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00:01My name is Stevie, and I was Kim's mentor during her rotation in A&E.
00:10I know Kim would have made a brilliant doctor.
00:16The bit I didn't know was that she wouldn't get to be around to hear me say that.
00:30Guys, as you well know, the last three days have been relentless.
00:38The overwhelming rise in patients presenting with respiratory illnesses has pushed this department to near collapse.
00:46And as such, the trust's request for military assistance has been accepted.
00:52An army aide will arrive from tomorrow.
01:13Do we know what we're dealing with yet?
01:16No. No. The virus remains unidentified.
01:22Two viral swabs have returned inconclusive. We are waiting on the results of a third.
01:26OK. Well, we know it's not flu, and the last time we were facing something like this, it was Covid,
01:31so...
01:32Which is why I think we need to prepare for the strong possibility that we are in the early days
01:37of a new pandemic.
01:39Half our team's off sick, so...
01:42Have we got enough PPE to protect the ones we've got here?
01:47Tomorrow, I'll be implementing Orbeez infection prevention and control strategy.
01:53Additional PPE supplies are being delivered, and visitor access will be restricted.
01:59Guys, I want you to take care of each other, OK?
02:03We may be about to re-enter hell.
02:28We may be about to re-enter hell.
02:31You look awful.
02:32Thank you. So do you.
02:36Um, any word on the third swab?
02:39No. Nothing yet.
02:41That's our best chance of knowing what's going on.
02:42I know. And we've only got one overflow area remaining as well.
02:46Hey, listen. I spoke to Nicole, and she said that we'd push back on her request for support of her
02:50OSCs.
02:51Look, I haven't had time to eat today, and you want me to diarise holding Nicole's hand?
02:54OK.
02:54When this is over, maybe mentoring Nicole might be good for you.
02:59Well, I'll have you here. Can you sign this for me?
03:01Yeah.
03:05Kim's death wasn't your fault, Stevie.
03:08Now, I know well-being offered online counselling sessions.
03:11It's been nearly a week since the funeral, and you haven't used any of it.
03:15The very fact you know that means I could report you to HR.
03:19Come on. I'm worried about it.
03:21Don't be. I'm fine.
03:27Well, who's G.A. Joe?
03:30That was my, um, C.O. when I first joined the army.
03:35Thank you for this.
03:43Who's your buyer?
03:44Can I buy?
03:46You look tired for him.
03:49Well, I had to sleep on my office floor last night, so...
03:55Shall we?
03:56Sure.
03:58So, medical engineering will raise the red flag over quarter blocks in the socks.
04:02Yeah, I'm sourcing an alternative delivery via different transports.
04:06Well, I can ask my lights to help.
04:08It's OK. We can manage.
04:09You know, I've only been here an hour.
04:12I already know it's the nurses that run this place.
04:15Let me, let me take that.
04:16Thank you very much.
04:17Er, resource please.
04:19Good to see you, Barry.
04:22He's helpful.
04:40Hiya.
04:41Sorry we're late.
04:43Parking was... mad.
04:45Hiya, Dale.
04:51I...
04:53Um...
04:53I haven't ordered any coffee because I...
04:56I mean...
04:58Er...
04:59It was milk, no sugar.
05:03Two sugars.
05:08How you been?
05:11Is what Mattie's saying, Joe?
05:14About this pandemic, if that's what this is.
05:17Are we all just sitting ducks?
05:19Waiting to catch her?
05:21It's too early to tell.
05:24Well, is it safe?
05:27Is it safe for Mattie to work?
05:29Mum, come on.
05:30I'm worried for you.
05:31Do you remember how sick your dad got in Covid?
05:34His dad spent a week in intensive care.
05:37We didn't think he was coming home.
05:38I'm sorry to hear that.
05:39Mmm.
05:45Anyway...
05:46Er...
05:46Mum...
05:47You said you wanted to ask questions if we were gonna spend more time together, you know?
05:51So...
05:51Just...
05:52Ask.
05:53You know, maybe...
