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#RealityRealmUS
Reality Realm US

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Transcript
00:00You know, the day that junior doctors start their rotations is called Black Wednesday for a reason.
00:07That's why I always book it up.
00:08Well, that's why I'm afraid I had to cancel that. I need you here.
00:12I don't even think patients should be admitted on Black Wednesday. It's too dangerous.
00:16Look, Dylan, you're on the road here, okay? I shouldn't be having to beg you to help me with this.
00:19And I'm here. On the hottest day of the year, I am here.
00:22You are. And there's just one other thing.
00:25I need you to mentor one of the new residents.
00:55I need you all right.
00:59Dylan, please.
01:01Wide-eyed and clueless, I can handle, okay?
01:03But in the worst-case scenario, somebody's going to die today.
01:05And to be honest, it's a miracle that more people don't.
01:07I need you all right.
01:37I'm through.
01:41Can I see you? Can we clear some space here? Thank you.
01:44Okay, cheers.
01:45What the hell is going on here?
01:46We're doing our best.
01:48Claude, Claude, will you stop, please?
01:51I took my money.
01:52We love you dearly.
01:53We love you dearly.
01:54Stop it.
01:57Okay, tell me what you think.
01:59Yeah?
02:01Hey?
02:02Hiya.
02:03What are you doing here?
02:05Same as you, I guess.
02:06Don't worry.
02:12Nobody looks at them anyway.
02:14So, where are we going then?
02:17Any ideas?
02:18Star for him, I think.
02:19See?
02:21You all right there, mate?
02:24You've fallen out with that thing over?
02:26I took my last pond.
02:27Thirsty!
02:28What do you want?
02:30My treat.
02:32Lemonade.
02:34Not seen you before.
02:36How long have you been a doctor?
02:39Seven years.
02:41Would you include the training?
02:42There you go.
02:49What's your name?
02:50Claude.
02:51You?
02:52Marty.
02:54Claude?
02:55It's been a pleasure.
02:56You enjoyed that.
02:58Take care of yourself.
02:58What is in there?
03:03Just stuff.
03:04Stuff.
03:06Stuff room, is it, yeah?
03:08Are you a doctor too?
03:10Yes.
03:12It's my first day here.
03:14Well, good luck to you then.
03:19For both of us.
03:50What's that?
03:53First list.
03:55You know, first dislocated shoulder, chest drain, femoral line.
04:00You want in?
04:02I'll put you up.
04:04Bit of healthy competition and that.
04:05No, don't, please.
04:06Aha, there you are.
04:08Good to see you again, have you met?
04:10Yeah, we did some rotations, didn't we?
04:12Yes, gastroenterology, neonatology.
04:15Perfect.
04:15Well, your mentors await with me.
04:17Actually, I need the bathroom.
04:20Right, well, quick about it.
04:21Meet me at admin.
04:24Yeah, yeah, I know it's hot.
04:26The icon is on the blink yet again.
04:29Hotel management every year, complete waste of breath.
04:32Oh, Rita, did we set up a cool room?
04:35Uh, yeah, we did, Mr. States is in there now.
04:37Don't worry, we've got odds on him.
04:38Great, thank you.
04:39Jodie.
04:40Jodie.
04:40Yeah, have we seen Dylan?
04:41I've got his resident here.
04:42Uh, he's about somewhere.
04:43You're right, resident?
04:44Yeah, I'm not bad, then.
04:45I don't know.
04:45He's...
04:46Oh, yeah, Dr. Keogh.
04:48Yeah.
04:48Yeah, I'd like you to meet...
04:50A junior doctor.
04:51Actually, we're residents now.
04:52Congratulations.
04:53I'd like you to meet Dr. Flynn Byron.
04:55He's our clinical lead, and I think he's the guy you want to talk to.
04:57Yeah, listen, there's been a change of plans.
04:59I'm going to supervise you for today, if that's okay.
05:01I'm more than okay.
05:02People call me Matty.
05:03That's lovely.
05:04Where's the other one?
05:05I thought there were two of them.
05:06Yeah, never mind.
05:07Come on.
05:07First day?
05:35Yeah.
05:35Just trying to centre.
05:38Right?
05:39Yeah, my life coach is all about centering.
05:41But I would just say, you know, you've got to keep calm.
05:44Own it.
05:45Yeah.
05:45Enjoy it.
05:47Excuse me.
05:48Yeah?
05:49Do you know a Dr. Stevie Nash?
05:52He's my mentor.
05:53He's a bit of a tough nut, apparently.
05:55Oh.
05:56A bit of a ball breaker.
05:57Yeah, yeah, yeah.
05:57Yeah, yeah, I know.
05:58I know Dr. Nash, and, uh, yeah, yeah.
06:01He has broken some balls.
06:02Definitely eaten some residents.
06:03So if I were you, I wouldn't be late.
06:06Run.
06:06Run as if your life depended on it.
06:10Don't forget your purse, though.
06:11Oh, yeah.
06:14I'm Dr. Chang, by the way.
06:16Yes, you are.
06:18Good luck, Dr. Chang.
