S41E10
Transcript
00:00I'm going to ask you for a divorce.
00:02He looks good in his uniform, doesn't he?
00:04He's not just married to me, he's married to Siobhan.
00:06She just told me they've been together for 25 years.
00:08This thing, whatever it was, it's done.
00:10Eyes on the prize, Dr Kier.
00:12Sorry?
00:14Are you blushing?
00:16I knew there was a spark there.
00:18What are they doing? Looting.
00:20Hey lads, come on.
00:22Ian, don't antagonise them.
00:24Ian, get off!
00:26Come on.
00:30Hi, medics.
00:32Hi, medics, we're here.
00:34Can you open up, please?
00:36Maybe I should go round the back.
00:38Is everything OK?
00:40Er, we were given an emergency call out to this address.
00:42Suspected stroke?
00:44I haven't rung.
00:46Is anyone else home?
00:48My son.
00:50Control, this is 3007.
00:52Can you confirm the address, please?
00:54It's 3007.
00:56It's 3007.
00:583007.
01:00Can you confirm the address you've given us, please?
01:02Yeah, it's 26 Riley Stone Road.
01:04Patient is a 20-something white male.
01:08Look, he spends most of his time in his room nowadays.
01:12Playing all hours.
01:14I just wish he'd get out and exercise more.
01:18Brett?
01:22Brett?
01:24Open up, love.
01:26Brett, can you open up, mate?
01:28Yeah, come and stand back here.
01:34Brett?
01:36Can you squeeze my hand, mate?
01:40Can you look at me?
01:42Yeah.
01:56Yeah.
02:22This is Brett McCormack,
02:2423 years old.
02:26Fast positive with a right-side deficit and dysphagia.
02:28Unknown onset time.
02:30His hypertension's got 195 over 104.
02:32BM 6.2, GCS 13.
02:3418 gauge in his right ACF.
02:36We haven't got any medical history
02:38and no obvious medication found in his house.
02:40Thanks, Jacob.
02:42Lovely.
02:44OK, ready, steady, slide.
02:48Hello, Brett.
02:50I'm Dr Paper.
02:52McCall.
02:54Can you squeeze my hands there?
02:56Lovely stuff.
03:00Right, let's get an initial assessment
03:02and neurological workup, please.
03:04Does have right-sided hemiplegia.
03:06Fast positive.
03:08Can you chase the stroke team for me?
03:12We need CT and you're organised.
03:14And, of course, ECG.
03:16And I'll sort the NIHSS.
03:20Great, ladies.
03:26Right.
03:28There we go.
03:30Go on, mate.
03:32You must be desperate to get yourself into double maths.
03:34I don't have maths today.
03:36Well, even better.
03:40I feel sick.
03:44What, like,
03:46you're going to be sick right now sick
03:48or you don't want to go to school sick?
03:52I don't know.
03:54We're still having a go.
03:56Come on, mate, you can't fake illness
03:58just because it's me and not your mum.
04:00I'm not a soft touch.
04:02Look,
04:04next time he does it, just...
04:06just laugh at him.
04:08He'll soon get fed up.
04:10I tried that.
04:12I got angrier.
04:14Right, well, like I've told you, you are allowed to stick up for yourself.
04:16Sometimes bullies need
04:18a taste of their own medicine.
04:20Give it back, it will stop.
04:22You don't get it.
04:30Fingers crossed we'll have a little celebration
04:32for your mum tonight.
04:34Bet you won't feel sick when there's pizza on the table, will you?
04:38Go on, get yourself in.
04:42See you later.
04:46Oh, hi, mate.
04:48Mate?
05:10I can't find my bloody keys anywhere.
05:12We're going to have to work out
05:14what we're telling the kids, if we're telling them.
05:16Yeah, yeah, yeah.
05:18We can work it out.
05:20Oh, great.
05:24Look, I, er...
05:26spoken to Darren.
05:30I'm going to stay at theirs for a bit.
05:34Or we can discuss it tonight.
05:36Oh, what's the point?
05:38We've talked and talked and you still haven't managed to explain to me
05:40why 25 years
05:42of love and support
05:44and me finding your keys
05:46suddenly isn't enough.
05:48I've tried.
05:50Look, I don't know what else to say.
05:52Look, I'm going to have to go,
05:54I'm going to be late.
05:56Yeah, go, bye.
06:14You all right?
06:16Yeah, why?
06:18Just a bit quiet, that's all.
06:20Ah, Sam.
06:22At least you're on half a day.
06:24Oh, yeah, brilliant. Two fillings.
06:30Hello.
06:32Hiya.
06:34I'm Teddy, this is Ian.
06:36We're paramedics.
