- 6 months ago
S44 E07 >>> https://dai.ly/x9ovb1s
Category
📺
TVTranscript
00:00Something's off. I had patients come in today.
00:03I was told that they had been given morphine, but they were still in pain.
00:06What if somebody's pocketing the meds?
00:08What the heck on the rob?
00:09You okay?
00:10I'll be seeing you first thing in the morning for your exit interview.
00:13Don't be late.
00:14People are in danger. I can just tell them the pills are bad.
00:17Be so naive.
00:18Don't think about showing your face tomorrow.
00:20Mags wouldn't want you anywhere near.
00:23The pills are cut with medicines.
00:26Some of our staff are out tonight.
00:28We celebrate with a bang, right?
00:30How about we dish to doctors then?
00:32Yeah, right.
00:33Now you're stupid enough to rock up here off your faces.
00:36Siobhan was so disappointed in me.
00:38Reader.
00:39No, this isn't on Reader.
00:41It was Indy's mate.
00:42And where is Indy now?
00:44Are you sure you don't want a little sign to keep you up?
00:54Great.
00:55Okay, and does that sound regular?
00:57Thank you, sir.
00:59Thank you, sir.
01:01I'm sure I'll go now.
01:09.
03:14Yep.
03:15Really? You didn't get the dump and run treatment?
03:17No, I saw it.
03:19Did you read it?
03:20Yes.
03:22Well, I read the first page.
03:25I mean, OK, but I would say that today of all days is a great day to get your head around the rest.
03:29Yeah.
03:29Oh, it was fun.
03:37Oh, I'm sorry.
03:41Hey, let you turn shift.
03:42Don't look at me.
03:43Have I sleep and caffeine?
03:44I'm fine.
03:46Anything for Mindy?
03:48I don't know what to do.
03:49OK.
03:51Siobhan, I just wanted to say I'm so sorry.
03:54I'd save it till I've had a bit more sleep if I were you.
03:57Nicole, how long have we got you for today?
03:59Sorry?
04:00Well, you booked leave, didn't you?
04:02A funeral, was it?
04:03Well, yeah, there's too much going on here.
04:05Yeah, but certain things are more important.
04:07I know.
04:08It's actually probably for the best.
04:10I don't go anywhere.
04:11Right.
04:12Pre-alert en route.
04:13ETA is five minutes.
04:14It's a male-stabbed victim from a house burglary, so I'll put out a trauma call.
04:18OK?
04:19Yeah.
04:28Hiya, lads.
04:29Bed two, please.
04:29This is Hugo Atkins, Cerna, 42, stabbed by an intruder at home 45 minutes ago and fell
04:35down a flight of stairs, causing probably hematoma to his occipital region.
04:41Initial LOC.
04:43GCS, now seven.
04:44All right, move on three.
04:45One, two, three.
04:48Stab wounds to both his arms and his hands.
04:52Bleeding was controlled on arrival, and we can't find any other bleeding sites.
05:00Heart rate is 115 BP.
05:04His BP is 155 over 85, sat's 90, 15 litres.
05:08His rest is about 22.
05:09He's had two grams of TXA, five milligrams of morphine, four of them on Ancetron.
05:14This is his wife and son.
05:16Did anybody witness the fall?
05:18I was out.
05:19I came home and I just found him lying on the floor.
05:23Someone must have broken him.
05:24Stabbed him.
05:25I put pressure on, but I didn't know what else to do.
05:29OK.
05:29Airways maintain and we've got good bilateral air entry.
05:32He will be OK, won't he?
05:34I'm so sorry, I don't know how awful this can be.
05:36Can we step outside?
05:42What she's saying, I don't understand.
05:43Can you explain it?
05:45What?
05:46Who even calls themselves badger anyway?
05:48Can I see my socials?
05:49Are you sure they went to school together?
05:51Yeah, that's what she said, didn't it?
05:52Yeah.
05:54Anything.
05:54I put it in the group chat first thing.
05:56No one's heard from her.
05:58OK.
05:59What about Jan?
06:00Well, she says she'll let us know as soon as she arrives,
06:02cos India had that exit interview thing.
06:04All right.
06:05Thanks, mate.
06:05I thought you'd be asleep, aren't you, and Hart later?
06:12Yeah.
06:12But with all this lot going on, Jan needed some cover.
06:15Plus, he's handed to be on a truck to keep it light, you know?
06:17No, I'm fine.
06:20Teddy, you're still coughing.
06:22Are you OK?
06:23Yeah, I'm fine, thank you.
06:25Ready?
06:25Right, that's the TXC infusion going in.
06:38He needs to go to CT once that's done.
06:39Can you call ahead and let them know?
