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Casualty Season 44 Episode 4
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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.
00:10I'll just give you another chance.
00:11You've failed.
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.
00:20No, I haven't.
00:21Thanks.
00:22Since when did you wear 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 here.
00:35I thought it might be a good time to put it to the test.
00:41Yep, yep, that's right. I'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.
00:59I don't know.
01:04Okay, listen up.
01:05Rhys Hindle, 67.
01:06He flew in an hour ago from the Marburg Outbreak Zone.
01:09Mid-flight, his fever spiked with severe headache and muscle pain.
01:14Airport officials isolated him on arrival
01:16and quarantined everybody else on board.
01:18Now, test results are pending,
01:20but with Marburg, we cannot afford to wait.
01:22It's one of the most deadly viruses spread through bodily fluids.
01:25This is a full Category A biosecure transfer to the HLIU in London.
01:31Now, the isolation unit will contain the virus,
01:33but 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, prep for transport.
01:48We've got an hour to get Rhys to specialist intervention
01:50before stability and contamination risks spike.
01:53My job is to get them there.
01:54Yours is to keep them alive and keep the virus contained.
01:57All right, let's move.
01:59Rhys, my name's Ian.
02:00This is Teddy.
02:01We're here to get into the hospital safely, okay?
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, okay?
02:11You're going to ride in here.
02:12It's sealed and secure, okay, to keep us protected.
02:15You'll stay with me, won't you?
02:17Yes, we're with you the whole way, mate.
02:19The whole way.
02:26Let me go with him.
02:27Please.
02:28I can look after him.
02:29Why don't you head home, Mrs Hindle.
02:30Pack some things for Rhys.
02:32If it's Marburg, he could be in London for some time.
02:34Well, tell him.
02:36I'll be there as quick as I can.
02:40Straight in at the deep end, yeah?
02:42Setting the power high, mate.
02:43Starts with me to go on.
02:47Or else?
02:48I'm Ron.
02:49I don't think he's not.
02:50I'm Ron.
02:51You know me to go on.
02:52You're off.
02:53You're off.
02:54No, you're off.
02:55There's nothing in love with him.
02:56No.
02:57You're on.
02:58I don't know if he's out.
02:59I might play.
03:00I don't know if he's in London.
03:02No, no.
03:03No, no.
03:04No.
03:05No, no.
03:06No, no.
03:07No, no.
03:08No, no.
03:09Help! I need help. I need help now.
03:22Blake, what's happened? What's going on?
03:23I don't know. He couldn't move. He couldn't blink. He just went stiff.
03:28OK, OK, you did the right thing. Dr Maston will take over. I'll take Carter.
03:32I'm not leaving him.
03:34You can stay. You can stay, but we do need to check him over properly.
03:37Yeah. It's OK, Blake. Look. He wants to.
03:39Hey, come here.
03:41Oh, man, let's make sure you're OK.
03:45BP's nightly over 60. GCSE was eight on arrival.
03:48Still hypersensitive and brodicardic.
03:50Very possible. Hardly drunk overdose.
03:52Anyway.
03:53Hey, hey, hey. How did he go?
03:57Seven meetings in seven days. I've eaten a lot of biscuits.
04:02Yeah, I know. I know. It should be hobnobs for a lot of us.
04:05Did you manage to talk, to share?
04:09Listening's helping. One step at a time.
04:12Yeah, I know. I know. I suppose it's a little bit like lancing a boil, really.
04:16You've got to get rid of the poison before you can find out what's underneath.
04:20To that extent, I hope you don't mind I've got your 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.
04:46And if you're happy to dive in...
04:47Sure. Yes, of course.
04:49Although, that may not be the best choice of words.
04:52I think you'll see what I mean.
04:53All right, team. The back roads will get us there faster, so expect a few bumps.
05:09Let's keep it steady and watch our spacing.
05:12All right, team.
05:23So, Africa. What's it, Rhys? What are you doing out there?
05:28Bird watching.
05:29You've got a thousand species you can't see anywhere else.
05:33Oh, yeah?
05:34Mainly just pigeons around here.
