- 2 days ago
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00:01Listen, thanks for this opportunity.
00:03I've got high hopes for you.
00:06What are you doing?!
00:08You know I can't pass you.
00:10Just give me another chance.
00:11You've failed.
00:12I promise I won't let you down.
00:14Sorry we don't stock your son's schizophrenia meds.
00:17Did you try Fordfields?
00:19They're pretty good.
00:20No, I haven't.
00:21Thanks.
00:22Since when did you have glasses?
00:23Why do they look weird?
00:24I've got spare contacts.
00:25I was just wondering if you have...
00:29if you've got a parking permit for your car.
00:32You did suggest actually recently
00:34that I should breathalyze you.
00:35I thought it might be a good time to put it to the test.
00:41Yep.
00:42Yep, that's right.
00:43I'm the next of kin.
00:44Look, I know she was an alcoholic
00:46and this was only to be expected.
00:51What, do you want to go see her?
00:54I don't know.
00:59Okay, listen up.
01:00Rhys Hindle, 67.
01:01He flew in an hour ago from a Marburg outbreak zone.
01:02Mid-flight his fever spiked with severe headache and muscle pain.
01:05Airport officials isolated him on arrival
01:06and quarantined everybody else on board.
01:07Now, test results are pending.
01:08But with Marburg, we cannot afford to wait.
01:09It's one of the most deadly viruses spread through bodily fluids.
01:12This is a full category A biosecure transfer to the HLIU in London.
01:19Now, the isolation unit will contain the virus.
01:21But any intervention risks exposure.
01:22Ian, are you sure?
01:23It's pretty heavy for your first day.
01:24Yeah.
01:25I can handle it.
01:26Right.
01:27You're a team.
01:28Teddy?
01:29Yeah?
01:30Ready?
01:31Ready and able.
01:32Right, the rest of you, prep for transport.
01:33We've got an hour to get Rhys to specialist intervention before stability and contamination
01:36risks spike.
01:37My job is to get them there.
01:38Yours is to keep them alive.
01:39And I'm ready.
01:40I'm ready.
01:41I'm ready.
01:42I'm ready.
01:43I'm ready.
01:44I'm ready.
01:45I'm ready.
01:46I'm ready.
01:47I'm ready.
01:48I'm ready.
01:49I'm ready.
01:50I'm ready.
01:51I'm ready.
01:52I'm ready.
01:53I'm ready.
01:54I'm ready.
01:55I'm ready.
01:56I'm ready.
01:57I'm ready.
01:58I'm ready.
01:59I'm ready.
02:00I'm ready.
02:01My care.
02:02Yours is to keep them alive and keep the virus contained.
02:04All right.
02:05Let's move.
02:06Rhys, my name's Ian.
02:07This is Teddy.
02:08We're here to get into the hospital safely, okay?
02:09Sorry about all this fuss.
02:10Putting your lives at risk.
02:11Oh, don't worry.
02:12That's what we're trained for, okay?
02:14You're going to ride in here.
02:15It's sealed and secure, okay?
02:16To keep us protected.
02:17You'll stay with me, won't you?
02:18Yes.
02:19We're with you the whole way, mate.
02:20The whole way.
02:25let me go with it please I can look after him why don't you head home mrs.
02:30Hindle pack some things for Reese if it's Marburg he could be in London for
02:33some time tell him I'll be there as quick as I can
02:39the deep end yeah so far I may start with me to go on
03:09I need help I need help now Blake what's happened what's going on dad I don't know him he couldn't
03:26move he couldn't blink he just went stiff okay okay you did the right thing um Dr. Maston will
03:30take over I'll take Carter I'm not leaving him you can stay you can stay but we do need to check
03:36him over properly yeah it's okay Blake look he wants to hey come here oh man let's make sure
03:42you're okay BP is 90 over 60 GCSE was eight on arrival still hypersensitive and bradycardic
03:50very possible poly drug overdose oh anyway hi hey hey hey how did he go seven meetings in seven days
03:59I've eaten a lot of biscuits yeah now I know it should be hobnobs anonymous
04:05um did you manage to to talk to share listening something one step at a time yeah I know I know
04:13it's I suppose it's a little bit like lancing a boil really you've got to you know you've got to
04:18get rid of the poison before you can find out what's underneath and to that extent I um hope you don't
04:25mind I got your gift it's it's more of a tool really I know that when I found it difficult to talk
04:29it was quite useful to put pen to paper thank you Dylan you're very welcome and if you require
04:38a sponsor I am available it's just an option I should probably well we're in recess actually
04:44uh there's a pre-alerts on the way and if you're happy to dive in sure yes of course although that
04:50may not be the best choice of words I think you'll see what I mean
04:53so expect a few bumps let's keep it steady and watch our spacing
05:12so Africa was it race what are you doing out there bird watching
05:28we've got a thousand species you can't see anywhere else
