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  • 3 hours ago
Casualty - Season 46 Episode 4
Transcript
00:00It's taken Matty a long time to find his calling.
00:03I will take care of him.
00:05I'll keep him on the right path.
00:07Yeah, we've got a lot of prem babies on the ward at the moment too.
00:10More than we've ever had at one time, in fact.
00:13Is he dying?
00:15Are we all just watching him die?
00:17Wyvern Hill.
00:18This has got something to do with the Wyvern Hill estate.
00:25I'm just gonna give you something for the pain.
00:26She was overdosed with morphine.
00:28So you missed the dosage during the handover?
00:30You overdosed the child.
00:32Yeah, it was a mistake.
00:33Yeah, potentially a deadly one.
00:34It's sex, that's enough.
00:36Please don't spoil it.
00:38Some bruising around the kidney here, but judging by discoloration, that happened a while ago.
00:43What is the bruising on that water's back?
00:45I don't know what you're talking about.
00:47Get some rest.
00:48Go and see your dad.
00:57I've done a pre-alert female 20s.
01:00RTC up to 45 minutes ago.
01:02Injection over the handle of bars.
01:04Intubated at the scene.
01:05Pelvic band arrived.
01:06Trauma patient here.
01:08Resource, please.
01:09Bating's been trending down.
01:1098 over 60.
01:12We need another doctor.
01:12Where's Dr Nash?
01:14I don't know.
01:15Can someone find her then, please?
01:16Have you seen Stevie?
01:24She's on her way back from theatre.
01:25Okay, thanks.
01:36Stevie.
01:37Hey, what's up?
01:37I need you in recess, please.
01:39Sure.
01:44Yeah.
01:44Tension umithal racks.
01:45Okay.
01:45Get set up.
01:46We'll give her a cost to me.
01:47Can we have the antiseptic solution as quickly as possible, please?
01:50We need to decompress her.
01:52Okay, Matthew, when you're going down, can you make the incision, please?
01:55Yeah.
01:55Stevie, you make the incision.
01:56No, no, it's fine.
01:57You need some practice.
01:58Sats are dropping, guys.
02:00Yeah, come on, Stevie.
02:00Grab the scalpel.
02:01Make the incision, please.
02:02Let's go.
02:03Come on, she's hypoxic.
02:04Heart rate's climbing all the time.
02:05Let's go.
02:12Okay.
02:12Okay, yeah, I'm into the plura.
02:19Yeah, in.
02:23Okay.
02:23Well done.
02:24Well done, well done, everyone.
02:25So, let's get a cross match one unit of the cross match up as soon as it's here, please,
02:30and let's book her for a full trauma CT.
02:32Sats are coming on.
02:3495.
02:35Okay.
02:38Look, um, can you get her sutured?
02:40And she needs an x-ray to confirm placement.
02:45Okay, Dylan.
02:46Yeah?
02:47If we, if we don't push him, he won't grow.
02:52The patient was too unstable.
02:56You, you don't trust him?
02:58I don't.
03:00I discovered him nearly overdosing.
03:04I've seen a paediatric patient with morphine.
03:07What?
03:07When?
03:08A few weeks ago.
03:12Okay.
03:13Um, if you, if you haven't reported it, you know you have to.
03:17Duty of candor.
03:19No, you know how it works.
03:20No, you know how it works.
03:20This job reputation is so important if they find out about this and, you know, the other
03:24patient that you're paralyzed.
03:25Never work again.
03:26No.
03:27Yeah, but in this job, patients come first.
03:31Because they have to.
03:34So if you don't tell someone, I will.
03:42I don't know.
04:04I've been worried about being in my eye now that your rotation's come and turn in, but it'll be nice
04:11to have some company again.
04:13Right?
04:14I'm not sure about that.
04:17The mum doesn't want to see him.
04:19What?
04:20Yeah, I'm hoping to change her mind, show her some pictures, but it happens sometimes.
04:25It's this place, I guess.
04:27It scares people.
04:29Hey, another 100 grams.
04:32Really?
04:33Yeah.
04:34That's another good weight gain, right?
04:37So, should we be able to come home soon?
04:39When do you think?
04:40When?
04:41Faith, I can't give you a date yet.
04:44Sorry, Pearl's still very small.
04:46She needs time to grow, learn how to feed.
04:50Yeah, I know.
04:51I just...
04:52I just want to hold her, you know?
04:54Like I did with my other kids.
04:56I want to put her to bed in a cot and not an incubator.
05:02I mean, how does she even know who I am?
05:04You handle her more than I do.
05:07Hey, you sit and you talk to her all day.
05:11Pearl knows your voice.
05:12She does.
05:13She knows you're there.
