- 3 months ago
S44E10 >>> https://dai.ly/x9q39ai
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00:00Hey Jake, I'm Rash.
00:02Hey.
00:02That's teen speak for nice to meet you too, Rash.
00:05Cassie, come and stay at mine.
00:08To have worked something out.
00:11Hello?
00:12Hiya, what's your name?
00:13Cassie, she's been staying with me, is she okay?
00:15Get her on her side.
00:16I have found Cassie was as well,
00:18and there is a biological family that we can get in touch with.
00:21Can I see my care fail too, please?
00:24So you think I've been stealing gear?
00:26Well, you've not thought about looking closer to home.
00:28Jacob, a word now, please.
00:34What have you done?
00:37I didn't steal any morphine.
00:39I haven't done anything wrong.
00:58What have you done?
01:05Morning.
01:09Cheers.
01:11Cheers.
01:13Cheers.
01:15Cheers.
01:17Cheers.
01:19Cheers.
01:20Cheers.
01:22Cheers.
01:23Cheers.
01:24Sonny, you scared me.
01:36Sorry.
01:37Can I have a word?
01:40Sure.
01:54Have you taken anything?
02:09It's the best control of her bowel and bladder.
02:12BP was 168 over 90 and she's becoming more tacky.
02:16Pupils are dilated.
02:17She's pyrexic.
02:18Try and get some incos under her.
02:20Do you reckon it could be that nitazine lace patch?
02:21It's not like any nitazine or that you have ever seen.
02:24Right, make sure she stays on that stretcher.
02:36Sorry, Jan.
02:37How can I help?
02:43You've heard about the issues we've been having with morphine.
02:47Some batches have had just saline in them.
02:52Someone's skimming.
02:53Jacob's under investigation for it.
02:55I've had to put him on desk duty.
02:58He could lose his job.
02:59That's terrible.
03:00Yeah, it is.
03:01So we've been checking every batch we get.
03:05And they've definitely been tampered with before they reach us.
03:10Well, the protocol here is pretty infallible.
03:13I don't see how it could happen.
03:16But it has.
03:17Sounds like it's a manufacturing issue, then.
03:22I'll make sure someone gets on to them.
03:25Hey!
03:26Who let the riffraff in here?
03:27Hello, sweetheart.
03:29Hang on a bit up there.
03:30Here she is.
03:37Still working hard, then?
03:40Yeah, well, you know, keep trying to make myself useful.
03:43Oh, you're not tempted by retirement yet?
03:46No, no, no.
03:47I do my own heading.
03:48I'm terrible company.
03:49Got some deliveries for anaesthetics, obstetrics and the ED.
03:53You're the boss.
03:53And I must say you're looking as pretty as ever.
03:58Still barking up the wrong tree.
04:00There you are.
04:01A dog's got to bark.
04:02Here you go.
04:03Did you encounter a sign for these, Dean?
04:06Great.
04:07Nice to see you.
04:08Oh, and you, love.
04:11I've got to go as well.
04:13Will you talk to your colleagues?
04:15Ask them if they've noticed anything odd.
04:17Yeah, absolutely.
04:19Can't have Jacob taking the blame, can we?
04:23Thanks.
04:32Okay, it's all right.
04:33Nearly there.
04:33Okay, who have we got here?
04:34So this is Mandy Butcher we've got.
04:37Mandy, can I get you to put your head down?
04:39My name's Rita.
04:53We haven't seen the reaction that extreme before.
05:01Thanks, guys.
05:02Okay.
05:02Hi, I'm Dr. Masson.
05:04Can you tell me you haven't taken anything?
05:06Have you?
05:07Okay.
05:08Mandy?
05:09Mandy, do you know where you are?
05:11Okay, just try and stay still.
05:12I'm just going to check your eyes.
05:13Okay?
05:13You're in the hospital.
05:14You're safe.
05:15Nice and still for the doctor.
05:16She's hypotensive and tachycardic, so let's add CK to the blood.
05:21Can we keep four milligrams of lorazepam handy?
05:24This isn't an opiate overdose giving her agitation of vital.
05:27Let's do an ECG and ABG and check for QTC.
05:30Can we put a call out to Faith like another clinician in here?
05:33You're okay.
05:33Try and stay still.
05:34Try and stay still.
05:35You need to go.
05:36Go.
05:36Go.
05:36Go.
05:36Go.
05:36Go.
05:36Go.
05:36Go.
05:36Go.
05:36Go.
05:36Go.
05:36Go.
05:36Go.
05:36Go.
05:36Go.
05:36Go.
05:36Go.
05:36Go.
