- 2 days ago
S44 E04
Category
😹
FunTranscript
00:00Listen, thanks for this opportunity.
00:02I'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.
00:12You...
00:12I promise I won't let you down.
00:14Sorry we don't stalk your son's schizophrenia meds.
00:17Did you try Fordfields?
00:19They're pretty good.
00:19No, I haven't.
00:21Thanks.
00:21Since when did you wear glasses?
00:23Why, do they look weird?
00:24I've got spare contacts.
00:25I was just wondering if you, uh, have, uh,
00:29if you've got a parking permit for your car.
00:32You did suggest actually recently
00:34that I should breathalyze here.
00:35I thought it might be a good time to put it to the test.
00:41Yeah, yeah, that's right.
00:42I'm the next of kin.
00:44Look, I know she was an alcoholic
00:46and this was only to be expected.
00:50What, do you want to go see her?
00:54I don't know.
00:59Okay, listen up.
01:04Rhys Hindle, 67,
01:06he flew in an hour ago
01:07from the Marburg outbreak zone.
01:09Mid-flight, he's fever spiked
01:11with severe headache
01:11and muscle pain.
01:13Airport officials isolated him on arrival
01:16and quarantined everybody else on board.
01:18Now, test results are pending,
01:20but with Marburg,
01:20we cannot afford to wait.
01:22It's one of the most deadly viruses
01:24spread through bodily fluids.
01:25This is a full Category A biosecure transfer
01:28to the HLRIU in London.
01:31Now, the isolation unit will contain the virus,
01:34but any intervention risks exposure.
01:37Ian, are you sure?
01:38It's pretty heavy for your first day.
01:40Yeah, I can handle it.
01:41Right, you're a team.
01:43Teddy?
01:44Yeah, ready, ready and able.
01:46Right, the rest of you,
01:47prep for transport.
01:48We've got an hour to get Rhys
01:49to specialist intervention
01:51before stability and contamination risks spike.
01:53My job's to get them there,
01:55yours is to keep them alive
01:56and keep the virus contained.
01:58All right, let's move.
01:59Rhys, my name's Ian.
02:00This is Teddy.
02:01We're here to get into the hospital safely, OK?
02:04Sorry about all this fuss.
02:06Putting your lives at risk.
02:08Oh, don't worry.
02:09That's what we're trained for, OK?
02:10You're going to ride in here.
02:12It's sealed and secure, OK,
02:13to keep us protected.
02:15You'll stay with me, won't you?
02:17Yes, we're with you the whole way, mate.
02:18The whole way.
02:19Let me be up with him, please.
02:27I can look after him.
02:29Why don't you head home, Mrs Hindle.
02:30Pack some things for Rhys.
02:31If it's Marburg,
02:32he could be in London for some time.
02:34Well, tell him.
02:35I'll be there as quick as I can.
02:40Go in at the deep end, yeah?
02:42Setting the bar high, mate.
02:43Starts with me to go on.
02:44Go in at the deep end.
03:14Help!
03:20I need help.
03:21I need help now.
03:22Blake, what's happened?
03:23What's going on?
03:23I don't know.
03:24He couldn't move.
03:26He couldn't blink.
03:27He just went stiff.
03:28OK, OK, you did the right thing.
03:29Doctor, my son will take over.
03:30I'll take Carter.
03:32I'm not leaving him.
03:34You can stay.
03:35You can stay, but we do need to check him over properly.
03:37It's OK, Blake.
03:38Look, he wants to.
03:40Hey, come here.
03:41Oh, man, let's make sure you're OK.
03:43OK.
03:44VP is 90 over 60.
03:46GCSE was eight on arrival.
03:48Still hypersensitive and brodicardic.
03:50Very possible polydrug overdose.
03:52Anyway.
03:53Oh, hey, hey, hey.
03:54How did it go?
03:57You know, seven meetings in seven days.
04:00I've eaten a lot of biscuits.
04:01Yeah, I know.
04:03I know.
04:03It should be hobnobs, Anonymous.
04:07Did you manage to talk, to share?
04:09Listening's helping.
04:10One step at a time.
04:12Yeah, no, I know.
04:13It's, I suppose it's a little bit like Lansing and Boyle, really.
04:16You've got to, you know, you've got to get rid of the poison before you can find out what's underneath.
04:20And to that extent, I hope you don't mind I've got you a gift.
04:26It's more of a tool, really.
04:27I know that when I found it difficult to talk, it was quite useful to put pen to paper.
04:33Thank you, Dylan.
04:34You're very welcome.
04:35And if you require a sponsor, I am available.
04:40It's just an option.
04:42I should probably...
04:43Well, we're in recess, actually.
04:45There's a pre-alert on the way, and if you're happy to dive in.
04:47Sure.
04:48Yes, of course.