05:16She knows you're her mum.
05:43Well, if I say it out loud, there'll be a riot.
05:49Good luck, girls.
05:51Let's get ready to run with her.
05:54May the blessing of God the Father, the Son and the Holy Spirit be among you.
05:58Er, what are you doing?
06:00Don't touch my son!
06:02I didn't do the lad any harm.
06:03Can you calm down, please?
06:04He looked like he could do with a few words from the Lord.
06:07Yeah, well, he don't.
06:08Er, ladies.
06:09So you can shove your prayers or I'll be sending you off to heaven meself, all right?
06:12Er, excuse me.
06:13If even one punch is thrown, you'll be out of here faster than you can say amen.
06:17How's that?
06:19Look, we've been waiting here hours already.
06:21Corey, come on, show them.
06:26Fancying himself Tony Hawk this morning?
06:28Mum.
06:29Look, you'll be seen as soon as we can.
06:32Er, I'll sort out an ice pack for you in the meantime, OK?
06:35Look, we can't wait here much longer.
06:38Somewhere we need to be.
06:40We understand your frustrations, but trust me, we're moving as fast as we can.
06:45Look, Mrs Nelson, why don't you take a seat over here, OK?
06:49Way over here.
06:52Are you experiencing chest pain, sir?
06:54It's just come on.
06:56OK, Siobhan, do you mind taking her through with you?
06:58All right!
06:59Is that all we need to do to get our fast-jack past his head?
07:02Look, we're treating some really sick people here today and they need to come first, all right?
07:06So can you please just sit down?
07:14Thanks, man.
07:30You can hold his hand if you'd like.
07:36If you put your finger in his palm, his fingers will grip yours.
07:47I'll be right back to explain the next steps.
07:55Hi.
07:56I'm Faith.
07:57This is Pearl.
08:01He's absolutely beautiful.
08:03What's his name?
08:05Can you just leave us alone?
08:08Please.
08:09Yeah?
08:10Of course I am.
08:11Sorry.
08:26Hey!
08:28Ian!
08:30Ian!
08:31Ian!
08:31Ah!
08:35Hi!
08:44Ian!
08:46Don't move!
08:483006 to control.
08:50Got a male, mid-twenties.
08:53Falling from high onto an exposed steel rebar,
08:56penetrating his left shoulder.
08:58Request immediate P1 backup fire and police.
09:00Over. Don't move!
09:12Right, what's next?
09:14Triage spotted by the cardiac.
09:15So she's at a 12-8.
09:17Right, okay.
09:19No systemic changes.
09:22Yeah, she's in stable, complete heart block.
09:24It's okay, I can take one on my own.
09:26No, it's okay, I'm happy to do it.
09:27You sound like Dylan.
09:30Yeah, look, um...
09:31Matty, I...
09:33I know, by the way.
09:36Know what?
09:36I know you overdosed a patient with morphine.
09:39Dylan told me.
09:43Um...
09:45Yeah, that was your patient.
09:48I was covering for you.
09:50Okay.
09:51Mm-hmm.
09:51Abigail Clarkson.
09:52The girl who was injured in the explosion.
09:54Yes, I remember.
09:55Mm-hmm.
09:55Yeah, well, uh...
09:57She was given morphine at the scene, as outlined in the handover,
09:59and you give her another dose on top of that.
10:02Dylan caught me giving her nalaxone to try and reverse it.
10:06Where's this patient?
10:08Cubicle 5.
10:14Hi, Mrs Nelson.
10:15I am Dr Nash, one of the consultants here.
10:18So, look, um...
10:19Your heart is beating more slowly than we would like,
10:22so we need to run some tests, and cardiology will be down here too.
10:25But the long and the short of it is, you're gonna be here for a while.
10:28Is there anyone you want us to call?
10:30I've got everyone I need with me.
10:35Um...
10:35So, any chest pain, dizziness, shortness of breath?
10:39My chest hurts.
10:41Right, okay.
10:42And any other heart problems?
10:45High blood pressure, high cholesterol...
10:47Right, you should be making a note of this.
10:50You go to church?
10:52No, no, not anymore.
10:53There's a chance I would spontaneously can bust.
10:55Um, any family history of heart disease?
10:58Used to be like you.
11:00Thought God was a fairy tale.
11:02Spent my twenties off my face on meth.
11:05And he got me clean.
11:07If he ever wanted to return to the church.
11:10Right.
11:11Can we do a full set of bloods, please?
11:14A chest x-ray and cardiac echo.
11:16Uh, write down every action, and as soon as your results are back, call me.
11:19Thank you. Nice to meet you.
11:27Right, Teddy, I need to get this packed and some cell-ops, please.
11:30Ooh!
