- 4 months ago
S44 E09
Category
😹
FunTranscript
00:00Hey Jake, I'm Rash.
00:02That's teenspeak. Very nice to meet you too, Rash.
00:05Cassie, come and stay at mine.
00:08Until we've worked something out.
00:11Hello? Hiya, what's your name?
00:13Cassie, she's been staying with me. Is she okay? Get her on her side.
00:16I have found Cassie was as well and 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?
00:26But you've not thought about looking closer to home.
00:29Take up a word now, please.
00:34What have you done?
00:38I didn't steal any morphine. I haven't done anything wrong.
00:59Good morning.
01:11Cheers.
01:12Cheers.
01:13Sonny.
01:14Oh.
01:15You scared me.
01:16Sorry.
01:17Can I have a word?
01:18Sure.
01:19Sorry.
01:20Can I have a word?
01:21Sure.
01:34You scared me.
01:36Sorry.
01:37Can I have a word?
01:40Sure.
02:04Have you taken anything?
02:09Calm down.
02:10She's lost 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 odi I've ever seen.
02:24Right, she just stays on that stretcher.
02:34Sorry, 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.
03:06And 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 on to them.
03:25Hey!
03:26Who let the riffraff in here?
03:27Hello, sweetheart.
03:29Hang on a bit up there.
03:31Here she is.
03:39Still working hard, then?
03:40Yeah, well, you know, keep trying to make myself useful.
03:43You're not tempted by retirement yet?
03:46No, no, no.
03:47I'd do my own head in.
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 sign for these, Dean?
04:06No.
04:06Right.
04:07Nice to see you.
04:08Oh, and you, love.
04:09Bye.
04:09I've got to go as well.
04:13Er, will you talk to your colleagues, ask them if they've noticed anything odd?
04:17Yeah, absolutely.
04:18Can't have Jacob taking the blame, can we?
04:20Thanks.
04:32Okay, it's all right.
04:33Nearly there.
04:33Okay, who have we got here?
04:34Er, so this is Mandy Butcher we've got.
04:37Mandy, can I get you to put your head down?
04:39My name's Rita.
04:39We haven't seen the reaction that extreme before.
05:01Thanks, guys.
05:02Okay, er, hi, I'm Dr Maston.
05:04Can you, can you tell me, have you taken anything?
05:06Have you?
05:07Okay.
05:08Mandy?
05:08Mandy, do you know where you are?
05:11Okay, just try and stay still.
05:12I'm just going to check your eyes, okay?
05:13You're in the hospital.
05:14You're safe.
05:15Nice and still for the doctor.
05:16It's okay.
05:17Good.
05:17All right, she's hypertensive and tachycardic, so let's add CK to the blood,
05:21so can we keep four milligrams of lorazepam handy?
05:24This isn't an opioid overdose given at agitation of vital.
05:27Let's do an ECG and ABG and check the QTC,
05:30and can we put a call out to Faith, like another clinician in here?
05:33You're okay.
05:33Try and stay still.
05:35Try and stay still.
05:35Put your head down.
05:36Yeah.
05:38You all right?
05:53I've booked us a couples cancelling session.
05:56What?
05:58Why?
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.
06:04Can'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?
06:16Yeah.
06:17Yeah, of course.
06:17Great.
06:18Okay, good.
06:19Well, I'll message you the details, yeah?
06:20Okay.
06:20Okay.
06:21Okay.
06:26You 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, it'd be basically higher.
06:40I've studied a lot of Jodie's magazines on the toilet, though.
06:43All right, they're supposed to be the last patients.
06:47All right.
06:48I'll drop it off.
06:49We'll see how she's doing.
06:49I've got a cat suit for you.
06:5222-year-old female with pain.
06:54Over.
06:55Yeah, 3006 control.
06:57All received.
07:01What have I got?
07:04BP's 171 over 102.
07:06Heart rate's just gone up to 126.
07:09She can't stand anything touching her skin.
07:11Acute hypersensitivity.
07:12The paramedics thought it was drug-induced,
07:14but her reaction seems to suggest genuine physical pain.
07:17The BM is 12, but she's not a known diabetic.
07:20Okay, and she's not photophobic?
07:21No.
07:22You all don't mean a jaytus.
07:23Slow rash, but her temperature's slightly raised.
07:25Rita, can you start on some broad-spectrum antibiotics
07:28until the cultures are back?
07:31Rash, come have a look at this.