05:37And ones that nick your chips.
05:39I mean, I get it, but come on.
05:42You'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.
06:06I don't want to die on my own.
06:19That OD base filling up fast, isn't it?
06:21I guess 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 I'd make national headlines.
06:32Aliens, then.
06:33I'm serious.
06:34It always starts with unconfirmed reports.
06:36Also, breaking news.
06:37I just got my first interview.
06:39Sheffield, here I come.
06:40Are you open me, Doc?
06:41No, Cam, absolutely not.
06:43Indy, you'd better get prepping, though.
06:44Apparently, Rita's interview was hardcore.
06:46All about policies, patient care, leadership strategies.
06:49I forgot about the knowing bit of stuff.
06:51Listen, you'll be fine with emergencies for breakfast.
06:53Mrs. De Silva?
06:55Yeah, thank you.
07:02Are you good to go?
07:03Great.
07:04This is Abel Varga.
07:05He's 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.
07:32We couldn't get a SATS reading, either.
07:34His BP is 80 over 50.
07:37His bradycardic 40.
07:39He's 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?
07:49Can you hear me?
07:50You're in hospital.
07:51There we go.
07:52I 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.
07:58Yeah, before the chest X-ray as well, I think.
08:00So tell me, the ice bath.
08:02Why?
08:02Um, uni-stress.
08:04He's struggled in halls.
08:06He's just moved back home.
08:07OK.
08:09Any joy with the SATS?
08:10SATS are still not picking up.
08:18OK, that's attention.
08:19Pneumothorax.
08:20So let's prep for a chest drain, please.
08:22And, um, yeah, let's have, um, low-call, 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.
08:41OK.
08:42OK, let's hurry up there, please.
08:43Rosie.
08:43Hurry up!
08:45OK, Abel, I'm just lifting your arm now, OK?
08:48There we go.
08:49Hopefully you 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.
09:11I'm going to make the incision now, so let's have that chest drain kit as soon as we can, please.
09:16There we go.
09:32That's the pressure relief, isn't it?
09:33That's it.
09:37He's fragile in ways people don't see.
09:39That's why Dr Rudd is pushing him.
09:43He knows what Abel needs.
09:55Tirexic at 40, tacky at 120.
09:59And he's guarding his abdomen also.
10:01Rhys, can you describe the pain?
10:04It feels like it's tightening up.
10:07Oh, it's that bad.
10:16Apologies, we've got a minor obstruction, traffic jam.
10:19I'll handle it.
10:20How's the patient?
10:21Yeah, it's stable, but in a bit of discomfort.
10:24Understood.
10:24All right, this won't take long.
10:27What's happening here?
10:29Come on, we've got to move this.
10:30Can you get back in your car, please?
10:31Move back.
10:32Move back.
10:32It feels tight.
10:33I can't breathe.
10:35Rhys.
10:36Rhys, the air's clean and filtered.
10:38You're completely safe.
10:40Help me, Ian.
10:42I need to say goodbye.
10:45Not like this.
10:47Please.
10:48I'm not ready.
10:52Rhys, Rhys, look 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.
11:03You're going to go in through your nose and 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.
11:13In.
11:15And out.
11:17That's it.
11:18You're doing great.
11:18In.
11:21And out.
11:24Ian.
11:25I'm going to put my advisor up for a bit.
11:27Do you want to do the same?
11:27This isolation unit is going to shield us.
11:32It's like double bubble anyway, isn't it?
11:33Yeah.
11:34Yeah.
11:36Sorry to call you like this, Jacob.
11:38Jan's okay to cover.
11:41Hey.
11:42I hope so.
11:43His officer will be completely fine.
11:44No fever or anything out of the ordinary, but...
11:46Hey, 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.
12:00It's him.
12:00Focus on him.
12:01Please.
12:01Why don't we check you over just to rule everything out?
12:03Fine.
12:04I'm fine.
12:05Okay, you know what?
12:05Let's get you both checked.
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, we're okay.
12:26Why, son?
12:27Get that car back.
12:28That's right.
12:29Get that one right back and you through as quickly as possible.
