0:00:38 > 0:00:40If you like him, you like him. Just ask him out.
0:00:40 > 0:00:42- I could use a drink.- Or ten.
0:00:42 > 0:00:43It's a date.
0:00:45 > 0:00:46A date?
0:00:46 > 0:00:50I'm tired of trying to understand you, Luc. I don't want to do it any more.
0:00:50 > 0:00:53- You suspect Legionnaires' disease? - Yes.
0:00:53 > 0:00:55An outbreak is not official
0:00:55 > 0:00:57until two or more notifications are linked.
0:00:57 > 0:00:58Go.
0:00:58 > 0:01:01'The security guy, I sent him home. That's four cases.'
0:01:01 > 0:01:03Holby could be the source.
0:01:03 > 0:01:08One man's dead - a father, a husband. All because I didn't see it. I wasn't good enough.
0:01:08 > 0:01:10It's not your fault.
0:01:56 > 0:01:58Cavalry's here, I see.
0:02:01 > 0:02:03Yes, thank the Lord.
0:02:03 > 0:02:04I was really panicking,
0:02:04 > 0:02:07but now that the Health Protection Agency dudes are here,
0:02:07 > 0:02:09I'm totally calm.
0:02:09 > 0:02:10Hey, look at it this way,
0:02:10 > 0:02:13they've only got to check all the vents, taps, pipes,
0:02:13 > 0:02:15shower heads, water tanks, cooling towers,
0:02:15 > 0:02:18air conditioning units in the whole building.
0:02:18 > 0:02:20They should be done by the year 2054.
0:02:20 > 0:02:21When do I retire?
0:02:24 > 0:02:26It's going to be fun and games today.
0:02:26 > 0:02:28Yes.
0:02:29 > 0:02:31So we are now operating an emergency procedure.
0:02:31 > 0:02:35The ED is shut to further admissions, all electives are off.
0:02:35 > 0:02:38Darwin and ITU will be sharing the overspill.
0:02:38 > 0:02:42We're expecting a steady influx of patients with flu-like symptoms.
0:02:42 > 0:02:44AAU is the designated receiving ward.
0:02:44 > 0:02:48Mr Hemingway, in Mr Spence's absence, perhaps you'd be kind enough to hold the fort.
0:02:48 > 0:02:53- Has the press got hold of this yet? - We'll be issuing a press release in due course.
0:02:53 > 0:02:56Erm...I'm supposed to have students in today.
0:02:56 > 0:02:58I suppose that will be cancelled?
0:02:58 > 0:03:01I don't see why. This is a teaching hospital, after all,
0:03:01 > 0:03:04and we're dealing with Legionnaires', not bubonic plague.
0:03:04 > 0:03:07I don't know whether I'm going to be able to give them the attention they deserve.
0:03:07 > 0:03:11I'm sure you'll weather the storm beautifully.
0:03:11 > 0:03:14Right. Cool heads, everyone. Thank you.
0:03:15 > 0:03:17Mr Hemingway.
0:03:19 > 0:03:21Any news of Keith Drysdale?
0:03:21 > 0:03:24As far as I know, staff are still attempting to trace him.
0:03:24 > 0:03:27I am aware this is an oversight. We're making every effort.
0:03:27 > 0:03:29We are none of us blessed with second sight.
0:03:29 > 0:03:31You treated the presentation at the time.
0:03:31 > 0:03:35Let's hope they find him sooner rather than later.
0:03:35 > 0:03:36Keep me updated, will you?
0:03:36 > 0:03:38'Welcome to boot camp.'
0:03:38 > 0:03:41This news about the electives is going down like a lead balloon.
0:03:41 > 0:03:44Can you speak with Mrs Ogden? She thinks Legionnaires' is infectious and wants to leave.
0:03:44 > 0:03:48- Nice one. She can't remember where the exit is.- Oh, and the showers are out of order, too,
0:03:48 > 0:03:49so that went down well.
0:03:49 > 0:03:53- I'm coming. See what I mean?- Sorry?
0:03:53 > 0:03:55Is Griffin around? I think I'm needed for a consult.
0:03:55 > 0:03:59Mission control at Hanssen's. I suppose it's an easy day for you, as all electives are off.
0:03:59 > 0:04:01Hello? You there?
0:04:01 > 0:04:03Yes, I, er...
0:04:03 > 0:04:06I think I might be on a ward rotation. I'm going to go and check.
0:04:11 > 0:04:12Hi.
0:04:14 > 0:04:16And breathe.
0:04:16 > 0:04:18DAN LAUGHS
0:04:18 > 0:04:20OK?
0:04:20 > 0:04:22Yes.
0:04:22 > 0:04:25Yes. Yes, of course. You?