07:35Sorry, sorry.
07:39Have you seen anything like this before?
07:40She could have injured herself from the dystonia.
07:43Okay, let's get the lorazopam in.
07:45There we go.
07:46Nice and still, you're going to feel better now.
07:52Got a relative downstairs,
07:53so just let me know when you're ready
07:55and I can get them to come up.
07:56All right?
07:59All yours, thank you.
08:00Thanks.
08:03Hey.
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...
08:22We're having new nails.
08:25Just for today.
08:27You think she'll like them?
08:29Um...
08:30Yeah.
08:31Yeah.
08:33I want to get going, okay?
08:35You hear about people defying the odds all the time,
08:38don't you?
08:39Yeah.
08:41You do.
08:44But I wouldn't get my hopes up if I were you.
08:47Okay?
08:53Ignore him.
09:01Find yourself on the steps.
09:03All right, watch this step on your way in.
09:04Nothing should understand English very well.
09:06Okay.
09:07Well, not far out.
09:07E.D. can form language line.
09:09Check medical history.
09:12Put you down there.
09:16There you go.
09:18Get it secure before we move off.
09:21Ian!
09:21Ian, stop!
09:22What?
09:23Look!
09:24Mark, what's up?
09:25What the...
09:26What the...
09:26Shodden!
09:27Shodden!
09:28What are we going to do with that?
09:29I don't know.
09:30You're the heart medic.
09:31All right.
09:32Well, if it moves, run.
09:33We can't leave her.
09:34No.
09:35No, no, no, no, no, no.
09:36No, no, no, no, no, no, no, be careful.
09:38Chuffers, yeah, you're my abs, no, stop!
09:38No, no, no, be careful.
09:40No, no, no, stop.
09:42Er...
09:42Don't cut it.
09:44Here, put it in, put in that.
09:45Put it in.
09:46Well, don't throw me...
09:48Throw me sandwich away.
09:49Give me that, at least.
09:51Right, put it in there.
09:53Slowly, slowly.
09:54Please don't let it out. Please.
09:56Right, put the lid! Put the lid!
09:58How did that get in here?
10:00I don't know.
10:02That woman, it obviously wasn't an OD.
10:04If it's venom, it could be fatal.
10:06Right, I'll let you D know.
10:14Terry! Oh, hi.
10:16Right, well, I have a special delivery
10:18for a very special lady.
10:20Thank you. Have a good day.
10:22And you.
10:28Yeah, hold the ED.
10:30Hey, Ian.
10:32Sorry about that.
10:34Hold on, say that again. Of what?
10:38Hey, mate. It's definitely our patient.
10:40She's got a small puncture on the wrist.
10:42Okay, look at this. I did a reverse image search
10:44on the photo that Ian sent us.
10:46It's called androctinous australis.
10:48It's highly venomous.
10:50There's a lot of failure, cerebral hemorrhage,
10:52organ dysfunction, all possibilities.
10:54I called Poison Centre and asked them to
10:56fast-track us and antivenom.
10:58Um, let's get a pressure bandage on and secure the arm.
11:02And get another line into the opposite arm, please.
11:04Yeah, sure.
11:06Look, Rush, why don't you go to speed to pharmacy?
11:10See if they can suggest an alternative treatment
11:12while we wait for the antivenom.
11:14Here, take that.
11:16I can't get anything today.
11:24No, they're all over it.
11:26I'm not trying anything.
11:28Just please listen to me.
11:30Listen!
11:32Hey. Hey.
11:34Are you okay? Who's that?
11:36No one. What's that?
11:38A 35-year-old female with a scorpion stink.
11:40She's unstable with tachycardia.
11:42Her BP's 180 over 110.
11:44NPC have been alerted.
11:46They're fast-racking the antivenom,
11:48but it's on the other side of wyvern.
11:50Is there a blood sugar spike?
11:52Yeah.
11:54We could try insulin to bring it down.
11:56It's quite an experimental treatment, though.
11:58It could avoid a hyperglycemic coma.
12:01If you think it will keep her stable
12:03till the antivenom arrives,
12:04then it's worth a try.
12:05She also needs prazosin.
12:07Her BP's through the roof.
12:09Are you okay?
12:11Write it up on the drug chart,
12:13and I'll get it ready.
12:23Take it.
12:25You play.
12:26You play.
12:27Play.
12:28I know.
12:30You play.
12:31You play.
