Cardiac Arrest (1994–1996): Season 3, Episode 5 - Trench Warfare - full transcript
OK, let's get him into the cubicle.
I'll pass a Venflon into his blood.
— You put him on a monitor, please, Patrick.
— OK.
Sorry to call you, Claire —
Andrew's up to his neck in Coronary Care.
That's all right. I'm used to it.
FBC, U&E.
Calcium, LFT's, glucose and clotting.
Patrick, can you see about a CT?
And send that woman in, whoever she is.
No problem.
— What's the history, then, Raj?
— Sudden collapse.
No history of trauma.
I'm Dr Maitland. Can you tell me
what happened, please?
We were in bed.
All of a sudden, he didn't feel well.
Uh-huh. You were making love?
And he complained of a headache, yeah?
— Yeah, and feeling sick.
— We can ask these questions Later.
— | want to stay with him, please.
— What's his name?
— Craig.
— Craig, can you squeeze my hand?
— Nimodapine?
— Good idea.
| think Craig's had a brain haemorrhage.
His condition is serious so I'm gonna
get him a brain scan straightaway, OK?
Oh, wait, the medical registrar's here.
They want you
to get the radiologist in from home.
I'll read the scan myself. Thank you.
Let's get him up to CT. I'll phone
the neurosurgeons once I've seen the scan.
— Got anything else for me here, Raj?
— No.
— He is going to get better, isn't he?
— It's early days yet.
We'll know more about your boyfriend's
condition after the scan.
He's my husband.
— Brain scan, no contrast.
— Bring him through.
There's nothing you can do for the time being.
Let's put the kettle on, eh?
One minute he's shagging,
the next he's shagged.
He won't live?
Who does?
Craig's going to the intensive treatment unit.
We've got to take over his breathing for him,
otherwise it'll stop.
Doctor, please tell me he's gonna be all right.
| can't tell you that.
I'm with you. Can he hear me?
Shall | talk to him?
Talk to your husband.
I'm right here with you.
Oh. You're off.
Sorry. Charlotte's bound to be suspicious
if | don't go home now.
It's no problem.
But er...half an hour wouldn't hurt.
(Both moan)
Let's get rid of this, shall we?
You know we always have...
(Both) Sex without ties!
— (Laughs)
= Sshh!
You know that Scissors is just in the next room.
Exactly. Make him realise he's ancient history.
Shut up.
(Bed springs creaking)
(Claire moans and laughs)
On the job? | hope she was worth it,
— Girlfriend?
— Wife.
Right.
I'm Sarah Hudson,
consultant in charge of your husband's care.
— Is there anything you want to ask me?
— Why are we waiting, Doctor?
— Waiting for what?
— | thought...an operation.
If Craig needs surgery,
it is safest to wait ten days.
Why if?
We're waiting to see
if Craig recovers from the brain damage.
His chances are good, aren't they?
I'm afraid it is possible he won't get better.
Oh...
We'll speak to you later, Mrs Phelan.
lf he re—bleeds?
Mrs Vernon, I'm afraid your latest
set of test results aren't brilliant.
But we're gonna press on with the treatment,
keep our fingers crossed.
So let's see if we can't have you back
looking after that garden of yours, eh?
— Thank you, Doctor.
— (Pager bleeping)
— Excuse me.
— (Woman) On call.
I've increased Mrs Vernon's dobutamine to 10.
Let's keep doing hourly BP's, please.
OK. Mr Allen's water's still very turbid. |
wondered if he might need a bladder washout.
— Hi, it's Dr Collin.
— ft’s me.
Alison. Hello.
Yeah, sorry | didn't call you last night.
| was rushed off my feet.
Was that the only reason?
| was gonna call you...
Look, I'll call you later, OK?
Sorry.
— That was just to keep our spirits up, wasn't it?
We'll do everything we can
to make her comfortable
but, you see,
I'm worried she's gonna give up the ghost.
Thank you. | know you're doing everything
that you can for her. (Sobs)
— Come on. Let's go and get a cup of tea, eh?
— I'm sorry.
— You and Jessie have been together how long?
— 40 years.
40 years?
Just need someone to check the IVs.
— You're not still seeing him, then?
— Amoxicillin, 500mg.
| thought you two
would be walking off into the sunset.
Nothing happened between us.
Cefuroxime, 750mg.
| think | know better
than to get involved with a married man.
Don't you ever go home, slapper?
Could ask you the same.
(Gasps) Sorry...
Can | have 50 of bank
and 16 of Genti P, please?
— Peritonitis again, innit?
— Yeah.
WILL | have to come off the CAPD?
We'll see.
I'm not planning on killing anybody tonight
for their kidneys.
