Casualty (1986) s26e06 Episode Script
Fixed
1 Aargh! Keep still, you're not helping yourself.
The more you move, the more you bleed.
Let's get him over to bed number two, please.
What? I don't want to lose my leg! The spike went into his upper leg, while he was climbing over the railings.
Obviously he's intoxicated but we don't know how much he's had.
A bit early for boozing, isn't it? Mmm.
Tell me about it.
OK, pal, we're going to move you over on three, OK? One, twothree.
Here we go.
Yup.
Ready? I've got' it.
Whoa! OK, he has hit an artery, more pads now! I feel sick.
Oh! Got it? Yeah.
OK.
Looks messy.
It's not as bad as it looks Look out! Whoa! Where the hell is everyone? Won't last another day though! Now, we're all feeling very happy.
We've had some very good results recently.
We're now at the bottom quarter in the M&N stats.
Good.
Well done, congratulations.
Thank you very much.
That's it.
You can get on with your shifts now What's the catch? Ah! Very good point, Dr Winters.
What is the catch? that we're making the other departments look bad? Shall we start cocking up more? I knew I could rely on you to illustrate my point, Dr Lyons.
Complacency.
That is the danger.
Complacency.
Not one of my traits.
We all want the best from this place.
A super efficient, focused ED The very best it can be.
But we are not there yet.
And it's my responsibility to take us there.
So how are you going to do that? Think of me as your complacency monitor.
Where's Dr Hanna? Well, she must have got held up.
What's her excuse this time? Complacency? You OK, Dad? You didn't have to do that on my account.
Ah, I wasn't really enjoying it Because she's not here to nag you about it? Probably.
Your cousins startred fighting yet? A bit early.
Even for them.
God knows how mum came from that family.
Your mum was different.
'Which may make suicide more likely to occur.
'Is not just a social problem, it's a disease.
'Sadly this means there's always a chance of relapsing.
'Here at the clinic, we not only support the primary recovery.
I don't even know why we're here.
Because your mum and dad sent you money.
Guilt money.
Which means they want you to treat yourself.
No, it means they wanted me to treat their granddaughter.
Oh, this would look so good on you.
What would I want with a sequined bikini? For when we go and visit your mum and dad .
Australia has got the most amazing beaches.
I saw this TV programme about it Yeah, I don't think we'll be going to Australia any time soon.
Why? Well, they don't give out diamorphine on aeroplanes for a start.
Yes, well I'm talking about later, obviously, not now.
We're not going to be on the programme forever are we? No, but we will be on it for a while yet.
You do know that? Yes.
Course.
You know, we just need to focus on keeping our noses clean.
So, Australia is really not an option for us right now.
First time I met Karen I thought, "Out of my league.
'You'll be lucky George', I said to myself! Borrowed Dad's car.
Course, it was a disaster.
The car broke down Stuck in the middle of nowhere Getting dark.
There was nothing else for it.
We had to kip in the car overnight.
I thought I'd blown it.
'There's no chance now.
' But Karen was great.
She treated it like an adventure.
We spent the whole night, talking, laughing, making plans.
One of the best nights of my life, love.
She was my friend.
A beautiful wife.
.
.
and a fantastic mother.
I look back now DOOR OPENS l look back and I realise I was right.
She was out of my league.
And I was lucky.
We were all lucky to know Karen APPLAUSE Babe? If we do go travelling to Australia, I was thinking, I'm going to learn a skill.
Snorkelling.
Mind you don't get eaten by sharks.
Ha! I can handle sharks.
I can see sharks coming.
How's the skirt looking? Too bloody tight.
How's your top? Really nice.
Have you seen the price though? It's my treat.
I'm sharing the love.
Let's have a look! Whoa! What is that? You're not? It's nothing.
Stop lurking there like a monster! Lady Gaga is it? Is that the only 21st century singer you can think of? 'In the majority of users, prolonged drug use can alter the brain 'in ways that results in powerful cravings and a compulsion.
Research.
I'm impressed.
You enjoy clinic work, don't you? It's just another part of my ED shift.
All right.
If you say so.
It's very important work.
And there are a lot of vulnerable people out there.
Earth to earth, ashes to ashes, dust to dust.
In sure and certain hope of the Resurrection to eternal life, through our Lord Jesus Christ who died, was buried, and rose again.
just give me a minute, love.
You always did like to make an entrance.
Wasn't my fault.
The plane was stuck on the runway for an hour.
Technical problems.
Whatever that may mean.
Still playing the high flying exec, eh? Well, we can't all be family men, George.
She's the spit of her mother.
Aunt Pat doesn't have a lift.
I said we'd take her, is that OK? Sure.
No problem.
Vicki, this is Danny.
My brother.
Uncle Danny? I was beginning to think you didn't exist.
Nice to meet you, Vicki.
And I'm sorry about your mum.
Well, we're having a small reception, in a pub in town.
If you follow the cars Actually Danny has got to get back.
No, no, no.
I'm all right for an hour or two.
And it'll be nice to catch up with my niece.
And my little brother, of course.
So that's the famous Uncle Danny? I Let's get your Auntie Pat in the car.
Your next prescription is due this evening.
We'll see you then.
Yeah? So this work is just another ED duty to you? Well, I'm very disappointed.
I All right.
So it's satisfying.
I admit it.
You are very easy to wind up, do you know that? It is satisfying.
I bet more people say please and thank you in this room than anywhere else in the hospital.
Well, they can't get this sort of help anywhere else around here, can they? No, we're making a difference.
So enjoy it.
Is that you done? Nope.
You're stuck with me.
I'll be back and forward all day.
Normal duties and clinic.
As and when.
How did you swing that? I told Jordan that you couldn't cope here on your own.
You did what? You are too easy to wind up, Charlie! I just asked for the chance to do more.
Can I leave this with you? Oi! Oi, Mr Oi to you, what do you want? A word with you.
Yeah? Get a dictionary if you want a word! You sold me a clapped out piece of junk! Come on, stop it now.
Show some respect.
You've made a fool of yourself now What was that about? God knows.
Didn't take them long though.
What's Danny saying then? Entertaining me with stories about you two growing up.
Something about you stealing his bike? It was the other way around.
Are you OK, Dad? Fine.
Look, why don't you come over? Need to keep an eye on this lot.
Uncle Danny's dying to speak to you.
I'll see him before he goes.
He's not going.
He's staying overnight.
Says he wants to talk to us about something.
Don't look at me like that, George.
You known this had to happen at some point.
I'm not letting you do it.
I don't really see how you're can stop me.
She's lost her mum.
Doesn't need any more trauma.
You chose! You said this is what you wanted.
We made a deal, Danny My deal was with Karen.
And she's dead now.
Danny! Dad! What are you doing!? Dad! Don't! Dad! Oh, my God! Dad! What do you think you're doing? Aargh! Oh!I That didn't go too well.
Oi! Me bike mate, get off! Get off! Get off! It's probably best not to mention it.
Oh, shut up.
You can't leave a leg to get like that! It'll be fine.
It'll be gone in a few days.
How long has it been sore? A couple of weeks.
Come on.
They'll think I'm using again.
You're being paranoid.
That was the first thought that crossed your mind.
I saw it in your face.
Right, question.
Are you using again? No.
I'm not.
Well, then there's no problem, is there? Come on.
Hey, come on Was everything OK at the house this morning? Yeah.
You.
.
.
erm you got yourself some breakfast? Yeah.
Did you lock up? Thanks.
Oh, and erm I one more thing, Yeah! Hey, you ok? Yeah, man, yeah.
just, Mads is not picking up but other than that, what's new though, eh? You stick up for me, OK I Hi Annie.
Hello, ladies! I Where's the little one? With a neighbour.