12:32You play.
12:33You play.
12:34You play.
12:35You play.
12:36You play.
12:37You play.
12:38Rash.
12:39Hey.
12:40Sorry.
12:41Don't read anything into this, okay?
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
12:55might be tapering with the morphine supply.
12:59Well, you...
13:00You don't think it's her, do you?
13:03No.
13:04No.
13:05I don't know what to think, really.
13:06Okay, well, she wouldn't.
13:07No.
13:09No.
13:10No.
13:11Forget I said it.
13:12No.
13:13No.
13:14No.
13:15No.
13:16No.
13:17No.
13:18No.
13:19No.
13:20No.
13:21No.
13:22No.
13:23No.
13:24No.
13:25No.
13:26No.
13:27No.
13:28No.
13:29No.
13:30No.
13:31No.
13:32No.
13:33No.
13:34No.
13:35No.
13:36No.
13:37No.
13:38No.
13:39No.
13:40No.
13:41No.
13:42No.
13:43No.
13:44No.
13:45No.
13:46No.
13:47No.
13:48No.
13:49No.
13:50No.
13:51No.
13:52No.
13:53No.
13:54No.
13:55No.
13:56No.
13:57Can I put my hands on your stomach?
13:59Oh no, I don't want to put your pet on your stomach.
14:10Can you show me where it hurts?
14:11I don't know, I don't want to.
14:18What's wrong, Shah?
14:19Is her baby okay?
14:22Uh, I think it's probably just a case of gastroenteritis,
14:25but we're gonna run a few checks,
14:26just make sure baby's okay, all right?
14:28Cam, can you get me the fast scanner, please?
14:31Yeah.
14:42Sonny's, uh, preparing the insulin and locating the prazosin,
14:45so let's focus on symptomatic control till this antivenom gets here.
14:49Okay, 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,
14:58so let's administer one milligram of lorazepam every 15 minutes,
15:03uh, monitoring her resps and GCS.
15:07Okay, Krazosin first, please.
15:08Okay.
15:09All right, just a wee pill.
15:10Okay, you manage?
15:12There we go.
15:13Insulin via IV?
15:14Yes, boss.
15:18Faith, just coming in under here.
15:19Okay, great.
15:25Sinus tachycardia.
15:26Our heart rate and BP are still dangerously high.
15:30Okay, I'm happy if you are.
15:31Yeah.
15:35It should help her blood sugars,
15:36but only the antivenom will halt the toxins.
15:39Okay.
15:40Right, well, I'll start a glucose chart every 15 minutes,
15:43and, you know, hopefully she'll stabilise soon.
15:48Sonny, thanks.
15:52Hey.
16:00Okay, there doesn't seem to be any intra-abdominal fluid,
16:02which is great,
16:03but I'm going to send you for an early pregnancy ultrasound
16:07with the obstetrics team just to be sure you don't have
16:09what we call an ectopic pregnancy.
16:12Should I ring that?
16:13Uh, yes, please.
16:34Mrs. Malik's husband's just arrived.
16:35He's in reception.
16:36Okay.
16:39Something wrong?
16:41You need to keep him away from her.
16:42Why?
16:45He's a violent man.
16:46If he finds out, he will kill her and the baby.
16:50Has he been violent before?
16:56Okay.
16:57All right, um, keep him in reception for now.
16:59Let's sort the ultrasound for Mrs. Malik,
17:00and we'll take it from there, okay?
17:01Okay, yeah.
17:07Please don't hurt him.
17:08I'll find another way.
17:10I'll just, just, please.
17:15Hiya.
17:17Are you, um, you 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, er, St. James's Pharmacy being in contact with you?
17:31Yeah, no, someone's messed up their end, and they need an emergency supply of morphine.
17:38Must be busy down there, right, if they're running out of morphine.
17:40I 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.
17:53I'll, er, I'll grab myself a cup of tea, yeah?
17:55There might be another way, but listen, I don't want anybody getting hurt, okay?
18:11Yeah, bring me back.
18:12Is, um, is Mrs. Malick's husband still in reception?
18:19Yeah, he is, um, but he seems quite agitated.
18:22Yeah, but he does.
18:24Listen, just, um, keep him there for me, would you?
18:27Yeah.
18:28Thanks a lot.
18:38Hiya.
18:40Hi.
18:40I need to get to ICU to see Cassie Woods.
18:44Her name is.
18:46Cassie?
18:47You know her?