05:37Go.
05:37Go.
05:38Go.
05:38Go.
05:38Go.
05:38Go.
05:39Go.
05:39Go.
05:40Go.
05:40I've booked us a couples cancelling session.
05:56What?
05:57Why?
05:58Are you joking?
05:59Come on, Ian, because we've been at each other's throats all week.
06:02I've booked it for this afternoon.
06:03Can't we just talk about it at home?
06:06No, because that's not fixing anything, is it?
06:09And I'll do anything to solve this.
06:12Will you?
06:14Yeah.
06:15Yeah, of course.
06:16Great.
06:17Okay.
06:18Good.
06:19Well, I'll message you the details, yeah?
06:20Okay.
06:21Okay.
06:22Okay.
06:23You all right?
06:28Oh, yeah.
06:29Just marvellous.
06:30I've heard that the first argument after marriage can be the worst.
06:35Something to do with the stakes becoming significantly higher.
06:38I used to read a lot of Joe and his magazines on the toilet.
06:43Yeah.
06:44They're supposed to be the last patients.
06:46All right.
06:47I'll drop it off.
06:48We'll see how she's doing.
06:49Control to 3006.
06:50I've got a cat of two for you.
06:5222-year-old female is paying.
06:53Over.
06:54Yeah, 3006 control.
06:55Over to you.
06:56All received.
06:57What have I got?
06:58Uh, BP's 171 over 102.
06:59Heart rate's just gone up to 126.
07:00Okay.
07:01Um, she can't stand anything touching her skin.
07:02Acute hypersensitivity.
07:03The paramedics thought it was drug induced, but her reaction seems to suggest genuine physical
07:04pain.
07:05The BM is 12, but she's not a known diabetic.
07:06Okay.
07:07And she's not photophobic?
07:08No.
07:09No.
07:10No.
07:11No.
07:12You all don't have meningitis?
07:13It's no rash, but her temperature's slightly raised.
07:14Rita, can you start on some broad spectrum antibiotics til the cultures are back?
07:30Rash?
07:31Come have a look at this.
07:33Sorry, sorry!
07:34Have you seen anything like this?
07:39Yeah.
07:40this before she could have injured herself from the dystonia okay let's get the lorazopam in there
07:45we go nice and still you're gonna feel better now got relatives downstairs just let me know
07:54when you're ready and i can get them to come up all right all yours thank you thanks
08:00hey what you're doing up here i was just transferring your patient you heard no what
08:12cassie responded to pain stimulus during her assessment so seeing how she goes reducing
08:16her sedation okay that's good come and say hi no no i um having new nails just for today
08:26you think she'll like them um yeah okay i i want to get going okay you hear about
08:37people defying the odds all the time don't you yeah you do
08:44but i wouldn't get my hopes up if i were you okay
08:53ignore him
08:56mind yourself on the steps all right watch this step on your way in
09:04i don't think she understands english very well okay well not far
09:07ed can phone language line check medical history
09:12put me down there
09:18get it secure before we move off
09:19ian ian ian stop what look what's up what's up so then so then what we're going to do with that
09:29i don't know you're the heart medic all right well if it moves run right we can't leave her
09:34no no no no no no no no don'tdim don't don't be okay give me that nice all right bring that
09:53Slowly, slowly.
09:54Please don't let it out.
09:55Don't drop, don't drop.
09:56Right, put the lid on!
09:57Put the lid on!
09:58How did that get in here?
10:00I don't know.
10:01That woman, it obviously wasn't an OD.
10:04If it's venom, it could be fatal.
10:06Right, I'll let you know.
10:13Terry!
10:14Oh, hi.
10:15Hi.
10:16Right, well, I have a special delivery for a very special lady.
10:21Have a good day.
10:22And you.
10:28Yeah, I'll be ED.
10:29Hey, Ian.
10:32Sorry about that.
10:33Hold on, say that again.
10:34Oh, what?
10:37Hey, Rach.
10:38It's definitely our patient.
10:39She's got a small puncture on the wrist.
10:40Okay, look at this.
10:41I did a reverse image search on the photo that Ian sent us.
10:44It's called androctinous australis.
10:46It's highly venomous.
10:47A tox-based report says respiratory failure, cerebral hemorrhage,
10:51organ dysfunction, all possibilities.
10:53I called Poison Centre, asked them to fast-track us and antivellum.
10:58Okay.
10:59Um, let's get a pressure bandage on and secure the arm,
11:01and get another line into the opposite arm, please.
11:03Yeah, sure.
11:04Rush, why don't you go speed to pharmacy, see if they can suggest an alternative treatment
11:11while we wait for the antivellum.