Would you really accept
a second-hand organ off this woman?
— You're looking after me again, right?
— Always get the wankers.
Slapper.
You know your trouble, Eric? Fags.
— Do you have one?
— Eric...
Me heart's knackered. Me chest is knackered.
A good smoke's the only fun | get.
All right. One.
But save it till you get home.
You're a diamond, Doc.
— Can Eric have a nebuliser and then oxygen?
— OK.
— And then delousing.
— Ugh.
— Hello. How are you?
— I'm fine.
— I'll er...see you in there.
— Look. I'm, er...really busy.
— Maybe I'll just see you around.
— Yeah, sure.
Julie, how long do | have to wait
for one of you to start that drip | ordered?
You have an arrogant attitude towards nurses,
Claire. Please don't take it with me.
This is Gemma. Into Resus.
Bleep Peter and tell him
the asthma attack's here.
2.5 of salbutamol,
neb with 100 per cent oxygen, please.
Does your daughter
take a tablet called theophylline?
— No.
— (Raj) I'm in.
Right, then. Sit her up.
— OK.
— I'LL start aminophylline.
| reckon 15 to 20 kilograms.
(Scissors) Er...
At 6 milligrams per kilogram.
That makes out to be...100 milligrams
over 20 minutes.
— She's got a silent chest.
— Yeah, | know. It's not looking good.
— Come on, keep breathing. There's a good girl.
— She'll be OK.
Right, that's it.
Keep her chest upright and her airways open.
Could you hold her? Tighten the mask a bit?
— Right.
— That's it, that's it.
OK, there's a good girl. Come on, Gemma.
Come on. Keep breathing.
Come on. Come on, come on.
— Come on, Gemma.
— Stay awake now. Come on, darling.
— Come on, come on. That's it.
— (Coughs)
— There's a brave girl. Well done. Come on.
— Big cough, come on. Big cough.
(Coughs)
— Sit her up.
— That's it. There's a brave girl. Well done.
— She'll be all right.
— Here's your mum. There you are.
— Missed all the action.
— Your patient.
Sorry to keep you waiting, Eric.
— (Hissing)
— Here's your oxygen.
Do you think she’s married?
— The little girl?
— Yeah.
No, Julie Novac.
— You hardly know her.
— So?
Woman trouble, eh, lads?
| know what you mean.
I'm going out with a bird from Marks and
Spencer's and she won't let me try anything on.
You know the statue of the chick with no arms?
— The Venus de Milo?
— Yeah.
Well, what if they found her arms and they were
like Popeye's? Huge, with tattoos of anchors?
What | mean is, you don't wanna get involved
unless you know she won't mess you about.
— | mean, look what Claire did to you.
— (Crash)
(Glass smashing)
(Fire alarm ringing)
| don't think he'll need
a delousing any more, do you?
(Man) A few more steps...
— Hiya, Liz. How's it going?
— Fine, thanks...
Rob. | gave that talk to you
and the other new house officers yesterday.
| remember.
Caroline, | am so sorry to bother you,
but you couldn't be a sweetie
and do that bladder washout for me?
| would,
but I've two nurses off sick this morning.
Sorry. We're out of stock.
— (Man) We'll send some up.
— Thank you.
— Morning, Dr Turner.
— Liz, we've already done the ward rounds
on Dartars and Frenulem.
The ward rounds this morning?
Dr Turner, I'm so sorry.
Don't worry, my dear. It's all very new.
Now, who is there to see?
I'm afraid, Dr Turner,
I'm supposed to be doing a bladder washout.
You wouldn't mind doing that
for Dr Reid, would you, Staff?
Erm, if we make a start
with Mrs Johnson, Dr Turner?
I'd like a full damage report
as soon as possible, Mr Scott.
Right.
Julie, we'd better stop all admissions
until the building's safe.
Deal with everyone you've started seeing
and we'll redirect the rest to general.
This is your doing, isn't it?
This...scrawlL
— Oh, that!
— What is this?
"Patient exhibited signs
of plumbum pendulans."
— Swinging the lead.
— | know what it means, boy.
— Sorry, Mr DeVries.
— Isn't it time you grew up?
| hear you're on the GP training scheme.
Two-year hospital specialties,
then out into general practice.
My career's on the move at last. Oh, yes!
Mmm. So where do you start?
Here.
(Raised voices)
Look here, you senile old git.
Look what you done.
— What's going on?
— It's this senile old fool.
Look what he's done.
Bit the end of me finger off.
— Is this true?
— How would you like it, eh?
He's always jabbing that finger in me face.
We might be able to sew it back on.
Where's the finger now?
Where he can't get at it.
