- 4 months ago
S44 E10 >>> https://dai.ly/x9q38by
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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.
00:58I didn't steal any morphine.
01:00Okay.
01:01Oh!
01:05Morning.
01:07Cheers.
01:08Mornin'.
01:11Cheers.
01:30Sunny?
01:34You scared me?
01:36Sorry. Can I have a word?
01:40Sure.
02:07Have you taken anything?
02:09Calm down.
02:10Best control of her bowel and bladder.
02:12BP was 168 over 90 and she's becoming more tacky.
02:15Pupils are dilated. She's pyrexic.
02:17Try and get some incos under her.
02:19Do you reckon it could be that nitazine lace patch?
02:21It's not like any nitazine oday I've ever seen.
02:24Right, let's just get on that stretch, yeah.
02:26Sorry, Jan. How can I help?
02:39You've heard about the issues we've been having with morphine.
02:47Some batches have had just saline in them.
02:51Someone's skimming.
02:53Jacob's under investigation for it.
02:55I've had to put him on desk duty.
02:57He could lose his job.
02:59That's terrible.
03:00Yeah, it is.
03:01So we've been checking every batch we get.
03:06And 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.
03:20Sounds like it's a manufacturing issue, then.
03:22I'll make sure someone gets onto them.
03:25Hey! Who let the riffraff in here?
03:27Hello, sweetheart.
03:28Hang on a bit up there.
03:36Here she is.
03:38Still working hard, then?
03:40Yeah, well, I keep trying to make myself useful.
03:43You'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.
03:55And 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.
04:04Did you countersign for these, Dee?
04:06Yeah, great.
04:08Nice to see you.
04:09What would you do, love?
04:11I've got to go as well.
04:13Will you talk to your colleagues?
04:14Ask them if they've noticed anything odd.
04:17Yeah, absolutely.
04:19Can't have Jacob taking the blame, can we?
04:26Thanks.
04:27Okay, it's all right.
04:28Nearly there.
04:29Okay, who have we got here?
04:30Uh, so this is Mandy Butcher we've got.
04:31Mandy, can I get you some...
04:32Put your head down.
04:33My name's Rita.
04:34We haven't seen the reaction that extreme before.
04:35Thanks, guys.
04:36Okay.
04:37Thanks, guys.
04:38Okay.
04:39Uh, hi.
04:40I'm Dr. Masterson.
04:41Can you, can you tell me you haven't taken anything?
04:43Have you?
04:44Okay.
04:45Mandy, Mandy, do you know where you are?
04:46Okay, just try and stay still.
04:47I'm just gonna check your eyes.
04:48Okay?
04:49You're in the hospital.
04:50You're safe.
04:51Nice and still for the doctor.
04:52Okay.
04:53Okay.
04:54Mandy, Mandy, do you know where you are?
04:55Okay, just try and stay still.
04:56I'm just gonna check your eyes.
04:57Okay?
04:58You're in the hospital.
04:59You're safe.
05:00Nice and still for the doctor.
05:01Okay.
05:02Good.
05:03She's hypertensive and tachycardic, so let's add CK to the bloods and can we keep four milligrams
05:07of lorazepam handy?
05:08This isn't an opiate overdose given that agitation of vital.
05:09Let's do an ECG and ABG and check for QTC.
05:11Can we put it in the bloods and take 4 milligrams of lorazepam.
05:12I'm not a doctor.
05:13You're not a doctor.
05:14I'm not a doctor.
05:15I'm a doctor.
05:16I'm a doctor.
05:17I'm a doctor.
05:18I'm a doctor.
05:19I'm a doctor.
05:20I'm a doctor.
05:21I'm a doctor.
05:22I'm a doctor.
05:23I'm a doctor.
05:24I'm a doctor.
05:25I'm a doctor.
05:26I'm a doctor.
05:27Let's do an ECG and ABG and check for QTC.
05:30Can we put a call out to Faith?
05:31I'd like another clinician in here.
05:32You're okay.