11:31What's your name, eh?
11:33Jaden.
11:35Can you get this thing out of me?
11:37Can't yet, Jaden.
11:38We need to wait for the fire crew till we arrive.
11:40I'm sorry, why are your phone?
11:45You're alright, mate.
11:46Just keep calm.
11:47Don't worry about that for now.
11:49Please!
11:50Get this thing out of me!
11:53Right, radio control.
11:54Request hems for blood.
11:55Find out where firing police are.
11:57We need a meeting now.
12:003006 to control.
12:01Urgent request for hems and blood.
12:03And can we have an ETA on fire, please?
12:04Copy that.
12:05We'll get an ETA if possible.
12:13Leo's blood sugars are stable but his other markers suggest an infection.
12:19I was told I had group B strep at my antenatal test but I didn't know what it meant.
12:26It's a common bacteria.
12:28It can spread from mum to baby in labour very easily.
12:31So it's okay then?
12:33We need to collect a sample of cerebrospinal fluid that surrounds Leo's brain and spinal cord to confirm whether he
12:39has an infection.
12:41If you consent.
12:43How...
12:44How do you do that?
12:46It's called a lumbar puncture.
12:48It's done with a needle.
12:50It's a very delicate procedure and we'll of course make sure Leo is as comfortable as possible.
12:56I...
12:57I don't know.
12:59I'm not sure it sounds like a lot.
13:02Isn't there another way?
13:03You can test.
13:05This is the only way to test.
13:07And it's really important that we do because if he does have an infection it could lead to sepsis.
13:13Especially now that we know you're a carrier of GBS.
13:18Look, it's a... it's a very safe procedure. We perform them every day.
13:23But if you need some more time, that's okay.
13:27No.
13:28I'm... I'm okay.
13:31Okay. Yeah. Fine. Yeah.
13:35Do it.
13:36Okay. Great. I'll go and let the team know.
13:40Um...
13:42Right. Time for pill speed.
13:45Uh, yeah. I'm ready when you are.
13:51Control 3-0-0-6. ETA of 21 minutes for fire crew. Waiting on an update from police. 3-0
13:57-0-7 is closed. Over.
13:59Jaden. Jaden stay with us mate.
14:02Right. More pressure.
14:04How's he doing?
14:06Eh, we need to extract him from this rebar.
14:09What are you joking?
14:10Come on man. Number one rule.
14:12We always leave it in situ.
14:13The fire crew are 21 minutes away. If we wait for them, he'll bleed out.
14:16Yeah, but he'll bleed out either way.
14:18If we move in, at least he has a chance of surviving.
14:21Look, I'll take full responsibility.
14:22He's bleeding through this.
14:25Come on, Jacob.
14:29Okay, where do you need me?
14:30Right, on the legs. Me and Teddy, I need your shoulder.
14:32Indy.
14:33Slide that stretch in when we lift, yeah?
14:34Right, everybody's ready. I'm free.
14:37One.
14:38Two.
14:39Three.
14:39Three.
14:42He's losing a lot of blood.
14:43Need to get him in quickly.
14:45Right.
14:48Right, Indy, get some more cell locks.
14:50Three zero zero six control.
14:51Patience free, we're bringing him in.
14:53He's losing a lot of blood.
14:54Let's go.
15:16Steve, are you okay?
15:17Bad news?
15:18No, um, look, um, actually, what I have you here, I, uh, I have this patient, uh, she was
15:24prescribed oxycodone, but she played fast and loose with her dose, so she's experiencing,
15:28like, drowsiness, uh, confusion, and vertigo. Do those symptoms tally with you?
15:34Absolutely, I mean, that's why I'm reluctant to prescribe it in the first place.
15:37Oxy's strong stuff, patients start playing around with the dosage, gonna mess themselves
15:41up pretty quickly. You want me to take a look?
15:43Mm-mm, no, it's, um...
15:43Dr Nash, pre-alert's just in.
15:45Yeah, sure, uh, on my way. Thank you.
15:52Excuse me.
15:55How long until we get the x-ray back?
15:57Leave her alone, Mum.
15:58We can't wait here any longer.
16:00I've explained to you. When it's your turn, I'll call you.
16:03You don't understand, all right? We need to get home.
16:05Yeah, I'd rather be in front of the telly at home and all.
16:07Please.
16:15If we're not home before he gets back from work, I'm gonna be in trouble.
16:20Okay, okay, erm...
16:23I'll chase radiology.
16:25You stay here and I'll be as quick as I can, all right?
16:29Okay.
16:51Yeah, so, erm, airway is patent, slight tachypnea, but there's equal air entry and normal chest sounds.
16:58Yeah, what about cap refill, Rita?
17:01Prolonged.