06:38Want to tell us what happened?
06:40Yeah.
06:42Want to tell us what happened?
06:44He pushed me out the car.
06:48You've been sick, have you?
06:50Have you taken something?
06:54Come on, let's get you set up.
06:56It's OK, we're not going to hurt you.
06:58We're here to help.
07:00Do you want to put my coat on?
07:02Yeah.
07:04Want to put it on yourself?
07:06Yeah.
07:08There you go.
07:10Keep you nice and warm.
07:12So he pushed you out the car while he was moving?
07:14Who did that?
07:16Doesn't matter.
07:22And what's your name?
07:26You don't have to tell us.
07:28It just makes conversation a bit easier, that's all.
07:32Tell you what, shall we get you some privacy?
07:34Yeah.
07:36Can we have a look at you on the back of the van?
07:38It's a bit more comfortable.
07:40OK.
07:42Would you like a hand?
07:44Yeah.
07:46Come on then.
07:48You all right to walk?
07:50Yeah.
07:52Right, just watch your feet.
07:54There's loads of glass.
07:56Crystal.
07:58My name's Crystal.
08:02Come on then.
08:04Hiya.
08:06Hi.
08:20I should apologise.
08:22I am sorry.
08:26I got so excited.
08:28I got so excited.
08:34Thank you for not reporting me to HR.
08:40It was nothing.
08:42We were just confused.
08:46Yeah.
08:48I wouldn't want you feeling...
08:50Please just forget about it.
08:52Yes?
08:54Yeah, exactly.
08:56Marcus.
09:22Ignore that.
09:24He's the past.
09:26Have you made up with Geordie and Rydia?
09:30Well, apparently they've found somewhere else to live.
09:32Oh, well.
09:34People don't hear each other when they're angry.
09:36Sit them down.
09:38Apologise properly.
09:40You're pretty brutal.
09:48You are doing great.
09:50What's that, sorry?
09:52Well, I didn't mean...
09:54You're doing great too.
09:56OK.
09:58Faith, would you mind? Is that OK?
10:00And I can leave you to rest in peace.
10:02Sorry, I don't mean rest in peace, obviously.
10:04I've got it from here.
10:06OK, thank you.
10:10Listen, I'm supposed to be going out tonight.
10:12OK.
10:14A friend, she's flaked out on me.
10:16Got back with her ex.
10:18Oh, well, them's the breaks.
10:20I'd quite like to go out though,
10:22so I wondered
10:24if you fancy going out for a drink?
10:26Tonight, after work?
10:28HR might kick off if we start before then.
10:30Yeah.
10:32Oh, wow.
10:34That.
10:36That is enthusiasm.
10:38No, no, no. Yes, yes.
10:40I mean, that would be lovely, thank you. Yeah.
10:42Er, all done.
10:44Oh, thanks.
10:46I will see you later then.
10:48Hmm.
10:50Oh, yeah.
10:52Did she just ask you out for a drink?
10:54Drink.
10:56When are you going to medical school?
10:58They're emailing this afternoon. Don't change the subject.
11:00Well?
11:02Yeah, she asked me out for a drink,
11:04but without the weird emphasis that you gave her.
11:06Mm-hm. OK.
11:12CT, heart report.
11:14No bleed.
11:18Um, are you happy staying in here?
11:20Do you maybe want to... I'm not going anywhere.
11:22OK.
11:24Um, CT shows a proximal M1 clot.
11:26NIHSS is 19.
11:28He's had an ischaemic stroke
11:30and a moderately severe one at that.
11:32Can I have a word?
11:36Yeah, um, I didn't want to say in front of Mum,
11:38but the stroke team are in IR.
11:40Can't come for 40 minutes.
11:42That's too long.
11:44It is.
11:46Look, how do you feel about doing the thrombolysis yourself?
11:48You've done the course.
11:50I will make sure you've got as many nurses as possible.
11:52Oh, bloody hell.
11:54Um...
11:56Yeah.
11:58Let's do it. Good.
12:00Right, let's get moving. Every second counts.
12:02Yep.
12:08Hi. So this guy
12:10shows there is a clot blocking the blood supply
12:12to breath-breathing.
12:14So we need to bust that clot
12:16with something called thrombolysis.
12:18OK.
12:20There is a small chance of bleeding
12:22and occasionally that is serious.
12:24However, on balance,
12:26I think the benefits outweigh the risk here.
12:28So are you happy for us
12:30to go ahead with this procedure?
12:32Oh...
12:34Um...
12:36Yeah.
12:38Anything.
12:40Just do whatever you need to do to help him, please.
12:42That's all I've got.
12:52Sorry, Jacob. Carry on.