(Laughs)
Doctor?
Will you look at my wife?
She's taken a turn for the worse.
— In what way worse?
— Well, she's just not herself all of a sudden.
Well, I'm sorry, Mr Vernon,
but to me she seems no different.
— I'll take a look at Jessie for you in a minute.
— Thank you.
He's nursed his wife all through her illness.
Now she's on her last legs,
he brings everything to our attention.
Why?
— Cos he'd feel guilty if he didn't.
— Oh. Right.
(Engaged tone)
Caroline, I'm having a nightmare
trying to get hold of X—ray.
You couldn't try for me later, could you?
Dr Hudson wants it for the ward round
this afternoon.
— They only take requests from doctors.
— Look, | don't mind doing that for you.
— Rod, you are a lifesaver.
— That's Rob.
Look. Let's have the finger
so we can sew it back on your friend.
Thou'll have to cut me open first.
Any attempt to remove the finger
without your consent
would constitute a criminal assault by us.
| hope it's been digested.
The policeman said
your friend's gonna press charges.
You don't wanna go to prison, do you?
Cooperate and they'll go easy on you. Trust me.
So, what do you plan to do?
Induce vomiting.
Mr DeVries. If it's not here?
Try again till he brings it up.
(Faint pop music through headphones)
How are you?
Urea 23.2 and creatinine 10.50.
So, slapper. What's the verdict?
Lately, it's been one infection after another.
| know CAPD
gives you some semblance of a normal life,
— but you're gonna have to come off it.
— Never liked that bag anyway.
Now I've got one to match me shoes.
Claire?
| don't wanna go back on haemodialysis. Please.
I've asked one of the surgeons
to make you a new fistula.
He'll have a job.
We could try the canteen.
Steak and kidney pie tonight.
Maybe we could scoop enough together
for a transplant.
— Um...
— Fistula man's here.
— | can come back later if you like.
— I'll leave you to it.
Bye, slapper.
(Clears throat) Sorry.
Good afternoon, Mr Connell.
Sorry, Dr Hudson.
Have you got the X-ray, Liz?
Sorry, Dr Hudson. I've tried and I've tried
but X-ray were engaged.
Then go down to the department yourself.
What's the sodium today?
— (Whispers) 50.
-— 50.
— What?
— 130, Dr Hudson.
Good.
— Osmolality?
— (Whispers) 290.
290.
Good.
Oh, er, and ESR.
— (Whispers) 5,000.
— 5,000.
What?
All right, all right. You've had your fun.
It's nice to know
there's one person here who's on my side.
Well, since we've become, erm...
| was just thinking perhaps
we could go out for a drink sometime this week.
Mm? Oh. That'd be lovely.
— Right.
— But...just so busy.
Oh, right.
Right.
It's Mum. Sorry. | couldn't wait any longer.
Did you get the result?
Well done!
Listen, look. When Dad comes home,
tell him we'll all go out to celebrate.
— Yes. I'll be home in about an hour or so.
— OK, bye.
Bye.
My daughter's been on tenterhooks all week
about that maths exam.
How's the young man in ITU?
Flat as a pancake.
Erm...he's got no medical history.
An undiseased body.
How do you think the wife'll react if we ask her?
| dunno. She's just a kid.
Your age, you mean.
— I'll come down.
— No, no, no. You take your daughter out.
Are you sure?
Yup. We all need a life outside medicine.
Thank you.
— I'll take my mobile. I'd like to be informed.
— Yes, Dr Hudson.
Good night, Claire.
Night.
(# Oasis: Roll With it)
Every woman has a tariff.
There's the standard charge,
which is the emotional cost of keeping her.
And then there's the unit charge
which is the cost of using the facility.
Take Claire.
High standing charge, high unit charge,
to the point where | couldn't afford the tariff.
This is the life.
| should destroy Casualty more often.
Only person down there is Julie
directing punters to other hospitals.
| might just, er...pop down for a cup of tea.
No drama in that, mate.
He's not going to get better at all,
is he, Doctor?
(Claire) No.
We're going to examine Craig
for signs of braindeath.
Are you going to switch him off?
We won't unless you agree
that it's the right thing to do.
Doesn't mean | don't still love him
if | let him die.
Craig knew that you loved him.
Then we should let him go,
shouldn't we, Doctor?
Denise, there is another thing
that | must ask you.
| want to ask if some of Craig's organs
can be used to treat other people.
There are people waiting for transplants who
have been in and out of hospital all their lives,
young people with damaged kidneys who are
at risk of infection and scarred by dialysis.
Or people with cystic fibrosis.
Yeah.
Yeah. It's the right thing to do.
Thank you.
Everyone said
we were too young to get married.