Ah.
You all right? just, erm a bit sore, nothing serious.
You two aren't due at the clinic until later.
It's her leg.
Chloe! She's in a lot more pain than she's letting on.
I hope you've been behaving! I have! And I'm fine! She's not! All right.
You'd better come with me.
I'll see you later.
See you later.
Looks like we missed all the fun.
Try not to be too disappointed.
Dad! Speak to me! All right, love.
Want to tell us what happened? This is my Dad.
His back is in a terrible mess.
OK.
Right.
We've got multiple lacerations.
Looks like there's a lot of glass still stuck in there.
OK.
Any other injuries we should know about? I just want to go home.
Sorry, darling.
We're going to have to take you in to ED first.
Oh, hello.
Nice of you to join us.
Stop on the way did you? Tea and buns? Little bit of light shopping? Actually the traffic was bad.
There's a thing for that nowadays, called a siren.
All ambulances have got them.
Jeffrey! Got a patient Yeah, listen to your boss and pay more attention.
No worries, son.
I've got this one covered.
What about her arm? Don't worry about that.
Can you find my uncle? You could've said something, love.
Looks bad, doesn't it? Let's just wait and see what the doctor says.
I'm not using again.
I promise.
I really want to stick to this programme.
Well, that's good to hear.
Er, Linda? Can I Can I ask you a question? Yeah, if you can keep up.
Can I get my prescription now? You know how it works.
You get allocated a time slot for you prescription.
But no-one's going to mind if I get it a couple of hours early.
This programme only works if everyone sticks to the rules.
It's not something you can change when it suits you.
You're have to get used to the fact this is about routine.
It's hard but it's a lot better than the alternative.
Feels woody? Heavy? Yeah.
What do you notice, nurse? The indentation left by your thumb.
Pitting oedema.
Textbook.
Absolutely textbook.
You still injecting? Only in the clinic.
Annie was snowballing.
She had a needle abscess and cellulitis in her groin.
Stick to the clinic.
Please.
And certainly no injecting into the groin.
Is this from the abscess? Complications out of that.
Yes.
Venous thromboembolism.
Or DVT.
Deep Vein Thrombosis.
He thinks you've got a blood clot on your leg.
But we need to do tests? A D-dimer, Duplex Doppler ultrasound.
Is it going to be OK? Once it's confirmed, a six-month course of Warfarin It won't affect your Diamorphine This is a clinical waste only bin Yes, Mr.
Jordan.
So what's this? Oh, no, "That's complacency Clinical waste is prohibitively expensive.
I don't know who put it there! Oh! Break time already? Just seeing to my blood sugar.
You were missed earlier.
Otherwise engaged, I'm afraid.
No explanation? Don't hold your breath, Tiger.
Zoe, it really would be much better if we just talked to each other.
I hear you're on a bit of a mission.
A one-man crusade to eradicate complacency.
No, not just me.
We're all pulling together on this one.
Really? So, are you going to tell me where you were? I Cheese and onion? We've got some fight victims en route.
One possible fracture, a penetrating chest injury and query pneumothorax.
Well, luckily you've just caught Dr Hanna in between a can of fizzy pop and a bag of crisps.
I'll go with you too.
Why would you even have a plunger on reception, man? I mean Sorry.
Can I help you mate? Name's Eddie Jones.
just wanted to pop by and tell you what a marvellous job you're doing here.
Right.
Well, thanks.
Appreciate it.
Also, any chance you can have a look at this? Oooh! Doesn't that hurt? I It's only my head- not much to damage in there.
How did you manage that? You wouldn't believe it.
Staff Nurse Faldren! Could you take this gentleman through to cubicles please? Yeah.
No probs.
Lets go this way buddy.
Great service.
Better than the prison infirmary.
Where you in there for anything serious? Political prisoner All right.
OK.
This is Danny Weaver.
Dr Lyons! He's got a puncture wound in his chest.
What's this a designer weapon? Take him through please.
Upset Cinderella, eh? This is my brother's doing.
Interesting taste in footwear your brother's got.
Became out of breath en route, suspected pneumothorax.
Resp is 20, pulse 110 BP 135 over 85.
He's had five milligrams of morphine.
Will I have to have me head amputated? I've grown rather attached to it over the years.
Erm.
.
.
Mr Jones is a bit of a joker.
Have you vomited since the accident? Yes, Doctor.
A few times.
Proper puke up.
He's been sick here twice.
CT Brain, Sutures and then CDU.
CT Brain? Sounds a bit technological.
Will I be able to play the piano afterwards? I couldn't before! I have a long held view that is an evil ordeal that we can at best hope to get through with our sanities intact But your jokes, Mr Jones, have made it seem like so much more.
Ah! Thanks, Doctor.
I like you You're a total nutcase, just like me! George Weaver, he's sixty.
Broken glass has entered his back mostly on the left side.
Mr Weaver, can you tell me what happened? He lost his mind is what happened.
All obs are normal, but his BP is 170 over 90.
All right, George, can you shifty over for me, mate, please? Nice and gently.
Good lad.
And you'll need to have that arm looked at.
Oh, I'm all right.
Everything all right, Dr Winters? Oh, actually, could you take a look at this lady's arm for me? Thank you.
Yeah, sure.
Oh, my God.
Look at the state of him.
Well, let's sort you out first, yeah? OK.
Let's get an x-ray please, then we will remove the shoe.
F We'll also need to exclude a H pneumothorax.
His sats are 93% You think we can we use the fast scanner for this? I'm all in favour of new technology.
But let's do this the traditional way.
X-ray please, nurse.
Listen.
.
.
l want to see Vicki.
I need to talk to her.
Stay calm or you'll make yourself worse.
You get me Vicki, I want to talk to her.
Keep the mask on please, Mr Weaver.
We'll get her for you as soon as we can.
Oh, my goodness! What did you do? Well, she came in, OK? First thing I did was.
.
.
Oh! Hello! Here's comes trouble.
It's you, is it? Have they said what's wrong? Possible blood clot.
So I'm waiting on test results.
That sounds serious.
Umm Well Dr Keogh didn't think so.
Thank you.
I had Keogh too.
He had the look of a bloke I once knew.
Went loopy and started eating his own hair.
That doc is all right though.
Eddie's been keeping me company.
just been having a proper laugh.
He's been to Australia! Yeah, yeah, last year, yeah Was that before or after you were in prison? It was during.
Was an open prison.
It was a very open prison.
Ha! You know what I mean? No, I don't think I do.
So? What are you two doing tomorrow then? Probably just hang around here.
Like we do everyday.
Why's that then? They're getting free diamorphine.
Sounds easy enough to me.
It's not just about diamorphine, Scarlett.
Programme's here to help people.
How is giving drugs to addicts helpful? Well, it depends how you look at.
If it wasn't for the clinic these girls would be using street drugs.
Yeah, but it's not doing them any good.
I mean, why aren't we focussing on getting them clean? It's not that easy, OK? There are limits to what even we can do.
Sometimes you have to go with second best.
OK? Don't get me wrong, I knew there was some history between them.
But for Dad to attack him like that.
Any pain or numbness in the thumb, index, middle finger? Aaah! Right, we'll mark that down as three shall we.
Probably a fractured distal radius with median nerve involvement, jay.
Let's get an X-ray.
OK.
I'd like to see my Dad.
You've fractured your wrist Vicki, so you've got to wait until we've attended to you, ok? How long will it take? After the X-ray we'll need to put it in plaster but first I'll need to manipulate it to relieve the pressure on the nerve.
Get the bones in the right place again.
We'll do a Bier Block.
And get the portable X-ray.
Vicki, are you Any medication, or medical problems we should know? I've got cysts.
On me kidneys.
I've had them since I was young.
