- 8 hours ago
S45 E05
Category
😹
FunTranscript
00:00Mum binned off the sperm donor.
00:01Apparently it was an alky, unreliable, selfish.
00:05Any word on the result?
00:06It indicates a very likely chance of paternity, about 99.9%.
00:10If we do not grip this and show some serious change, the CQC are going to shut us down.
00:16I'm well aware.
00:17I'm pregnant.
00:19Right.
00:20Everything that happens here is your choice.
00:23After a sexual assault, it's important that you know your options.
00:27We're here to help you move forward.
00:29Siobhan.
00:33Hey guys, come with me.
00:35I want you to meet Dr Clements, a friend of mine from the MOD, stationed at a research facility.
00:41She is an expert in dangerous pathogens, the type used in biological warfare.
00:45Sorry mate.
00:46In your careers, you will never get to her level.
00:49Trust me, not even close.
00:51You don't have a fraction of her intelligence.
00:53I know you might think you do, but trust me, you don't.
00:56Today I want you to watch, learn and do exactly what she tells you.
01:00We're about to enter a simulation.
01:02Viral encephalitis has been weaponized.
01:04You must treat patient zero before the outbreak spread.
01:06Now, I need you on the floor today, so Dr Clements will be both your patient and your assessor.
01:12Take this exercise seriously.
01:14It's imperative you treat this as though it's real.
01:17This isn't just about contingency planning, okay?
01:19CQC have been absolutely breathing down my neck about training you guys properly, so over my dead body, or more preferably one of yours, I will ensure that you leave here better doctors than when you came in.
01:29Welcome, boys and girls, to what might just be the worst day of your lives.
01:48Welcome, boys and girls.
02:08Change your mind
02:13I do accept that with hindsight maybe taking the swab was...
02:24Ridiculous. A bit unethical.
02:26This guy is.
02:28But you know, Sarah, his mum, has had my details for the whole of this time
02:32and she chooses not to tell me.
02:34But life would have been so different, Stevie.
02:36Yeah, but Dylan, it can be different now.
02:38Sorry, that's mine.
02:40Three sauce, three, please.
02:41Uh, Mrs. Sanderson.
02:49Hey, Mrs. Sanderson. No.
02:51No, need a little in a haste though.
02:52As far.
02:54Flynn, I'm pretty sure the CQC inspection recommended that we have more stuff rather than fewer.
02:59Where are the residents?
03:00Oh, hold on.
03:01They're a rare scenario training so that they can handle anything that's thrown at them in the field.
03:05Sounds like sand first.
03:06Well, Dylan, I have to honour their training, don't I?
03:08I mean, you'll thank me in a couple of weeks when we pass the next inspection.
03:11Hold on.
03:11Get out of there!
03:12Hey, hey, hey, hey!
03:13It's fine, I'm fine!
03:14Come on, come on.
03:14Let's stop over.
03:15Ridiculous.
03:15Can you just deal with this first, please?
03:16No, it's not a request.
03:19Ridiculous.
03:19Just deal with it.
03:19I will take over and resource.
03:21The team can manage, okay?
03:22Okay, Flynn.
03:23Flynn.
03:23She won't.
03:24I do not need special treatment, okay?
03:27Okay.
03:27Is this the only size?
03:35It's not going to fit me.
03:36You've got plenty of room in there.
03:38Quickly secure it.
03:42Okay, aerosol exposure of this bioweapon can lead to rapid invasion of the nervous system.
03:48After we've ensured our own safety, we should start with an intravenous course of antiviral medication.
03:53Can we get moving, please?
03:57We're on the highest alert we've been in decades.
04:00The threat of a bioterrorist act is credible, and take it from me, you don't want to be doing this for the first time when the real thing happens.
04:09It's hell on earth, and you'll be right in the fire.
04:13Really?
04:14But you want us to take this seriously when the PPE's out of date?
04:19Don't put it on, then.
04:20Everything can right need it.
04:23Mattie, think of the CQC.
04:26This isn't even an official CQC thing.
04:29This is Dr. Byron's sick fantasy.
04:33All right.
04:34All right.
04:36What were your symptoms again?
04:38Reckon we can get you to ITU by lunchtime.
04:40I'm already starving.
04:46Thanks, guys.
04:47Chris, can you do this way?
04:53Yes.
04:54I'll see you outside.
04:55Let's get outside.
04:55Yeah, both being discharged.
04:57Chris, don't worry.
04:58I'm just, I'm having to be successful.
05:01It's important.
05:03Sure, it's going to have to be quick.
05:05Let's go with me.
05:06Look, I've been thinking, you know, maybe, maybe we should get back together.
05:17What?
05:18Yeah, you know, make a go of it, what, with the baby and...
05:22Ian, you've clearly said before...
05:25I know.
05:26I know what I said, but I was...
05:28Yeah, well, and now...
05:31And now you love me?
05:33And you want to raise a baby together?
05:37Or is it just the baby that you love?
05:40Control 3-0-0-6.
05:42Cat 2 check-in is in the Shackstead area.
05:44Over.
05:46Maybe I'm not the one that's broken Ian.
05:48You ever thought about that?
05:50I'll find somebody else to fix.
05:55Just try and keep a nice...
05:57I think we're looking at a sternoclevicular dislocation.
06:03Upper chest, yeah.
06:04Erica, Erica, can you just try and send anything calm for me?
06:07I can't.
06:09Karen, let's prep 5 milligrams of morphine.