11:12Yeah.
11:13I can't get anything today.
11:14No, they're all over it.
11:15I'm not trying anything.
11:16Just please listen to me.
11:17Listen!
11:18Hey.
11:19Hey.
11:20Are you okay?
11:21Who's that?
11:22No one.
11:23What's that?
11:24It's a 35-year-old female with a scorpion stink.
11:25She's unstable with tachycardia.
11:26Her BP's 180 over 110.
11:27NPC have been alerted.
11:28They're fast-tracking the antivenom.
11:29But it's on the other side of Wyvern.
11:30Is there a blood sugar spike?
11:31Uh, yeah.
11:32Yeah.
11:33Yeah.
11:34We could try insulin to bring it down.
11:35It's quite an experimental treatment, though.
11:36It could avoid a hyperglycemic coma.
11:39If you think it'll keep her stable until the time it's gone.
11:40Is it going to keep her stable?
11:41Maybe she's on the other side of Wyvern?
11:43Yeah.
11:44Okay.
11:45No, no, I'm not sure.
11:46I'm not sure.
11:47You're not sure.
11:48It's fine.
11:49Are you okay?
11:50Who's that?
11:51Who's that?
11:52No.
11:53No.
11:54No.
11:55No.
11:56No.
11:57No.
11:58No.
11:59No.
12:00No.
12:01No.
12:02No.
12:03Keep her stable till the antifenum arrives, then it's worth a try.
12:06She also needs prazosin.
12:08Her BP's through the roof.
12:10Are you OK?
12:12Write it up on the drug chart and I'll get it ready.
12:25Take it.
12:26You play.
12:27Play.
12:28Please.
12:29No.
12:33Crash.
12:39Hey.
12:40Sorry.
12:41Don't read anything into this, OK?
12:43Into what?
12:45Is Sonny himself?
12:48Er, well, I mean...
12:50I'm not being nosy.
12:51It's just that I think that somebody in the pharmacy might be tuppering with the morphine supply.
13:01Well, you don't think it's her, do you?
13:03No.
13:04No, er, I don't know what to think, really.
13:06OK, well, she wouldn't.
13:07No.
13:09No.
13:10No.
13:10Oh, forget I said it.
13:18About the facial, man.
13:20Er, let's let Max Frags deal with it, OK?
13:22Thanks.
13:22I've got a question.
13:26Flynn.
13:27Yeah.
13:28She's got abdo pain, sickness and diarrhea.
13:31It's no concern with her history, but she's two months pregnant and she doesn't speak in the machine.
13:36Hi.
13:36I'm Dulal, her friend.
13:38OK, great.
13:39I'm Dr. Byron.
13:39Can you translate for me?
13:41Of course.
13:41Fantastic.
13:42Can you ask her when she last ate?
13:45Er, do me kokong keecho?
13:49That's it, Khabar.
13:51Khabar, she was still like chillo.
13:53Not since last night.
13:54She felt sick this morning.
13:56OK.
13:57Can I put my hands on your stomach?
13:59Tony, to my pet boy, kakochh chani.
14:10Can you show me where it hurts?
14:11Kota hai, beta kochh chani.
14:18Kesh omushar.
14:19Is her baby OK?
14:22Er, I think it's probably just a case of gastroenteritis, but we're going to run a few checks, just make sure baby's OK.
14:27OK, all right?
14:29Cam, can you get me the fast scanner, please?
14:31Yeah.
14:33OK, I'm going to have you to my pet, uh, gastroenteritis, and I'll show you how to put it.
14:39OK, OK.
14:42Sonny's, er, preparing the insulin and locating the prazosin, so let's focus on symptomatic control till this antivenom gets here.
14:49OK, right, she's had a second dose of lorazepam, but still tachycardic.
14:53Her whole nervous system's in overdrive.
14:55She must be exhausted.
14:56Yeah, I'm worried about her blood glucose and BP, so let's administer one milligram of lorazepam every 15 minutes, uh, monitoring her resps and GCS.
15:07Okay, prazosin first, please.
15:08OK.
15:09All right, just a wee pill.
15:10OK, you manage?
15:12There we go.
15:13Insulin via IV?
15:14Yes, boss.
15:18Well, Faith, just coming in under here.
15:19OK.
15:20Great.
15:20Sinus tachycardia, her heart rate and BP are still dangerously high.
15:30OK, I'm happy if you are.
15:32Yeah.
15:35It should help her blood sugars, but only the antivenom will halt the toxins.
15:39OK, right, well, I'll start a glucose chart every 15 minutes and, you know, hopefully, hopefully she'll stabilize soon.