04:49Although, that may not be the best choice of words.
04:52I think you'll see what I mean.
04:57All right, team.
05:06The back roads will get us there faster, so expect a few bumps.
05:09Let's keep it steady and watch our spacing.
05:11So, Africa, what was it, Rhys?
05:26What were you doing out there?
05:28Bird watching.
05:29They've got a thousand species you can't see anywhere else.
05:33Oh, yeah?
05:34Mainly just pigeons around here.
05:36And ones that nick your chicks.
05:39I mean, I get it, but come on.
05:41You're trying to distract me.
05:44What aren't you telling me?
05:46Is it bad?
05:47It's fast, right?
05:49Marburg.
05:50Your body starts shutting down.
05:53Bleeding inside out.
05:56I don't want to die in here.
05:58That won't happen, Rhys.
06:01We're monitoring your symptoms, keeping an eye on things.
06:04You've got people you love.
06:05I don't want to die on my own.
06:11That OD base filling up fast, isn't it?
06:22Guess everyone's ignoring the warnings.
06:24See, look.
06:25Killer batch of drugs is old news.
06:28What do you think it is?
06:28Stand through gone wrong?
06:29I don't think that'll make national headlines.
06:32Aliens, Em.
06:33I'm serious.
06:34It always starts with unconfirmed reports.
06:36Also, breaking news.
06:38I just got my first interview.
06:39Sheffield, here I come.
06:40Hey, open my door.
06:41No, come.
06:42Absolutely not.
06:43Indy, you better get prepping, though.
06:44Apparently, Reader's 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.
06:52You'll eat emergencies for breakfast.
06:53Mrs. De Silva?
06:55Yeah, thank you.
07:02Are you good to go?
07:03Great.
07:04Mrs. Abel Varga is 21.
07:06He became unwell after taking an ice bath,
07:11showing signs of hyperthermia.
07:14He was conscious.
07:15GCS 15 has now gone down to 12.
07:18Tympanic reading low, which we could not improve.
07:22OK.
07:23OK.
07:23Ready, steady.
07:24Lift.
07:25Down.
07:28Support the head for me.
07:29Ready, steady.
07:30Slide.
07:31OK.
07:32We couldn't get a Saps reading, either.
07:34His BP is 80 over 50.
07:37His bradycardic 40s had one 250 bolus of fluids
07:41and his high-flow oxygen.
07:44OK.
07:44Thank you very much.
07:45We'll take it from here.
07:46That's great.
07:46Abel, can you hear me?
07:48Abel, can you hear me?
07:50You're in hospital.
07:50There we go.
07:52I think we've got an airway.
07:53We've got reduced breath sounds.
07:55I'd like a Saps reading as soon as possible, please,
07:57so let's get those monitors on.
07:58Yeah, before the chest X-ray as well, I think.
08:00So, tell me, the ice bath.
08:02Why?
08:02Why?
08:03Um, uni-stress.
08:04He's struggled in halls.
08:06He's just moved back home.
08:07OK.
08:08Any joy with the Saps?
08:10Saps are still not picking up.
08:18OK, that's attention, pneumothorax.
08:20So, let's prep for a chest pain, please.
08:22And, um, yeah, let's have, um, local, please.
08:26I'll need Spence Wells and a scalpel, obviously.
08:29So, um, how long was he on the board?
08:31What do we know?
08:32No, the sessions are private, but this was his third thermal realignment.
08:37Dr Rudd is building his tolerance.
08:39What for?
08:39Necrosis.
08:39OK, OK, let's hurry up there, please, Rosie.
08:43Hurry up!
08:45OK, but I'm just lifting your arm now, OK?
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.
08:54Brilliant.
08:55So, local going in now.
09:03There we go.
09:03That's the pressure relief, isn't it?
09:32That's it.
09:37He's fragile in ways people don't see.
09:40That's why Dr Rudd is pushing him.
09:43He knows what Abel needs.
09:55Tri-rexic at 40, tacky at 120.
09:59And he's guarding his abdomen also.
10:01Well, Chris, can you describe the pain?
10:04It feels like it's tightening up.
10:08Is that bad?
10:16Apologies, we've got a minor obstruction, traffic jam.
10:19I'll handle it.
10:20How's the patient?
10:21Yeah, stable, but in a bit of discomfort.
10:23Understood.
10:24All right, this won't take long.
10:27What's happening here?
10:28Come on, we've got to move this.
10:30Can you get back in your car, please?
10:32Move back.
10:32It feels tight.
10:33I can't breathe.
10:35Rhys, the air's clean and filtered.
10:38You're completely safe.
10:40Help me, Ian.
10:42I need to say goodbye.
10:43Don't lie, Rhys.
10:47Please.
10:48I'm not ready.
10:52Rhys, Rhys.
10:53Look at me.