12:54No worries. This is Don Burton,
12:56ten years old. Found at the bottom
12:58of five concrete steps 60 minutes ago,
13:00having fallen top to bottom just outside his house.
13:02He has a laceration to his scalp
13:04and a boggy haematoma to his occiput
13:06with associated vomiting. No other injuries.
13:08He has a BM of one.
13:10He was a GCS3, now GCS12.
13:12Tachy with a BP of 108 over 72.
13:14Sass 100% on 15 litres.
13:16We've given him
13:18two 6½ gram boluses
13:20of 10% dextrose IV,
13:22three milligrams of ondansetron
13:24and 500 milligrams of IV paracetamol.
13:26And his BM is now 3.8
13:28and he's a type 1 diabetic.
13:30OK, good to know. Thank you.
13:32Thank you both.
13:34He's always been a bit clumsy.
13:36This one's the same.
13:38Don?
13:40Hello, Don? Can you hear me?
13:42I think just about. He felt sick
13:44and I told him to stay at home
13:46but he insisted. Right, OK.
13:48Let's get full bloods and clotting
13:50and I think we should have a head CT as soon as we can.
13:52OK, I've got that.
13:54You should have heard the noise.
13:56OK, well, let's see how bad the head injury is
13:58first and then we'll worry about how he felt.
14:00OK?
14:02Right, well, I'd best be getting off.
14:04OK? You can trust Evie, I promise.
14:06Good luck.
14:08Cheers. Thanks, Ian.
14:10OK, Crystal, do you remember
14:12anything at all about what you might have been given?
14:14No. OK.
14:16And is this something you might want to pursue with the police?
14:18No.
14:20Right, so I'm going to examine you now
14:22just to kind of get a sense of what's going on.
14:24I'm going to start by listening to your chest, OK?
14:26So if you just take your gown down...
14:28Crystal! Oh, babe.
14:30What's happened?
14:32Hey, excuse me, can you step back a bit?
14:34I'm the boyfriend, love.
14:36OK, and I'm the doctor, love.
14:38Do you know this guy?
14:40Yes, my boyfriend.
14:42Right, what's your name?
14:44I'm Sonny.
14:46Right, Sonny, can you just maybe step out, take five?
14:48There's a vending machine down there, I can see you're very agitated.
14:50Just take a breath, as soon as I examine your girlfriend
14:52I will come and find you.
14:54Yeah, no, I'm not going anywhere until I find out what's happened to her.
14:56I was hit by a car.
14:58I was carrying the shopping, it just ploughed into me.
15:00What? OK, there you go, now you know.
15:02Sonny.
15:04I've asked you to take five. Sonny.
15:08Are you all right, dear?
15:10Yeah.
15:16Everything OK there?
15:18It wasn't him.
15:20He didn't do this, I swear.
15:22OK, so...
15:24Why not just tell him what happened?
15:26I mean, come on, Crystal, it's not your fault if...
15:32I don't want him to know what I did to get that, OK?
15:36You OK?
15:38Understood.
15:40Right.
15:42OK, he's young, aren't you?
15:44Got him in quickly, so
15:46things are in our favour.
15:48Just be prepared for...
15:50Just be prepared, yeah?
15:52OK, thrombolysis.
15:54Here we go.
15:56Don't worry.
15:58Dr Piper knows what she's doing.
16:000.9mg per kg of alteplase, yeah?
16:02Yeah.
16:04It's OK, go on, you can do it.
16:06Right.
16:10So the big risks here are
16:12an allergic reaction or a massive
16:14internal haemorrhage.
16:16So can we just keep all eyes on any changes
16:18to the BP or anything else?
16:20Yeah?
16:22Yeah.
16:24OK, let's start with
16:2610% for the first minute. Siobhan?
16:28Give it to Cam.
16:30He can do the first one.
16:32Yeah.
16:46I'm so sorry, baby.
16:48I guess your silly mum got the dose wrong.
16:50I don't know how.
16:54Does mum still do your injections for you?
16:56Well, yes, he's only 10.
16:58Don't worry, mum.
17:00Well, I have to.
17:02You'll be back to uni tomorrow
17:04and then it's just me and Dom.
17:06It's no good if I can't look after him properly, is it?
17:10OK, well, you will have a little scar there
17:12but it's comfortably above the hairline there
17:14so it shouldn't be too distracting.
17:16OK, does that feel all right? Yeah, fine.
17:18You gave us all a scare.
17:20When you get home, we'll make you a bed on the sofa.
17:22We'll all watch a film.
17:24Like we did when you were little.
17:26Can I have ice cream?
17:28I don't want to throw a spanner in the works
17:30but I think we should probably keep Dom in
17:32for a couple of nights for obs.