12:31There's plenty of room here.
12:33Come 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.
12:41Go.
12:42All right, I'm going.
12:43Get your chest.
12:45All right, we're clear.
12:46Let's move.
12:48Keep it tight.
12:49We'll have to pick up the pace.
12:56All 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?
13:06We can't break the tournament.
13:08Ian!
13:09This feels wrong.
13:10See if it's self-terminates.
13:12Rhys!
13:13Rhys, can you hear me?
13:19His breathing is increasing.
13:21Possible respiratory distress.
13:22Or perhaps he's just coming around.
13:24Let's give him some room, shall we?
13:26It'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.
13:41Yeah, sure.
13:42How long were you in the water for?
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, not 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.
14:02I'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.
14:23This is why he's so stressed.
14:24He won't leave him alone.
14:25Crazy idea.
14:26Why don't we ask him?
14:28Or does his opinion not matter?
14:29Fine.
14:30Leave it with me.
14:32Mrs V thinks Abel's the problem.
14:35Wants him fixed with conversion therapy.
14:37No.
14:38Agreed.
14:39You've already put him in hospital.
14:43Will you ask him?
14:45Yes.
14:46Okay.
14:47Just give me five minutes.
14:58Okay.
14:59Seems to be stopping.
15:00Finally.
15:00All right.
15:01I'm going to sort this bleed out.
15:03Pippa.
15:04Where's Pippa?
15:05You won't let me die, please.
15:09It's not going to happen, Rhys, okay?
15:11Say a 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 HIV protocol.
15:42So we just sit here and watch him deteriorate.
15:44See if it's something else, something treatable.
15:46Our job is to keep him alive.
15:47And keep the virus contained.
15:48Let's get 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?
16:27No, but...
16:29Check the doses and the reviews.
16:31Okay, okay.
16:31Maria, can I get five milligrams pro-cycine as soon as you can?
16:34Jake!
16:35What happened?
16:36Breathe for me, breathe.
16:43All right.
16:44Going in now.
16:45Okay, this will help.
16:46Okay, okay.
16:46All right, son, all right.
16:48You're going to make me feel better.
16:51It's okay.
16:54I'm sorry, son.
16:56Sorry.
17:09These pupils are huge.
17:10Are you good?
17:15No, the angle's too tight.
17:19All right, Tat's 81%.
17:20He's losing his airway.
17:21I need to take this over again.
17:24Take such an app.
17:24This isn't Marburg.
17:32It can't be.
17:33Someone's stopping it from going in.
17:34Stop.
17:35Come on.
17:36You can't do anything through these doors.
17:41What are you doing?
17:42Teddy, what are you doing?
17:45Teddy!
17:45It isn't Marburg.
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.
18:04I can see that there's an obstruction in his airway.
18:16Ian, come and have a look.
18:18I think I've got him.
18:30It's not Marburg.
18:33Ian, it's not.
18:34Ian, it's not Marburg.
18:46Oh, wow!
18:47Oh, wow!
18:48Oh, wow!
18:50Oh, wow!
18:51Oh, wow!
18:52Oh, wow!
18:57Hey, grandson.
18:58Jacob.
18:59Yeah.
19:00How'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?
19:31What did he say?
19:31Um, I'll check with him now.
19:35Just, just, wait here.
19:39Ah, that's good. That's very, very good.
19:41Okay, great.
19:42I want you to squeeze back yourself.
19:44I'm sorry, do you mind if I ask him something quickly?
19:46No, no, no, no.
19:47How about Roman? I already did.
19:50I don't want to see him.
19:52Dr. Rudd's right.
19:53He pushed me into something I never wanted.
19:59I see.
19:59You're getting stronger.
20:01You are.
20:03I'm so proud of you.
20:05Shall we go?
20:06Put him out of his misery.
20:09Um, please 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.
20:42The one?
21:00No way.
21:10No way. Can't be.
21:13It's gotta be, surely. Pat this tight, this is what they do.
21:16So what were you saying, it's some sort of trouble?
21:18Well, it sounds crazy, but everything fits.