05:54I'll...
05:55Get that deep enough after all.
05:57OK.
06:03OK.
06:05Hi, sir.
06:05Will you just go and speak to this gentleman here for me?
06:08OK.
06:09Can you wait here as well, please?
06:10Anyone with a respiratory issue...
06:11I need help!
06:12My wife!
06:13Please!
06:14She's pregnant!
06:16How many weeks is this?
06:1725.
06:1826.
06:19She's 26, please.
06:21No.
06:21It's too early, isn't it?
06:23Hi.
06:24Can I lean on me?
06:25There we go.
06:27There we go.
06:27There we go.
06:28Come on.
06:28It's the ambulance in the queue.
06:30I'll do over it myself as fast as I could, or...
06:32I'll just get there.
06:33Well, you're doing a brilliant job.
06:34Can I get you to stand?
06:34Oh!
06:35I'm going straight in, guys!
06:37I don't have any consultants available.
06:39I've got Dylan coming in in about 20 minutes.
06:41OK.
06:41Call him.
06:42Call him now.
06:43Call him now.
06:44I think your GP didn't really suit me.
06:46I needed something with a bit more excitement.
06:49When did you last have a drink?
06:53Er...
06:53I've been sober for six years.
06:55Mm-hmm.
06:58Er...
06:58We should...
06:59We should probably go, you know.
07:00We're supposed to be on.
07:01You can give me ten more minutes.
07:03Actually, I...
07:04I have a question.
07:07How?
07:07How...
07:08How do you keep a secret like that for 25 years?
07:11It wasn't like it was hard.
07:13Who wants an alky in the baby's life?
07:16But you didn't give me a chance.
07:18Yeah, but I did.
07:18I tried to.
07:21The night I found out I was pregnant,
07:23I went to your flat,
07:25but you weren't in.
07:27So I waited.
07:28I waited.
07:31But then you...
07:34came back...
07:36blind, drunk,
07:37with blood down your front.
07:38We didn't know if it was your own...
07:40or someone else's.
07:44But I...
07:45I remember thinking...
07:48I couldn't be a doctor.
07:50Let alone a dad.
07:54I needed to protect my baby from you.
08:03Sorry.
08:04Yeah.
08:07Hello.
08:07Dr Keogh.
08:12Uh...
08:12Um, okay.
08:13Yeah.
08:14Yeah.
08:15All right.
08:15Okay.
08:17Um...
08:17I'm sorry we have to go.
08:19It's an emergency.
08:20I barely know anything more than I did before.
08:22Do you have family?
08:23Friends?
08:25I mean...
08:25What did they think?
08:26I don't have anybody I can talk to about Matty, you know.
08:29What does it matter, Mum?
08:31It matters to me.
08:33I won't have anyone be ashamed of you.
08:35No, I'm not ashamed of Matty.
08:37I mean, trust me, this is all about...
08:38me.
08:39Mum, Mum, please don't make this any harder.
08:50All hands on deck today, I'm afraid.
08:53Sorry it's your first shift back.
08:55Hey, no, look, I've had for three weeks to do nothing.
08:56I'm actually happy to be here.
08:58Yes.
08:59Right, well.
09:00Raise yourself.
09:02I'm getting...
09:03I'm getting late.
09:05I'm getting late for my rounds.
09:06Sorry, Beryl, love.
09:07Are we holding you up?
09:08This one will pop that back on for me.
09:12Could you repeat the rounds and chase the rounds if they're not back in an hour?
09:16Yep.
09:17Beryl, I tell you what, whoever's folded this has done a shoddy job for me.
09:23Could you do them for me properly?
09:28She used to work here years ago as a nurse.
09:31She thinks she still does, bless her.
09:34It's a dementia.
09:35Well, why is she in there?
09:36I know, I know.
09:37It's not the best place for her, but if you keep her busy, she'll be fine.
09:41Now, could you take over Bay D for me?
09:44I need to be somewhere.
09:45Mr Gibson, he has lung cancer.
