• 2 days ago
Casualty - Season 40 Episode 6

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Transcript
00:00That baby, the one that was abandoned this morning.
00:03That's my grandson.
00:05That's Blake's boy.
00:07What about the mother?
00:09She was arrested.
00:11Arrested?
00:12I need you to consider whether or not this is the right choice for you.
00:15Have you seen what you've done? You sent the body cam footage to everyone.
00:19We're supposed to be bringing this department together. You've just done the exact opposite.
00:24The thing about my being your counselor is you do not have to say you are fine if you are not.
00:30Hi, it's, it's Rash.
00:33Just wanted to say the breathing exercises helped. You're right.
00:39Thanks.
00:40Have you considered a proper diagnosis? Putting a name on it?
00:43Sorry, you've lost me. A diagnosis for what?
00:44Autism.
00:46He came in for a couple of stitches, now he's dead.
00:49What happened? What the hell did you do?
00:54No, hang on. We're dying on our feet here, Dylan. You can't just walk out.
00:58Dylan?
01:23Are you Jacob?
01:26Yeah. Hi.
01:29Looks like you.
01:32Blake.
01:41So I've got everything together.
01:44Buggy, car seat sterilizers.
01:46Everything brand new.
01:49I bet that's expensive.
01:50You're welcome.
01:56A spot's come up on the mother and baby unit.
02:01That's her child, isn't it?
02:05Not for her.
02:07For me.
02:10I've decided I want Carter to stay here.
02:16It's all right here.
02:18The mother and baby unit's got a different feel to the rest of the place.
02:22It's a prison.
02:23I know.
02:25But it's a step up in that unit.
02:27And, well, Tonya said if a spot came up, I could have it.
02:30And, well, that's what I want.
02:33Look, Danielle.
02:36I appreciate we don't know each other, but a child needs time and space.
02:39It's not like I haven't got the time.
02:41I know that, but he's gonna need his own room.
02:43Come on, it's crazy to think that he'd be better off in here.
02:46A spot's come up on the mother and baby unit.
02:49It's my choice.
02:51And he's staying with me.
02:53I'm not gonna let that happen.
02:56Too bad.
03:00Nice to meet you, Jacob.
03:23No!
03:48The airway's clear.
03:50Reduced air entry on the right-hand side.
03:52I've got access and bloods are ready to go.
03:54Patrick, he's needed upstairs.
03:56Yeah, a little busy.
03:57Sorry, the CEO's called three times.
03:59Something about a meeting, you've got to be in in five.
04:03It's OK, I've got it.
04:09All right, see you in a bit.
04:10Tonya.
04:11I've just seen Danielle and she told me what she wants to do.
04:14I can't believe that you think this is best for Carter.
04:17When you get this, call me back.
04:23All right.
04:25Let's get on the road.
04:53Hey.
04:55What have you done to yourself?
04:57I was chopping up an apple and went to the bathroom.
04:59Are you finally getting to us?
05:01Adi?
05:02Sorry, sir.
05:04Sorry, we're very busy today.
05:06We have already been here for three hours.
05:09OK, sorry for the long wait.
05:11Let me see what I can do to try and speak things up for you.
05:13Oh, thank you.
05:15Yeah.
05:17I'm sorry.
05:19Oh, thank you.
05:21Yeah.
05:22Cheers.
05:23It's OK.
05:373-0-0-6 to Control.
05:39Looks like we're first on scene at Wyvern Parade.
05:42ETA on fire, please.
05:45Fireboys are ten minutes out.
05:47Nothing closer?
05:48No.
05:49Help! Help!
05:56Jacob, what are you doing?
05:59Jacob!
06:013-0-0-6 to Control.
06:03I need an ETA and on fire.
06:05Jacob's gone in.
06:06If they're not here soon, I'm going to have to go in after him.
06:08Don't go in. Don't go in.
06:11Help!
06:13Hello?
06:16Hello? If I'm in it, can you hear me?
06:18Steel worms!
06:19Help!
06:20Help!
06:21Put it out! Put it out!
06:25Help!
06:28We're in here!
06:29I'm in!
06:30I'm in!
06:33These are steel worms!
06:35I'm in!
06:36We're in here!
06:37I'm in!
06:38Help!
06:39Put it out! Put it out!
06:41Help!
06:43I'm in!
06:45Put it out! Put it out!
06:47I'm in!
06:54Firecrew are eight minutes out.
06:56Stay outside and liaise with them.
07:01Copy that.
07:14Jacob!
07:23Jacob!
07:32Hey, I haven't heard from Dylan yet. Have you?
07:34No. Why?
07:35Stevie, you're leading.
07:37Leading what?
07:38The department. Something's come up. I had to take her.