21:20The seizures, the heart stuff, pupils.
21:23Let's get a new set of obs, and if there's more in it, we need to move fast.
21:27Tim, it's Teddy. Rhys has expelled a balloon 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 sinus tachy with PVCs.
21:51We're gonna need to divert to the nearest, ain't he?
21:54These redundant teams are on standby, he needs specialist care.
21:57He's not gonna make it. He's overdosing, he 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, but I will coordinate with the police.
22:15Just had confirmation, it is Marburg.
22:17So we need to follow the HCID protocol to the letter.
22:24Um, roger that.
22:27Um, Tim.
22:28PPE protocol has been breached.
22:31We had two from the unit. We had two.
22:33Ian's been exposed.
22:42Once daily if there's residual tightness.
22:44And for you, scaling back messes with your energy, so take it easy, yeah?
22:49Plenty of breaks?
22:51Yeah, in this place.
22:53Fair point.
22:54How do you like to unwind?
22:56Does online chess count?
22:58Not the most exciting hobby, but...
22:59E4 or D4?
23:02What's your first move?
23:05Alright?
23:08Aw, beautiful people.
23:10So what are we going to do?
23:11Are we going to 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.
23:22Brains for days, but no clue about women.
23:24Yeah, come in, guys.
23:28You right?
23:29Yeah, look, I'm sorry to land this on you, but we have a Marburg patient on divert.
23:33It's a drugs career, possibly an overdose, and, er, there's been secondary exposure to the transport team.
23:40Faith, it was, er, it was a heart operation, so Ian and Teddy were with the patient when the container breach happened.
23:47Uh, w-w-which means what, exactly?
23:51Uh, Ian has had direct exposure.
23:54Teddy, secondary contacts.
23:56Now, we are across this, Faith, so if you want to take a step back...
23:59No, I don't.
24:00Uh, er, I want to help.
24:01Sure.
24:02Mm-hmm.
24:03Okay, thank you.
24:04Uh, the patient's wife's been notified, and she's en route as we speak, so if, when she gets here, you take her to the relative's room.
24:09Keep her comfortable.
24:10For the rest of us, ETA is ten minutes.
24:12We devote 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, minimize the risk, and control this.
24:23Yeah.
24:26You all right?
24:27Mm-hmm.
24:45I'm going to see you.
24:46There you are.
24:47Uh, Dr. K said I could take a break.
24:50Yes, no, yeah, that's fine.
24:52How are you doing?
24:53Y-yeah, fine, good.
24:54Great.
24:55Well, 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.
25:04But he's cleared Abel Varga for cubicles, so could you sort that transfer, please, when you're free?
25:09Yes, I do, I know.
25:10It would be much appreciated.
25:11It's about to get lively.
25:13Your man's got a lot going on.
25:16For the cardio stuff, you could try alpha blockers, benzos, calcium channel blockers, morphine, maybe sublingual nitro?
25:23Yeah, he'll take whatever you've got.
25:25Maybe that's his problem.
25:27No time for online chess today, then?
25:30No, no, 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.
25:46Um...
25:47Uh, do you need to get that?
25:49Marburg's definitely more urgent.
25:52Sorry, a bear.
25:54Yeah, no, I should...
25:55Hi, hon.
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's 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, but...
26:22I...
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.
26:33He'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, 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.
26:48He won't let me out.
26:49Dr. Rudd said it was ten minutes.
26:51He's lying!
26:52Look at me!
26:53The dressing is stuck to your suture.
26:54I'll just take a look.
26:55You're so close, Abel.
26:58Stay strong.
27:00Make the right choice.
27:02You think I'd choose this?
27:06I want to be normal.
27:08I just want it to stop.
27:12Yeah, the microbiologist has confirmed there is no licensed antiviral treatment for Marburg.
27:18It's just symptom management.
27:19Can you follow it up with pharmacy, please?
27:21Ungozzi?
27:22Yeah, are you free, love?
27:23Actually, sorry.
27:24How 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, but you know, sticking to 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.
27:51Ungozzi?
27:52Uh, Miss 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.