06:20Knock him dead.
06:20Our aim is to transform general chaos into controlled urgency.
06:26Believe me, it's not for everyone.
06:27Well, it is for me.
06:28Pointy end of the sticks where it's at, you know.
06:30Otherwise, what's the point?
06:32You should know I'm going to apply for the clinical fellowship.
06:34Soon as I can.
06:35Oh, yeah.
06:35Good for you.
06:36What have we got, guys?
06:37All right, this is our pre-alert Otis Brown, 34 years old.
06:41His conferential chest burns with burns to both his arms.
06:43They're 38% TBSA with smoke inhalation.
06:46I'm worried about his hair away.
06:47It's his wedding day.
06:48The brownie will get a marine coat fire.
06:50And there's more incoming.
06:51The barman's packed.
06:56And these are brownies?
06:57Double-drop brownies.
06:57Double-drop brownies.
06:58Mmm.
06:59I love that.
07:01It's day one and she brought me a goods.
07:03Yeah, you're just annoyed because she thinks you're a man.
07:06It's top of every class.
07:07Blood home economics.
07:10Cute show.
07:11Hello.
07:12We're having a picnic, aren't we?
07:15No, I just brought some treats in.
07:16Not the time, nor the place.
07:18And you two should know better.
07:21Skedaddle.
07:22Yeah, I'm sorry, Sean.
07:26Sorry.
07:26It got out of hand.
07:28It was supposed to be for later.
07:31I had nowhere to put my case.
07:32I would shove it all in the staff room and then come find me.
07:35Bring a pen because you need to make notes.
07:39Aren't I supposed to be meeting Dr Nash?
07:42You just did.
07:45Confirmed inhalation, injury, severe airway risk.
07:49Where's that line coming?
07:49No visible veins.
07:51Peripheral circulation's poor.
07:53Can't get access.
07:54Breast's 19, sat's 91, drop in.
07:57That line, now.
07:58I owe a gun on the shelf.
08:00Come on.
08:00Come on.
08:02It's not here.
08:03Come on, Jodie, help him out.
08:04It is.
08:05It's there.
08:06I need it today.
08:07I need this line.
08:10I need that line.
08:11Come on.
08:11I need that line.
08:13Okay.
08:15Okay, I'm ready.
08:18Stabilise the leg, please.
08:26I-O-N.
08:29Flushing with 5 mil 1% liquid cane and saline.
08:32Have good flow.
08:37Okay, you can attach the fluid line.
08:39Okay, let's get drugs in, please.
08:42Good work.
08:43Well done.
08:45Cubicles are basically a holding pen for the salvageable.
08:48If they're conscious and complaining, they're in the right place.
08:50If they're unconscious or actively dying, then they need to go to resource.
08:53But if they're somewhere in between, then you decide.
08:56Any questions?
08:57No, no questions.
08:58Okay, you can stay close, but not that close.
09:00Keep your head up. This is the calmest it's going to be all day.
09:03So, yeah, that's it.
09:04I've introduced you to the battlefield, and now it's time to get ready for the war.
09:08Write that down. That was brilliant.
09:09Good.
09:11Uh, Dr. Nash?
09:13Yeah?
09:14The misunderstanding earlier.
09:16Well, you thought I was a man.
09:17I didn't mean to offend you.
09:19No, you didn't. You can't.
09:21No, thank you.
09:23Okay, let's get you sorted with a rota.
09:24No!
09:28Yeah, rule number one.
09:29Don't accept a sick blow from a drunk.
09:31Uh, Lamorna, can we get this sorted, please? Thanks.
09:34Go get yourself cleaned up.
09:36Leave me back here.
09:38Great.
09:39Right, how's Mr. Brown?
09:40Ventilator pressures keep alarming.
09:42Okay, you need chest scars for street and expansion.
09:45Now it's getting prepped and ready to go up to theater, please.
09:47Hey, uh, which bay are we in?
09:49Um, Jodie, can we move bed three to recovery, please?
09:53Uh, there's no room to recover.
09:54Listen, Jodie, it's not our problem, okay?
09:56Just bleep the side here and get her moved, please.
09:58Bed three.
09:58Hey, resident, look alive.
10:00Let's go.
10:01This is Rini Brown, 53, also from the wedding.
10:04Rini was trampled in the rush to get out of the barn.
10:06She's got reduced air entry on the right side, as well as possible fractured ribs, plus smoke
10:11inhalation with a global wheeze.
10:14Let's do lift, down, on my slide.
10:18Slide.
10:20She also has a head injury with laceration and a hematoma to the right side.
10:25Resp is 24, sat's 93 on high flow, pulse is 90, BP is 1 through 6 over 78, and she's
10:32GCS 14, she's had 10 milligrams or two bit more, and one gram of IV paracetamol.
10:37Okay, good work, guys.
10:38Thank you very much.
10:38Thanks.
10:40Sorry, can you stand aside for me?
10:42Um, this...
10:42Who are you?
10:43I'm Emily Lyle, this is my mum.
10:46My mum right here.
10:48All right.
