Harvest Festival Casualty

-Thanks, Louise. That's very kind of you.

-Hold on, is it today?

Yeah. Come on. This'll fit.

-Any for me, Tess?

-Breakfast meeting with Zoe, sorry.

-You look smart.

-Management meeting.

Hold on, you not coming out?

-No.

-Listen, I can wait.

I'm not in a hurry. I'll go out when you're on.

-Chicken.

-Right, come on, then, me old son.

We got a shout.

Now?

-Cluck! Buck-buck-buck...

-Come on.

Buck-buck-buck...

-Right. I'll wave you off.

-Enjoy the ride.

Cluck! Buck-buck-buck!

-Meal deal?

-Yeah. Lovely.

-What do you fancy?

PHONE RINGS

Anything. Whatever.

Come on...

-What is it?

-It's Tess. I'm meant to be in a meeting with her now.

Well, go and phone her. I'll get this.

-Are you sure?

-Yeah.

OK, well, I'll have...

Rrgh!

I'll have salad...

vitamins, and would you get me some cigarettes, please?

-The Dr Hanna Diet!

-Oh, give me a break.

Are you all right?

No. I need to get organised, Linda. I mean, if this was Nick,

he'd be there, clearing his desk, doing his e-mails...

Don't be so hard on yourself. Zoe, watch out!

Simon! Can you hear me?

-He'll need a stitch there.

-Can you call an ambulance?

We're from Holby City. As quick as you can!

Well, at least I've got my excuse for Tess now.

Check the heat of the water and the speed of the rods one more time.

OK.

-It's looking good, isn't it?

-Yeah, it's looking good.

RADIO PLAYS

PHONE RINGS

Hi.

-Where are you?

-We're still at home.

-What?!

-'Well, he's not well.'

I can't send him to school like this.

Please! I'll miss everything.

They're here.

I really want to take him back to the doctor's.

Jenny. This is the make or break one!

-I'm not feeling too good myself.

-You've got to be here.

'We're a team.'

Look, I've filed everything.

-'It's all there. You'll be fine with it.'

-I'm a farmer.

'You're the one with the degree.'

I can't take them through the paperwork, you know I can't!

SIREN WAILS

# Oh, you'll never get to heaven

# With Dr Zoe Hanna,

# Cos the Lord, he don't like her bedside manner! #

No, you are funny, Jeff, really!

Ah! Aagh!

I need the toilet.

-It's all right, we'll be there soon.

-Please. I've got to go.

OK. Noel, Top locker. There should be a bedpan.

No, that's a maternity pack. Other one.

-No way. Not in here.

-Thank you.

OK, I'm going to slip this underneath you, OK?

No way, man. No way!

Don't worry. You're not the first and you'll not be the last.

Yeah, we'll get you sorted now we're at hospital, OK?

It's no big deal, seriously.

We need to get a drip in him as soon as we can, he's very dehydrated.

-All right.

-OK, son?

Yeah. Yeah, just...erm, not what I was expecting, that's all.

Nah. Happens to us all the time.

I understand your concerns but supply can only increase.

We're at the beginning. We're bound to come up against obstacles.

Let me just find the, er...

Morning!

Jenny!

I'd like to introduce you to Jenny,

my co-partner in the business

and my wife.

Ted Grove, director of Smithfields Supermarkets,

-Lee Tile...

-Hi.

-Nice to meet you.

-And of course you know Finn.

-Hi, Finn. I'm so sorry I'm late.

Let's dive straight in.

I'll take you through the figures for the last quarter. Here you go.

-Would anyone like tea? Coffee?

-Er, tea.

-Coffee, please.

-Tea, please, Jenny.

Brilliant. Thank you.

What did you do with Bobby?

Oh, don't worry, he's fine.

Some biscuits?

CHOIR: # We plough the fields and scatter

# The good seeds on the land

# But it is fed and watered By God's almighty hand

# He sends the snow in winter... #

Bobby should be here. It's not fair.

# The breezes and the sunshine And soft refreshing rain... #

-BOBBY:

-# We plough the fields and scatter

# The good seed on the land

# But it is fed and watered

# By God's almighty hand

# He sends the snow in winter

# The warmth to swell the grain

# The breezes and the sunshine and soft... #

Right. I'll get these copied and sent over to you,

-so we're all on the same page.

-Thank you.

Ready for a quick look around the plant?

Linda will sort you out with some protective clothing.

-Thank you.

-OK, thank you, Rob.

It's going to be tough to hit that deadline.

Ah, don't worry,

I've still got one or two old farmer's tricks up my sleeve.

