35x18 - Episode 18

Episode transcripts for the TV show, "Casualty". Aired: 6 September 1986 - present.
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Casualty is the longest-running primetime medical drama series in the world.
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35x18 - Episode 18

Post by bunniefuu »

Previously...
Lev, I'm sorry.

It's over, Lev.

No prizes for guessing who got
the job. You deserve it.

Thanks.

This isn't the man that I married.

You're not going to feel better
about anything

until you accept the fact
you're gay.

Lev?

BIKES ROAR

CHEERING AND APPLAUSE

Who's the bloke with a death wish?

Come on!

CHEERING

FAITH'S VOICE INSIDE HIS HEAD:
What has happened to you?

This bitterness is years
and years of denial.

Hey, how are you doing?

Er, yeah.

Just want to forget about it,

but thank you.
OK. See you later.

Babe, could you cover me
for 20 minutes? It's about my mum.

Her surgeon is due out of theatre.
He's been dodging my calls for days.

Yeah.
Yeah? Amazing, OK, 20 minutes tops.

Let me have a look at your gears
while I'm here.Thank you.

Shouldn't really be
helping you out like this.

Boss likes one of his own riders
to win but, hey,

someone's got to look after you
- you won't, you daredevil!

JIMBO COUGHS

That toilet's still blocked.

On the to-do list, Jimbo.
And there's a tyre delivery later.

No, I shouldn't be lifting
heavy things since me operation.

Remember, the doctor said.

Well, I won't tell if you won't.

It's due some time tonight.

Hey! Don't talk to him like that.

It's just banter.

Guessing you don't have a boss.

Down here every day,
past couple of weeks.

Wow.

You still race, man?

No! No chance.

I've had my nine lives. Here...

2014. A sign from above.

Got to stay in one piece to help out
with that cheeky little one now.

Mikey's nine, yeah?
Yeah.

Fun age.

You never told me about your family.

1982 Bikestock Rally.
Did you go there?

Mal?
I just get these spells.

I think I'd better go to A&E.

Could you take me?

I can't, sorry.

It's fine, I'll manage.

PAINED BREATHING

Listen, I'm easy to please.

Keep your hands off me jammy dodgers
and we'll be just fine.

Oh, is that a euphemism?

Hm! In your dreams.

Nope. I'm straight up
talking biscuits.

Great!
Cannot wait to hear more about that.

Come on, the patients aren't going
to stick their own ribs back in.

Jan...

..listen, why don't you do
your admin from home today?

Better still,
take some annual leave.

You deserve it after...

There's no need to fuss over me.

We're still one team member down.

Poor Lev.

"Poor Lev"?

Who's had two weeks off when
you needed your team around you?

Hey, he's been going through
a really tough time, actually.

Come on, chop chop.

Mr Duskley, hi, I'm Ethan.

I understand you've been suffering
with abdominal pains

and a fever for the past few days.

The pain's close
to my gastrectomy scar.

It would appear to be related
to your stomach and gall bladder.

OK, you have raised inflammatory
markers, which is suggestive

of a biliary obstruction.

Now, that's not an uncommon
side effect of stomach cancer,

unfortunately.
No, I'm in remission.

I had the op last year.

Erm, you have been informed
of your recent results?

Wait, I can't be. No...

Well, there's obviously
been a mix-up,

which I'm going to look into.

Faith, could you contact
Mr Duskley's GP, please?Mm-hm.

How long have I got?

I'm not a specialist.

How long?

If there's something that
you've always wanted to do, then...

..perhaps now's the time.

Excuse me.

FAITH:I'm so sorry.

Faith, I still haven't
heard from Lev.

I mean, he's in bed when I leave
for work in the morning,

and he comes in
when I'm already in bed,

so I have no clue how he's feeling

or what he does with his days.

You must talk?

No. He's not in the mood.

Not to talk to me, anyway.

Aren't you worried?

Yes. Very.

About our children.

Now, I'm sorry,

I've got a patient who's just learnt
some really rough news, and I...

Oh, your back splint.
I haven't forgotten.

Just give me a minute.
Thanks.

Yeah, that's fine, I can just hold
while you look for him.

Who's she?

Oh, a training manager.

