My name is Stevie...
..and I was Kim's mentor during her rotation in A&E.
I know Kim would have made a brilliant doctor.
The bit I didn't know...
..was that she wouldn't get to be around to hear me say that.
Guys, as you well know, the last three days have been...
..relentless.
The overwhelming rise in patients presenting with
respiratory illnesses has pushed this department to near-collapse...
..and, as such, the Trust's request
for military assistance has been accepted.
An Army aid will arrive tomorrow.
Do we know what we're dealing with yet?
No. No.
The virus remains unidentified.
Two viral swabs have returned inconclusive.
We are waiting on the results of a third. OK, well, we know
it's not flu, and the last time we were facing something like this,
it was Covid, so... Which is why
I think we need to prepare for
the strong possibility that we are
in the early days of a new pandemic.
Half our team's off sick, so...
..have we got enough PPE to protect the ones we've got here?
Tomorrow, I'll be implementing Holby's
Infection, Prevention and Control strategy.
Additional PPE supplies are being delivered,
and visitor access will be restricted.
Guys, I want you to take care of each other, OK?
We may be about to re-enter hell.
You look awful.
Thank you. So do you. Thank you.
Erm, any word on the third swab?
No, nothing yet. Well, that's our best chance of knowing
what's going on. I know, and we've only got one overflow area remaining
as well. Hey, listen, I spoke to Nicole and she said that
you pushed back on her request for support with her OSCEs.
Look, I haven't had time to eat today and you want me
to diarise holding Nicole's hand? OK, OK. When this is over,
maybe mentoring Nicole might be good for you. While I have you here,
can you sign this for me? Yeah.
Kim's death wasn't your fault, Stevie.
Now, I know Wellbeing offered online counselling sessions
and it's been nearly a week since the funeral
and you haven't used any of them.
The very fact you know that means I could report you to HR.
Come on. I'm worried about you.
Don't be. I'm fine.
What?
Who's GI Joe?
That was my CO
when I first joined the Army.
Thank you for this.
Major Byron. Colonel Bard.
You look tired, Flynn.
Well, I had to sleep on my office floor last night, so...
Shall we? Sure.
So Medical Engineering have raised the red flag
over portable oxygen stocks. Yeah, I'm sourcing an alternative
delivery via different transporters. Well, I can ask my lads to help.
It's OK. We can manage.
You know, I've only been here an hour,
but I already know it's the nurses that run this place.
Let me take that.
Thank you very much. Resus, please.
Good to see you, Byron.
Mm.
He's helpful.
INDISTINCT CONVERSATION
Hiya.
Sorry we're late. Parking was...mad.
Hiya, Dyl.
I, um...
I haven't ordered any coffee because I...
I mean... Er...
Don't tell me. Don't tell me. It was milk, no sugar?
Two sugars.
How have you been?
Is what Matty's saying true?
About this pandemic, if that's what this is.
Are we all just sitting ducks,
waiting to catch it?
It's too early to tell.
Well, is it safe?
Is it safe for Matty to work? Mum, come on.
I'm worried for you.
Do you remember how sick your dad got in Covid?
His dad spent a week in intensive care.
We didn't think he was coming home. I'm sorry to hear that. Mm.
Anyway, Mum,
you said you wanted to ask questions if we were going to spend
more time together, you know, so just ask.
You know, maybe I'll get that decaf, after all. OK.
If you go to the orange tent over there, OK? Thank you.
Hi, sir. Will you just go and speak to this gentleman here for me?
Thank you. OK, can you wait here as well, please?
Anyone with a respiratory issue, just wait... I need help!
It's my wife! Please!
She's pregnant!
How many weeks is she? 25? No, no, 26.
She's 26 weeks. Is she having any contractions? No, it's too early.
OK, Rory, on me?
There we go. There we go.
It's the ambulance, it never came. I drove her in myself,
as fast as I could, but... Well, you're doing a brilliant job.
Can I get you to stand over here?
We're going straight in, guys.
I don't have any consultants available.
I've got Dylan coming in in about 20 minutes.
OK. Call him. Call him now.
Being a GP didn't really suit me.
I needed something with a bit more excitement.
When did you last have a drink?
Er, I've been sober for six years.
Mm-hm.
Er, we should...we should probably go, you know.
