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Crime TV Show USA
  • 2 days ago
Casualty S43E07

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Transcript
00:00Oh my God!
00:03Goddammit!
00:04I asked you to look after her!
00:06She's gone, Flint!
00:07Take your hands off me!
00:13You should go home.
00:14Not sure you're any use to us here.
00:16If we continue to breach our response targets,
00:20then we will be back under a performance review by the directorate
00:24and none of us want that.
00:28He just has high standards.
00:29And he's hard on the people who don't meet them.
00:34Oh my God!
00:35Here, let me help you.
00:36The cyst has grown considerably
00:38and it's blocking the bowel.
00:40I need to free it before it becomes necrotic.
00:49You've got to keep your emotions in check.
00:51The patient needs our best
00:53and that starts the moment we scrub in.
00:56Stevie, last check-in before we get going.
01:07How are you, fairy?
01:09Soon you're going to knock me out the batter, okay?
01:11Understood.
01:12And do you have any questions or concerns?
01:15Well, I need a stomach.
01:20I don't think that's likely.
01:22As I said, plan A is keyhole.
01:24Unfortunately, Mr Rowland isn't available, so we have to act quickly.
01:29Restore the blood supply.
01:30Trust me, Stevie.
01:32We'll take excellent care of you.
01:38Rita, thank you.
01:40Okay.
01:41Stevie, when you're ready, the anaesthetist will get you off to sleep.
01:45Rita.
01:46Yeah?
01:47Do you mean a favour?
01:48Yeah, just, um...
01:49Do not leave my side.
01:50Make sure I come back in one piece.
01:52Absolutely.
01:53Doctors are the worst patients.
01:58You'll do just great.
02:00Okay.
02:01Nice deep breaths for me.
02:04In.
02:06And out.
02:07Backwards from ten.
02:08Good.
02:09Right.
02:10Good night.
02:11Good night.
02:40Good night.
03:05Okay.
03:07I'm fine if I'm ready in cubicles. I'll be down in a couple of minutes, okay?
03:17Is that Lena Hazlitt?
03:19Yeah, I mean, we did everything we could.
03:21Um, how's Phoebe?
03:23Terrified, I expect.
03:24I don't.
03:25It's dead, yeah? How about some help here?
03:27That's enough. Disrespect will not get you seen any quicker.
03:31Sorry, I am fresh out of classitudes. I need to go home, get some sleep.
03:37Hey, hey, I heard things were bad, but...
03:41Yeah, I went from a vigil to a full-blown riot.
03:44Hell, is she strong, facing things I don't...
04:07Thank you very much.
04:10A bit of coffee with my sugar?
04:12Yeah.
04:14You okay?
04:16More hoops to jump through.
04:18They want details of every instance we breach our response times for each category.
04:22Brilliant. Just brilliant.
04:24Have I missed something?
04:26Performance review starts today.
04:28What's that?
04:29Monitoring us. Our response times. As well as rather... Jan.
04:35They're not blaming Jan, are they?
04:37Management loves a scapegoat.
04:39That's so unfair.
04:41So when we put the patients in the right categories, we need to get the ambulances there within the category times.
04:46Or it's Jan's head on the block.
04:47Mm-hmm.
04:51Ambulance service is patient breathing.
04:53Hold the camera, please.
04:57Pass me the Johans, nurse man.
05:16Let's get a better angle.
05:23It's more complicated than I anticipated.
05:28We're going to have to convert.
05:33Prep for a midline incision.
05:36Can we not stick to Keyhole?
05:38I need a clearer view.
05:39More light.
05:49Your, er...
05:50Your morning coffee.
05:52A bit ahead of schedule.
06:02I really thought there would be an update by now.
06:05Yeah.
06:07No news is good news.
06:11I don't think that applies to emergency surgery.
06:14Yeah.
06:16Probably not.
06:17What a weirdo.
06:18It's going to be hours before she's awake.
06:19No, I'm not going to do that.
06:20I won't leave her.
06:21I can't.
06:22The mass seems to involve the dome of the bladder and the sigmoid loop.
06:34I'll transect the small bowel and colon.
06:37Get a better look.
06:39Linear stapler.