We weren't, were we, Doctor?
— No.
— Do you have a husband, Doctor?
No.
— A boyfriend, then?
— No, not really.
A pint of piss in a dirty glass.
Adrian, do you love me?
What kind of a question's that?
Clearly a pretty bloody stupid one.
Check those pipes in the basement.
Make sure they're OK.
Right.
Oh, hi.
So, erm...what brings you down here?
| was just passing by and | thought if anything
came up and you needed a hand...
Oh, right. Well, that kind of gesture
deserves a cup of tea.
Ooh...
You do realise, Mr Smedley,
that Casualty's supposed to be closed tonight.
— (Banging on door)
— We're closed.
— Can't they read?
— (Banging continues)
— (Women laughing)
— Good evening, Sister.
What this time, Mr Hammond?
(Whispers)
— Well, seeing as you're one of our regulars.
— Thank you.
| was doing some housework...
and | was Hoovering the bathroom,
when | needed to go to the toilet.
Well, | didn't think
to turn the vacuum cleaner off
and as | was answering the call of nature,
the vacuum hose must have uncoiled because
it shot up and got itself stuck on my...
Ooh...
Once again, I'm in your debt.
Ah, thank you.
Let's get him into Resus.
I'LL get Chloe!
Do you want a hand? I'll save him.
I'm a nurse. At the general.
(Scissors) Name, Malik. M-—A-L-I-K.
Date of birth, 16/10/73.
Urgent laparotomy from casualty.
We are shot. Patient's coming right up. Bye.
— There's been an accident in the basement.
— I'll look after this one.
(Man groaning)
It all just came out. Mind your head.
Len? The doctor and nurse are here.
— After you.
— Sorry.
— OK?
— Let's try and move this if we can.
Are you ready? On the count of three.
Hope you've eaten your spinach today.
One, two...
— Go on. That's it, that's it.
— All right, Len?
Get out the way, Julie.
— Let's have a look, go on.
— On the ledge.
OK, that's it.
All right, Len?
— Come round here.
— The doctor's here now.
OK, Len. Just try and relax.
We'll have a quick look at you.
— All right, mate?
— (Len groaning)
His trachea's slightly deviated.
Give me a tube, please.
How does your neck feel? Have you twisted it?
— No.
— No.
(Julie) Have to move his head.
(Rob) You'll be all right, mate.
One of his lung's collapsed.
I'LL have to reflate it.
I've got a brown Venflon.
And a tap with a syringe.
Excuse me, can | borrow your torch?
Um...Len? Is your head all right?
Is your neck all right? OK.
Can you wriggle your fingers for me?
And your toes?
I'm sorry, mate, but this is gonna hurt.
Just hold him down there.
Ready? One, two, three...
That's it. It's all there.
Thank you. You hold on to that there.
OK.
There we go.
That's it.
How are you doing now, Len?
— Better.
— Yeah, good.
Let's start fluids.
Ten minutes? Yeah, thank you.
An ambulance is on its way
to transfer you to the general, OK?
OK. Let's get this boy up to theatre.
(Australian accent)
Just a cup of tea. No drama in that, mate.
— Loser!
— Ooh...
(Claire) We'll go on to match up Craig's tissue
type with patients waiting for transplant.
Mrs Phelan, I'm very sorry.
We've made an extremely thorough examination.
There is no reasonable doubt that your husband
is braindead. | really... I'm so sorry.
Would you...would you like to be with him now?
Doctor, there's something that...
— What is it, Denise?
— Once, Craig said something.
He said it was wrong
to take parts out of dead people.
He thought it was unnatural.
— Denise, if you knew this...
— But he was wrong, wasn't he, Doctor?
All those other people it will help.
| want Craig's death to...
| should do what's right, shouldn't I?
| should help those other people, shouldn't I?
| can make the decision for you, if you want.
| can make the decision and walk away from it,
because that's my job.
Is that what you want me to do, Denise?
| think that if you know
that it wasn't Craig's will,
you won't ever stop believing
that you betrayed him.
| make a case for the living, Denise,
but you must speak for the dead.
Well, Mrs Vernon.
| do believe you've turned the corner.
— Thank you, Doctor.
— Nothing to do with me. It's all down to you.
Thank you.
Let's bring her dobutamine down to 7.5
and tail off her dopamine.
— OK.
— OK.
— Hi.
— Hello.
Just wondering if you knew
what your plans were for the rest of the week.
Ah. Busy.
Maybe another time.
Right. No problem.
— This is stupid.
— | know.
(Bleeping)
(Woman's voice) Dr Collin, outside call
We're ready now.
I'm with you.
I'm here.
— How are you?