18:49Um, so, are you her family?
18:54Uh, Ngozi, could you take this lady to ICU, please?
18:59Do you know how she's doing?
19:01Um, she isn't my patient, but I can assure you that she's getting the best possible care.
19:06Okay.
19:08Okay.
19:09Thanks.
19:11It's this way.
19:12So, that's everything.
19:19Um, the taxi's just outside.
19:20Yeah, so, I know 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.
19:34Oh, cool.
19:35Mr. Malik, you can't come through this way.
19:36Um, Abina.
19:38Wait.
19:38Sir, please come back to reception.
19:39Mr. 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.
19:47Okay.
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.
19:54I...
19:54Okay, listen.
19:55If you go sit in reception, I will come and find you when I know more.
19:59Okay?
19:59Yeah, sir, if you could...
20:00Get her!
20:01Hey!
20:02Calm down.
20:03Go and sit in reception, or we'll call the police.
20:06Do you understand?
20:06But I need to speak with her as soon as possible, yes?
20:15Yes, Mr. Malik.
20:20This way.
20:23You all right, Kim?
20:24Yeah, thank you.
20:31Auntie Venom's on the road. It's about 20 minutes out.
20:33Good. Hopefully they get here quickly.
20:35I mean, insulin's working, so...
20:37Okay, good.
20:39Rush.
20:40Everything okay with Sonny?
20:42I don't know. Something's upset her.
20:45God, what have you done?
20:47Blood sugar's 1.4. She's hypo.
20:48Mandy! Mandy, open your eyes. She's drowsy.
20:51Mandy, open your eyes.
20:52Oh, there 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.
20:59She's had too much insulin.
21:01Okay, we need the glucose into her as quickly as possible.
21:03I'm going to go straight to the cannula.
21:05I'm going to flush it through the saline after.
21:11No, no, the solution's too thick.
21:14Brush. Take a deep breath.
21:16Go slowly. I'm going to flush it through the saline after.
21:19Yep.
21:21Great.
21:22Okay.
21:22Yeah.
21:25Hey.
21:25Hey, Miss Butcher, it's okay. It's okay.
21:27There we go.
21:34She's taking a step back.
21:36We really need the anti-venom.
21:38That's fine.
21:39Blush.
21:41This isn't Sonny's error, is it?
21:43Hi. I'm a friend, Nicole. I'm a... mum? Yes, mum. It was actually me that reached
22:11out to you. Hi. It's been a good sign today. She's, erm, she's having a sedation reduced
22:18to safe shit and start breathing on her own. Come and talk to her. She might be able to
22:23hear you. I don't know what to say. Just say hello. Is that a cough? I see.
22:41Lassie? Move away. Move away!
22:48Capnography and airway pressure suggests lots of leak. Get an airway trolley. We might need
22:55to re-intubate. It's OK. Good, Lassie. Are you all right? OK.
23:02How are you feeling? Any better? What's wrong with you?
23:09Good. Look, I think this is running its course. The ultrasound came back clear so it's not
23:14an ectopic pregnancy and, er, I think I was right that it's just a bad case of gastroenteritis.
23:20What's wrong with you? The baby is OK. Yeah. Yeah, the baby's fine. It's all not bad.
23:27Um, Cam, we need to sort this out with some omeprazole and then we can think about discharging
23:34her. Er, Cam has some information for you over here. And please, you've had a really rough
23:38twenty-four hours, so plenty of bed rest and fluids, OK?
23:54We need to book her in with an EPT as well. She can't go back to him.
24:05I mean, can you keep her safe tonight? Absolutely.
24:09OK. Um, there's a number on this leaflet. I need you to call it as soon as you can. There
24:13is a child at risk here. I'll do the same from my side. And remember, it's essential that
24:17she comes back to meet the early pregnancy team. I'll bring her there myself. How do we
24:22leave without her husband seeing? Leave that with me.
24:30She's settling well on the vent. Good. I can't deal with this.
24:37Where are you going? This were a mistake. I can't do it.
24:40You can't walk out on her again. I've got to go. It took you a week to get here. You can't
24:45leave now. That is your daughter, so you suck it up and you stay with her because she needs
24:51to be quiet. This isn't right. I'm scared. You're scared? Do you not think she was scared
24:57when a motorbike ploughed into her? Do you not think she was scared when you abandoned her?