06:40Linear stapler.
06:41Linear stapler.
06:52And...
06:53Fire.
06:56I need to consult Ms. Rowland.
06:57How bad is it?
06:58The mass is entangled with the pelvic organs.
06:59It's very invasive and most likely cancerous.
07:01I'll be right back.
07:02It's much worse than anyone could have predicted.
07:16I'll be right back much worse than anyone could have predicted what happens
07:24now it's mr. Whitelaw's call we just follow his lead and do our best for her
07:39I'm in the service is patient breathing yeah yes the emergency I is fat in
07:50Silverton three Riverstone buildings and Becca okay is patient conscious he's
07:57locked himself in the kitchen can you tell me exactly what's happened uh Jay was
08:02supposed to cook me dinner and when I got here he was okay but then he got sweaty
08:05he started shouting seeing things that weren't there right does Jay have any
08:11medical history we need to be aware of we just met a few weeks ago I can ask only
08:16if you think it's safe I don't know what to do what what do I do so help has been
08:28arranged for you and do you think that Jake could hurt himself or anyone else what's
08:34wrong with him from what you described it sounds like you could be having a
08:37psychotic episode so we are sending the next available ambulance but if anything
08:41changes or gets worse you call us back immediately okay
08:50I mean the service is patient breathing this Roland is in agreement given the
08:56position of the mass and that it's infiltrating multiple structures we have
09:01to perform a hysterectomy no is there anything else we can try first I wish
09:11there was Rita it's tough but this gives Stevie her best chance
09:22Indy it looks like your mental health cap 2 is about to breach in 18 minutes
09:26seriously I'm still miles away nothing we can do about it you say that mood
09:34changes out of nowhere
09:36this is the ambulance service calling back hey he's much calmer now I don't think he's gonna hurt himself great I'm just a quick question do you think you could have taken something it would explain the sudden onset I don't know I'll ask
09:43Jay did you take anything earlier it's important
09:50I don't know I'll ask
09:58Jay did you take anything earlier it's important
10:11um yeah steroids took some before you came round
10:19he's on steroids
10:26took some before a date
10:28okay cool thanks for checking if anything changes or gets worse you call 999 and we'll be with you as soon as we can
10:40it's all good it's downgraded
10:47what's that
10:49um she called back accidental overdose
10:51another whole hour
10:54great save
10:57it's okay
10:58okay
11:00okay
11:01okay
11:02okay
11:03Dr. Leiva
11:04I want you to ease and squeeze
11:05okay
11:07okay
11:08Swap
11:09you've caused a bleed
11:10so sorry
11:12yeah
11:14yeah
11:15it's easily done
11:18we're all tired on an edge
11:20okay
11:21now
11:22there's still some oozing
11:24Swap stick
11:26steady
11:29two ovicral
11:33Dr. Piper
11:37the suture
11:45just in the area where the clip was
11:50there
11:52three throats of vicaral
11:57keep your knot square
11:58it looks as though we've got a plastic surgeon on our hands
12:04don't be fast now
12:07you can learn to be good later
12:08good later
12:21mistakes happen
12:22but we handle them together
12:24good work both of you
12:25thank you
12:27thank you
12:34good
12:35Jodie where have we gone
12:36possible steroid induced psychosis with some embedded glass
12:38sorry
12:39can I have quick work for you
12:40erm
12:41I believe
12:42Dr. Missoum is waiting for you
12:43I think I asked you very politely to go here
12:47hey
12:48yeah you did
12:49erm
12:50look I'm sorry Dylan
12:51what I did in recess was completely on myself
12:52there was literally nothing more we could have done
12:54yeah I know
12:55I know
12:56sorry word on
12:57stevie
12:58no nothing for me
12:59I will text you
13:00okay
13:01so we're taking some heat on social media
13:03it's just noise isn't it
13:04we're doing everything we can
13:05nonetheless I want to stick around
13:06okay just
13:07just help out the team