They're really not a problem though.
OK, well I'll chase your notes up.
Uncle Danny wants to see me? And he's not taking no for an answer.
Right.
Five minutes.
Right.
Five minutes.
Thanks You're a little old for pub brawls don't you think? What are they doing in there? Taking care of your brother by the look of it.
I'll be back in a minute.
All right, nearly there.
That's great.
Oh! Lethal.
You OK, Uncle Danny? Yeah, I'm all right, love.
What happened? Why did he do it? Vicki, come here.
Some things you need to know.
You shouldn't be in here, you know Mr Weaver, the x-ray confirms your discomfort is being caused by a pneumothorax.
We're going to put in a chest drain and give you some pain relief.
F I Just gentle pressure, please.
OK OK, you've got two minutes.
Where is Ruth? I've wanted to tell you.
.
.
Vicki! Dad, what's he talking about? It's nothing love.
It's all in the past.
Obviously not! Otherwise you wouldn't be beating lumps out of each other.
Vicki Don't listen to him Vicki.
Vicki, love! I'm your real dad.
Is it true? I It's complicated.
I Is he my real dad or not? So, free heroin on the NHS? I What's the world coming to? I've got a good mind to Yeah, the programme's really helping me and Chloe, isn't it? Yeah, I bet the gear's top notch too.
The best.
You should get yourself on the programme.
We could all come in together.
Nah.
Not for me.
Getting your drugs from a clinic? It all sounds too safe for me.
Well, that's the point.
It's controlled.
And you like to be controlled? No, I don't.
It's doing me head in.
Having to come in here at a certain time, answer all the questions.
Sounds just like prison Yeah, well you'd know.
You know what, Chloe? You're like me.
A free spirit.
So, if you get sick of the rules .
.
give me a call.
I'll sort you out.
And with me you don't have to answer any questions.
We're not allowed dealers' numbers on our phone.
Who says I'm a dealer? Just put me in as a friend.
Stick me in your phone as 'my mate Felix'.
Thought your name was Eddie.
The doctor needs to talk to you about your test results, Mr Jones.
Heâll just be a minute.
Would you make your way back to your own cubicle? Thank you.
It all goes on in here then? My friend told me about what you do I've come for some heroin.
Please.
It doesn't work quite like that, I'm afraid.
We can only deal with patients who are.
.
.
um on our' programme.
I can take your details.
Put you in our system.
I'm Eddie Jones.
40 years old, been using on and off for years.
Right.
First, I'll need your real name.
I told you.
Right, so you're You're having some fun.
That's fine But before we can help you, I need to Felix.
Berry.
Thanks, Felix.
Can you give me your address? No more questions, darling.
I want what I came for now.
Get me the gear, or I'm going to turn you into a very unhappy bunny.
I don't think this day could get any more surreal.
I'm so sorry, love I never wanted you to find out.
You weren't ever going to tell me? Your mum and I thought it was best How did this even happen? The night your mum and I spent in the car.
It was Danny picked us up the next morning.
Well, in those days he was, like he is now.
Had the looks, the charm.
Had the looks, the charm.
Big job in London.
So, mum just dumped you for your brother? She was young.
She had her head turned, that's all Long story short, they moved down to London.
Three weeks later, it was all over.
Your mum came home.
Pregnant with me I assume? I loved your mum.
I wanted a family.
When you were born it all seemed so right.
And what about Danny? Danny had his job.
That was his thing.
So what you're saying is my real dad didn't want me? I'm your real dad, Vicki.
Except you're not, are you? Aw! He was all right.
Least he was funny.
Didn't like the look in his eye.
I don't like the look in his.
Oh, Dr Keogh.
Are those Annie's test results? It's something terrible, isn't it? Er.
.
.
no.
We haven't had those back yet.
There must be a log jam somewhere.
It'll be fine though.
Where's the other patient? Head injury.
Jones.
He's meant to be here.
Yeah.
He was.
I don't know Thirty seconds of calm.
That's all I was after.
It's like you're stalking me, Nick.
You'll be pinching my knickers off the washing line next.
Your patient from this morning The one with the spike in his leg Yeah, what about him? He's out of surgery.
They called down to say he was doing very well.
Thanks to your intervention.
Good.
It's nice to hear.
Why didn't you just say that you were with a patient? Because you already had me down as guilty.
Absent without leave.
Well, it would have avoided a lot of confusion.
I wasn't confused.
ls transparency and straight talking really too much to ask for? Mmm? You could just try trusting me, Nick.
Have you ever wanted to strangle someone? Frequently.
Erm You haven't seen a head injury patient, have you? What kind of a question is that? I am going to drive this through your head.
I'd prefer you didn't, Felix.
It's going to take time to get you what you want.
I'm not waiting! Charlie?! You're next.
She doesn't have access.
Only me.
You're a liar! We've already hit the panic button.
The police are on the way.
You think that's going to stop me, you stupid bitch! Now, do you want to see your brains on this lino? All right! All right.
I'll get it for you.
Linda.
Don't! You see what happens when you try and help junkies? Nothing but trouble.
The police will be here any minute Felix.
She better hurry up then.
OK, Vicki, this machine can be a little uncomfortable but it will help with anaesthetizing your arm OK? Vicki? Are you with us? What? You're a bit distracted.
Yeah, I've just found out my uncle's my dad.
OK, well, clearly that's distressing for you, but even so, we need you to focus right now, OK? I He wasn't ever going to tell me.
What? What could they be? Well, there's plenty of time to figure that out after we've done this, eh? OK.
Keep breathing.
Nice and calm Nice and slow.
Well done.
Actually, do you know what? I need to know now.
Vicki! I can't wait, I'm sorry.
You need to stay still for us, yeah? Forty mills of anaesthetic is just about to hit your system.
My lips are tingling.
OK, here we go.
You really should have stayed still for us, Vicki.
How much did he get away with? All of it.
What about Charlie? Is he OK? He's a bit shaken.
Tess is looking after him.
You wait till I see security.
It wasn't their fault.
They should've been present.
Charlie told them to stand down.
He didn't want them intimidating the patients.
Yeah, well that worked out well for Charlie didn't it? Look, I know it's bad but the priority is to get the clinic up and running again.
I don't think it is.
Mr Jordan, we've got an ongoing programme here.
People are relying on us.
I've got patients waiting.
Yes.
For diamorphine that you don't have.
But you can arrange to get some more in.
Could you let Charlie know that I'd like to speak to him, please? Are you ready for us? Is everything OK? OK! She's having a seizure.
OK, stand by with four milligrams of lorazepam, jay.
Come on, Vicki.
We need you to stay with us.
Vicki, can you hear me? What happened to her? We need to give her some Intralipid She's what, 60kg ? So let's start her with a bolus of 90ml and follow that with a continuous infusion.
Got that? Yup.
She sprained her wrist for God's sake! Mr Weaver, we need you to step out now.
Mr Weaver, please, step back! You close the clinic down now, we'll never get it up and running again.
And if I don't, and something else happens, we are going to look negligent.
Maybe even reckless.
Put security back in there.
Double it if it makes you feel better.
I can't afford to double security! Ah, now we're getting to the heart of it, aren't we? All you're concerned about.
The money.
E I I'm concerned about how this is going to look to the board, to the police, to the press! I'm concerned for your safety, Charlie.
You were lucky that needle was clean! I can take care of myself, thank you.
Well, your assailant begs to differ.
I'd like to see him come back in here and try that again.
Oh! In the clearing stands a boxer! The fact is that the clinic's a liability.
It's expensive, it's unpopular.
And it's dangerous.
It'd be a lot easier if we closed it down.
Yeah.
But I've got two girls downstairs doing their best.
And the only thing keeping them on track is us .