— Urea 23.2, creatinine 10.50.
No change, then.
You?
No change.
I'll pass a Venflon into his blood.
— You put him on a monitor, please, Patrick.
— OK.
Sorry to call you, Claire —
Andrew's up to his neck in Coronary Care.
That's all right. I'm used to it.
FBC, U&E.
Calcium, LFT's, glucose and clotting.
Patrick, can you see about a CT?
And send that woman in, whoever she is.
No problem.
— What's the history, then, Raj?
— Sudden collapse.
No history of trauma.
I'm Dr Maitland. Can you tell me
what happened, please?
We were in bed.
All of a sudden, he didn't feel well.
Uh-huh. You were making love?
And he complained of a headache, yeah?
— Yeah, and feeling sick.
— We can ask these questions Later.
— | want to stay with him, please.
— What's his name?
— Craig.
— Craig, can you squeeze my hand?
— Nimodapine?
— Good idea.
| think Craig's had a brain haemorrhage.
His condition is serious so I'm gonna
get him a brain scan straightaway, OK?
Oh, wait, the medical registrar's here.
They want you
to get the radiologist in from home.
I'll read the scan myself. Thank you.
Let's get him up to CT. I'll phone
the neurosurgeons once I've seen the scan.
— Got anything else for me here, Raj?
— No.
— He is going to get better, isn't he?
— It's early days yet.
We'll know more about your boyfriend's
condition after the scan.
He's my husband.
— Brain scan, no contrast.
— Bring him through.
There's nothing you can do for the time being.
Let's put the kettle on, eh?
One minute he's shagging,
the next he's shagged.
He won't live?
Who does?
Craig's going to the intensive treatment unit.
We've got to take over his breathing for him,
otherwise it'll stop.
Doctor, please tell me he's gonna be all right.
| can't tell you that.
I'm with you. Can he hear me?
Shall | talk to him?
Talk to your husband.
I'm right here with you.
Oh. You're off.
Sorry. Charlotte's bound to be suspicious
if | don't go home now.
It's no problem.
But er...half an hour wouldn't hurt.
(Both moan)
Let's get rid of this, shall we?
You know we always have...
(Both) Sex without ties!
— (Laughs)
= Sshh!
You know that Scissors is just in the next room.
Exactly. Make him realise he's ancient history.
Shut up.
(Bed springs creaking)
(Claire moans and laughs)
On the job? | hope she was worth it,
— Girlfriend?
— Wife.
Right.
I'm Sarah Hudson,
consultant in charge of your husband's care.
— Is there anything you want to ask me?
— Why are we waiting, Doctor?
— Waiting for what?
— | thought...an operation.
If Craig needs surgery,
it is safest to wait ten days.
Why if?
We're waiting to see
if Craig recovers from the brain damage.
His chances are good, aren't they?
I'm afraid it is possible he won't get better.
Oh...
We'll speak to you later, Mrs Phelan.
lf he re—bleeds?
Mrs Vernon, I'm afraid your latest
set of test results aren't brilliant.
But we're gonna press on with the treatment,
keep our fingers crossed.
So let's see if we can't have you back
looking after that garden of yours, eh?
— Thank you, Doctor.
— (Pager bleeping)
— Excuse me.
— (Woman) On call.
I've increased Mrs Vernon's dobutamine to 10.
Let's keep doing hourly BP's, please.
OK. Mr Allen's water's still very turbid. |
wondered if he might need a bladder washout.
— Hi, it's Dr Collin.
— ft’s me.
Alison. Hello.
Yeah, sorry | didn't call you last night.
| was rushed off my feet.
Was that the only reason?
| was gonna call you...
Look, I'll call you later, OK?
Sorry.
— That was just to keep our spirits up, wasn't it?
We'll do everything we can
to make her comfortable
but, you see,
I'm worried she's gonna give up the ghost.
Thank you. | know you're doing everything
that you can for her. (Sobs)
— Come on. Let's go and get a cup of tea, eh?
— I'm sorry.
— You and Jessie have been together how long?
— 40 years.
40 years?
Just need someone to check the IVs.
— You're not still seeing him, then?
— Amoxicillin, 500mg.
| thought you two
would be walking off into the sunset.
Nothing happened between us.
Cefuroxime, 750mg.
| think | know better
than to get involved with a married man.
Don't you ever go home, slapper?
Could ask you the same.
(Gasps) Sorry...
Can | have 50 of bank
and 16 of Genti P, please?
— Peritonitis again, innit?
— Yeah.
WILL | have to come off the CAPD?
We'll see.
I'm not planning on killing anybody tonight
for their kidneys.
Would you really accept
a second-hand organ off this woman?