13:08okay well what they need is practicality rather than theatricality
13:11I understand I understand
13:12I understand
13:13I really want to
13:14stay out of recess
13:15yeah
13:16and certainly stay out of my way
13:21okay
13:22okay
13:23the mass is free from the bowel
13:26let's get it out of her
13:36no visible disease remaining
13:38the hysterectomy is complete
13:45not our usual territory
13:47we've done well
13:49let's take a beat
13:59before we close
14:00gotta make sure that there's no active bleeding
14:02you okay to retract
14:03yeah
14:08let's see what we got
14:10sorry
14:21no major bleeders
14:26cauterize the tissue margins
14:30and flush the area
14:32okay
14:35ready when you are
14:40okay team
14:42let's treenish strongly
14:45a cliver
14:46cauterize
14:50so is this like
14:51reed rage
14:52it's more intense
14:53from the higher dosage
14:54excuse me
14:56we'll need to do a blood test
14:58and an exam to confirm
14:59plus we'll do an x-ray of jay's hand
15:02he smashed some stuff
15:03I didn't realize he was hurt
15:05right can you give us your surname
15:07date of birth
15:12we met online
15:13he's a Pisces
15:14if that helps
15:16it's to access his medical records
15:18oh
15:20no that's private
15:22right so you can hear me
15:23jay can you tell us what steroids you took
15:25okay let's keep him calm
15:28repeat BP in 15 minutes
15:30let's do an ECG
15:31and take some bloods
15:32um FBCs use an ease
15:33LFTs and a CK
15:35okay
15:37keep steady
15:38I need to be precise
15:45we've licked the iliac
15:46suction out
15:47swab
15:48swab
15:54another swab
15:55listen to minor bleed
15:57what are you doing?
15:58I need to keep count
15:59sorry
16:01quiet
16:04concentrate
16:06give me 4.0 proline
16:07now
16:11come on
16:13it's keeping
16:17look if you're going to faint
16:18fall backwards
16:20put your finger
16:21there
16:22next to mine
16:24okay
16:25pressure
16:28retractors
16:32yes
16:33yeah
16:35for Christ's sake
16:36your reliability
16:37sorry
16:38just get out
16:39just get out
16:40out
16:41Stevie
16:42I promised her
16:43that I would stay here so
16:44fine it's what I promised to sabotage
16:45please now
16:46leave now
16:49it's okay
16:50I've got this
16:51go on
16:53yeah
16:54sorry
16:55get me a confident scrub nurse
16:58and a major vest
16:59of the set
17:00and a big
17:07yes
17:08yes
17:10yes
17:12yes
17:13yes
17:14yes
17:20yes
17:21yes
17:22yes
17:23yes
17:24no
17:25yes
17:26yes
17:27I'm in a service. There's a patient breathing.
17:41Yes, but I feel really dizzy.
17:45It's Mary.
17:46I work nights at the Megamart on Hazel Road.
17:51My manager says I'm a hypochondriac.
17:53I reckon I'm trying to scythe.
17:57I didn't know who else to ask.
17:59OK, is the dizziness constant or does it come and go?
18:02Pretty constant for the last hour or so.
18:05What should I do?
18:06I can't lose this job.
18:09OK, so I'm organising help for you now.
18:11I just need to get through a couple more questions.
18:13Go on, love.
18:15OK, do you have any other symptoms?
18:18I'm tired.
18:19Even sitting down.
18:23OK, yeah, night shifts are the worst, aren't they?
18:25You just hang in there, OK?
18:27Any other medical conditions we need to know?
18:30I feel better already, knowing you're on your way.
18:33Amazing.
18:34Demand is high in your area, but we do aim to be with you as soon as we can.
18:38If anything gets worse or changes in any way, just call us back, yeah?
18:41It's still bleeding.
18:52One more go.
18:55One more go.
18:55One more go.
18:55Well, that seems to have done it.
19:07Calm is restored.
19:10It's amazing how quickly it all shifts.
19:13Well, that's the nature of surgery.
19:15It's all about finding balance.
19:18Your own calm in all the chaos.
19:25Yes, it's difficult knowing you've put a patient through life-changing surgery.
19:33She's not just a patient.
19:35The position of the tumor added significant risk.
19:40And you performed incredibly well, under immense pressure.
19:55Rita.
19:59I'm looking for Jodie. Is she around?
20:01She's with a patient. How'd it go?