15:46OK, thanks.
15:52Hey.
16:00OK, there doesn't seem to be any intra-abdominal fluid, which is great, but I'm going to send
16:05you for an early pregnancy ultrasound with the obstetrics team, just to be sure you don't
16:09have what we call an ectopic pregnancy.
16:12Shall I ring up?
16:13Uh, yes, please.
16:14Uh, Mrs. Malik's husband's just arrived.
16:35the reception. Okay.
16:39Something wrong? You need to
16:41keep him away from her. Why?
16:45He's a violent man. If he finds out
16:47he will kill her and the baby.
16:50Has he been violent before?
16:56Okay.
16:57Alright. Keep him in reception for now.
16:59Let's sort the ultrasound for Mrs. Malik and we'll take it from there.
17:01Okay? Okay.
17:05Please don't hurt him.
17:09I'll find another way.
17:11Just please.
17:15Hiya.
17:17Hi. You
17:18alright, pet? I do.
17:20Do you want to talk about it?
17:23No. I'm fine.
17:25What can I do for you?
17:27Wasn't St. James'
17:29Pharmacy being in contact with you?
17:31You know, someone's
17:32messed up their end
17:33and they need an emergency supply of morphine.
17:38Must be busy down there, right?
17:39If they're running out of morphine.
17:42I hope they're not getting any of those bad batches.
17:44Yeah, we can help.
17:46Are you driving over?
17:47Yep.
17:50Right.
17:51It'll take me a few minutes.
17:52Leave it with me, yeah?
17:53Yeah, no problem.
17:54I'll grab myself a cup of tea, yeah?
17:55There might be another way.
18:08But listen, I don't want anybody getting hurt, okay?
18:11Yeah, bring me back.
18:12Is, um...
18:17Is Mrs Malick's husband still in reception?
18:19Yeah, he is.
18:20Um, look, he seems quite agitated.
18:23Yeah, but he does.
18:25Listen, just, um, keep him there for me, would you?
18:27Yeah.
18:28Excellent.
18:28Mate.
18:39Hi.
18:40I need to get to ICU to see Cassie Woods.
18:45Her name is.
18:46Cassie?
18:47You know her?
18:49Um...
18:50So, are you her family?
18:54Uh...
18:55Ngozi, could you take this lady to ICU, please?
18:59Do you know how she's doing?
19:01Um, she isn't my patient,
19:04but I'm sure that she's getting the best possible care.
19:07Okay.
19:09Thanks.
19:11It's this way.
19:18So, that's everything.
19:19Um, the taxi's just outside.
19:21So, I'm here you go.
19:24Take me to my wife now, please.
19:27She's still being examined.
19:28I have to talk to her.
19:30Where is she?
19:31Uh, no, sir.
19:33Abina.
19:34Well, go on.
19:35Mr Malick, you can't come through this place.
19:37Um, Abina.
19:38Sir, please come back to reception.
19:40Mr Malick, you cannot just burst in here.
19:42Your wife is a patient under my care.
19:44Can I help?
19:45I need to see my wife.
19:47Okay, well, I'm afraid she's having an examination at the moment, sir.
19:50What has happened?
19:52Somebody told me she's been brought in.
19:54Okay, listen.
19:55If you go sit in reception,
19:57I will come and find you when I know more.
19:59Okay?
19:59Yeah.
20:00Sir, if you could...
20:00Hey, calm down.
20:04Go and sit in reception or we'll call the police.
20:06Do you understand?
20:12But I need to speak with her as soon as possible, yes?
20:15Yes, Mr Malick.
20:21This way.
20:21You all right, Ken?
20:25Yeah, thank you.
20:31Anti-venom's on the road.
20:32It's about 20 minutes out.
20:33Good.
20:34Hopefully they get here quickly.
20:35I mean, insulin's working, so...
20:37Okay, good.
20:37Rash.
20:40Everything okay with Sunny?
20:42I don't know.
20:43Something's upset her.
20:45God, what have we done?
20:47Blood sugar's 1.4.
20:48She's hyper.
20:49Mandy!
20:49Mandy, open your eyes.
20:50She's drowsy.
20:51Mandy, open your eyes.
20:52It was improvement.
20:53Okay, stop the infusion.
20:55I need 20 mls of glucose at 50%.
20:57Okay, we need to normalise her blood sugar.
21:00She's had two minutes insulin.
21:01Okay, we need the glucose into as quickly as possible.
21:03I'm going to go straight to the cannula.
21:05No, no, the solution's too thick.
21:14Brush, take a deep breath.
21:16Go slowly.