10:54Rhys, look at me.
10:55Stay with me.
10:56I know it's overwhelming, but you're safe with us.
10:59All right?
10:59We're going to get you to where you need to be.
11:01I think we should focus on your breathing.
11:03We're going to go in through your nose and out through your mouth.
11:06Let's all do it.
11:06Do it together.
11:08We're in.
11:08And out.
11:11Let's do it together.
11:12Let's do it together.
11:13In.
11:15And out.
11:17That's it.
11:17You're doing great.
11:18In.
11:21And out.
11:23Ian.
11:25I'm going to put my advisor up for a bit.
11:26Do you want to do the same?
11:29This isolation unit is going to shield us.
11:31It's like double bubble anyway, isn't it?
11:33Yeah.
11:34Yeah.
11:36Sorry to call you like this, Jacob.
11:37Jan's okay to cover.
11:41Hey.
11:42I hope so.
11:43His, obviously, all completely fine.
11:44No fever or anything out of the ordinary, but...
11:49Hey, son.
11:51I'm not listening.
11:52He keeps going stiff like he sees him up.
11:54There is a bug going around.
11:57You're not looking so great yourself.
11:59It's him.
11:59It's him.
12:00Focus on him.
12:00Please.
12:01Why don't we check you over just to rule everything out?
12:03Fine.
12:04I'm fine.
12:04Okay, you know what?
12:05Let's get you both checked.
12:06Hmm?
12:07Better safe than sorry.
12:08Yeah.
12:09Good idea.
12:09I'm going to take Carter.
12:10Get him out of the way.
12:11No, no, no.
12:12You said I could stay with him.
12:13You said I could stay.
12:15Blake.
12:16Look, it's fine.
12:17You're going to stop the nurses looking after this handsome boy.
12:21See?
12:21We're okay.
12:26Bye, son.
12:26Get that car back.
12:27Get that car back.
12:28That's right.
12:28Get that one right back and you through as quickly as possible.
12:31There's plenty of room here.
12:32Come on.
12:33We've got to get this moving as quickly as we can.
12:35I'm the white car as well.
12:37Thanks a lot, madam.
12:38In we go.
12:38As quickly as possible.
12:39Let's get moving.
12:40Come on.
12:41Good.
12:42All right.
12:42I'm here.
12:43Cheers.
12:45All right.
12:45We're clear.
12:46Let's move.
12:48Keep it tight.
12:49We'll have to pick up the pace.
12:50All right.
12:56Hear that, Rhys?
12:57Can you get moving?
12:58Rhys?
12:59All right, Teddy.
12:59Hold it, Teddy.
13:00Rhys?
13:01Right, you shouldn't be deteriorating this fast.
13:03Rhys?
13:03Can you hear me?
13:04It's Ian.
13:05What can we do?
13:05We can't break containment.
13:08Ian!
13:09This feels wrong.
13:10Super self-terminates.
13:12Rhys?
13:13Rhys?
13:13Can you hear me?
13:14His breathing is increasing.
13:21Possible respiratory distress.
13:22Or perhaps he's just coming around.
13:24Let's give him some room, shall we?
13:25It's okay.
13:28I'm right here, baby.
13:31Hi there, Abel.
13:32You're in Orby City Hospital.
13:34My name's Dr Keogh.
13:35I think you've collapsed after your session today.
13:38How are you feeling now?
13:39Still cold.
13:41Yeah, yeah, sure.
13:42How long were you in the water for?
13:42I don't know.
13:44I'm not sure.
13:46I wasn't getting it right, sir.
13:48Yeah, 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, I can talk to Dr Rudd.
13:56Yeah, I think that would be helpful.
13:59I'll be right back.
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 with them is?
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, or does his opinion not matter?
14:29Fine.
14:30Leave 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?
14:44Uh, yes.
14:46Okay.
14:47Just give me five minutes.
14:58Okay.
14:59Seems to be stopping.
15:00Finally.
15:00All right, I'm going to sort this bleed out.
15:03Pippa, where's Pippa?
15:06You won't let me die, please.
15:09It's not going to happen, Rhys, okay?
15:11Stay nice and still for me.
15:13Quick clean up.
15:14He's in VT.
15:15He's thrown off at topics.
15:17Rhys, have 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, a seizure, and now this.
15:28I think we need to radio Tim, ask him for some amiodarone or 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.
15:37What if they got it wrong at the airport?
15:39Until his bloods are back, we stick to the HID protocol.
15:42So we just sit here and watch him deteriorate?
15:44Say if it's something else, something treatable, our job is to keep him alive.
15:47And keep the virus contained.
15:48Come on!
15:49Get him on his side, please.
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...
16:07It's okay, son.
16:10I'm right here.
16:11Can you show his bloods are normal?
16:13Yeah, his ALT is slightly elevated.