28:05Hey, hey.
28:08The 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?
28:20Okay, but the fact that you can say that to me out loud, that's a step forward.
28:23What we ha...
28:24Guys, Dylan, come on.
28:25I need you suited up, man.
28:26Convoy's due any minute.
28:28Right.
28:29Well, that's the last of our Holby drop-offs.
28:30For a while, at least.
28:31I thought it was the last of us since Covid.
28:32Yeah, Marburg's next level, though.
28:33Yeah.
28:34Okay, no cheating.
28:35What is the correct PPE when you're dealing with an HCID case?
28:36Are we really doing this now?
28:37Is that your final answer?
28:38I'm toast, aren't I?
28:39No, you'll be fine.
28:40Hey, anchor after work.
28:41We'll go through it then, yeah?
28:42Yeah.
28:43Yeah.
28:44Yeah.
28:45Mrs. Varga, are you leaving?
28:46Yes.
28:47For his own good.
28:48You know, you can't force him to change.
28:49No, you can't force him to change.
28:50No, no cheating.
28:51No cheating.
28:52Okay, no cheating.
28:53What is the correct PPE when you're dealing with an HCID case?
28:54Are we really doing this now?
28:55Is that your final answer?
28:56I'm toast, aren't I?
28:57No, you'll be fine.
28:58Hey, anchor after work.
28:59We'll go through it then, yeah?
29:00Yeah.
29:01Mrs. Varga, are you leaving?
29:04Yes.
29:05For his own good.
29:06You know, you can't force him to change.
29:11Abel's struggled.
29:14Anxiety, depression, panic attacks.
29:17He wasn't like that before he moved away.
29:20He was vulnerable, susceptible.
29:23Roman groomed him, twisted him, turned him.
29:27Stop.
29:28Woke.
29:29Right on.
29:30I don't care.
29:32I care about Abel.
29:34If he could just bury that part of him, life would be so much easier.
29:39No, I wouldn't.
29:40Trust me.
29:41It's not some happy melting pot out there.
29:45It's my job to protect him.
29:47If there's a way out, we'll take it.
29:50Even if it costs you your son?
29:52He'll come back.
29:54He's got no one else.
29:57Nowhere else to go.
29:59Are you Pippa Hindle?
30:00What's happening?
30:01Never tell me.
30:02Your husband needs emergency treatment.
30:03Yes, I know that.
30:04But why?
30:05They told me.
30:06It is Marburg.
30:07So why aren't we in London?
30:08With the specialties people who know what they're doing?
30:09Look, I can't go into specifics right now, but you...
30:10You know about the drugs, don't you?
30:11They forced him people at the hotel and his police was terrified.
30:12And now it's the virus.
30:13It's a nightmare.
30:14Wait, wait, wait.
30:15Are you okay?
30:16Is that chest pain?
30:17It feels, um...
30:18It's stabbing.
30:19Okay.
30:20Come on, let's take you inside and we'll get you looked at, okay?
30:24You know about the drugs, don't you?
30:31They forced him people at the hotel, and he was terrified.
30:35Oh, no, it's the virus. It's a nightmare.
30:38Wait, wait, are you OK? Is that chest pain?
30:40Feels, um... It's stabbing.
30:43OK, come on, let's take you inside, and we'll get you looked at, OK?
30:52Are you ready to receive?
30:53Yep.
30:54Good luck.
30:56OK, you're clear to lower the isolation unit.
31:16OK, and he's called, he has to support fast.
31:18He's living through all over the place.
31:20If he's still in OPA, we've got him an eye for oxygen.
31:22OK, don't you to assist with the transfer, all right? We'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, but 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...
31:51She left.
31:52I'm sorry.
31:53I seem to have that effect on people.
31:56All right, let's get home.
32:10Hmm? Bit of broccoli?
32:12Hiya, Babs!
32:15It's gorgeous as ever.
32:16Him, not you.
32:17Of course.
32:19Well, you know, fresh nappy, now he's happy.
32:21Yeah, come on then, Grandpa.
32:22What's the latest?