They have keyworkers who will take care of them.
We will contact them and make them aware.
It'll be too late.
When these girls turn up and we're not open I'm sorry.
they'll be straight back on the streets! I know how frustrating this is for you but I really have no choice.
So what do I tell them? Ok, I'll be right there.
just tell them.
just tell them.
I'm sorry.
How far into the procedure did she pull her cuff off? Early on, but we were.
.
.
It's remarkable she didn't arrest.
Well, we.
.
.
There's been a serious lapse here, Zoe.
Nick She comes in with a fractured distal radius Nick! .
.
and nearly died? A mistake of that size suggests there's something wrong with the way she was treated What was going on in the room? Hmm? I What would we have told the father? I've got to say it, Zoe.
You've been off all today.
Sloppy.
Something like this was waiting to happen.
Nothing to say for yourself? Come with me.
Ok, let's clear this up right now.
Vicki is a bright, capable woman But she was in pain and she was preoccupied.
I fully explained the necessity of the Biers procedure.
Good.
She accepted it, she knew what was coming up and every stage of that process we took time and care with her.
Good.
You ask jay.
She pulled her cuff off.
Our focus and speed of response was faultless.
She'd effectively anaesthetized her heart, and put herself at high risk of fatal arrhythmia.
So yes, it was life or death.
But she didn't die.
And there will be no lasting damage.
Why? Because of the way we handled it.
My team.
I can justify every single second of my treatment of Vicki Weaver.
There was just one random element involved.
A human being.
Sometimes human beings behave unpredictably.
They don't always fit into your 'box ticking' sheets! So if you've got a problem with that, you've got a problem with me! OK.
What does that mean? Ok, I accept your version of events.
Don't be nice, it's unnerving.
You're an excellent doctor, Zoe.
Yes! I am a good doctor and don't you forget it! All I ask is that we share information.
I defend this department against one accusation or another I every single day.
Whose side do you think I'm on? Hmm? Zoe? What? What the hell is a 'box ticking' sheet? What d'you mean there's been a delay? We've had an incident.
Which means we don't have any diamorphine doses at the moment.
Are you going to be getting some? I'm going to try my best.
You're going to try? You're kidding me, right? Relax, Chloe.
You said that if we kept coming here, you'd see us straight, keep us clean, keep it regular.
Chloe, I know this is difficult for you .
But just give me a bit more time.
Please.
She's not going to get us anything.
Yeah.
We don't know that.
What are you doing? Oh, no! Where are you going? I won't be long.
Where are you going? Is she going to be all right? She'll be fine.
We're going to transfer her upstairs.
Give her some time to recover, OK? I had no right turning up today.
No right to Vicki either.
I should have stayed with her.
I gave her up for a job.
Uh! Some job.
62 years old.
I spent half my life in hotel rooms.
No family.
No friends.
Past two years all I've been thinking about is Vicki.
Who she was.
What did she look like? What might have been.
I saw you two at the grave-side today And I.
.
.
l was jealous.
You hear me, George? I'm saying I'm sorry.
George? George! George! George! You know, in a couple of weeks, when the dust is settled, we can start campaigning for it again.
Not sure I've got the energy.
Of course you have.
And next time we'll demand more money and staff and better facilities.
Has Chloe been back here? No.
Why? I'm really worried about her.
She's gone off on her own.
Can't you ring her? I did.
She sounded like she we was with someone.
The guy from here.
Felix Berry? Yeah.
He said he'd hook Chloe up if she ever got desperate.
What? What's going on? BP is 190 over 100.
Let's titrate some morphine.
You got nothing from the assessment there.
There was some history of pain.
OK, what have we got? Sudden collapse came out of nowhere.
His venous blood gas shows a lactate of eight.
OK.
Let's prepare for a chest drain He may well have a pneumothorax to match his brother's.
Hold the bus.
What's that? There's a gap in the ring structure of the aorta.
Let's get him an echo, make sure it's not a Type A dissection.
Yeah, we'll need to arrange a CT of his chest.
On it.
You like this machine, don't you? Yes.
Damn right, it's like being on Star Trek.
Here, see what I found earlier.
Is that what I think it is? I've got something for you? Yeah? Where d'you get that from? I told you.
Bondi beach.
So can you sort me some stuff out yeah? Course I can.
Come on then.
Payment? I'm skint.
I'll sort you out after.
We can go to Annie's and I'll I'll borrow it off her.
Now! I've got no money.
Who said anything about money? No.
No Argh! No! Now you really are going to pay.
No! Anything interesting? I've got something for you.
Yeah? For your blood sugar.
Bingo Was there something else? Yes.
I need you as a second in command, please.
I'd like you as a lead in Major Trauma.
What? Me? She's still not picking up.
There's no use.
And you've no idea where they might have gone? The city's full of crack dens.
Seen any news on Felix Berry? No address.
No number.
Nothing.
Well, we need to find him.
According to his scan he has a large undiagnosed frontal lobe tumour.
Which could explain his erratic behaviour.
Just been talking to my mate at the Just been talking to my mate at the Got an address on Barlow Street I know a few places on Barlow Street.
The police are on their way there.
Turns out he's got a conviction for sexual assault.
Right.
Come on.
You'll have to stay in for a few days while we treat you for the aortic dissection.
But Dr Hanna has some ideas on your underlying cause.
Yeah.
You've got polycystic kidneys It's likely to be autosomal dominant which means it's been genetically passed on by either parent.
Wait a minute? Vicki's got cysts on her kidneys.
So she got them from me? Well, actually, your ultrasound was clear.
She would have inherited them from her biological father.
Are you saynig Vicky might be mine? Well, there are further tests we can do to confirm it but I'd say it's highly likely.
Yes.
Hang on a minute.
I mean Vicki's mother was with me when she got pregnant.
She and George weren't.
.
.
they weren't together, if you know what I mean? Actually, that's not quite true That night in the car I never thought.
.
.
I mean, it was only a few minutes.
To be honest, I mean, a few minutes would do it.
So, Karen wasn't pregnant when she came back from London.
She was pregnant when she went.
Congratulations, George.
THUMPING ON DOOR Come on Come here! No! No! Aaaargh! Chloe? Chloe? Oh, Chloe.
Oh, God! OK, it's going to be OK, all right? We're going to get you some help.
Police are on him.
They're coming.
It's going to be all right, it's going to be OK.
All that time, you never thought to find out? Your mum was so sure.
Even so You really should have told me That he'd take you away from me like he did your mum.
Dad, he didn't take mum from you.
She stayed with you for 41 years Because of you.
No.
Because of you.
Mum loved you to bits, you daft bugger.
Mum was happy.
You gave her a life Uncle Danny never could have.
How is he anyway? Disappointed.
Can't say I blame him.
He had his heart set on getting to know you.
Good Cos I'd like to get to know him.
So when all this is over he's going to come and stay with us for a couple of weeks.
No arguments, Dad.
Family is family.
Yeah? When did you get to be so wise? I Inherited it from me mother.
Which is a much better gift than the bloody cysts I got from me dad.
Big Mac.
Right, we need to call it in, Jeff.
Annie, sweetheart, come on, get up, let them do their job.
Badly beaten female.
She's unresponsive.
On three please, one, two, three.
Mind yourself, son.
Zoe! This is Chloe, aged 17, she was found collapsed and badly beaten.
She's got multiple injuries including one to her head.
GCS was seven at scene, no improvement en route.
Straight through.
Pulse is 100.
BP 126/82.
OK, get her intubated, Dr Hanna.
Yeah.
You, wait outside please.
Let's prepare the RSI drugs I'll need some sux and thio and somebody call CT.
This is all your fault.
Oh, come on, that's not true and you know it.
She stuck to the programme and you still didn't come through for her.