She's here for some leadership
training day or something.

Yeah. We've a full ED and I've
an oncology patient who's just

accidentally found out that
they have a death sentence, so

being trained for the day by someone
with the medical qualifications

of a potplant is not exactly
what I need right now.

Hello.

Yeah, erm, I'll see you up there.

Jade, can you get in touch with
Mr Duskley's GP for me, please?

Thanks.

WILD CHEERING

The new boy has done it.

He's seen off all challengers,
and he wins today's pot.

How'd it go?

Just some infection.

So, where have you been? Narnia?

My £100 entry fee.

I want to race.

We have a final challenger!

Back out of retirement.

This track's very own grease monkey
- Mal the Machine!

CHEERING

Yeah, but you just said
the surgeon was out of surgery.

I don't understand.

Marty, you said 20 minutes.
Erm, Jade, urgent job for you.

I know you're sick of me calling
but my mum's in agony.

I'm not trying to get revenge,

I'm just trying to
get some help for her.

Please can you ask him
to take my call?

I can't cover for you all day.

What do you mean,
I should "be careful"?Marty...

..you're not the only person
with problems.

Marty Kirkby?

I thought you didn't race any more,
because of your grandson?

Mal? Mal?

Why are you racing again?
I need the money.

OK, I'll lose the race.

It's a £1,300 pot.
I don't care about the money.

Thanks. It'd mean the world.

What are you risking your neck for
here, if it's not for the money?

Is it wife trouble?

Leave it.
Sorry.

It's just you turned up
out of nowhere a month ago.

You're here every day, taking silly
risks like you don't care if you...

I said leave it!

You scare me sometimes.

You're not the only bloke
to wind up here

cos he's got a few problems at home.

On your marks.

I saw you with a man...

Whatever you think you saw,
you're wrong.

I want my family, I want my wife!

Decide who you are.

You're not going to feel better
about anything

until you accept the fact
you're gay.

LOUD SLAM

Start your engines.

I don't want to talk about it!

ENGINES REV

CRIES OF ENCOURAGEMENT

ENGINES BUZZ LOUDLY

Go on, go on!

HE GRUNTS WITH PAIN

CHEERING

Our Mal snatches it
in the final race!

That's £1,300.

Yeah!

APPLAUSE

For this exercise, Ethan,
could you play the consultant?

Yes.

And Rash, can you be the F1?

The patient is complaining
of light-headedness,

shortness of breath, and chest pain.

The patient is tachycardic.

Right, let's pump him
full of adrenaline

and crank my paddles up to 11!

No, no!

Obviously, your suggestion
of treatment is not suitable.

But your...

..input is valid and welcome.

Well done, Rash.

Er, thoughts?

Yeah, yeah.

PHONE BUZZES

Great encouragement.

Well handled. Well done, Rash.

Although, if I could...
Hm.

Well, I did think Ethan
sounded a little...

Insincere?

OK, so are we not going to talk
about Rash's bucky turn as the F1?

"Crank my paddles up to 11."

No, no, no, it was real.

Yeah, consider me educated.

Don't take it out on me.
You're here to learn.

I don't have time to play doctor,

cos I'm quite busy
actually doing it.

Erm, my job is to make sure
you're doing it well.

Yeah.

Hello, mate, can you hear me?

Paramedics.

CRY OF PAIN

Lev? Lev! What's happened?

Hey! Hey, you're hurt.

ANGUISHED YELP

Is this what you've been doing
for weeks?

Motorbike racing?

I've been worried sick.

I've been calling and calling.
I'm fine.

I'll call you later.
No, we need to get him to Holby.

No.
OK, a different hospital.

Leave me alone, Fenisha!
Stop calling me.

Stop leaving messages.
Just stop!

Why did you call them?

Don't blame it on him.
He's only trying to help!

I relocated my shoulder.
I must have fallen asleep.

It took it out of me.

I don't need to explain myself.
I refuse treatment.

OK. No ED.

We'll take you to the station.

Get you seen to, off the record.

You what?He's not ready to
face people at work yet.

We do not treat people
"off the record".

Are the paramedics a team or not?

3006 to control.

This will be a treat at scene,

and then we'll head back to base
to restock.