06:12Yeah, she's got chest pain.
06:15Her respirator's up to 25, SAS 97%
06:18and, yeah, completely pain in her left arm as well.
06:21Okay, is there anybody here at her parents or anything?
06:23She lives with mum, so someone's making the call.
06:25Can you have a go?
06:27Try and get her calm for me?
06:27I'll make sure.
06:30Hi, Erica.
06:31I'm Faith.
06:31We really need to examine you, darling.
06:33I know, I know.
06:34Just look at me.
06:35Look straight at me.
06:36I know it really hurts, but everything's going to be all right.
06:39Okay?
06:40Take a deep breath and lay back for me.
06:42Here we go.
06:43Okay, cool flush going in.
06:47I know, I know, I know.
06:49I really saw you doing really well.
06:51Right, I'm just going to take a look at your collarbone, okay?
06:53I'll be really gentle.
06:55Okay, just let me have a wee look.
06:58How did this happen?
07:00Rugby.
07:01Someone stamped on me.
07:03Morphine going in?
07:03Oh, mum hates me playing.
07:07She said something like this would happen.
07:09Yeah, mum's no best, don't they?
07:12And was this at school?
07:14Don't have a school.
07:16Not since the roof fell in.
07:19Okay, er, yes.
07:21There are no clavicular joints, depressed.
07:22Right, okay, what about the arm?
07:23Can you move your fingers?
07:25What about your thumb?
07:26No.
07:27I'm just going to put pressure on your nail, okay?
07:29Can you feel that?
07:30No.
07:30Right, delayed cap refill and the arm's really cold.
07:35Right, okay, er, let's get a second line in
07:37and we'll get a full set of trauma bloods.
07:38Maria, er, can we get a CT?
07:41We'll do CT angio and left upper limb.
07:43And, er, I'm going to give vascular heads up, Faith.
07:45Okay, all right.
07:46What's happening?
07:48Right, the dislocation is really close to the vessels in your chest
07:50and any movement that could damage the vessels, yeah?
07:53So we need you to stay really still, it's really important.
07:56You'll stay with me?
07:58Yes, I'm right here.
07:59So you've received my ECG results, but now I'm seizing.
08:03What is the cause?
08:04What is the treatment?
08:05Kim?
08:07Is it your termine response?
08:09We need to assume infection, right?
08:11So we need to treat the seizures with lorazopam
08:13and cover for infection with kefetaxime and acyclovir.
08:16We also need to ensure it's not cardiogenic.
08:18So you do have capacity, Dr. Lynn Laker?
08:22Most of the time, yeah.
08:23Apart from match days when Liverpool are playing.
08:27What further complications could the seizures indicate?
08:31You're sky high.
08:34And tachycardic.
08:35Oh, this isn't real.
08:36But these results are.
08:38I appreciate your diligence, but don't worry.
08:41I've been a bit under the weather recently, some back pain, but that's all.
08:44See?
08:45Aspiration pneumonia.
08:47Complications from the seizures.
08:50Good.
08:50Listen up if you can.
08:59All our ambulances are utilised at the moment,
09:02but I'll get the clinical desk to triage as many as they can.
09:07But keep me across any cat ones that come in.
09:09OK?
09:10We'll get through this.
09:11Auntie Jan?
09:12Hiya, love.
09:13Shouldn't you be out on the road?
09:14Oh, the chook's got a flat tyre.
09:16Oh.
09:16Hey, don't worry.
09:17I'm sorting it.
09:19You are on an early, though.
09:20Aren't you?
09:22Why?
09:23Ashley thinks she's going to be discharged later, but I'm on a late.
09:26Would you want to give her a lift?
09:28Not a ready taxi, Ted.
09:29I know, I know, but, you know, I thought you wanted to get to know her.
09:33Jan, Jan, could you take this one, please?
09:35Do you drive us a little bit?
09:39Ambulance service.
09:40Is the patient freezing?
09:41Ambulance service.
09:42Is the patient freezing?
09:44Donnie won't wake up.
09:47Er, OK.
09:48I can help you.
09:49My name's Jan.
09:50What's your name?
09:52Asa.
09:53Hello, Asa.
09:55Asa, is there anybody else there with you and your daddy?
09:58No.
09:59OK.
10:01Is he lying on his back?
10:03Yes.
10:04Have you tried waking him?
10:06Can you give him a gentle little shake?
10:08Asa, have you done that?
10:18Yes.
10:19Can you put your hand by daddy's mouth and check if you can feel the breath coming out?
10:27Yes.
10:27OK.
10:29Er, is he making any funny noises?
10:32No.
10:33Asa, I need you to make sure that his chin is off his chest.
10:40OK?
10:40OK?
10:40Have you done that?
10:48Ambulance.
10:49I'm going to get an ambulance to you as quick as I can.
10:52What's your address, Asa?
10:55Don't know.
10:57Er, do you know the name of your road?
11:01Or, er...
11:03Have you got a house number?
11:05Yeah.
11:05Asa, I'm going to go really quiet now, but I want you to stay on the phone.
11:10I'll be back really quickly, OK?
11:13You stay on the phone.
11:15That's another one.
11:17It's getting ridiculous.
11:19Er, 3006 to control.
11:21Go ahead, 3006.
11:23We just arrived at 30 Shackstead Road.
11:25Spoke to the couple in Ibby.
11:27Thomas Delaware and Bryn Ellis.
11:30They didn't call 999.
11:31Another prank call.