05:33Try to stay still.
05:34Try to stay still.
05:51Hi.
05:53I've booked as a couples counselling session.
05:57What?
05:58Why?
05:59Are you joking?
06:00Come on, Ian.
06:01Because we've been at each other's throats all week.
06:02I've booked it for this afternoon.
06:04Can't we just talk about it alone?
06:06No, because that's not fixing anything, is it?
06:09And I'll do anything to solve this.
06:12Will you?
06:16Yeah.
06:17Yeah, of course.
06:18Great.
06:19Okay, good.
06:20Well, I'll message you the details, yeah?
06:21Okay.
06:22Okay.
06:23Okay.
06:27You all right?
06:29Oh, yeah.
06:30Just marvellous.
06:31I've heard that the first argument after marriage can be the worst.
06:35Something to do with the stakes becoming severely higher.
06:38I've still read a lot of Joe and his magazines on the toilet.
06:43Yeah.
06:44All right.
06:45This must be the last patience.
06:46All right.
06:47I'll drop it off.
06:48We'll see how she's doing.
06:493-0-0-6.
06:50I've got a cat of two for you.
06:5222-year-old female with pain.
06:53Over.
06:54Yeah.
06:553-0-0-6.
06:56Control.
06:57All we've seen.
07:01All right.
07:02What I forgot.
07:03BP's 171 over 102.
07:06Heart rate's just gone up to 126.
07:08Okay.
07:09She can't stand anything touching her skin.
07:10Acute hypersensitivity.
07:11The paramedics thought it was drug-induced, but her reaction seems to suggest genuine physical
07:16pain.
07:17Her BM is 12, but she's not a known diabetic.
07:19Okay.
07:20And she's not photophobic?
07:21No.
07:22No.
07:23You don't have meningitis.
07:24Slow rash, but her temperature's slightly raised.
07:25Rita, can you start on some broad-spectrum antibiotics until the cultures are back?
07:31Rash, come have a look at this.
07:34Sorry, sorry.
07:39Have you seen anything like this before?
07:40Yes.
07:41She could have injured herself from the dystonia.
07:43Okay.
07:44Let's get the lorazopam in.
07:45There we go.
07:46You're going to feel better now.
07:47I've got a relative just downstairs, so just let me know when you're ready and I can
07:53get them to come up.
07:54All right?
07:55All yours.
07:57Thanks.
07:58All yours.
08:00Thanks.
08:04Hey.
08:05What are you doing up here?
08:07I was just transferring your patient.
08:09You heard?
08:10No.
08:11What?
08:12Cassie responded to pain stimulus during her assessment.
08:14So, seeing how she goes, reducing her sedation.
08:18Okay.
08:19That's good.
08:20Come and say hi.
08:21No, no.
08:22I, um...
08:23We're having new nails.
08:25Just for today.
08:27You think she'll like them?
08:28Um...
08:29Yeah.
08:30Yeah.
08:31I...
08:32I...
08:33I...
08:34I wanna get going, okay?
08:35You hear about...
08:36People defying the odds all the time, don't you?
08:40Yeah.
08:41You do.
08:44But I wouldn't get my hopes up if I were you.
08:47Okay?
08:53Ignore him.
09:01Mind your stamp on the steps.
09:02All right, watch this step on your way in.
09:04I don't think she understands English very well.
09:06Okay.
09:07Not far out.
09:08E.D. can form language line.
09:09Check medical history.
09:12Put you down there.
09:15There you go.
09:18Get it secure before we move off.
09:21Ian!
09:22Ian, stop!
09:23What?
09:24Look!
09:25Mark, what's up?
09:26What the...
09:27Shodden!
09:28Shodden!
09:29What are we gonna do with that?
09:30I don't know.
09:31You're the heart medic.
09:32All right.
09:33Well, if it moves, run.
09:34We can't leave her.
09:35No, no, no, no, no, no, no, no.
09:36No, no, no, no, no, no, no, no, no.