25:01I didn't abandon her. She was taken from me. You think I have thought about her every day
25:07of my life? You know nothing. No. No. We've given you professional courtesy. You are not
25:13Cassie's next of kin. I can't have you shouting in the middle of my unit. You're lucky I don't
25:18bring this up with your educational supervisor. I don't want to see you in here again.
25:24Mandy. Mandy, the anti-venom's arrived. I'm going to administer you to feel better soon.
25:45Mandy, Mandy, the anti-venom's arrived, I'm going to administer you so you'll start to feel better soon.
25:58Brash, 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, but it'll be a few hours before they return to normal.
26:20Is there something serious?
26:23Why don't we just step in here for a minute, Mr. Malik.
26:29Please, take a seat.
26:36Is she okay?
26:37Um, 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?
26:49All right, then. Well, I'll, uh...
26:55All right, then.
26:56And is your wife taking any regular medication?
26:59Uh, no. Uh, why can't I see my wife?
27:03When 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, and we haven't heard from her since.
27:43We?
27:44Our baby boy.
27:46He's with my sister.
27:50Well, um...
27:52Why did...
27:53Why do you think she ran away?
27:54I don't know.
27:56She just took all her clothes.
27:59She's emptied my bank account.
28:01Sorry.
28:02Excuse me a second.
28:03I'll be right back.
28:05Sorry.
28:06Excuse me a second.
28:07I'll be right back.
28:09I'll be right back.
28:10I'll be right back.
28:24Cam.
28:27Cam.
28:29You checked Mrs. Malick for signs of physical abuse, right?
28:33Yeah, I did, but there was nothing visible.
28:38Well.
28:39Well, um, thanks again.
28:45You okay?
28:46Yeah, I'm fine. Please.
29:05Talk to me.
29:09I've been barred from the ITU.
29:11Yeah, I heard.
29:13Where's Cassie's mum?
29:15Gone.
29:16God riddance and all.
29:18Now they're harsh.
29:20She deserves it.
29:22How is it fair?
29:25These women just walk away
29:28and leave us to deal with a lifetime of chaos.
29:33Cassie needs our mum.
29:36Were you really angry at her?
29:39Yes.
29:41Who else would I be angry at?
29:48I searched for my care file when I was looking for Cassie's.
29:53There's no real details.
29:54Just that I was abandoned by a woman called Tina Piper.
30:00Do you know Piper, yes?
30:02Yeah.
30:10What are you gonna do?
30:13Ask me no questions, I'll tell you no letters.
30:16It usually drops twice a day and the tablet once a day.
30:23Okay.
30:24Okay, thank you.
30:25No worries, thanks.
30:27Hey.
30:28Sorry about earlier.
30:29We got the anti-venom.
30:30Her blood sugar's under control.
30:32She's stabilising.
30:35But...
30:37But we had to treat her for hypoglycemia.
30:41I...
30:42You prescribed a hundred units in the drug chart.
30:45No, I...
30:47I prescribed ten units, Sonny.
30:48Not...
30:49Not a hundred.
30:51Oh my God.
30:53We'll have to file a Datix report.
30:56I could lose my job.
30:58No.
30:59No, it won't come to that.
31:00Okay?
31:07Are you okay?
31:10Who was on the phone earlier?
31:11Because whoever it is, you have not been the same since.
31:14It was no one.
31:15Okay, then...
31:16Then what's going on?
31:17Because you just made a nearly catastrophic error.
31:23I spoke to Jan earlier.
31:24What did she say?
31:28Okay, this is gonna...
31:29This is gonna sound crazy.
31:30But she was...
31:31Talking about the morphine that's gone missing.
31:35This hasn't got anything to do with that, has it?
31:38No.
31:39Okay.
31:40Okay, then talk to me.
31:42I get it.
31:43We're new in our relationship.
31:44We'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.
31:54I promise.
32:08They were gonna hurt Jake.
32:10Who were they?
32:13The ones who...
32:15made me steal the morphine.
32:24Hey.
32:25Cassie's mum, right?
32:26I know what you all think of me.
32:27Whoa, whoa, whoa.
32:28Hold on, hold on.
32:29Just...
32:30Talk to me.
32:31I can't see it like that.
32:32I can't...
32:33I shouldn't have come.
32:34The way they all looked at me.
32:35Hey, listen.
32:36It doesn't matter what other people think, right?
32:37I can't say goodbye to her again.
32:38They targeted Jake.
32:39Love-bombed him with gifts.