21:17I'm going to flush it through with the saline after.
21:19Yep.
21:21Great.
21:22Okay.
21:23Yeah.
21:25Hey.
21:25Hey, Miss Butcher, it's okay.
21:27It's okay.
21:30There we go.
21:31No, she's taking a step back.
21:37We really need the anti-venom.
21:39Flash.
21:41This isn't Sonny's error, is it?
21:43Hi.
21:57Hi.
21:59I'm a friend, Nicole.
22:02I'm a mum.
22:07Yes, mum.
22:08It was actually me that reached out to you.
22:11Hi.
22:14It's been a good sign today.
22:15She's, um...
22:17She's having a sedation reduced to safe shit and start breathing on her own.
22:22Come and talk to her.
22:23She might be able to hear you.
22:29Don't know what to say.
22:32Just say hello.
22:33Hello.
22:33Is that a cough?
22:38Lassie?
22:41Lassie?
22:43Move away.
22:45Move away!
22:48Capnography and airway pressure suggests lots of leak.
22:53Get an airway trolley.
22:55We might need to re-intubate.
22:57It's okay.
22:59Good, Lassie.
22:59You all right?
23:00Okay.
23:04How are you feeling?
23:05Any better?
23:06What's your problem?
23:10I think this is running its course.
23:12The ultrasound came back clear, so it's not an ectopic pregnancy.
23:15And I think I was right.
23:17But it's just a bad case of gastroenteritis.
23:20The baby is okay.
23:34Yeah.
23:35Yeah, the baby's fine.
23:37Oh, no, bad.
23:38Cam, we need to sort Mrs. Malik out with some Omeprazole, and then we can think about discharging her.
23:46Cam has some information for you over here.
23:49And please, you've had a really rough 24 hours, so plenty of bed rest and fluids, okay?
23:54We need to book her in with an E.P.T. as well.
24:02She can't go back to him.
24:05I mean, can you keep her safe tonight?
24:08Absolutely.
24:09Okay.
24:10There's a number on this leaflet.
24:12I need you to call it as soon as you can.
24:13There is a child at risk here.
24:14I'll do the same from my side.
24:16And remember, it's essential that she comes back to meet the early pregnancy team.
24:20I'll bring her there myself.
24:21How do we leave without her husband seeing?
24:26Leave that with me.
24:30She's settling well on the vent.
24:32Good.
24:34I can't deal with this.
24:37Where are you going?
24:38This for a mistake, I can't do it.
24:40You can't walk out on her again.
24:41I've got to go.
24:42It took you a week to get here.
24:44You can't leave now.
24:46That is your daughter.
24:48So you suck it up.
24:49And you stay with her because she needs you.
24:51Please be quiet.
24:53This isn't right.
24:54I'm scared.
24:55You're scared?
24:56Do you not think she was scared when a motorbike ploughed into her?
24:59Do you not think she was scared when you abandoned her?
25:01I didn't abandon her.
25:02She was taken from me.
25:04You think I have thought about her every day of my life?
25:08You know nothing.
25:09No.
25:10No.
25:11We've given you professional courtesy.
25:12You are not Cassie's next of kin.
25:14I can't have you shouting in the middle of my unit.
25:17You're lucky I don't bring this up with your educational supervisor.
25:20I don't want to see you in here again.
25:22I don't want to see you in here.
25:27I don't want to see you in here.
25:29Mandy, Mandy, the anti-venom's arrived.
25:48You're going to administer it to your cell to feel better soon.
25:50Brash, it's ready.
26:01Okay, just try and keep still.
26:07How long till we start seeing an improvement?
26:10Her BP, temperature and heart rate should start to improve in the next half an hour,
26:14but it'll be a few hours before they return to normal.
26:20Is there something serious?
26:23Um, why don't we just step in here for a minute, Mr Malik?
26:29Please, take a seat.
26:36Is she okay?
26:38Um, well, I just need to ask you a few questions, actually.
26:42Um, could you tell me a little bit about your wife's medical history?
26:50All right, then. Well, I'll, uh...
26:55Bye, then.
26:56And is your wife taking any regular medication?
27:00Uh, no.
27:02Uh, why can't I see my wife?
27:04When was the last time that she was in the hospital?
27:07Where is my wife?
27:11She's been discharged.
27:13Gone?
27:15Yeah.
27:16She's gone.
27:17I just wanted to try and talk a little sense into her.
27:38She ran away from home three days ago,
27:41and we haven't heard from her since.
27:44We?
27:44Our baby boy.
27:46He's with my sister.
27:51Well, uh, why, why did, why do you think she ran away?