07:40Siobhan, can I have a word, please?
07:42The bed manager and keeping the ambulance queue moving.
07:45Siobhan?
07:46OK, I'll do that.
07:47Thanks, Stevie. You're brilliant.
07:52What do they want upstairs?
08:01That's here.
08:02Undercover TV investigation.
08:05The Trust were asked to comment earlier today.
08:08How did they get the footage?
08:10I sent it to everyone, remember?
08:15A whistleblower.
08:17Unless you've got a better explanation.
08:19Our lawyers are trying to stop Herbert.
08:22It's my fault for sending this round,
08:24but nobody in the department would do this.
08:27Are you sure?
08:29I'd stake my reputation on it.
08:41Right, lads, my colleague's in there.
08:43And there's at least one more.
08:52Hi, Mr Abadi. I'm, um... I'm Rash.
08:54I'm one of the doctors here at the ED.
08:56Can I just check, have you been in for a blood test today?
08:59Why?
09:00It'll help give me an idea on how things are with your diabetes.
09:03Why would you start with that?
09:05I believe you've come in with a tingling in your feet, is that right?
09:08Have you read all my notes? Or just the easy bit?
09:11No, I've taken a pretty good look.
09:13Right, then shouldn't we start with the osteosarcoma in my neck?
09:17Forgive me, sir, but I understand you've been in remission for five years.
09:21I have.
09:22OK, but you're worried about a recurrence.
09:25Wouldn't you be?
09:27OK, why don't you tell me about your feet?
09:30When did the tingling start?
09:32About a fortnight ago.
09:33OK, and do you have any pain or tenderness in your neck from where the cancer was?
09:37I've always got something going on up there from where they cut me about.
09:41It's kind of hard to tell what's old from what's new.
09:44OK, um, is there any reason why you're particularly concerned about your neck today?
09:49No. It's...
09:52This is how it started before.
09:54I know it looks like diabetes, but I'm telling you,
09:57a tumour in the neck has exactly the same symptoms,
10:00and I honestly don't have it in the tank to watch you lot miss it all over again.
10:05OK, let's do this.
10:07I'm going to book you in for a blood test.
10:09It'll give me an idea on how things are with your diabetes.
10:12But let's also...
10:14We'll also do a CT head and neck to see what comes back from that.
10:18How does that sound?
10:20That'll be good.
10:24OK.
10:26Someone will be with you in a moment.
10:28Someone will be with you in a moment.
10:36SHE WHIMPERS
10:39Can you see it?
10:41Can you hear me?
10:47Do you want me to try and get that off?
10:49Don't... Don't lose it.
10:51I won't.
10:58OK.
11:04Sorry.
11:10Sorry! OK, OK, darling.
11:12It's OK. OK, we're nearly there, are we? Nearly there.
11:15All right? We're going as fast as we can.
11:18OK? Yeah.
11:20PHONE RINGS
11:22ED.
11:25Looking for your stay? Yeah.
11:27It's in the black file. Right.
11:29Stevie, sorry, there's a patient in the waiting room coughing
11:32and the others are asking about Covid.
11:34OK, have you done a lateral flow?
11:36I offered one, but he doesn't want to take it.
11:38He said it's his right not to take one.
11:40OK, what's he in for? Um...
11:42I'm sorry, I don't know. A sprained ankle.
11:44Right, OK, put him inside room three for now.
11:46Yeah. No, you can't. There's a mental health patient in there.
11:49Right, OK, we'll, er, bump the sprained ankle up the list
11:52and send him home. Got it, thank you.
11:54Hey, do you know who's meant to be teaching the junior doctors today?
11:57That's someone from the deanery. They said all the F1s are standing about.
12:00No, who usually does it? Dylan.
12:02Right, well, then, give them Dylan's number.
12:05OK, er, Jonah, hi.
12:07I'm Dr Nash.
12:09So, er, our triage nurse tells me, er,
12:12you think you're ill because you've ingested some bad milk.
12:15Er, yeah. Yeah.
12:17OK. Are you a student, by any chance?
12:20Mm-hm. I study, er, veterinary science.
12:23Right. Do you socialise?
12:25Not really.
12:27I ask because, you know, you're sicker than I'd expect
12:30from someone who's just, you know, drank some bad milk.
12:34Yeah. No, it's just milk as well.
12:37OK, well, um, if there's anything else I would need you to tell me...
12:43We'll get you in a plaster boot and you'll be good to go.
12:46Oh, Jodie, in here, yeah.
12:48He needs a plaster boot and some crutches
12:50and can you sort his follow-up with the fracture clinic?
12:53I'll discharge. Right, OK, I'll just sort this out.
12:55Now, please, Jodie, I need the bed back.
12:57Erm, OK, well, does he need transport booking?