0:04:25 > 0:04:28Oh, you know, bit tired,
0:04:28 > 0:04:30got a bit of a headache.
0:04:30 > 0:04:31Of course I am.
0:04:31 > 0:04:32I'm great.
0:04:37 > 0:04:38Simon...
0:04:40 > 0:04:41..last night...
0:04:43 > 0:04:44Yeah, I know. I know.
0:04:46 > 0:04:50Me, too. But, listen, just relax, OK?
0:04:51 > 0:04:53We can just take it one step at a time.
0:05:03 > 0:05:05Morning.
0:05:06 > 0:05:10The taps are currently off limits, so I've sorted out sterile drinking water.
0:05:10 > 0:05:15Depending on the HPA, different parts of the ward will be out of order at times, so expect updates.
0:05:15 > 0:05:17We've got three agency nurses supporting us today,
0:05:17 > 0:05:21so if they get under your feet, looking clueless, please point them in my direction.
0:05:21 > 0:05:22- Anything else?- Yup.
0:05:22 > 0:05:26A 12-year-old boy with suspected Legionnaires' coming in.
0:05:26 > 0:05:28- Paramedics called ahead.- Well, he should be up on...- I know,
0:05:28 > 0:05:31but Paeds is shut for testing. And there's a stabbing in bay three, Sacha.
0:05:33 > 0:05:37- Eddi...about last night... - Don't worry about it.
0:05:37 > 0:05:39I know where your head's at, Luc.
0:05:39 > 0:05:43So we sleep together, then we have to go on the obligatory date.
0:05:43 > 0:05:46Before you know it, we're having domestics in the canteen.
0:05:46 > 0:05:49You have to give up your trailer, you move in, we go to Ikea,
0:05:49 > 0:05:50before you know it, I want a baby.
0:05:50 > 0:05:54Then in order to dump me, you have to be super vile, so I actually end up dumping you
0:05:54 > 0:05:58and the whole thing just ends up being this God-awful mess, right?
0:05:58 > 0:05:59Wow.
0:05:59 > 0:06:04I didn't realise "Eddi" meant all-seeing all-knowing goddess in Ancient Greek.
0:06:04 > 0:06:07Very funny. But relax, yeah?
0:06:07 > 0:06:10Last night was just...last night. That's all.
0:06:13 > 0:06:16Mind your backs, folks. Coming through. Thank you.
0:06:18 > 0:06:22Right, this is Noah Flett, he's 12, he suffers with severe asthma.
0:06:22 > 0:06:24He collapsed at school, showing signs of fever
0:06:24 > 0:06:26and possible cardiac problems.
0:06:26 > 0:06:30He had an asthma attack two weeks ago, we treated him here at Holby,
0:06:30 > 0:06:31we referred him to Outpatients,
0:06:31 > 0:06:34and put him on a course of steroids.
0:06:34 > 0:06:37I don't rate these HPA boys, you know?
0:06:37 > 0:06:42I've been telling them that the vent in the corridor has been blocked for ages, but are they bothered?
0:06:42 > 0:06:44Are they heck! They say they've got their own system.
0:06:44 > 0:06:47But there's no substitute for in-depth knowledge of a place.
0:06:47 > 0:06:49I know this hospital like the back of my hand.
0:06:49 > 0:06:52That's probably all the information we need. Thank you.
0:06:52 > 0:06:57Sats are 90. Temperature is 38.
0:06:57 > 0:07:00That's a cool-looking piece of kit you got there, Noah.
0:07:00 > 0:07:02NOAH COUGHS
0:07:05 > 0:07:07Hello, Noah, my name is Luc, I'm one of the doctors here.
0:07:07 > 0:07:10Can you tell me if you have any pains anywhere? Headaches?
0:07:10 > 0:07:12Chest pains? Muscle pains?
0:07:12 > 0:07:14HE COUGHS
0:07:15 > 0:07:17Anything?
0:07:18 > 0:07:21Any time before Christmas would be fantastic. Hello?
0:07:21 > 0:07:22- Luc?- Mmm-hmm?
0:07:22 > 0:07:26Says here he's being treated for selective mutism.
0:07:29 > 0:07:31OK, Noah. My name's Eddi.
0:07:31 > 0:07:34It's OK if you don't want to talk to us,
0:07:34 > 0:07:36but can you show us where it hurts?
0:07:38 > 0:07:43Right, well, the school has called your parents and I'm sure they'll be here any minute.
0:07:43 > 0:07:46I thought you'd like to know - they've found Keith Drysdale.
0:07:46 > 0:07:50Apparently, he collapsed in the shower last night and came to this morning.
0:07:50 > 0:07:51They're bringing him in now.