05:32oh yeah mainly just pigeons around here
05:36and ones that nick your chips I mean I get it but come on
05:41you're trying to distract me what aren't you telling me is it bad
05:47it's fast right Marburg your body starts shutting down
05:52bleeding inside out I don't want to die in here
05:57that won't happen Reece okay we're monitoring your symptoms keeping an eye on things
06:04you've got people you love I don't want to die on my own
06:20that OD base filling up fast isn't it guess everyone's ignoring the warnings
06:24see look kill a batch of drugs is old news what do you think it is
06:28dang dude gone wrong I don't think that'd make national headlines
06:32aliens them I'm serious it always starts with unconfirmed reports
06:36also breaking news I just got my first interview
06:39Sheffield here I come hey open my door no calm absolutely not
06:43India you better get prepping though apparently readers interview was hardcore
06:46all about policies patient care leadership strategies
06:49I forgot about the knowing bit stuff
06:51listen you'll be fine with emergencies for breakfast
06:53Mrs. De Silva yeah thank you
07:00you good to go great
07:04this is Abel Varga he's at 21 he became unwell
07:08after taking an ice bath showing signs of hyperthermia
07:14he was conscious GCS 15 has now gone down to 12
07:18to panic reading low which we could not improve
07:21okay
07:23okay very steady lift
07:25down
07:27thank you
07:28support the head for me
07:29thank you steady slide
07:31thank you
07:32we couldn't get a SATS reading either
07:34his BP is 80 over 50
07:37his bradycardic 40
07:38he's had one 250 bolus of fluids
07:41and his high flow oxygen
07:44okay thank you very much we'll take you from here
07:46that's great
07:47Abel can you can you hear me
07:48Abel
07:49can you hear me you're in hospital
07:51there we go I think we've got an airway
07:53we've got reduced breath sounds
07:55I'd like a SATS reading as soon as possible please
07:57so let's get those monitors on
07:58um yeah before the chest x-ray as well I think
08:00so um tell me the ice bath why why
08:03um uni stress he's struggled in halls
08:05he's just moved back home
08:07okay
08:08any joy with the SATS?
08:09SATS is still not picking up
08:18okay that's attention pneumothorax
08:19so um let's prep for a chest drain please
08:22and um yeah let's let's have um local please
08:26uh I'll need Spence Wells and a scalpel obviously
08:28thank you
08:29so um
08:30how long was he on the board?
08:31what do we know?
08:32the sessions are private
08:33but this was his third thermal realignment
08:36Dr Rudd is building his tolerance
08:38what for necrosis?
08:41okay
08:42okay let's hurry up there please
08:43and go Z
08:44hurry up!
08:45okay Abel I'm just lifting your arm now
08:47okay
08:48there we go
08:49hopefully shouldn't be too uncomfortable
08:50can you hold nice and steady there for me
08:51thank you very much indeed
08:53that's it brilliant thank you
08:55so
08:56local going in now
09:03there we go
09:12I'm gonna make the incision now
09:13so let's let's have that chest drain kit as soon as we can please
09:16there we go that's the pressure relief isn't it? that's it
09:33alright
09:34he's fragile in ways people don't see
09:39that's why Dr Rudd is pushing him
09:42he knows what Abel needs
09:44he knows what Abel needs
09:55trirexic at 40
09:57tacky at 120
09:58and he's guarding his abdomen also
10:01Rhys?
10:02can you describe the pain?
10:04it feels like it's tightening up
10:07it's that bad
10:16apologies we've got a minor obstruction
10:18traffic jam
10:19I'll handle it
10:20how's the patient?
10:21yeah it's stable but in a bit of discomfort
10:23understood
10:24alright this won't take long
10:25what's happening here?
10:27come on we've got a problem date
10:29can you get back in your car please?
10:30move back
10:31move back
10:32it feels tight
10:33I can't breathe
10:35Rhys?
10:36the air's clean and filtered
10:38you're completely safe
10:40help me Ian
10:42I need to say goodbye
10:44not like this
10:47please
10:48I'm not ready
10:52Rhys?
10:53Rhys?
10:54look at me
10:55Rhys look at me
10:56stay with me
10:57I know it's overwhelming
10:58but you're safe with us
10:59alright
11:00we're gonna get you to where you need to be
11:01I think we should focus on your breathing
11:03you're gonna go in through your nose
11:04and out through your mouth
11:05let's all do it
11:06do it together
11:08go in
11:10and out
11:11let's do it together
11:12let's do it together
11:13let's do it together
11:14in
11:15and out
11:17that's it
11:18you're doing great
11:19in
11:21and down
11:24here
11:25I'm gonna put my advisor up for a bit
11:26do you wanna do the same?
11:27do you wanna do the same?
11:30this isolation unit is gonna shield us
11:31it's like double bubble anyway isn't it?