16:16Has this happened before?
16:17Or has he changed his medication recently?
16:21That's what I was trying to avoid.
16:23Avoid what?
16:23I had to get it online.
16:24Online?
16:25Okay, did you use a pharmacy?
16:26Ah!
16:28No, but...
16:29Take the doses and the reviews.
16:30Okay, okay, uh, Maria, can I get five milligrams pro-cyclopedia as soon as you can?
16:34Wait!
16:35What happened?
16:36Breathe for me, breathe.
16:43All right, I'm going in now.
16:44Okay, this will help.
16:46Okay, okay.
16:47All right, son, all right.
16:48You're going to make me feel better.
16:50Breathe.
16:51It's okay.
16:51I'm sorry, son.
16:56Sorry.
17:09These pupils are huge.
17:15Any good?
17:16No, the angle's too tight.
17:17All right, Tat's at 81%.
17:20He's losing his airway.
17:21I need to take this over here.
17:23Take suction out.
17:30This isn't my bird.
17:32It can't be.
17:33Someone's stopping it from going here.
17:34Stop.
17:35Come on.
17:36You can't do anything for me, these pupils.
17:41What are you doing?
17:42Teddy, what are you doing?
17:45Teddy!
17:45It isn't my bird.
17:46We don't know that yet.
17:47What, so we're just going to sit and watch him choke to death?
17:49Teddy, we need clearance from Tim to do that.
17:51Stop.
17:51I can't wait.
17:52You need help.
17:53Wait!
17:56Teddy, stop!
17:57Come on!
17:57Please!
17:58Please!
17:59It's all right.
18:02I don't like this.
18:03Come on, it's choking.
18:06I can see that there's an obstruction in his airway.
18:16Ian, come and have a look.
18:17I think I've got him.
18:30It's not Marvin.
18:32Ian, it's not.
18:36Hey, grandson!
18:58Jacob, how'd it go?
19:01Well, it's more rotten by all accounts.
19:04I'm just glad he didn't see his dad like that.
19:06Yeah, it can happen with new meds.
19:08Rash is going to sort out some diphenhydramine for you to take home.
19:12I 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.
19:24He's going to feel so much more settled with both of you there.
19:27You're right. Thanks.
19:29Have you spoke to me?
19:30What did he say?
19:32I'll check with him now.
19:35Just wait here.
19:39That's good. That's very, very good.
19:41Okay, great.
19:42I want you to squeeze back your tongue.
19:44I'm sorry. Do you mind if I ask him something quickly?
19:46No, no, no.
19:47How about Roman? I already did.
19:50I don't want to see him.
19:52Doctor Hood's right.
19:53He pushed me into something I never wanted.
19:58I see.
19:59I'm getting stronger.
20:01You are.
20:03I'm so proud of you.
20:05Shall we go?
20:06Put him out of his misery?
20:09Please take a break.
20:12Abel doesn't want to see you.
20:13Is 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.
20:34He's my patient.
20:34I have to respect his wishes.
20:35So you'll look the other way.
20:38Let them break him.
20:41Oh, God.
20:42Oh, God.
20:53Oh, God.
20:54No way.
20:55Are you in?
21:11No way. Can't be.
21:13It's gotta be, surely. Pat this tight, this is what they do.
21:16So what are you saying, it's some sort of drug now?
21:18Well, it sounds crazy, but everything fits.
21:20The seizures, the heart stuff, pupils.
21:23Let's get a new set of orbs, and if there's more in him, we need to move fast.
21:36Tim, it's Teddy.
21:38Rhys has exploded the ring of what looks like drugs.
21:42His abdomen's distended, so there's likely that there could be more.
21:45He's in and out of tachyarrhythmias.
21:47He was in VT, now he's signed as tachy with PVCs.
21:51We're gonna need to divert to the nearest A&E.
21:53But the London teams are on standby, he needs specialist care.
21:56He's not gonna make it. He's overdosing, he could arrest at any minute.
21:59Understood. Our nearest hospital's Holby.
22:02All vehicles stay tight.
22:04We haven't had our route cleared that way, but I will coordinate with the police.
22:15Just had confirmation, it is Marburg.
22:17We need to follow the HCID protocol to the letter.
22:25Roger that.
22:27Um, Tim.
22:28PPE protocol has been breached.
22:32We had to open the unit.
22:33We had to.
22:35Ian's been exposed.
22:36Once daily if there's residual tightness, and for you, scaling back messes with your energy.
22:48So, take it easy, yeah?
22:50Plenty of breaks?
22:51Yeah, in this place.
22:53Fair point.
22:54How do you like to unwind?
22:56Does online chess count?
22:57Not the most exciting hobby, but...
22:59E4 or D4.
23:02What's your first move?
23:05All right?
23:08Aw.