Oh? I bet you do.

Bobby?

Bobby?!

# We plough the fields and scatter

# The good seed on the land

# But it is fed and watered By God's almighty hand

# He sends the snow in winter

# The...warmth to swell the grain

-# The breezes and the sunshine... #

-Bobby? What are you doing?

I'm helping.

Out. Get away from there now.

-Bobby!

-I'm stuck! Help!

What are you playing at?

I'm stuck!

Help! Help! Help!

-Oh!

-Ow! Help!

-Someone stop it!

-Ow! Get me out!

-Come on.

-It hurts!

-Bobby?

-Switch it off.

-Help!

-Come on!

-Bobby!

-Switch it off!

Somebody press the emergency button!

-It hurts!

-Don't you ever, ever,

ever do that again!

-It hurts!

-You silly boy!

Ow! Ow! Ow!

I'll put these in the wash for you.

Hello, Simon. How are we doing?

-Sorry about this morning, Tess.

-No worries. We can catch up later.

Right, he's got abdominal tenderness, temperature 39. Erm...

Could be an underlying infection.

Simon, do you mind if I have a feel of your stomach?

Thanks.

OK.

Have you been feeling any nausea?

Vomiting?

-Oh, and his ankles are very swollen.

-OK.

-Have you had any diarrhoea before today?

-No.

-Any tummy bugs at all?

-No.

OK, let's get Us and Es,

full blood count, glucose,

-a stool sample and an abdo CT.

-Do you know how long that'll take?

-Not long.

-I need to get out of here.

We just need to work out if there's any on-going reason

why you fainted like this morning.

You apply it when you need it, all right?

-Let's get a wiggle on!

-It's non-stop, Jeff.

I'll catch up with you as soon as I can.

Dad! Daddy!

-Dad! Dad!

-Ssh!

Raggy! Raggy! Raggy!

Can we stop?!

-What's up?

-I need his comforter.

I think I dropped it on the factory floor when I fainted.

Right, you wait here.

I'll go and get it for you, OK? Don't worry.

BOBBY SOBS

Hey.

Nice outfit.

It's harvest festival today at school.

I'm missing it.

Harvest Festival? Do you sing the vegetable song?

Cauliflowers fluffy?

# And cabbages green!

# Strawberries are sweeter

# Than ever I've seen

-ALL:

-# Beetroot purple, onions white

# All grow steadily, day and night

# The apples are ripe And the plums are red

CHOIR: # Broad beans are sleeping In their blankety bed. #

# Blackberries juicy and rhubarb sour

# Marrows fattening hour by hour

# Gooseberries hairy and lettuces fat

# Radishes round and runner beans flat.

# The apples are ripe and the plums are red

# The broad beans are sleeping in their blankety beds. Ssh! #

Harvest Festival is a time to celebrate.

It is a time to be thankful.

Year One have all thought of things we are thankful for.

I am thankful for my dad.

He is my best friend.

He looks after me and I look after him.

Dad? Are you...?

Tolly?

Tolly.

This is Bobby. He's been off school for a couple of days with a bug

and then he got his fingers trapped at his dad's carrot plant

-so we've given him a bit of Entonox for the pain.

-OK.

Straight through to cubicles.

This is his mum, she's eight months pregnant.

She fainted earlier and lost consciousness for a few seconds.

-That was just the shock.

-Also had abdominal pains.

-It might be early signs of labour.

-No, I've just got Bobby's bug.

OK, Lloyd, I'm going to take the mum for an ultrasound.

Will you look at Bobby's fingers please?

Hey, let's not let Raggy get away again, eh? Bobby?

-Zoe!

-Yeah.

Something's not right.

OK, change of plan. Let's get him into Paeds.

OK, he seems tachycardic and dehydrated.

I want 500 mls of saline, LFTs, Us and Es,

-glucose and a full blood count.

-OK.

-What's happening?

-Did Bobby hit his head when he fell?

Well, I... I don't think so. He might have done.

I'm not sure. I passed out. I didn't see.

-OK, I want to ask you a few questions when you're ready, OK?

-OK.

Tachycardic. BP is 90 over 60.

OK, we've got a very distended abdomen.

Rob? I need you at the hospital, as soon as you can.

Yeah, high temperature.

Guarding, rebound tenderness.

-Appendicitis?

-Yeah, it could be.

OK, let's have an abdo CT as well as the CT head.

You said that Bobby's been poorly for the last few days?

Yeah, er...just a tummy bug.

I took him to the GP but he wasn't that concerned.

OK. Has he been eating and drinking?

He's been off his food. I've been trying to get him to drink, but...