11:33yeah
11:34yeah
11:35sorry to call you like this Jacob
11:37Jan's okay to cover
11:41hey
11:42I hope so
11:43um
11:44he's obviously all completely fine
11:45no fever or anything out of the ordinary
11:46but
11:49hey son
11:50hey son
11:51no you're not listening
11:52he keeps going stiff
11:53like he sees him up
11:55there
11:56there is a bug going around
11:58you're not looking so great yourself
11:59it's him
12:00it's him focus on him please
12:01why don't we check you over
12:02just to rule everything out
12:03fine
12:04I'm fine
12:05okay you know what
12:06let's get you both checked
12:08better safe than sorry
12:09yeah good idea
12:10I'm gonna take Carter
12:11get him out the way
12:12no no no no
12:13you said I could stay with him
12:14you said I could stay
12:15Blake
12:16look it's fine
12:17you're gonna stop the nurses
12:18looking after this handsome boy
12:20see we're okay
12:26nice
12:27get that car back
12:28that's right
12:29get that one right back
12:30and you through as quickly as possible
12:31there's plenty of room here
12:32come on
12:33we've got to get this moving
12:34as quickly as we can
12:35and the white car as well
12:36thanks a lot madam
12:37in we go
12:38as quickly as possible
12:39let's get moving
12:40come on
12:41let's go
12:42alright I'm here
12:43let's go
12:45alright we're clear
12:46let's move
12:48keep it tight
12:49we'll have to pick up the pace
12:56alright
12:57hear that Reece?
12:58can you get moving?
12:59Reece?
13:00I tell you how do you say
13:01Reece?
13:02well you shouldn't be deteriorating this fast
13:03Reece?
13:04can you hear me?
13:05it's Ian
13:06what can we do?
13:07we can't break containment
13:08Ian!
13:09this feels wrong
13:10see if it's self terminate
13:12Reece!
13:13Reece!
13:14can you hear me?
13:19his breathing is increasing
13:21possible respiratory distress
13:23or perhaps he's just coming around
13:24let's give him some room
13:25shall we
13:26it's okay
13:29I'm right here baby
13:31hi there Abel
13:32you're in
13:33Holby city hospital
13:34my name is Dr Keogh
13:35I think you've collapsed
13:36after your session today
13:37how are you feeling now?
13:38still
13:39cold
13:40yeah
13:41yeah sure
13:42how long were you in the water for?
13:44I don't know
13:45I'm not sure
13:46I wasn't getting it right
13:48sir
13:49yeah I'm not sure I understand
13:50how do you mean not getting it right?
13:51it's therapy
13:52not an open forum
13:53but if you need specifics
13:55I can talk to Dr Rudd
13:56yeah I think that would be helpful
13:59I'll be right back
14:00okay
14:01okay
14:04I'm not sure how much Rudd is going to admit if he pushed it too far
14:09why don't I choose Bloods just to check nothing else's I miss
14:12yeah okay
14:18ice bath was a real icebreaker
14:20I want to see Abel
14:21no absolutely not
14:22this is why he's so stressed
14:24he won't leave him alone
14:25crazy idea
14:26why don't we ask him
14:27or does his opinion not matter?
14:29fine
14:31leave it with me
14:33Mrs V thinks Abel's the problem
14:35wants him fixed with conversion therapy
14:37enough
14:38agreed
14:39you've already put him in hospital
14:43will you ask him?
14:45er
14:46yes
14:47okay
14:48just give me five minutes
14:49okay
14:59seems to be stopping
15:00finally
15:01alright
15:02I'm gonna sort this bleed out
15:03Pippa
15:05where's Pippa
15:07won't let me die
15:08please
15:09it's not gonna happen
15:10Rhys okay
15:11stay nice and still for me
15:13quick clean up
15:14he's in VT
15:15he's thrown off at topics
15:16Rhys
15:17Rhys
15:18have you ever had any funny heart rhythms before?
15:21any heart issues?
15:22feels like it's beating out of my chest
15:25so that's abdo pain
15:26a seizure
15:27and now this
15:28I think we need to radio Tim
15:29ask him for some amiodarone
15:30or something else to slow his heart rate
15:32well you know what he'll say
15:33any treatment risks exposure
15:35but none of this fits with Marburg
15:36what if they got it wrong at the airport
15:38look until his bloods are back
15:40we stick to the HID protocol
15:42so we just sit here and watch him deteriorate
15:44say if it's something else
15:45something treatable
15:46our job is to keep him alive
15:47and keep the virus contained
15:51get him on his side
15:52please
15:53don't put you on your side buddy
15:58Jacob
16:00his bloods are back
16:01all his numbers are in the normal range
16:04okay so
16:05it's okay son I'm right here
16:10can you show his bloods are normal?
16:12yeah his ALT is slightly elevated
16:15has this happened before?
16:17or has he changed his medication recently?
16:20that's what I was trying to avoid
16:22avoid what?
16:23I had to get it online
16:24online?
16:25okay did you use a pharmacy?
16:26no but
16:28check the dosage
16:29and the reviews
16:30okay
16:31okay
16:32Maria can I get 5mg pro-cyclybine as soon as you can?
16:34wait
16:35what happened?
16:36breathe for me
16:37breathe
16:38thank you
16:43alright
16:44going in now
16:45okay this will help
16:46okay okay
16:47alright son
16:48you're going to make me feel better
16:49you feel better
16:54I'm sorry son
16:56sorry
17:09these pupils are huge
17:15are you good?