11:33Teenagers, apparently.
11:33Oi!
11:36Lose it!
11:41Well, if you're clear there, I need you on another job.
11:44Yep.
11:44What's the address?
11:45That's the problem.
11:46We don't have one.
11:47Give me a second.
11:48I can't.
11:49Asa?
11:50Is there anything that you live near to?
11:54Er, is there a shop that you and Daddy like to walk to?
11:57Are there any trains that go near your house?
12:01Where do you like to play?
12:02The big park.
12:04And, er, does it have a playground?
12:07Red slide.
12:09Red slide.
12:11Control to 3006.
12:13Go ahead.
12:13I'm patching you through now.
12:15I've got to warn you that the caller is a little boy.
12:18It sounds like his dad is having a seizure.
12:20Make your way to hobby wreck.
12:22Over.
12:22Lisa, can you clear as much space around him?
12:28We don't want him banging into anything and hurting himself.
12:33Have you done that?
12:34I'm scared.
12:36Next, you'll want to start thinking about a CT scan and a, er, sorry, a CT scan and a possible
12:45lumbar puncture.
12:48Do you want to call supporter?
12:49Yeah, and what would...
12:50Here, come on.
12:55Sit back.
12:56Catch your breath.
12:58Stand back.
12:59This isn't funny.
13:00Is this real?
13:00Must have been exposed at work.
13:03Exposed?
13:04To what?
13:05I'm not sure.
13:12I work with multiple pathogens every day.
13:15Most of them contagious.
13:18How are you for elimination?
13:19Yeah, a CT confirms a posterior sternoclavicular joint dislocation and there's a, there's a small
13:24hematoma as well.
13:25Okay, is it stable?
13:27Er, for now, but, er, yeah, the collarbone's way too close to the blood vessels to supply the
13:32arm.
13:32That's my worry.
13:33She's tacky and her pulse is really weak.
13:35All right, then, we don't have much time in the arms at risk.
13:37Vascular?
13:38Er, no.
13:39They've got an aneurysm, so they're going to be a few hours.
13:41Hematoma's going to make it tricky, but I think we only have a small window before
13:44full-blown vascular disasters, so let's prep to put it, please.
13:48Okay, I'll get some kit.
13:49All right, absent radio pulse.
13:51Okay, sweetheart, listen, we're going to have to put the collarbone back in place now.
13:55Mum!
13:55I know, Mum is on her way.
13:57Mum!
13:57Gary, look, look at me, look at me.
13:59I'm here with you.
14:00I know it's scary doing it without you, Mum, but I'll be here.
14:03Okay.
14:03I think we can do this.
14:06Okay?
14:06Okay, okay, we're good to go.
14:08Okay, Erica, my name's Dr. Byron.
14:10My colleague here's going to give you something so you're not aware of what's happening, okay?
14:16Do you need to get there?
14:17No, I do not.
14:19It's the message that's taking away.
14:21Come on, come on, come on, come on.
14:24I can't get through, he's not answering.
14:26Try getting through to the ED.
14:28Okay, um, there's a shock pack on its way.
14:30I'm just going to go and get Dr. Byron myself.
14:32No, you can't.
14:35No one comes into it out.
14:37We can't risk this spreading.
14:38What spreading?
14:44You know I can't say.
14:46National security.
14:48Look, how are we meant to treat you if we don't know what's wrong?
14:50I should have made you wear the mask.
14:54Matty?
15:07What do you think it is?
15:09I don't know.
15:11Please.
15:12You must have an idea, you always do.
15:15Ebola?
15:16Crimean Congo, Lassa fever?
15:19They all fit the symptom profile.
15:20Transmitter through contact with infectious fluids.
15:27You'll be okay?
15:31Will I?
15:35Ready?
15:36Mm-hmm.
15:37Okay.
15:38One, three.
15:39One, two, three.
15:42One, three.
15:49It's either vascular compression or I've nicked a hematoma.
15:52Well done.
15:54Okay.
15:55Now, bands on the neck aren't distended.
15:57She's perfusing, so.
15:58All right, can we get the emergency airway trolley over here, please, in case we need it?
16:03Let's fast scan in the meantime.
16:05Mm-hm.
16:11Okay. Ready?
16:19Pericardial fluid. No tamponade, no obvious rupture.
16:23Okay, so it's mechanical. The joints are pressing on something.
16:26Let's try again.
16:27Dr. Byron, Dr. Clements has fallen ill.
16:29Eh? It's a simulation, Ken?
16:31Yeah, Dr. Chang says it's real. They've activated major hemorrhage protocol.
16:34They can't get her up, saying she might be contagious.
16:36Um, hold up. Right, let's try again, please.
16:39One, two, three.
16:41Okay.
16:47Pulse check.
16:49Yep, it's John Pulse.
16:51Yeah?
16:52Right, stay with you, if you don't mind.
16:55I've taken over, so I won't see you to the kids.
16:58Yep, fine.
16:59Okay, uh, let's, uh, let's get a repeat angio, make sure there's no further damage.
17:04You okay?
17:05Yeah, yeah.
17:06Fine.
17:07Hey, what's going on?
17:21Patient is short of breath, respiratory rate up, SATs dropping, bleeding from her lacrimal duct and nose.
17:29Possible exposure to viral hemorrhagic fever pathogens, but we don't know which ones.
17:34She's unable to disclose which pathogen she's been working with.
17:38Grace, you're kidding me, come on.
17:40You know not to ask that of me.