I can't remember.

The last time I know he had a drink was yesterday before he went to bed

and that was just a sip of water.

Did the GP run any tests?

Erm... He did a stool and a urine test.

We're just waiting for the results.

Right, well, they'll be here in our labs.

I'll go and chase them up, yeah?

-Lloyd, keep up with the fluids.

-OK.

Come on! Mind these doors! This is our new crop of junior doctors!

Jeff! What's going on?

Harvest Festival comes to hospital!

These kids are at the same school as Bobby in Resus.

Can you keep them together in cubicle two, please, Linda!

It's tough out there.

These are the nursery slopes, my old son! Wait until we hit a black run.

OK, not Resus.

Right, this is little Tolly, collapsed during a school assembly.

BP's been 120, systolic throughout and GCS has been 14.

And now he is a little bit floppy and uncommunicative.

Are you his mum?

Head teacher, Ann Dove.

Dad's phone is not responding so I'm with Tolly until he gets here.

-OK. Straight through.

-Hello, I'm Dr Hanna, the clinical lead here.

Can you tell me what symptoms the kids have had?

Nothing that worrying. Slight temperature, vomiting, diarrhoea.

There's a bug going around.

-And we've had a lot of absences. Can I...?

-Yeah, go ahead.

Tom, Fletch,

Us and Es, full blood counts,

glucose and stool samples, off all of them, yeah?

OK. Harvest Festival, follow me!

Come on, kids. Come on!

Louise? Can you get in touch with Paeds,

let them know what's going on here?

And call the lab, ask for the results for Bobby Arkwright's cultures.

I need them ASAP.

-They'll get that information via the GP.

-So what are we thinking?

It's got to be some kind of infectious diarrhoea.

I'd better inform the local Health Protection Unit.

Aren't you jumping the gun?

No. Jeff said the kids are from the same school as Bobby in Resus.

There's clearly a pattern.

-It's got to be some kind of outbreak.

-What about Simon King?

He's not connected to the school and he's got the same symptoms.

You're absolutely right.

I don't know.

-The paste I put on means it's not going to hurt you.

-No!

Come on, Tolly. It's just a needle.

It's going to make you feel so much better. Promise.

OK... We've got a choice here.

He needs fluids, and soon

so either we can give him some gas and air to calm him down.

Failing that, we sedate him.

Well, let's try gas and air.

But I don't know if I can persuade him to take it.

OK, Tolly, how about we play a game?

All right? Now, it's going to make your pain go away

and make everything a lot less scary.

Now, I want you to take this, and I want you to take a big deep breath

and I want you to imagine that you're a big deep sea diver.

OK? All right.

Come on, you can do it.

Come on, mate.

Go on...

Deep sea diver. In your mouth. OK?

And breathe in.

-That's it. Breathe out. One more.

-It might make him a bit giggly.

That's it. There, you're a natural.

Green like seaweed.

Actually, I'm a vegetable.

-What vegetable is that?

-My dad's favourite vegetable.

What's that, then? A bean?

No. A lettuce, of course!

What's "of course" about a lettuce?

Because a lettuce has negative calories.

I didn't know that.

He hurt his fingers. How did he end up like this?

-Mr Arkwright?

-Yeah.

-It's OK.

We're trying to figure out that.

Your son came in with an injured hand.

-Yes, I know. I don't understand how...

-He collapsed.

That's what we're trying to investigate.

We thought at first it might be appendicitis,

-or maybe fine bleeding in the skull.

-The scan ruled both of those out.

Those kids outside. They're from Bobby's school, his class.

It's that tummy bug Bobby's got. One of them collapsed.

Um, Lloyd, could you phone the labs, please,

and chase up those culture results?

I knew I should have taken him back to the GP.

These cultures.

You think this could be some kind of serious bacteria, don't you, Doctor?

Um...er...

At the moment, it would be pointless to speculate.

That's what it is though, isn't it?

We don't want to jump to any conclusions yet.

I'm a farmer. I distribute to supermarkets. This is my world.

You can talk to me straight.

I can't confirm anything until we get the results back.

But you do think this could be an infectious bacteria, don't you?

It's an E coli. It's VTEC 0157.

We've got confirmation on a set of cultures from Bobby Arkwright.

-These kids are from the same school.

-We think it's linked to the source

of the outbreak so we're informing the headmistress.

Parental and public panic is as infectious and difficult to manage

as any bacteria, so let's try and keep this as low key as possible?

I don't want to have to close the department down over this.

OK, so we're going to start strict barrier nursing.

I want to keep them in cubicles one to six.