17:16no the angle is too tight
17:19alright Tats 81%
17:20he's losing his airway
17:21I need to take this off
17:22yeah
17:23alright
17:24take such a nap
17:31this isn't Marburg
17:32it can't be
17:33stop it
17:34if I'm going here
17:35stop
17:36come on
17:39you can't do anything
17:40from these people
17:41what are you doing?
17:43telly what you're doing
17:45telly
17:46it isn't Marburg
17:47we don't know that yet
17:48we're just going to sit and watch him choke to death
17:49telly we need clearance from Tim to do that
17:50stop
17:51telly we need clearance from Tim to do that
17:52stop
17:53I can't wait
17:54you need help
17:55wait
17:56telly stop
17:57come on
17:58please
17:59please
18:00it's alright
18:03I don't like this
18:04come on it's choking
18:10come on Rhys
18:11I can see
18:12I can see that there's an obstruction in his airway
18:16Ian come and have a look
18:17I think I've got him
18:18I think I've got him
18:30it's not Marburg
18:32Ian it's not
18:33it's not
18:57hey grandson
18:59Jacob
19:00how'd it go
19:01well
19:02it's more rotten by all accounts
19:04I'm just glad he didn't see his dad like that
19:06yeah it can happen
19:07with new meds
19:09Rash is going to sort out some diphenhydramine for you to take home
19:11thank you
19:13I mean it could be worse
19:15at least you're not dealing with that
19:17yeah
19:19I just hate the fact that he's going through this because of me you know
19:22Jacob go and sit with him
19:23he's going to feel so much more settled with both of you there
19:27you're right
19:29thanks
19:30have you spoke to me?
19:31what did he say?
19:32um
19:33I'll check with him now
19:36just
19:37just wait here
19:39ah that's good
19:40that's very very good
19:41ok great
19:43I want you to squeeze back
19:44sorry
19:45I'm sorry do you mind if I ask him something quickly?
19:46no no no no
19:47how about Roman?
19:48I already did
19:50I don't want to see him
19:51Dr. Rudd's right
19:53he
19:54pushed me into something I never wanted
19:59I see
20:00I'm getting stronger
20:01you are
20:03I'm so proud of you
20:05shall we go
20:06put him out of his misery
20:09erm
20:10please take a break
20:12Abel doesn't want to see you
20:21is that true?
20:22yes I'm sorry
20:25do you know what they're doing to him?
20:27it's not therapy
20:28it's torture
20:32Abel was very clear
20:33he's my patient
20:34I have to respect his wishes
20:35so you'll look the other way
20:37let them break him
20:38let them break him
20:41oh my god
20:42please
20:44oh my god
20:45please
20:46help me
20:47let them find out
20:48you will find people
20:49help me
20:50ask them
20:51I'm going to feel like
20:52a happy and death
20:53stay here
20:54to the next one
20:55just to the next two
20:55to the next two
20:57to the next two
20:58to the next two
20:59to the next two
21:00and another two
21:01to the next two
21:02to the next two
21:03and another two
21:05to get out of my way
21:06with a new
21:07to the next one
21:08No way. It can't be.
21:13It's gotta be, surely. Pat this tight, this is what they do.
21:16So what I'm saying, it's some sort of problem?
21:18Well, it sounds crazy, but everything fits.
21:21The seizures, the heart stuff, pupils.
21:24Let's get a new set of ops, and if there's more in it, we need to move fast.
21:28Tim, it's Teddy.
21:38Rhys has expelled a balloon of what looks like drugs.
21:42His abdomen's distended, so there's likely that there could be more.
21:46He's in and out of tachyarrhythmias.
21:48He was in VT, now he's sinus tachy with PVCs.
21:52We're gonna need to divert to the nearest A&E.
21:54The London teams are on standby, you need specialist care.
21:57He's not gonna make it. He's overdosing.
21:59He could arrest at any minute.
22:00Understood. Our nearest hospital's Holby.
22:03All vehicles stay tight.
22:05We haven't had our route cleared that way,
22:07but I will coordinate with the police.
22:15We've just had confirmation. It is Marburg.
22:17So we need to follow the HCID protocol to the letter.
22:22Roger that.
22:26Um, Tim.
22:28PPE protocol has been breached.
22:30We had to open the unit. We had to.
22:32Ian's been exposed.
22:34Once daily if there's residual tightness.
22:44And for you, scaling back messes with your energy, so take it easy, yeah?
22:50Plenty of breaks?
22:51Yeah, in this place.
22:52Fair point.
22:54How do you like to unwind?
22:56Does online chess count?
22:58Not the most exciting hobby, but...
23:00E4 or D4?
23:02What's your first move?
23:04All right?
23:08Aw.
23:09Beautiful people.
23:10So what are we gonna do?
23:11Are we gonna flirt all day?
23:12Or would you like to come downstairs and do a little bit of work?
23:14Thanks.
23:17Just ask her out already.
23:19I told you, it's not like that.
23:21Hmm.
23:22Interesting.
23:23Brains for days, but no clue about women.
23:27Yeah, come in, guys.
23:29You right?