13:02Hey, um, who's this? Hello.
13:04This is Abigail Rippon. She's 23 years old.
13:07She was trapped inside a flat that was set on fire.
13:09OK, nice, it's there. OK.
13:11Right, she's presenting with smoke inhalation and significant burns.
13:15So that's a 92% on 15 litres.
13:17That's not improving. She's tachy at 118.
13:20She's got 25% partial and full thickness confidential burns
13:24on her right arm and the chest.
13:26She says she's 13, losing for sight and speech.
13:28She's had 15 milligrams of morphine and 500 ml of serum.
13:31OK, thanks. Um, does anyone know where Stevie is?
13:34I'll pitch her again. Where's Owen?
13:36He's just arrived. He's outside.
13:38Right, we've had no problems with your airway.
13:40There's some sooty in my nostrils, but it's been painting throughout.
13:43Jacob, I need to save her. OK, thanks.
13:46Jacob, do you want to go and get yourself checked out?
13:49No, don't go, please.
13:51It's all right. You're in the best hands.
13:56OK, can we get a full set of bloods, a VBG,
14:00and can you fast-repeat anaesthetics and the burns team?
14:03We need to keep on top of her analgesia and keep her warm like this.
14:07We can see you're in a lot of pain.
14:09We're going to give you something for that, OK?
14:11I've got that here.
14:13Wayne, can you order a chest X-ray, please?
14:16Is there anyone you'd like us to call for you?
14:18Just Owen. How bad is he?
14:22I don't know. I will find out for you, OK?
14:25OK, er, 25% burns.
14:28Let's get a litre of Hartman's, please.
14:31Burns and anaesthetic will be done in a sec. OK.
14:38The ceiling, the curtains, the whole place just went up.
14:40It was so quick. It was mad.
14:42Yeah, yeah, yeah, no, I got her out.
14:44She's in there now, but I'm telling you... Excuse me.
14:46..we were nearly done, mate.
14:48But I'm good. Yeah, yeah, yeah, I'm all good.
14:50All right. OK. Bye.
14:53Er, sorry, it's just a lot.
14:56It's OK, I get it. Take a seat for me.
14:58Sorry.
15:00You know, adrenaline does funny things to us.
15:09It was all up her arms.
15:12Up her back.
15:15Her clothes were on fire.
15:17I'm so sorry.
15:19They can treat that, though, right?
15:21They're going to do their best.
15:23But for now, she'll concentrate on these hands.
15:28Well, there's no swelling or redness, so, yeah,
15:31not much evidence of smoke inhalation,
15:33so I think you're good, somehow.
15:35Thanks a lot, Jodie. All right.
15:38You're not going back out, are you?
15:40I know.
15:41I don't know, do you want me to rewind half an hour and talk you through it?
15:44I'm sorry, I know it was risky, yeah, but...
15:46We got her mad, didn't we?
15:48Look, don't worry. I'm good.
15:54SATA's still 86.
15:56She's losing a lot of liquid through her bones.
15:58Is there any update on the burns team?
16:00Shall I call them again? Yeah, please.
16:02OK. Abigail, I can see you're struggling to breathe.
16:06It's because the burns on your chest are acting like a band
16:09because of the skin thickening and swelling.
16:11Now, to help, we're going to perform something called an escherotomy.
16:14It's where we'll put you to sleep
16:16and we'll make incisions on either side of your chest
16:19to help you breathe, OK?
16:21You're going to cut my chest?
16:23Yes, yes, I know, I know it sounds scary, but it will help.
16:27Where's Owen?
16:29I think he's outside.
16:30I want to see him.
16:32OK, yeah, we'll bring him in.
16:34Hi. Is your name Owen?
16:37He's gone.
16:39Owen?
16:43I can't breathe.
16:45They've got to cut me.
16:47OK, um, Abigail, Abigail, it's necessary,
16:50but it will help, OK?
16:52And you'll be asleep the whole time.
16:54It's going to be all right.
16:59She's getting very tacky. Yeah, I know.
17:01I really don't want to have to perform an escherotomy down here.
17:04The Burns team aren't here soon. We'll have to intubate.
17:07OK, you've got this.
17:10I'm not going to look the same.
17:12It doesn't matter.
17:16I love you.
17:20I love you too.
17:21Well, the Burns team are here.
17:23OK, OK, great, great. Um, Abigail, my colleagues are here.
17:26We're going to take you up to theatre, OK?
17:28You're in very safe hands.
17:29They're going to do all they can to ease your breathing, OK?
17:32No, no, not to theatre, but you'll see him straight after, OK?
17:35You'll be all right, Abs, I'll offer you right there.
17:38We're going to take you up, we'll be with you all the way, OK?
17:40Tell me something good.