We're supposed to be on. You can give me ten more minutes.
Actually, I...I have a question.
How...how do you keep a secret like that for 25 years?
It wasn't like it was hard.
Who wants an alky in their baby's life?
Well, you didn't give me a chance. Yeah, but I did. I tried to.
The night I found out I was pregnant,
I went to your flat, but you weren't in,
so I waited...and I waited...
..but then you came back
blind drunk,
with blood down your front. We didn't know if it was your own
or someone else's.
I remember thinking...
..you couldn't be a doctor,
let alone a dad.
I needed to protect my baby from you.
PHONE BUZZES
Sorry, I've got... Yeah.
Hello. Dr Keogh.
Erm, OK, yeah.
Yeah. All right. OK.
Um, I'm sorry, we have to go.
It's an emergency. I barely know anything more than I did before.
Do you have family? Friends?
I mean, what do they think?
I don't have anybody I can talk to about Matty, no.
What does it matter, Mum?
It matters to me.
I won't have anyone be ashamed of you.
No, I'm not ashamed of Matty.
I mean, trust me, this is all about me.
Come on, Mum. Please don't make this any harder.
WHISPERS: Sorry.
All hands on deck today, I'm afraid.
Sorry it's your first shift back.
Hey, no, look, I've had three weeks of doing nothing,
I'm actually happy to be here.
Honest. Right, well, brace yourself.
I'm...very late! I'm late for my rounds!
Sorry, Beryl, love. Are we holding you up?
This one... Well, pop that back on for me.
COUGHING
Could you repeat her obs
and chase bloods if they're not back in an hour? Yeah.
Er, Beryl, I tell you what -
whoever's folded this has done a shoddy job for me.
Could you do it for me properly?
Oh! Thank you.
She used to work here years ago, as a nurse.
She thinks she still does, bless her.
It's the dementia.
Well, why is she in the...? I know, I know.
It's not the best place for her,
but if you keep her busy, she'll be fine.
Now, would you take over Bay D for me? I need to be somewhere.
Mr Gibson, he has lung cancer.
I think the virus is exacerbating his symptoms.
Cam, sure you're going to be OK with all this?
Yeah. Yeah, no, I want to be here.
OK, good lad.
Mask, Beryl, love.
Hi, sir. My name's Cam. I'm going to be your nurse for the rest of today.
How are you feeling?
Fourth time on this corridor.
It's safe to say that I had more fun at my last colonoscopy!
How do you think I'm feeling?
Fair enough. Well, listen, I need to take your bloods. Is that OK?
Yeah, well, get on with it. All right. Yeah, I will.
I'm just going to pop that there.
I've got cancerous cells that move faster than you.
Erm, this man needs a mask.
OK, yeah. This patient is 26 weeks pregnant.
I've had a quick look and the baby's crowning.
Sorry, can you just put that on for me, please?
Coughing, shortness of breath.
Am I all right to give her Entonox?
Dylan? Am I all right to give her Entonox?
No. No Entonox with that cough, no.
What's happening?
We think your baby's coming. What, now?
He's going to be OK, though, isn't he? No, no, no, no.
I tell you what, somebody call Obstetrics.
I just want to speak to Rash.
SHE CRIES OUT
Hi, there. We've got another preterm delivery.
Gestation, 26 weeks.
Yeah, we need the neo-natal resus team.
Another one? Resus 1.
Hey, can you arrange for the neo-natal resus team
to be sent to the ED? I need to speak to Faith and Iain.
Oh, do you have a minute, Doctor?
Er...
No rush.
I'll be with you in a minute, Jessica.
Hey. Hey.
Guys, we're reviewing NICU's visitation.
If the department decides to follow the ED's lead,
there's a chance I may need to ask one of you to leave.
But I'm really hoping it doesn't come to that.
Neither of us are going anywhere.
Iain... Erm, is there any news from the consultant?
It's the same, I'm afraid. There's no change.
With Pearl's prematurity, we need to take each day as it comes. OK.
Look, I'm here on a CESR rotation for the next month,
so if there's anything I can do - anything at all - just let me know.
Thanks, mate. Thank you.
SHE SIGHS
SHE GROANS
Baby's nearly here.
That's it, Laura. Well done.
Keep going. That's it.
That's it. That's it!