17:34Well, you said the scans were OK.
17:36Yeah, with a head wound,
17:38it's always better to be safe
17:40rather than sorry, though.
17:42Aw, poor baby.
17:44I can go get the ice cream.
17:46Mint choc chip.
17:48And we could watch a film on the phone.
17:54Sophia?
17:56Sorry.
17:58Say I had FII concerns.
18:00It's nothing concrete at the moment.
18:02It's just a hunch, really. A child?
18:04Yeah, a ten-year-old boy.
18:06So he's got a back cut to the head.
18:08He fell, possibly induced by low blood sugar.
18:10It's difficult to know.
18:12But the mum is... I don't know, she's very woe is me.
18:14Seems to be enjoying the attention.
18:16It's quite a big leap from that
18:18to fabricated or induced illness.
18:20Maybe she's just, you know...
18:22nervous.
18:24Yeah, I know.
18:26You've got that nagging feeling.
18:28Do you want me to step in?
18:30Yes, please. I do, yeah.
18:32Right.
18:34Tell me everything you know.
18:38OK, local anaesthetic is in.
18:40As soon as I put the chest drain in,
18:42there should be a release of pressure, OK?
18:44Within your thorax,
18:46any air that you're taking in,
18:48it's squashing your lungs,
18:50and that's what's caused me the difficulty breathing.
18:52Right. This is not something we normally do here,
18:54but it's completely chocka, so...
18:56OK. OK?
18:58Right, can you feel this?
19:00No. OK, good, right.
19:02Let's start with the incision.
19:04Hang on.
19:06That's what you were wearing
19:08for shopping.
19:10I...
19:12Sorry, can we just save this conversation
19:14till later, thanks?
19:16You're doing it again, aren't you?
19:18You're doing it again, aren't you, Crystal?
19:20Tell me the truth. You're doing it again.
19:22Sonny, if you continue like this,
19:24I'm going to get security in here.
19:26We spoke about this.
19:28You said you'd never!
19:30I know. I'm sorry.
19:32Come on.
19:34I didn't want to upset you.
19:36We need the money. You know that.
19:38We need the money. We need the money.
19:40Ian!
19:42It's my fault, is it?
19:44Sonny, wait!
19:48I love you!
19:56Can you get some aspirin ready?
19:58Yeah. Nicole?
20:00What is that? Is it a bleed?
20:02A bleed?
20:04I don't know what I'd do without him, please.
20:06Thrombolysis can cause
20:08hypertension, right?
20:10There's no rash.
20:12It's not anaphylaxis.
20:14Er, Geordie, can you get his head down
20:16for me, please?
20:20I've just been sitting in this room for years,
20:22doing nothing.
20:24This is my fault.
20:26No, he's not responsive yet.
20:28Brett?
20:30Brett, can you squeeze my hands?
20:32Nicole,
20:34a BP like that, it's got to be hemorrhage, right?
20:36Nobody panic.
20:38Just watch the trend, not the numbers themselves.
20:40It's just the blood
20:42reperfusing the ischemic part of his brain.
20:46It's levelling out.
20:48Yeah.
20:50Brett?
20:52Hello.
20:54You're in Holby City Hospital.
20:56I'm just going to lift this off. Can you open your mouth for me?
21:00That's it, nice and wide.
21:02Lovely.
21:04Can you stick out your tongue?
21:06That's it, right out.
21:08Lovely.
21:12I'm right here, love.
21:14Can you get in touch
21:16with the stroke team for me, please?
21:18Wow, that was tense, wasn't it?
21:30Hey, lads, come on.
21:32What are you doing?
21:36Got something to say, Mosh?
21:38No problem, lads, it's all sorted.
21:40Everyone get in a car, go with your family.
21:42Mum!
21:44Mum, what are you doing?
21:46Ian, get off!
21:48Ian!
22:08Rita, Jodie,
22:10I said some really,
22:12really stupid things to you both,
22:14and I want to say I'm sorry.
22:16Yeah? Go on, then.
22:20OK, this isn't a sorry,
22:22like I feel sorry for myself
22:24and I want my mates back.
22:26This is...
22:28I regret ever
22:30even thinking that way
22:32about the two of you.
22:34I know it sounded like it, but I don't hate you guys.
22:36I love you guys.
22:38We've been through so much together.
22:40I really, really think you're brilliant.
22:42And I miss you.
22:46But you're right to hate me.
22:48I've really messed up.
22:50I've really said some horrible things,
22:52and I'm sorry.
22:58Yeah.
23:00Pretty good.
23:02I'd have gone with less self-pity, but...
23:04Yeah, you said some pretty harsh things, Cam.
23:06And I can't defend them.