17:41I bumped up the ankle guy for a quick discharge,
17:43but now the others are saying it's unfair that he's being seen first.
17:46Cam, I said tell me something good.
17:48And now they're saying they've got Covid as well,
17:50but I know they just want to cut in line.
17:52OK, let me guess, they are refusing to get tested? Yeah.
17:55Well, look, there's not much you can do.
17:57Just, you know, apologise and say that we'll get to them as soon as possible.
18:01Jonah?
18:04Where's my duvet?
18:06Get him back into the bed.
18:08All right, let's get you back to bed.
18:10You all right?
18:11OK, can you get that side down?
18:13Yep.
18:14All right, give me a hand.
18:15All right, let's sit you down.
18:16Yeah, can we get him a first dose of BenPen
18:18and let's get him some acyclovir as well?
18:20Yeah.
18:21What was his GBG like?
18:22Lactate was 3.2, otherwise it was normal.
18:25Jonah, your condition's getting worse,
18:27so, you know, if there's something that you want to tell me,
18:29no judgement, tell me now.
18:30It was just a few jars.
18:32OK, it'll be there. How many pints?
18:34Oh, no, not beer.
18:35His liver function was fine.
18:37Then what?
18:38They took the labels off.
18:40They said it would be fine.
18:42Jonah, what did you drink, then?
18:46The urine from the lab.
18:51Right, so you drank animal urine from a veterinary lab.
18:53I didn't think it would be this bad.
18:55Brilliant.
18:56OK, so we're probably looking at a meningitis
18:58associated with bile disease.
19:00LP?
19:01Yeah.
19:02I'm sorry.
19:03Well, don't be sorry to me, Jonah, OK?
19:05But, you know, you're at risk of developing serious complications,
19:07so in future, don't keep me in the dark.
19:14Hi.
19:15Hi.
19:16I'm sorry to keep you waiting.
19:17I did try and get to you earlier, just we're very busy today.
19:20It's OK.
19:21How can I help? Sit your hand.
19:22Basically, I was chopping up a fruit salad
19:25for my daughter's birthday party
19:27and went straight through an apple.
19:29OK, may I?
19:30Mm-hm.
19:36OK, can you feel it if I squeeze the tips of your finger?
19:39Yes.
19:40OK, can you...
19:42Can you pull against my fingers?
19:44Oh!
19:45OK.
19:46Can you try and make a fist?
19:48Ooh!
19:49Look, I know you lot are busy, but can you just give us a steer?
19:53How long's all this going to take?
19:55Babe, like I said, you don't have to be here.
19:57I want to be here.
19:58I just want to get a sense of whether I should cancel everything or not.
20:01Yes, cancel it.
20:02But he might be done in an hour or whatever.
20:04It might be fine.
20:05Yeah, of course it'll be fine.
20:07I'll have my hand out of action and 20 kids to manage.
20:09You won't be on your own. I'll help.
20:11Will you?
20:12Yes.
20:13Sir, I think you'll be here a little longer than an hour.
20:15Great.
20:16Great.
20:21He can't...
20:22He can't get a refund on a bouncy castle.
20:25What time's the party?
20:272.30.
20:28Oh!
20:29OK, well, you've got movement and feeling in your hand,
20:32which is a good thing.
20:33I'll get the plastics team to take a look.
20:35OK.
20:38And you don't mind that it's me treating you, do you?
20:41Um...
20:42Why would I mind?
20:44Er, just checking.
20:50Yo.
20:51Hey.
20:52You good?
20:53Um, what's up?
20:55It's just...
20:57She's my therapist.
20:59Really?
21:00Yeah.
21:03You want me to take her?
21:05No, no, she's fine with it. I checked.
21:07It's just, er...
21:09It's a bit strange.
21:10Yeah, a bit.
21:13Look, just let me know if you want me to switch out, yeah?
21:16Yeah, thanks.
21:29The card machine's on the blink.
21:31It's cash only.
21:32Oh, that's too bad.
21:33The nurse said I needed something sugary.
21:36Has anyone shown you how to get a recovery?
21:38Er, yeah.
21:39Thanks.
21:43Are you all right?
21:45Yeah.
21:46It's just, er...
21:49Everything had been going so good, you know?
21:53For the first time in forever, it felt like we were finally...
21:57getting our lives together.
21:59I'm sorry.
22:01So, er, what happens next?
22:04Today, or...?
22:06Beyond that. What's it look like for her?
22:10These are life-changing injuries.
22:13She's going to need a lot of help.
22:16And that's a long road.
22:19But, step by step,
22:23you'll get there.
22:26Here.
22:28Oh, no, don't.
22:29Ah, don't be daft.
22:31Good for the shock.
22:33Thanks.