-I'll alert the team and get Infection Control in.

-Do you want me to head that up?

-Yes. Thank you.

-Great.

Linda, would you chase up Simon King's results?

-That incident in the ambulance could be E coli related, so medicate accordingly.

-OK.

And, Louise? Could you give this to Dylan?

He's in resus with Bobby. It'll have an impact on his treatment.

I'm going to get on to the CCDC at the HPU

and let them start investigating. OK, thank you.

-I've got his blood test results here.

-Thank you.

Can we know what's happening, please?

Can we catheterise please?

Erm, your son is very severely dehydrated.

The fluids we're trying to push through

aren't doing their job properly so I want to measure his urine output

so we can test his kidney function.

I've got the results from the lab cultures from Bobby's GP visit.

Ah. Thank you.

-What?

-OK, can we get somebody from Paeds down here?

-And call Paediatric Intensive Care.

-Can I see those, please?

Can you ask Dr Hanna to step in here, please?

I knew it! When were you going to tell us?

-I've only just found out myself.

-Yeah, but...you knew. You guessed.

I have to medicate based on fact, not conjecture.

What is it? Will you tell me?!

It's E coli! My wife is eight months pregnant.

As far as I know, E coli should have no negative implications for mother or baby.

Are you going to tell the other parents out there

or are you going to leave them in the dark too?

We will be doing everything we can

as swiftly as we can, according to strict guidelines

we have in place for dealing with situations like this.

Bobby? Bobby?

Draw up some lorazepam, please!

What's happening to him?

Get Zoe in here now!

Look. I understand what you're saying

but it's impossible to keep such information from patients,

especially when you're diagnosing.

No...

No, hang on!

She's on the phone to the local HPU.

Yes, I understand you need some more time

but we need someone here to speak to the patients!

Fine! Fine. We'll just have to do our best, won't we?

-Dr Hanna?

-Not now. Listen to this. They're running tests on the school.

They say it's too early to confirm it as an outbreak, they need more time.

-It's a school community. They talk to each other anyway.

-Exactly!

Dr Hanna? You're needed in Resus urgently. It's Bobby.

What?

-Dylan?

-We've just stopped him fitting. He's in renal failure.

He may need dialysis. Have you called ITU?

-BP's 100 over 60, he's tachycardic.

-I don't understand. He was fine!

This is Bobby Arkwright. He's VTEC 0157.

I thought E coli was just bad diahorrea.

-I think we're looking at Haemolytic Uremic Syndrome.

-Is that serious?

It's severe food poisoning. People die from it.

Oh! OK. All right.

-There you go.

-Can we get a deep clean over here immediately?

I'd appreciate you taking a look.

Yeah, thanks.

All the results point to E coli.

But I don't understand why his immune system's not fighting it.

Maybe there's some underlying problem.

Great(!) Gone walkabout with an infectious bacteria.

If we'd known there was E coli about

we would have pushed the GP for a diagnosis.

Don't blame yourself. It's nobody's fault, is it?

It is someone's fault. The public need to know.

We should go to the press, Doctor.

That would be a very bad idea. It'd be scaremongering.

It never helps. OK, OK.

Would you speak on our behalf, to the press?

We've already spoken to the local HPU and they'd like us to contain the information within the hospital

just until they can confirm where the outbreak is coming from.

It's coming from the school, it's obvious!

Why don't you go with your son? You'll need to leave your apron.

Your duty of care is to the public, not the health authorities, isn't it?

Get your priorities right.

He's angry and he's informed. You need to watch him.

I see his point though.

So, we're doctors, we're not politicians.

We've informed the relevant authorities and that's where we leave it.

-TANNOY:

-Could Simon King please come to the barrier nursing zone?

Simon King, please come to the barrier nursing zone.

-Where's he gone?

-Don't know.

He can't have gone far, he's still in his gown.

Rob? How is he? What did they say?

-It's E coli.

-CROWD:

-E coli?

Haemolytic-uremic syndrome. His kidneys are failing. Look. It could happen to your kids.

This is what happens with E coli. Ask the doctor.

They're keeping information from you.

-RAISED VOICES

-Excuse me, Dr Hanna?

THEY ALL SPEAK AT ONCE

I understand that you're all worried about your children, I do,

but please let me reassure you that it is

extremely rare for E coli to develop

into the more serious haemolytic-uremic syndrome.

-Is it life-threatening?

-It has with Bobby.

We're working hand-in-hand with the Health Protection Unit

at the moment to find out exactly where the source of the outbreak is.

We need to know.

I know, I know, and I understand this is difficult.