— You're looking after me again, right?
— Always get the wankers.
Slapper.
You know your trouble, Eric? Fags.
— Do you have one?
— Eric...
Me heart's knackered. Me chest is knackered.
A good smoke's the only fun | get.
All right. One.
But save it till you get home.
You're a diamond, Doc.
— Can Eric have a nebuliser and then oxygen?
— OK.
— And then delousing.
— Ugh.
— Hello. How are you?
— I'm fine.
— I'll er...see you in there.
— Look. I'm, er...really busy.
— Maybe I'll just see you around.
— Yeah, sure.
Julie, how long do | have to wait
for one of you to start that drip | ordered?
You have an arrogant attitude towards nurses,
Claire. Please don't take it with me.
This is Gemma. Into Resus.
Bleep Peter and tell him
the asthma attack's here.
2.5 of salbutamol,
neb with 100 per cent oxygen, please.
Does your daughter
take a tablet called theophylline?
— No.
— (Raj) I'm in.
Right, then. Sit her up.
— OK.
— I'LL start aminophylline.
| reckon 15 to 20 kilograms.
(Scissors) Er...
At 6 milligrams per kilogram.
That makes out to be...100 milligrams
over 20 minutes.
— She's got a silent chest.
— Yeah, | know. It's not looking good.
— Come on, keep breathing. There's a good girl.
— She'll be OK.
Right, that's it.
Keep her chest upright and her airways open.
Could you hold her? Tighten the mask a bit?
— Right.
— That's it, that's it.
OK, there's a good girl. Come on, Gemma.
Come on. Keep breathing.
Come on. Come on, come on.
— Come on, Gemma.
— Stay awake now. Come on, darling.
— Come on, come on. That's it.
— (Coughs)
— There's a brave girl. Well done. Come on.
— Big cough, come on. Big cough.
(Coughs)
— Sit her up.
— That's it. There's a brave girl. Well done.
— She'll be all right.
— Here's your mum. There you are.
— Missed all the action.
— Your patient.
Sorry to keep you waiting, Eric.
— (Hissing)
— Here's your oxygen.
Do you think she’s married?
— The little girl?
— Yeah.
No, Julie Novac.
— You hardly know her.
— So?
Woman trouble, eh, lads?
| know what you mean.
I'm going out with a bird from Marks and
Spencer's and she won't let me try anything on.
You know the statue of the chick with no arms?
— The Venus de Milo?
— Yeah.
Well, what if they found her arms and they were
like Popeye's? Huge, with tattoos of anchors?
What | mean is, you don't wanna get involved
unless you know she won't mess you about.
— | mean, look what Claire did to you.
— (Crash)
(Glass smashing)
(Fire alarm ringing)
| don't think he'll need
a delousing any more, do you?
(Man) A few more steps...
— Hiya, Liz. How's it going?
— Fine, thanks...
Rob. | gave that talk to you
and the other new house officers yesterday.
| remember.
Caroline, | am so sorry to bother you,
but you couldn't be a sweetie
and do that bladder washout for me?
| would,
but I've two nurses off sick this morning.
Sorry. We're out of stock.
— (Man) We'll send some up.
— Thank you.
— Morning, Dr Turner.
— Liz, we've already done the ward rounds
on Dartars and Frenulem.
The ward rounds this morning?
Dr Turner, I'm so sorry.
Don't worry, my dear. It's all very new.
Now, who is there to see?
I'm afraid, Dr Turner,
I'm supposed to be doing a bladder washout.
You wouldn't mind doing that
for Dr Reid, would you, Staff?
Erm, if we make a start
with Mrs Johnson, Dr Turner?
I'd like a full damage report
as soon as possible, Mr Scott.
Right.
Julie, we'd better stop all admissions
until the building's safe.
Deal with everyone you've started seeing
and we'll redirect the rest to general.
This is your doing, isn't it?
This...scrawlL
— Oh, that!
— What is this?
"Patient exhibited signs
of plumbum pendulans."
— Swinging the lead.
— | know what it means, boy.
— Sorry, Mr DeVries.
— Isn't it time you grew up?
| hear you're on the GP training scheme.
Two-year hospital specialties,
then out into general practice.
My career's on the move at last. Oh, yes!
Mmm. So where do you start?
Here.
(Raised voices)
Look here, you senile old git.
Look what you done.
— What's going on?
— It's this senile old fool.
Look what he's done.
Bit the end of me finger off.
— Is this true?
— How would you like it, eh?
He's always jabbing that finger in me face.
We might be able to sew it back on.
Where's the finger now?
Where he can't get at it.
(Laughs)
Doctor?
Will you look at my wife?
She's taken a turn for the worse.