27:54I don't know.
27:57She just took all her clothes,
27:59and she's emptied my bank account.
28:05Sorry, excuse me a second.
28:07I'll be right back.
28:08I'm not back.
28:10I'm not back.
28:11I'm not back.
28:28You checked Mrs. Malick for signs of physical abuse, right?
28:35Yeah, I did, but there was nothing visible.
28:39Well, um, thanks, Karen.
28:45You OK?
28:46Yeah, I'm fine.
28:47Nice.
28:58Talk to me.
29:09I've been barred from the ITU.
29:12Yeah, I heard.
29:14Where's Cassie's mum?
29:15Gone.
29:17God riddance and all.
29:19It's another hush.
29:20She deserves it.
29:23How is it fair?
29:24These women just walk away and leave us to deal with a lifetime of chaos.
29:34Cassie needs our mum.
29:37Were you really angry at her?
29:40Yes.
29:42Who else would I be angry at?
29:48I searched for my care file when I was looking for Cassie's.
29:51There's no real details, just that I was abandoned by a woman called Tina Piper.
30:01Tina Piper, yes?
30:03Yeah.
30:11What are you going to do?
30:14Ask me no questions.
30:15I'll tell you no lies.
30:16Yes.
30:16Yes.
30:16Yes.
30:16Yes.
30:16Yes.
30:16Yes.
30:16Yes.
30:16Yes.
30:17Yes.
30:17Yes.
30:17Yes.
30:18Yes.
30:18Yes.
30:19Yes.
30:20Yes.
30:20Yes.
30:21Yes.
30:21It usually drops twice a day and the tablet once a day.
30:24Okay.
30:24Okay.
30:25No worries.
30:25Thanks.
30:27Hey.
30:28Sorry about earlier.
30:30We got the anti-venom.
30:32Her blood sugar's under control.
30:33She's stabilising.
30:36But?
30:38But we had to treat her for hypoglycemia.
30:41Uh, you prescribed 100 units in the drug chart.
30:46No, I prescribed 10 units, Sonny, not 100.
30:50Oh my god.
30:51Oh my god.
30:52We'll have to file a Datix report.
30:55I could lose my job.
30:57No.
30:58No.
30:59It won't come to that.
31:00Okay?
31:01Are you okay?
31:08Who was on the phone earlier?
31:12Because whoever it is, you have not been the same since.
31:14It was no one.
31:15Okay, then what's going on?
31:17Because you just made a nearly catastrophic error.
31:19I spoke to Jan earlier.
31:26What did she say?
31:28Okay, this is gonna, this is gonna sound crazy, but she was talking about the morphine that's
31:33gone missing.
31:36This hasn't got anything to do with that, has it?
31:38No.
31:39No.
31:40Okay.
31:41Okay, then talk to me.
31:43I get it.
31:44We're new in our relationship.
31:45We're getting to know each other.
31:46But I like you.
31:48Okay?
31:49I will do whatever I can to help.
31:52I promise.
31:53They were gonna hurt Jake.
32:10Who were they?
32:13The ones who made me steal the morphine.
32:23Hey.
32:33Cassie's mum, right?
32:34I know what you all think of me.
32:35Whoa, whoa, whoa.
32:36Hold on, hold on.
32:37Just talk to me.
32:39I can't see it like that.
32:40I can't.
32:42I shouldn't have come.
32:44The way they all looked at me.
32:45Hey, listen.
32:46It doesn't matter what other people think, right?
32:48Can't say goodbye to her again.
32:59They targeted Jake.
33:01Love-bombed him with gifts.
33:04That's how they get you.
33:06Next, it's you owe us for that phone, those headphones.
33:10Couldn't you have gone to the police?
33:12No.
33:13The only way to pay them back was to move drugs for them.
33:19They lost a shipment and approached me a couple months back.
33:24It was a chance to get Jake out their debt.
33:27I knew I wouldn't get away with it forever,
33:29but when Jan spoke to me today,
33:31I told them it was over.
33:34And they sent the video.
33:37I was in bits.
33:38Okay, so what now?
33:39What now?
33:41I came up with a plan to get them off her back.
33:44Right, what plan?
33:45What plan?
33:49Terry, it's Rash.
33:50Call me as soon as you get this, okay?
33:52It's urgent.
33:55Rash.
33:56You're joining us in recess, please.
33:57We've got an incoming pre-alert.
33:58It's one of ours.
34:00Sorry.
34:01This is Terry Melville, 65.
34:06Dragged down the road for about a hundred metres.