23:08I just...
23:10Lately I've had a really horrible time.
23:12Yeah, we know you've been struggling.
23:14But talk to us.
23:16I mean,
23:18what kind of mates are we otherwise?
23:22So we are still mates?
23:24Well,
23:26I think I'm just going to need a bit more time, to be honest, Cam.
23:28I don't want to stay fighting with you,
23:30but...
23:32you really stuck the knife in.
23:36Yeah. No, yeah.
23:38I understand.
23:40OK.
23:44How's it go?
23:46Yeah.
23:48Stop. Tell them about Jamie.
23:50Then they'll understand.
23:52Go on, Cam.
24:06Yeah.
24:20Crystal's father, innit?
24:22Yeah.
24:24They're not leaving her on her own, surely?
24:28No, I'm going to go and get her stuff, actually.
24:30What's it to you?
24:32I'm the paramedic they brought her in.
24:34Right.
24:36You guys live on the press which estate,
24:38don't you?
24:40Yeah, we do.
24:44Well, I'm heading that way,
24:46if you want a lift.
24:50Yeah, all right.
24:58I agree.
25:00She's enjoying the attention,
25:02the sympathy that comes of having a sick kid.
25:04Thanks.
25:06But? You're going to say but?
25:08But...
25:10it's hard caring for a loved one,
25:12being responsible for medications,
25:14worrying about them all the time.
25:16She's a single mum.
25:18Diabetes in kids can be difficult.
25:20Maybe she's just relieved
25:22to have a day where we're in charge
25:24and not her.
25:26I think that's very charitable of you.
25:28I just... I think it's interesting
25:30that the mystery dizziness only started
25:32once the brother was about to leave home.
25:34So prior to that, the diabetes was well managed.
25:36If you need to go...
25:38I just... I appreciate it. It's not much to go on.
25:40Well, maybe talk to the brother.
25:42See what he remembers.
25:46Yeah. Yeah, OK. Good idea.
25:52Hi.
25:54So, er...
25:56what are you wearing on your drink?
25:58Have you been kicked in the head
26:00by a horse?
26:02I'll be wearing whatever I wore on the way in.
26:04No, you have to make an effort.
26:06Come on, let me take care of it.
26:08What sort of effort did you have in mind?
26:10Surely she either takes me as I am
26:12or she doesn't.
26:14You really like her, don't you?
26:16I'll say that. I mean, she's an interesting,
26:18intelligent woman.
26:20I think we've got a couple of things in common, eh?
26:22Mm-hm. Yeah, you like her.
26:34Cheers to the lift, mate.
26:36No problem.
26:38I've actually finished today,
26:40so I can give you a lift back
26:42if you want.
26:44No,
26:46you don't have to do that.
26:48It's not a problem.
26:50All right.
26:52Sound,
26:54I'll be five minutes. I'll just be there.
26:56Oh,
26:58why don't I come inside and wait for you?
27:02All right, yeah.
27:04Sound.
27:18He's moving in
27:20with his brother.
27:22Sorry. You were married, weren't you?
27:24Yeah, for about
27:2617 years.
27:28How did you deal with big issues?
27:30We didn't. That was the issue.
27:32The last few years,
27:34Lev, he didn't want to talk about
27:36anything that worried him.
27:38He'd just shut down
27:40and get really angry.
27:42Sorry, I shouldn't have brought it up.
27:44No, no, it's fine.
27:46I wouldn't change a thing. I've got three amazing kids.
27:48Yeah.
27:50But if I could have fixed it,
27:52I would have
27:54done anything.
27:58Dylan?
28:00Yeah?
28:02I have left some outfit choices for you
28:04next to your locker.
28:06Is there something wrong with the clothes I wear every single day?
28:08Sorry, what do you want?
28:10If the boy with the head
28:12lacks blood sugar has been sorted,
28:14what is the delay?
28:16Well, I have safeguarding concerns.
28:18Dylan, in an ideal world,
28:20I would let you play detective
28:22to your heart's content.
28:24But unfortunately, this isn't an ideal world.
28:26So, please, tell Pete your concerns
28:28and free up that bed.
28:34Sorry, is everything OK in here?
28:36Yeah.
28:38I was just talking to my brother.
28:40OK, well, it's...
28:42Can I ask you a very quick question?
28:44It's just the one.
28:46It's in your best interest.
28:48Dylan, when you came in,
28:50your mum said that you had been clumsy too.
28:52Now, what's that about?
28:54Were you ill as well?
28:56No, I mean, it wasn't the same.
28:58It was a stressful time
29:00and Mum and Dad were arguing.
29:02I mean, I just got tired a lot,
29:04so that's all.
29:08Dom has diabetes.