He's signed a refusal form,
and we'll give worsening advice.

Go on, then,
catch the world's slowest man.

Hey, hey.

I said I refuse treatment.

OK. Well...

..we can either take you to
the station or I'll call for backup,

and we'll have a big scene.

It's up to you.

I'm not leaving you like this.

I should have realised
it was serious.

Well, the patient didn't exactly
give an accurate account

of the size of it,

or how it got there.

The main thing is, it's out now.

Ouch.

A good example of how to nurture
a trainee doctor, no?

I remember feeling very, er,
supported.

You sound surprised? Do you not
always feel supported by Dr Hardy?

Well, we've had a couple of...
difficult moments.

Come on,
we need to speak freely here.

What about other trainee doctors
here? Have they felt supported?

EDs are, by their nature,
stressful environments.

So sensitive doctors need not apply?

No, that's not what I said.

Then what do you think?

Is there space for a trainee
with emotions?

Ideally, would you want to be
treated by an "emotional" doctor?

You've...

Hang on.
I've trained you, haven't I?

Dr McCarthy?

Erm, McKee?
Let's take a break.

That last cut's pretty deep.

Jan said you organised some leave?

I'm here if you need to talk.

Relax. It's only me.

I'll sort this last cut at home.

I've just spent £3
on a coffee for you!

Fine, fine. I'll stay out of it.

Suits me.

Look, your leg needs stitches.

You need the ED.
No, no.

OK, maybe we can do something here?

Whoa, no way!

I thought you were staying out
of this.Yes, I am.

Thank you. Biccie time.

He's right. I'll get you in trouble.

Wait, erm...

..let me have a go at
treating that last cut.

No questions. No nurses.

Don't tell me it doesn't hurt.

HE GRUNTS IN PAIN

OK.

Right, one sec.

You don't know how hard
this is for him.

Not as hard as finding an
invisible nurse to treat that cut.

Well, you must have treated worse
in HEMS.

Iain! I heard you were back.

Yeah, for my sins.

Listen, where can
I get some skin closure strips?

There's probably some in triage.

Everybody will be so pleased
to see you back!

Only pleased? Ecstatic, surely?

Don't push it.

Hey, Charlie.
You're back.

Yes, well the ambulances
won't drive themselves.

He's back.
Good to see you.

EXHALES LOUDLY

Tabby?

I just knew it was you.

Charlie!

You were so nice to me
when I was here.

Well, I always think it pays to be
nice to the smartest trainees...

..and I thought it was a shame
that you left early like that.

I heard something about
a difficult experience

that maybe knocked your confidence
a bit.

Yeah, something like that.

Training manager now.

Just made a fool of myself
in my own workshop.

Tabby, you're a smart,
capable woman.

Just take a deep breath,
go straight back up there,

and show them what you're made of.

Go on, deep breath.

SHE BREATHES UNEASILY

The hero of the hour!

More he lost than I won,
but I'll take it.

I've fixed the toilet, and I've told
Sylvia I can't have Mikey tonight,

so I'll be back later
to sort the tyres.Mm-hm.

I'll be off.

So, can I have my money?

Did you not get your £100 back?

Yeah, I got my entry fee back.

I mean my winnings. My £1,300.

Mal, a win for one
is a win for the track.

I know that's what we did
in the past, Jimbo, but...

..I really need the money this time.

The cancer's back, and...
Again?

I'm sorry.

..and there's a little trip
I need to take.

Please.

Now is not the time
to be jetting off, is it?

You need chemo or something.

Mal, listen.

We're all here for you.

But the prize money...

..it's not yours.

I was a racing champ.

You should show me more respect.

HE SIGHS

You used to be a winner.

Now you're just someone
I pay a wage to,

to stand around, being gormless,

who's too weak to do half the jobs
I need doing.

If you want to resign in protest,
trust me, Mal,

you'd be doing me a favour.

Sorry, I didn't recognise you
without your specs.

You did an ED Rotation here
a couple of years ago,

when I was Acting Clinical Lead.

I didn't recommend
you continue your training.

I had a bad case of nerves,

but I was working through it.

I couldn't cope with you
taking your stress out on me.