09:47I think the virus is exacerbating his symptoms, so...
09:52Cam, are you sure you're going to be okay with all this?
09:55Yeah.
09:55Yeah, no, I want to be here.
09:57Okay.
09:57Good luck.
09:59Mask barrel, love.
10:07Hi, sir.
10:07My name's Cam.
10:08I'm going to be your nurse for the rest of today.
10:10How are you feeling?
10:12Fourth time on this corridor.
10:14It's safe to say that I had more fun at my last colonoscopy.
10:18How do you think I'm feeling?
10:20Fair enough.
10:21Well, listen, I need to take your bloods.
10:22Is that okay?
10:23Yeah, well, get on with it.
10:24All right.
10:24Yeah, I will.
10:27I'm just going to pop that there.
10:38I've got cancerous cells that move faster than you.
10:44All right.
10:46Ahem.
10:47Uh, this man needs a mask?
10:50Okay.
10:50Um, this patient is 26 weeks pregnant.
10:53Had a quick look and the baby's crumbling.
10:55Sorry, can you just put that on for me, please?
10:57Um, coughing, shortness of breath.
11:00Am I all right to give her Entonox?
11:03Dylan, am I all right to give her Entonox?
11:06No, no Entonox with that cough, man.
11:07Oh!
11:08What's happening?
11:09We think your baby's coming.
11:11What, no?
11:12It's gonna be okay, though, isn't it?
11:14I tell you what, somebody call the obstetrics.
11:16I just want to speak to Rash.
11:22Hi there, we've got another preterm delivery.
11:25Gestation 26 weeks.
11:27Yeah, we need the neonatal resus team.
11:29Another one?
11:31Resus 1.
11:36Hey, can you arrange for the neonatal resus team to be sent to the ED?
11:39I need to speak to Faith and Ian.
11:41Oh, do you have a minute, Doctor?
11:45No rush.
11:46I'll be with you in a minute, Jessica.
11:50Hey.
11:52Guys, we're reviewing Niku's visitation.
11:55If the department decides to follow the ED's lead,
11:57there's a chance I may need to ask one of you to leave.
12:00But I'm really hoping it doesn't come to that.
12:02Neither of us are going to never.
12:06Is there any news from the consultant?
12:10It's the same, I'm afraid. There's no change.
12:14With Pearl's prematurity, we need to take each day as it comes.
12:21Look, I'm here on a Caesar rotation for the next month,
12:25so if there's anything I can do, anything at all, just let me know.
12:30Thanks, mate.
12:54Good.
12:54The baby's nearly here.
12:56That's it, Laura. Well done. Keep going. That's it.
13:00That's it. That's it. Good, good. Well done. Well done.
13:02Well done.
13:06Why is it, Laura?
13:08It's beautiful.
13:10OK, so the baby's a bit floppy. He's not breathing.
13:12So let's cut this cord and...
13:16Is he OK?
13:18Well, he's not breathing at the moment,
13:19but we're going to have him transferred to neonatal
13:22and they'll try and stabilise him there.
13:24OK, can we deliver the placenta?
13:26But you did great, Laura.
13:28Hitting your baby is in the best hands, I promise.
13:36Dylan.
13:37What's going on with you?
13:39Come on, we need Dr Keogh back in his room now.
13:42Sorry, sorry, sorry.
13:45It looks as though his heart's not beating at the moment.
13:48We can do everything we can to get him breathing, all right?
14:04It's taking deep breaths in that, Eileen.
14:05Someone will be with us in a minute.
14:07Hey, Eddie, you OK?
14:09Yeah, this is Eileen, 72, exacerbation of COPD,
14:12worsening cough and shortness of breath.
14:13Sats on arrival were 80, rest up to 36.
14:17She's had five milligrams of Cigutamol,
14:19500 micrograms of Ipotropium
14:21and 100 milligrams of Hortocortisone.
14:23OK, thank you.
14:25All right, let's continue with oxygen here, please.
14:27A titurator saturators of 88 to 92%.
14:29Thank you, Eddie.