23:30Yeah, look, I'm sorry to land this on you, but we have a Marburg patient on divert.
23:34It's a drugs career, possibly an overdose.
23:36And there's been secondary exposure to the transport team.
23:40Faith, it was a heart operation.
23:43So Ian and Teddy were with the patient when the containment breach happened.
23:50Which means what, exactly?
23:52Ian has had direct exposure.
23:54Teddy, secondary contact.
23:56Now, we are across this, Faith, so if you want to take a step back...
24:00No, I don't.
24:01I hope for her.
24:02I want to help.
24:03Sure.
24:04Mm-hmm.
24:05Okay, thank you.
24:06The patient's wife's been notified and she's on route as we speak, so if when she gets here
24:08you take her to the relative's room, keep her comfortable.
24:11For the rest of us, ETA is ten minutes.
24:13We divert all non-critical patients to St. James.
24:15We set up a sealed area outside for containment staging, one inside for decontamination.
24:20We move fast, minimise the risk and control this.
24:23Yeah.
24:24Okay.
24:25You all right?
24:26Mm-hmm.
24:27Mm.
24:44I'm going to see you.
24:46Very well.
24:47Dr Q said I could take a break.
24:50Yes, no, yeah.
24:51That's fine.
24:52How're you doing?
24:54Yeah, fine, good.
24:55I'm good. Great. Well, just remember, if it feels too much or you need to step back, then I'll say that.
25:01I will.
25:01Right, now, Dr K's been pulled onto an HCID case, but he's cleared Abel Varga for cubicles.
25:07So could you sort that transfer, please, when you're free?
25:10Yes, I do. I know.
25:11Be much appreciated. It's about to get lively.
25:15Your man's got a lot going on.
25:17For the cardio stuff, you could try alpha blockers, benzos, calcium channel blockers, morphine, maybe sublingual nitro?
25:24Yeah, he'll take whatever you've got.
25:26Maybe that's his problem.
25:28No time for online chess today, then?
25:31No, no, not today.
25:33Do you reckon you'd be up for a game? In real life?
25:37Always down for some AFK action.
25:40Away from keyboard? I thought you were down with the kids.
25:43No, not anymore. More of a cat person.
25:47Do you need to get that?
25:50Marburg's definitely more urgent.
25:51Sorry, a bear.
25:55Yeah, no, I should...
25:56Hi, hon. I told you not to call me at work.
26:06You're back.
26:08We're moving into a quieter area.
26:10I'll be monitoring you for a few hours just to make sure everything is settled.
26:14There, see?
26:15That wasn't so bad.
26:16We can skip the ice baths next time.
26:19I...
26:20I'm not going back, Martin.
26:23I...
26:23I can't go back.
26:24You said you'd try.
26:26If you give up, I'm done too.
26:29Dr. Rudd's a good man.
26:34He's helped lots of people like you.
26:36Good man.
26:37I told him.
26:38I was cold.
26:39I was shaking so bad I couldn't breathe.
26:41It's important, Abel, to stay still and calm.
26:43He said you'd push back.
26:45It's part of the process.
26:47He kept me in there for ages.
26:48He won't let me out.
26:49Dr. Rudd said it was ten minutes.
26:51He's lying.
26:52Look at me.
26:53Your dressing is stuck to your suture.
26:55I'll just take a look.
26:56We're so close, Abel.
26:59Stay strong.
27:01Make the right choice.
27:04You think I'd choose this?
27:06I want to be normal.
27:10I just want it to stop.
27:14Yeah, the microbiologist has confirmed
27:16there is no licensed antiviral treatment for Marburg.
27:18It's just symptom management.
27:20Can you follow it up with pharmacy, please?
27:21Ungosi, yeah, are you free, love?
27:23Actually, sorry, how long do Teddy and Ian need to be in quarantine for?
27:26I'll have to check the guidance.
27:28Look, I know, I know, it's tough when it's somebody that you care about,
27:32but, you know, sticking to protocol is the best way to keep everyone safe, believe me.
27:37Now, Cam, can you check the fit-to-sit patients
27:39and flag any that are ready for discharge?
27:41I need that space.
27:43Now, Jodie, Chloe, listen, if you are happy,
27:46I need you in full PPE.
27:48Ngozi, Miss Fargo said you just disappeared.
27:55We're trying to clear a resource.
27:56What's going on?
27:56Um, I'm sick.
28:00Can you tell Siobhan?
28:01Right, what's really going on?
28:03It doesn't matter.
28:04It matters to me.
28:05Hey, hey, the journal, none of it's working.
28:11I want to drink.
28:12I need a drink.
28:16It's perfectly normal.
28:17Is it normal to want to lick hand sanitiser off your hands?
28:20Okay, but the fact that you can say that to me out loud,
28:22that's a step forward.
28:24What we have...
28:24Guys, Dylan, come on.
28:26I need you suited up, man.
28:27Convoy's due any minute.
28:34Right.
28:36Well, that's the last of our homie drop-offs,
28:38for a while at least.
28:38I thought it was going to last this since COVID.