09:37Don't say no.
09:38Don't say no.
09:39Don't say no.
09:40Be careful.
09:41No, no, no, be careful.
09:42Er...
09:43Don't cut it.
09:44Yeah, bring that.
09:45Bring that.
09:46Bring that.
09:47Don't throw me sandwiches away.
09:48Give me that, Elise.
09:49All right, bring that.
09:51Slowly, slowly.
09:53Please don't let it out.
09:54Don't drop.
09:55Please don't drop.
09:56Right, put the lid, put the lid.
09:59How did that get in here?
10:00I don't know.
10:02That woman, it obviously wasn't an OD.
10:05If it's venom, it could be fatal.
10:07Right, I'll let you do now.
10:14Terry.
10:15Oh, hi.
10:16Right, well, I have a special delivery for a very special lady.
10:21Have a good day.
10:22And you.
10:26Yeah, I'll be ED.
10:30Hey, Ian.
10:33Sorry about that.
10:34Hold on, say that again.
10:35I'm what?
10:38Hey, right.
10:39It's definitely our patient.
10:40She's got a small puncture on the wrist.
10:41Okay, look at this.
10:42I did a reverse image search on the photo that Ian sent us.
10:45It's called androctinous australis.
10:47It's highly venomous.
10:48Tox-based report says respiratory failure, cerebral hemorrhage,
10:52organ dysfunction, all possibilities.
10:54I called poison centre, asked them to fast-track us and antivellam.
11:00Let's get a pressure bandage on and secure the arm,
11:02and get another line into the opposite arm, please.
11:04Yeah, sure.
11:08Rush, why don't you go to speed to pharmacy,
11:10see if they can suggest an alternative treatment
11:12while we wait for the antivellam.
11:13I can't get anything today.
11:24No, they're all over it.
11:27I'm not trying anything.
11:28Just please listen to me.
11:30Listen!
11:33Hey.
11:34Hey.
11:34Are you okay?
11:35Who's that?
11:36No one.
11:36What's that?
11:37It's a 35-year-old female with a scorpion stink.
11:42She's unstable with tachycardia.
11:43Her BP's 180 over 110.
11:46NPC have been alerted.
11:47They're fast-tracking the antivenom,
11:48but it's on the other side of Y-Vone.
11:50Is there a blood sugar spike?
11:52Uh, yeah.
11:54We could try insulin to bring it down.
11:57It's quite an experimental treatment, though.
11:59It could avoid a hyperglycemic coma.
12:02If you think it'll, um, keep her stable
12:04till the antivenom arrives,
12:05then it's worth a try.
12:06She also needs prazosin.
12:08Her BP's through the roof.
12:10Are you okay?
12:12Write it up on the drug chart,
12:13and I'll get it ready.
12:24You take it.
12:26You play.
12:27Play.
12:28Please.
12:28I know.
12:29I know.
12:38Ransh.
12:39Oh, hey.
12:40Sorry.
12:41Don't read anything into this, OK?
12:43Into what?
12:45Is Sonny himself?
12:48Uh, well, I mean...
12:50I'm not being nosy.
12:51It's just that I think that somebody in the pharmacy
12:55might be tuppering with the morphine supply.
13:01Well, you...
13:02You don't think it's her, do you?
13:03No, no.
13:04Um, I don't know what to think, really.
13:06OK, well, she wouldn't.
13:07No.
13:09No?
13:10No.
13:10Uh, forget I said it.
13:12What about the facial, man?
13:20Um, let's let Max Rags deal with it, OK?
13:22Thanks.
13:22I'm sorry.
13:26Flynn.
13:27Yeah?
13:28She's got abdopain, um, sickness and diarrhoea.
13:31It's no concern with her history,
13:32but she's two months pregnant,
13:33and 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?
13:46Uh, do you have a dog?
13:49That's it, Khabar.
13:51Khabar, she was still alive.
13:53Not since last night.
13:54She felt sick this morning.
13:56OK.