We are now.
E-mail subtitling@bbc.
co.
uk
The more you move, the more you bleed.
Let's get him over to bed number two, please.
What? I don't want to lose my leg! The spike went into his upper leg, while he was climbing over the railings.
Obviously he's intoxicated but we don't know how much he's had.
A bit early for boozing, isn't it? Mmm.
Tell me about it.
OK, pal, we're going to move you over on three, OK? One, twothree.
Here we go.
Yup.
Ready? I've got' it.
Whoa! OK, he has hit an artery, more pads now! I feel sick.
Oh! Got it? Yeah.
OK.
Looks messy.
It's not as bad as it looks Look out! Whoa! Where the hell is everyone? Won't last another day though! Now, we're all feeling very happy.
We've had some very good results recently.
We're now at the bottom quarter in the M&N stats.
Good.
Well done, congratulations.
Thank you very much.
That's it.
You can get on with your shifts now What's the catch? Ah! Very good point, Dr Winters.
What is the catch? that we're making the other departments look bad? Shall we start cocking up more? I knew I could rely on you to illustrate my point, Dr Lyons.
Complacency.
That is the danger.
Complacency.
Not one of my traits.
We all want the best from this place.
A super efficient, focused ED The very best it can be.
But we are not there yet.
And it's my responsibility to take us there.
So how are you going to do that? Think of me as your complacency monitor.
Where's Dr Hanna? Well, she must have got held up.
What's her excuse this time? Complacency? You OK, Dad? You didn't have to do that on my account.
Ah, I wasn't really enjoying it Because she's not here to nag you about it? Probably.
Your cousins startred fighting yet? A bit early.
Even for them.
God knows how mum came from that family.
Your mum was different.
'Which may make suicide more likely to occur.
'Is not just a social problem, it's a disease.
'Sadly this means there's always a chance of relapsing.
'Here at the clinic, we not only support the primary recovery.
I don't even know why we're here.
Because your mum and dad sent you money.
Guilt money.
Which means they want you to treat yourself.
No, it means they wanted me to treat their granddaughter.
Oh, this would look so good on you.
What would I want with a sequined bikini? For when we go and visit your mum and dad .
Australia has got the most amazing beaches.
I saw this TV programme about it Yeah, I don't think we'll be going to Australia any time soon.
Why? Well, they don't give out diamorphine on aeroplanes for a start.
Yes, well I'm talking about later, obviously, not now.
We're not going to be on the programme forever are we? No, but we will be on it for a while yet.
You do know that? Yes.
Course.
You know, we just need to focus on keeping our noses clean.
So, Australia is really not an option for us right now.
First time I met Karen I thought, "Out of my league.
'You'll be lucky George', I said to myself! Borrowed Dad's car.
Course, it was a disaster.
The car broke down Stuck in the middle of nowhere Getting dark.
There was nothing else for it.
We had to kip in the car overnight.
I thought I'd blown it.
'There's no chance now.
' But Karen was great.
She treated it like an adventure.
We spent the whole night, talking, laughing, making plans.
One of the best nights of my life, love.
She was my friend.
A beautiful wife.
.
.
and a fantastic mother.
I look back now DOOR OPENS l look back and I realise I was right.
She was out of my league.
And I was lucky.
We were all lucky to know Karen APPLAUSE Babe? If we do go travelling to Australia, I was thinking, I'm going to learn a skill.
Snorkelling.
Mind you don't get eaten by sharks.
Ha! I can handle sharks.
I can see sharks coming.
How's the skirt looking? Too bloody tight.
How's your top? Really nice.
Have you seen the price though? It's my treat.
I'm sharing the love.
Let's have a look! Whoa! What is that? You're not? It's nothing.
Stop lurking there like a monster! Lady Gaga is it? Is that the only 21st century singer you can think of? 'In the majority of users, prolonged drug use can alter the brain 'in ways that results in powerful cravings and a compulsion.
Research.
I'm impressed.
You enjoy clinic work, don't you? It's just another part of my ED shift.
All right.
If you say so.
It's very important work.
And there are a lot of vulnerable people out there.
Earth to earth, ashes to ashes, dust to dust.
In sure and certain hope of the Resurrection to eternal life, through our Lord Jesus Christ who died, was buried, and rose again.
just give me a minute, love.
You always did like to make an entrance.
Wasn't my fault.
The plane was stuck on the runway for an hour.
Technical problems.
Whatever that may mean.
Still playing the high flying exec, eh? Well, we can't all be family men, George.
She's the spit of her mother.
Aunt Pat doesn't have a lift.
I said we'd take her, is that OK? Sure.
No problem.
Vicki, this is Danny.
My brother.
Uncle Danny? I was beginning to think you didn't exist.
Nice to meet you, Vicki.
And I'm sorry about your mum.
Well, we're having a small reception, in a pub in town.
If you follow the cars Actually Danny has got to get back.
No, no, no.
I'm all right for an hour or two.
And it'll be nice to catch up with my niece.
And my little brother, of course.
So that's the famous Uncle Danny? I Let's get your Auntie Pat in the car.
Your next prescription is due this evening.
We'll see you then.
Yeah? So this work is just another ED duty to you? Well, I'm very disappointed.
I All right.
So it's satisfying.
I admit it.
You are very easy to wind up, do you know that? It is satisfying.
I bet more people say please and thank you in this room than anywhere else in the hospital.
Well, they can't get this sort of help anywhere else around here, can they? No, we're making a difference.
So enjoy it.
Is that you done? Nope.
You're stuck with me.
I'll be back and forward all day.
Normal duties and clinic.
As and when.
How did you swing that? I told Jordan that you couldn't cope here on your own.
You did what? You are too easy to wind up, Charlie! I just asked for the chance to do more.
Can I leave this with you? Oi! Oi, Mr Oi to you, what do you want? A word with you.
Yeah? Get a dictionary if you want a word! You sold me a clapped out piece of junk! Come on, stop it now.
Show some respect.
You've made a fool of yourself now What was that about? God knows.
Didn't take them long though.
What's Danny saying then? Entertaining me with stories about you two growing up.
Something about you stealing his bike? It was the other way around.
Are you OK, Dad? Fine.
Look, why don't you come over? Need to keep an eye on this lot.
Uncle Danny's dying to speak to you.
I'll see him before he goes.
He's not going.
He's staying overnight.
Says he wants to talk to us about something.
Don't look at me like that, George.
You known this had to happen at some point.
I'm not letting you do it.
I don't really see how you're can stop me.
She's lost her mum.
Doesn't need any more trauma.
You chose! You said this is what you wanted.
We made a deal, Danny My deal was with Karen.
And she's dead now.
Danny! Dad! What are you doing!? Dad! Don't! Dad! Oh, my God! Dad! What do you think you're doing? Aargh! Oh!I That didn't go too well.
Oi! Me bike mate, get off! Get off! Get off! It's probably best not to mention it.
Oh, shut up.
You can't leave a leg to get like that! It'll be fine.
It'll be gone in a few days.
How long has it been sore? A couple of weeks.
Come on.
They'll think I'm using again.
You're being paranoid.
That was the first thought that crossed your mind.
I saw it in your face.
Right, question.
Are you using again? No.
I'm not.
Well, then there's no problem, is there? Come on.
Hey, come on Was everything OK at the house this morning? Yeah.
You.
.
.
erm you got yourself some breakfast? Yeah.
Did you lock up? Thanks.
Oh, and erm I one more thing, Yeah! Hey, you ok? Yeah, man, yeah.
just, Mads is not picking up but other than that, what's new though, eh? You stick up for me, OK I Hi Annie.
Hello, ladies! I Where's the little one? With a neighbour.
Ah.