23:09Beautiful people.
23:10So, what are we gonna do?
23:11Are we gonna flirt all day, or 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. Interesting.
23:22Frames for days, but no clue about women.
23:27Yeah, come in.
23:29You right?
23:30Yeah, look, I'm sorry to land this on you, but we have a Marburg patient on diabetes,
23:33a drug's career, possibly an overdose, and there's been secondary exposure to the transport team.
23:40Faith, it was a heart operation, so 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 contacts.
23:56Now, we are across this, Faith, so if you wanna take a step back...
23:59No, I don't.
24:00Uh, uh, I wanna help.
24:01Sure.
24:02Mm-hmm.
24:03Okay, thank you.
24:04Uh, the patient's wife's been notified and she's on route as we speak, so if when she gets here you take her to the relative's room, keep her comfortable.
24:09For the rest of us, ETA is ten minutes.
24:12We divert all non-critical patients to St. James, we set up a sealed area outside for containment staging, one inside for decontamination.
24:19We move fast, minimize the risk, and control this.
24:22Yeah.
24:23You all right?
24:24Mm-hmm.
24:25Mm-hmm.
24:26You all right?
24:27Mm-hmm.
24:28Mm-hmm.
24:29Mm-hmm.
24:30Mm-hmm.
24:31Uh, Dr. Q said I could take a break.
24:32Yes, no, yeah, that's fine.
24:34How you doing?
24:35Yeah, fine, good.
24:36Great.
24:37Well, just remember, if it feels too much or you need to step back, then I'll say the word.
24:46I will.
24:47Right, now, Dr. K has been pulled onto an HCID case, but in fact, it's not a long time.
24:52It's a long time.
24:53It's a long time.
24:54Yeah, good.
24:55Great.
24:56Well, just remember, if it feels too much or you need to step back, then say the word.
25:00I 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.
25:12It's about to get lively.
25:14The man's got a lot going on.
25:17For the cardio stuff, you could try alpha blockers, benzos, calcium channel blockers,
25:22morphine, 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?
25:30No.
25:31No, not today.
25:33Do you reckon you'd be up for a game?
25:36In real life?
25:37Always down for some AFK action.
25:40Away from keyboard?
25:41I thought you were down with the kids.
25:43No, not anymore.
25:44More of a cat person.
25:47Do you need to get that?
25:49Marburg's definitely more urgent.
25:53Sorry, a bear.
25:55Yeah, no, I should...
25:56Hi, hon.
25:57I told you not to call me at work.
26:06You're back.
26:07We're moving you to a quieter area.
26:10I'll be monitoring you for a few hours just to make sure everything is settled.
26:13There, see?
26:14That wasn't so bad.
26:16We can skip the ice baths next time.
26:19I...
26:20I'm not going back, ma.
26:22I...
26:23I can't go back.
26:24You said you'd try.
26:25If you give up, I'm done too.
26:29Dr. Rudd's a good man.
26:32He's helped lots of people like you.
26:35Good man.
26:36I told him.
26:37I was cold.
26:38I was shaking so bad I couldn't breathe.
26:40It's important, Abel, to stay still and calm.
26:43He said you'd push back.
26:45It's part of the process.
26:46He kept me in there for ages.
26:47He won't let me out.
26:48Dr. Rudd said it was ten minutes.
26:50He's lying.
26:51Look at me.
26:52Your dressing is stuck to your suture.
26:54I'll just take a look.
26:55We're so close, Abel.
26:57Stay strong.
26:59Make the right choice.
27:01You think I'd choose this?
27:04I want to be normal.
27:07I just want it to stop.
27:10Yeah, the microbiologist has confirmed there is no licensed antiviral treatment for Marlberg.
27:17It's just symptom management.
27:19Can you follow it up with pharmacy, please?
27:21Ungosi?
27:22Yeah, are you free, love?
27:23Actually, sorry.
27:24How long do Teddy and E 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, but you know, sticking
27:33to protocol is the best way to keep everyone safe, believe me.
27:36Now, Cam, can you check the fit-to-sit patients and flag any that are ready for discharge?
27:41I need that space.
27:42Now, Jodie, Chloe, listen, if you are happy, I need you in full PPE.
27:51Ungosi?
27:52Miss Fargo said you just disappeared.
27:54We're trying to clear a resource.
27:55What's going on?
27:56Um, I'm sick.
28:00Can you tell Siobhan?
28:01Right.
28:02What's really going on?
28:03It doesn't matter.
28:04It matters to me.
28:07Hey, hey.
28:09The journal.
28:10None of it's working.
28:11I want to drink.
28:12I...
28:14I need a drink.
28:15It's perfectly normal.
28:17Is it normal to want to lick hand sanitiser off your hands?
28:20OK, but the fact that you can say that to me out loud, that's a step forward.