17:45Okay, okay, uh, we're going to activate the High Consequences Infectious Diseases planner, because you've got blood, right?
17:51You're going to have to give her an x-ray and you're going to have to do it there in the room.
17:54Dr. Byron?
17:55Yeah?
17:56Our PPE is out of date, will we be okay?
17:59Yeah, yeah, it's fine, the data precautionary isn't.
18:01If you're wearing it properly, you're not at any risk, okay?
18:06I wasn't wearing my mask.
18:09Dammit, Matty!
18:10I explicitly told you to take this seriously!
18:15Hi, yes, Dr. Byron, we need a portable x-ray down on D-Ward now.
18:19Immediately, please.
18:21All right, Kim, it's okay, it's going to be okay, all right?
18:24I'm going to stay here, I'm going to talk you through everything.
18:26Just do as I say.
18:30This is it.
18:33And so...
18:41Hey, sir, I think we've arrived at the playground.
18:44Can you still hear me?
18:45Hey, how's Daddy?
18:46Is he making noises, like snoring?
18:48I don't know.
18:51I know this is hard, you're doing really well.
18:54What colour is your house?
18:56White.
18:57Okay, great.
18:58And is your house next to the playground,
19:00or do you have to cross a road to get to it?
19:03Off the road.
19:07What about cars?
19:08Are there any cars parked outside your house?
19:10I'm not at the window.
19:11The window.
19:12Yeah, could you go to the window for me?
19:14Well done.
19:19Do you know the colour of your door?
19:22White.
19:23What about your front garden?
19:24Is it grass or pebbles?
19:26Pebbles and plants.
19:27Okay.
19:28I'll start looking.
19:33Are you windy yet?
19:34Can you see us?
19:35We're wearing green uniforms.
19:46Is that you?
19:47Can you see me waving?
19:48Yeah.
19:49Mate, you are my hero.
19:51Have you got him?
19:52Yeah, I've got him, Jan.
19:54Chicken!
19:55Here!
19:56Well done.
19:57I'll leave you to it.
19:58Uh, Mrs. Abbeyworth.
20:08Um, I believe that you, you say that you swallowed a ring.
20:13We can't find anything on the x-ray.
20:14Um, are you quite sure that you swallowed it, are you?
20:16Is she sure she put it in the glass?
20:17Yes.
20:18I thought you'd sip the bubbles and I'd be down on one knee.
20:22How ridiculous making a show like that.
20:24What on earth will people think?
20:25Who cares?
20:26Um, well, obviously I'd watch out for any tummy ache,
20:29but it should pass through in the normal course of events.
20:32Now, um, there were one or two things on the x-ray
20:34that I was a bit concerned about, though, uh, Mrs. Abbeyworth.
20:37It's Miss Abbeyworth, with a roll of the R.
20:41The first one, not the second.
20:43Your lymph nodes are a little enlarged
20:45and, um, your blood results indicated that there may be, um,
20:48an inflammatory process or two going on.
20:50Resps are a little bit high, heart rate too.
20:52So we're going to ask, uh, Judy to take a full set of Ops.
20:54I'm going to be back, I think.
20:55Just take your pulse there.
20:57So, uh, how long have you two been, uh...
21:01We've been good friends about a year now.
21:03We're lovers.
21:04Hush!
21:05We first met at school 60 years ago
21:07and then there she was again in sheltered housing all these years later.
21:10How?
21:11What was it?
21:12Were you together back then?
21:13Absolutely not.
21:14It was different times back then, love.
21:16Has she got to stay along?
21:18Only I got celebrations planned.
21:20Celebrations?
21:21I haven't said yes.
21:22Are you in any pain at the moment?
21:24Where do I start?
21:25I'm 76.
21:26Any sudden weight loss?
21:27Close that a bit looser, I suppose.
21:29Okay, any history of disease in your family,
21:32whether it be heart disease or diabetes or cancer?
21:35All three.
21:36But cancer mainly.
21:38Dr. Keir?
21:39Yeah.
21:40Sorry.
21:41Okay, okay.
21:42Um, let me leave Jodie to take off all the history,
21:44but I really want to have some answers for you as quickly as possible.
21:46Miss Apiora.
21:47Right.
21:48Will you speak to me, please, guys?
21:49All right.
21:50This is Lee.
21:51Found unresponsive in his home after having a tonic, tonic seizure.
21:52We think that the only witness was his son.
21:53He's got a boggy haematoma on his occiput.
21:54Hairways maintaining itself.
21:55Rest 20.
21:56Stats were 92.
21:57They're now 98 on two litres via nasal and lift.
21:58And down, please.
21:59And across on slide, please.
22:00Ready?
22:01Race.
22:02Slide.
22:04All right.
22:05Okay.
22:06Pulse is 15.
22:07All right.
22:08All right.
22:09All right.
22:10All right.
22:11All right.
22:12All right.
22:13All right.
22:14All right.
22:15All right.
22:16All right.
22:17The 5BP is 165 over 90.
22:20He was post-Ictil.
22:21Now his GCS is 14.
22:22Giving him four milligrams of endastron.
22:24IV access fire is left ACF.
22:27There's no way we'd have got to him if it wasn't for young Asa there.
22:29Hey, Asa.
22:30Was Daddy feeling unwell before he fell over?
22:32Oh, you weren't sure, were you, mate?
22:34Right.
22:35Any medical conditions that we know of?
22:38Daddy.
22:39Okay.