28:41Yeah, Marburg's next level, though.
28:42Yeah.
28:44Okay, no cheating.
28:45Ian, what is the correct PPE
28:47when you're dealing with an HCID case?
28:49Are we really doing this now?
28:50Is that your final answer?
28:52I'm toast, aren't I?
28:53No, you'll be fine.
28:54Hey, anchor after work.
28:56We'll go through it then, yeah?
28:57Yeah.
29:06Mrs Varga, are you leaving?
29:08Yes, for his own good.
29:11You know you can't force him to change.
29:13Abel's struggled.
29:15Anxiety, depression, panic attacks.
29:18He wasn't like that before he moved away.
29:21He was vulnerable, susceptible.
29:24Roman groomed him, twisted him, turned him.
29:28Stop!
29:29Woke!
29:30Right on!
29:31I don't care.
29:33I care about Abel.
29:35If he could just bury that part of him,
29:38life would be so much easier.
29:40No, I wouldn't.
29:42Trust me.
29:43It's not some happy melting pot out there.
29:45It's my job to protect him.
29:48If there's a way out, we'll take it.
29:51Even if it costs you your son?
29:53He'll come back.
29:55He's got no-one else.
29:58Nowhere else to go.
30:08Are you Pippa Hindle?
30:10What's happening?
30:11Everyone tell me.
30:11Your husband needs emergency treatment.
30:13Yes, I know that, but why?
30:15They told me it is Marburg.
30:17So why aren't we in London?
30:19The special is people who know what they're doing.
30:21Look, I can't go into specifics right now, but you...
30:24You know about the drugs, don't you?
30:31They're forced in people at the hotel,
30:32and he was terrified.
30:35And now it's the virus.
30:37It's a nightmare.
30:38Wait, wait, are you OK?
30:39Is that chest pain?
30:40Bill's, um...
30:42It's stabbing.
30:43OK, come on.
30:44Let's take you inside, and we'll get you looked at, OK?
30:47Come on, come on.
30:51Are you ready to receive?
30:53Yep.
30:54Good luck.
30:55Thanks.
31:12OK, you're clear to lower the isolation unit.
31:14OK, and he needs cardiac support fast.
31:18He's living through all over the place.
31:19If you're still an opiate, we've got him an eye for oxygen.
31:22OK, don't you to assist with the transfer, all right?
31:25We'll take that inside.
31:27Just sit tight.
31:28We'll be decontaminated as soon as.
31:31All right, guys, let's go.
31:32Straight through, please, and turn left.
31:34You're back again?
31:41Chemical 6 is free.
31:42There's an infectious case coming in,
31:44but it's nothing for you to worry about.
31:46Lucky Roman's not here.
31:48He's a total germaphobe.
31:50About your mum, um...
31:52She left?
31:53I'm sorry.
31:55I seem to have that effect on people.
31:57OK.
32:04Let's get it home.
32:11Hmm?
32:11Bit of broccoli?
32:13Hiya, Babs!
32:15Gorgeous as ever.
32:16Him, not you.
32:17Of course.
32:19Well, you know, fresh nappy, now he's happy.
32:20Yeah, come on then, Grandpa.
32:22What's the latest?
32:24Well, um, Blake's doing OK.
32:26He's resting.
32:27Had a bad reaction to the meds.
32:29What, just out of the blue?
32:32Well, um...
32:34I got him off the site that I told you about.
32:36Oh, come on, man.
32:38You know better than that.
32:39It doesn't matter what it says on the label.
32:41It could be all sorts in there.
32:43You're right.
32:44You're right.
32:45I was desperate.
32:46I don't know what I was thinking.
32:48You were thinking like a dad, not a paramedic.
32:52Actually, Jen,
32:53can you take him for half an hour?
32:55Of course, of course, yeah.
32:58Why, what are you up to?
33:00I'm going to make sure Blake gets what he needs.
33:04I'm so sorry.
33:10Look, saying it ten times over ain't going to help.
33:12I signed us up to the virus express.
33:15Right, Teddy, I'm ready for you.
33:17Ian's been exposed.
33:18He's more at risk.
33:19But you didn't have direct contact, right?
33:20Exactly.
33:21Yeah, so we start with the least exposed.
33:23How does that make any sense?
33:25What, protocols, protocol?
33:26What does that mean?
33:27Nothing, I'm just saying.
33:28You just go with it.
33:29You're slowing things down.
33:30All right, I'll be back to see you now.
33:35All right.
33:46Hey, Becca.
33:47Hey.
33:48Right, I'm still waiting for your blood results coming back,
33:50but as far as I can see, it was a panic attack.
33:52Oh, I'm sorry I wasted your time.
33:56No.
33:56No, no, you didn't.
33:57You didn't.
33:59You know what, I feel shaky.
34:01And then my heart is still racing.
34:04Okay.
34:04Okay, well, let's just sit you in bed, okay?
34:07You've been through an awful lot.
34:09Yeah, I'll just take a minute.
34:11You looked it up, Marburg.
34:14There's no way to stop it.
34:17No cure.
34:18It's just a clock ticking down.