20:04She's leaving out of theatre.
20:05I had to leave.
20:08Are you OK?
20:11Look, I get it.
20:12Treating someone you know can be difficult.
20:15I... not that.
20:19Do you want to go somewhere? Talk?
20:23Oh, Rash. Oh, Rita. Any news?
20:26I, er, need to get back, guys.
20:29Mr Whitelaw, he's not making you stay on, is he?
20:30I'm just gonna, er, make sure that she's OK.
20:35She, er, she had to step out, I suppose, no.
20:37I, er, she had to step out, I suppose, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no, no,
21:07Oh, shit.
21:37Man trouble.
21:45You all right?
21:46You look terrible.
21:49Rich coming from me, I know.
21:52It's been a very, very long shift, that's all.
21:57Must be new.
21:57I haven't seen you before.
21:59Are you here often?
22:01More stitches than a patchwork quilt, me.
22:05I'm Cara.
22:06I'm Rita.
22:06Is it OK to get me some more pain relief, Rita?
22:09My side's a bit tender.
22:12Have a look.
22:13OK, you had an acetic drainage.
22:16The before and after pics are pretty impressive.
22:19Lost £10 in one sitting.
22:21That's got to be a relief.
22:23Yeah.
22:24Almost feel human again.
22:27Mind if I have a look?
22:31I'll try not to hurt.
22:33Mm-hm.
22:33Yeah, I'm going to speak to a doctor, so if we can't give you a bit more pain relief.
22:42Thanks.
22:43I appreciate it.
22:49Back in a sec.
22:50Don't go anywhere.
22:51Look, if you're feeling OK, we'll send you the results.
22:53Please, let's go.
22:55Oi!
22:56I said I was next.
22:58All right, Mr McIntyre, just take it easy, would you?
23:00We're waiting for the results of your x-ray, then we'll give you a shower.
23:02We'll take a seat.
23:05Charming.
23:06Charming.
23:06Any word on Stevie?
23:09Mr White, I wanted to let you know she is stable and in recovery.
23:13That's great.
23:13That is great.
23:14I mean, kind of a straightforward process, right?
23:17Yeah, there was some challenges, but we navigated them well.
23:21OK.
23:21All right, I'm going to let you know.
23:23Thanks, Nicole.
23:25Dr Maston, thank you so much for staying on.
23:27I really appreciate it.
23:28Look, I'm back if you want to...
23:29I'm reviewing your patient.
23:30Yeah?
23:31Sure.
23:31I mean, whenever you're ready.
23:33Listen to the harmony.
23:35Stevie's at a theatre.
23:37They're OK.
23:38So I was going to get a card or something and leave it on the reception.
23:41Everyone could sign.
23:44Yeah, I'm not really buying it.
23:48Buying what?
23:50This.
23:51The whole compassionate leader act.
23:54You attacked Dr Keo.
23:57Rash.
23:58I...
23:59Look, I found Dr Keo and I apologised.
24:02You apologised.
24:03Great.
24:04Great, so problem solved.
24:05Jane.
24:14Jane.
24:15Jane.
24:16Jane, can you hear me?
24:17Can you hear me?
24:18Your blood results are back and your inflammatory markers are significantly raised.
24:23Can you please tell me what steroids you're on?
24:26Does it matter?
24:26Yeah, it does.
24:28Your blood pressure's already high.
24:29The wrong treatment.
24:30It could be dangerous.
24:34Hey, come on.
24:35Don't make this harder.
24:36I'm sure you'll put Becca through enough tonight.
24:37I've been having a flare-up of my Crohn's.
24:49You can't tell her.
24:49Um, okay, um, how many did you take?
24:56Um, a week's worth.
24:57I didn't want to give her a reason to cancel.
24:59I like her, like her, like her, you know?
25:04Okay, well, we'll give you some diazepam for the agitation, slowly tape you off the steroids.
25:11Thanks.
25:12You should talk to her.
25:19I hope your muscles relax, and then Lily Luck will just be able to slide it back into place.
25:24It's about time.
25:26My mate's finna lock it, and I'll be playing serious catch-up.
25:29How'd you get the injury?
25:31No comment.