28:23What we have...
28:24Guys.
28:25Dylan, come on.
28:26I need you suited up, man.
28:27Convo's due any minute.
28:34Right.
28:35Well, that's the last of our Holby drop-offs.
28:37For a while, at least.
28:38I thought it was the last of this since Covid.
28:40I did.
28:41Yeah, Marvell's next level, though.
28:42Yeah.
28:44OK, no cheating.
28:45What is the correct PPE when 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.
28:55Anchor after work.
28:56We'll go through it then, yeah?
28:57Yeah.
28:58Mrs. Varga.
28:59Are you leaving?
29:00Yes.
29:01For his own good.
29:02You know you can't force him to change.
29:03Abel's struggled.
29:04Anxiety, depression, panic attacks.
29:05He wasn't like that before he moved away.
29:08He was vulnerable.
29:09Disruptible.
29:10Roman groomed him.
29:11Twisted him.
29:12Turned him.
29:13Woke.
29:14Right on.
29:15I don't care.
29:16I care about Abel.
29:17If he could just bury that part of him, life would be the same.
29:18But you're not.
29:19What?
29:20That's right.
29:21I've been waiting for him.
29:22I lost a while.
29:23I'm leaving.
29:24I'm leaving.
29:25Yes, for his own good.
29:26You know you can't force him to change.
29:27Abel's struggled.
29:28Anxiety, depression, panic attacks.
29:29He wasn't like that before he moved away.
29:30He was vulnerable, susceptible.
29:32Roman groomed him, twisted him, turned him.
29:33Stop.
29:34Woke.
29:35Right on.
29:36that part of him life would be so much easier. No I wouldn't. Trust me. It's not
29:43some happy melting pot out there. It's my job to protect him. If there's a way out
29:49we'll take it. Even if it costs you your son? He'll come back. He's got no one else.
29:57Nowhere else to go.
30:07Are you Pippa Hindle? What's happening? Never tell me. Your husband needs emergency
30:13treatment. Yes I know that but why? They told me it is Marburg. So why aren't we in
30:18London? Especially these people who know what they're doing. Look I can't go into
30:22specifics right now but you...
30:27You know about the drugs don't you? They've forced him people at the hotel and he was
30:32terrified. And now it's the virus. It's a nightmare. Wait wait are you okay? Is that chest pain?
30:39Feels um...it's stabbing. Okay. Come on let's take you inside and we'll get you looked at okay?
30:51Are you ready to receive? Yep. Good luck.
30:54Thanks.
30:57Okay you're clear to lower the isolation unit.
31:02Okay you're clear to lower the isolation unit.
31:09Okay he needs cardiac support fast. He's living for all over the place. If he's still an OPA we've got him an eye for oxygen.
31:16Okay you two assist with the transfer. Right we'll take that inside. Just sit tight. You'll be decontaminated as soon as. All right guys let's go. Straight through please and turn left.
31:18You're back again?
31:27Cumical six is free. There's an infectious case coming in but it's nothing for you to worry about.
31:36Lucky Roman's not here. He's a total germaphobe.
31:37About your mum um...
31:38She left?
31:39I'm sorry. I seem to have that effect on people.
31:43Let's get home.
31:44Bit of broccoli.
31:45Bit of broccoli.
31:46I-ya babs gold.
31:47I-ya babs gold.
31:48I-ya babs gold.
31:49I'm sorry.
31:50I-ya babs.
31:51It's gorgeous as ever him not you.
32:03Gosh!
32:05Well you know fresh nappy now he's happy.
32:11Hiya, bab! As gorgeous as ever, him, not you.
32:17Gosh. Well, you know, fresh nappy, now he's happy.
32:20Yeah, come on then, Grandpa. What's the latest?
32:23Well, um, Blake's doing OK. He's resting.
32:27Had a bad reaction to the meds.
32:29What, just out of the blue?
32:31Well, um, I got him off the site that I told you about.
32:35Oh, come on, man. You know better than that.
32:39Doesn't matter what it says on the label. It could be all sorts in there.
32:42You're right. You're right.
32:44I was desperate. Don't know what I was thinking.
32:47You were thinking like a dad, not a paramedic.
32:51Actually, Jen, can you take him for half an hour?
32:54Of course, of course, yeah.
32:57Why, what are you up to?
32:59I'm gonna make sure Blake gets what he needs.
33:06I'm so sorry.
33:09Not saying it ten times over ain't gonna help.
33:11I signed us up to the virus express.
33:14Right, Teddy. I'm ready for you.
33:16Ian's been exposed. He's more at risk.
33:18But you didn't have direct contact, right?
33:19Exactly.
33:20Yeah, so we start with the least exposed.
33:22How does that make any sense?
33:24Well, protocols, protocol.
33:25What's that mean?