14:30All right, Eileen, I'm going to leave you with them now, OK?
14:33It's all right.
14:34Don't fuss!
14:34I'm not tossing on the bath on us.
14:37I've nothing capable of.
14:39I'm going to put this over you, all right?
14:43Nothing I haven't seen before, Alan.
14:48Eileen?
14:50As glamorous as ever in that gown.
14:53The price you can see over here with those cataracts.
14:56Do you two know each other?
14:58Yeah, we were both teachers.
15:00Holby High, English department.
15:03We went through the long, thankless hours.
15:07All the marking.
15:09Catherine would be turning in her grave
15:11if she'd found out you'd turned into such a grumpy old man.
15:17It's all an act.
15:19He was a great teacher.
15:29And then we used on the oxygen cylinder we stopped.
15:3110 at 5.
15:32I mean, they should have left distribution by now.
15:34Your guess is as good as mine.
15:35If we don't receive it soon,
15:37we won't have enough oxygen to treat the corridor patients.
15:39OK, well, how long will stocks last?
15:41Well, the rate we're going, uh, two or three hours.
15:47OK, listen.
15:48We ration the cylinders until the delivery arrives.
15:50Anybody wants one, they run across the senior doctor first, OK?
15:53Yeah.
15:53No exceptions. Excuse me.
15:55After you.
15:58Hi, Beryl, love.
16:14So what's the ETA?
16:17Look, I've got a raise for a unit to pick up the delivery
16:20if distribution can't organise themselves.
16:23No, no, no.
16:24It's fine.
16:25I'll go around and go for it.
16:30This is Jane.
16:30That's awful.
16:31What's going on?
16:32The guy isn't even thinking of this.
16:34OK?
16:35Just...
16:40OK, er, sir, so we've got your bloods back
16:42and it looks like you've got quite severe anaemia
16:44so we're going to have to do a transfusion pill.
16:46Is that right?
16:46That is a trip hazard.
16:49Poor boy, love.
16:52Er, excuse me.
16:53Sorry.
16:54You can't put him there.
16:55You've got to get me out of here, mate.
16:58Er, yeah, OK, I understand.
16:59I'll be with you shortly, OK?
17:01Nathan will be with you shortly.
17:02It's my missus's birthday.
17:04I understand.
17:04Where's your mask?
17:05Arse over tit.
17:06Someone is going to go.
17:08I need to clock off soon for my Brian.
17:11OK, shall we get you some, er, sheets?
17:12You were really good at folding the sheets earlier.
17:16Are you OK?
17:18I'm so, so sorry.
17:20Did I hurt you?
17:21No, I'm so sorry.
17:23What idiot has left that in the middle of a corridor?
17:25So sorry, sir.
17:27Sorry, everyone.
17:29I'm reading, that's my fault.
17:31I know, look.
17:32I was excited to be back, but just, babe, D, I, F,
17:35they're just...
17:36It's doing my head in.
17:37I don't know what I'm doing.
17:38Why are you calling them by their letters?
17:40Just because they're elderly.
17:40Doesn't mean you shouldn't learn their names.
17:43I didn't mean it like that.
17:44I'll...
17:44Just treat them like human beings.
17:46You might remember a bit better.
17:47My foot is really hurting.
17:50Sorry.
18:24So, you're ready for it.
18:28Phoebe.
18:30Uh, this is the old dress, 20s.
18:31Researches to you guys.
18:32Uh, presenting Mr. Vera, his spirit, his dress,
18:34this shop was of reference to ask your demon to his gateway.
18:36We've treated his anaphylaxis.
18:38Whoa, whoa, whoa, whoa, man.
18:39What is this?
18:40Any analysis about anaphylaxis?
18:42When did he last have had my adrenaline?
18:43Uh, no.