10:49You the bride?
10:50Uh, no, mum is.
10:52How do you hurt your arm, Miss Lyle?
10:54I don't know, it happened when I got dragged from the barn.
10:56Okay, well, you know you're going to have to get it checked.
10:58No, I want to stay with my mum.
11:00Listen, I understand, but we'll take good care of her, I promise.
11:02Uh, Jodie, can you get Miss Lyle up to the reception?
11:04Yeah.
11:07Got reduced air entry on the right-hand side.
11:10Could you grab the ultrasound and order a chest x-ray for me, please?
11:13Let's dress that wound.
11:15Come on, this is basic stuff.
11:16Let's get some pressure and salox on it, okay?
11:18Where's my husband?
11:20It's just over there, love.
11:22No.
11:25Oh, my God.
11:26Oh, my God.
11:30Just give us some space, let's see if we self-terminate.
11:34Okay, now, let's take the airway.
11:36Let's get four milligrams of razepam and do a blood glucose as well, please.
11:39Flynn.
11:40Yeah?
11:41We need a doctor in this section.
11:42They're getting slaughtered out there.
11:44All right, take him.
11:45I thought it was being useful.
11:46They could be useful somewhere else.
11:52Is that the razepam?
11:53What are you up to, Claude?
12:14Coca-lace.
12:16Want me to take a look?
12:19Come on.
12:21Wow.
12:23Look at that.
12:24These are seeing some action.
12:26Been around the world.
12:28You're killing me today, though.
12:31What are you in for?
12:33Breathless.
12:34Guess me right here.
12:36You really been around the world?
12:41Nah.
12:42Went to France once.
12:48Look at that.
12:49That'll do, yeah?
12:52You the man.
12:53That's right.
12:54Sweat your feet, Pep.
13:06Oh, no.
13:07Sick on my shoes.
13:09Oh, lucky you.
13:11Do you want a nice lolly?
13:14I got them three for two.
13:16It's all blooming hot.
13:18No thanks.
13:24It was me friend's locker, that.
13:31Ngozi?
13:32Yeah.
13:33You know her?
13:35No, her name was stuck to the door.
13:38I see.
13:39I put that mirror up for her.
13:42She was always fussing.
13:44Giving her make-up.
13:46Would she, uh, like the mirror back?
13:48Oh, no.
13:49No, no.
13:50No.
13:51She doesn't need it now.
13:54She's not here anymore.
14:01I'm sorry for your loss.
14:06We was in the park.
14:07I punched it in the face.
14:09The dog?
14:10Ben Owen punched him in the face.
14:11Funny as all.
14:12Hey, I saved you.
14:14Uh, the fed saved me.
14:16That reason he ran off, took his stupid dog, not you.
14:19Uh, just get them checked through as quick as possible, yeah.
14:22Yeah, um, be careful with Claude.
14:24Yeah, I mean, he's a sweetheart, but he's a frequent flyer, so he sucks up your time.
14:28Hmm.
14:28Yeah.
14:29Anyway, there's water just over there, and get yourself a tablet out of that drawer.
14:34Okay, uh, is it always like this?
14:37Sometimes it's busy.
14:38Right.
14:40Uh, where do you want this one?
14:42Not here.
14:44Where then?
14:44I don't know, Ian, just join the queue like everybody else.
14:48Oh, he's mad, ain't he?
14:51Uh, I can't get this working.
14:53Oh, well, that's because it's green for grief, so it's broke.
14:56Green, right.
14:57Yeah, get another one, and we're waiting on a new one's coming in.
15:00Yes, we've been waiting for a long time.
15:03Ollie, I'm boiling.
15:04She's pregnant as well, I don't know if you've noticed.
15:06I, I, yes, okay, uh, they're through, yep, okay.
15:09Do me a favour and take these two cables right away.
15:12Yeah, sure.
15:13Yep.
15:14Okay, you too.
15:16Let's go sorted.
15:32It's like a bad music video in here.
15:34Shh.
15:36I'll jump.
15:40Oh.
15:40God, this ain't, it's too much, Stevie.
15:42This is killing me.
15:46How's your resident doing?
15:48Uh, yeah, yeah.
15:50She's, uh, nervous.
15:53She likes pink, and, um, and she bakes.
15:56So we're like, yeah.
15:58You?
15:59Well, he, he's overconfident.
16:02Fancies himself.
16:04Okay, what about your resident?
16:05Very good.
16:08He's already talking about that fellowship.
16:11I think he's probably gonna get it, Stevie.
16:13I feel sorry for you.
16:14One Dr. Lynn Laker has a very bright future ahead of him.
16:17Well, I wouldn't be sorry for Dr. Chang.
16:19I mean, like, we told it's early days.
16:21It's okay.
16:21We'll see.
16:22I'm gonna get back to her.
16:23I'll see you guys in a bit.
16:25Bye.
16:25Okay.
16:26Did he, did he say, um, Lynn Laker?
16:30Or Lynn Later?
16:31It's okay, I'll see.
16:32Lynn Laker.
16:33Lynn Laker.