22:39Tanya!
22:41Hey, give me a sec, OK?
22:44I'm sorry you got to Danielle before we could speak.
22:47How is growing up in prison in Carter's best interest?
22:49It's her call.
22:50But isn't it your job to make sure that these kids get the best start?
22:53It's my job to make sure they're safe.
22:55And you think he's safer in there?
22:58What would be best for Carter
23:00is for both you and Danielle to pull together.
23:05I'm well aware, yeah, I'm well aware it's last minute.
23:08But I'm entitled to a full refund.
23:12So, plastics aren't worried about your tendon.
23:14So, we'll get your hand stitched up and you can be on your way.
23:17It won't be at 2.30, but it shouldn't be too much later.
23:19Oh, thank you.
23:21Pleasure.
23:22Nice to be able to help you for a change.
23:26How do you mean?
23:28Well, it's always been you helping me.
23:31Sorry?
23:34Er, it's rash.
23:38Rash?
23:41Um...
23:43Rash Massam from therapy.
23:46Rash? Oh...
23:48Oh, my...
23:50Of course, sorry.
23:52Of course, rash. Hi.
23:54I thought I knew...
23:56I just didn't...
23:57It's fine.
23:59We'll get your hand stitched up and you can be on your way.
24:02OK, um...
24:20What's she like, then, this Danielle?
24:23Like a dog off a bomb.
24:25I mean, she's got it in her head
24:27that she can look after my grandson in prison.
24:30Antonia's got her back? Yeah.
24:32Thinks we should work together.
24:36What?
24:37Look, I'm sure he will be all right in there.
24:39Yeah, but...
24:41I can give him a whole lot more.
24:43I know, but doesn't he need to be with his mum?
24:45Wherever that is.
24:46No.
24:47No, a child needs a safe home and I can give him that.
24:50Yeah, I know.
24:53Just don't sound like it's your call.
24:58Hello, Control to 3007. What?
25:00I'm just saying.
25:01We have a category one and go bigger gym at 8 Booth Street, Wyvern.
25:10Jodie, come here.
25:18Yeah, when I say I want something doing, I expect it to happen.
25:21I asked you to clear the cubicle.
25:23Yeah, no, I know, but...
25:24There's 54 waiting.
25:26We're already breaching on 12.
25:28They are waiting because there aren't any beds.
25:30It's unacceptable.
25:31Right, OK, but I went to reception and I asked them about the fracture clinic,
25:34but they couldn't book him in until he'd been discharged.
25:37And, with respect, you did say you'd do that by yourself.
25:40Why didn't you come and find me?
25:42I thought you was on it.
25:44I am on it, Jodie.
25:46I'm also on a million other things, so it would be extremely helpful
25:49if instead of waiting for all those balls to drop,
25:51you took some initiative yourself.
25:53Clear the bed.
25:56Right, let's give some space.
25:58What's his name?
25:59Michael.
26:00Right, I'll take over.
26:02Don't tell me what happened.
26:04We were just collapsed out of nowhere.
26:06He's not breathing.
26:07It's been five, eight minutes ago and then he just collapsed.
26:13Collapsed whilst working out.
26:15OK.
26:17Get to his chest.
26:26Come on, come on.
26:29OK, hand off chest.
26:31Confirmed with VF.
26:33Charging defib.
26:34Hands back on chest.
26:38OK, ready to shock. Hands off chest.
26:40Stand back and go.
26:42Shock him.
26:45OK, great.
26:46Back in sinus.
26:47Let's get him in the truck.
26:50Michael?
26:51Michael, can you hear me?
26:53Michael?
26:54Michael, can you hear me?
26:56We're going to take him to Harvey General.
26:58We'll look after him there, OK?
27:00Hold on, guys.
27:05OK, anaesthetics in.
27:07Right, Jonah, I need you to stay nice and still for me, OK?
27:12Just keep still. You're doing great, Jonah.
27:14You're going to feel some pressure.
27:24So, this cocktail your friends gave you,
27:28is it some kind of hazing exercise?
27:31Yeah.
27:33Right. What was the golden prize?
27:35Was it, what, to join a society or something?
27:39Yeah, it's just this stupid tradition.
27:42You're not going to get any argument from me on that.
27:47Am I going to be all right?
27:50You're not out of the woods yet.
27:52You're not out of the woods yet,
27:54but hopefully we've got things on time
27:56and the lumbar puncture results
27:58should give us a clear indication of where we're at.
28:03OK.
28:05There we go.
28:07Right, Cam, can you bring these to the lab
28:10and let's do a 15-minute neuro-obs?
28:13Yep.
28:14And, yeah, I'm going to bite my back teeth.
28:16It's vile disease with bacterial meningitis.
28:20I feel like such an idiot.