18:44to the first question and six minutes ago do you guys know any more about the
18:47virus about how it's infecting people only what you do
18:52on lift ready ready left
18:57so that we're going to pop it
18:58massive can you move get more of it you don't come up okay i'm going to do a primary survey
19:02to check your airway sir okay
19:06yes significant swelling of the airway let's do
19:09uh an adrenaline nebulizer and we'll do another 500 micrograms of adrenaline
19:14struggling you're pushing out properly at all yeah okay yeah it's strider he's got cordoedema
19:19maddie when you can give it to you and you participate in airway support
19:23just get some oxygen on help you breathe right okay this isn't working you might need a surgical
19:28airway um can i get uh the rsi kit please and uh the difficult airway trolley thank you
19:39that's what's going to do
19:49that's what's going to do
19:52yeah chef the results of the third viral swab are back and they're negative
19:58we're not dealing with the virus how come we know even less than we did this morning well for now
20:02it's
20:03vital that we maintain safety proportions until we know anything more okay i'm going to give you a shout
20:06one i know yeah hey stop messing about i'll take that to base seven
20:22he's still deteriorating i'm struggling to get in here right let's get the agile out what's happening with
20:35the lights yeah okay he's got severe glottic oedema right we're not going to be able to interview it
20:39uh let's um yeah let's do a cricothyronomy
20:45scalpel
21:04which other way is anybody hurt is anybody hurt is everyone okay
21:08right now the lights decide to go let's just that's perfect that's that's that's that's really really
21:42helpful
21:43no no more light more light matter okay more light than i can't sing not let's prep for a reflexology
21:47session yes closer please
22:00and there's still some resistance here like yeah we've got in total but the tube must have gone down
22:05the right in the bronchus so it's only the right hand side that's moving
22:10so that's 85 percent the entire just still a bit low
22:17right what's the short circuit of when the cylinder hits it yeah well at least it's just the lights
22:25prompts and monitors seem to be working how will you test this board you move this out of the way
22:34okay
22:34well he's that's still hovering at 90 percent
22:38why can't we see him please but he's okay he's safe
22:44um well as you know he's with nika at the moment and uh they've managed to get his heart started
22:48which is
22:48great but um i'm afraid the two of you just too ill to go up there at the moment you
22:52can't stop us
22:53from being with him no one can even tell us what this thing we all have is okay no but
22:57but whatever
22:58it is we need to protect him from it um do you have any history of heart problems
23:05okay um i want to repeat the buzz please can we get a chest x-ray and an ecg as
23:09well
23:11please just let me see him please and let's let's cut back on her fluids um as soon as that
23:17x-ray comes
23:18i want to see it please you've got an idea what it is don't you let me talk to radiology
23:23okay i want her top of the list
23:29so
23:44what is it likewise
23:49you feel okay yeah never better byron you give it another go yeah
24:02oh
24:14sata's still at 85. yeah i know okay give me a bit more light please a bit more than that
24:34okay yeah
24:34good okay yeah numbers are normalizing and uh we're adequately oxygenating so that's good
24:42okay let's complete the rsa checklist please
24:51you know there's uh always a place for your war wyverns underneath in court if you ever get bored
24:59thank you thank you for this seriously i appreciate it no worries
25:04jack
25:08are you still already in your transportation yeah of course
25:20what am i doing here you're in hospital okay i'm your nurse i'm cam cam cam yeah beryl i'm beryl
25:31i'm a nurse too
25:33i know you are beryl i know listen you were you were really helping me earlier with the sheets
25:37do you remember the bed sheets you were folding them for me look they're on the floor now
25:42if you can help me fold those that would be great beryl yeah thank you so much i'll be with
25:47you soon
25:49okay sorry sorry
25:54okay that should be it now with the lights mr gibson
25:57huh reminds me of the power artiches back in the day when the when thingy was prime minister
26:04was that churchill the blitz
26:09keith the 70s oh do you think i am i ran
26:17marathons not so long ago you're worse than my grandson henry
26:24not as bad as my grandson isaac he would know i was dead he just don't know i've blown his
26:33inheritance
26:33on cigarettes and peenot
26:40she gonna be okay we're doing everything we can it's just a night
26:48what's the doctor playing at the doctor's gonna be here very soon okay i'll chase him but until that
26:52point that's right i'm gonna need you to sit down for us okay it's a busy hospital
27:09yeah laura beaches x-ray is that fluid anymore uh that's pulmonary edema um let's take her off her
27:16fluids and i'll give her some for us and my say yeah basically it means that her her heart isn't
27:22isn't pumping efficiently so that could be due to to heart failure or that it's quite rare in somebody