13:57Can I put my hands on your stomach?
13:59No, don't you.
13:59Can you show me where it hurts?
14:11Khabar, she was still alive.
14:18What's wrong, Shah?
14:19Is her baby OK?
14:22Uh, I think it's probably just a case of gastroenteritis,
14:25but we're going to run a few checks,
14:26just make sure baby's OK, all right?
14:29Cam, can you get me the fast scanner, please?
14:31Yeah.
14:33I'm going to get my best gas,
14:35so she'll have to pay.
14:39OK.
14:39Sonny's, uh, preparing the insulin
14:44and locating the prazosin,
14:45so let's focus on symptomatic control
14:47till this antivenom gets here.
14:49OK, right, she's had a second dose of lorazepam
14:51but 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,
14:59so let's administer one milligram of lorazepam
15:02every 15 minutes,
15:04uh, monitoring her resps and GCS.
15:06OK.
15:07Prazosin first, please.
15:08OK, all 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 on the head.
15:19OK, great.
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,
15:36but only the antivenom will halt the toxins.
15:39OK, right, well, I'll start a glucose chart every 15 minutes
15:43and, you know, hopefully, hopefully she'll stabilise soon.
15:48Sonny, thanks.
15:52Hey.
15:53OK, there doesn't seem to be any intra-abdominal fluid, which is great.
16:04But I'm going to send you for an early pregnancy ultrasound
16:07with the obstetrics team,
16:08just to be sure you don't have what we call an ectopic pregnancy.
16:11Shall I ring up?
16:13Yes, please.
16:34Mrs Malik's husband's just arrived.
16:35He's in reception there.
16:36OK.
16:36What's that?
16:38There's something wrong.
16:40You need to keep him away from her.
16:42Why?
16:43He's a violent man.
16:46If he finds out, he will kill her and the baby.
16:50Has he been violent before?
16:52Sheki, don't you?
16:53I don't want to get away from her, right?
16:56OK.
16:57All right, I'm keeping my reception for now.
16:59Let's sort the ultrasound for Mrs Malik
17:01and we'll take it from there, OK?
17:02OK, yeah.
17:07Please don't hurt him.
17:08I'll find another way.
17:10I'll just...
17:11Please.
17:15Hiya.
17:17Are you, um...
17:18You all right, pet?
17:20I 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's Pharmacy
17:29being in contact with you?
17:30Yeah, no, someone's messed 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, it'll take me a few minutes.
17:52Leave it with me, yeah?
17:53Yeah, no problem.
17:54I'll, er...
17:54I'll grab myself a cup of tea, yeah?
18:07There might be another way.
18:08But listen,
18:09I don't want anybody getting hurt, OK?
18:11Yeah, bring me back.
18:16Is, um...
18:17Is Mrs Malik's husband still at reception?
18:19Yeah, he is.
18:20And, um, that he seems quite agitated.
18:23Yeah, but he does.
18:25Listen, just, um,
18:26keep him there for me, would you?
18:27Yeah.
18:28Thanks.
18:38Mate.
18:40Hi.
18:40I need to get to ICU to see...
18:43Cassie Woods.
18:45Her name is.
18:46Cassie?
18:47You know her.
18:48Um, so, are you her family?
18:54Uh, Ngozi,
18:55could 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 you that she's getting the best possible care.
19:07OK.
19:09Thanks.
19:11It's this way.
19:12So, 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...
19:29Where is she?
19:31Uh, no, sir.
19:33Abhinah.
19:34Mr. Malik, you can't come through this place.
19:37Um, Abhinah.
19:38Sir, please come back to reception.
19:40Mr. Malik.
19:40You 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.
19:48OK.
19:48Well, 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.
19:54OK, listen.
19:55If you go sit in reception, I will come and find you when I know more.
19:59OK?
19:59Yeah.
20:00Sir, if you could...
20:00Careful!
20:01Hey!
20:02Calm 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. Malik.
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...
20:37OK, good.
20:39Rush.