06:41I'm just going to go and speak to his wife.
06:42Hiya.
06:48So, we've put a breathing tube in now, so he's airways stable.
06:53And then he's going to go for a scan and hopefully we'll know a bit more.
06:59Sorry, it's just a lot to deal with.
07:01It's OK, love.
07:01You have to do everything you can for Elias.
07:08He's only six.
07:10I'll do my best.
07:12I will.
07:12OK.
07:33Of course.
07:37It's a bit more like reading during a crisis.
07:3968 pages.
07:43You're going to be kidding me.
07:45Oh, come on.
07:58Um, ended internal.
08:01What, she needs her help?
08:02Yeah.
08:03Look, for all we know, she'll be lying unconscious somewhere, right?
08:05We have to do something.
08:07OK, um, I'll source it.
08:09I'll try her phone again.
08:11What?
08:12Indy.
08:14I'm not a boss.
08:15Yeah, I know.
08:16Rita, Rita, look how busy we are.
08:18We need to be focusing on the patients we've got here.
08:21How can we, if we know she might not be OK?
08:23Cam is worried sick.
08:24In fact, we all are.
08:27Right.
08:28OK.
08:30Here's what we do.
08:31Let's go and brief reception, yeah?
08:33We'll ring around the hospitals.
08:34I'll speak to Jan, make sure we've covered all bases.
08:37We'll find her.
08:38Bye.
08:38Bye.
08:39Bye.
08:39I don't know.
09:09Badger? Badger, are you okay? Badger, are you alright? Badger, give up your eyes,
09:26Bobby? Badger? Got an update. He's in grossed. Hugo's CT shows there's a bleed in three different
09:45parts of his brain. It's what we call a subdural haematoma, a subarachnoid and an intraventricular
09:52bleed. The neurosurgeons are hoping to operate later today. And they'll be able to fix him,
09:59won't they? They'll do everything they can. Someone will come down and talk you all through,
10:06won't you? It's his parents. Hi. Are you, well, I don't know much, but... Daddy poor Nickers
10:18say you're shouting at mummy. Sorry? Whatever it is, you can trust me, you know.
10:25Well, later today, but... I'll tell you... Elias?
10:34There's a family room if you wanted somewhere to be. Yeah, I think that would be best. Can
10:41you pass my bag? Yeah. Come on, Elias. Let's go. Come on. That's it. Just room the corner. Come on.
10:49An ambulance has been dispatched and will be with you very soon. Goodbye.
10:56Ambulance service. Is the patient breathing? Hello? Can you hear me?
11:03Erm... Yeah, yeah, he's breathing just about. How does the breathing sound?
11:10Like he's snoring, he seems he won't wake up. I think... I think he might've...
11:33like he's snoring and he seems he won't wake up. I think, I think he might have, I think
11:40he might have taken a pill but a dodgy one. I need a, I need a truck on a camera response
11:45now or just send out a general broadcast to someone closer. Indy, is that you? Yeah.
11:56Okay. What's the address? Townsville Crescent number 13. Right, we will get a truck to you
12:04but now we must do what we can for the patient. No, I don't think I can. How many times have
12:10you done this before? Oh, I know. Come on now. Check his airway. He'll need a jaw thrust firm
12:18and secure, okay? Yeah, yeah, he's always open. Good girl. Now, put him in the recovery
12:25position. Keep checking his breathing and his pulse until the crew arrive, okay? Yeah.
12:33Jan? Yeah? I'm scared. Well, I'll stay on the line until the crew arrive, okay? You can
12:43do this, Cindy. I know you can. We're waiting on an ITU bed but as soon as we can we'll transfer
12:50to. And will he wake up there? No. Er, he'll be in an induced coma until he's surgery and
12:56then likely for a bit afterwards. I, I have to ask, erm, is everything okay at home? What
13:08do you mean? You felt safe there? Yeah, of course I did. Er, only I, I noticed something
13:17on your arm. My arm? Yeah, the bruising. Oh, it doesn't hurt, it's nothing. Okay, you, you
13:26only really get bruises like that if you've been grabbed. Do we have to? I, I just want
13:36to know that you're okay. Oh, it must have been the guy. You know, the intruder. He pushed
13:42past me as he ran out of the house. Mate, but you... I'm fine, honestly. So sorry to interrupt.
13:47Dr. Piper, I need you in recess now, please. Okay, excuse me. Unfortunately, recess and the
13:57acute recovery area both pulled the past in. Have we got a backup plan? I don't know, cupboards?