27:28of her age sometimes it's an abnormal response to treatment um exposure to chemicals um they respond
27:35like this and with the rash around her mouth makes that up chemical exposure would explain why the third
27:39bowel swab is negative yeah potentially exposed though i mean there are no other patients presenting this
27:45yeah but dylan this could be huge you've got to tell siobhan i'm clear well but she might be an
27:51anomaly i don't i don't think it's a pattern yet yet this isn't a pattern yet dylan why are we
27:56waiting
27:57dylan come on this is you you're right about everything i'm not jd really i'm not i think we wait
28:02for
28:02more evidence jd do you ever do you ever think about your dad what i try not to think about
28:11him
28:13some people don't change dylan max you weren't meant to be a dad so he never will be
28:38one of our patients okay maybe all of them dylan thinks he might be exposed to something like a
28:44chemical just joady with respect one of our patients okay maybe all of them dylan thinks he
28:47one of our patients laura beach okay she's getting worse she's not getting better from treatment she's
28:52getting worse so we've got to find the source we've got to we've got to change the direction
28:56stop stop can i just stop you right there okay if dr keogh thinks his theory viable he should share
29:02it with dr byron and until then try staying within your pay grade that's one the pony pony sorry i
29:32was
29:32unable to detect the language keep you updated on the apple access patient okay i need it off the shop
29:35door we need to talk i know i already know i'm fine i promise okay okay mr gibson the transfusion
29:47should be finished now so uh mr gibson mr gibson dr byron can i borrow you please
29:54uh take a look at his oxygen cylinder for me it is low yeah yeah okay it's a transfusion associated
30:05circle three overload um let's stop the transfusion jenna can you give this gentleman uh uh yeah sorry
30:11uh uh intravenous directly please don't give him any more blood get another oxygen cylinder yeah
30:17uh yeah blood gas shows co2 at 14 and a ph level of 7.24 yeah uh she's got a
30:23respiratory acidosis
30:25now barrel tachycardic and hypocapnic with hypoxia is type 2 respiratory failure can you get
30:30her on that two liters of oxygen please go back to bed please uh can can can you make it
30:34two cylinders
30:35please thank you sorry i don't know where my charts have gone i'll be right back okay someone's
30:55taken my chance it's been hours and hours okay please bear with me okay
31:00byron there was a delay releasing the vehicle from the barracks delivery is another 20 minutes
31:05away but if you'd accepted my hope in the first place it would have been here by now
31:12just one don't tell me that's what we've got where's the last one okay guys uh with me please
31:24we've got one oxygen canister and two patients that need it we can't just magic up a cubicle so
31:30we need to decide which one advocate for your patients uh mrs parrish's prognosis might be terminal
31:36but she needs that oxygen well her respect form shows she doesn't want
31:41it uk or intubation which she would probably end up on mr gibson's prognosis is better
31:49yeah i agree mr gibson would benefit more can we reach a consensus on this
31:55chef we don't have a lot of time
31:59okay okay cam's right okay give the oxygen canister to mr gibson let's run mrs parrish's neb
32:04on air for now she gets a cylinder the second the resupply arrives okay yeah seriously
32:10i mean you only need to look at the woman to know she needs the oxygen more than that okay
32:14jack
32:14i appreciate your help today but we are the medic so why don't you let us do our job thank
32:18you
32:23um i think we need to consider full palliation here um can we call next to ken to discuss
32:29in the meantime let's keep her as comfortable as we can and call the palliative care team so
32:32they're aware as well thank you i'll give you to wiley i don't want it i'm sorry alan please i
32:41don't
32:41want it i'm sorry i don't want it come on please put it back on for me mr gibson please
32:55well i'll speak to dr kill about another dose of throsamide the treatment seems to be working
33:01is um is he on his own you might not think his mom and dad love him will he if
33:09he's on his own up there
33:09the best team are looking after him okay but we do we love him i know i know you do
33:22laura i'm i'm really sorry but i have just got to run through some routine questions with you
33:28um the answer may help us reunite you with your baby zach his name is zach it's a lovely name
33:39okay um do you suffer from any stress at work do you drink or do you smoke i want to
33:48see my baby
33:49i don't have time for this stupid question i should be with him and instead i'm on trial
33:56no you're not we just want to see you and you're not letting us laura i am trying to help
34:00you
34:01well then do your job and take me to my son
34:08can you put your mask on please
34:14i'm sorry i'm sorry about laura
34:22sorry jody come on man what you know what happens when you get too involved with patients
34:35you know i get other people might have the wrong idea of me but i didn't think you'd be one
34:39of them
34:57you know i'm trying to identify them
35:09i'm sorry
35:10Come on, Piotr, mate. Stay with us.