33:26Nothing. I'm just saying.
33:27You just go with her. You're slowing things down.
33:33Right, I'll be back to see you now.
33:34All right.
33:35I'm still waiting on your blood results coming back.
33:37But as far as I can see, it was a panic attack.
33:40Oh, I'm sorry I wasted your time.
33:41No. No, no, you didn't. You didn't.
33:43You didn't.
33:44No, I was. I feel shaky. And my heart is still racing.
33:46Okay.
33:47Okay, well, let's just sit you in bed, okay?
33:48You've been through an awful lot.
33:49Yeah, I'll just take a minute.
33:50You looked it up.
33:51You looked it up, Marburg.
33:52There's no way to stop it.
33:53No cure. It's just a clock ticking down.
33:54No cure.
33:55It's just a clock ticking down.
33:56No, no, no.
33:57It was a panic attack.
33:58It was a panic attack.
33:59Oh, I'm sorry I wasted your time.
34:00No, no, no, you didn't.
34:01You didn't.
34:02No, I was.
34:03I feel shaky.
34:04And my heart is still racing.
34:05Okay.
34:06Okay.
34:07Well, let's just sit you in bed, okay?
34:08You'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.
34:16No cure.
34:17It's just a clock ticking down.
34:21When can I see him?
34:24This is the longest we've been apart this holiday.
34:26Um, well, we're still waiting on your blood results.
34:30Yeah, so you're still a bit shaky.
34:33Let's wait a bit.
34:34They won't treat him any differently, will they?
34:37I mean, he's a victim, don't they?
34:39No, no.
34:40But I promise he will get the best treatment, okay?
34:43Oh, I promise.
34:45Let me get you some preferences.
34:51What's wrong with the special milk?
34:54How do you know?
34:56Lucky guess.
34:57Is Roman still here?
35:00Hmm.
35:01Of all the bio suits, I thought he'd be long on.
35:04Oh, I think he's rationing his breaths.
35:06But I can ask him to come through.
35:09Yeah.
35:10Okay.
35:11Mmm.
35:12My arm.
35:13Did Dr. Rudd do this?
35:14I didn't feel anything.
35:15The body temperature drops.
35:16The blood flow slows down.
35:17It can delay the bruising, numb the pain.
35:19He said it was easy.
35:20I didn't have to feel any different.
35:21Just act like I did.
35:22That's pretending.
35:23Right?
35:24Right?
35:25I didn't have to feel any different.
35:27Just act like I did.
35:29That's pretending.
35:30Right?
35:31I didn't have to feel any different.
35:32Just act like I did.
35:36As pretending.
35:37Right?
35:38feel any different. Just act like I did. That's pretending, right?
35:55Um, we'll keep your arm elevated. Keep me more comfortable.
36:00And I'll, um, I'll get a doctor to check it over because it could be a fracture.
36:08Are we done now? Yeah, just make sure you wash your hands thoroughly and then Cam will take
36:35your food cubicle to do your bloods.
36:39Okay, careful. So we have four by the looks of it and any one could be the leaker, so let's
37:06just take them one at a time. It's a long way down, isn't it? Are you struggling?
37:18There's a lot of resistance. Oh, that one's split, hasn't it? Okay, let's get that out.
37:23He's getting tacky. Yeah, no, I guess he is. Um, well, we'll keep an eye on it for now,
37:28but, um, we should stand by to shop that thing. Right, you know the drill. Quick rinse,
37:34strip the outer layer. Let's buy my dinner first. I'll start top to bottom, front to back.
37:38Oh, he's in BF, isn't he? Charging to 150, then. Um, can we have anybody in PPE? Any compressions,
37:52please, in here? So, then, I'm charging to 150. I'm already exposed, it makes no difference.
37:59That's fine, okay? Everybody clear, then, please? Shocking. Can we start compressions,
38:04please, Ian? Thank you. Come on, release. What are you doing? No, you can't be looking at me.
38:15I didn't know it was this bad. I'm sorry, neither did I. Come on, just step away.
38:20Oh, so you can write him off? No chance. We'll never do that. He isn't even a doctor.
38:25Sir, don't you pop me off. I know people. If you let him die.
38:34Okay, let's do a horse set, then. Oh, we've got an apple. We've got an apple.
38:39No, no, no. Look, look, look. His heart's responded. They're taking for a rhythm, okay?
38:46So he's going to be okay? Well, I mean, he's very ill, but it's a step in the right direction, okay?
38:52Can you help him, please? Ow. Of course. Come on, come on. Step away.
39:00Yeah. Well done, everyone. Well done, well done. Okay, let's, um, let's go through the postcard.
39:05Let's run full set of bloods, I think, again, please. Thank you, Ian.
39:12That isn't the dynamic duel.
39:13Hi, Sonny. Um, I just wanted to talk to you about my son's medication.