— In what way worse?
— Well, she's just not herself all of a sudden.
Well, I'm sorry, Mr Vernon,
but to me she seems no different.
— I'll take a look at Jessie for you in a minute.
— Thank you.
He's nursed his wife all through her illness.
Now she's on her last legs,
he brings everything to our attention.
Why?
— Cos he'd feel guilty if he didn't.
— Oh. Right.
(Engaged tone)
Caroline, I'm having a nightmare
trying to get hold of X—ray.
You couldn't try for me later, could you?
Dr Hudson wants it for the ward round
this afternoon.
— They only take requests from doctors.
— Look, | don't mind doing that for you.
— Rod, you are a lifesaver.
— That's Rob.
Look. Let's have the finger
so we can sew it back on your friend.
Thou'll have to cut me open first.
Any attempt to remove the finger
without your consent
would constitute a criminal assault by us.
| hope it's been digested.
The policeman said
your friend's gonna press charges.
You don't wanna go to prison, do you?
Cooperate and they'll go easy on you. Trust me.
So, what do you plan to do?
Induce vomiting.
Mr DeVries. If it's not here?
Try again till he brings it up.
(Faint pop music through headphones)
How are you?
Urea 23.2 and creatinine 10.50.
So, slapper. What's the verdict?
Lately, it's been one infection after another.
| know CAPD
gives you some semblance of a normal life,
— but you're gonna have to come off it.
— Never liked that bag anyway.
Now I've got one to match me shoes.
Claire?
| don't wanna go back on haemodialysis. Please.
I've asked one of the surgeons
to make you a new fistula.
He'll have a job.
We could try the canteen.
Steak and kidney pie tonight.
Maybe we could scoop enough together
for a transplant.
— Um...
— Fistula man's here.
— | can come back later if you like.
— I'll leave you to it.
Bye, slapper.
(Clears throat) Sorry.
Good afternoon, Mr Connell.
Sorry, Dr Hudson.
Have you got the X-ray, Liz?
Sorry, Dr Hudson. I've tried and I've tried
but X-ray were engaged.
Then go down to the department yourself.
What's the sodium today?
— (Whispers) 50.
-— 50.
— What?
— 130, Dr Hudson.
Good.
— Osmolality?
— (Whispers) 290.
290.
Good.
Oh, er, and ESR.
— (Whispers) 5,000.
— 5,000.
What?
All right, all right. You've had your fun.
It's nice to know
there's one person here who's on my side.
Well, since we've become, erm...
| was just thinking perhaps
we could go out for a drink sometime this week.
Mm? Oh. That'd be lovely.
— Right.
— But...just so busy.
Oh, right.
Right.
It's Mum. Sorry. | couldn't wait any longer.
Did you get the result?
Well done!
Listen, look. When Dad comes home,
tell him we'll all go out to celebrate.
— Yes. I'll be home in about an hour or so.
— OK, bye.
Bye.
My daughter's been on tenterhooks all week
about that maths exam.
How's the young man in ITU?
Flat as a pancake.
Erm...he's got no medical history.
An undiseased body.
How do you think the wife'll react if we ask her?
| dunno. She's just a kid.
Your age, you mean.
— I'll come down.
— No, no, no. You take your daughter out.
Are you sure?
Yup. We all need a life outside medicine.
Thank you.
— I'll take my mobile. I'd like to be informed.
— Yes, Dr Hudson.
Good night, Claire.
Night.
(# Oasis: Roll With it)
Every woman has a tariff.
There's the standard charge,
which is the emotional cost of keeping her.
And then there's the unit charge
which is the cost of using the facility.
Take Claire.
High standing charge, high unit charge,
to the point where | couldn't afford the tariff.
This is the life.
| should destroy Casualty more often.
Only person down there is Julie
directing punters to other hospitals.
| might just, er...pop down for a cup of tea.
No drama in that, mate.
He's not going to get better at all,
is he, Doctor?
(Claire) No.
We're going to examine Craig
for signs of braindeath.
Are you going to switch him off?
We won't unless you agree
that it's the right thing to do.
Doesn't mean | don't still love him
if | let him die.
Craig knew that you loved him.
Then we should let him go,
shouldn't we, Doctor?
Denise, there is another thing
that | must ask you.
| want to ask if some of Craig's organs
can be used to treat other people.
There are people waiting for transplants who
have been in and out of hospital all their lives,
young people with damaged kidneys who are
at risk of infection and scarred by dialysis.
Or people with cystic fibrosis.
Yeah.
Yeah. It's the right thing to do.
Thank you.
Everyone said
we were too young to get married.
We weren't, were we, Doctor?
— No.