35:54Come on, Piotr.
36:09Get off! Get off!
36:12I'm resisting!
36:15Get off!
36:19I hope we've got you. It's all right. It's all okay.
36:22What are you doing? We need your help.
36:30What was that?
36:37Yes.
36:38Right. Nicole, can you add your 80 of yours now, please?
36:41And let's do a 10-illigram bolus of isosorbite dinitrate.
36:44Yeah.
36:45Why did you call me? I asked you to keep me updated,
36:48and you had your phone on me all afternoon.
36:50Yeah, I did call. You didn't answer.
36:51Yeah, well, this is a simple case of oxygen fluids, okay?
36:53So, from now on, might I suggest you use your medical degree to treat patients,
36:56and not geolingo.
36:57Nicole, how are we doing?
36:59Yeah.
36:59Okay, yeah.
37:00I think we're looking at a possible flash pulmonary edema.
37:03Crepes throughout.
37:05What do you think's causing it?
37:06Dunno.
37:07Okay, Lisa, can we do an urgent x-ray, please?
37:10Let's stop fluids, and we'll repeat the ECG.
37:12And, Nicole, when you're ready, let's do an IV infusion.
37:15We'll do two mils an hour, try treating up against the BP.
37:21So that's a riser?
37:22Yeah.
37:23Yeah.
37:24They are.
37:26Stay with them.
37:26Keep it to a side.
37:27Keep me updated.
37:52Why am I here?
37:54It's okay, Beryl.
37:55Don't be afraid.
37:55We're here to help you, okay?
37:57It's Cam.
37:57Cam, your nurse.
37:58Cam.
38:00Cam.
38:03That's right, I'm Cam.
38:06Cam.
38:08Cam's going to help me.
38:10Yeah.
38:11Let's get you to bed now, okay?
38:13I'll take you back.
38:16Oh.
38:24I've been a doctor who's doing the medicine.
38:26So do the medicine.
38:35There's nothing more we can do.
38:35She's being moved to a side.
38:37Come on.
38:38There's nothing more we can do.
38:38Come on.
38:44There's nothing more we can do.
38:45I can see she's being moved to a side room.
38:46Jack, thank you.
38:47I don't know what we would have done without your help today.
38:56I know, darling.
38:57I know.
38:57Give her some of the strong stuff.
39:00We've given her all the more things we can.
39:02Okay.
39:03Can you pass me a finger?
39:04You've done all right today, son.
39:11Listen, I can call Isaac if you want.
39:14I mean, I'm not really supposed to, but...
39:16It's Henry.
39:18My grandson's Henry.
39:20Eileen's grandson is Isaac.
39:25I'm really sorry.
39:27It's all right.
39:30It's all right.
39:32It's all right.
39:50It's all right.
39:51Look, he wanted to tell...
39:53No, Piotr wanted to tell you.
39:57Lena, he loves you.