You know, don't wear this aprons outside of the zone.

The bacteria is extremely infectious, it can spread it.

So, stick to the regulations, for the safety of your children

and for the rest of the hospital. Thank you.

STEADY RHYTHMIC BEEPING

So go on then. How am I doing?

You're definitely not well!

Doctor Tolly?

Can you be the first person to put your name to this?

-We're all signing it for Bobby.

-Well, looks like most of our reception.

Mmm. We went on a trip to Bobby's father's carrot farm.

-Didn't we, Tolly?

-Great, actually. Really informative.

Good.

What's up mate? Oh, you need the toilet?

-Maybe we could use the big one.

-Sure.

OK, right, off you get.

Got your slippers. There's one, there's two and off we go.

Round we go.

-And I'll just be outside, all right?

-Yeah.

-Dad! Dad! Dad!

-Can I have some help in here?

Now, listen to me. I want you to stand there, all right? Stay there. Mac!

-Can you get him out of here? It's his son.

-OK, there's a good boy.

GURGLES AND GASPS

What's going on?

-Right, we need to get him up.

-All right. Ready, one, two, three.

-All right.

-Yeah.

You'll have to go again.

-HE RETCHES AND GASPS

-That's it.

-All right. OK.

-OK, try and relax, just breathe.

Thanks. Airway's clear. OK.

-Give them up, before you give up.

-I'm not in the mood.

If it happened to Big Mac, it could happen to you.

CRUNCH OF GEARS

ERRATIC REVVING

What the hell do you think you're doing!? Are you mad?

Oh! I'm so sorry, erm. Is this parking?

Only we're looking for the hospital. My wife's a bit under the weather.

OK, you've had a nasty shock. Just stay in the car, OK?

-Jeff!?

-Aggie?

-Can I have some help over here please?

Hang in there Aggie, we're here now. We're here.

Stay calm, I work here at the hospital.

-You all right, mate? What's her name?

-Agnes.

Agnes? Can you hear me? Can you hear me?

Squeeze my hand if you can. That's a good girl.

Does it hurt? Yeah, where does it hurt?

-OK, how long's she been like this?

-This morning.

Here.

It's-it's all right, darling, I've got it if we need it.

-Shall we get her in?

-Yeah.

All right, princess, we're going to move you now, OK? Nice and slowly.

You've done really well getting her here.

Thanks, Jeff.

SATS are 97, she's tachycardic.

OK. I want a full blood count, Us and Es, LFTs, glucose,

C-reactive protein, a urine dipstick and a MSU.

She's very dehydrated, Lloyd, so make sure you run a bag of fluids in.

Agnes, can you tell me when you last had something to drink?

No? OK. Mr Hearn, can you tell me the last time your wife had something to drink?

Oh. Well, I-I don't know about drinking but she's been off her food ever since the party.

Erm, what party was that?

Oh, we celebrated our 60th wedding anniversary last week.

Congratulations. 60, that's diamond, isn't it?

-MUTTERS: Yeah.

-Absolutely no idea how you do it.

You just, what, managed to paper, didn't you?

Ha(!) At least I tied the knot.

Agnes, I'm going to feel your belly. You will feel a little pressure.

-Oh.

-Yes, it's tender. Very, very hot.

OK, Mr Hearn?

Has your wife been having any problems

-with her bowel movements recently?

-Um, a bit of a funny tummy.

Any blood in the stool?

The reason we ask this is because Agnes's tummy

is very swollen and painful and we just want to find out if

there's any infection, has she been passing any blood?

Well, she hasn't mentioned anything like that, no.

-SHE GASPS

-Hmm? My darling.

SHE WHISPERS

Oh, Aggie. You should have told me.

-Is there anything your wife would like us to know?

-She has been passing blood.

OK. Thank you Agnes. That's really important that you tell us that.

Can you tell me how many days has this been going on for?

Three days? Yeah?

Looks like more of the same, doesn't it?

Yeah but it means that it's not just isolated to the school.

-I'll have to call the HPU again. Great(!) Lloyd?

-Mmm?

-Could you call ITU, please?

-Yeah.

Mr Hearn, we're going to get the surgical team down here

to assess Agnes and they'll be able to monitor her more carefully.

Give her the specialist treatment she needs.

Oh, isn't that marvellous, Agnes?

-(Thank you.)

-Thank you so much, Nurse.

Actually, I'm a doctor. In fact I'm a consultant here.

Oh! Congratulations, I'm so sorry.

You know in our day we rarely saw a lady doctor let alone a consultant.

Don't worry. It's not a problem.

Don't.