34:08Injuries all seem to be right-sided with query fractured knoth,
34:11multiple rib, hand and finger fractures,
34:13abrasions to his posterior chest wall.
34:16Okay.
34:17Ready to move on three?
34:18Yep.
34:19One, two, three.
34:21He's got a three-inch laceration to his right temple.
34:23He is tacky at 110.
34:25BP is 108 over 82.
34:27Resps 20.
34:28Sat's 97.
34:29GCS 15.
34:30He's got one gram of IV paracetamol and 10 milligrams of morphine.
34:36Terry?
34:38Thank you very much indeed.
34:39Okay, Rash, you want to take the primary survey then?
34:41Please.
34:42Terry, if you can hear me.
34:43My name's Dylan.
34:44I'm one of the doctors here at Holby City Hospital.
34:45And Rash is the doctor attending to you at the moment.
34:48So let's have another large ball cannula, please.
34:50And we should do a full trauma series, I think.
34:53What happened?
34:54He had gang-jacked his van.
34:55I think he tried to stop him and got dragged down the road.
34:59Do we think a bit more pain relief, Rash?
35:01Yeah.
35:02Yeah.
35:03Let's get 10 milligrams of morphine, please.
35:05And a full trauma CT.
35:09And, yeah.
35:10I mean, of course I was angry when Ian reported me.
35:13And my job was at risk.
35:15But when we talked about it, it was the right thing to do.
35:20I don't understand why he was protecting Jacob over me.
35:24You know, and then...
35:26I'm really...
35:27I'm hurt.
35:28And I feel betrayed and angry.
35:32Anyway, the point is that I want to get through this.
35:40And I don't want everything that we've worked so hard for to unravel because of this, this first hurdle.
35:47Obviously, I don't need to tell you how much pain I've caused my family through my addiction.
35:59Addiction is an illness.
36:01Yes.
36:02Yes.
36:03Yeah.
36:04I know.
36:05I...
36:06And I need to remember that.
36:07I just...
36:08I just want us to work out how to resolve this without me suppressing how I really feel.
36:16Or it ended up in a blazing row.
36:19You know, because that's...
36:21That's...
36:22Yeah.
36:23Yeah.
36:26Right to reply?
36:32Erm...
36:34I think...
36:36when you're married, the first argument is...
36:40it's always the hardest.
36:42You know...
36:44Somehow the stakes seem higher.
36:48Erm...
36:49Erm, so I would like to take some time to think about what's been said today.
37:00Liver and spleen both untouched. That's a real stroke of luck, isn't it?
37:04OK, let's administer the fascia iliacal nerve block.
37:07We can't use local, unfortunately, for the wounds,
37:09because we're using 20 mils for the nerve block,
37:11so we'll just tack those, I think, and let surgery do them when it goes off.
37:19Oh!
37:42OK, um, nerve block's in. Can I step out a moment?
37:45Yeah, yeah, of course, I'll take it.
37:49Mum!
38:05Hey, hey, it's OK, it's OK, I've got you. I've got you.
38:10They... they said they wouldn't hurt him.
38:13OK, OK, breathe in through your nose and out through your mouth.
38:15And out through your mouth.
38:16I can't.
38:17Yeah, you can. Just follow me. Follow me.
38:20That's it.
38:24I told him not to hurt the driver.
38:28Oh, God. Oh, God.
38:31OK, hey, hey, hey, listen to me. Listen to me. OK.
38:34We need to speak to the police.
38:37Are you... are you kidding?
38:38Rush.
38:39I'll do time.
38:40How can I protect Jake if I'm in prison?
38:42No, I just need to lie low, erm,
38:45take him away from here for a bit.
38:47My mate's got a static in Northumbria.
38:49We can go there.
38:50You're running away? No!
38:51Help me.
38:52Find out I'm to blame for Terry.
38:53I'm done.
38:54You can't tell anyone, OK?
38:58Please, you can't say anything.
39:01You promised you'd help me.
39:02Please.
39:03Please.
39:04Please.
39:05OK, hey, hey, hey.
39:12Hey Nicole.
39:14Any word on Cassie?
39:16I wouldn't know.
39:17I'm barred.
39:18For shouting at her birth, ma'am.
39:20Right.
39:21Erm...
39:22Listen, I'm...
39:23I'm just about to finish my shift.
39:24Do you want me to go check?
39:28Yeah.
39:29Yeah.
39:30Hang on then.
39:35OK, well, thanks.
39:36I'll let you know.
39:37OK?
39:40You all right?
39:41What?
39:45Was this a big joke to you?
39:47I don't know what to say.
39:48You speak, Ian.
39:49More than you did.
39:50I thought we were going to be open and honest.