22:40Let's get on to the side.
22:41Faith, can you go on airway?
22:42Yep.
22:43Let's get four milligrams of lirazepam.
22:45Can we draw up some lirazepam as well, please?
22:49Is anybody for you to take ACA outside?
22:50Yeah, I can stay away.
22:51Try looking at me.
22:52Come on.
22:53Great.
22:54Thanks.
22:55Okay.
22:56Can somebody call the duty social worker, please?
22:58Okay, now take a step back.
22:59I've just heard.
23:00Did we know what we're dealing with yet?
23:01I've spoken to her research facility, but until I get security approval, I don't know
23:02what pathogens Grace has been having.
23:03Lean forward for me, then.
23:05Guys, come on.
23:06We don't have all day.
23:07Let's go.
23:08What's their exposure?
23:09Do we know?
23:10Well, Kim will wear PPE, so she's fine, but Matty, of course, thought he was too special
23:11to do so, so he's been exposed.
23:12Eh?
23:13Listen, if you're worried about repercussions because you're his mentor, don't.
23:14I will take full responsibility, okay?
23:15Guys, come on.
23:16We don't have all day.
23:17Let's go.
23:18We need one more.
23:19Move it left, please.
23:20Yeah, no, it's not that.
23:21Do we know how long we're gonna have to wait for your approval?
23:39One more time.
23:40I mean, we need to know what we're dealing with, don't we?
23:43Flynn?
23:46Flynn, um, bloods. Guys, you need to get more bloods in.
23:50Dylan, talk them through this for me. Would you like a follow-up with the MRI?
23:53Yeah, OK, OK.
23:55Can you hear me? You need to get another line in the right arm.
23:59You got a large IV.
24:13Any news for Matty and Kim?
24:14Nothing yet.
24:15They'll be all right, though, won't they?
24:17As soon as I hear.
24:20Thanks.
24:25Siobhan, um...
24:27Yeah, I'm really sorry. I'm not going to get those orders done by the end of the shift.
24:30I'm juggling recess and cubicles. It's OK. I can take a patient. Who have you got?
24:36Uh, amazing. Um...
24:39Uh, Basics, Louise Perkins. I triaged her ages ago. I just haven't had time to get round to her.
24:43Right, how long's it been?
24:48Uh, four minutes, just over.
24:50Right, OK, let's get the lorazepam. Thanks, Paula.
24:53OK, wait, I think he's... yeah, he's self-limiting.
25:02All right, let's get him onto his back, nice and slow. Uh, we'll keep the lorazepam on standby, but let's do a full set of bloods and we'll get a... yeah, head and C-spine CT. Thank you.
25:13Do you want to go and update Ian and the kid?
25:15No, just get someone else. I'll stay in case you need me.
25:18No, it's fine. We're good here. Cass will take over and just get as much info as you can.
25:22It'd be great to get an ID on this guy. Thank you.
25:24OK.
25:24Hey, sir. That's Daddy Stop Shaking Now.
25:51Yeah, that's good, isn't it? That's a good night.
25:53Yeah, yeah, it's really good. We're looking after him, but we need to know, has he ever been ill at this before? Has he been shaken?
26:01Don't know.
26:02You don't know? That's OK. What about your second name? Do you know that?
26:09I don't know.
26:10You don't know that? OK.
26:13Can you help? We really need to access Lee's records.
26:20Hey, Samir.
26:22But do you know how you're, like, really clever?
26:26Do you think you can tell us your dad's full name?
26:30Lee Sherwood.
26:32Lee Sherwood. Clever boy. There you go.
26:36You are. You're very clever.
26:39Right, um, the duty social worker will be down soon, yeah?
26:54We stand by with FFP and platelets.
26:57Kim, she needs oxygen.
27:00Any news?
27:01I can't keep this on much longer. I can't.
27:04Matty, you have to.
27:06Hey, keep your mask on.
27:09The flare on the x-ray confirms this is most likely a VHF.
27:13I don't know which strain, so we have to get Grace into an isolation cubicle.
27:17Once she's been moved, you two are going to remain in the room.
27:20Kim, you'll monitor Matty's symptoms.
27:22Matty, you let us know if you start to feel unwell, OK?
27:27Ah!
27:31Grace, Grace, if you know what it is, please just tell me.
27:36Just tell me.
27:37Please.
27:38Grace?
27:39Grace?
27:41I'm screwed!
27:46Hi, Lise.
27:48Guess he was in hospital again.
27:50Ah, hello?
27:51Oh, sorry. Nurse is here.
27:54Yeah, Louise Perkins?
27:54Yes, it's me.
27:55Yeah, I can see from triage that you are having problems swallowing.
27:59Yeah, I can't really eat anything.
28:02Just a few sips of water.
28:05And do you feel OK in yourself otherwise?
28:08I've had a bit of a fever.
28:10Chills.
28:11Muscle ache.
28:12OK.
28:13I wouldn't worry normally.
28:15Only you need to take my meds.
28:16Which are?
28:17I've got muscular dystrophy.
28:19Oh, I see.
28:19Uh, can I just take a quick look on your mouth?
28:24A bit more.
28:24Let's have a look.
28:32I can't see anything.
28:33I'm fine to go home and rest up with some paracetamol.
28:36I don't want to waste anyone's time.
28:39No, no.
28:39We, uh, we need to test your swallow, do some bloods, x-ray, and a specialist will probably
28:46want to do a pulmonary function test.
28:47Of course.