34:21Um, when can I see him?
34:25This is the longest we've been apart this holiday.
34:27Um, well, we're still waiting for your blood results.
34:31Yeah, so you're still a bit shaky.
34:33Let's wait a bit.
34:35They won't treat him any differently, will they?
34:38I mean, he's a victim, don't they?
34:39No, no, I promise he will get the best treatment, okay?
34:44Oh, I promise.
34:47Let me get you some privacy.
34:48What's wrong with the special milk?
34:56How do you know?
34:57Lucky guess.
35:00Is Roman still here?
35:01Hmm.
35:03Of all the bio suits, I thought he'd be long gone.
35:05Oh, I think he's rationing his breaths.
35:07But I can ask him to come through.
35:10Yeah, okay.
35:16My arm.
35:19Did Dr. Rudd do this?
35:21I didn't feel anything.
35:22The body temperature drops, the blood flow slows down.
35:29It can delay the bruising, numb the pain.
35:31He said it was easy.
35:37I didn't have to feel any different.
35:40Just act like I did.
35:44That's pretending.
35:47Right?
35:47Um, we'll keep your arm elevated.
35:58Keep me more comfortable.
36:00And I'll, um, I'll get a doctor to check it over,
36:03because it could be a fracture.
36:11Hi.
36:12Hi.
36:12Hi.
36:12Hi.
36:17Hi.
36:30Are we done now?
36:32Yeah.
36:32Just make sure you wash your hands thoroughly,
36:34and then Cam will take you through to cubicles to do your bloods.
36:47Okay, careful.
36:59So we have four by the looks of it,
37:03and any one could be the leaker.
37:05So let's just take them one at a time.
37:11It's a long way down, isn't it?
37:12Right.
37:13Are you struggling?
37:18There's a lot of resistance.
37:20Oh, that one's split, hasn't it?
37:21Okay, let's get that out.
37:24He's getting tacky.
37:25Yeah, no, I guess he is.
37:26Um, well, we'll keep an eye on it for now,
37:28but, um, we should stand by to shop, I think.
37:33Right, you know the drill.
37:34Quick rinse, strip the outer layer.
37:35Let's buy me dinner first.
37:37I'll start top to bottom, front to back.
37:39Oh, he's in BF, isn't he?
37:47Charging to 150, then.
37:49Um, can we have anybody in PPE?
37:51I need compressions, please, in here.
37:55So, and I'm charging to 150.
37:58I'm already exposed, it makes no difference.
37:59That's fine.
38:00Everybody clear, then, please?
38:01Shocking.
38:03Can we start compressions, please, Ian?
38:05Come on, Elise.
38:13What are you doing?
38:14No, you got me looking in there.
38:15I didn't know it was this bad.
38:18I'm sorry, neither did I.
38:19Come on, just a step away.
38:20Oh, so you can write him off?
38:22No chance.
38:23We would never do that.
38:24He isn't even a doctor.
38:26Don't you probably know if I know people.
38:29If you let him die...
38:34Okay, let's do a false check, then.
38:35Oh, we've got an album.
38:38We've got an album.
38:39Look, look, look, look.
38:42His heart's responded.
38:43They're taking for everything, okay?
38:45So he's going to be okay?
38:48Well, I mean, he's very ill,
38:51but it's a step in the right direction, okay?
38:54Can you help him, please?
38:56Oh, of course.
38:58Come on, come on.
39:00Step away.
39:01Yeah, well done, everyone.
39:02Well done, well done.
39:03Okay, let's go through the postcard.
39:05It's a run full set of bloods, I think, again, please.
39:08Thank you, Ian.
39:12That isn't the dynamic duo.
39:14Hi, Sonny.
39:14Um, I just wanted to talk to you about my son's medication.
39:18We spoke about this.
39:20We don't stop the brand you're after.
39:22But you could reach out to other pharmacists, maybe?
39:25Explain the situation.
39:26I tried.
39:27The supplier's saying it won't be available for the next six months.
39:30Did your son's psychiatrist talk to you about the new long-acting injectable?
39:35No, no, no.
39:36He doesn't respond well to adjustments.
39:39I mean, he just had an acute reaction.
39:40His doctor will give you more details,
39:43but it's the best option,
39:44unless you're willing to shell out for a private prescription.
39:47It's not cheap.
39:54Thanks.
39:54Sorry, it's a bit heavy for home time.
40:02You have a great night.
40:03I'll try, but Jake's already hyper.
40:06Getting him into bed is going to be a challenge.
40:11Jake's your son, isn't he?
40:13Like a cat, but more needy.
40:17I like kids.
40:18And I like cats.
40:19I like kids and cats.
40:21Get you a man who can do both.
40:22If you ever want to grab dinner
40:26or go to a movie?
40:29Yeah.
40:30Definitely.
40:32I mean, sure.
40:34Sure, why not?
40:41Teddy, we got your baseline,
40:43so you can go home.
40:44Right, thanks, Cam.
40:45What about Ian?
40:47He was exposed to fluids, so...
40:49Yeah, no, I know.