You all right? just, erm a bit sore, nothing serious.
You two aren't due at the clinic until later.
It's her leg.
Chloe! She's in a lot more pain than she's letting on.
I hope you've been behaving! I have! And I'm fine! She's not! All right.
You'd better come with me.
I'll see you later.
See you later.
Looks like we missed all the fun.
Try not to be too disappointed.
Dad! Speak to me! All right, love.
Want to tell us what happened? This is my Dad.
His back is in a terrible mess.
OK.
Right.
We've got multiple lacerations.
Looks like there's a lot of glass still stuck in there.
OK.
Any other injuries we should know about? I just want to go home.
Sorry, darling.
We're going to have to take you in to ED first.
Oh, hello.
Nice of you to join us.
Stop on the way did you? Tea and buns? Little bit of light shopping? Actually the traffic was bad.
There's a thing for that nowadays, called a siren.
All ambulances have got them.
Jeffrey! Got a patient Yeah, listen to your boss and pay more attention.
No worries, son.
I've got this one covered.
What about her arm? Don't worry about that.
Can you find my uncle? You could've said something, love.
Looks bad, doesn't it? Let's just wait and see what the doctor says.
I'm not using again.
I promise.
I really want to stick to this programme.
Well, that's good to hear.
Er, Linda? Can I Can I ask you a question? Yeah, if you can keep up.
Can I get my prescription now? You know how it works.
You get allocated a time slot for you prescription.
But no-one's going to mind if I get it a couple of hours early.
This programme only works if everyone sticks to the rules.
It's not something you can change when it suits you.
You're have to get used to the fact this is about routine.
It's hard but it's a lot better than the alternative.
Feels woody? Heavy? Yeah.
What do you notice, nurse? The indentation left by your thumb.
Pitting oedema.
Textbook.
Absolutely textbook.
You still injecting? Only in the clinic.
Annie was snowballing.
She had a needle abscess and cellulitis in her groin.
Stick to the clinic.
Please.
And certainly no injecting into the groin.
Is this from the abscess? Complications out of that.
Yes.
Venous thromboembolism.
Or DVT.
Deep Vein Thrombosis.
He thinks you've got a blood clot on your leg.
But we need to do tests? A D-dimer, Duplex Doppler ultrasound.
Is it going to be OK? Once it's confirmed, a six-month course of Warfarin It won't affect your Diamorphine This is a clinical waste only bin Yes, Mr.
Jordan.
So what's this? Oh, no, "That's complacency Clinical waste is prohibitively expensive.
I don't know who put it there! Oh! Break time already? Just seeing to my blood sugar.
You were missed earlier.
Otherwise engaged, I'm afraid.
No explanation? Don't hold your breath, Tiger.
Zoe, it really would be much better if we just talked to each other.
I hear you're on a bit of a mission.
A one-man crusade to eradicate complacency.
No, not just me.
We're all pulling together on this one.
Really? So, are you going to tell me where you were? I Cheese and onion? We've got some fight victims en route.
One possible fracture, a penetrating chest injury and query pneumothorax.
Well, luckily you've just caught Dr Hanna in between a can of fizzy pop and a bag of crisps.
I'll go with you too.
Why would you even have a plunger on reception, man? I mean Sorry.
Can I help you mate? Name's Eddie Jones.
just wanted to pop by and tell you what a marvellous job you're doing here.
Right.
Well, thanks.
Appreciate it.
Also, any chance you can have a look at this? Oooh! Doesn't that hurt? I It's only my head- not much to damage in there.
How did you manage that? You wouldn't believe it.
Staff Nurse Faldren! Could you take this gentleman through to cubicles please? Yeah.
No probs.
Lets go this way buddy.
Great service.
Better than the prison infirmary.
Where you in there for anything serious? Political prisoner All right.
OK.
This is Danny Weaver.
Dr Lyons! He's got a puncture wound in his chest.
What's this a designer weapon? Take him through please.
Upset Cinderella, eh? This is my brother's doing.
Interesting taste in footwear your brother's got.
Became out of breath en route, suspected pneumothorax.
Resp is 20, pulse 110 BP 135 over 85.
He's had five milligrams of morphine.
Will I have to have me head amputated? I've grown rather attached to it over the years.
Erm.
.
.
Mr Jones is a bit of a joker.
Have you vomited since the accident? Yes, Doctor.
A few times.
Proper puke up.
He's been sick here twice.
CT Brain, Sutures and then CDU.
CT Brain? Sounds a bit technological.
Will I be able to play the piano afterwards? I couldn't before! I have a long held view that is an evil ordeal that we can at best hope to get through with our sanities intact But your jokes, Mr Jones, have made it seem like so much more.
Ah! Thanks, Doctor.
I like you You're a total nutcase, just like me! George Weaver, he's sixty.
Broken glass has entered his back mostly on the left side.
Mr Weaver, can you tell me what happened? He lost his mind is what happened.
All obs are normal, but his BP is 170 over 90.
All right, George, can you shifty over for me, mate, please? Nice and gently.
Good lad.
And you'll need to have that arm looked at.
Oh, I'm all right.
Everything all right, Dr Winters? Oh, actually, could you take a look at this lady's arm for me? Thank you.
Yeah, sure.
Oh, my God.
Look at the state of him.
Well, let's sort you out first, yeah? OK.
Let's get an x-ray please, then we will remove the shoe.
F We'll also need to exclude a H pneumothorax.
His sats are 93% You think we can we use the fast scanner for this? I'm all in favour of new technology.
But let's do this the traditional way.
X-ray please, nurse.
Listen.
.
.
l want to see Vicki.
I need to talk to her.
Stay calm or you'll make yourself worse.
You get me Vicki, I want to talk to her.
Keep the mask on please, Mr Weaver.
We'll get her for you as soon as we can.
Oh, my goodness! What did you do? Well, she came in, OK? First thing I did was.
.
.
Oh! Hello! Here's comes trouble.
It's you, is it? Have they said what's wrong? Possible blood clot.
So I'm waiting on test results.
That sounds serious.
Umm Well Dr Keogh didn't think so.
Thank you.
I had Keogh too.
He had the look of a bloke I once knew.
Went loopy and started eating his own hair.
That doc is all right though.
Eddie's been keeping me company.
just been having a proper laugh.
He's been to Australia! Yeah, yeah, last year, yeah Was that before or after you were in prison? It was during.
Was an open prison.
It was a very open prison.
Ha! You know what I mean? No, I don't think I do.
So? What are you two doing tomorrow then? Probably just hang around here.
Like we do everyday.
Why's that then? They're getting free diamorphine.
Sounds easy enough to me.
It's not just about diamorphine, Scarlett.
Programme's here to help people.
How is giving drugs to addicts helpful? Well, it depends how you look at.
If it wasn't for the clinic these girls would be using street drugs.
Yeah, but it's not doing them any good.
I mean, why aren't we focussing on getting them clean? It's not that easy, OK? There are limits to what even we can do.
Sometimes you have to go with second best.
OK? Don't get me wrong, I knew there was some history between them.
But for Dad to attack him like that.
Any pain or numbness in the thumb, index, middle finger? Aaah! Right, we'll mark that down as three shall we.
Probably a fractured distal radius with median nerve involvement, jay.
Let's get an X-ray.
OK.
I'd like to see my Dad.
You've fractured your wrist Vicki, so you've got to wait until we've attended to you, ok? How long will it take? After the X-ray we'll need to put it in plaster but first I'll need to manipulate it to relieve the pressure on the nerve.
Get the bones in the right place again.
We'll do a Bier Block.
And get the portable X-ray.
Vicki, are you Any medication, or medical problems we should know? I've got cysts.
On me kidneys.
I've had them since I was young.
They're really not a problem though.