14:02Yeah, I'll have all of the cleaning stuff. Did you get a chance to look at my proposal,
14:05by the way? Er, yeah, I did, yeah. Go on. Yeah, it's good. It's impressive. Really? Even
14:10the stuff about, I mean, I know you call them junkies. Er, hold on, this is the chief of the
14:14day. Can I take it? Yeah, yeah. No, I lost it. I'll have to call him back. So, go on, the
14:19proposal. Er... Dr. Pyron, can I borrow you? Yeah. Because, you know, it's going to be a
14:22busy weekend of graduation celebrations. The last thing we need is nittazines flying
14:25about. Sure. Put in? Yes. Just implement it, okay? Really? Yeah. Look, what's the worst
14:30that could happen? I... Hold me deep. The standing room only, and then the cyst. Look, believe
14:39me, find a solution, Siobhan. We have got vulnerable patients who need a cubicle.
14:43Mr. Greenwood's been waiting for over four hours. Yeah, I mean, it's far from idea, I
14:51think. He's got 15% burns and Parkinson's. He needs his privacy. Please, can I leave it
14:56with you? Yeah. Mr. Greenwood, hi. My name is Dr. Byron. Look, I'm so sorry about this.
15:04We're doing everything we can to clear up cubicles. I'm fine, honestly. Are your tremors
15:09normally this severe? Er, well... I wouldn't even say if they were. Aidan.
15:14Doing okay, though, buddy? Yeah, I do. Yeah? Good. Um, right, have we done ops? Taken imaging?
15:25Bloods? Yeah, and centre bones of plastics. Thank you. Right, let's chase plastics and, er,
15:30keep them on 15-minute ops until then. Mr. Greenwood, as soon as a cubicle frees up, it's yours.
15:36It's about 50 beats per minute, but it's really weak now. Hello, paramedics? Yeah, I'm in
15:46here. Indy! You okay? Yeah. I'm okay. I'm okay now, Jan. Thank you so much. Yeah, can
15:54you hear me there? I'll leave you with that. Right, who've we got? Um, this is Badger. Sean,
15:58Sean, Sean Richardson. He's got a weak and threaded pulse. How long's it been done? I
16:02actually don't know, cos, er, I think he might have taken another pill. I was, I was asleep.
16:07Okay, let's get 15 litres, none, rebreathe on. Monitoring, see if he'll tolerate an opiate.
16:12Anyone else here with you? No, no, it's just us. Didn't realise you moved in these circles.
16:17Well, it was one night. It was supposed to be a, a blowout, wasn't it, Ted?
16:23You and all. You should know better.
16:28Er, he's bradycardic at 38.
16:32Okay, let's drop 400 micrograms of naloxone and atropine. Let's get two lives. Borganyl is
16:37in. We need to get a move on before he goes into respiratory arrest. Let's do a pre-alert,
16:40get going as fast as we can.
16:44How long have you been gone?
16:4930 minutes. 15 cycles of CPR and he's been in PEA throughout. All reversible causes
16:56have been addressed. Right, that's two minutes. Can you do a rhythm check, please?
17:00Yeah. He's asystolic. Come on, Hugo.
17:06Hugo. He's gone from PEA to a systole and there are no signs of life.
17:15He's had a massive brain injury. He's not coming back. No call him. If we're all in agreement?
17:23Yeah.
17:25Time of death. 11.34.
17:40Plastics have reviewed his images and they want to operate but it won't be till tomorrow.
17:44If he didn't have Parkinson's, that might be fine. He's uncomfortable, no matter what he says.
17:50Also, he's on the Parkinson's service at Holby, but there's no notes.
17:56We can't have a son eating off the floor either. Munchies or no munchies.
18:00Flynn, can I have a word, please? Yeah.
18:03Right, yeah. Your man, Al Greenwood. No care plan discussed. No medications apart from levodopa.
18:09We are struggling to get on top of his pain.
18:12Okay, well, then he needs a pain team assessment and a PCA to control his energy.
18:15Yes, he does and he also needs a cubicle.
18:18So, once the nurse has handled your discharge admin, thank you very much indeed,
18:24I should tell you about a guilt-free amnesty that we're running in collaboration with the
18:29medical alcohol and drug support Denmark. And it offers you an opportunity to have any drugs
18:33that you think might be contaminated, to have them destroyed anonymously, obviously.
18:37I think it's probably better to be safe than sorry. Yeah.
18:40Dr Keogh, can I have a word? You can.
18:42Um, just leave it with me, would you? I'll get it sorted, okay?
18:52Do you want to tell me what the hell you're playing at? Come on.
18:54You really think people are going to hand their drugs over?
18:57Well, not in normal circumstances, obviously, but these aren't normal circumstances.
19:02And there's a serious risk to life if only more of these contaminated drugs are consumed.
19:06Right, so you're scaremongering now.