32:24Well, um, Blake's doing OK.
32:26He's resting.
32:28Had a bad reaction to the meds.
32:29What, just out of the blue?
32:32Well, um...
32:33I 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.
32:46Don't know what I was thinking.
32:48You were thinking like a dad, not a paramedic.
32:52Actually, Jen, can you take him for half an hour?
32:55Of course, of course, yeah.
32:58Why, what are you up to?
32:59I'm going to make sure Blake gets what he needs.
33:07I'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. He'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, protocol's protocol.
33:26What does that mean?
33:27Nothing, I'm just saying.
33:28You just go with her.
33:29You're slowing things down.
33:34Right, I'll be back to see you now.
33:35All right.
33:35Hey, Ripper.
33:47Hey.
33:48Right, I'm still waiting on your blood results coming back, but as far as I can see, it was
33:52a panic attack.
33:52Oh, I'm sorry I wasted your time.
33:56No.
33:56No, no, no, you didn't.
33:57You didn't.
33:59You know what?
34:00I feel shaky.
34:01And my heart's still racing.
34:04Okay.
34:04Okay, well, let's just sit you in bed, okay?
34:08You've been through enough thought.
34:09Yeah, 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.
34:21When can I see him?
34:25This is the longest we've been apart this holiday.
34:27Um, well, we're still waiting on 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?
34:40No, no, but I promise he will get the best treatment, okay?
34:44Oh, I promise.
34:47Let me get you some privacy.
34:54What's wrong with a splash of 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.
35:05No, I think he's rationing his breaths, but I can ask him to come.
35:10Yeah, I'll go through.
35:12Yeah, okay.
35:16My arm.
35:19Did Dr. Rudd do this?
35:21I didn't feel anything.
35:24The body temperature drops, the blood flow slows down.
35:29It can delay the bruising, numb the pain.
35:34He said it was easy.
35:35I didn't have to feel any different, just act like I did.
35:44That's pretending, right?
35:47Um, we'll keep your arm elevated, keep 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.
36:12Are we done now?
36:32Yeah.
36:32Just make sure you wash your hands thoroughly,
36:34and then Cam will take you through the cubicle to do your bloods.
36:36Okay, careful.
36:57So 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?
37:13Oh.
37:17Are you struggling?
37:18There's a lot of resistance.
37:19Oh, 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 my dinner first.
37:37I'll start top to bottom, front to back.
37:46Oh, he's in BF, isn't he?
37:47Charging to 150, then.
37:48Um, can we have anybody in PPE?
37:51Any compressions, please, in here?
37:55So, then, 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?
38:08Come on, Lees.
38:13What are you doing?
38:14No, you're looking in there.
38:15I didn't know it was this bad.
38:17I didn't.
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'll never do that.
38:24He isn't even a doctor.
38:26Don't you probably have to find no people
38:28if you let him die.
38:31Okay, let's do a horse check, then, please.
38:37Oh, we've got an avenue.
38:38Come on, look, look, look.
38:42His heart's responded.
38:43They're taken for a rhythm, okay?
38:45So he's going to be okay?
38:48Well, I mean, he's very ill, but it's a step in the right direction, okay?
38:52I mean, you'll help him, please.
38:56Oh.
38:58Of course.
38:58Come on, come on.
39:00Step away.
39:01Yeah.
39:01Well done, everyone.
39:02Well done, well done.
39:03Okay, let's go through the postcard.
39:05Let's run full set of bloods, I think, again, please.
39:08Thank you, Ian.
39:08If that 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 stock 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.
39:32Did your son's psychiatrist talk to you about the new long-acting injectable?
39:36No, no, no.
39:36He doesn't respond well to adjustments.
39:38I 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.
39:47It's not cheap.
39:54Thanks.
39:58Sorry.
39:59It'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.
40:08Jake'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.
40:22Uh, if you ever want to grab dinner or go to a movie?
40:29Yeah.
40:30Definitely.
40:33I mean, sure.
40:34Sure.
40:35Why not?
40:35Teddy, we've got your baseline, so you can go home.
40:43Right.