If I'd had someone like Rash as my
mentor, I'd have made it, but...

..I had you.

You had anxiety nosebleeds,

which you'd then faint over.

So, if you were in a pressurised
situation, you disappeared,

you hid in the linen cupboard,

or you'd run outside
for an emergency cigarette.

I quit ages ago.

OK, good, but...

..my role is not to shield
the trainee

from the stresses of the job.

it's to prepare them for it.

Nothing I ever did was good enough.

It's obvious hearing Rash speak
that he was your whipping boy, too.

I...One day,
you might push someone too far.

I'm here to try and help you
become a better leader.

OK, and I promise I tried to
help you become the doctor you had

the potential to be, but you didn't
help yourself, did you?

VOICE TREMBLES:I can't...

DISTRESSED BREATHING

Can I have one, please?
Yeah, help yourself.

Thank you.

HACKING DRY COUGH

That cough's emphysema.
You should quit.

Whatever.

SICKENING THUD

Right.

Follow up care - say your prayers.

So... Go on, then.

You're free.

But the fussing -
that comes from a good place.

It's a special team here.

I got this from HR.

It's just some advice
on how everyone's valid.

Sexuality is just a spectrum, and...

Fenisha.

Look, mate, I don't like
being in the spotlight either,

but what's the plan?

Hide forever?
I'm not hiding.

I get it.

Some people don't like their
feelings being a public thing.

But the guys back in the ED,
they don't care what you are.

They don't care.

To them,
you're just one of the team.

RADIO CHATTER
Yeah, copy that.

RTC Ringmar roundabout.

I've done my best. The wound edges
haven't opposed very well.

Definitely going to need stitches,

so if I were you I'd get to ED
before your leg falls off.

Lev!

Why did you call an ambulance?

You said you'd throw the race.

Just got caught up in the moment.

My boss didn't give me my winnings.

What's that got to do with me?

I'm nothing to him, but he wouldn't
dare mess with a man like you.

You don't know what I am.

You're tough. You're hard.

Stand up for yourself.
What's the matter with you?

Stomach cancer.
Oh...

I had it last year.
Looks like it's back.

You found out in the ED earlier?

Alone?

I should have gone with you.
I wanted to, but...

..I can't be here right now.

It's fine.
I've made my peace with dying.

The thing is, I've always said
I'd take Mikey to the US

for this bike rally before I go.

That's what I need the race money
for.

Wait. Aren't there treatments?
Chemo?

No. I need to go now,
while I'm well enough.

Mikey's dad walked out on him,
and he takes it to heart.

I need to do this so when I'm gone,
he'll remember he's so special

his grandad took him
to the US Bikestock Rally.

Yeah.

He'd feel pretty cool.

And that's all I want.

For the little boy to feel
a bit of pride in himself.

Let's go. Let's get your money.

Maybe we should look for her.

Yeah, or we could not drag out
this pointless training day

any longer than we need to.

Well, actually,
I found the day quite useful.

Yeah, sorry.

And...

..mate, I know that
when I was your mentor, I was...

It's all right.
KNOCK AT DOOR

Guys, just to let you know,
your training manager's in Resus.

FOOTSTEPS

Well-earned break?

Is it your mum?

The clinic are taking me to court,

unless I agree to stop harassing
mum's doctor.

He butchers my mum,
and he's taking me to court?

Wait. What?

You don't know where you stand.
You're not a lawyer.

Yeah, and I can't afford one either.

And I can't afford to get sued,

so I guess I'm just going to
have to shut up.

I mean, he hurts my mum, ruins her
life, humiliates her, and what,

now he's going to get away
with it scot-free? Joke.

No! No, you're not going to let him.

I have no choice.

You can chose to fight this.

I'm just sick of men like that
doing what they want

and getting away with it.

Jade, what's going on?

Erm...

..I got spiked the other week.

And if Faith hadn't...
You got spiked?

Have you been to the police?

Why didn't you tell me?

I'm just trying to figure it out
in my head still.

Babe, I'm so sorry.

I mean, I should have noticed
something had happened sooner.

No, you've had your mind
on your mum.

Of course you have -
something awful's happened to her.

The point is,

these people, they know
how to make others feel small.