40:00Okay?
40:03He loves you.
40:14That was tough, Eileen.
40:16Seriously tough.
40:18You did well.
40:20Keep your chin up.
40:26Can we go?
40:28You need to toughen up your men, Baron.
40:31That lad wouldn't last a day in my unit.
40:34Weaklings like him let the side down.
40:38You know...
40:39I always knew you didn't have it in you.
40:44You didn't want, Jack?
40:48Really, I just don't need a reminder.
41:05Doctor Keogh, can I get a second opinion, please?
41:07Doctor Nash has left.
41:10Yeah, yeah, yeah.
41:10Okay.
41:12Yeah, he's in respiratory distress, isn't he?
41:15Have we all got anaphylaxis?
41:16Yeah.
41:18All of the things normal.
41:19Sats are normal.
41:20Blood's normal?
41:21Yeah, pulmonary oedema.
41:23But the echo shows no heart failure, so we don't know what's causing...
41:26How long have you had that rash?
41:28That must have literally just developed.
41:31That's weird.
41:32I've seen two patients with the same rash today.
41:46Yeah, yeah, come on.
41:50It's chemical.
41:51The rashes are the symptomatic connection.
41:54Patients are reacting adversely to treatment.
41:57It's causing pulmonary oedema, and it's the slow-developing rash around the mouth.
42:00That proves it's chemical, right?
42:02Yeah, yeah, I've seen it before.
42:04Chemical attack in Afghanistan.
42:06Of course it's chemical.
42:07So, we need to isolate each case, locate the source,
42:12because we need to avoid a week like this week again.
42:14Yeah, yeah, listen, I'm going to call St James.
42:15We've got a coordinated response on this.
42:17Oh.
42:19Yeah, what's up?
42:22As my line manager, I have a duty to inform you that Matty...
42:27Matty...
42:29Matty, yeah, yeah, yeah.
42:30He's my son.
42:34Okay, Dylan, I don't...
42:37Whatever, man.
42:38Okay, just let's focus on this.
42:39If you want me to escalate it with HR myself, I'm happy to do that.
42:42Hold on, hold on.
42:43Dylan.
42:46Um, thank you for telling me.
42:49No worries.
42:57Hi, um, sorry, it's, um, Dr. Byron from OBED.
43:02Can you transfer me to your clinical lead, please?
43:04Urgently.
43:09I miss Kim too, you know.
43:12I do, I just wanted to tell you.
43:15Hey, look, I know it's weird, but if you ever want to talk...
43:17About what?
43:18What wisdom could you possibly have to offer me, Matty?
43:21You are a barely competent junior.
43:23You couldn't be left alone with a patient for five minutes.
43:25Yeah, well, maybe you shouldn't have left him with me then.
43:27Oh, grow up!
43:29Really?
43:31Look, I know you're hurting, okay?
43:32I'm hurting too, except I'm not taking it out on everybody else.
43:35Or is that what you're trying to do?
43:36You're trying to push everybody away because you don't want to know the truth?
43:39Hold on a second.
43:40I do want to know the truth, okay?
43:42So don't you dare, don't you dare stand there and psychoanalyse me, okay?
43:45I want to know the truth.
43:46I'm so sick and tired of everyone walking around telling me,
43:48it's not my fault, it's not my fault, she's dead.
43:50Yeah, well, it is, okay?
43:51Yeah, I know that, Matty, okay?
43:53I know I'm guilty.
43:58Yeah, you are guilty.
44:00So am I.
44:11Um, yeah, no, I just, I want to let you know that, um,
44:14it turns out we're not dealing with the virus.
44:17Yeah.
44:19And, and, and, and Sarah, I've, I've thought about it,
44:21and I, um, I want to, I want to be honest with everybody about,
44:24about me and Matty.
44:27Now, I've thought about it and I want this.
44:30It's taken Matty a long time to find his colon.
44:33And I would hate to see him screw it up.
44:35No.
44:36I will take care of him.
44:41I'll keep him on the right path.
44:45You have my word.
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