Good, good. Well done. Well done. Well done. Well done!
He's here, Laura.
He's beautiful.
OK, so baby's a bit floppy. He's not breathing.
So, let's cut this cord and, er...
Is...is he OK?
Uh, well, he's not breathing at the moment, but we're going to
have him transferred to neo-natal
and they'll try and stabilise him there.
OK, can we deliver the placenta?
But you did great, Laura. OK?
And your baby is in the best hands, I promise.
Dylan,
what is going on with you?
Come on. We need Dr Keogh back in this room now.
Sorry. Sorry, sorry. Um...
Yeah, looks as though his heart's not beating at the moment.
SHE COUGHS We're going to do everything we can
to get him breathing, all right?
Keep taking deep breaths from that, Eileen.
Someone will be with us in a minute.
Hey, Indie, you OK? Hey. Yeah.
This is Eileen, 72, exacerbation of COPD,
with worsening cough and shortness of breath.
Sats on arrival were 80, resps 36.
She's had 5mg of salbutamol,
500mcg of ipratropium
and 100mg of hydrocortisone.
OK, er, thank you.
All right, let's continue with oxygen here, please,
and titrate to saturations of 88-92%.
All right, Eileen, I'm going to leave you with them now. OK?
Don't fuss! I'm not fussing.
I'm not incapable, you know!
I'm just going to put this over you. All right?
Nothing I haven't seen before, Alan.
Eileen?
As glamorous as ever in that gown.
Surprised you can see over here, with those cataracts.
You two know each other?
Yeah, we were both teachers.
Holby High English department.
Oh, we went through the lot!
Long, thankless hours.
All the marking...
Kathryn would be turning in her grave if she found out
you'd turned into such a grumpy old man.
It's all an act.
He was a great teacher.
Any news on the oxygen cylinder re-stock?
Don't know, but they should have left distribution by now.
Your guess is as good as mine.
If we don't receive it soon,
we won't have enough oxygen to treat the corridor patients.
OK, well, how long will stocks last? Well, at the rate we're going...
..two, three hours.
OK, listen, we ration the cylinders until the delivery arrives.
Anybody wants one, they run it past a senior doctor first.
OK? Yeah. No exceptions.
Excuse me. After you.
Hi, Beryl, love.
LOCK BEEPS
So what's the ETA?
Look, I can arrange for a unit to pick up the delivery
if distribution can't organise themselves. That would be amazing.
No, no, no. It's fine. Thank you. I've got it under control.
It's a generous offer. What's going on?
The guy isn't who you think he is. OK?
OK, sir, so we've got your bloods back and it looks like
you've got quite severe anaemia, so we're going to have to do
a transfusion here. Is that all right? That is a trip hazard.
Leave the poor boy alone.
Er, excuse me! Sorry, you can't put him there.
You've got to get me out of here, mate.
Yeah, OK, I understand. I'll be with you shortly.
OK? The matron will be with you shortly.
It's my missus' birthday. I understand. Where's your mask?
Arse over tit, someone is going to go.
I need to clock off soon for my Brian.
OK, shall we get you some sheets?
You were really good at folding the sheets earlier.
Ow!
Are you OK?
I'm so, so sorry.
Did I hurt you? No?
I'm so sorry. What idiot has left that in the middle of a corridor?
I'm so sorry, sir. Sorry, everyone.
Uh, Rida, that's my fault.
Cam? I know. Look, I was excited to be back,
but just Bay D, I, F, they're just...
It's doing my head in, and I don't know what I'm doing.
Why are you calling them by their letters? Just cos they're elderly
doesn't mean you shouldn't learn their names.
I didn't mean it like that. I...
Just treat them like human beings. You might remember a bit better.
My foot is really hurting.
Sorry.
Thank you.
Stevie, this is Piotr, 20s. Resus 2, guys.
Presenting with severe respiratory distress,
shortness of breath and angioedema to his airway.
We've treated as anaphylaxis.
Zadzwon do Leny. Powiedz jej...
Any known allergies for anaphylaxis?
And when did he last have IM adrenaline?
No to the first question, and six minutes ago.
Do you guys know any more about the virus,
about how it's infecting patients? No. Only what you do.
Zadzwon do Leny...
On lift. Ready, steady, lift. Powiedz jej...