20:40Everything OK 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 hypo.
20:49Mandy!
20:49Mandy!
20:50Open your eyes.
20:50She's drowsy.
20:51Mandy, open your eyes.
20:52There was improvement.
20:53OK, stop the infusion.
20:55I need 20 mils of glucose at 50%.
20:57OK, we need to normalise her blood sugar.
21:00She's had too much insulin.
21:01OK, we need the glucose into her as quickly as possible.
21:03I'm going to go straight to the cannula.
21:05All right.
21:24Here we go.
21:27It's okay. It's okay.
21:29There we go.
21:35She's taking a step back.
21:37We really need the anti-venom.
21:39Flash.
21:41This isn't Sonny's error, is it?
21:57Hi.
21:59I'm a friend, Nicole.
22:03I'm a...
22:05Mum.
22:07Birth mum.
22:09It was actually me that reached out to you. Hi.
22:13It's been a good sign today.
22:15She's, erm...
22:17She's having a sedation reduced to safe shit and start breathing on her own.
22:21Come and talk to her.
22:23She might be able to hear you.
22:27Don't know what to say.
22:31Just say hello.
22:33Is that a cough?
22:37Cassie?
22:41Cassie!
22:43Move away.
22:45Move away!
22:47Capnography and airway pressure suggests lots of leak.
22:51Get an airway trolley.
22:53We might need to re-intubate.
22:55It's okay.
22:57Good lassie.
22:59You're all right.
23:01Okay.
23:03How are you feeling?
23:05Any better?
23:07How are you feeling?
23:09Good.
23:11I think this is running its course.
23:13The ultrasound came back clear so it's not an ectopic pregnancy and, er...
23:17I think I was right but it's just a bad case of gastroenteritis.
23:21I think it's not an ectopic pregnancy.
23:23I think it's a bad case of gastroenteritis.
23:25I think it's a bad case of gastroenteritis.
23:27I think it's a bad case of gastroenteritis.
23:29What's that?
23:31The baby is okay?
23:33Yeah.
23:34Yeah, the baby's fine.
23:35It's all not bad.
23:37Um, Cam, we need to sort Mrs. Malik out with some Omeprazole.
23:41And then we can think about discharging her.
23:43Uh, Cam has some information for you over here.
23:47And please, you've had a really rough 24 hours.
23:51So plenty of bed rest and fluids, okay?
23:53We need to book her in with an E.P.T. as well.
23:55She can't go back to him.
23:57I mean, can you keep her safe tonight?
23:59Absolutely.
24:01Okay, um, there's a number on this leaflet.
24:03I need you to call it as soon as you can.
24:05There is a child at risk here.
24:07I'll do the same from my side.
24:09And remember, it's essential that she comes back to me
24:11at the early pregnancy team.
24:13I'll bring her there myself.
24:15How do we leave?
24:17No, no, no.
24:19No, no.
24:21How do we leave without her husband seeing?
24:25Leave that with me.
24:31She's settling well on the vent.
24:33Good.
24:35I can't deal with this.
24:37Where are you going?
24:39This were a mistake. I can't do it.
24:41You can't walk out on her again.
24:43I've got to go!
24:45It took you a week to get here. You can't leave now.
24:47That is your daughter, so 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. She was taken from me.
25:04You think I have thought about her every day of my life?
25:07You know nothing.
25:09No!
25:10No!
25:11We've given you professional courtesy. You 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.
25:22You're lucky I'm so lucky.
25:23No, no.
25:24I do not know.
25:25No!
25:26No, no!
25:27Maybe I'll show you the best.
25:28That's all.
25:29I don't care about you.
25:31No, no.
25:32I don't care about you.
25:33I don't care about you, but it's just to have to be himself.
25:34You're lucky.
25:35I don't care about you.
25:36Yeah, what I don't care about you.
25:37You don't care about you.
25:38Where are you..
25:39Mandy, Mandy, the anti-venom's arrived, you're going to administer it, you should start to feel better soon.