29:10I was there when he was diagnosed.
29:12Yes, he's got diabetes,
29:14but why is he having dizzy spells?
29:16Because he's not injecting himself.
29:18He's going to have to sooner or later, I think, isn't he?
29:20Just treat my brother and stop asking stupid questions.
29:22Yep. OK.
29:40Got it, Tim?
29:42Yeah, nearly, mate.
29:44A bit of headaches, are you?
29:46What?
29:48Top-notch stuff, this.
29:50Look, mate,
29:52I can find my own way back now, yeah?
30:00You really don't recognise me, do you?
30:06Should I?
30:08Well,
30:10let's see.
30:12Probably
30:14the night you were nicking all this lot.
30:18Does that ring any bells?
30:20Huh?
30:22You were looting with all your pals.
30:24Coming back to you?
30:28Yeah.
30:30I was with my girlfriend and her little boy.
30:32Do you remember that?
30:34Because then you'd be the crap out of me.
30:36Do you remember that?
30:38Yeah. Sorry.
30:42Sorry.
30:50What's the matter?
30:52You scared?
30:54You can't look after yourself
30:56now you haven't got your little maze running around
30:58after you.
31:00Do you know what? I thought you were scum then.
31:02And that's before I saw how you cheated your girlfriend.
31:04I love her. Shut up!
31:06Crystal deserves better
31:08than a pathetic,
31:10thieving little bully like you!
31:16She does.
31:18She deserves better.
31:20So go on.
31:24Do it.
31:34Do it.
31:50Hey, Cadigan, need you any resource?
31:54I'm coming.
31:56Significant blunt force trauma to his abdomen.
31:58It's rigid and he was guarding it upon assessment.
32:00BP is 85 over 60.
32:02He's tachy at 110.
32:04Sats are 97% on 15 litres of oxygen.
32:06His GCS has been fluctuating
32:08between 14 and 15.
32:10He's had TXA and IV paracetamol.
32:12OK, great. Thank you, Jan.
32:14Cheers. Thanks, guys.
32:16OK, hi. Noelle, my name's Dr Nash.
32:18I'm just going to give you a quick examination, OK?
32:20So can you just lift your head for me?
32:22I just want to have a little feel of your throat, OK?
32:24So, good. Airway is patent.
32:26Self-ventilating.
32:28I'm going to listen to your chest, all right?
32:30A little bit cold.
32:32You need to get a nice breath for me. Good lad.
32:38OK. Yeah, chest sounds clear,
32:40but he's very tachypneic.
32:42So let's keep him on 15 litres, please.
32:44A little feel of your pulse, OK?
32:48Yeah, radial pulse is thready,
32:50so he's definitely bleeding from somewhere.
32:52Can we activate the major hemorrhage protocol, please?
32:54And let's get two units of Oneg
32:56going through the rapid infuser.
32:58I'm just going to lift up your top for a second.
33:00I just want to have a little look at your abdomen.
33:02OK.
33:04And, Faith, are you OK to get
33:06some more bloods off the back of that second line?
33:08Let's do FBC, U&Es,
33:10cross-match, group and safe.
33:12Nice deep breath for me. Good lad.
33:14And let's do a coag panel as well, please.
33:16Thanks. OK.
33:18Right.
33:20OK, let's do a swab.
33:22So a little feel of your tummy, Noelle, OK?
33:24Good lad.
33:28Oh!
33:30OK. Yeah, that's very rigid.
33:32I'm thinking ruptured spleen.
33:34Yeah, it could be.
33:36OK, right, I will
33:38give the surgeons a shout,
33:40have them on standby, and can we get them
33:42booked in for a CT as soon as possible?
33:44Thank you, guys. Cheers.
33:48I want a new doctor.
33:50I demand a new doctor looks after my son.
33:54Can I help?
33:56You've been manipulating my kids,
33:58accusing me of all sorts.
34:00I haven't accused you of anything.
34:02I just don't understand why Dom's blood sugar was so low.
34:04How dare you?
34:06I love my son.
34:08Men like you,
34:10you always think you know better, don't you?
34:12You're what a dry day in my shoes.
34:14I have two jobs. I cook, I clean,
34:16I never go out. I do everything
34:18for my boys.
34:20Now, you want to accuse me of something?
34:22Go on. Where's your proof?
34:24Dom is being transferred to paediatrics.
34:26There'll be a new consultant there.
34:28OK. A new doctor.
34:30Why don't we go and
34:32see Dom while we get ready to take him up?
34:36I should make a complaint about you.
34:38It's this way.
34:40OK.
34:54What's happened?
34:56What's going on? What's happened?
34:58I called.
35:00He didn't answer.