Zadzwon do Leny. Powiedz jej... Say that again, mate.
Powiedz jej...
Matty, can you move? OK, can we do primary survey?
I'm going to check your airway, sir, OK?
Yeah, significant swelling of the airway.
Let's do an adrenaline nebuliser
and we'll do another 500mcg of adrenaline IM, please.
He's struggling. Not pushing air properly at all.
Yeah, OK. It's stridor. He's got cord oedema.
Matty, when you can, can you contact the anaesthetist?
He's going to need airway support. Yeah.
Let's get some oxygen on, help you breathe.
Right, OK, this isn't working.
We might need a surgical airway.
Can I get the RSI kit, please, and the difficult airway trolley?
Thank you.
Excuse me, lads. Coming through.
Dylan, Shiv, the results of the third viral swab are back
and they are negative. We aren't dealing with a virus.
How can we know even less than we did this morning?
Well, for now, it's vital that we maintain safety precautions
until we know anything more, OK? Yeah.
I'll give you a shout when I know. Yeah.
Hey, stop messing about. Take that to Bay 7.
He's still deteriorating. I'm struggling to get any air in.
Right, let's get the i-gel out.
What's happening with the lights?
Yeah, OK, he's got severe glottic oedema.
Right, we're not going to be able to intubate. Let's...
Yeah, let's do a cricothyroidotomy.
Scalpel.
Right, bougie.
Agh! Watch out of the way.
Is anybody hurt?
Is anybody hurt? Is everyone OK?
ELECTRICAL CRACKLING
ALARM BLARES
Oh, great. Now the lights decide to go. That's just...
That's perfect. That's... That's really, really helpful.
No. No. More light. More light, Matty. OK?
More light, as in, "I can't see,"
not, "Let's prep for a reflexology session."
Yes? Closer, please.
OK.
OK, let's attach the BVM, please.
There's still some resistance here, like...
Yeah, we've got end-tidal,
but the tube must have gone down the right main bronchus.
So let's move the right-hand side that's moving...
Sats, 85%.
End-tidal is still a bit low.
The wiring must have short-circuited when the cylinder hit it. Yeah.
Well, at least it's just the lights.
Pumps and monitors seem to be working.
Help me test this board.
Move this out of the way.
Her sats are still hovering at 90%.
When can we see him? Please.
But he's OK? He's safe?
Well, as you know, he's with NICU at the moment
and they've managed to get his heart started, which is great,
but I'm afraid the two of you are just too ill
to go up there at the moment. You can't stop us from being with him.
No-one can even tell us what this thing we all have is... OK, no.
But whatever it is, we need to protect him from it, don't we?
Do you have any history of heart problems? Er, no.
OK, I want to repeat the bloods, please.
Can we get a chest X-ray and an ECG as well?
Please, just let me see him.
Please!
And let's cut back on her fluids.
As soon as that X-ray comes, I want to see it, please.
You've got an idea what it is, don't you?
Let me talk to Radiology, OK? I want her top of the list.
JACK: These are the live wires...
GASPING
Are you OK? Yeah. Never better, Byron.
Shall we give it another go? Yeah, let's do it.
ELECTRICAL HUM
CHEERING AND APPLAUSE
Sats are still at 85.
Yeah, I know. OK, give me a bit more light, please.
A bit more than that.
Are you OK?
Yeah, fine.
Come on, come on.
Hey!
OK.
Good. OK. Yeah, numbers are normalising and, uh,
we're adequately oxygenating, so that's good.
Let's complete the RSI checklist, please.
You know, there's always a place for you
at Royal Wyvern's Engineering Corps, if you ever get bored.
Thank you for this.
Seriously, I appreciate it. No worries.
Jack.
Can you still arrange transportation?
Yeah, of course. Leave it with me.
What am I doing here?
You're in hospital.
OK? I'm your nurse. I'm Cam.
Cam. Yeah.
Beryl.
I'm Beryl.
I'm a nurse too.
I know you are, Beryl. I know.
Listen, you were really helping me earlier with the sheets.
Do you remember the bedsheets? You were folding them for me.
Look, they're on the floor now.
If you can help me fold those, that'd be great, Beryl. Yeah?
Thank you so much. I'll be with you soon.
OK? Sorry. Sorry.
OK.