19:07No, not if it's handled the right way.
19:09Because diplomacy is one of your strong points.
19:11Even if people handed over their drugs, which they weren't, but even if they did,
19:15we do not have the time or the resources to deal with an amnesty dealing.
19:18We're not the police. Sorry. This is painfully naive.
19:20This was in my proposal, which you agreed to.
19:23I mean, resource allocation, that was dealt with in the appendices.
19:26Maybe you haven't read it at all.
19:27Sorry. Sorry, guys. Delaney needed in resource.
19:29He's going to be okay, all right? Badger? Just try and stay with us, okay? You're going to be okay.
19:43I've got you. You'll be fine.
19:48Indy, thank God you're okay.
19:50Indy, you know they're going to do everything that they can, all right?
19:54All right, everyone. This is Sean Richardson, 21.
19:58Found unresponsive for an unknown amount of time.
20:01Suspected OD, ecstasy laser nitazines.
20:04Airways being maintained with an eye gel.
20:07We've had to suction due to vomit, so potential aspiration.
20:10Okay, let's transfer if we can then.
20:12Please, on my count. Ready, steady slide.
20:15Sorry, carry on.
20:16Thanks.
20:17Resps, six, so we're assisting with his ventilation.
20:21Sats, 95.
20:23Pulse, 45.
20:25BP, 70 over 50.
20:27And GCS, 3.
20:28Has had 1,600 micrograms of IV naloxone to no effect.
20:31And 500 mls of fluid running.
20:32Great, thank you very much.
20:33How many films? Five seconds.
20:34Okay, so we have biobasal with crackles at the bottom of both lungs, I'm afraid.
20:38Let's get a second line in, though.
20:40Let's get monitoring on a full set of blood.
20:42Starts dropping.
20:43Right, okay.
20:44So, yes, let's prepare to intubate, then, please.
20:47And let's do an ECG.
20:57Maybe now would be a good time to check Elias over.
21:00Oh, it's fine.
21:02Aren't you, sweetheart?
21:03He's just in a bit of shock.
21:06All the more reason to check.
21:09Just in case.
21:10It won't be too long.
21:12And I've got something for you.
21:15This is a very special bear.
21:18He gives very good cuddles.
21:20Okay.
21:24Why don't you and Ted come with me?
21:26Come on.
21:36I'm afraid it's not good news.
21:40Hugo suffered complications from the bleeds on his brain.
21:44The damage was just too much.
21:48He died a short while ago.
21:49What?
21:51But you said it.
21:52I said I would do everything I could and I did.
21:54I did.
21:55Oh, my God.
21:57What's Elias going to do now?
21:59He hasn't got a tattoo.
22:00Don't get it.
22:01Don't touch me.
22:02Here's some deep breaths.
22:07Right.
22:08Can you put your head forward?
22:10No.
22:11You need to pinch your nose, okay?
22:12No.
22:13Kate.
22:14You're having a panic attack yet, okay?
22:16You need to let me help you.
22:17I can't.
22:18I can't.
22:19Why can't you?
22:20Why?
22:21Why can't you?
22:22Why can't you?
22:31Good job you're not driving today.
22:35If you've taken some of you shouldn't have.
22:38Did I think you were into that?
22:40Let me get some water.
22:41I'll be a sec.
22:43Here.
22:44Um.
22:45Did you get my message?
22:46Er, no.
22:47I've not checked water.
22:48Mate, I need a favour.
22:51I'm in a bit of a tight spot.
22:52I wondered if you could sub me.
22:55Yeah.
22:56Yeah, of course.
22:57Our time.
22:59A couple of the grandchildren.
23:00I know.
23:01I know.
23:02I know.
23:03It's a big pass, mate.
23:04And believe me, if I had enough option then...
23:06What do you need all that for?
23:09Jacob?
23:10Yeah.
23:11Yeah.
23:12Um.
23:13Look, can we go to the pub later?
23:15Talk about it?
23:16Yeah.
23:17Yeah.
23:18Yeah.
23:19Yeah, of course.
23:27Ready?
23:28Mm-hmm.
23:29Okay, so we've got good bilateral air entry there.
23:32Let's secure the tube, please.
23:33From getting the naloxone drip up as well.
23:34How's DCG looking?
23:35Um.
23:36The QTC is long and the QRS morphology doesn't look right.
23:37Yeah.
23:38Two grams magnesium then, please.
23:3950 mils sodium bicarb.
23:40Let's do a blood and a blood gas, please.
23:41Yep.
23:42I can do that now.
23:43I'll be right back.
23:45Uh, Faye.
23:46Sorry.
23:47If you're free, can you send these bloods off and a gas, please?
23:49What's going on?