35:02My phone is in my locker.
35:04Can somebody tell me what's happened?
35:06He called me a loser.
35:08A loser?
35:10What have you done?
35:14See, I reckon they'll want to keep you in for
35:16a few nights. And if I were you,
35:18I'd just use that time to rest, recover.
35:20OK.
35:22There we go. Right, thanks, guys.
35:24Good luck. Thank you.
35:32Can I have a minute?
35:34Half a minute.
35:36I'll come in a bit.
35:40I'm so sorry.
35:42For everything, I'm so sorry.
35:46I don't want you feeling like you have to do that.
35:50And I'm going to make sure you don't have to.
35:52OK?
35:54OK? I promise.
35:58You staying in?
36:02Yep, he's staying in. Thanks, guys.
36:06What are you doing back here?
36:08Have you seen Faith? She's texted me something about Luca.
36:10No, I haven't. Sorry.
36:12Oh, Luca.
36:14What's happened to you?
36:18So, I've notified
36:20paediatrics and
36:22I'll probably get in touch with social services,
36:24but ultimately...
36:26You've done all you can.
36:28Yeah, it seems a shame, doesn't it?
36:30Discharge and hope for the best.
36:32Hello.
36:36Yeah.
36:38Before my dad left,
36:40I used to have these
36:42vitamin injections because I was tired all the time.
36:44And after he was gone,
36:46when I was older,
36:48I asked my mum what the doctors
36:50thought was wrong with me.
36:52And it was nothing.
36:54You didn't need them.
36:58I think you should probably speak to social services.
37:00No, I'm not breaking up my family.
37:02No, it's about getting the right support in place.
37:04I'm quitting uni.
37:06It's a lot of hassle, anyway.
37:08But I'm going to move back home.
37:12Your mum didn't want to lose you.
37:14Like she lost your dad.
37:18I'll make sure he starts
37:20doing all the injections.
37:22But if she has both her boys home,
37:24he might not get dizzy anymore.
37:26No, he might not.
37:28I think I'll follow.
37:44She does love us.
37:50Not much of a guarantee, is it?
37:52It's out of your hands now.
37:54Yeah.
38:04Hey.
38:06Resting.
38:10They say he's doing well, considering.
38:12And how are you?
38:14Oh.
38:16I just allowed
38:18this to happen, didn't I?
38:20I should have forced him
38:22to get out
38:24and make friends.
38:26No more video games.
38:28You do know it was one of the young men
38:30who was playing against the gold 999, don't you?
38:32And one of said men
38:34dropped this off at reception.
38:36I don't know, it might be
38:38got in rehab for his coordination.
38:42He does have friends.
38:48For everything.
38:50It's OK.
38:52I wouldn't even know
38:54how to turn this thing on.
38:56Good luck.
38:58Thanks.
39:02Consultant
39:04give you top marks, I hope.
39:06He did, actually.
39:08Thank you so much for today.
39:10You really made us feel
39:12like I can do it.
39:14Because you can.
39:32Sophia,
39:34I'm so sorry I'm late.
39:36I know.
39:38That's all.
39:40I just have to say straight away,
39:42I didn't choose to wear any of this.
39:44I don't know what this looks like.
39:46I'm told it looks good, but
39:48these were not...
39:50Well, I didn't choose them.
39:52They were foisted on me.
39:54I'm sorry.
39:56I'm sorry.
39:58I'm sorry.
40:00Well, I didn't choose them.
40:02They were foisted on me.
40:04By...
40:06Faith.
40:08I mean, she didn't physically put me in them,
40:10but I was lent on quite heavily,
40:12so it's not how I wanted to present myself.
40:14Do you want to go out and then come back?
40:16I'm giving it serious thought.
40:18Let me get you a drink.
40:20Another massive glass
40:22of white wine, please.
40:25Oh.
40:27All right, so we're set.
40:29Good to go. Okay. Thanks, guys.
40:31Good job.
40:39What's the matter?
40:41It was Luca who had done that.
40:43What?
40:45Are you serious?
40:47I've got to go.
40:55Come over here now.
41:00I need you to tell me
41:02exactly what happened.
41:06He tripped me up.
41:08And then what happened?
41:12I... I hit him.
41:15Look, I told him to stick up for himself.
41:17Stick up for himself? The kid was lying on the floor
41:19whilst he was kicking him.
41:21The teachers had to pull Luca off him.
41:23That's not sticking up for yourself.
41:25I... I'm just...
41:27I'll talk to these people.
41:29No, I think you've done enough.
41:31Come on. Come on.
41:39Because that original,
41:41that wasn't... that wasn't
41:43Tom Barington at all, that was Tom Selleck,
41:45of course.