32:40That's how they get you.
32:41Next, it's you owe us for that phone.
32:42Those headphones.
32:43Can you have gone to the police?
32:44Can you have gone to the police?
32:45No.
32:46No.
32:47No.
32:48No.
32:49No.
32:50No.
32:51No.
32:52No.
32:53No.
32:54No.
32:55No.
32:56No.
32:57No.
32:58No.
32:59No.
33:00No.
33:01No.
33:02No.
33:03No.
33:04No.
33:06No.
33:07No.
33:08No.
33:09No.
33:10No.
33:11No.
33:12No.
33:13No.
33:14No.
33:15No.
33:16No.
33:17No.
33:18No.
33:19No.
33:20No.
33:23It was a chance to get Jake out their debt.
33:26I knew I wouldn't get away with it forever, but when Jan spoke to me today, I told them it was over.
33:33And they sent the video.
33:36I was in bits.
33:38OK, so what now? What now?
33:41I came up with a plan to get them off her back.
33:44Right, what plan?
33:49Terry, it's Rash. Call me as soon as you get this, OK? It's urgent.
33:53Rash, you're joining some resources. We've got an incoming pre-alert. It's one of ours.
33:59Sorry.
34:04This is Terry Melville, 65, dragged down the road for about 100 metres.
34:08Injuries all seem to be right-sided, with query fractured knoth, multiple rib, hand and finger fractures, abrasions to his posterior chest wall.
34:16OK, ready to move on three? Yep. One, two, three.
34:19He's got a three-inch laceration to his right temple. He is tacky at 110, BP is 108 over 82,
34:27RESPS 20, SATs 97, GCS 15.
34:31He's got one gram of IV paracetamol and 10 milligrams of morphine.
34:36Terry?
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. I'm one of the doctors here at Holby City Hospital.
34:46And Rash is the doctor attending to you at the moment. So let's have another large ball cannula, please, and we should do a full trauma series, I think.
34:53What happened?
34:54The gang jacked his van. I think he tried to stop him and got dragged down the road.
34:59Do we think a bit more pain relief, Rash?
35:01Yeah, yeah. Let's get 10 milligrams of morphine, please, and a full trauma CT.
35:06And, yeah, I mean, of course, I was angry when Ian reported me, and my job was at risk, but when we talked about it, it was the right thing to do.
35:19I don't understand why he was protecting Jacob over me.
35:23You know, and then, I'm really, I'm hurt, and I feel betrayed, and angry.
35:35Anyway, the point is that I want to get through this, and 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, yeah, I know, and I need to remember that.
36:05I just, I just want us to work out how to resolve this without me suppressing how I really feel, or it ended up in a blazing row, you know, because that's, that's, yeah.
36:26Right to reply?
36:27Erm, I, I think, when you're married, the first argument is, is always the hardest, you know.
36:44Yeah, somehow the stakes seem higher.
36:49Erm, so I would, I'd like to take some time to think about what's been said today.
36:54Yeah.
36:57Liver and spleen, both untouched, that's a real stroke of luck, isn't it?
37:04Okay, let's administer the, erm, fascia iliacal nerve block.
37:07We can't use local, unfortunately, for the wounds, because we're using 20 mils for the nerve block, so we'll just tack those, I think, and let surgery do them when it goes off.
37:16Ah!
37:22Ah!
37:22Okay, erm, nerve block's in, can I step out of my way?
37:35Yeah, yeah, of course I'll, I'll take it, I'll take it, I'll take it, I'll take it, I'll take it, I'll take it, I'll take it, I'll take it.
37:44Ah!
37:45Ah!
37:46Ah, yeah, it's okay, it's okay, it's okay, I've got you.
37:49I've got you.
37:50Mum.
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.
38:16I can't...
38:17Yeah, you can. Just follow me. Follow me.
38:21I told him not to hurt the driver.
38:27Oh, God. Oh, God.
38:30OK, hey, hey, hey, listen to me. Listen to me.
38:33OK, we need to speak to the police.
38:36Are you... are you kidding? Rush, I'll do time.
38:40How can I protect Jake if I'm in prison?
38:42No, I just need to lie low, erm, 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!
38:51If they find out I'm to blame for Terry, I'm done.
38:56You can't tell anyone, OK?
38:58Please, you can't say anything.
39:00You promised you'd help me.
39:02Please.
39:03Please.
39:04Please.