17:02Okay.
17:02Stuart, let's do full bloods, please, including a venous gas.
17:06Heart rate is slightly elevated, so let's activate the major hemorrhage protocol.
17:09And can we get a TXA infusion up and running, please?
17:12The crew will have done first dose.
17:14Yeah, we did.
17:16Do you want me to keep holding?
17:18No, no, sorry.
17:19Rita, are you okay to step in, take over from Ian?
17:22Okay, Stuart, erm, can you chase thoracics and vascular?
17:25And, Kaz, when you're ready, can we get a portable chest X-ray?
17:58I'm sorry for dying to hear you, mate, but one day you wouldn't give me a heart attack.
18:01Well, your ears will do that.
18:03You all right?
18:04Yeah.
18:05I'm all right.
18:06What happens to you?
18:07The scoop at the Wagon Hill building site.
18:10Yeah.
18:11It's pretty full on.
18:14How long have you had that cough?
18:15Um, a few days.
18:17Have you had any tightening across the chest?
18:19Any wheezing?
18:20Anything with your eyes?
18:22Eyes, yeah.
18:23I feel a little bit scratchy.
18:24Okay, well, it sounds maybe less severe, but a lot like our chemical exposure cases.
18:29And you said that the cleanup was all sorted.
18:31It might not have been as diligent as we'd like.
18:34Erm, where's your patient now?
18:35He says two.
18:37Okay, get yourselves cleaned up till you get through to cubicles.
18:38Oh, I'm all right.
18:40Honest.
18:40No, no, no, no.
18:41I want to keep you on it.
18:54Okay, good.
18:55Breath sounds are equal.
18:57Let's, er, let's cough up these cars.
19:00Sats are improving.
19:02Capital choice is good.
19:04End tidal CO2's at 39.
19:06Okay, good.
19:07Er, let's, er, get that chip secured and get him to theatre.
19:11What happened?
19:12Why did he, why did he need an ISO?
19:16Why are you questioning my decision?
19:18No, I just need you to explain.
19:20Okay.
19:20Erm, he went into rapid respiratory failure.
19:24Er, his chest x-ray came back normal, but his sats were falling.
19:27He was fatigued.
19:28We were gonna do BiPAP, but there was no time.
19:31This is another case of chemical exposure?
19:34No.
19:35No, no, there's no more demon on his CT, so.
19:37I think the symptoms are gonna be weaker than they were a few weeks ago, but, you know,
19:41that, that place has still got toxins in the earth and this place leads to deep clean.
19:45Stevie.
19:47I've never questioned your judgment.
19:50No, I know.
19:51Erm, any decision yet on Marty?
19:55Er, yeah, I need more time.
20:06Mia?
20:09Isn't, isn't Leo Joe's lumbar puncture any minute?
20:12I, I need a coffee.
20:16Okay, well, yeah, I mean, coffee's terrible, but you're welcome to join me.
20:22How long has your baby been here?
20:25Erm, eight weeks.
20:27Really?
20:29How do you keep coming back when you don't know if your baby will live long enough for
20:33you to take them home?
20:35I don't know.
20:37I, you just do, you know.
20:40You just do.
20:45These decisions, it's just too much.
20:48Oh, darling, I know.
20:50I know it's really hard, but you can find the strength to make these decisions.
20:55You can't.
20:56Okay?
20:58Is the coffee really that bad?
21:01Erm, yeah.
21:03But there's caffeine in it, so.
21:05Come on.
21:06What?
21:08What's going on in race those two?
21:10Deep clean.
21:11I know the patient was just brought in from Warring Hill.
21:13Dylan suspects the land's still contaminated.
21:19Right, this should help a little bit with your pain, so I'm just going to pop it up your nose
21:24like I told you, okay?
21:25Might feel a bit weird, so I'll head back.
21:32Good lad.
21:34Right.
21:36So, yeah, x-ray does show you've got a mid-shaft ulnar fracture, sometimes called a nightstick injury.
21:42Erm, we're going to put a cast on you, and then we're going to send you back to x-ray
21:45just to check that it's snug, if that's alright with you?
21:49It shouldn't be too much longer.
21:52Can you tell me how you did this, Corey?
21:59Skating.
22:01And did you fall off your board, or bang into something?
22:04I'm always telling him to go slower on that thing.
22:07Yeah.
22:08And where did it happen? Was it at the scape?
22:10I can't remember.
22:14Okay, I'm going to talk to your man for a moment.
22:16Erm, are you alright getting a cast on?
22:18Yeah, yeah, yeah.
22:22This might feel a bit weird at first, okay?
22:33Do you know how he got his injury?
22:37Because that angle of break is normally when someone puts their arm up like this.