25:58Brash, it's ready.
26:01Okay, just try and keep still.
26:03How long till we start seeing an improvement?
26:10Her BP, temperature and heart rate should start to improve in the next half an hour, but 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.
26:33Is 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.
26:51Well, I'll, uh...
26:55All right then.
26:56And is your wife taking any regular medication?
27:00Uh, no.
27:01Uh, 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.
27:30She ran away from home three days ago, and we haven't heard from her since.
27:44We?
27:45Our baby boy.
27:46He's with my sister.
27:48Well, uh, why did, why do you think she ran away?
27:54I don't know.
27:57She just took all her clothes.
27:59She's emptied my bank account.
28:05Sorry.
28:06Um, excuse me a second.
28:07I'll be right back.
28:10I'm not back.
28:10I'm not back.
28:11You checked Mrs. Mavic for signs of physical abuse, right?
28:22Yeah, I did.
28:22Er, but there was nothing visible.
28:24You checked Mrs. Malick for signs of physical abuse, right?
28:35Yeah, I did.
28:36But there was nothing visible.
28:39Well, thanks, Karen.
28:45You OK?
28:46Yeah, I'm fine.
28:47Nice.
28:54Talk to me.
29:09I've been barred from the ITU.
29:12Yeah, I heard.
29:14Where's Cassie's mum?
29:15Gone.
29:17Got Reddance 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.
29:55Just that I was abandoned by a woman called Tina Piper.
30:01Tina Piper, yes?
30:03Yeah.
30:11What are you going to do?
30:12Ask me no questions.
30:15I'll tell you my last.
30:21Usually drops twice a day and the tablet once a day.
30:24OK.
30:24OK.
30:25No worries.
30:25Thanks.
30:27Hey.
30:28Sorry about earlier.
30:29We got the anti-venom.
30:32Her blood sugar's under control.
30:33She's stabilising.
30:37But...
30:37But we had to treat her for hypoglycemia.
30:41I...
30:42You prescribed 100 units in the drug chart?
30:46No, I...
30:47I prescribed 10 units, Sonny, not 100.
30:50Oh, my God.
30:54We'll have to file a Datix report.
30:56I could lose my job.
30:58No.
30:59No, it won't come to that, OK?
31:07Are you OK?
31:10Who was on the phone earlier?
31:12Because whoever it is, you have not been the same since.
31:14It was no one.
31:15OK, then...
31:16Then what's going on?
31:17Because you just made an alien catastrophic error.
31:23I spoke to Jan earlier.
31:26What did she say?
31:28OK, this is gonna...
31:29This is gonna sound crazy,
31:30but she was talking about the morphine that's gone missing.
31:36This hasn't got anything to do with that, has it?
31:38No.
31:39OK.
31:41OK, then talk to me.
31:43I get it.
31:43We're new in our relationship.
31:44We're getting to know each other.
31:46But I like you.
31:48OK?
31:49I will do whatever I can to help.
31:52I promise.
32:08They were gonna hurt Jake.
32:10Who were they?
32:10The ones who...
32:15made me steal the morphine.
32:33Cassie's mum, right?
32:34I know what you all think of me.
32:35Whoa, whoa, 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.
32:47It doesn't matter what other people think, right?
32:51I can't say goodbye to her again.
32:53They targeted Jake.
33:00Love-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...
33:16move drugs for them.
33:17They lost a shipment and approached me a couple months back.
33:23It 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.
33:33And they sent the video.
33:36I was in bits.
33:38OK, so what now?
33:39What now?
33:41I came up with a plan
33:42to get them off her back.
33:44Right, what plan?
33:49Terry, it's Rash.
33:51Call me as soon as you get this, OK?
33:52It's urgent.
33:55Rash, you're joining us in resource.
33:56Please, we've got an incoming pre-alert.
33:58It's one of ours.
33:59Sorry.
34:04This is Terry Melville, 65.
34:06It's dragged down the road for about 100 metres.
