Yeah, if you like.
37:08Look, I just... I want to say it.
37:10You can scream and shout at me as much as you like,
37:12but you're never going to stop me being on the other end of a phone for you.
37:15OK?
37:16Of course you will.
37:17Cos you've got this place holding you up.
37:20Some of us aren't so lucky.
37:21Beating addiction isn't luck. Not for anybody.
37:24If you had my life, for even one day...
37:27I get it. You're having a rough time.
37:29And it's an excuse to sleep. We've all done it.
37:31But what about the next rough time and the time after that?
37:34When does it stop?
37:35So you don't want to go to NA and you don't want to speak to a sponsor,
37:38but... but you have my number.
37:41I'm a big girl. I can take it.
37:43Right, I'm going to try one more.
37:45Why are ninja thoughts so dangerous?
37:48Cos they're silent and deadly.
37:51Yes, you like that one?
37:53See you later.
37:54See? Somebody thinks I'm funny.
37:56Yeah, well, that's cos you've got the humour of an eight-year-old boy.
37:59Excuse me, some of my jokes are very sophisticated.
38:02Yeah, like this.
38:03Some of my jokes are very sophisticated.
38:05Yeah, like what?
38:06How do you make a pool table laugh?
38:08Stop it! Get out!
38:10Ian?
38:11Huh?
38:12Er...
38:13Do you... fancy going for a drink later?
38:17Erm... yeah.
38:19Yeah, I do.
38:20OK.
38:21All right. See you in a bit.
38:23Bye.
38:33Morning, Grandad.
38:34Hard work?
38:35Look, mate, once I'm done here, I'm picking a car.
38:38Sorry.
38:39Last shot of adrenaline before the smell of nappies.
38:41Come on. You know you want to.
38:44All right, all right.
38:46Five minutes, though, yeah?
38:50All right, champ.
38:51See what you've got, yeah?
38:53Ready?
38:54Yep.
39:01Whoa!
39:02Come on, man, pads. We said pads.
39:04All right, chill out. No need to be scared.
39:12Hey!
39:13Oh, come on, now. Don't look at your face, remember?
39:15All right.
39:16Calm down, calm down, bro.
39:18Calm down, calm down, calm down.
39:20What are you doing?
39:21I said calm down!
39:22Look, what are you doing?
39:23Calm down!
39:24Calm down!
39:25What are you doing?
39:26Calm down!
39:27Oi! Clear your door!
39:29What, you're going to hit me, too?
39:31What the hell are you doing?
39:40Honestly, Jan, I didn't do anything.
39:51You know, you could add a pint.
39:54No, half is fine.
39:56Get me burpee.
39:57I meant a beer, not lemonade.
40:00Yeah, yeah, well, I shouldn't really, should I?
40:02Why?
40:04Ian, I'm not an alcoholic.
40:05No, I know.
40:06And I wouldn't have brought you here if I didn't think I could handle it, OK?
40:10OK.
40:11I wanted to buy you an actual drink to say thank you for...
40:15for what you said to my patient earlier.
40:18Oh, Mr Muscles.
40:20Shame it didn't help.
40:22No, it did, actually.
40:24It did.
40:25How did he even know?
40:26Um, well, you know the head injury you brought in at Astrid Watson?
40:31Quite impressing you two were made.
40:33Ooh, ah, kind of.
40:35I mean, I know her from a group that I go to.
40:39She started around the same time as me,
40:42and, well, we got on really well.
40:45Then she met a guy, and...
40:48I mean, we both know it's not a good idea to add someone in.
40:52We both know it's not a good idea to add someone into the mix during a recovery.
40:57And, er, she started missing sessions.
41:01Now she's here.
41:03Sorry accident.
41:05Did she...?
41:07Sorry.
41:08I'm sorry.
41:09Shouldn't have asked that.
41:10No, neither should I.
41:11I mean, she completely lost it at me
41:13and decided that the whole ward should know my sordid secret.
41:17No.
41:19Faith, that must have been...
41:20completely embarrassing.
41:22Enough to make me want to get high.
41:24Yeah.
41:26But I didn't.
41:28So, anyway,
41:31what you said,
41:33how you stuck up for me, that...
41:36I really needed to hear that today, so thank you.
41:40Well, I'm in every word of it.
41:42I know.
41:44I'm sorry you...
41:46you didn't come here to hear this.
41:49No, no, no, I did.
41:52I want to know.
41:56Look, Ian, erm,
41:58it's been drummed into me that if I have any hope of staying well,
42:01that I have to be completely honest about...
42:07about everything.
42:10So...
42:12Look, look, I get it.
42:16Focusing on your recovery, it's...
42:20it's a priority, and you shouldn't let anything mess with that.
42:29Look, it's... it's been a...
42:31it's been a long shift.
42:34I don't want the kids worrying about you, so...
42:37I'm gonna go.
42:39OK.
42:45Oh, er, yeah, OK.
42:48Sure. It was, er...
42:50It was nice, though.
42:52I mean, we could do it again, maybe.
42:55Yeah.
42:56Yeah, yeah, definitely.
42:57OK.
42:58See you later.
42:59Bye.
43:10Ah.
43:28Bobby!
43:31Bobby!
43:40Bobby!
43:42I can't breathe.
43:44Oh, sorry. Sorry.
43:46I'm so sorry I'm late, baby.
43:48Were you worried?
43:49I wasn't worried.
43:50No?
43:52She was a bit stressed you weren't here.
43:54But I told her you're always late.
43:58No biggie.
44:01Oh.
44:04Never change.
44:10PHONE BEEPS
44:35I was helping.
44:38So convinced that I'm right.
44:41And I was just trying to show the world what was happening here.
44:47The truth.
44:50And then you brought your beautiful daughter here.
44:55And if I'd even begun to realise what sending that footage would do,
44:58I... I didn't...
45:00I didn't think.
45:03Oh.
45:05I'm so sorry.
45:08I'm so...
45:12I'm so sorry. I'm so sorry.
45:23He found you because of me.
45:28So...
45:29So...
45:59So...
46:29So...
46:30So...
46:31So...
46:32So...
46:33So...
46:34So...
46:35So...
46:36So...
46:37So...
46:38So...
46:39So...
46:40So...
46:41So...
46:42So...
46:43So...
46:44So...
46:45So...
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46:47So...
46:48So...
46:49So...
46:50So...
46:51So...
46:52So...
46:53So...
46:54So...
46:55So...
46:56So...
46:57So...
46:58So...
46:59So...
47:00So...
47:01So...
47:02So...
47:03So...
47:04So...
47:05So...
47:06So...
47:07So...
47:08So...
47:09So...
47:10So...
47:11So...
47:12So...
47:13So...
47:14So...
47:15So...
47:16So...
47:17So...
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47:23So...
47:24So...
47:25So...