39:53Yeah, well, at least I can.
39:55Are you serious?
39:56Look, I'm sorry.
39:57I just don't feel comfortable talking about us in front of a stranger.
40:01Maybe now that one's out of the way, it'll be easier next time.
40:05Right, so you're...
40:06You're willing to come back?
40:09Yeah.
40:10OK, good.
40:11Right, well, I'll, er...
40:12I'll make the appointment, yeah?
40:13Cool.
40:17Yeah, I'll take that Wednesday evening.
40:20Hey.
40:22I thought he'd be upstairs.
40:24Yeah, there's a short delay.
40:25Well, that's OK.
40:26We are busy making him look presentable.
40:28Aren't we, Tezza?
40:30Yeah.
40:34How's Sonny?
40:35Yeah, she's fine.
40:37Fine?
40:38Shh.
40:39What's going on?
40:40Nothing.
40:44Terry, what the hell?
40:47They look gorgeous.
40:49What were you thinking?
40:50Trying to fight back?
40:51I tried.
40:52I tried.
40:53I tried.
40:54I tried.
40:55I couldn't.
40:56I couldn't.
40:57I couldn't.
40:59Come on now, come on now.
41:00You're all right.
41:01You're here now.
41:03They're all laughing at me.
41:04Try not to think about it.
41:07Concentrate on recovering, OK?
41:09OK?
41:10I just don't understand how they knew there was morphine in that van.
41:14The vans are all unmarked, so it doesn't really make sense.
41:19Hey.
41:20Remember our backgammon nights?
41:23I think we should start them up again.
41:26Thursday's a good night for me, OK?
41:38Hey.
41:41I spoke with her doctor.
41:43The reintubation went well.
41:45Um...
41:47One of the nurses felt they saw hand movement,
41:50so they're remaining hopeful.
41:53They're going to continue the withdrawal of sedation,
41:55but at this stage we're probably not going to know more for a couple of days.
42:01Nicole.
42:03This is as good as we could have hoped for, right?
42:07I know.
42:10Someone needs to be here for her.
42:15She won't be on her own.
42:18I'll take care of her.
42:19I'll stay.
42:44Oh, good.
43:08Heart rate and BP have come down.
43:11It's great.
43:12Don't worry there, girl.
43:16Where did the scorpion come from?
43:18I was trying to make money on the side, selling shoes.
43:21I got them dirt cheap off a Chinese website and I was selling them on.
43:25Oh, it must have been in one of the boxes.
43:27Well, that's probably the reason they were dirt cheap then, eh?
43:30That thing almost killed you.
43:32I can't believe it was on me.
43:34But where is it now?
43:35I don't know.
43:36Far, far away, hopefully.
43:37Maybe a zoo or something.
43:38I want you to concentrate on rest and recovery from now on.
43:42I'm going to send you off to the acute medical unit so that the anti-venom can, you know, do its thing.
43:47Okay?
43:48That mistake that was made, is there any chance of compensation?
43:52I could do with the money.
43:54Er, I will get you the contact form you need.
43:56My mum used to say things like, addictions and illness.
44:11It's not my fault.
44:13And now she's dying in the hospice from alcohol abuse and I'm like,
44:16you're just letting yourself have to help by that to give responsibility.
44:22I'm not that done to help matters, but my whole thing just does me head in.
44:26Mate, why are you not telling Faith this?
44:28I'm just not listening.
44:29Not really.
44:31Come on, Ian.
44:33It's you and Faith.
44:35They'll get through this.
44:39Another.
44:41Yeah, thanks.
44:46Doors closing.
44:49Lift gate.
44:52Doors closing.
44:57What's up?
44:59I have a friend at the RVI.
45:02Read it.
45:12That's her address.
45:13Tina paper's address.
45:19Are you sure?
45:21I'm sure.
45:25You said you needed answers.
45:31Now's your chance to ask.
45:43Did you get everything?
45:48Yeah.
45:49Yeah, I think so.
45:50I told your colleagues you were feeling unwell.
45:53Okay.
45:55Jake's got home.
45:56He's packing.
45:57He's looking forward to it.
46:00Look, they got what they wanted.
46:01They'll leave us alone.
46:04They're not the sort of people to leave it alone.
46:07Rash, don't.
46:14I'm sorry.
46:16What?
46:20Sonny, love.
46:22The police are here.
46:24We asked them to send plain clothed.
46:30My son needs me.
46:32He'll be at the police station when you get there.
46:33You think police scare these people?
46:46You have no idea what you've done.
46:49I have no idea what you've done.
47:19Transcription by CastingWords
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