22:46It's the first time I've touched him, I swear.
22:50Erm, he's got worse.
22:54Since we've been living in this box room.
22:57Erm, our estate got shut down.
22:59Alive in Hale, do you know it?
23:01Yeah.
23:03We're living on top of each other like there's nothing I can do.
23:07Look, I have to refer you to the safeguarding, but they can support you both.
23:11What, have you taken him away from me?
23:13It's a lifeline, it's not a threat.
23:16I'm going to admit Corey to paediatrics overnight.
23:20You've only got a broken arm?
23:21Yeah, for observations.
23:24Because he's safe there.
23:26And he can stay there too, and we'll tell his dad that only one parent's allowed to be with him,
23:30right?
23:31If I stay, he'll only come here.
23:32Well, then we'll alert security.
23:36He can stay, but I can't, I can't do this.
23:39Yes.
23:42Well, here is a number for a refuge, okay?
23:46Because you do not have to do this on your own.
23:48I don't understand.
23:50I do.
23:51Rachel.
23:55Look, I'll just leave it here.
23:58With all of Corey's stuff, all right?
24:01It's his information, it's got what time he was treated, and what for, and then there is that.
24:17You don't have to watch.
24:19I...
24:20I want to be with him.
24:23Okay.
24:24We're looking for the fluid to be clear.
24:28This will give us a good sample.
24:37Yeah, that's good.
24:38That's good.
24:40That's good, right?
24:42Yeah.
24:43Yeah, but that's good.
24:44We can treat his infection with a simple round of antibiotics.
24:48Hey, come on.
24:50What's the matter?
24:51You had enough?
24:53Are you trying to see?
24:54Come on.
24:57Okay.
24:58Come on.
25:00Come on.
25:02Can somebody help me?
25:04Can someone help me?
25:06Can somebody help?
25:07She's choking, please.
25:09Can someone please help me?
25:10She's choking.
25:11I can't get up.
25:12She's choking.
25:15Please, please, please, please help me.
25:17Please.
25:18She's going, she's going to slow me.
25:20She's not breathing.
25:21She's not breathing.
25:23Come on.
25:28She's not breathing.
25:30She's not breathing.
25:32Why is she not breathing?
25:35She's probably calling you.
25:36No, no, no.
25:37Please, no, no, no, no.
25:39No, no, no, no.
25:40It's this way.
25:42Bye.
25:42Bye.
26:09Someone call Ian.
26:12One, two, three.
26:14I don't know.
26:561, 2, 3.
26:571, 2, 3.
26:591, 2, 3.
26:591, 2, 3.
27:01I can't.
27:02I can't.
27:04I can't.
27:05Can I put that door, please?
27:06Okay, continue ventilation risk.
27:07Come on.
27:28What happened?
27:30What happened?
27:31Is she all right?
27:32She's stable.
27:32She's breathing.
27:34Is she okay?
27:35Is she okay?
27:36Is she arrested that she's stable?
27:38All right.
27:39I'm okay.
27:39I'm sorry.
27:39I'm here.
27:40I'm here.
27:41I'm here.
27:42I'm sorry.
27:44She's through here.
27:48Where's your ma'am, Corey?
27:50She's gone.
27:52Right.
27:52Can you check admin now?
27:54I'll go and speak to reception.
27:54She left ages ago.
27:57What's going on?
27:58She said I had to stay here.
28:03Um, you're going to be taken up to the board soon.
28:07Um, Jordan would like a word with you first, if that's okay.
28:11Shall I do a lap, see if I can see her?
28:14She's taken the number for the refuge.
28:16That's got to be something, hasn't it?
28:17Yeah.
28:18Yeah, that's something.
28:20Nicole.
28:21Listen, you couldn't have done any more there.
28:24I know.
28:25I know.
28:30I grew up in a house like Corey's.
28:33My mum's fella, my dad, he used to, not me, but her.
28:43That house that I've put the deposit down on, it's not just a house.
28:49If they stop building, I lose everything.
28:53I lose my future, I lose security I've never had.
29:00Um, right, I'll, um, I'll speak to Peds.
29:06Can you wait with Corey once safeguarding are gone?
29:09Yeah, yeah.
29:11Thanks mate.
29:13Okay.
29:25Uh, mrs.
29:43Mrs. Nelson, cardiology, haven't made it down yet.
29:46Mrs. Nelson?
29:48No, Mrs. Nelson.
29:50You OK?
29:51Er, Nicole, can you give me a hand, please?
29:53Get her for recess two, better for imaging.
29:56Oh, I can't. Deep clean.
29:57Right, OK, recess three.
29:59No recess pads available.
30:01OK, wonderful. Er, let's get her in here.