25:32So you were at the vigil on them?
25:34That's not the word I'd use for it.
25:36No?
25:38Do you even know what it was for?
25:39Oh, does it matter?
25:41Message received.
25:42Do you hear?
25:45Well, we're nearly done here, so you might feel a bit of resistance.
25:49It's not my first rodeo.
25:50That's great.
25:51Okay, good man.
25:52On three, one.
25:53Oh!
25:55Oh, sorry.
25:57Can't you count?
25:58I'm sorry.
26:00Guess you're not the only one they're paying attention today.
26:04Lena Haslip and Carly Wilson had the two girls that died, and the vigil was for them.
26:10You're supposed to cry now?
26:11Men, my way is...
26:14One audience, mate.
26:16Yeah, we're not done here, buddy.
26:17You need an x-ray.
26:18Yeah, it seems fine to me.
26:21Like, I think we should get an x-ray.
26:22Just check everything's in the right place.
26:24Yeah.
26:24My place is in the pub.
26:27Keep up the good work, Doc.
26:42Hey.
26:43You're awake?
26:44Can you take ops for me?
26:47Thanks.
26:48Thanks.
26:51I'm...
26:52I'm gonna head off now.
26:55Take care.
26:56Yeah?
26:56Um, is it...
26:57Is it okay if I, um...
26:59Can I call you later?
27:05Don't want to be harsh, but maybe not.
27:08I think you're great, but I'm just looking for something genuine.
27:12Me too.
27:13I don't...
27:15I've got Crohn's disease.
27:25They're not steroids, steroids.
27:37They're...
27:38They're prescribed by my doctor.
27:40I just, like...
27:42I took too many.
27:45I just, like...
27:48I wanted tonight to be different.
27:50Different how?
27:51The menu I planned...
27:55It was to stop my guts exploding.
27:59You didn't have to hide that from me.
28:02Tonight...
28:03I just...
28:04I just wanted to be with you.
28:09I make everything awkward.
28:11Awkward's totally my vibe.
28:15Hey, his heart rate's normal now.
28:17Right, then we can move forward.
28:19Yeah.
28:21So...
28:21He can call you?
28:24Yeah.
28:26I'd like that.
28:32If you can use alternative transport or services,
28:35then we do advise that you do.
28:37I do have to disconnect the call now to take another one, okay?
28:43Amulet services, patient breathing.
28:45It's you again.
28:47Sorry, love.
28:48Is this Mary?
28:49I got a bit more...
28:51More breathless.
28:55Called 111.
28:56They transferred me.
28:57You didn't mention feeling breathless.
28:59You said...
29:00The ambulance was coming.
29:02Has anything else changed or got worse?
29:04My chest hurts.
29:07And the bottom of my teeth.
29:09Is the pain spreading anywhere else?
29:11The last time.
29:16How long for the Mega Mart?
29:173-0-0-6 is arriving on site.
29:20Okay, Mary.
29:21They are nearly with you.
29:22I'm going to stay on the phone until they get there, okay?
29:25Mary?
29:26Mary?
29:263-0-0-6 from Control.
29:37Have you guys made contact at the Mega Mart?
29:423-0-0-6, Control.
29:44We have just pulled off.
29:45Yeah, I'm going to need to divert you to a backup.
29:48First crew is requesting assistance.
29:50All received.
29:50Over.
29:50So near and so far.
29:57They're leaving.
29:58Why are they leaving?
29:59I'll contact the allocator.
30:00You got that?
30:21Yep.
30:25It's Indy.
30:26Hey, Indy.
30:28Teddy's kind of busy right now.
30:29You need to go back to the Mega Mart.
30:31Are you in the hub?
30:32They're not supposed to contact us.
30:34But I lost contact.
30:35There's query loss of consciousness.
30:36You have to go back.
30:37We can't.
30:38It's a Cat 1.
30:39I just upgraded it.
30:40Really?
30:40We can't die there without being allocated by Control.
30:43You know this.
30:463-0-0-6 from Control.
30:48Sorry, you got to go.
30:513-0-0-6 to Control.
30:53Go ahead.
30:54Yeah, that call at the Mega Mart is now a Cat 1.