— Do you have a husband, Doctor?
No.
— A boyfriend, then?
— No, not really.
A pint of piss in a dirty glass.
Adrian, do you love me?
What kind of a question's that?
Clearly a pretty bloody stupid one.
Check those pipes in the basement.
Make sure they're OK.
Right.
Oh, hi.
So, erm...what brings you down here?
| was just passing by and | thought if anything
came up and you needed a hand...
Oh, right. Well, that kind of gesture
deserves a cup of tea.
Ooh...
You do realise, Mr Smedley,
that Casualty's supposed to be closed tonight.
— (Banging on door)
— We're closed.
— Can't they read?
— (Banging continues)
— (Women laughing)
— Good evening, Sister.
What this time, Mr Hammond?
(Whispers)
— Well, seeing as you're one of our regulars.
— Thank you.
| was doing some housework...
and | was Hoovering the bathroom,
when | needed to go to the toilet.
Well, | didn't think
to turn the vacuum cleaner off
and as | was answering the call of nature,
the vacuum hose must have uncoiled because
it shot up and got itself stuck on my...
Ooh...
Once again, I'm in your debt.
Ah, thank you.
Let's get him into Resus.
I'LL get Chloe!
Do you want a hand? I'll save him.
I'm a nurse. At the general.
(Scissors) Name, Malik. M-—A-L-I-K.
Date of birth, 16/10/73.
Urgent laparotomy from casualty.
We are shot. Patient's coming right up. Bye.
— There's been an accident in the basement.
— I'll look after this one.
(Man groaning)
It all just came out. Mind your head.
Len? The doctor and nurse are here.
— After you.
— Sorry.
— OK?
— Let's try and move this if we can.
Are you ready? On the count of three.
Hope you've eaten your spinach today.
One, two...
— Go on. That's it, that's it.
— All right, Len?
Get out the way, Julie.
— Let's have a look, go on.
— On the ledge.
OK, that's it.
All right, Len?
— Come round here.
— The doctor's here now.
OK, Len. Just try and relax.
We'll have a quick look at you.
— All right, mate?
— (Len groaning)
His trachea's slightly deviated.
Give me a tube, please.
How does your neck feel? Have you twisted it?
— No.
— No.
(Julie) Have to move his head.
(Rob) You'll be all right, mate.
One of his lung's collapsed.
I'LL have to reflate it.
I've got a brown Venflon.
And a tap with a syringe.
Excuse me, can | borrow your torch?
Um...Len? Is your head all right?
Is your neck all right? OK.
Can you wriggle your fingers for me?
And your toes?
I'm sorry, mate, but this is gonna hurt.
Just hold him down there.
Ready? One, two, three...
That's it. It's all there.
Thank you. You hold on to that there.
OK.
There we go.
That's it.
How are you doing now, Len?
— Better.
— Yeah, good.
Let's start fluids.
Ten minutes? Yeah, thank you.
An ambulance is on its way
to transfer you to the general, OK?
OK. Let's get this boy up to theatre.
(Australian accent)
Just a cup of tea. No drama in that, mate.
— Loser!
— Ooh...
(Claire) We'll go on to match up Craig's tissue
type with patients waiting for transplant.
Mrs Phelan, I'm very sorry.
We've made an extremely thorough examination.
There is no reasonable doubt that your husband
is braindead. | really... I'm so sorry.
Would you...would you like to be with him now?
Doctor, there's something that...
— What is it, Denise?
— Once, Craig said something.
He said it was wrong
to take parts out of dead people.
He thought it was unnatural.
— Denise, if you knew this...
— But he was wrong, wasn't he, Doctor?
All those other people it will help.
| want Craig's death to...
| should do what's right, shouldn't I?
| should help those other people, shouldn't I?
| can make the decision for you, if you want.
| can make the decision and walk away from it,
because that's my job.
Is that what you want me to do, Denise?
| think that if you know
that it wasn't Craig's will,
you won't ever stop believing
that you betrayed him.
| make a case for the living, Denise,
but you must speak for the dead.
Well, Mrs Vernon.
| do believe you've turned the corner.
— Thank you, Doctor.
— Nothing to do with me. It's all down to you.
Thank you.
Let's bring her dobutamine down to 7.5
and tail off her dopamine.
— OK.
— OK.
— Hi.
— Hello.
Just wondering if you knew
what your plans were for the rest of the week.
Ah. Busy.
Maybe another time.
Right. No problem.
— This is stupid.
— | know.
(Bleeping)
(Woman's voice) Dr Collin, outside call
We're ready now.
I'm with you.
I'm here.
— How are you?
— Urea 23.2, creatinine 10.50.
No change, then.
You?
No change.