0:07:57 > 0:08:00This is Jeremy Hamilton, referred from the ED.
0:08:00 > 0:08:02He crashed his car. He's got a mild concussion,
0:08:02 > 0:08:05large laceration to the head, some abdominal pain.
0:08:05 > 0:08:10BP 140 over 90. Pulse 50, temperature 37.
0:08:10 > 0:08:14Hi, I'm Mr Malick, I'm the registrar here. How are you feeling?
0:08:14 > 0:08:15I'm not too bad, thank you.
0:08:15 > 0:08:19- OK. Can you tell me...? - Yes. It's 2012.
0:08:19 > 0:08:22The US President is Barack Obama...just.
0:08:22 > 0:08:24The global economy is still in massive meltdown,
0:08:24 > 0:08:28and the optimal position for tracing eye reflexes is...
0:08:28 > 0:08:31just fractionally diagonally to your right.
0:08:31 > 0:08:34I'm sorry, goes with the territory.
0:08:34 > 0:08:36Mr Hamilton is a consultant neurologist.
0:08:36 > 0:08:38Now, that's just not fair.
0:08:38 > 0:08:41So where are you based?
0:08:41 > 0:08:44I have a plush private practice with a cappuccino machine.
0:08:44 > 0:08:45I've paid my dues.
0:08:45 > 0:08:47I retired from the NHS ten years ago.
0:08:47 > 0:08:51By the way, is Daniel Hamilton working here today?
0:08:51 > 0:08:52Dan?
0:08:54 > 0:08:56Oh, my God. You're Hamilton.
0:08:56 > 0:08:59- You're his dad.- Yes, for my sins.
0:08:59 > 0:09:02Where do you think he gets his good looks from?
0:09:02 > 0:09:06Speaking of the devil... Hamilton! Look who's here.
0:09:07 > 0:09:11Hello, stranger. Long time no see.
0:09:13 > 0:09:15The engineers should be here any minute to fit the water filters
0:09:15 > 0:09:17and we're going to have to rejig your list,
0:09:17 > 0:09:21including your outpatients one. Some patients may have to be transferred.
0:09:21 > 0:09:24- Right, thank you. - Having a good day so far?
0:09:26 > 0:09:28- Mr Hope?- Yes.
0:09:28 > 0:09:32Barbara Alcock. Honoured to meet you.
0:09:32 > 0:09:34We're all here, gagging to get going.
0:09:34 > 0:09:37- I have to say, this is really exciting.- Right.
0:09:37 > 0:09:40- Do you need a hand with anything? - Yes, thank you.
0:09:40 > 0:09:42If you could take these...
0:09:46 > 0:09:49What a day, eh? I'll never forget when we had an outbreak at The Royal.
0:09:49 > 0:09:54Never mind overtime - triple time, more like. I'm a physiotherapist.
0:09:54 > 0:09:58Well, I used to be, until I banged my head and decided I wanted to be a student again.
0:09:58 > 0:10:01I know, I know, don't say it - mental!
0:10:01 > 0:10:05Oh, Tetralogy of Fallot. Love that. Love it!
0:10:05 > 0:10:08Right, everyone! Found Mr Hope.
0:10:08 > 0:10:10Right, hello. Welcome to Holby.
0:10:10 > 0:10:12I have prepared a lecture for you...
0:10:12 > 0:10:15That's fine, I can do that.
0:10:16 > 0:10:20We'll be looking at that most rare
0:10:20 > 0:10:24and complex congenital heart defect, Tetralogy of Fallot.
0:10:24 > 0:10:29Regrettably, my office is currently out of bounds, so...
0:10:29 > 0:10:33Hello. ..so we'll be going upstairs to the meeting room.
0:10:33 > 0:10:36So we're not looking at an actual case?
0:10:36 > 0:10:39No. Not quite. One floor up on the left.
0:10:39 > 0:10:41It's probably quicker if you took the...
0:10:41 > 0:10:44Right, OK.
0:10:44 > 0:10:47Sorry...Mrs...Miss..?
0:10:47 > 0:10:50- Oh, sorry.- Lovely, thank you. Thank you.
0:10:53 > 0:10:55HE EXHALES
0:10:55 > 0:10:59Come on, Daniel, what could be so important you haven't seen your old man in three months?
0:10:59 > 0:11:02- Do I have to get myself admitted? - Behave.
0:11:02 > 0:11:05I've just been completely snowed under. You know what it's like.
0:11:05 > 0:11:07- Oh, rubbish. I know when someone's putting me off.- Never!
0:11:07 > 0:11:09As if.
0:11:09 > 0:11:11Right, all done.
0:11:13 > 0:11:16Right, let's take a look at that cut.