30:03Sue, do you mind just grabbing that door, please?
30:09TCP isn't achieving capture.
30:10Yeah. Pulse is 30 with long pauses, BP, 64 by 38, GCS is 10.
30:17OK, let's, er, let's try isoprenaline, please.
30:19I've tried it already. There's none in the whole hospital, apparently.
30:22Right, OK, do 500 micrograms antropin.
30:28Go on in.
30:33Flushing.
30:43She's not responding.
30:45Pulse is 28. Do you want us to go again?
30:47Mm-mm. No, if she's a complete block and atropine's useless,
30:50then she needs a temporary transvenous pace and wire.
30:53Cardiology are occupied. They're in the cath lab, stent and MI.
30:56Yeah, OK, we're doing it here.
30:59Have you done one of these before?
31:01Once.
31:03We're not even in resources.
31:04I know, but Nicole, if we don't do it here and we don't do it now,
31:06this is likely to be the room she dies in.
31:08OK, er, Rita, we're going to, yeah, let's prep for temporary pacing.
31:12Can we get a pacing tray, please?
31:14And a central kit.
31:21Patient decided to give home piercing a shot.
31:25It's cellulitis of the pinna with a cartilage infection.
31:28Yeah, I think so.
31:29Let's start her on, er...
31:31On a seven-day course of oral clindamycin,
31:35ENT follow-up and safety netting advice.
31:37Yeah. Yeah, hold on.
31:40Tom's care.
31:41Tom's care, do you have a second?
31:43Yeah, I heard about a pill, by the way.
31:44Yeah, yeah, we're not out of the woods yet,
31:46but she's doing a lot better.
31:48I need to sign Zach Beach's death certificate,
31:51Laura Beach's son.
31:53I believe his death is linked to the chemicals
31:55that triggered Laura's premature labour,
31:57but the medical examiner advised that without evidence,
32:00we can't sign post-chemical toxins.
32:02The tox report came back clean,
32:04but that's to be expected.
32:05It was Laura who ingested them.
32:08Now, I have to list contributory factors for his death,
32:11and Laura did admit to drinking.
32:13Then you have to list alcohol as one of the causes.
32:17We have to register what we know.
32:19Push our personal feelings to one side.
32:22Yeah, it's harder than it sounds.
32:25Yeah, I know.
32:33Get screen on, please.
32:38Yeah, can you just bring her across
32:39so I can see the right ventricle?
32:42Ectopics.
32:43She's in VT.
32:44I'll charge the data.
32:45All right, okay, screen off.
32:49If we don't get this patient wire to sit and set her heart,
32:51she could arrest at any minute.
32:52We need to get her heart rate under control.
32:53VT stopped?
32:56You're doing great, Stevie.
33:02Right, let's go again.
33:04Let's get our screen on.
33:09Okay, still in the atrium.
33:13Right, you'll VT this time.
33:15Okay.
33:18Good, we're in.
33:19Okay, screen off.
33:22Let's get this connected
33:23just so we can check the threshold.
33:32Right, okay, Nicole, let's start at 60 at 4 volts, please.
33:4060 at 4 volts.
33:41Switching on.
33:46Okay, pace in.
33:47Let's go to 3 volts, please.
33:48Down to 3.
33:49Still pace in.
33:50Let's bring it down to 2 volts.
33:53Down to 2.
33:56Still pace in.
33:57Down to 1 volt.
33:59Down to 1.
34:04Right, okay, still pace in.
34:05Let's go down 0.1 of a volt each time
34:08and don't stop until I say Nicole, okay?
34:10Okay.
34:12Down to 0.9.
34:14Down to 0.8.
34:16Right, okay, stop there.
34:18She's lost capture.
34:18Let's bring it back to 0.4.
34:20Threshold is 0.9.
34:21And let's stay at 60, please.
34:23Back up to 4 volts at 60.
34:25Right, and can we get the screen back on?
34:26I just want to check the atrial loop, please.
34:33Okay, good.
34:33Yeah, plenty of loop.
34:34Right, let's move the intensifier, please.
34:36Let's put out a fast loop to CCU.
34:39Need to get in there ASAP.
34:40And we'll get a nylon suture
34:42to keep the sleeve in place.
34:42Laura, you'll get to sort that.
34:46It's getting worse, Davey.
34:48Well done.
34:54That was class, mate.
34:55Yeah, well.
34:56Well done, you.
35:29Just a heads up.
35:30Um, I'm going to admit that it was me.
35:35But I'm the one who overdosed Abigail Clarkson.
35:37Um, why?
35:38Dylan hasn't said a word.
35:40Why would you do this?
35:41We'll all get it in the neck.
35:42Because it's the right thing to do, Matty, okay?