30:56Ineffective breathing.
30:57If you could redirect, please.
30:58Received.
30:59Over.
31:01What is she doing?
31:03This is chaos.
31:05No more doctors, please.
31:07My daughter's on her way.
31:08She'll ask a zillion questions.
31:10Can I clean and redress it, though?
31:13But, Cara, if this gets worse, you have to let me know.
31:15Yeah?
31:16OK, this bit's going to sting, I'm afraid.
31:21Straight out of chemo again, sir.
31:26Can I be cheeky and ask another favour?
31:29And then?
31:30My daughter, Olive, always manages to get lost.
31:35Tell her to wait by the coffee cart, then.
31:37You're amazing.
31:40She woke up briefly and recovered, but she went straight back to sleep.
31:51Why is there a wound drain?
31:53I thought it was keyhole surgery.
31:55Yeah, there was some unforeseen issues.
32:01What do you mean, unforeseen issues?
32:03Well, I can't tell you.
32:10Look, she was under anaesthesia longer than we thought, so she was going to be out a while.
32:13Do you want us to just call you a bunch of weeks?
32:15Uh, no, thanks.
32:16Um, I'll wait.
32:18You sure?
32:18Yeah, yeah, of course.
32:40I need to talk to you.
32:42Don't look so worried.
32:43Stevie's going to be fine.
32:45Good.
32:46No, that's...
32:47So good, I'm...
32:49It's not what I meant, though.
32:51I know what you're going to say.
32:52You saw what happened.
32:54Everyone did.
32:57Don't beat yourself up.
33:00Pressure in there was intense.
33:04No, no, you don't understand.
33:06He's got high standards.
33:08You said so yourself.
33:10That's not what I meant.
33:12I've been there.
33:13Russell's temper.
33:15Russell's temper.
33:15No joke.
33:16These procedures, they demand a lot of you.
33:20You've got to believe in yourself.
33:22Believe in what you're capable of, or you're not going to succeed.
33:25Mr. Whitelaw.
33:27Look, ask Sean, because he'll be able to explain it a lot better than I can.
33:32Go home.
33:33Come back fresh tomorrow.
33:35It's been a lot.
33:35Hello, mate.
33:42Okay, we'll take it from here.
33:44Hi, Mary.
33:45My name is Jacob, and this is Teddy.
33:47Can you tell us what happened?
33:48I fell.
33:50I've been really dizzy.
33:51Okay, now, I'm just going to put this on your finger, and this cuff around your arm so we can run a few checks, all right?
34:02How long have you been feeling like this, Mary?
34:04A couple of hours ago.
34:07I spoke to the same girl.
34:09I'm going to put these stickers on your chest so we can get a tracing of your heart.
34:20There's nothing for this, is there?
34:22Well, we'll find out.
34:25Hypertensive at 79, number 52.
34:27I'm on one of those zero-arse contracts.
34:31Please get rid of me.
34:33Yeah, yeah, try not to worry about that for now, okay?
34:37Okay.
34:39The tracing is showing that you are having a heart attack.
34:42I know that's very alarming.
34:43I'm going to get you to the hospital ASAP so they can remove the blockage.
34:54Hang on.
34:57He's in BF.
34:59Attach the pads, I'll start compressions.
35:01Yep.
35:06I'm going to do it.
35:08Okay.
35:13I'm charging.
35:15Keep going with the pressure, sir.
35:17I'm not shocking.
35:20Okay, off the chest.
35:24Clear.
35:26Shocking.
35:28Hack on the chest.
35:32Oh.
35:33Signs of life.
35:35Pulse check.
35:41Got a pulse.
35:42All right.
35:43We need to make a move.
35:47Pull the cath lab, and let's get the ASAP.
35:49They should have been a cut one from the start.
35:53They should have been a cut one from the start.
35:53All right.
36:17Are you okay?
36:18Are you okay?
36:27I'm Cara, by the way.
36:35I've been there.
36:37Literally.
36:39If you've got any questions, just...
36:48Oh, you're awake.
36:50Hey.
36:51I was just getting you some water in case you were thirsty.
36:54How are you feeling?
36:56What have they done?