28:49I've got voice notes to catch up on.
28:51My friends don't look close anymore, but we're hoistening each other little updates.
28:55I'll fetch a doctor.
28:56Dr. Keogh, if it's Ebola, what happens next?
29:08We don't know what it is yet.
29:10It doesn't help us to speculate.
29:13I bet Flynn's organising an isolation cubicle on ITU right now.
29:20I need to know.
29:22I need to be prepared.
29:24Matthew Kim's right.
29:25Don't do this.
29:26Dr. Keogh, please.
29:32All right, then.
29:33You tell me.
29:35Kim!
29:36For a VHF like Ebola, I think the incubation period ranges from 2 to 21 days.
29:42In the early stages, you can expect flu-like symptoms, fever, headache, fatigue.
29:48You'll then likely experience gastrointestinal vomiting and diarrhoea.
29:53Kim, no.
29:54Ignore him.
29:56Ignore him.
29:56To some develop neurological symptoms at this point, like delirium.
30:01How is this helping?
30:01How is this helping?
30:03I can handle it.
30:04Severe bleeding, internally and externally.
30:09Multi-organ failure.
30:11Shock.
30:13And?
30:13And?
30:13Death.
30:13Death.
30:14But with intervention, should I call my mum and dad?
30:30They should know.
30:33When we have a little bit more information, yeah.
30:40And so, yeah.
30:42Keep calm.
30:43All right, sorry.
30:49I don't even know if this passes as a signature.
30:51Okay.
30:51Cheers.
30:53All right, here's Lee's summary of care record.
30:56He's epileptic.
30:57Okay.
30:58Medication?
30:59Carbamazepine and he's allergic to penicillin.
31:01All right.
31:02Nice.
31:02Good job.
31:02Well, actually, it was a bit of a team effort.
31:10Okay, come on.
31:11What's going on?
31:12Nothing.
31:13Cat again.
31:14You're a terrible liar.
31:15You always have been.
31:21Hey.
31:23Okay?
31:23Oh, God.
31:25You're not contagious, Grace.
31:26It's all right.
31:27You can take your mask off.
31:28You had a spontaneous retroperitoneal hemorrhage.
31:32We confirmed it on the CT.
31:34There's no active bleeding points.
31:36We'll continue to control your clotting profile.
31:38Now, I spoke with your bosses.
31:40You haven't handled any contagious pathogens in the past 25 days,
31:44but you've been regularly taking interferon
31:47as a precautionary measure against potential infection.
31:51The interferon.
31:54It caused a prolonged blood clotting,
31:57which explains the bleeding.
32:00Your CT and APTT confirmed it.
32:03You're going to make a full recovery, Grace.
32:05I nearly gave away state secrets.
32:08Hmm.
32:09Nearly.
32:10We won't be in there.
32:13How's Matty doing?
32:15I'm going to let him stew a little bit longer.
32:18He still thinks he has a VHF.
32:21You haven't changed, Byron.
32:24You'll teach him to wear his PPE, won't it?
32:26I'll put him out of his misery soon.
32:30We should get the squad back together.
32:33Yeah.
32:35Yeah, why not?
32:36I'd like that.
32:39Do you still think about him?
32:47Yeah.
32:49Every day.
32:50Yeah, see, I told you to come to his senses.
33:01Hmm.
33:01Did you?
33:02Yeah.
33:03Because he clearly loves you,
33:05otherwise he wouldn't want to try again.
33:07Yeah.
33:08Unless I was pregnant.
33:14Wow.
33:15I know.
33:15Wow.
33:16I only found out a couple of weeks ago.
33:19A couple of weeks?
33:21I just am your best mate.
33:22I know.
33:22Look, I'm sorry.
33:23Of course I wanted to tell you,
33:25but with everything that's been going on with you
33:27and you had your check-up coming up...
33:31Oh, no.
33:35I missed it, didn't I?
33:37Oh, Stevie, I'm so sorry.
33:39I'm sorry.
33:40I mean, with everything going on,
33:41but what happened?
33:42It's fine.
33:42It's fine.
33:43Because I got the all clear, so...
33:44Stevie, that's amazing.
33:46Yeah.
33:47So...
33:47Amazing.
33:48A line is officially drawn under it
33:50and life gets to continue,
33:52so that's good.
33:53Amazing.
33:54But...
33:55OK, back to you.
33:56What's the plan?
33:59I can't be with him just because of a baby.
34:03I can't.
34:04So what's the alternative?
34:06Like, do it on your own?
34:07I don't know.
34:07I don't know.
34:08I haven't thought that far ahead.
34:09I can't even...
34:10I can't think.
34:14You're you, OK?
34:16And I know you.
34:18So this is you getting to have a baby
34:21with the man you love,
34:23getting to be together forever
34:25and adding to your already
34:28annoyingly amazing family.
34:32That's worth fighting for.
34:34Yeah, that's...
34:34That's something.
34:37Hiya.
34:37One of Dr. Kier's patients
34:38has had the results back.
34:39Can you just take a look?
34:40Yeah.
34:41Yeah, be right there.
34:51Here comes the cavalry.
34:57Good shift.
34:58Oh.
34:59More silliness with the hoax caller.
35:02Well, that 13 Shacksted.
35:03Do you know who it is yet?
35:04It's just kids, apparently.
35:07But it meant that we had a close call
35:09with a seizure patient.
35:10Do you think someone probably should
35:11teach them a lesson
35:12or they're just going to keep doing it,
35:13aren't they?