40:44Uh, thanks, Cam.
40:45What about Ian?
40:47Well, he was exposed to fluids, so...
40:49Yeah.
40:50No, I know.
40:50I mean, is he okay?
40:52Well, he's just finishing in decon.
40:54Why?
40:54What's taking so long?
40:55Um, well, he stepped in.
40:57He gave your patient CPR.
40:59Are you surrested?
41:00Yeah.
41:00Look, they got a rosk.
41:02He said not to ITU now.
41:03I mean, it's touch and go, but he's holding on.
41:06All 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.
41:13You took your time.
41:27Yeah, well, I was slipping into something a little less comfortable,
41:30wouldn't I?
41:31Suja.
41:32Shut up.
41:33Get me wrong.
41:41I saw you in action.
41:42I saw you in action earlier.
41:44I was impressed.
41:46Peppa?
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,
41:56and 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.
42:07I...
42:08You're...
42:09You take risks.
42:11That's who you are.
42:14Unpredictably reckless.
42:16Yeah.
42:18And I'm glad.
42:20Because...
42:22Because you took your biggest risk on me, didn't you?
42:24Hey.
42:32Hey.
42:35So, Flynn's making the most of her single life, then.
42:38I just saw him out with Chloe.
42:39It's racking up them dates like a loyalty card.
42:43That's okay.
42:43Um, so, I was thinking I'd start you off with a more general question.
42:47Okay.
42:48What made you want to be a paramedic?
42:50Um, my nan was sick for ages,
42:53and I had to call the ambulance a couple of times.
42:56Each team was 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.
43:20Walk me through the steps you take
43:22when responding to a suspected cardiac arrest.
43:25Hmm?
43:27Sorry?
43:28Do you want me to repeat the question?
43:30Yes, please.
43:31Walk me through the steps you take when responding...
43:33Are you okay?
43:35Yeah, 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.
43:48It's...
43:48It's bad enough for a woman to drink,
43:51but...
43:53being 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...
44:12said 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.
44:31So I think...
44:34I hope...
44:38that I am ready to stop hiding.
44:44There.
44:45Sorry to keep you waiting.
45:03I wanted a debrief while it's fresh.
45:06Can we do this tomorrow?
45:07I know it's been a long day,
45:08but I've got to report to Ops.
45:11Your breach put three people at risk.
45:13I'm very aware of that.
45:14I just...
45:15I 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 Ian?
45:23Well, yeah, he'll be quarantined.
45:24He'll be given the very best care.
45:26Did he hear about his heroics?
45:27That's what he does.
45:28Yeah, well, I had my doubts,
45:30but he's certainly proven himself.
45:33Unlike me.
45:34I can't argue with you there.
45:36Are we, um...
45:38We done now, or...?
45:40Not even close.
45:41Being part of heart means facing the fallout,
45:44not wallowing when things go wrong.
45:46I'm not sure you've got the right mindset.
45:49You're right.
45:50You are right.
45:51There is no point in dragging this out.
45:53I'll hand him my game, my paperwork,
45:54whatever you need.
45:55Look, you've had a tough day.
45:56If you want to take some time...
45:58No.
45:59No time.
46:00I'm done.
46:20Oh, my God.
46:26Oh, my God.
46:56Oh, my God.
46:58Oh, my God.
46:59Oh, my God.
46:59Oh, my God.
47:00Oh, my God.
47:00Oh, my God.
47:00Oh, my God.
47:01Oh, my God.
47:01Oh, my God.
47:01Oh, my God.
47:02Oh, my God.
47:02Oh, my God.
47:02Oh, my God.
47:02Oh, my God.
47:02Oh, my God.
47:03Oh, my God.
47:03Oh, my God.
47:03Oh, my God.
47:04Oh, my God.
47:04Oh, my God.
47:05Oh, my God.
47:05Oh, my God.
47:06Oh, my God.
47:06Oh, my God.
47:07Oh, my God.
47:07Oh, my God.
47:08Oh, my God.
47:09Oh, my God.
47:10Oh, my God.
47:11Oh, my God.
47:12Oh, my God.