That should be it now with the lights, Mr Gibson.
Ha! Reminds me of the power outages...
..back in the day, when, uh,
when thingy was Prime Minister.
Was that Churchill? The Blitz?
HE LAUGHS, COUGHS
Heath. The '70s.
How old do you think I am? Sorry.
I ran marathons...
..not so long ago.
You're worse than my grandson, Henry.
Not as bad as my grandson, Isaac.
He would rather I was dead.
He does not know I've blown his inheritance
on cigarettes and Pinot.
LAUGHTER, COUGHING
Is she going to be OK?
We're doing everything we can, Mr Gibson. All right? Mate...
What's the doctor playing at?
The doctor's going to be here very soon. OK?
I'll chase him, but until that point, Mr Acker,
I'm going to need you to sit down for us.
OK? It's a busy hospital.
Dylan? Yeah?
Laura Beech's X-ray.
Is that fluid on her lungs?
Er, that's pulmonary oedema.
Let's take her off her fluids and I'll give her some furosemide.
See, it basically means that her heart isn't pumping efficiently.
So that could be due to heart failure,
although that's quite rare in somebody of her age.
Sometimes, it's an abnormal response to treatment.
Exposure to chemicals.
They respond like this, and the rash round her mouth backs that up.
Chemical exposure would explain why the third viral swab was negative.
Yeah, potentially exposed, though.
I mean, there are no other patients presenting this way. Yeah,
but, Dylan, this could be huge.
We've got to tell Siobhan and Flynn.
Well... But she might be an anomaly.
I don't... I don't think it's a pattern yet.
Yet. This isn't a pattern yet, Dylan. Why are we waiting?
Dylan, come on, this is you. You're right about everything.
I'm not, Jodie. Really, I'm not.
I think we wait for more evidence. Jodie, do you ever...
Do you ever think about your dad?
What?!
I try not to think about him.
Some people don't change, Dylan.
Max, he weren't meant to be a dad, so he never will be.
Right, Siobhan... Now's not a good time.
Our patients - maybe all of them - Dylan thinks they might have been
exposed to something like a chemical. Just...
Jodie, with respect, love... One of our patients,
Laura Beech, OK? She's getting worse.
She's not getting better from treatment, she's getting worse,
so we've got to find the source, we've got to change direction.
Stop. We've got to work out why... Stop. Can I just stop you
right there, OK? If Dr Keogh thinks his theory viable,
he should share it with Dr Byron.
And, until then, try staying within your paygrade. Hmm?
Sad-swan...er...do-pony? Pony?
PHONE APP: Sorry. I was unable to detect the language.
Keep me updated on the anaphylaxis patient. OK?
I'm needed off the shop floor. But...
We need to talk. I know. I already know. And I'm fine, I promise.
OK.
OK, Mr Gibson, the transfusion should be finished now, so...
Mr Gibson?
Dr Byron! Yeah? Can I borrow you, please? Are you OK?
Take a look at his oxygen cylinder for me. OK.
It is low, yeah. Yeah. OK, I think it's
a transfusion-associated circulatory overload.
Let's stop the transfusion.
Jano, can you give this gentleman... Flynn.
Yeah, sorry. ..intravenous diuretic, please?
Hopefully, that'll calm him down.
Don't give him any more blood. Get another oxygen cylinder.
Yeah? Flynn, her blood gas shows CO2 at 14 and a pH level of 7.24.
Yeah. She's got a respiratory acidosis. Not now, Beryl.
Tachycardic and hypercapnic, with hypoxia.
It's type 2 respiratory failure. Beryl...
Can you get her on 2L oxygen, please? Yeah, absolutely.
Go back to bed please, Beryl. Cam?
Cam, can you make it two cylinders, please? Two. OK.
Yeah, excuse me. Thank you. Sorry.
LOCK BEEPS
I don't know where my charts have gone.
I'll be right back, Beryl. OK?
Someone's taken my charts!
It's been hours now, mate. OK. Please bear with me, OK?
Byron, there was a delay releasing the vehicle from the barracks.
Delivery's another 20 minutes away.
Look, if you'd accepted my help in the first place,
it would have been here by now.
Just one? Don't tell me that's all we've got.
It was the last one. OK, guys, with me, please.
OK, we've got one oxygen canister and two patients that need it.