36:59They wouldn't give me any details until you woke up,
37:01so I'll just... I'll go and get somebody for you, okay?
37:04Right, I'll be right back.
37:14Ask for more pain meds if you need them.
37:18Thanks, but I'm...
37:24I'm a doctor, so...
37:27Doesn't make it hurt any less, right?
37:35Hi. Hi. Claire.
37:37Oh, finally. Where are you?
37:39You promised the guys you'd make pancakes on your day off.
37:41Mine are rubbish, apparently.
37:44Um, yeah.
37:46Claire, hold on. I've got to take this.
37:47Sorry, are you...
37:48Are you at work?
37:50Yeah, I am. Can you just give me half an hour, please?
37:53Call BED.
37:55Okay.
37:56I'm just hoping I will try and get things sorted.
37:59Stevie, how are you feeling?
38:12How far from plan A did we end up?
38:14To be completely open, the surgery was more complicated than we'd hoped.
38:18Your cyst had grown considerably, adhered to the bowel and the surrounding pelvic organs.
38:27So it was invasive?
38:30Cancerous?
38:31We need the pathology report to get a full diagnosis, but the important thing is that we removed everything we could see.
38:41What could you see? What did you remove?
38:43To ensure we removed all affected tissue, we had to perform a full hysterectomy.
38:52The mass involved your jejunum, sigmoid colum, left ovary, and the peritoneum over your bladder.
39:00So it was an extensive resection.
39:07Do you have any questions at this point?
39:11Why were there not more warning signs?
39:14Well, often there aren't.
39:16The abdomen would have accommodated the growth.
39:19Like a pregnancy?
39:22Of course, this must come as the most enormous shock.
39:24Surgical menopause can feel like a rollercoaster, emotionally and physically.
39:30But the good news is that things will get better.
39:36Great.
39:38That's more than enough for me.
39:41Is there anything else you'd like to know?
39:43No.
39:44No, I just want to be on my own.
39:46Of course.
39:52That applies to you too, Fiat.
39:54I'm not going anywhere.
40:15How's Mary?
40:18She had a massive heart attack.
40:19Well done.
40:20No, Teddy, come on.
40:21Is there nothing in me?
40:23Look, Mary's stable.
40:25She's a student paramedic.
40:26She should know the signs.
40:27Yeah, but do you notice symptoms present differently in women?
40:29That is exactly my point.
40:31Mary could hardly breathe when we got there.
40:32Did you even ask?
40:34Did you?
40:34I'm sorry.
40:36I can't believe I messed up so badly.
40:44Especially today.
40:45What's so special about today?
40:47It's Jan.
40:49She needs our help.
40:50Help with what?
40:51Okay, so we've got an incoming trauma case, multiple facial fractures.
40:57Dylan, I've been summoned home.
40:59Nothing I can do about it.
41:00Are you going to be okay?
41:01You'll be okay.
41:01Okay.
41:03Okay.
41:04This looks serious.
41:05Here we go.
41:06Dylan, free alert, mate.
41:07Flynn, I said it was fine.
41:09No, this looks nice to me.
41:10Come on, I'm not going to leave you on the ledge.
41:11You're not.
41:12Dylan.
41:13Oh, I can't get a change there.
41:16You're not used to it like that.
41:17I'll call Max Bax.
41:18Thanks.
41:20It's a performance review.
41:22We've been through it before.
41:23We just need to carry on as normal.
41:26Speaking of which...
41:29I, um, better get back to work.
41:36I just don't think it's fair that management's blaming you.
41:39Exactly what I said at the debrief.
41:41So they've agreed to monitor all our calls
41:44to see where we need more resources.
41:46Oh.
41:48Did you call Teddy on his mobile phone from the hub?
41:54Yeah.
41:55That's not ideal.
41:58I can explain.
41:59I also might have called a patient back
42:01to stop them breaching.
42:03And do you know we can't do that?
42:04Yeah, why though?
42:06Because it disrupts the system,
42:08which could threaten patient safety.
42:10I'm sorry, I was only trying to help.
42:12Yeah, but you didn't, did you?
42:13You did the absolute opposite.
42:16Right, no more call handler shifts.