23:50He's really sick.
23:51I'm so sorry.
23:52Seeing your boyfriend like that must be awful.
23:53No, he's not my boyfriend.
23:54Oh.
23:55Oh.
23:56Oh.
23:57That's good.
23:58Um.
23:59Sorry.
24:00I meant that it was...
24:01No, it's fine.
24:02Don't worry about it.
24:03Listen, I'm really happy you're safe.
24:04Um.
24:05Uh, Faye.
24:06Sorry.
24:07If you're free, can you send these bloods off and a gas, please?
24:09No.
24:10What's going on?
24:11He's really sick.
24:12I'm so sorry.
24:13Seeing your boyfriend like that must be awful.
24:15No, he's not my boyfriend.
24:16Oh.
24:17That's good.
24:18Um.
24:19Sorry.
24:20I meant that it was...
24:21No, it's fine.
24:22Don't worry about it.
24:23I'm really happy you're safe.
24:24Okay?
24:25I can't tell you how worried I was about you.
24:28Cam?
24:29Yeah?
24:30Come in.
24:39Okay.
24:40Compression should be working now, so can I check the bleeding's stopped?
24:46Has it?
24:47Yes.
24:48Well, the perforation at the base of your nose looks infected.
24:51How long have you been using?
24:54Oh, it's just when I go out.
24:56You know, sometimes.
24:58I thought I had it under control, but...
25:00It's not easy.
25:01I get that.
25:02You know, Hugo was the one who got me into it in the first place.
25:06He was the one.
25:08But then he stopped.
25:09And I couldn't.
25:10Is that why you argue?
25:11Elias.
25:12Oh, God.
25:13Okay, I have to ask.
25:14Are these bruises?
25:15I told you.
25:16There was a man in my house.
25:17Right.
25:18But you also told me that you found Hugo alone.
25:19So, which is it?
25:20Well, yeah.
25:21Well, I...
25:22I can't remember.
25:23I just want to help you.
25:24No, I can't be helped.
25:25Okay.
25:26So help Elias then.
25:27I love him more than anything in the world.
25:28Kate, were you using last night?
25:29I bumped into him.
25:30I bumped into him.
25:31I'm not.
25:32I'm not.
25:33I'm not.
25:34I'm not.
25:35I have to ask.
25:36These bruises.
25:37I told you.
25:38There was a man in my house.
25:39Right.
25:40But you also told me that you found Hugo alone.
25:41So, which is it?
25:42Well, yeah.
25:43Well, I can't remember.
25:44I just want to help you.
25:45No, I can't be helped.
25:46Okay.
25:47So help Elias then.
25:48I love him more than anything in the world.
25:51Kate, were you using last night?
25:56I bumped into an old friend.
25:58Well, an acquaintance.
26:01And I got back later than I planned.
26:04And when I came home, Hugo had their bags packed.
26:09He told me he was going to take Elias away.
26:12My little boy.
26:14I couldn't bear the thought.
26:19And I grabbed a knife.
26:23So there wasn't an intruder?
26:30I didn't mean to hurt him.
26:34But I just couldn't stop.
26:36And then he just fell.
26:40Okay.
26:41We'll pack your nose and give you a referral to the ENTA team and the Substance Miss Use Service.
26:53But that won't do any good.
26:56I've lost everything.
26:59What's his name, love?
27:15Amos.
27:16And you are?
27:18Shannon.
27:19His daughter.
27:20Amos.
27:21Amos, mate.
27:22My name's Ian.
27:23I'm a paramedic.
27:24He's in treatment for prostate cancer.
27:29That's why he's got all this gubbins.
27:33And I saw him late afternoon yesterday.
27:36Popped in to give him his tea.
27:38Yeah.
27:39How was he then?
27:40Any chest pains?
27:42Did he look unwell?
27:44No.
27:45He was quite perky.
27:47Quite smazzy.
27:48Oh, hello.
27:50It's bad, isn't it?
27:52I mean, you'd be doing all that CPR stuff if there was any chance.
27:55Right, let's have a look.
28:01I'm afraid your dad has passed away.
28:05If it's any consolation from what I can tell, it would have been peaceful.
28:10When?
28:12That's hard to say.
28:15I was too late.
28:18I got here too late.
28:21I'm really sorry.
28:24Does he have a care folder anywhere?
28:27There's a box.
28:29In the kitchen.
28:30That'll be his end of life meds.
28:32We'll need that as well.
28:33I'll go.
28:34I'll grab them.
28:35I'll go.
28:36I'll go.
28:37I'll go.
28:38I'll go.
28:39I'll go.
28:40I'll go.
28:41I'm sorry.
28:42I'm sorry.
28:45I'm sorry.