16:33Dr. Lynn Laker.
16:37Why?
16:37No, no reason.
16:39Liar.
16:40Why?
16:40I, I, I, I, I knew somebody at the university with the same, so I know it's quite unusual.
16:48Yeah, it's unusual.
16:50Sarah.
16:51A special friend.
16:52Okay.
16:52Are you freaking out right now?
16:56I'm not freaking out.
16:57Why would you be freaking out?
16:58I mean, if I were you, I'd be totally freaking out.
17:00If this was a, a movie, you do the maths, you have this special friend, Sarah, this kid
17:08shows up to hold the ED 25 years later.
17:11He's about 25, I reckon.
17:14Freaking out.
17:17Papa.
17:22Good, good, good, let's get all those.
17:25Here we go.
17:27Huh?
17:27Dr. Chang will look after you now, yeah?
17:30Go easy on her.
17:37Hello.
17:38I'm Dr. Chang.
17:40We know.
17:40You just said.
17:42Right.
17:43Yes.
17:43So, let's start with your name, shall we?
17:46Debbie.
17:47Debbie, Debbie, Debbie.
17:48Okay, what's going on?
17:50A dog tried to eat me for lunch.
17:52Oh.
17:52And Ollie got smacked.
17:53Hi, Ollie.
17:54All right, Dr. Nash.
17:56Did you lose your tooth that way?
17:57Oh, no.
17:58That fell out weeks ago.
17:59I need to go to the dentist.
18:01Yeah, yeah.
18:01Make sure you do.
18:02Okay.
18:04Debbie does dog bite.
18:06Okay.
18:06Yeah.
18:07So, Dr. Chang, we have a dog bite with tissue damage.
18:10Recommended treatment?
18:14I would, uh, x-ray for foreign bodies, anaesthetise, debride, first-line antibiotics,
18:20check with plastics.
18:22Otherwise, proceed with primary closure, ensuring appropriate wound-ed approximation.
18:27She ate a buck or what?
18:29Yeah, apparently.
18:30Okay, good.
18:31I will leave you in Dr. Chang's very capable hands.
18:33Really?
18:34Yeah.
18:34Look, they don't bite, or that's provoked.
18:37I have some concerns about my patient in Capical Five.
18:41Sunburn.
18:42No, dog bite Trump's sunburn, so see to them later.
18:44I'm not being funny, but you look like you're about to cack yourself.
18:54Ed?
18:55You okay?
18:55Yeah?
18:56Claude Thompson?
18:59Claude?
19:01Claude Thompson?
19:01Excuse me, have you seen Claude Thompson, the other guy on the stairs?
19:05Over there?
19:05No.
19:06Claude Thompson?
19:06Faith, it's Claude, I think, I think he's gone.
19:12Yeah, he does it sometimes, he just wanders off.
19:16Um, who's next?
19:17Should I go and find them?
19:19I don't know, Emily Lyle's up next, she's got a dislocated shoulder, have you done one?
19:22No.
19:23Right, I'll get somebody else.
19:24No, no, no, but I need to take one off.
19:26Did, off what?
19:27My first, yes.
19:28Look, I can do it, honestly, I promise.
19:31Um, yes, okay, do you know what, fine, but just, just get supervision, yeah?
19:35I feel well funny.
19:38Well, it's the x-ray, you shouldn't have had it, x-rays aren't good for babies.
19:42They're perfectly safe.
19:43No, they can cause complications, big heads and that, Harry too, you know.
19:48If she wore a lead apron, she'll be fine.
19:51Have you not got a smaller one?
19:53My gran could do me, don't point with that.
19:55It has to be this one, I'm afraid.
19:58Me there.
20:02That's it.
20:05Debbie?
20:09You feeling okay?
20:10Needle.
20:13What's wrong with her?
20:14Well, she's, the x-ray's killing her.
20:17It's not the x-ray.
20:18Well, what is it then?
20:19I don't know.
20:20Well, she's dying.
20:21Do something, please.
20:24Well, come on.
20:25She's lost consciousness, her temperature's elevated, she's pregnant.
20:34She's dying.
20:35No, she's not dying, she's fainted, okay.
20:37Has she fainted before?
20:39Oh, yeah, she has.
20:42She's not good with needles.
20:46I'm so sorry.
20:47It's okay, it's all right, we've all been there, haven't we?
20:49I can't remember.
20:50Look, the next time you hit that button, he makes sure it's a bell's and what's his emergency.
20:56Okay, let's have a listen.
21:00Okay.
21:02It's making me feel giddy.
21:04It means it's working, love.
21:05You just enjoy it.
21:06All right.
21:07So I'm going to rotate your arm out, and slowly lift the elbow up, yeah?
21:11Okay.
21:11So, uh, whose idea was a 70s wedding?
21:15Uh, mum's.
21:16Uh, her new husband's in this tribute band.
21:19It's how they met it.
21:20Ooh!
21:21Yeah, okay, sorry, sorry.
21:23Yeah, sorry about that.
21:24Um...
21:29Yeah, okay.
21:31Let's try that again, yeah?