That is all that letter will be,
I bet.

It's meant to scare you
into shutting up,

so you must be
doing something right.

Keep going. I'll help.

You're so sweet. Thank you.

And I'm here for you, too.
You know that, right?

Yeah.

OK. There's no obvious
intracerebral bleeding.

Extensive scalp haematoma around the
site of the laceration, though.

Oh, hello. I didn't realise
we required a second consultant.

Yeah, I just thought that maybe I...

Uh, that's an arterial bleed.

Charlie, can you keep the
pressure on? I'll staple that.

Tabitha, we're just
going to staple the wound, OK?

Dylan, I'd like to help.

Why?

Why? Because she's...

Erm, I...

That's done.

OK, I think that's the bleeding
under control.

She always wanted to be a doctor.

Shame it never worked out for her.

Mal needs his prize money.

You sent another man
to fight your battles?

Look, mate, I don't know
what sob story Mal's given you,

but we've got a system here.

A win for one
is a win for the whole track.

Give Mal his money, or I'll take it.

You're optimistic for a man
with one leg.

What you going to do?
You going to hop on me?

LEV CRIES IN PAIN
Leave him alone!

All those years
I handed over my winnings

cos I was scared of you.

Well, you don't scare me now.

I'm dying. You can't hurt me.

I was a champion.

And I have a grandson
that'll miss me when I go.

What's your talent?

And the guys here -
you heard them call his name.

Yeah. I'm more than your dogsbody.

My name still means something.

And I bet if I spread the word
about how you treat me,

no-one would touch this place.

All right.

If it means that much to you.

Enjoy your holiday.

DRAWER SLAMS

Why didn't I do that years ago?

HE CRIES OUT IN AGONY
Mal?

I've left it too late.

Mikey...

Ambulance, please.

You don't have to come to
the hospital

if there's trouble for you there.

Ugh!

My nose.

Oh, the blood.

A fainting incident...

..but luckily, there was a bench to
break your fall on this occasion...

..rather than a grieving relative.

There's no sign of a skull fracture
or...

..brain injury, presumably,
seeing as I'm not intubated on ITU.

Discharge with head injury
information and take it easy?

Yes.

How are you feeling?

Stupid.

You're not.

You were the brightest student
in the cohort.

I really wanted you to succeed.

But you...

..weren't ready to progress
with your training...

..and I had to be honest about that.

It's for the patients' sake.

And yours.

I can see - you had no choice.

You can still overcome your anxiety,
though.

There's help out there.

Have you thought about...

..CBT?

Maybe, one day.

Life's short, OK?

Don't let your demons hold you back.

Hiya, Lev.Hey.You all right?

Hey, Lev, you OK?

Lev, where have you been?

My friend just came in.

What friend?
His name is Mal. Is he OK?

Erm...
Could you check?

Yeah, sure.

And I need to give him his money.

Sorry, Faith,
Dylan needs you in Resus.

OK, erm...

SHE SIGHS

Are you all right?

I think I need some stitches.

Pop yourself in cubicle six.

I'll be on a break in a few seconds.

Thank you, Charlie.

OK. Heart rate 109,

BP 110/90.

Erm, Faith, you OK?

Yeah, fine.

Since you're here, amoxicillin
IV 500mg plus gentamicin

and metronidazole IV 500mg, as well,
thank you.

He self-discharged earlier today,
is that right?

Yes, his oncologist is waiting to
talk to you about his latest scan.

Oh, OK. Well, hopefully the fluid
should begin to bring the BP down.

My money? Where's my money?

It's all right.
Lev's looking after it for you.

I need to book a trip.

US Bikestock Rally.

Can I make it?
I don't see why not.

Let's take care of that
infection first, though, hm?

See you tomorrow, yeah?

Oh, let's pick up a vegan meze
box on the way home.

We haven't had that in ages.
Oh, yeah, I'd love to.

Oh, we could do it
over our internet search.

"What to do if a clinic is
threatening you with legal action."

You just keep going, I suppose.

I mean, you're right.

I mean, this is my mum
that they've hurt.

I'm not going to let them
scare me off.

What are you going to do
about the clinic letter?

Er...

Excellent.
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