28:46I need the camera now.
28:47I'm sorry.
28:48I'm sorry.
28:49I can't see you.
28:51I can't see you.
28:55What am I gonna do?
28:56What am I going to do?
29:00BF, so back on the chest then, please.
29:02Let's give him some more adrenaline.
29:04If those D5 pads are on.
29:06And I'm going to charge to 150.
29:09Tell me when.
29:10I will.
29:11Okay, so clear then, please, everybody.
29:13Top, middle, bottom.
29:14Shocking.
29:18Okay, no, back on the chest.
29:20Right, we'll try again then.
29:22Charging this time to 180.
29:24Everyone clear then, top, middle, bottom.
29:27Shocking.
29:31Ready to get back on the chest then.
29:33Oh, no, hang on, hang on.
29:35Yeah, we've got a sinus rhythm.
29:37We've got a pulse.
29:39Well done, well done.
29:41Okay, so let's do blood pressure, let's do blood gas and repeat the ECG.
29:44All right.
29:45Teddy, you all right, man?
29:58Yeah.
29:59So he's got an in-date DNR and some just-in-case meds, plus some other bits.
30:05Okay, the pharmacy will take them off your hands whenever you're ready.
30:10Okay.
30:11I'll update his records and contact his GP to notify death.
30:18Do you reckon anyone's fed the cat this morning?
30:20Hang on, there's drugs missing here.
30:23Is this all you found?
30:24Yeah, it was.
30:26Why, what else was there?
30:27A couple of boxes of morphine, at least.
30:30Let me go and have a look.
30:31I'm sorry, I thought it was not ideal, but it's fine.
30:42Remember, press that button and that pump will deliver the pain relief immediately, okay?
30:45This will really make a difference.
30:47Right.
30:49Um, so there was one other thing.
30:52Oh, Aidy, why don't you go and find the canteen, eh?
30:55Get a proper meal inside.
30:56Dad, you can't usher me down the shed here.
30:59When was the last time you saw your Parkinson's nurse?
31:06Oh, er, well, you know, I've been taking my medication.
31:10I'm coping fine.
31:11You call this coping?
31:13You burnt yourself because of your tremors.
31:17Do you think it's the disease?
31:18Do you think it's getting worse?
31:20Not necessarily.
31:22Look, I'm not a specialist, but involuntary movements, or dyskinesia as we call it,
31:26it's often caused by a medication that's at the wrong dose,
31:31or sometimes medication wearing off.
31:33I mean, do you think either of those things could be the case?
31:37Yeah, I mean, I always struggle a bit, you know, before my next dose is due, so...
31:41Why didn't you tell me?
31:44It's because you're young, you don't need all this.
31:47You shouldn't have any worries, any responsibilities.
31:50I think you're my dad.
32:00You're all I've got.
32:06All right, guys, well, look, um, first step is to speak to your neurologist.
32:10Make sure you're on the right medication at the right dose, obviously.
32:14Well, I've actually been reading up about some stuff myself.
32:17Oh, yeah?
32:18Well, it says online that cannabis can be used to treat some Parkinson's symptoms.
32:25I'm right, though, aren't I?
32:26Yeah.
32:28Well, look, I mean, there's no official research on the matter,
32:31but, um, yeah, look, if you find yourselves bonding down the garden shed
32:37over some herbal medication, it's not the end of the world.
32:41See?
32:42Just do me a favour and don't quote me on it, OK?
32:45Um, look, I'll go speak to you in Euro, try and speed things up, I'll come back to you, OK?
32:50OK.
32:51All right.
32:57Just so we can be clear, um, so heroin addicts lack self-control,
33:01and amnesty is hopelessly naive, but cannabis we're all for.
33:06Sorry, which of the harms are we advocating for this week?
33:08Just hang on.
33:09Cos it's pure hypocrisy.
33:10Mr Greenwood is sick.
33:12It's not hypocrisy.
33:12I'm advocating pain relief.
33:14An addict aunt?
33:15Come on, mate.
33:16It's not a choice, is it?
33:19You sure you found everything?
33:21What's that supposed to mean?
33:22Well, look how you've been today.
33:24I know you went out last night, but this is more than a hangover.
33:26What's going on?
33:28Oh, my God!
33:29He meant to do this!
33:31I can't believe...
33:33Why would he?
33:36When he could have had palletive care?
33:40Explains where the morphine went.
33:42All right, take a seat.
33:44Nice deep breaths.
33:44Why didn't he talk to me?
33:51I thought he told me everything.
33:52I thought I knew him.
33:55Yeah, yeah, this is...
33:56This is a real shock.
33:57Just take your time.
33:59He said he didn't want me to have to watch him die.