OK, well I'll chase your notes up.
Uncle Danny wants to see me? And he's not taking no for an answer.
Right.
Five minutes.
Right.
Five minutes.
Thanks You're a little old for pub brawls don't you think? What are they doing in there? Taking care of your brother by the look of it.
I'll be back in a minute.
All right, nearly there.
That's great.
Oh! Lethal.
You OK, Uncle Danny? Yeah, I'm all right, love.
What happened? Why did he do it? Vicki, come here.
Some things you need to know.
You shouldn't be in here, you know Mr Weaver, the x-ray confirms your discomfort is being caused by a pneumothorax.
We're going to put in a chest drain and give you some pain relief.
F I Just gentle pressure, please.
OK OK, you've got two minutes.
Where is Ruth? I've wanted to tell you.
.
.
Vicki! Dad, what's he talking about? It's nothing love.
It's all in the past.
Obviously not! Otherwise you wouldn't be beating lumps out of each other.
Vicki Don't listen to him Vicki.
Vicki, love! I'm your real dad.
Is it true? I It's complicated.
I Is he my real dad or not? So, free heroin on the NHS? I What's the world coming to? I've got a good mind to Yeah, the programme's really helping me and Chloe, isn't it? Yeah, I bet the gear's top notch too.
The best.
You should get yourself on the programme.
We could all come in together.
Nah.
Not for me.
Getting your drugs from a clinic? It all sounds too safe for me.
Well, that's the point.
It's controlled.
And you like to be controlled? No, I don't.
It's doing me head in.
Having to come in here at a certain time, answer all the questions.
Sounds just like prison Yeah, well you'd know.
You know what, Chloe? You're like me.
A free spirit.
So, if you get sick of the rules .
.
give me a call.
I'll sort you out.
And with me you don't have to answer any questions.
We're not allowed dealers' numbers on our phone.
Who says I'm a dealer? Just put me in as a friend.
Stick me in your phone as 'my mate Felix'.
Thought your name was Eddie.
The doctor needs to talk to you about your test results, Mr Jones.
Heâll just be a minute.
Would you make your way back to your own cubicle? Thank you.
It all goes on in here then? My friend told me about what you do I've come for some heroin.
Please.
It doesn't work quite like that, I'm afraid.
We can only deal with patients who are.
.
.
um on our' programme.
I can take your details.
Put you in our system.
I'm Eddie Jones.
40 years old, been using on and off for years.
Right.
First, I'll need your real name.
I told you.
Right, so you're You're having some fun.
That's fine But before we can help you, I need to Felix.
Berry.
Thanks, Felix.
Can you give me your address? No more questions, darling.
I want what I came for now.
Get me the gear, or I'm going to turn you into a very unhappy bunny.
I don't think this day could get any more surreal.
I'm so sorry, love I never wanted you to find out.
You weren't ever going to tell me? Your mum and I thought it was best How did this even happen? The night your mum and I spent in the car.
It was Danny picked us up the next morning.
Well, in those days he was, like he is now.
Had the looks, the charm.
Had the looks, the charm.
Big job in London.
So, mum just dumped you for your brother? She was young.
She had her head turned, that's all Long story short, they moved down to London.
Three weeks later, it was all over.
Your mum came home.
Pregnant with me I assume? I loved your mum.
I wanted a family.
When you were born it all seemed so right.
And what about Danny? Danny had his job.
That was his thing.
So what you're saying is my real dad didn't want me? I'm your real dad, Vicki.
Except you're not, are you? Aw! He was all right.
Least he was funny.
Didn't like the look in his eye.
I don't like the look in his.
Oh, Dr Keogh.
Are those Annie's test results? It's something terrible, isn't it? Er.
.
.
no.
We haven't had those back yet.
There must be a log jam somewhere.
It'll be fine though.
Where's the other patient? Head injury.
Jones.
He's meant to be here.
Yeah.
He was.
I don't know Thirty seconds of calm.
That's all I was after.
It's like you're stalking me, Nick.
You'll be pinching my knickers off the washing line next.
Your patient from this morning The one with the spike in his leg Yeah, what about him? He's out of surgery.
They called down to say he was doing very well.
Thanks to your intervention.
Good.
It's nice to hear.
Why didn't you just say that you were with a patient? Because you already had me down as guilty.
Absent without leave.
Well, it would have avoided a lot of confusion.
I wasn't confused.
ls transparency and straight talking really too much to ask for? Mmm? You could just try trusting me, Nick.
Have you ever wanted to strangle someone? Frequently.
Erm You haven't seen a head injury patient, have you? What kind of a question is that? I am going to drive this through your head.
I'd prefer you didn't, Felix.
It's going to take time to get you what you want.
I'm not waiting! Charlie?! You're next.
She doesn't have access.
Only me.
You're a liar! We've already hit the panic button.
The police are on the way.
You think that's going to stop me, you stupid bitch! Now, do you want to see your brains on this lino? All right! All right.
I'll get it for you.
Linda.
Don't! You see what happens when you try and help junkies? Nothing but trouble.
The police will be here any minute Felix.
She better hurry up then.
OK, Vicki, this machine can be a little uncomfortable but it will help with anaesthetizing your arm OK? Vicki? Are you with us? What? You're a bit distracted.
Yeah, I've just found out my uncle's my dad.
OK, well, clearly that's distressing for you, but even so, we need you to focus right now, OK? I He wasn't ever going to tell me.
What? What could they be? Well, there's plenty of time to figure that out after we've done this, eh? OK.
Keep breathing.
Nice and calm Nice and slow.
Well done.
Actually, do you know what? I need to know now.
Vicki! I can't wait, I'm sorry.
You need to stay still for us, yeah? Forty mills of anaesthetic is just about to hit your system.
My lips are tingling.
OK, here we go.
You really should have stayed still for us, Vicki.
How much did he get away with? All of it.
What about Charlie? Is he OK? He's a bit shaken.
Tess is looking after him.
You wait till I see security.
It wasn't their fault.
They should've been present.
Charlie told them to stand down.
He didn't want them intimidating the patients.
Yeah, well that worked out well for Charlie didn't it? Look, I know it's bad but the priority is to get the clinic up and running again.
I don't think it is.
Mr Jordan, we've got an ongoing programme here.
People are relying on us.
I've got patients waiting.
Yes.
For diamorphine that you don't have.
But you can arrange to get some more in.
Could you let Charlie know that I'd like to speak to him, please? Are you ready for us? Is everything OK? OK! She's having a seizure.
OK, stand by with four milligrams of lorazepam, jay.
Come on, Vicki.
We need you to stay with us.
Vicki, can you hear me? What happened to her? We need to give her some Intralipid She's what, 60kg ? So let's start her with a bolus of 90ml and follow that with a continuous infusion.
Got that? Yup.
She sprained her wrist for God's sake! Mr Weaver, we need you to step out now.
Mr Weaver, please, step back! You close the clinic down now, we'll never get it up and running again.
And if I don't, and something else happens, we are going to look negligent.
Maybe even reckless.
Put security back in there.
Double it if it makes you feel better.
I can't afford to double security! Ah, now we're getting to the heart of it, aren't we? All you're concerned about.
The money.
E I I'm concerned about how this is going to look to the board, to the police, to the press! I'm concerned for your safety, Charlie.
You were lucky that needle was clean! I can take care of myself, thank you.
Well, your assailant begs to differ.
I'd like to see him come back in here and try that again.
Oh! In the clearing stands a boxer! The fact is that the clinic's a liability.
It's expensive, it's unpopular.
And it's dangerous.
It'd be a lot easier if we closed it down.
Yeah.
But I've got two girls downstairs doing their best.
And the only thing keeping them on track is us .
They have keyworkers who will take care of them.