We can't just magic up a cubicle, so we need to decide which one.
Advocate for your patients. Er, Mrs Parish's prognosis
might be terminal, but she needs her oxygen.
Her Respect form shows she doesn't want ITU care or intubation,
which she would probably end up on.
Mr Gibson's prognosis is better.
Yeah, I agree.
Mr Gibson would benefit more.
Can we reach a consensus on this?
Shiv, we don't have a lot of time.
OK. OK, Cam's right. OK. Give the oxygen canister to Mr Gibson.
Let's run Mrs Parish's neb on air for now.
She gets a cylinder the second the re-supply arrives, OK? Yeah.
Seriously? I mean, you only need to look at the woman to know
she needs the oxygen more than him. OK, Jack, I appreciate
your help today, but we are the medics,
so why don't you let us do our job? Thank you.
Shiv, I think we need to consider full palliation here.
Can we call next of kin to discuss?
In the meantime, let's keep her as comfortable as we can
and call the palliative care team, so they're aware as well. Thank you.
Give it to Eileen. I don't want it.
I'm sorry, Alan.
Please! I don't want it! I'm sorry.
I don't want it! Hey, come on. Come on.
Please, put it back on for me. Mr Gibson, please.
HE COUGHS
That's it. Deep breaths for me.
That's it.
I'll speak to Dr Keogh about another dose of furosemide.
The treatment seems to be working.
Is, um...
Is he on his own?
He might not think his mum and dad love him, will he?
If he's on his own up there.
The best team are looking after him, OK?
But we do.
We love him. I know.
I know you do.
Laura, I'm really sorry,
but I have just got to run through some routine questions with you.
The answer may help us reunite you with your baby. Zac.
His name is Zac. That's a lovely name.
OK.
Do you suffer from any stress at work?
Do you drink, or do you smoke?
I want to see my baby.
I don't have time for these stupid questions...
COUGHING
I should be with him and, instead, I'm on trial. No, you're not.
We just want to see him. And you're not letting us.
Laura, I am trying to help you.
Well, then, do your job and take me to my son!
Can you put your mask on, please?
I'm sorry. I'm sorry.
About Laura. It's fine.
Jodie. Yeah?
Come on, man! What?
You know what happens when you get too involved with patients.
You know, I get other people might have the wrong idea of me,
but I didn't think you'd be one of them.
Zadz, er...won...
Zadzwon do Leny.
PHONE APP: Call Lena.
Zadzwon do Leny...
Powiedz...jej?
PHONE APP: Call Lena. Tell her.
Powiedz jej... Powiedz jej...
Powiedz jej...ze ja kocham.
PHONE APP: Tell her I love her.
EQUIPMENT ALARM RINGS
Come on, Piotr, mate. Stay with us.
PHONE BUZZES
He's taken them!
Give my charts back.
I can't do my rounds without them!
Give my charts back!
I need them back! Shut it! Shut it!
Shut up about your rounds!
Give my charts back!
I need them back! Shut up!
GASPING
Hey! Hey!
Get off! Get off!
Get him out of here! Get off!
Stop resisting.
Get off!
Get him out of here!
Get off! We've got you.
It's all right. It's OK.
What are you doing? We need your help.
What are the sats?
Right, Nicole, can you draw 80 of furosemide, please?
And let's do a 10mg bolus of isosorbide dinitrate.
Yeah. Why didn't you call me?
I asked you to keep me updated, and you've had your phone on you
all afternoon. Yeah, I did call. You didn't answer.
Yeah, well, this was a simple case of oxygen and fluids, OK?
So from now on, might I suggest you use your medical degree
to treat patients and not Duolingo?
Nicole, how are we doing? Yeah.
OK, yeah, I think we're looking at a possible flash pulmonary oedema.
Creps throughout.
What do you think's causing it?
Don't know. OK, Lisa,
can we do an urgent X-ray, please?
Let's stop fluids and we'll repeat the ECG.
And, Nicole, when you're ready, let's do an IV infusion.
We'll do 2ml/hour, titrating up against the BP.
Sats are rising. Yeah.
Yeah, they are.
Stay with him, keep a close eye, keep me updated.
W-Why am I here?
It's OK, Beryl. Don't be afraid. We're here to help you.
OK? It's Cam. I'm your nurse. Cam...