21:33Here, take some more deep breaths on the giddy gas.
21:36Here we go.
21:36Do you want some help?
21:37If I wanted it, I'd ask.
21:40Okay.
21:42Second time looking, yeah?
21:43You all right?
21:44Yeah.
21:44Okay.
21:48A little bit higher.
21:50Nearly there.
21:51Ooh!
21:52Here we go.
21:54Yeah?
21:54Yeah.
21:55How's that feel?
21:56Yeah, good.
21:57Good?
21:57Really good.
21:58Good.
22:04Sorry.
22:05So sorry.
22:06No, don't be sorry.
22:07Don't cry.
22:08It's been a horrible day.
22:09I didn't even want to go today.
22:10But Dad insisted.
22:12He said that I'd regret it if I didn't.
22:14Well, he sounds like a good dad.
22:16Yeah.
22:16He is.
22:17Yeah, he's a really good dad.
22:20Mum didn't even want me there.
22:21I told her I wish he was dead in front of everyone and a stupid toy boy, too.
22:31But I didn't mean it.
22:33No, of course you didn't.
22:35She's your mom.
22:36Yeah.
22:36Yeah, why don't I go and check on her for you?
22:40Yeah?
22:42Oh.
22:43It's okay.
22:47Yeah?
22:47Hey.
22:48Look at that kid.
22:49He's a natural.
22:51I think you might have backed the wrong horse, Stevie.
22:52Um, I didn't back anyone.
22:54I was assigned.
22:55And they're people, not horses.
22:57So you continue with that.
22:58I'll have you cancelled.
23:04I know what you're thinking.
23:06They grow up so fast.
23:08Yeah.
23:10Good, Stevie.
23:11I remember laughs so hard.
23:14You all right, Pat?
23:15I need a second opinion on a patient, but I don't want to disturb Dr Nash.
23:19That's probably wise.
23:20I can help.
23:21Um, can you get him started on some fluids?
23:24What we got?
23:25Uh, this is Miss Chimes.
23:27She fell asleep in the sun and burnt herself to a crisp, boobs and all.
23:31Just send me home and I'll grab a medicinal margarita.
23:34Be right to stay.
23:35I would lay off the alcohol and invest in some sun cream if I was you.
23:39You've got partial thickness burns here.
23:42Melanoma, skin cancer.
23:43It's a real risk, you know.
23:45Been there, had it, had it cut out.
23:47Miss Chimes had a melanoma removed from her back two years ago.
23:51I thought a full examination would be prudent, but she's refusing.
23:55And still is.
23:56Like I told the child, it was a one-off.
23:59It won't happen again.
24:00Well, it's a good job the child didn't listen to you, Miss Chimes.
24:03That's a good spot.
24:05Right.
24:06Let's do a full examination.
24:11Sophie's blood gas in it.
24:12You've got red on it.
24:12It's not back yet.
24:13Sometimes it just gets lost in the system.
24:15What, really?
24:16Yeah.
24:16Can you run it down?
24:17Yeah.
24:18Also, Mr Williams is still struggling.
24:20He said you were still...
24:20I know, I know.
24:22OK, let's start a fluorobolus.
24:24500 miller Hartman's over 15 minutes.
24:26I need to get to pharmacy.
24:28Anything else?
24:29Yes, I'm about to discharge Miss Lyle.
24:31Did you find out about more?
24:33I forgot.
24:34I'll go now.
24:35All right, look, it's a marathon, yeah?
24:36It's not spring.
24:37Yeah, feels like a spring.
24:39I'm sorry for barking at you earlier.
24:41I was a proper divvy.
24:41I know.
24:42You've got active-raised keratosis that have clearly recently been exposed to the sun.
24:50You do know you're at a higher risk of melanoma, don't you?
24:52I'm not stupid.
24:53I said I didn't want this.
24:57I didn't want to be pulled and prodded.
24:58All right.
24:59I get it, but we're just doing our jobs.
25:03Dr Chang's doing you a favour.
25:07Sorry.
25:08Didn't mean to shout like that.
25:10It's all right.
25:11That's OK, Miss Jones.
25:12The sun tan makes me feel good.
25:21I know I shouldn't, but sometimes I don't see anyone for days.
25:28You must think I'm a complete idiot.
25:30No, I don't.
25:33You've found something that makes you feel better.
25:37And even though it can hurt you, you still do it.
25:40I get that.
25:42But you have to remember.
25:46You always have a choice.
25:48Always.
25:50Because not choosing can be deadly.
25:55Well, trust me, it's just not worth it.
26:01No matter how good it makes you feel.
26:06Right.
26:07I'm going to get you an urgent referral to dermatology.
26:10Dr Chang, when you finish with this, can you get her up to the burns unit?
26:14Have you confirmed Mr Robbins' food balance?
26:26That's next on the list.
26:28I'm still waiting on X-rays for Saturn on the ladder.
26:30No, they arrived ages ago.
26:32Let me have a look.
26:34Oh, it's not working.
26:35Let me see if I can get it on in.