34:08Injuries all seem to be right-sided
34:10with query fractured knoth,
34:11multiple rib, hand and finger fractures,
34:13abrasions to his posterior chest wall.
34:16OK, ready to move on three?
34:17Yep.
34:18One, two, three.
34:21He's got a three-inch laceration to his right temple.
34:23He is tacky at 110, BP 108 over 82,
34:27rest 20, SATs 97, GCS 15.
34:31He's got one gram of IV paracetamol
34:32and 10 milligrams of morphine.
34:33Terry?
34:38Thank you very much indeed.
34:39OK, Rash, you want to take the primary survey then, please?
34:42Terry, if you can hear me, my name's Dylan.
34:44I'm one of the doctors here at Holby City Hospital
34:46and 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?
34:54The gang jacked his van.
34:55I think he tried to stop him.
34:56He got dragged down the road.
34:57Do we think a bit more pain relief, Rash?
35:02Yeah, yeah.
35:03Let's get 10 milligrams of morphine, please,
35:05and a full trauma CT.
35:09And, yeah, I mean, of course I was angry when Ian reported me
35:12and my job was at risk,
35:15but when we talked about it, it was the right thing to do.
35:19I don't understand why he was protecting Jacob over me.
35:24You know, and then I'm really, I'm hurt
35:27and I feel betrayed and angry.
35:35Anyway, the point is that I want to get through this
35:39and I don't want everything that we've worked so hard for
35:43to unravel because of this, this first hurdle.
35:47Obviously, I don't need to tell you how much pain I've caused my family
35:57through my addiction.
35:59Addiction is an illness.
36:01Yes, yeah, I know.
36:03And I need to remember that.
36:05I just, I just want us to work out how to resolve this
36:11without me suppressing how I really feel
36:15or it ended up in a blazing row, you know,
36:19because that's, that's, yeah.
36:26Right to reply?
36:32Um, I think when you're married,
36:37the first argument is, it's always the hardest, you know.
36:42Um, yeah, somehow the stakes seem higher.
36:49Um, so I would, I'd like to take some time
36:52to think about what's being said today.
37:00Liver and spleen both untouched.
37:01That's a real stroke of luck, isn't it?
37:03Okay, let's administer the, um, 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,
37:13and let surgery do them when it goes off.
37:15Now,
37:19if I don't deal with the nerve blocks,
37:21I'll just add to your awareness and you'll need to
37:24take those to the nerve quarticBlitz.
37:25Oh!
37:26Ah!
37:26Fck!
37:26Ah!
37:27Okay, um, nerve block's in.
37:43Can I step out a moment?
37:45Yeah, yeah, of course.
37:45I'll take it.
37:57Hey, hey, it's okay, it's okay, I've got you.
38:07I've got you.
38:10They, they said they wouldn't hurt him.
38:13Okay, okay, breathe in through your nose and out through your mouth.
38:16I can't.
38:16Yeah, you can't, just follow me, follow me.
38:20That's it.
38:21Who?
38:23I told him not to hurt the driver.
38:27Oh, God.
38:29Oh, God.
38:30Okay, hey, hey, hey, listen to me, listen to me.
38:33Okay, we need to speak to the police.
38:36Are you, are you kidding?
38:38Rush, I'll do time.
38:40How can I protect Jake if I'm in prison?
38:42No, I just need to lie low, um, take him away from here for a bit.
38:47My mate's got a static in Northumbria, we can go there.
38:50You're running away, no.
38:51They find out I'm to blame for Terry.
38:54I'm done.
38:54You can't tell anyone, okay?
38:59Please, you can't say anything.
39:01You promised you'd help me.
39:02Please.
39:03Please, please.
39:04Okay, hey, hey, hey.
39:11Hey, Nicole.
39:14Any word on Cassie?
39:14I wouldn't know.
39:17I'm barred for shouting at her birth, ma'am.
39:20Right.
39:21Um, listen, I'm just about to finish my shift.
39:24Do you want me to go check?