35:44I can't work.
35:46I can't live with this hanging over me.
35:48So that's why.
35:52If you submit that datex,
35:53then everyone's going to find out about it.
35:56And I thought you didn't want that.
36:01I just...
36:05Why do this to yourself?
36:07Carry on.
36:12I'm, uh, happy to discharge you.
36:15Thanks for waiting.
36:15Great.
36:16Thanks, Dylan.
36:17All right, champ.
36:18Hey.
36:19You didn't ask me to drop these.
36:20Okay.
36:21Yeah, I was mean to ask you.
36:22Um, how did it go for you, Dan?
36:26Well, not good.
36:27No, no, it was good.
36:28It was...
36:29It was weird.
36:30Obviously, you know,
36:30I hadn't seen him for a long time,
36:31but it was actually really nice to catch up about everything.
36:34All right.
36:35I'm happy for you, man.
36:36Oh, thank you.
36:37Yeah, I knew you'd work out.
36:39Listen, I've seen a bit, yeah?
36:41Yeah, yeah, I've seen a bit.
36:42All right, bud.
36:50Hey, Stevie.
36:50Have a second.
36:52Oh, yeah.
36:52Chanty.
36:53Come in, take a seat.
36:55Yeah, look, I'm...
36:56I can explain.
36:58With the...
36:58No, I've been asked to do the, um,
37:01the keynote address at the, um,
37:03the Alderwood Institute, so...
37:05I just wanted to talk to you about the road,
37:07so Dylan's going to need a bit of time off.
37:10Okay.
37:11Well, that's great.
37:11Well done.
37:12Congratulations.
37:15So, what was it you needed to explain?
37:19Yeah, um...
37:20Yeah, I'm sorry.
37:21I should have, um...
37:22spotted the, uh, chemical exposure link
37:24with the patient before I brought them to recess.
37:26Stevie, come on.
37:27Don't worry about it.
37:27It's fine.
37:28We isolated it.
37:29It's not a problem.
37:31Do you know what?
37:31Before we...
37:32do this, um,
37:34rotor,
37:35are you okay?
37:38Yeah, I'm okay.
37:40I mean, you know,
37:42over the past few weeks...
37:46your pain's back, right?
37:50Yeah, I didn't know it was that obvious.
37:52It's not.
37:55Um...
37:55Okay, so, management, you're...
37:58you're taking oxy?
38:02Yeah.
38:04It's working for me,
38:05just in the right dose.
38:06Okay.
38:08Um...
38:09Okay, good.
38:09But if anything changes,
38:12you just come find me, okay?
38:17Sorry, um,
38:18someone online one for you
38:20regarding the soldier,
38:21Connor Atwater.
38:22Okay, thank you.
38:23Uh, sorry.
38:23I gotta take this.
38:35Hi.
38:36Um, thank you
38:37for returning my call.
38:38I'm the clinical lead
38:39at Whole BED
38:40and I had a few questions
38:41about the medical history
38:43of Connor Atwater.
38:44It's now a good time.
38:48Oh, hello.
38:51Um, my name is Jodie White.
38:53I'm calling from Whole BED
38:54on behalf of Dr Byron.
38:55I'm looking to speak
38:56to Amelia Gold
38:58regarding the Yves in Tennessee.
39:00Sean, cutting you through.
39:03Amelia speaking.
39:04I don't have long.
39:05Hi, um, I'm Jodie White.
39:07I'm a nurse at Whole BED.
39:08I'm just calling to let you know
39:09that we've had, uh,
39:11two more confirmed cases
39:12of chemical exposure today.
39:13Both patients had been in contact
39:15with the Wyvern Hill site.
39:16We believe that the land
39:18is still contaminated
39:19and it is still unsafe.
39:21Are they okay?
39:22The patients?
39:24One patient had mild symptoms
39:26but the other one
39:27has been transferred to ITU.
39:28If you have more time,
39:30we could arrange for you
39:30to speak to Dr Byron
39:31or Dr Kea in more detail.
39:34Of course, of course.
39:35Yeah, but that sounds great.
39:37Okay, um,
39:38and we are recommending
39:39to delay the opening of the site
39:40just to ensure
39:41a second of a mediation of the soil.
39:44I'm already on it.
39:45Miss, Miss White was it?
39:46Jodie White?
39:47Yeah, Jodie.
39:48Yeah, that's it.
39:49Thanks so much for calling, Jodie.
39:51And, um,
39:52this, it means a lot to us.
39:55I know it can't be ideal
39:56for you guys, but...
39:57It's not, no,
39:59but we're not important,
40:00so I appreciate the heads up.
40:02All right.
40:04Thanks.
40:11Thanks.