35:14Ambulance service.
35:15There's a patient breathing.
35:17Hi there.
35:18Dr. Kier is busy with another patient
35:19at the moment,
35:20but I thought you would want your results.
35:22You're going to say
35:22swallowing the ring was a blessing
35:24because I've got cancer.
35:25Has she?
35:27Um, well,
35:28neither your bloods
35:29nor your scan
35:30has any evidence of cancer.
35:32What?
35:33No, you do have
35:34a raised white blood count, though,
35:36so that suggests
35:37a chest infection.
35:39Is that it?
35:39Yeah, that's it.
35:40So you're going to need
35:41some antibiotics.
35:42I'll sort out a prescription
35:43and I'll sort your TTAs
35:44for discharge as well.
35:45Okay?
35:46Okay.
35:50Thank goodness.
35:52I'm glad you're okay.
35:55What relief that is.
35:56Where are you?
35:57I can't, Eileen.
35:59Not if you can't.
36:01But what?
36:10I can't breathe.
36:12Do you think it's the virus?
36:13No, no, no, no, no, no, no.
36:14Don't take your visor off.
36:15Don't take your visor off.
36:16Listen to Dr. Kehoe.
36:17Why?
36:17He's out there.
36:18He's not in here.
36:19He doesn't know what it's like in here.
36:21You're having a panic attack, Matty.
36:22I'm suffocating.
36:23You're not getting enough oxygen.
36:25You just...
36:25No, you don't care.
36:27No one cares.
36:27I care.
36:28Why?
36:29Why do you care?
36:29Why do I care?
36:31Because what?
36:32Because?
36:33Because what?
36:34Hey, hey, Matty, calm down.
36:36Calm down.
36:36You are fine.
36:38You're fine.
36:39You're fine.
36:40Grace had a clotting issue
36:42due to some antiviral medication
36:44that she was taking.
36:44You are fine.
36:46Okay?
36:47Okay?
36:48Come on.
36:50Let's get your visor off.
36:51Here, hold that.
36:54Buy you a beer, okay?
36:56It was a tough lesson, but...
36:58Hey, so, Flint,
36:59you would have seen that
37:00when you saw the x-ray
37:01for the first time.
37:02Well, I had a hunch, yeah.
37:03But, look, I had to follow up
37:05with a CT and a research...
37:06And you thought you'd teach him a lesson?
37:09Yeah.
37:09Yeah, and let everybody else here
37:11think that he was sick.
37:12When I tell him to,
37:13he'll put his PPE on.
37:16Easy.
37:17Easy.
37:18Who does something like that?
37:21Why would you do that?
37:28You learned his lesson, didn't he?
37:34Bloods, x-ray, the works.
37:37Given my eyes peeled for a fit doctor,
37:39but no luck yet.
37:43Hang on.
37:45Yeah, we've had your results back
37:46and it looks like you've got pneumonia.
37:49Probably brought on by the difficulty swallowing.
37:52Okay.
37:53You're going to need IV antibiotics
37:55and close monitoring,
37:56so we'll need to keep you in.
37:57Right.
37:59And the swallowing?
38:00You'll need to see a specialist,
38:02I'm afraid.
38:04IMD's getting worse, isn't it?
38:05One of the doctors will come
38:07and speak to you
38:08and we'll let your consultant know.
38:10Am I moving towards a feeding tube?
38:13We will refer you
38:14to our speech, language,
38:15and nutrition team.
38:17What about my voice?
38:19Will I lose it?
38:20How soon?
38:26How soon will I lose it?
38:30I don't know.
38:39Hi, Liz.
38:41Looks like it's bad news.
38:45I won't be able to speak like this to you soon.
38:50Our consultants will go through everything with you
38:56and I'll just make the referrals now, yeah?
39:15Hiya, love.
39:17Are you okay?
39:17Ready to go?
39:18Sorry?
39:19Didn't Teddy tell you?
39:20I can drop you.
39:22I thought I'd get a taxi.
39:23Oh, don't waste your money.
39:25Love, I'm here now.
39:25Let me take this for you.
39:27Are you sure?
39:28Absolutely.
39:29I just need a little favor on the way.
39:31Bye.
39:37It's just...
39:39take five minutes, okay?
39:42Black.
39:43You guys okay?
39:45Yeah?
39:46Yeah.
39:47Yeah.
39:49Are you all right?
39:56I must have been terrified.
39:58I don't know.
39:59I wouldn't have survived.
40:00I wouldn't have known to see it in my situation.
40:01So the, uh, training and exercise didn't get was planned.
40:05Don't you stop.
40:06Already started.
40:08You got to roll the punches, I guess.
40:10That wasn't good.
40:11And what the hell has gotten into him?
40:13Seriously, what is wrong with him?
40:14I should report him for what he did up there.
40:16No, no.
40:17You won't, okay?
40:18We've got enough going on, thanks.
40:19Yeah.
40:20Well, for somebody who didn't want a mentor,
40:21he's taking mentoring pretty serious.
40:23Yes, Flynn.
40:24Because when he commits, he commits.
40:26Look, if you need an extra pair of eyes on the incident report,
40:29just give me a shout, yeah?
40:30Come on.
40:36What am I doing about?
40:37Sorry about that.
40:41Oi!
40:42Ronnie!
40:44Ronnie?
40:45Something funny?
40:46What's it to you?
40:48Come on, Yusuf.
40:49It's not worth it.
40:50It's all right.