39:28Yeah.
39:29Yeah.
39:30Hang on, then.
39:32Okay, well, thanks.
39:36I'll let you know, okay?
39:39You all right?
39:43What?
39:45Was this a big joke to you?
39:47I didn't know what to say.
39:48You speak, Ian, more than you did.
39:50I thought we were going to be open and honest.
39:52Yeah, well, at least I came.
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 willing to come back?
40:08Yeah.
40:09Okay, good.
40:10Right, well, I'll, uh, I'll make the appointment, yeah?
40:16Yeah, I'll take that Wednesday evening.
40:20Hey.
40:22I thought he'd be upstairs.
40:23Yeah, there's a short delay.
40:25Well, that's okay.
40:26We are busy making him look presentable.
40:28Aren't we, Tessa?
40:29Yeah.
40:33How's Sonny?
40:35Yeah, she's fine.
40:36Fine?
40:37No, you rash.
40:38What's going on?
40:40Nothing.
40:44Terry, what the hell?
40:47They look gorgeous.
40:48What were you thinking?
40:50Trying to fight back?
40:52I tried.
40:54I tried.
40:55I couldn't.
40:57I couldn't.
40:58Come on now, come on now.
41:00You're all right.
41:01You're here now.
41:02They're laughing at me.
41:05Try not to think about it.
41:06Concentrate on recovering, okay?
41:10I just don't understand how they knew there was morphine in that van.
41:14The van's are all unmarked, so it doesn't really make sense.
41:18Hey.
41:19Remember our backgammon nights?
41:21Oh, I think we should start them up again.
41:25Thursday's a good night for me, okay?
41:30I spoke with her doctor.
41:42The reintubation went well.
41:43One of the nurses felt they saw hand movement, so they're remaining hopeful.
41:53They're going to continue the withdrawal of sedation, but at this stage we're probably not going to know more for a couple of days.
42:01Nicole, this is as good as we could have hoped for, right?
42:06Well, she won't be on her own.
42:17I'll take care of her.
42:19I'll stay.
42:54Oh, good.
43:08Heart rate and BP have come down.
43:10It's great.
43:11He had us worried there, girl.
43:15Where did the scorpion come from?
43:17I was trying to make money on the side, selling shoes.
43:20I 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.
43:31I can't believe it was on me.
43:33But where is it now?
43:34I don't know.
43:35Far, 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?
43:47That mistake that was made, is there any chance of compensation?
43:53I could do with the money.
43:54Er, I will get you the contact form you need.
44:06My mum used to say things like, addictions and illness.
44:10It's not my fault.
44:13And now she's dying in the hospice from alcohol abuse, and I'm like, you're just letting yourself have to help by that to get responsibility.
44:20Is it real, is it?
44:22I'm not that done to help my husband, but my whole thing just does me it in.
44:26Mate, why are you not telling Faith this?
44:28I just don't listen.
44:29Not really.
44:30Come on, Ian.
44:33It's you and Faith.
44:34They'll get through this.
44:38Another.
44:40Yeah, thanks.
44:42What's up?
44:59I have a friend at the RVO.
45:02Read it.
45:12That's her address.
45:15Tina Piper's address.
45:19Are you sure?
45:21I'm sure.
45:25You said you needed answers.
45:31Now's your chance to ask.
45:42Did you get everything?
45:49Yeah.
45:49Yeah, I think so.
45:50I told your colleagues you were feeling unwell.
45:54Okay, Jake'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.
46:06Rash, don't.
46:07I'm sorry.
46:16What?
46:20Sonny, love.
46:21The police are here.
46:23We asked them to send plain clothed.
46:29My son needs me.
46:31He'll be at the police station when you get there.
46:37You think police scare these people?
46:48You have no idea what you've done.
47:07The police station when you get there.
47:12It doesn't deserve to be you.
47:16We're at the police station.
47:17I'm sorry.
47:18The police station will be at the police station.
47:28Amen.
47:28Transcription by CastingWords
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