Can we get her into a gown, please?

I'd like to run a few more tests. You've obviously caught the E coli bacteria off your son.

No, he didn't. I caught it off him.

He's had it for a long, long time.

What's he had for a long, long time, Tolly?

-His sick bug.

-What are you talking about?

Go on, Tolly. Go on. It'll help me help Dad.

After supper he always goes to the loo.

Too much information!

And then he's sick. I stand by the door and I hear him.

Inappropriate.

But true?

HE SOBS

I'm sorry, dude.

Will we be seeing you again, Doctor?

Oh, um... ITU have their own team.

I mean, I have been known to check up on a patient on occasion but...

in this case, not unless I was specifically asked for.

In that case I'd just like to thank you. Thank you for everything you've done.

-She's arrested.

-OK.

Oh, w-what's happening?

-Get the defib.

-She's gone into cardiac arrest.

-Oh!

We'll do everything we can to bring her back, OK?

OK. Lloyd? Take one of those please.

-Stand back.

-Everybody away.

No, I need to ask you to stand back there while we resuscitate.

-No. Please, Doctor!

-Oxygen away. Everyone away.

-Mr Hearn.

She's DNR!

OK. Continue CPR.

-Do you have the documents?

-Err, yes.

-Right, I need to see them.

-I'm her husband. We've been married for 60 years. I know my wife!

-Yeah, I need to see the documentation,

-otherwise we have to continue.

-They're in the car.

-All right. I'll go with you.

-You can't, you're not senior enough. I'll go.

-OK, Zoe, continue, please.

-Yeah, OK. Let's carry on from where we were.

-In the glove compartment.

-OK.

OK, just one sec, one sec.

Yeah, Zoe, it's all here.

We had to shock her again, Dylan. She's back.

Right, OK. Erm... Well, what do we do now? I don't really know.

Well, she hasn't regained consciousness. She's intubated.

-She's going up to ITU.

-OK, thanks.

HANGS UP

Has she gone?

Oh, no, no, no, no, no, no. No, she's still with us.

How is she?

They're taking her up to Intensive Care.

-She's unconscious at the moment.

-Oh.

-OK?

-Yeah.

-Shall we...shall we go back?

-Yes, yes.

How are you? What did they say?

Everything's fine.

How's Bobby?

They're putting him on dialysis and keeping him in Intensive Care.

TEXT MESSAGE ALERT TONE

Back in a sec.

Where are you going? What are you doing, Rob?

Come with me. The press are downstairs.

What, you're not going to talk to them?

People need to know what's happened. People need to be informed.

You called them, didn't you? I do not want Bobby to be news.

He needs us here by his side, not selling his story.

I'm not selling his story! What do you take me for!?

Stay here with us. Please.

OK, Tess, how are these two getting on?

Much better. Rehydrated, improving.

Good, thanks. Tom? Can you fill me in on these?

Zoe? He throws up after dinner.

Loves lettuce for its negative calories.

Fluid retention, mouth ulcers and eroded tooth enamel.

-Bulimia?

-Yeah.

-Ah.

-He's severely weakened his system.

Catching the E coli from his son was the tipping point.

I'll try and persuade him to see a clinic, get some support.

-Great, keep me posted, yeah?

-OK.

Mr Hearn? Are you all right?

-Oh. I'm a bit out of my depth actually, Doctor.

-Oh.

Ah, Mr Hearn. I think maybe if you stepped her into Resus,

I'm afraid your wife's arrested, again.

-Why don't you go and sit with her?

-OK. Yeah.

Never let the sun go down on an argument.

That's the answer to your question.

We never let the sun go down on an argument.

OK, they've removed the breathing tube now

so it should be...fairly quick.

She shouldn't be in any distress but she will know that you're here. OK?

-I'll call ICU and let them know we won't be needing a bed.

-Yeah.

SLOW STEADY BEEPING

Hello, darling.

It's Ray here.

I've come to say goodbye.

You were always one to go out on a high, weren't you?

Apart from our wedding...last week...

was the happiest day of my life.

They don't come any better than that.

We had some smashing times, didn't we?

And you're my smashing girl.

-BEEPING CHANGES TO STEADY TONE

-I'm going to miss you, Agnes.

Dr Hanna. This is the Lead Consultant.

This is the doctor who diagnosed my son.

-Dr Hanna, could you say a few words about the E coli outbreak?

-No.

Do you think the local Health Protection Unit should have alerted the public to this outbreak?

-No comment.

-Is the hospital colluding with the HPU in hiding this outbreak from the public?

No. We work closely together

and we support each other in the interest of the public.