28:23Look, when we're done here,
28:25it might be a good idea for you to call your mates.
28:28Make sure this doesn't happen to somebody else.
28:30OK.
28:34OK.
28:36SIREN BLARES
28:47Michael? Can you hear me?
28:50Can you open your eyes?
28:55I've just lost the Rusk. He's re-arrested.
28:58Ian, he's had systole!
29:00Put your foot down, mate!
29:01Hey, I've told him! Run away!
29:06Hey.
29:07Our rational CT's back on four.
29:09OK, thanks. And on second thoughts,
29:11can you take over on base six, please?
29:14Her hand just needs a suture. She'll be good to go.
29:17Yeah, of course. I'll get one of the nurses on it.
29:20You good?
29:21Yeah, it's just, um...
29:25She didn't recognise me.
29:27When she first came in, just completely blanked on who I was.
29:31You're kidding?
29:32She's a therapist. She didn't know who you were.
29:35No.
29:36I mean, that's quite funny.
29:38Is it?
29:39Yeah, man, that's one for the pub.
29:48Hi.
29:49Mr O'Brider, your CT scan has come back and it's all clear.
29:55There's no signs of a recurrence.
29:59Are you sure?
30:00Yeah.
30:01Yeah.
30:05I thought a clear CT would have been a good thing.
30:08It is, but I never just had CTs before.
30:10Before, I always had MRIs. Aren't they better?
30:13Well, it depends what you're looking for.
30:16Right now, I don't think it warrants that.
30:19Why not?
30:21Well, your bloods have come back
30:23and diabetic neuropathy in the feet
30:25is not something I'm surprised to find in someone who's type two.
30:28Oh.
30:33Just so knackered circling this black hole.
30:39I'll tell you what.
30:41If the MRI gave you confidence before,
30:44then let's do it again.
30:47Just to be safe.
30:53I mean it.
30:59PHONE RINGS
31:05Hiya. Hi, it's Matt Taylor, 17 years old.
31:08Witnessed cardiac arrest whilst doing a workout in a gym.
31:11Immediate bystander CPR.
31:13Initial BF shot once. Crossed the tube at 14.54.
31:1627, 28, 29, 30.
31:18Re-arrested three minutes ago en route.
31:21Last rhythm check in the systole.
31:23He's had one adrenaline given just as we pulled up outside.
31:26Right, closer to the bed if you can, please.
31:28Let's get him across.
31:31OK, arm lift. Ready? Raise. Lift.
31:34Stevie, I've got upstairs asking
31:36who's going to the quality and safety meeting.
31:38Is it me?
31:40Well, Dylan normally goes.
31:42OK, well, what time does it start?
31:44Erm, ten minutes ago?
31:46You know, wherever he is, it would be nice
31:48if he'd just given me a little bit of a...
31:50Just give me a second.
31:52No, no, no. Stevie, he's...
31:55What are you doing?
31:57Oh, it's just a joke.
31:59Oh, right, OK. Yeah, OK.
32:01I know jokes. Here's a joke.
32:03Knock, knock. Who's there?
32:05The doctor who gave her her valuable time and NHS resources
32:08to treat the guy who drank three jars of urine.
32:11Voluntarily.
32:14Ba-dum-tss.
32:16Thanks, guys.
32:21How's she getting on?
32:23She's not woken up yet, but she's through.
32:27Actually, erm, this is Abby's.
32:36You go ahead.
32:38Why, will you go?
32:44She needs more than I can give.
32:46Well, you don't know that yet.
32:48I think I do.
32:51I'm sorry.
33:14It's been 45 minutes.
33:16Does everyone agree we should stop?
33:18Is there any other reversibles we need to consider?
33:21We've reversed everything.
33:34I didn't know him at the...
33:3615.
33:39Hi. Family at Michael's table.
33:44If you just want to follow me, we can talk.
33:57I'm sorry.
33:59I'm sorry.
34:01I'm sorry.
34:03I'm sorry.
34:05I'm sorry.
34:15So, there's nothing in the MRI.
34:20The MRI, the CT scan, the blood results, they're all completely clear.
34:24There's no recurrence of cancer.
34:36You're good at this.
34:42You're a good listener.
34:51You're not alone in feeling like you circle a black hole.
34:58I think a lot of people feel the same.
35:02Good luck.
35:14Rash, I've stitched up the hand and cubicle stitch.
35:17Are you happy to discharge?
35:19Actually, could you do it, Rita?
35:21Sorry, I'm doing something with Stevie.
35:30Hi. So, it's all fine. You're good to go.
35:33You just need to get your...
35:35All right, go on. Let's go.
35:37Can you just not?
35:39Oh, come on. She'll be able to get the last bit of the bouncy castle.