40:50I mean, is he OK?
40:52Well, he's just finishing in decon.
40:54Why?
40:54What's taken so long?
40:55Um, well, he stepped in.
40:57He gave your patient CPR.
40:59Were you arrested?
41:00Yeah.
41:00Look, they got Rosk.
41:02He's heading up to ITU now.
41:03I mean, it's touch and go,
41:04but he's holding on.
41:06All right.
41:08Oh, um, there's an ambulance waiting for you outside,
41:11by the way.
41:11Tim's still he wants to chat before you go.
41:13Is it your time?
41:27Yeah, well, I was slipping into something
41:29a little less comfortable, weren't I?
41:31Suja.
41:32Shut up.
41:33Get me wrong.
41:41I saw you in action earlier.
41:44I was impressed.
41:46Papa?
41:47Not so much.
41:48She said she wanted a real doctor.
41:51Yeah, well, everyone's a critic.
41:53Yeah, well, now she won't talk to the police,
41:55and she wants a lawyer.
41:57So, I guess not everyone is so predictable, are they?
42:03Is this the I told you so moment?
42:06No, Ian, I get it.
42:08I, you're, you're, you take risks.
42:12That's who you are.
42:15Unpredictably reckless.
42:16Yeah.
42:18And I'm glad, because,
42:21because you took your biggest risk on me, didn't you?
42:25I'm glad, I'm glad, I'm glad, I'm glad.
42:32Hey.
42:35So, Flynn's making the most of her single life,
42:38then I just saw him out with Chloe.
42:39Oh, he's racking up them dates like a loyalty card.
42:43That's okay.
42:44So, I was thinking I'd start you off
42:46with a more general question.
42:47Okay.
42:47What made you want to be a paramedic?
42:51My nan was sick for ages,
42:53and I had to call the ambulance a couple of times.
42:56Each team were just brilliant with her.
42:59Made her feel good, even at her worst.
43:01That was perfect.
43:02Really?
43:03Yeah.
43:04Nans are the best, aren't they?
43:05Yeah.
43:06Like superheroes.
43:07They're better biscuits.
43:10Right, now let's do a technical question.
43:14One sec.
43:14Walk me through the steps you take
43:22when responding to a suspected cardiac arrest.
43:26Hmm?
43:27Sorry?
43:28Do you want me to repeat the question?
43:30Yes, please.
43:31Walk me through the steps you take
43:33when responding...
43:34Are you okay?
43:34Yeah, I'm just, um...
43:37It helps me focus.
43:39You can't do that in an interview.
43:41Come on, open your eyes.
43:44I'll do a different one.
43:45It's...
43:48It's bad enough for a woman to drink,
43:51but...
43:52Being in a same-sex relationship,
43:56it's much worse.
43:59And I wanted it to stop.
44:01I'm sharing today, because, uh...
44:05My sponsor...
44:10said it's a really important step.
44:21And hiding who I am for so long...
44:25It's a big part of why I'm here.
44:29So I think...
44:33I hope...
44:37That I am ready to stop hiding.
44:40I...
44:41I...
44:42I...
44:43I...
44:44I...
44:45I...
44:46I...
44:47I...
44:49I...
44:50I...
44:51I...
44:52I...
44:53I...
44:54I...
44:55I...
44:56I...
44:57I...
44:58I...
44:59Sorry to keep you waiting.
45:03I wanted a debrief while it's fresh.
45:05Can we do this tomorrow?
45:07Look, I know it's been a long day,
45:08but I've got to report to Ops.
45:10Your breach put three people at risk.
45:12I'm very aware of that.
45:14I just...
45:15I just need a bit of space.
45:16You okay?
45:17Fine.
45:18You don't look it.
45:19You don't look it.
45:20I'm fine.
45:21Is there any news on Ian?
45:22Well, yeah.
45:23He'll be quarantined.
45:24He'll be given the very best care.
45:25Did you hear about his heroics?
45:27That's what he does.
45:28Yeah.
45:29I've had my doubts,
45:30but he's certainly proven himself.
45:32Unlike me.
45:33I can't argue with you there.
45:35Are we, erm...
45:37We done now, or...
45:39Not even close.
45:40Being part of heart means facing the fallout,
45:43not wallowing when things go wrong.
45:45I'm not sure you've got the right mindset.
45:48You're right.
45:49You are right.
45:50There is no point in dragging this out.
45:52I'll hand him my gear, my paperwork, whatever you need.
45:54Look, you've had a tough day.
45:56If you want to take some time...
45:57No.
45:58No time.
45:59I'm done.
46:24Thanks.
46:25I'll be right back for you.
46:27I'll be right back for you.
46:28Think of what you need.
46:29It's just breaking down by the cat.
46:30Maybe you should have a tub of cat...
46:31Nothing!
46:32I'll be done.
46:34You may be done.
46:36By the way you should have a job.
46:38Would you like Maria?
46:39No.
46:43But you justцию from life.
46:45And you need something tough.
46:47But he in the new empathons were neutral compared to millions...
46:50What do you need?
46:51Actually, we have any money.
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