To hide the E coli outbreak?

I don't think you understand the complexity of an outbreak like this.

We're doing everything we can.

-So you think it's right to keep this information from the public?

-We're doing everything we can.

Information that could save lives!

There is nothing more this hospital could do for your son.

They could have stopped him developing this.

Haemolytic-uremic syndrome can only be prevented

if the E coli is treated early.

Unfortunately Bobby came to the hospital too late.

The HUS had already taken hold. Will you stop filming please?

-We would've brought him in sooner if we'd known.

-SHE SIGHS

Someone is responsible for what has happened to my son.

I thought you might need these.

Ah, thanks. Isn't that Rob Arkwright's?

-Small world.

-Yeah he's a right one, isn't he?

-Isn't he just.

Nick would've known how to handle him.

Nick who? You're in charge now. Stop comparing yourself.

Just trust your instincts, Zoe. You'll be fine.

-Is that all your having for lunch?

-Do you know, I can't even eat it. I'm going out.

Excuse me.

I'm looking for the paramedic that brought me and my son in.

He's black, upbeat, young-ish.

Noel. He's actually 44, and he's a receptionist, not a paramedic.

-But, I guess he's upbeat though.

-Ah! I'm flattered.

You're not going to believe this,

but we've managed to mislay my son's comforter. Again.

Right. That'll be in the ambulance station. In my paramedic jacket.

If you wait right here, I'll be right back.

Is it far? I could do with some air.

Just through there.

-I was meant to take this over for Dixie. Would you mind?

-Busy!

-Look, you've got carrots on your hair.

-Oh, no, how embarrassing!

Dr Hanna, can you come and have a look at this, please? Sorry, do you mind if I borrow this?

-Sure.

-Thanks. So, this was just a Year One field trip, was it?

-Yep.

-And it's just the Year One kids that have come down with the E coli bug?

-Yeah.

It is, just Year One.

-Thank you. Thanks.

-There you go. Ta.

It's me. Look. I thought you'd forgotten.

I'd never forget. You know that.

You must've had Tolly very young.

He was 16. I wasn't planned.

You were the best surprise I've ever had.

Simon. Your collapse this morning was from the same bug as Tolly.

This worries us because adults

-are normally strong enough to withstand it.

-Yeah. And, er...

Well, we know that you've been having trouble

keeping your food down. And that has weakened your system.

Now, if you were to carry on with that,

then you would be putting yourself at risk of becoming seriously ill.

Give him some medicine then.

Well, mate, we can't really give Daddy medicine for it, but...

Well, we could send Daddy somewhere.

Just to give you some support? Would you like us to organise that for you?

Look. It's really tough being a parent.

And he needs you fit and well.

Please go. Please?

-Please.

-OK.

Thank you.

-Right, I'll be back in a sec.

-OK.

-I saw a box of veg in the back of his car.

-Why don't we just ask him outright?

I don't want to ask him any probing questions. It's the last thing that he needs.

-Da-nah!

-Oh, brilliant. Thank you.

-TRICKLING

-Oh, no. I'm so sorry.

-What's she doing?

-I think my waters might be breaking.

-Right, erm, we need to call someone. I think she's having a baby.

-Oh.

It's coming. I can feel it. I'm pushing. I want to push.

Oh, no, no. Listen, you can't push here! Look, we'll get you back to hospital. Louise, help me!

All right. Come on, lean on me. Let's go.

No, no, no, I can't. Get off me. Get off me. Get off, let go!

Ohhhhh! Help me, it's coming!

Call someone, quick!

-What, 999?

-Just call the hospital, get a doctor!

Arrghhh!

What are you doing?

It's coming. I think it's coming.

-When's it due?

-When is it due!? It's coming!

-Not yet. Not for another month.

All right, I'll be right back!

Where are you going?

Ohhhh, aaaaaagghhhh!

Right, let's see. Blankets.

MOBILE PHONE RINGS Hello?

-Dixie?

-Louise? What are you doing ringing me on this number?

-I'll explain later, but I'm here with a woman who...

-Aaaaggghhhh!

OK, OK, just calm down, and try and tell me simply what's happening.

-There's blood and I don't know what she's doing.

-I'm having a baby!

-Who else is with you, Louise? Who else is there?

-Just me. And Noel.

Right. Get her to lie down on the floor.

Prop her up on her back, so she's half-sitting. I'm on my way.

-Can you lie on the floor, please?

-I can't. There's no way. I can't.

-She won't.

-No, I heard. Just try and persuade her again.

It'll slow down the process and give you chance to sort yourselves out.

-I'm on my way.