35:42Babe, can you just go and get the car, please?
35:46Right, just keep your hand dry for the next few days
35:49and I'll be in touch with your GP.
35:51Get the stitches removed in a week or so.
35:53OK. Thank you.
35:56Just scrub any harder, you'll take pain off.
36:01Look, I'm pretty sure if I speak to Jan, she'll let you have tomorrow off.
36:06Why?
36:07Well, you've got a lot on your plate, haven't you?
36:09I think I'd rather stay busy.
36:11Yeah, that's sort of what I'm worried about.
36:19You know, maybe it's just me.
36:22You know, maybe you were right about Colin.
36:27About him staying with his mum.
36:31That was way too hard, innit?
36:34It's a lot, man.
36:35I know.
36:37But it's a lot for her, too.
36:42I want to be part of his life, you know?
36:44Yeah. I'm sure you still will be.
36:47After what I said to her.
36:49Speak to Jan.
37:01Stevie, why isn't there anyone at the Quality and Patient Safety meeting?
37:04I'm literally just about to head there now.
37:06You started 40 minutes ago.
37:08Yeah, but, you know, I've been spending this 40 minutes treating patients
37:11rather than attending a meeting to talk about treating patients.
37:14So, cubicle five has gone up to AMU.
37:17OK, cubicle... Oh, yeah, Jonah.
37:19Yeah, that's right, so it's clear.
37:21Yes, it's free. Absolutely free.
37:23Who ordered the MRI for the bloke in four?
37:26The four, that was me.
37:28You ordered an MRI with contrast for diabetic neuropathy?
37:33He had a recent spinal osteosarcoma
37:35with symptoms indicative of a relapse.
37:37Also indicative of diabetes, which from his blood test
37:40with symptoms indicative of a relapse.
37:42Also indicative of diabetes, which from his blood work is clear as day.
37:45Have you any idea how much an MRI with contrast costs?
37:48He was a very anxious patient with a clear history.
37:52I don't care if he's climbing the walls, Rash. I'm trying to run a tight ship.
37:55It was not an unreasonable course of action, Patrick.
37:58If I hadn't ordered the MRI and he did have a recurrence,
38:00I'd have the GMC all over me.
38:02And his health anxiety is very real.
38:04In fact, maybe we wouldn't have such anxious patients and staff
38:08if we started treating people like human beings
38:10rather than numbers to crunch.
38:16You know, if this was a movie,
38:18I'd be totally slow-clapping Rash right now.
38:20Oh, I'm sure.
38:25OK, well, I'm off to pick up Dylan Slack.
38:27Wait.
38:29Dylan's... He's not the kind of person that slacks.
38:32Lizzie, come on. I mean, I'm worried about him.
38:36I think something's really wrong.
38:38Well, has anybody heard from him?
38:40No, and I've been calling him all week.
38:42Will you call him?
38:44Er, yeah, yeah.
38:46Look, I'll do you one better.
38:48I'll stop with him on the way back, OK?
38:51OK. Great. Thanks.
38:54PHONE RINGS
39:03Hiya, Abi.
39:10The paramedic said that that was yours.
39:23Owen didn't stay, did he?
39:27No.
39:34Is there anyone else that can call for you?
39:40My mum.
39:54RASH SIGHS
40:00Rash?
40:02Um, I don't want to go without clearing the air.
40:05I'm sorry I didn't recognise you earlier.
40:07It's OK.
40:09It's just, you're out of context.
40:11Especially off the screen.
40:13I'm sure. And, really, it's nothing.
40:15Mumma.
40:17Hold on.
40:19Will I see you on Friday, then?
40:22Actually, I'm working on Friday.
40:24Come on. Mumma, I'm double-parked.
40:28Then can I expect you to be in touch to arrange a different session?
40:32I'm not sure.
40:34Really, Rash...
40:36Abi, will you please stop micromanaging for one second?
40:40Just give me some space.
40:42PHONE RINGS
40:47You were saying?
40:49Just that I'm fine now.
40:51Really?
40:53Yes, really. Our sessions really helped, so thank you.
40:56But I'm good.
40:59OK.
41:01Well, take care, Rash.
41:03Yeah, you too.
41:19PHONE VIBRATES
41:44Hi.
41:46Hi, Jacob.
41:48I filled Danielle in a little about what we discussed, and...
41:51Look, um...
41:53..before we get into it, I...
41:56..I want to apologise.
41:59Once again, I don't know you, and...
42:02..however much I want to get close to Carter,
42:05I recognise that you're his mum.
42:08So if him staying here is what you want, then...
42:11..I'll support you as best as I can.
42:14Thanks.
42:18Right, um...
42:20Well, Danielle was just saying...
42:22I want him to come and live with you.