39:18We spoke about this. We don't stock the brand you're after.
39:22But you could reach out to other pharmacists, maybe, explain the situation.
39:26I tried. The supplier's saying it won't be available for the next six months.
39:32Did your son's psychiatrist talk to you about the new long-acting injectable?
39:35No, no, no. He doesn't respond well to adjustments. I mean, he just had an acute reaction.
39:40His doctor will give you more details, but it's the best option,
39:44unless you're willing to shell out for a private prescription. It's not cheap.
39:54Thanks.
39:54Sorry. It's a bit heavy for home time. You have a great night.
40:03I'll try, but Jake's already hyper. Getting him into bed is going to be a challenge.
40:11Jake's your son, isn't he? Like a cat, but more needy.
40:17I like kids. And I like cats. I like kids and cats.
40:20I'll get you a man who can do both. If you ever want to grab dinner or go to a movie.
40:29Yeah, definitely. I mean, sure. Sure. Why not?
40:41Teddy, we got your baseline, so you can go home.
40:43Right. Thanks, Cam. What about Ian?
40:47He was exposed to fluids, so...
40:49Yeah. No, I know. I mean, is he okay?
40:52Well, he's just finishing in decon. Why? What's it taken so long?
40:55Um, well, he stepped in. He gave your patient CPR.
40:58Are you surrested? Yeah. Look, they got ROSC.
41:01He said not to ITU now. I mean, it's touch and go, but he's holding on.
41:05All right.
41:08Oh, um, there's an ambulance waiting for you outside, by the way.
41:11Tim said he wants to chat before you go.
41:12Is it your time?
41:27Yeah, well, I was slipping into something a little less comfortable, wouldn't I?
41:30Well, it suits you. Shut up. Get me wrong.
41:33I saw you in action earlier. I was impressed.
41:46Peppa, not so much. She said she wanted a real doctor.
41:49Yeah, well, everyone's a critic.
41:53Yeah, well, now she won't talk to the police, and she wants a lawyer. So, I guess not everyone is so predictable, are they?
42:01Why? Is this the I told you so moment?
42:06No, Ian, I get it. I... you... you're... you take risks. That's who you are.
42:14I'm predictably reckless.
42:16Yeah. And I'm glad, because... because you took your biggest risk on me, didn't you?
42:31Hey.
42:35So, Flynn's making the best of a single life, then. I just saw him out with Chloe.
42:39He's racking up them dates like a loyalty card.
42:42Thank you. That's okay.
42:43Um, so, I was thinking I'd start you off with a more general question.
42:47Okay.
42:47What made you want to be a paramedic?
42:50Um, my nan was sick for ages, and I had to call the ambulance a couple of times.
42:56Each team was just brilliant with her. Made 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. Like superheroes. We're better biscuits.
43:10Right, now let's do a technical question.
43:12Yeah.
43:14One sec.
43:20Walk me through the steps you take when responding to a suspected cardiac arrest.
43:25Hmm? Sorry?
43:28Do you want me to repeat the question?
43:29Yes, please.
43:31Walk me through the steps you take when responding.
43:34Are you okay?
43:35Yeah, I'm just, um, it helps me focus.
43:39You can't do that in an interview. Come on, open your eyes.
43:41I'll do a different one.
43:48It's, it's bad enough for a woman to drink, but being in a same-sex relationship, it's much worse.
43:57And I wanted it to stop.
44:00I'm sharing today because, uh, my sponsor said it's a really important step.
44:14And hiding who I am for so long, it's a big part of why I'm here.
44:29So I think, I hope, I hope that I am ready to stop hiding.
44:40Sorry to keep you waiting. I wanted a debrief while it's fresh.
44:53Can we do this tomorrow?
45:07Look, I know it's been a long day, but I've got to report to ops.
45:11Your breach put three people at risk.
45:13I'm very aware of that. I just, I just need a bit of space.
45:16You okay?
45:18Fine.
45:19You don't look it?
45:20I'm fine.
45:22Is there any news on it, Ian?
45:22Well, yeah, he'll be quarantined. He'll be given the very best care.
45:25Did he hear about his heroics?
45:27That's what he does.
45:28Yeah, well, I had my doubts, but, uh, he's certainly proven himself.
45:33Unlike me.
45:34I can't argue with you there.
45:36Are we, um, are we done now, or?
45:39Not even close.
45:41Being part of heart means facing the fallout, not wallowing when things go wrong.
45:46I'm not sure you've got the right mindset.
45:49You're right.
45:50You are right. There is no point in dragging this out.
45:52I'll hand him a game, my paperwork, whatever you need.
45:55Look, you've had a tough day. If you want to take some time...
45:58No. No time. I'm done.
46:16No, no.
46:17No, no.
46:18No.
46:19No, no.
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