40:50It's all right.
40:50Yusuf, is it?
40:53Have you been making calls to 999?
40:55Yeah.
40:57Because of your calls,
40:59a little boy almost lost his dad today.
41:02So?
41:03So?
41:04Did you just say so?
41:06So?
41:06So, so, so, so, so, so, so, so?
41:09PC, Ashley Sullivan.
41:11Under the Telecommunications Act 1984,
41:14making a nuisance or false call to 999 is a serious offence.
41:18I'm going to give you a warning today,
41:20but if this happens again,
41:21you can face criminal charges.
41:24Understood.
41:29I don't know about you,
41:30but I really enjoyed that.
41:33Make sure to check in with your GP
41:35and then pop back here
41:36if you feel short of breath or anything.
41:37All right?
41:38I will do now.
41:39No worries.
41:40And thanks for being discreet before with Albert.
41:43You know,
41:46for what it's worth,
41:47it seems like you two have waited long enough to be together
41:50and
41:51you've got the freedom now to be happy.
41:55You should enjoy it.
41:57I might have made a mistake.
41:59Never.
42:01I was scared.
42:03I know.
42:04I know.
42:05It's OK.
42:05You stayed.
42:18Albert.
42:21Will you marry me?
42:23What?
42:26You're making a show.
42:27I know.
42:28What do you say?
42:32Will you marry me?
42:36Yes!
42:37Yes!
42:37Yes!
42:58They heard they pay more behind the bar at the anchor
43:07than they do a first-year resident.
43:11You'd get bored with boring pints.
43:15I don't know.
43:17Free drinks on the job.
43:20Sounds all right.
43:23Then you'd be drunk all the time.
43:24And it would be a waste of a talented doctor.
43:28How can you say that after today?
43:30I don't belong in the ED.
43:33Today must have spun everyone out.
43:36Believe in yourself, Matty.
43:41Takiyo believes in you.
43:48Hi, Susa.
43:49Hi.
43:49Do you want to come with me?
43:50Asa, you want to come see Dad?
43:52Yeah.
43:53Yeah.
43:54Hi, Kevin.
43:57Daddy.
43:59I'm okay, bud.
44:00I'm okay.
44:01Hey, Lee.
44:02This is Susa.
44:02She's our duty social worker.
44:04She's been looking after Asa.
44:05Hi.
44:08Could you, uh...
44:10give us a moment, please?
44:12Yeah.
44:13Would you come with me?
44:16What's going on?
44:17Everything okay?
44:18They're going to take him away from me.
44:19Is that why she's here?
44:20No, no.
44:21Absolutely not.
44:23I wouldn't blame them.
44:24I can't even look after myself.
44:26Let alone look after him.
44:27Come on.
44:27Take a breath.
44:28Okay?
44:29You just changed your prescription recently, right?
44:31Yeah.
44:32Yeah, so certain medications don't work the same with certain people.
44:35You just have to follow up with your consultant.
44:39Okay?
44:39Come on, how did he know how to call 999?
44:42We walk past the ambulance station most days.
44:45He loves trucks, cars, anything that moves.
44:48Yeah, I can see that.
44:50I must have told him.
44:51Right.
44:52And he listened.
44:53Same as he listened to the call handlers.
44:56He was amazing.
44:56He saved your life.
44:57So stop this being so hard on yourself stuff, okay?
45:02Come on.
45:03I mean, if I could give you one piece of advice, it would be maybe put your medical information
45:07on your phone, just in case there's another mix-up.
45:13Okay?
45:14Right.
45:14Better?
45:15Mm-hmm.
45:16Asa, come on.
45:16Come over and see your dad.
45:17Daddy, will I win with me?
45:22Of course I will, buddy.
45:24Go on.
45:25Yeah, show me how it works.
45:27Go on.
45:27What sound does it make?
45:39Come in.
45:41Hey.
45:42Hey.
45:43You okay?
45:48Yeah.
45:49I might go for a lie down on me break, see if I can shift this headache.
45:53Siobhan.
45:54I know.
45:55I know.
45:55You don't have to keep telling me.
45:57I'm not up to this.
45:59I wasn't...
45:59I wasn't going to say that.
46:00And you're right.
46:01I just had a patient earlier, and her entire life is about to be turned upside down.
46:07And all she wanted in that moment was a tiny little bit of comfort, you know, in that moment there.
46:14And I...
46:15I just...
46:16I just couldn't.
46:19Listen, whatever time you need, it is yours.
46:22No.
46:23Okay?
46:23No, please.
46:24I need to be here.
46:25Okay?
46:25That might sound selfish, but...
46:27Hardly.
46:30But Siobhan, if I may, I think you should speak to someone.
46:33I mean, bottling this up, it's just going to eat away at you, and it's...
46:37Okay.
46:38I agree.
46:39But someone independent, away from this place, I really thought I'd be able to deal with this
46:47better.
46:50I'm so sorry.
46:51If there's anything I can do to help, anything.
46:56Thanks.
46:57Okay.
47:03I'm so sorry.
47:33I'm so sorry.
48:03I'm so sorry.
48:33Is Ian here?
48:36No, sorry.
48:38Do you know what he is?
48:41Look, I would let you in, but I'm just about to head out for a room at Blake.
48:46No, it's fine. I've got to get back for the kids anyway.
48:48I was just, yeah.
48:52Okay. I'll let him know you, but bye.
48:54Okay. Thanks. Bye.
49:03Bye.
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