26:37Has anyone supposed to get anything done around here?
26:39With skills, my friend.
26:40Miss Mike.
26:41What are you doing here, resident?
26:43You shouldn't be here.
26:43I was just checking on Mrs Brown for her daughter.
26:46Really?
26:46Why is that?
26:47It's not your job.
26:49If you want to go speak to Miss Lyon,
26:52then I guess you can tell her that her mum's seizures have stopped
26:54and her head wound has been sutured.
26:56Rita, can we get some more fancy now, please?
26:59I can't think straight out of here.
27:01It's weird.
27:02I don't remember seeing her headscuff on your head.
27:05Please, come on.
27:07You'll be my favourite nurse for the rest of the day.
27:09Listen, I'm going right now.
27:13There was a Lynne Laker.
27:19I decided I'm going to be your mentor full-time.
27:22What, seriously?
27:23Yeah.
27:24I made a pretty impressive start.
27:26Just keep it up and don't let me down, OK?
27:28I won't.
27:29Honestly, Tarr.
27:30Well, no one's excited.
27:35Actually, I am.
27:37This resident's just bragged the clinical lead as mentor.
27:40Really?
27:41The clinical lead?
27:42Wow.
27:43I mean, if I were you, I would be celebrating.
27:45Tell everyone.
27:46Tell your folks.
27:47Tell your mum.
27:48Actually, I will, yeah.
27:49It's a good idea.
27:50Yeah, yeah.
27:51And what is your lovely mammy's name?
27:53Sarah.
28:00Wow.
28:01That's the, yeah.
28:02She'll be really bright.
28:03Hmm.
28:04Yeah, she actually is.
28:06It means a lot to her that I've got this far.
28:08She didn't get to finish uni.
28:09She got pregnant.
28:10Had to drop out, so.
28:11That's a, that's a shame.
28:13What, you kidding, aren't you?
28:14She left with all of this?
28:15What's not to like?
28:16Ha!
28:28Thanks for doing this.
28:29I know you didn't have to, but it'll calm Soppy Sod right down.
28:34Does he always fall asleep like that?
28:37Oh, what time?
28:38Give him a kick.
28:39He'll want to see this.
28:41Probably best if I don't.
28:51How many weeks did you say you were?
28:5224.
28:54Is there a problem?
28:56No, no.
28:58Soz.
28:59Me guts, I swear.
29:01Ollie's been down food bank every other day, force-feeding me veg.
29:04He's on instant noodles, mind.
29:09Why can't we hear an heartbeat?
29:12I'm just struggling to find an accurate image acquisition.
29:16What's that when it's at home?
29:18She can't find an heartbeat.
29:20You can't find an heartbeat?
29:22It's not that kind of scan.
29:23The baby were fine last week.
29:25I'm sure it still is.
29:26Well, so where is it?
29:29I don't know.
29:30Is it dead?
29:31No, no, I don't think it is.
29:33Do something!
29:34Help us, please!
29:37Well, come on, don't you stand there!
29:38Do something!
29:40Come on!
29:41Okay, guys, and maternity will give you a proper scan, so no need to worry.
29:53Thanks, Dr. Nash.
29:54You're the best.
29:55It's okay.
29:55Tell your mates.
29:59What were you thinking?
30:01I was just trying to help.
30:03Yeah, well, look, there's absolutely no need to do that scan down here.
30:06And a quick medical lesson.
30:07Good luck finding a baby with this.
30:08This is a cardiac probe.
30:10I don't have time to hold your hand.
30:12So next time you think about hitting that button, you make damn sure your brain's engaged first.
30:16Or your rotation is over.
30:17Understood?
30:20Okay.
30:31There's someone who'd do that for me.
30:33Yeah!
30:39Help me.
30:40You heard the alarm again, Marty?
30:43Dr. Nash hates me.
30:45Nah.
30:46She's just got one of those faces.
30:49Hey.
30:50Trust your instincts.
30:52What else can you do?
30:53Miss Jones?
31:10I wanted to give you this.
31:13A cookie.
31:15It's my mum's recipe.
31:17It makes me feel happy.
31:19Safe.
31:20Like a hug.
31:21That's really sweet.
31:24You're welcome.
31:25Dr. Chang.
31:27Pre-alert.
31:31Sorry.
31:32Don't say sorry.
31:33What was that about?
31:33I just wanted to give her a cookie.
31:36Cookies.
31:36Yeah.
31:37I saw.
31:37Why?
31:38Because she's so lonely and she has absolutely no one at all.
31:42Okay.
31:42Stop.
31:42Stop.
31:42Stop.
31:43Read that in right now.
31:44Okay.
31:44Because she doesn't want your cookies or your tears.
31:46What she needs is your strength and your clarity.
31:48Because anything else is just, you know, pink fluff.
31:52Understood?
31:53Sorry.
31:54Stop saying sorry.
31:56Stevie.
31:57Yeah?
31:58Drowning pre-alert is coming in now.
32:00Are you okay?
32:01Christ, did you look tired?
32:02You sleeping?
32:03No, I'm not.