42:24What?
42:29I can see that...
42:32..it is best for him if he's on the outside.
42:38Are you sure?
42:40Are you sure?
42:43If that's something you still want.
42:46Of course it is.
42:48And you promise you'll take care of him?
42:50Absolutely.
42:53He'll have his own room?
42:56Yes.
43:01I've never had my own room.
43:05Not once in my whole life.
43:10I can bring him in to see you.
43:13Whenever I'm allowed.
43:18I'd like that a lot.
43:41I like it.
43:45What's this?
43:48I haven't opened that yet.
43:53OK.
43:57Peltola, 96.
43:59Goodyear.
44:01Gaius Appear, 04.
44:05This is a deep dive, Dylan.
44:07I wouldn't be here if I'd read them earlier.
44:09You know, you shouldn't be kicking yourself for a one-in-10,000 event.
44:12But it wasn't just one, was it?
44:14There was another patient that died completely avoidably.
44:16Now, hold on, you can't blame yourself for those deaths.
44:18We all know it takes more than one person to make a mistake.
44:20If you're going to go to a Swiss cheese argument, please don't.
44:24You wouldn't have missed a penicillin allergy, would you?
44:26I wouldn't expect that of a first year.
44:28Speaking of which, you missed your teaching earlier.
44:31Apparently the deanery's pissed off.
44:33I know they are.
44:36You checked. They had a penicillin allergy, right?
44:39Well, that's the point. I don't know.
44:41I've just assumed the patients are safe with me, but perhaps they're not.
44:44Perhaps I've been relying on muscle memory.
44:46No, Dylan, you don't assume anything.
44:48You're one of the most focused people I know.
44:50But what if that focus is a sign that I'm on the spectrum?
44:53All right, so it's a sign you're on the spectrum.
44:55Or, I don't know, it's a sign that, like all of us, you have a unique personality.
45:00Whatever it's a sign or a symptom of,
45:02your focus is what makes you a frustratingly amazing doctor.
45:05Well, I'm getting tested because two patients have died back-to-back on my watch,
45:09and there is nothing worse, Stevie, than feeling that you're not safe.
45:12And I don't feel that I'm safe because I'm not safe.
45:21OK.
45:23Then...
45:25talk me through it.
45:28All of it, case by case.
45:33Don't suppose the blood's back, Lady and Paul?
45:36I'll check.
45:39Jodie, I am sorry for losing me cool earlier, OK?
45:43It was on me to discharge him, and that was my mistake, not yours.
45:47Thanks.
45:51Siobhan, are you all right?
45:53Yeah, yeah, no, it's just, er...
45:56I've just got a lot on.
45:58OK.
45:59Right, well, the blood's aren't back yet, so I'll give them a nudge.
46:03Guys, Patrick wants a meeting. Now.
46:06Do you know why? Do you know what this is about?
46:22OK, look, I know it's been a tough shift,
46:25so I just wanted to say thank you for making this department
46:29the jewel in the crown of this hospital.
46:31Er, what's this about, Patrick?
46:34Er, OK, so there's a programme going out on TV tonight about us.
46:39Some of you will be on screen,
46:41and I'm afraid the tone of the piece isn't entirely positive.
46:45What do you mean, on screen? Yeah, what do you mean?
46:47How? How? I don't know. I don't know. I haven't seen it.
46:50But from what I've been told,
46:52there are allegations from a couple of patients about feeling unsafe.
46:56Unsafe? That's not surprising, is it?
46:58But I want you to know that we have absolutely got your backs.
47:02Now, the comms team have asked us all to stay off social media
47:05for the time being.
47:07Come on, chin up. I meant it.
47:09You're great. Sterling, work today. Thank you.
47:12Do you know what this...?
47:16I'll be back in a few days to check on you.
47:19Thank you for doing this.
47:22Of course. Can you let him in, please?
47:25Yes, of course. Thanks.
47:28Are you good, sir?
47:33Where is he?
47:37Oh, we've got to make a baby's head, haven't we?
47:40Erm... Oh, don't worry.
47:42They're zero per cent.
47:44I'm going to have to keep an eye on you.
47:46I hope so.
47:48You know where I am. Thank you.
47:53Mate, you do not know what you've let yourself in for.
47:56Really? Yeah. Good job you've got me, eh?
47:59You're a lucky little fella.
48:01Ah, look at him.
48:03So cute. Yeah.
48:06Hey, little man.
48:08Hey, little man.
48:29Every day I go home and I think,
48:31what's the point?
48:33I've been sitting in that disgusting waiting room for 12 hours!
48:37I came into this job because I wanted to help people,
48:40but right now I feel like I can't.
48:44Everyone knows the problems.
48:47But management...
48:49don't do anything about it.