34:02But is this any better?
34:04Is there anyone we can call for you?
34:07Anyone?
34:07It's all I had.
34:13What am I going to do about the cat?
34:16I don't even like cats!
34:24Elias, there's something I need to tell you.
34:27When your daddy came into hospital,
34:30we put him to sleep to try and help him.
34:33But he was just too poorly.
34:35I'm afraid he died a little while ago.
34:40I'm so sorry.
34:42What about Mummy?
34:47Your mum needs to speak to the police about what happened.
34:55This is Karen.
34:57Hello, Elias.
34:58She's a play worker.
35:00And you're going to go with her now?
35:01I'd like to stay with you.
35:05It's okay to be sad.
35:07But you need to remember
35:08that none of this
35:11is your fault.
35:13Okay?
35:15Because I was like you once.
35:19I felt I was all on my own.
35:22I just wanted someone
35:23to come and look after me.
35:24and then one day
35:27they did.
35:30And that person was
35:31kinder than anyone
35:32I've ever met.
35:35So it's going to be okay.
35:37I promise.
35:38Yeah.
35:41Come on then.
35:42You sure you're okay?
35:59Like earlier with the morphine?
36:00I am.
36:00Yeah.
36:01I said, er,
36:02you know,
36:02if it was the other way around
36:03I probably would have thought the same as you.
36:04So,
36:05it's fine.
36:08You're a good man.
36:09All right.
36:10I just want to see
36:11if this cat's all right in the back.
36:14I can't believe you took it.
36:16Well,
36:17I thought I didn't want to keep it.
36:19Cat's shelter's not that far away,
36:21so...
36:21Aren't many who care as much as you?
36:24Stupid, you mean.
36:26Takes one to know one.
36:36What's that?
36:37Right.
36:41Right, right.
36:42I can explain.
36:46It's operable.
36:49Look at me.
36:52I've been having heart problems again.
36:55AVR and T.
36:55Since when?
36:57A few months.
36:58Months?
36:59Teddy!
37:00I thought I could deal with it by myself,
37:02but since the shortages
37:03I can't get hold of my meds
37:04and...
37:05Yeah, I've been half in my doses.
37:08Oh, yeah?
37:08How's that working out for you?
37:10I ran out.
37:11I ran out completely.
37:12So you nicked some?
37:13No, I know it's not right,
37:15but if I take him to the pharmacy
37:16they'll just destroy him anyway.
37:17How's that fair?
37:18How's that fair when I'm...
37:20Teddy.
37:22If you'd have talked to me
37:23I could have helped.
37:23No!
37:24Cos if I tell you
37:25then it goes on my record
37:26then I'll never be considered
37:27for heart again, will I?
37:34Are you gonna report me?
37:37Cos I get it.
37:38I understand it if you do, but...
37:41I feel...
37:42I feel like if
37:42I don't get this under control
37:44I feel...
37:46I feel like I could die.
37:47Take these back to the pharmacy, yeah?
37:59If that's what you want.
38:02That's what I'm saying
38:03you should do.
38:05Officially.
38:07Yeah.
38:08Yeah, I will.
38:10Control to 3006
38:12Let us know when you're clear.
38:143006, control, yeah.
38:16We'll be clear shortly.
38:17All right, buddy.
38:29Okay, okay.
38:30Okay, Brian has a suspected
38:31closed distal left tibial fracture
38:33after slipping on the pit
38:34and running the lines.
38:35No neurovascular compromise
38:37no other injuries
38:38and often stable.
38:40He's at enterlox
38:41one gram of IV paracetamol
38:42and ten milligrams of morphine.
38:44He is still saying
38:45ten out of ten pain.
38:46All right, my man.
38:47And they're going to look
38:48after you, okay?
38:49You'll be back on the sideline
38:50you're not.
38:51Thanks.
38:52Right, we'll just get you
38:53connected up.
38:54You're on the gas in a second.
38:55Take a big dick.
38:56Go ahead, check you in.
38:57Jacob.
38:58Jacob, can you just clarify
39:00how much morphine
39:02you've actually administered again?
39:04Five at the seat
39:04and five in the truck.
39:06Come on, Faith.
39:07I don't know what I'm doing.
39:08Yeah, I...
39:09Please be seated.
39:31If I may invite Cassie
39:37to come and bring us
39:38a few words.
39:39Thanks.
39:39I'm sorry.
40:03I'm sorry.
40:03I can.
40:10If you want.
40:33When I first met Maggie, I didn't think anyone cared.
40:49I definitely didn't trust anyone.
40:51But then Mags took me into her home and she showed me just how much someone can care.
41:08She did it in her own Mags way.
41:10No airs, no graces.