-Don't go. You can't leave us. We don't know what we're doing.

Get her to lie on the floor. She said it might slow things.

-Well, come here and help me then!

-Right, put me on loudspeaker. I'll keep talking.

-Aaaarghhhh!

-Noel, can you hear me love?

-Yes. Yeah, I'm here.

OK, put some cushions and some blankets on the floor.

'Get her to lie down'

-and cut her underwear off.

-Take her underwear...?

Right, listen, we need you to lie down. We've got help coming. OK?

-OK, OK.

-So please, just lie down.

Oh, agghhhh, aaargh!

SHE PANTS HEAVILY

Aaaaarrgghhhhh!

-NEWSREADER:

-Three days ago, Bobby was an ordinary, little, healthy boy. Today he lies in Intensive Care

after being exposed to the E coli bacteria which is sweeping Holby.

The lethal bacteria has struck down several pupils

from St Mary's School which has had to close.

The public need to be informed.

If my wife and I had been aware we would have brought Bobby in sooner.

This could have been avoided.

Dr Zoe Hanna, Holby ED'S lead consultant confirmed the outbreak.

Haemolytic-uremic syndrome can only be prevented

if the E coli is treated early.

Unfortunately Bobby came to the hospital too late. The HUS had already taken hold.

Bobby's parents have criticised the Health Protection Unit,

who've apparently...

-Why would she say that?

-She knows the repercussions for going public like this.

-I think she did well.

-I didn't say it like that.

-That's out of context, it's been manipulated and twisted.

-Oh thank God for that.

-Oh, hang on!

But if I had been allowed to make an official statement, I would have.

Yes, I was caught off-guard but I stand by what I said.

I was protecting the hospital's integrity.

So if I'm in trouble with the board, or the chair, or the HPU

or any other government body that I've never heard of - so what?

I stood by my principles and I defended our practice.

Now, I need you to look up between her legs. Can you see the head?

SHE PANTS HEAVILY

Hello? Can anyone hear me?

I'm just looking!

-Aaaaaaaggghhhhhhh!

-There's something there.

-I'm going to push.

-OK, OK, what's Mum's name?

Erm, Jenny!

Jenny? You're doing really well, sweetheart. Sounds as if you're crowning.

Now, I need you to put your hand on the head,

-over the entrance to the vagina Noel.

-Sorry!

-As she pushes,

apply a little pressure, just a little, OK?

-Just support the head.

-Uh-huh.

Louise? You stand by with a towel, ready to wrap up baby when it comes.

-Aaaaaggghh!

-OK.

-OK.

-That's it.

-OK.

-That's it!

-Aaaaggghhhh!

-OK.

-Oh, my God! Oh, My God!

-OK.

-Aaarrrggghhh!

-Oh, yes!

-Oh!

-Oooh!

-SCREAMING STOPS

-BABY CRIES

-It's a baby!

-Towel!

-We had a baby.

Hello! Mind the cord, sweetheart.

Is it OK? Can I hold it?

Yeah, just give us a minute, Mum. Give us a minute.

-There we go!

-Awww!

-Awww!

-Oh, Tiny! Hello!

-There, there!

THEY LAUGH IN RELIEF

Hello! Hello, sweetie pie!

MOBILE PHONE RINGS

-Jenny?

-Hello, Rob? I'm Dixie. I'm a paramedic.

-I'm with your wife at the moment.

-Is she OK?

No, there's nothing to worry about darling.

I've got some really exciting news for you.

You're the proud father of a healthy baby girl.

Where-where is she? Where are they?

In the ambulance station.

I'm on my way.

Hey, little man. Mummy's had the baby.

You've got a little sister.

You're a big brother now.

OK, bye-bye. KNOCK AT DOOR Come in.

Jenny's had a healthy baby girl.

-Who's Jenny?

-You know, Rob's wife. Bobby's mum.

-Oh.

I thought you'd appreciate a bit of good news.

You were great on the TV. You said what was needed.

That was the Health Protection Agency on the phone.

It's not the school. The school's been cleared.

-Do they have any other leads?

-No, but I've just given them one.

What, you think it's Rob's Farm?

Yeah.

Have you told them?

Not yet. But I'm going to have to.

Quick photo? Do you mind? She's the first baby I've ever delivered.

-Err...?

-No, I think it was Noel

who was down the business end of things, wasn't it?

Go on, in you get!

Right, guys. Lovely snap.

Cheese!

ALL: Cheeeeeeese!

Lovely.

Brilliant.

SOFT PIANO MUSIC PLAYS

Subtitles by Red Bee Media Ltd