42:19You need to focus on your paramedic training.
42:21I really need the money.
42:22You've got your blue lights test next week.
42:25Ace that and then we'll talk.
42:27So, let's have the suction back in.
42:34Well, this guy's running on his own blood.
42:35Let's, let's, let's have 100 milligrams of Ketalincidium in the den, please.
42:38Let's have a 1% profile infusion and somaticurium
42:41in case we haven't to wait for an assessment any longer.
42:43Get weed cottage bait.
42:44He's bleeding from one airways.
42:45Okay, I've seen similar injuries in blast signs.
42:50We're going to have to move fast.
42:51Well, okay, okay.
42:52I think he's under.
42:53Yeah, let's roll him back.
42:54Let's roll him back.
42:54Good.
42:55Rush.
42:58Keep his head steady.
42:59Okay.
43:01His mid face forward.
43:03Should slow the bleeding.
43:05Get the white box in.
43:06Okay.
43:09I'm going to paint the oral and nasal cavity.
43:12Right.
43:14Just get blood bank on the phone and get some groups specific.
43:16For now, two litres of our necks should do.
43:19Then we're tubing.
43:20Good work.
43:26I can see mommy.
43:28Come on.
43:31I mean, we can transplant hearts and we can reattach limbs,
43:35but the only way to find out if a woman has cancer these days
43:38is to open her up and tear her insides out.
43:41It's medieval.
43:41You don't have the results yet.
43:44I just, I need you to drink some water.
43:47Come on.
43:50I know.
43:52Yeah.
43:53The priority is definitely hydration.
43:56Maybe we could try a wee walk for the pain,
43:58or, you know, I could give you a back rub.
44:00You could try giving me my whim back.
44:03Stevie.
44:04What?
44:06What?
44:08It's gone.
44:09And it's just the bit you're going to tell me that everything's going to be okay.
44:14That we're in this together.
44:15We are.
44:16We are.
44:20I need some sleep.
44:25Yeah, me too.
44:27Shattered.
44:28I'll go home for a bit.
44:31Okay.
44:31It's, it's forget it with ketchup.
44:39Dad calls it his masterpiece marinara.
44:42Shh.
44:44Sorry.
44:45Keep it down, Liv.
44:46It's people trying to sleep.
44:49It is morning.
44:50Yeah.
44:51Thanks for that.
44:52This is an hospital, remember?
44:53I hate hospitals.
44:58It's okay.
45:00I do too.
45:02It's just a bit closer.
45:04Come on.
45:05There we go.
45:06Let's see.
45:07Oh, yeah.
45:08Loving that ketchup stain.
45:11Maybe get your dad to put a wash on later, eh?
45:13Neil, thank you very much for coming.
45:18And I look forward to the conference.
45:22Er, Nesamon, a moment of your time, please.
45:38Is there anything you'd like to say?
45:42Sorry?
45:43There.
45:44That wasn't so hard, was it?
45:47I'm surprised you didn't come and find me earlier to apologize.
45:51You're here on my personal recommendation.
45:53I take this sort of thing very seriously.
45:55But that's water under the bridge.
45:58Working a complicated case on a close colleague,
46:01you're allowed a wobble.
46:04But just the one.
46:09Oh, there, there.
46:10No, no tears.
46:11I still believe that there is a brilliant theater nurse just clawing her way out.
46:18Tell you what.
46:19I'll have a word with Dr. Piper and the others.
46:22Make sure that it's kept entre nous.
46:25Our secret.
46:30Better be off.
46:31My granddaughters are demanding pancakes, of all things.
46:37Pure fluff and nonsense, if you ask me.
46:40Oh, I hope my outburst didn't alarm you.
46:43I work my team hard.
46:47I always say, if you can't handle a little heat,
46:52then maybe surgery's not for you.
46:53I've got doctor to do.
47:00I know.
47:01Okay.
47:02Inner
47:05Time.
47:13Bye.
47:14Bye.
47:15Bye.
47:15Bye.
47:16Bye.
47:16Bye.
47:16Bye.
47:17Bye.
47:18Bye.
47:19Bye.
47:20Bye.
47:21Bye.
47:21Bye.