41:12Just unconditional love.
41:16She wasn't just a foster carer.
41:20She was more than that.
41:21She was a mum.
41:35And I hope she knew the difference that she made.
41:51She was more than that.
42:21Listen, guys, I know you're all exhausted and we are snowed under, but I'm afraid the police
42:29just released a bulletin outlining the fact that they found hospital-grade morphine on
42:33the streets.
42:34What?
42:35They'd like any information that we can provide them to help further their inquiry.
42:39Now, given the potential severity of this situation, I need to remind you anything you do offer
42:43must be substantiated.
42:45Flynn, no disrespect.
42:46We're rushed off our feet as it is.
42:48Yeah, I know.
42:49So we're going to make sure that patients are priority first and foremost, okay?
42:52When we get more staff in, we will.
42:54Right.
42:55Listen, we're also going to be running a drugs amnesty programme out of the acute recovery
43:00unit for anyone wishing to hand their drugs in.
43:04We'll be working with the police and addiction services in combination and Dr. Kiel will be
43:08the lead from our side.
43:09Any questions, please direct them his way.
43:13All right.
43:13Let's get back to it.
43:19Yeah.
43:20Yeah.
43:21I know.
43:22You were right.
43:24We've got to do something.
43:29They've sent him to ICU.
43:31The doctor seemed positive.
43:32Well, that's something.
43:35I'm normally a box set Bovril kind of girl.
43:4099% of the time we make the right choices.
43:44It's the 1% we don't that live to haunt us.
43:48It was supposed to be a night to celebrate.
43:51But I just kept thinking that none wasn't there to see me graduate.
43:58Or anyone from here.
43:59People I actually care about.
44:00Well.
44:05I'm really sorry about all that stuff with Dad.
44:08It was bad.
44:09I'm sorry.
44:11But that's why I'm going.
44:12Because I've messed up the only good thing in my life.
44:17Come on now.
44:17We've all done stupid stuff.
44:19Not as stupid as me.
44:22Oh, I don't know.
44:23There was that time that I lost all my clothes.
44:26I mean, all my clothes.
44:28Oh.
44:28That was stupid.
44:33I just didn't...
44:34I didn't realise how much I felt like family here.
44:38A dysfunctional one, maybe, but...
44:40Look.
44:48We do have a vacancy here if you want to apply.
44:54Where did you do that?
45:01Where did you?
45:02Oh, my God.
45:03Oh, my God.
45:07Is it safe to come in?
45:09Guess who's staying.
45:10No.
45:11Yeah.
45:11We can't get rid of you, can we?
45:13No.
45:13What have I done?
45:15Well done.
45:19See you, Ness?
45:20Lost a little grade morphine.
45:22On Holby streets.
45:25Yeah.
45:26Not just a couple of vials, either.
45:28Where the hell is that coming from?
45:30Thanks for what you said.
45:54It's nice.
45:55I meant it.
46:00You OK?
46:03Did they do that?
46:05Did they?
46:06It's just a tap.
46:09And you think that's fine?
46:11I don't have a choice.
46:14Yes, you do.
46:16I can help you.
46:19No, I told you before.
46:21Yeah.
46:21And that was different.
46:23Look at you.
46:26You know what they're like.
46:28And you know what they do to people.
46:30And I...
46:30I can't...
46:33I can't have them do that to you.
46:35I can't.
46:38Just come with us.
46:39Come now.
46:41Go.
46:41Look, once you're in my flat, you'll be safe.
46:44And then what?
46:45Whatever you need.
46:48Cassie.
46:49I don't know.
46:50Please.
46:51Mackie would want me to help you.
46:55Wouldn't you?
46:57I think she would want you to let me.
47:00Please.
47:07Lady.
47:08Want to see a drink?
47:09You know, it's happened again.
47:14Another patient in agony after apparently being given 10 milligrams of morphine on the way.
47:21And who's truck?
47:23Jacobs.
47:25No, come on.
47:27Should they not have anybody?
47:28Well, I asked them, could there possibly have been a mistake, but no, he was adamant that there wasn't.
47:36Do you know what?
47:37Earlier in the station, after we saw the police bullet in, he made a call.
47:42He did look stressed.
47:42I'm so sorry.
47:45This will ruin his career.
47:47And ours, if you keep quiet.
47:49Look, I know he's your mate.
47:53Best mate?
47:55Your best mate, I know, but you're going to have to tell Jan as soon as possible.
48:03Hang on, Faith.
48:04Ian, please, come on.
48:05I'm serious.
48:06Because if you don't, then I will.
48:10I will.
48:12I will.
48:14I will.
48:16I will.
48:18I will.
48:37I will.
Comments