32:04Because Ian has moved into a chain.
32:07What?
32:08Sometimes.
32:09Sorry.
32:10Don't say sorry.
32:11Just look where you're going.
32:12I'll leave it there.
32:14Look.
32:15I didn't mean to snap.
32:16Okay, but it's bedlam in here.
32:18Constantly.
32:18And if that doesn't suit you, then you need to think about that.
32:24Okay.
32:25Hey, guys.
32:25Let's get rid of your process three, please.
32:28Okay.
32:28Yeah.
32:2817-year-old male pulled unresponsive and hypothermic from the reservoir.
32:32Had an episode of brady calnia.
32:34I'm running to cardiac arrest at 1750.
32:36Initially with him was PEA.
32:37And just gone into VF as we pulled out.
32:40One shot given.
32:41Talk to her.
32:44She doesn't want me.
32:45It was horrible.
32:47Of course she does.
32:48She's your mum.
32:50What would your dad say?
32:54Will you come in with me?
32:59I can't.
33:00I haven't got time.
33:00Please.
33:05Yeah.
33:06Yeah, okay.
33:06Oh, I am so sorry for what I said at the wedding.
33:22I love you.
33:24You know I do.
33:30You ruined our wedding day.
33:32How's Otis doing?
33:40Um, I'm not sure, but I'll tell you what.
33:43Let me go and check.
33:46Rita, how's Mr. Brown doing that?
33:49Has he not been taken up to theatre yet?
33:51Nope, they didn't have room.
33:53Room?
33:54Okay, let's prepare for the anterior.
33:55What do you mean?
33:57Look, it's either here or nowhere.
33:58Scalpel, please.
33:59This is the first decision made.
34:01Take that, please.
34:03What are they doing?
34:04Otis!
34:15What are you doing?
34:16Otis!
34:16Post this screen, now!
34:18Otis!
34:19Please, Mr. Brown, should I be here?
34:21What, Otis?
34:22Mum, it's okay, I am here.
34:24Mum, I am here.
34:25Don't pretend you care.
34:28What?
34:29This is what you wanted.
34:31This is what you wished for.
34:34No, it's not.
34:35Get out!
34:37Out!
34:39Dr. Lynn Laker, you should be in cubicles.
34:41Get going.
34:44Now, Dr. Lynn Laker.
34:50Hi, I'm Dr. Lynn Laker.
34:54Hi, I'm Dr. Lynn Laker.
34:56I'm just going to check your airways.
34:58Can we get IV fluids here, please?
35:01Yeah.
35:01No.
35:02Can you just look up for me, please?
35:05Okay.
35:06Hi, I'm Dr. Lynn Laker.
35:10It's okay, it's a cry.
35:11Hi, I'm Dr. Lynn Laker.
35:13Hi, I'm Dr. Lynn Laker.
35:14Hi, I'm Dr. Lynn Laker.
35:15Hi, I'm Dr. Lynn Laker.
35:16Hi.
35:17Hi, I'm Dr. Laker.
35:18Uh, Dr. Chan.
35:20Uh, who's in two?
35:21Is that Debbie back from maternity?
35:23No, Ollie's asleep in there.
35:26He's asleep in there.
35:27Okay.
35:27It's not a premier inn.
35:28Go and clear him, please.
35:31And, uh, aren't you supposed to be doing rounds?
35:33No, I am.
35:34Okay, do you want to do that then?
35:35Sorry Ollie, I've got you Ollie, gently does it.
35:51Please.
36:05Is that your resident?
36:08Yep.
36:09Who else?
36:12I need a normal breather mask please. We need to get a line in.
36:15What's happened?
36:16He's been bitten his tongue.
36:17If he needs four milligrams, I'll be in the last half.
36:19It's open to the place he's serving.
36:21That's it.
36:22Cass is okay, he's self-terminating.
36:24Can we get some gauze for his mouth that's gonna clean up please?
36:27What happened? Is there a head injury?
36:29No, I think it's scurvy.
36:32Has he been lost at sea recently?
36:34He's drowsy, missing teeth, he's not eating well.
36:37And his skin, look, he's jaundiced.
36:40Yeah, okay, I think you're right.
36:42Dr. Chang has entered the building.
36:44Right, let's get him prepped, get him to resource again.
36:59Is that for the liquor?
37:00You okay?
37:02You didn't get a drink, did you?
37:04No.
37:05Okay, bottles of water are over there.
37:06Please go and drink.
37:07If you don't look after you, you can't look after them.
37:09Come on, Claude.
37:10Come on, Claude, mate.
37:11You can't stay there.
37:12Okay?
37:13Claude?
37:14Claude?
37:15Come on, Claude, mate.
37:16You can't stay there.
37:17Okay?
37:18Claude?
37:19Claude?
37:20Come on, Claude, mate.
37:21You can't stay there.
37:22Okay?
37:23Claude?
37:24Claude?
37:25Can I get some help, please?
37:26Can I get some help?
37:27Can I get some help on rear, please?
37:28Faith, it's Claude.
37:29Get the crash, surely?
37:30Okay.