Cam.
That's right. I'm Cam.
Cam.
Cam's going to help me. Yeah.
Let's get you to bed now. OK? I'll take you back.
Mm.
COUGHING
ECHOING: Part of being a doctor is doing the medicine,
so do the medicine!
There's nothing more we can do. She's being moved to a side room.
Jack, thank you.
I don't know what we'd have done without your help today.
Make the pain go away! I know, Beryl. I know.
Give her some of the strong stuff.
We've given her all the morphine we can.
OK, can you pass me your finger?
You've done all right today, son.
Thank you. Mm.
Listen, I can call Isaac for you,
if you want. I mean, I'm not really
supposed to, but... It's Henry.
My grandson's Henry.
Eileen's grandson is Isaac.
I'm really sorry. It's all right.
It's all right.
Er, yeah, he's very unwell.
Unwe...
Sick?
Yes! Yes. Sick.
Look, he wanted to tell you...
No, Piotr wanted to tell you...
Lena, he loves you.
OK?
He loves you.
That was tough, earlier.
Seriously tough. You did well.
Keep your chin up.
Is Cam OK?
You need to toughen up your men, Byron.
That lad wouldn't last a day in my unit.
Weak links like him let the side down.
You know, I always knew you didn't have it in you.
To do what, Jack?
Real leaders don't need a reminder.
Dr Keogh, can I get a second opinion, please? Dr Nash has left.
Yeah, yeah, yeah. OK.
Yeah, he's in respiratory distress, isn't he?
Have we ruled out anaphylaxis? Yeah.
All other things normal, sats are normal, bloods normal?
Yeah, pulmonary oedema, but the echo shows no heart failure,
so we don't know what's causing... How long has he had that rash?
Er, that must have literally just developed.
That's weird. I've seen two patients with the same rash today.
KNOCK ON DOOR
Yeah, yeah. Come in.
It's chemical.
The rashes are the symptomatic connection.
Patients are reacting adversely to treatment.
It's causing pulmonary oedema,
and it's the slow-developing rash round the mouth.
That proves it's chemical, right?
Yeah, yeah. I've seen it before.
A chemical attack in Afghanistan.
Of course it's chemical!
So we need to isolate each case, locate the source,
because we need to avoid a week like this week again.
Yeah, yeah. Listen, I'm going to call St James', we've got to
co-ordinate a response from this. Oh...
Yeah, what's up? Oh, erm, so as my line manager,
I have a duty to inform you that Matty,
Matthew Linlaker, Matty... Matty, yeah, yeah, yeah.
He's my son.
OK, Dylan, I don't...
Whatever, man. OK, just...let's focus on this.
If you want me to escalate it with HR myself, I'm happy to do that.
Hold on. Hold on. Dylan...
..um, thank you for telling me. No worries.
Hi. Erm, sorry... It's Dr Byron, from Holby ED.
Can you transfer me to your clinical lead, please? Urgently. Thank you.
I miss Kim too, you know.
I do. I just wanted to tell you.
Hey, look, I know it's weird,
but if you ever want to talk... About what?
What wisdom could you possibly have to offer me, Matty?
You are a barely competent junior,
who couldn't be left alone with a patient for five minutes.
Yeah, well, maybe you shouldn't have left him with me, then. Oh, grow up!
Really? Look, I know you're hurting, OK?
I'm hurting too, except I'm not taking it out on everybody else.
Or is that what you're trying to do?
You're trying to push everybody away, cos you don't want to know
the truth? Hold on a second. I do want to know the truth, OK?
So don't you dare...don't you dare stand there
and psychoanalyse me, OK? I want to know the truth.
I'm so sick and tired of everyone walking round, telling me
it's not my fault, it's not my fault she's dead. Yeah, well, it is,
OK? Yeah, I know that, Matty! OK?! I know I'm guilty!
Yeah, you are guilty...
..and so am I.
Uh, yeah, no, I just wanted to let you know that it turns out
we're not dealing with a virus.
Yeah... And, Sarah, I've thought about it and I, um,
I want to be honest with everybody about...about me and Matty.
I've thought about it and I want this.
It's taken Matty a long time to find his calling
and I would hate to see him screw it up. Yeah.
I will take care of him.
I'll keep him on the right path.
You have my word.