We will contact them and make them aware.
It'll be too late.
When these girls turn up and we're not open I'm sorry.
they'll be straight back on the streets! I know how frustrating this is for you but I really have no choice.
So what do I tell them? Ok, I'll be right there.
just tell them.
just tell them.
I'm sorry.
How far into the procedure did she pull her cuff off? Early on, but we were.
.
.
It's remarkable she didn't arrest.
Well, we.
.
.
There's been a serious lapse here, Zoe.
Nick She comes in with a fractured distal radius Nick! .
.
and nearly died? A mistake of that size suggests there's something wrong with the way she was treated What was going on in the room? Hmm? I What would we have told the father? I've got to say it, Zoe.
You've been off all today.
Sloppy.
Something like this was waiting to happen.
Nothing to say for yourself? Come with me.
Ok, let's clear this up right now.
Vicki is a bright, capable woman But she was in pain and she was preoccupied.
I fully explained the necessity of the Biers procedure.
Good.
She accepted it, she knew what was coming up and every stage of that process we took time and care with her.
Good.
You ask jay.
She pulled her cuff off.
Our focus and speed of response was faultless.
She'd effectively anaesthetized her heart, and put herself at high risk of fatal arrhythmia.
So yes, it was life or death.
But she didn't die.
And there will be no lasting damage.
Why? Because of the way we handled it.
My team.
I can justify every single second of my treatment of Vicki Weaver.
There was just one random element involved.
A human being.
Sometimes human beings behave unpredictably.
They don't always fit into your 'box ticking' sheets! So if you've got a problem with that, you've got a problem with me! OK.
What does that mean? Ok, I accept your version of events.
Don't be nice, it's unnerving.
You're an excellent doctor, Zoe.
Yes! I am a good doctor and don't you forget it! All I ask is that we share information.
I defend this department against one accusation or another I every single day.
Whose side do you think I'm on? Hmm? Zoe? What? What the hell is a 'box ticking' sheet? What d'you mean there's been a delay? We've had an incident.
Which means we don't have any diamorphine doses at the moment.
Are you going to be getting some? I'm going to try my best.
You're going to try? You're kidding me, right? Relax, Chloe.
You said that if we kept coming here, you'd see us straight, keep us clean, keep it regular.
Chloe, I know this is difficult for you .
But just give me a bit more time.
Please.
She's not going to get us anything.
Yeah.
We don't know that.
What are you doing? Oh, no! Where are you going? I won't be long.
Where are you going? Is she going to be all right? She'll be fine.
We're going to transfer her upstairs.
Give her some time to recover, OK? I had no right turning up today.
No right to Vicki either.
I should have stayed with her.
I gave her up for a job.
Uh! Some job.
62 years old.
I spent half my life in hotel rooms.
No family.
No friends.
Past two years all I've been thinking about is Vicki.
Who she was.
What did she look like? What might have been.
I saw you two at the grave-side today And I.
.
.
l was jealous.
You hear me, George? I'm saying I'm sorry.
George? George! George! George! You know, in a couple of weeks, when the dust is settled, we can start campaigning for it again.
Not sure I've got the energy.
Of course you have.
And next time we'll demand more money and staff and better facilities.
Has Chloe been back here? No.
Why? I'm really worried about her.
She's gone off on her own.
Can't you ring her? I did.
She sounded like she we was with someone.
The guy from here.
Felix Berry? Yeah.
He said he'd hook Chloe up if she ever got desperate.
What? What's going on? BP is 190 over 100.
Let's titrate some morphine.
You got nothing from the assessment there.
There was some history of pain.
OK, what have we got? Sudden collapse came out of nowhere.
His venous blood gas shows a lactate of eight.
OK.
Let's prepare for a chest drain He may well have a pneumothorax to match his brother's.
Hold the bus.
What's that? There's a gap in the ring structure of the aorta.
Let's get him an echo, make sure it's not a Type A dissection.
Yeah, we'll need to arrange a CT of his chest.
On it.
You like this machine, don't you? Yes.
Damn right, it's like being on Star Trek.
Here, see what I found earlier.
Is that what I think it is? I've got something for you? Yeah? Where d'you get that from? I told you.
Bondi beach.
So can you sort me some stuff out yeah? Course I can.
Come on then.
Payment? I'm skint.
I'll sort you out after.
We can go to Annie's and I'll I'll borrow it off her.
Now! I've got no money.
Who said anything about money? No.
No Argh! No! Now you really are going to pay.
No! Anything interesting? I've got something for you.
Yeah? For your blood sugar.
Bingo Was there something else? Yes.
I need you as a second in command, please.
I'd like you as a lead in Major Trauma.
What? Me? She's still not picking up.
There's no use.
And you've no idea where they might have gone? The city's full of crack dens.
Seen any news on Felix Berry? No address.
No number.
Nothing.
Well, we need to find him.
According to his scan he has a large undiagnosed frontal lobe tumour.
Which could explain his erratic behaviour.
Just been talking to my mate at the Just been talking to my mate at the Got an address on Barlow Street I know a few places on Barlow Street.
The police are on their way there.
Turns out he's got a conviction for sexual assault.
Right.
Come on.
You'll have to stay in for a few days while we treat you for the aortic dissection.
But Dr Hanna has some ideas on your underlying cause.
Yeah.
You've got polycystic kidneys It's likely to be autosomal dominant which means it's been genetically passed on by either parent.
Wait a minute? Vicki's got cysts on her kidneys.
So she got them from me? Well, actually, your ultrasound was clear.
She would have inherited them from her biological father.
Are you saynig Vicky might be mine? Well, there are further tests we can do to confirm it but I'd say it's highly likely.
Yes.
Hang on a minute.
I mean Vicki's mother was with me when she got pregnant.
She and George weren't.
.
.
they weren't together, if you know what I mean? Actually, that's not quite true That night in the car I never thought.
.
.
I mean, it was only a few minutes.
To be honest, I mean, a few minutes would do it.
So, Karen wasn't pregnant when she came back from London.
She was pregnant when she went.
Congratulations, George.
THUMPING ON DOOR Come on Come here! No! No! Aaaargh! Chloe? Chloe? Oh, Chloe.
Oh, God! OK, it's going to be OK, all right? We're going to get you some help.
Police are on him.
They're coming.
It's going to be all right, it's going to be OK.
All that time, you never thought to find out? Your mum was so sure.
Even so You really should have told me That he'd take you away from me like he did your mum.
Dad, he didn't take mum from you.
She stayed with you for 41 years Because of you.
No.
Because of you.
Mum loved you to bits, you daft bugger.
Mum was happy.
You gave her a life Uncle Danny never could have.
How is he anyway? Disappointed.
Can't say I blame him.
He had his heart set on getting to know you.
Good Cos I'd like to get to know him.
So when all this is over he's going to come and stay with us for a couple of weeks.
No arguments, Dad.
Family is family.
Yeah? When did you get to be so wise? I Inherited it from me mother.
Which is a much better gift than the bloody cysts I got from me dad.
Big Mac.
Right, we need to call it in, Jeff.
Annie, sweetheart, come on, get up, let them do their job.
Badly beaten female.
She's unresponsive.
On three please, one, two, three.
Mind yourself, son.
Zoe! This is Chloe, aged 17, she was found collapsed and badly beaten.
She's got multiple injuries including one to her head.
GCS was seven at scene, no improvement en route.
Straight through.
Pulse is 100.
BP 126/82.
OK, get her intubated, Dr Hanna.
Yeah.
You, wait outside please.
Let's prepare the RSI drugs I'll need some sux and thio and somebody call CT.
This is all your fault.
Oh, come on, that's not true and you know it.
She stuck to the programme and you still didn't come through for her.
We are now.
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