39:05OK, yeah, yeah, yeah.
39:11Hey, Nicole.
39:13Any word on Cassie?
39:15I wouldn't know.
39:16I'm barred for shouting at her birth, ma'am.
39:19Right, erm, listen, I'm just about to finish my shift. Do you want me to go check?
39:28Yeah.
39:29Yeah.
39:30Hang on then.
39:34OK, well, thanks. I'll let you know, OK?
39:39You all right?
39:40What?
39:45Was this a big joke to you?
39:46I don't know what to say.
39:48You speak, Ian, more than you did.
39:50I thought we were going to be open and honest.
39:53You know what? At least I can.
39:55Are you serious?
39:56Look, I'm sorry.
39:57I just don't feel comfortable talking about what I was in front of a stranger.
40:01Maybe now that one's out of the way, it'll be easier next time.
40:04Right, so you're... you're willing to come back?
40:07Yeah.
40:09OK, good.
40:10Right, well, I'll, er...
40:12I'll make the appointment, yeah?
40:13Cool.
40:16Yeah, I'll take that Wednesday evening.
40:19Hey.
40:21I thought he'd be upstairs.
40:23Yeah, there's a short delay.
40:24Well, that's OK.
40:25We are busy making him look presentable.
40:28Aren't we, Tezza?
40:29Yeah.
40:33How's Sonny?
40:35Yeah, she's fine.
40:36Fine?
40:37Fine?
40:38No, you rash.
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?
40:52I tried.
40:54I tried.
40:56I couldn't.
40:58I couldn't.
40:59Come on now, come on now.
41:00You're all right.
41:01You're here now.
41:03They were laughing at me.
41:04Try not to think about it.
41:07Concentrate on recovering, OK?
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.
41:17Hey.
41:19Remember our backgammon nights?
41:22Oh, I think we should start them up again.
41:26Thursday's a good night for me, OK?
41:30Hey.
41:31I spoke with her doctor.
41:32The reintubation went well.
41:33And one of the nurses felt they saw hand movement, so they're remaining hopeful.
41:39They'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.
41:57Nicole, this 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.
42:17I'll take care of her.
42:18I'll stay.
42:48Oh, good. Heart rate and BP have come down.
43:10That'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.
43:32I can't believe it was on me.
43:33But where is it now?
43:34I don't know.
43:36Far, far away, hopefully.
43:37Maybe a zoo or something.
43:39I 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.
43:47OK.
43:48That 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.
43:55My mum used to say things like, addictions and illness.
44:09It's not my fault.
44:10And now she's dying in the hospice from alcohol abuse and I'm like, you just let yourself have
44:14the hope by now to get responsibility.
44:15I know that doesn't help matters but nothing just does me in it.
44:16Mate, why are you not telling Faith this?
44:17I'm just not listening.
44:18Not really.
44:19Come on, Ian.
44:20It's you and Faith.
44:21They'll get through this.
44:22Another.
44:23Yeah.
44:24Thanks.
44:25Door is completely locked.
44:26Door is closing.
44:27Door is closing.
44:28Door's closing.
44:29Door is closing.
44:30Door is closing.
44:31Is.
44:32Is.
44:33I mean.
44:34People walk away from the door.
44:35I mean, you'll get through this.
44:36I mean, why are you not telling Faith this?
44:37I've just not listened.
44:38Not really.
44:39No.
44:40Come on, Ian.
44:41Thanks.
44:57What's up?
44:59I have a friend at the RVO.
45:02Read it.
45:11That'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.
45:41Did you get everything?
45:48Yeah.
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.
45:59Look, 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.
46:11I'm sorry.
46:16What?
46:20Sonny, love.
46:21The police are here.
46:23We asked them to send plain clothed.
46:30My son needs me.
46:31He'll be at the police station when you get there.
46:41You think police scare these people?
46:48You have no idea what you've done.
47:11Yes.
47:12Thanks for letting go.
47:13So grande spot onikum.
47:15Ok, thank you.
47:16�� voice only.
47:18HHH
47:20face
47:21Polsce
47:22have no hair on the side.
47:24You can't even believe it's ìž‘ì—….
47:26Your hair vostro eff go home.
47:28Commit Hello, you may not find yourself.
47:30You may not find sweat.
47:31You may not find the eyes for you to consider.
47:34quantitatively
47:35controllers
47:36according to our department.
47:37My husbandAmerican.
47:38Me in this country Moon.
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