40:13I didn't do it.
40:14I didn't, uh,
40:15I didn't report.
40:17Okay.
40:18You know,
40:18I just, I just feel dreadful
40:20having to ask this of you,
40:21but please don't tell anyone.
40:24Stevie,
40:26transferring Jaden Griffith
40:27to ITU.
40:28Okay.
40:28Yeah, yeah.
40:29I'll be right there.
40:29Cool.
40:31If not for me,
40:32then please do it for him.
40:35Because, you know,
40:36it's ironic,
40:37just as I'm about to give
40:38this keynote speech,
40:40I did not think
40:41that trying to be a good father
40:42would jeopardise
40:43being a good doctor.
40:45Look, Dylan,
40:45you have done more than enough.
40:47You're willing to risk your career.
40:48So what am I doing wrong?
40:49He's barely spoken to me
40:50for two weeks.
40:51Nothing.
40:52You've done nothing wrong.
40:53Of course not.
40:53And I know it's different for you,
40:55but has he said anything?
40:58No.
41:02No.
41:06Look, I better...
41:07Yeah, yeah, yeah.
41:17Oh, yeah.
41:24You want to chill tonight?
41:29What is it?
41:32It's, uh...
41:33It's from a patient's mum.
41:37It was addressed to me
41:39and, uh...
41:40and Kim.
41:52Will you...
41:54Will you read it to me?
41:56Please?
42:05Okay, um...
42:07You might not remember me,
42:08but you saved my son Oscar's life.
42:11I thought you'd like to know
42:13he's doing much better now.
42:15I'll never be able to repay you
42:16for what you did that day,
42:18especially Dr. Chang.
42:20He would have died
42:21without her bravery
42:24to go in and help.
42:26Yeah.
42:28Sorry, I can't.
42:35I, um...
42:37I just want to go home, so...
42:40Yeah.
42:41Yeah, okay, well...
42:43Well, you know,
42:43we don't have to do anything big.
42:45No, Maddy,
42:46I want to go home alone.
42:49Please, Stevie, come on.
42:53Stevie,
42:53if this is about Abigail,
42:55just forget about it.
42:56It was a mistake.
42:57Okay, you need a distraction.
42:58We need a distraction.
42:59Hold on a second.
43:00I'm not a distraction.
43:01Just go home, Maddy.
43:02Yeah.
43:05Yeah.
43:05Yeah.
43:17Like...
43:18Like...
43:26Like...
43:31Like...
43:53It's been a challenging few weeks for many,
43:56and especially those that have had to leave their homes
43:58and stay in temporary accommodation.
43:59We are truly sorry for the distress
44:01and the worry this has caused.
44:03But today, on behalf of Goldclave Housing,
44:06I am so excited to announce the reopening
44:08of the Wyvern Hill estate after a successful remediation.
44:11Is this old?
44:13It's not his wife.
44:14I thought you said you'd spoke to her.
44:16I did, I did speak to her.
44:18And residents will be able to return from 9am tomorrow.
44:21With our investment into cleaning up this land,
44:24we have made clear our commitment to Wyvern Hill's future.
44:27Yeah.
44:35I owe you a coffee.
44:37Go on.
44:38Are you sure it's on me?
44:40I don't want coffee.
44:47Hey?
44:54I need to take a look-up.
44:56Yeah.
44:57Yeah, of course.
44:58Listen, I'm going to stay.
44:59I'll be here when Pearl works up.
45:02She's sleeping.
45:03Bless her.
45:04I won't even know she's been through what she has.
45:05Listen, have you seen this?
45:07Our daughter's in there,
45:09because of their chemicals, right?
45:10They're trying to cover it up.
45:11They're kind of like it's safe.
45:12Right?
45:13I promise you, I promise you,
45:15I will get to the bottom of this.
45:16We will find out who they are,
45:18how long this has been going on for.
45:20I promise you, we'll get this sorted.
45:22Not just for me and you, but for Pearl.
45:23Right?
45:26Matty.
45:29Matty.
45:29Matty, Matty.
45:31I need to talk.
45:35OK, why did you tell Stevie I nearly killed the kid?
45:40Well, I mean, I had to satisfy myself
45:41if you weren't going to make the same
45:42near-fatal mistake twice.
45:45I didn't report you.
45:46I had to satisfy my conscience
45:48that you were capable.
45:51Ah, so you're part of the coverer, right?
45:56If you weren't my dad,
45:57would you have reported me?
46:00Yeah.
46:03My dad,
46:05the one who brought me up.
46:07The one who paid for me
46:09to go to medical school.
46:11He believes in me.
46:15He believes I can be a doctor.
46:39The one who paid for me.
46:41The one who paid for me.
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