41:48Well, this is nice,
41:50just spending some time
41:52with you outside of work.
41:54Yeah, yeah, no, it is.
41:56And I... I mean, obviously,
41:58we've spent quite a bit of time together
42:00at work today, so...
42:02But it's different, isn't it, being here?
42:04Yeah, yeah, yeah.
42:06But there's times that we spend,
42:08you know, there's relationships
42:10that we... that we've formed
42:12with... with friends and colleagues.
42:14Mm.
42:16Yeah, with family and...
42:18Oh, with pets.
42:20You know, that's...
42:22They're relationships too, right?
42:24They count.
42:26You want to talk about relationships?
42:28Do you...
42:30It was something that...
42:32It was something that Faith said.
42:34Oh, Faith again.
42:36SHE LAUGHS
42:38Erm...
42:40I wanted to say thank you, though, for today,
42:42because, you know, with the boy,
42:44really, that was invaluable.
42:48Well, that is hard, isn't it, you know,
42:50when it's kids?
42:52Yeah.
42:54Is there a little bit of you
42:56that would rather be on your boat right now,
42:58coloured up next to Dervler?
43:00Don't answer that.
43:02Do you want me to answer it?
43:04Erm...
43:06I must admit,
43:08I don't know whether I'm ready
43:10for another relationship.
43:12Have I said too much?
43:14I have said too much.
43:16And that is cool.
43:18OK, well, it's a school night, so...
43:20Yes.
43:22Cheers for the drink.
43:24You're very welcome.
43:26Thank you, Dylan.
43:28Cheers tomorrow.
43:30I'll see you tomorrow.
43:32All right.
43:34See you tomorrow.
43:36Hey, mate.
43:38Come here.
43:40You OK?
43:42Luca, can you go wait
43:44in the changing room, please?
43:54So?
43:56So...
43:58Noah is still in theatre.
44:00Luca might be charged with assault,
44:02possibly expelled.
44:04Faith, I am so sorry.
44:06Oh, and I got into medical school.
44:10But that's great.
44:12It's irrelevant now, isn't it?
44:14Come on, Faith.
44:16I thought I was giving you the right advice.
44:18Look, I hated
44:20seeing him get bullied, and yes, OK?
44:22It's my fault things have gone this far.
44:24Well, I'll be honest with you,
44:26I saw one of the lads that beat me up earlier,
44:28and I wanted to do exactly the same.
44:30I have felt so useless
44:32since that night.
44:34They jumped me from behind.
44:36I couldn't protect you, I couldn't protect him.
44:38I don't need protecting.
44:40Look, I get it.
44:42I get that your ego was damaged,
44:44and I'm sorry that that happened.
44:46You didn't talk to me about it.
44:48You just shut me out,
44:50and I can't have that.
44:52I won't, and I won't have that anger
44:54in front of my kids.
44:56I don't want to be with someone like that.
44:58I don't want the secrets.
45:00I won't do it again, Ian. I won't.
45:04I won't.
45:18Hi.
45:20Hi, love.
45:22Oh, wow. This is nice.
45:24Sit yourself down.
45:26Pour yourself a drink.
45:28I've already started.
45:30I thought you wanted to talk.
45:32Do.
45:34We will.
45:36Two of my favourite things to do,
45:38talking and eating, as you know.
45:40Here.
45:42Pour you a drink.
45:48This address from Malta?
45:50The letter?
45:52Blimey, you remembered.
45:54Yeah. Long time ago.
45:58I mean, I've not seen you in...
46:00A long time.
46:02Long time.
46:04Hmm. Let's not pretend otherwise.
46:06In the years
46:08in between,
46:10I've not made enough of an effort with you.
46:12Oh, she doesn't...
46:14Now listen, let me speak, please.
46:16We've settled into a pattern,
46:18haven't we? Hmm?
46:20We've never really got out of it.
46:22It's just been kids and work and kids
46:24and more kids, and it's never really been
46:26about us, has it?
46:28I'm sorry, lover.
46:30I should have seen what it was doing
46:32to you.
46:34I know you have needs.
46:50Stop. Stop.
46:52Please don't do this.
46:56Stand up.
47:02Look,
47:04I'm sorry.
47:06I can't tell you what you want to hear.
47:10I'm sorry.
47:16Look,
47:18I love you.
47:20I'll always love you.
47:22And I'll always be there
47:24for you and the kids.
47:26Mm-hmm.
47:30But I can't do
47:32this.
47:34Just...
47:40I said I'd meet Darren.
47:42Yeah. I'm gonna... I'll call you.
47:44Yeah.
47:46Mm-hmm.
47:54Oh.
48:00Oh.
48:24Oh.