37:31Hit the crash.
37:32Hit the alarm.
37:33Hurry up, hurry up.
37:34Come on.
37:35Come on in.
37:36should I get the crash?
37:37Okay.
37:38There's a crash.
37:39Come on!
37:40Head's on.
37:41The post CPR.
37:42I can't stay here.
37:43Can I get some help, please?
37:44Can I get some help on rear, please?
37:45Faith, it's Claude.
37:46Get the crash, Charlie.
37:47Hit the alarm.
37:49Hurry up, hurry up.
37:54Come on!
37:55Okay.
37:56Come on in.
38:02Head's on.
38:03You're closed CPR.
38:05Yeah.
38:06Is asystolic back on the chest?
38:08He needs oxygen.
38:09One milligram of adrenaline.
38:19Excuse me.
38:21He's followed suspecting.
38:23He's asystolic.
38:25He had ten minutes of ELS and two adrenaline.
38:28There's no response.
38:29He's not listening.
38:32I told her to make a step away, please.
38:34He just needs more adrenaline, please.
38:36Dr. Lin-Lincoln, move.
38:37Now, come on.
38:39Stop.
38:42Come on.
38:43He's been there for a while.
39:04Take care.
39:20Don't be there for a while.
39:21Sorry.
39:22It's not fair, is it?
39:49Hey.
39:52How are you doing?
40:00What do you want?
40:03Um, I heard about earlier on and I wanted to check in with you.
40:11Why?
40:12You didn't even want to be me mentor, remember?
40:14Okay, I don't want to be anybody's mentor. Don't take that personally.
40:18Don't take it personally.
40:20Now, why would I do that, eh?
40:25Dr. Lynn Laker. Come in, buddy.
40:28I mean, you know Claude Thompson. He was well known to all of us. He was in and out all the time. In fact, I checked his records. He's been in five times in the last three weeks.
40:42So then, why was this not picked up?
40:44We went out, we called his name, but we just figured that he'd wandered off like he always does.
40:50Dr. Lynn Laker, anything you want to add? Listen, I know this was your first death.
41:00I didn't even notice him.
41:02Okay, look. You did everything you could. In fact, medically, you went above and beyond. So, you understand this isn't your fault, right?
41:10Yeah, I know it wasn't.
41:12Yeah, I know it wasn't.
41:14Right.
41:15That's me.
41:16You take care.
41:17I wanted to apologise for earlier. You got upset before. With Bethany.
41:33I'm sorry. It wasn't your fault. I just got a bit carried away. About Ngozi.
41:53Ah. Wasn't that obvious.
41:57I think you're amazing. Carrying on. Despite her death.
42:05A what?
42:11Your ears must be burning. I was just talking about you.
42:14Were you being nice?
42:16I was being honest. I think you should meet our new resident.
42:20Ngozi, this is Kim. Kim, this is Ngozi.
42:24Hello.
42:25Hello.
42:26Oh, hi.
42:29She's very much still with her, Beth.
42:31See you.
42:33Right, I was rehabbed today. Did you smash it?
42:35Or were you just bitching a bit of biscuits again?
42:55What's that?
42:56Oh, just a firsts list. I did my first prescription in the ED earlier.
43:09Felt important at the time.
43:11No, look, it's still important.
43:13Yeah, by the way, that spot that you had earlier with the scurvy, that was exceptional and always going to make a full recovery because of it.
43:24You will make an exceptional doctor.
43:28But, as your mentor, I, yeah, I owe you honesty.
43:34And I don't think a career in the ED is for you, Kim.
43:38I think you need a thick skin to work here and, frankly, I just, I don't think you have it, but that's okay.
43:43You have no idea who I am, what I can do.
44:00I was made for the ED.
44:30I was looking for you.
44:49Is that Mr Thompson?
44:53There was no one to take him to the morgue.
44:58So they just dumped him here.
45:08The consultants don't care.
45:13Mine operated on a patient in Resos.
45:16Yours has been barking at you all day.
45:21My original mentor didn't even want me.
45:24It's been busy.
45:25It's not good enough.
45:27Nothing works.
45:29Nothing works.
45:31Nothing needs to be done.
45:45I'm going to report them to the CQC.
45:53You can't do that.
45:55It's your first day.
45:56You could lose your job.
45:57I don't care.
45:58They could close the department down.
45:59Then they close it down.
46:00Someone needs to investigate this place.
46:02Because this, this is messed up.
46:16Another day, let's seehab stop.
46:20Billen.
46:21Hey.
46:22So what are you think to do?
46:24It's a great bang for thinking.
46:25I thought I might go for a walk and then we have a recipe for vegan lasagna.
46:28I might just chow down on that.
46:30down on that. No, I meant like the whole Matty thing. I don't know. I don't know. I mean,
46:34what can I say? I can't do anything about it. He might be my son. He might not be my son.
46:39You know, the world keeps turning and I'll just keep comfort eating.
46:49Look, I'm not giving you my name, no. It's broken. Whole BED is broken. Look into it,
46:58please. I'm begging you. Before it's too late.
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