0:11:16 > 0:11:21Now, come on, out with it. Where have you been hiding yourself? You in lust again? Is that it?
0:11:21 > 0:11:23- Who is she?- Oh, you know me.
0:11:23 > 0:11:26Oh, that's my boy. "I can resist everything except temptation."
0:11:26 > 0:11:28DAN CHUCKLES
0:11:28 > 0:11:32I miss you, you big oaf. There's no-one to argue about the state of the world with.
0:11:32 > 0:11:36- I miss you, too. But I see it's business as usual.- Hmm?
0:11:36 > 0:11:38Come on. How many times is it you've crashed the Beemer?
0:11:38 > 0:11:41Oh, scratched! My dear boy, scratched.
0:11:41 > 0:11:44I know, I'm a foolish old man and I should know better.
0:11:44 > 0:11:46I'm just going to check your reflexes, OK?
0:11:46 > 0:11:48HE WINCES
0:11:49 > 0:11:51- Sorry.- Seriously. You've been lucky.
0:11:51 > 0:11:54- You could have been badly hurt, or hurt someone else.- Stop fussing.
0:11:54 > 0:11:57I have one wife already.
0:11:57 > 0:11:59Right, grip. Go on.
0:12:00 > 0:12:03- Hmm. Slight twitch there.- Oh, that. That's been there for ages.
0:12:03 > 0:12:07- Actually, does Mum know you're here? - Don't be daft. She's not going to, either.
0:12:07 > 0:12:10Leave her alone, she has a cake sale to organise in Nailsworth.
0:12:10 > 0:12:12Highly stressful.
0:12:12 > 0:12:14Anyway, when are you going to let me out of here?
0:12:14 > 0:12:17When you've passed my checklist, Mr H.
0:12:19 > 0:12:21COUGHING
0:12:21 > 0:12:24BP 80 over 60. Stats 90.
0:12:24 > 0:12:27Temperature is 39.5. It's Legionnaires' pneumonia.
0:12:27 > 0:12:30I told you I was unwell.
0:12:30 > 0:12:34- Keith, is there someone we can call for you?- No-one.
0:12:34 > 0:12:37- How long am I going to be in? - Well, you're not going anywhere for the minute.
0:12:37 > 0:12:41We need a chest CT, FBCs, Us, Es, urine and bloods,
0:12:41 > 0:12:44Azithromycin in 500 milligrams and half-hourly obs.
0:12:44 > 0:12:46Two more suspected cases are coming in.
0:12:46 > 0:12:50- I bet they won't slip through the net.- I'd just keep this on for now if I were you.
0:12:50 > 0:12:54- Trying to shut me up? - I'm trying to help your compromised lungs retain as much air as possible.
0:12:54 > 0:12:55I'll be right back.
0:12:57 > 0:13:00It couldn't have helped he was lying on a cold floor all night.
0:13:00 > 0:13:02Is it an idea to get Elliot down here?
0:13:02 > 0:13:06No, I'm sure they're just as snowed under as we are. Let's just see how he does.
0:13:06 > 0:13:10Look, I'm not suggesting, you know...
0:13:10 > 0:13:12What? That it's my fault? Of course it is.
0:13:12 > 0:13:14It's all right. We all make mistakes.
0:13:14 > 0:13:17I'm a big boy. I can handle it.
0:13:19 > 0:13:23OK, can you chase Mrs Prothero's scan results?
0:13:23 > 0:13:28I can't see us doing Mr Bloom's valve replacement.
0:13:29 > 0:13:31Would you mind imparting the news?
0:13:33 > 0:13:35Are you scared of Mrs Bloom?
0:13:37 > 0:13:39(Just a little bit.)
0:13:39 > 0:13:41You owe me one.
0:13:41 > 0:13:45A-ha. I'd say Mrs Bloom is the least of your worries.
0:13:46 > 0:13:48"Once more unto the breach."
0:13:50 > 0:13:54Right, I'm done. This is brilliant, this stuff.
0:13:54 > 0:13:57Good. Good. Right. And where's the rest of the brood?
0:13:57 > 0:14:00They've gone down the pub, to concentrate.
0:14:00 > 0:14:02You know what it's like. Yoof!
0:14:02 > 0:14:04Yes, indeed. Well...
0:14:04 > 0:14:07Yes, OK. Well, well done, you.
0:14:07 > 0:14:10Actually, I've got a couple of questions. Have you got a minute?
0:14:19 > 0:14:22- Is that Drysdale's?- Yes.
0:14:23 > 0:14:24Wow.
0:14:24 > 0:14:26That's a big abscess.
0:14:26 > 0:14:28It's not your fault.
0:14:28 > 0:14:30How's the mute? Has the sputum test come back yet?
0:14:31 > 0:14:35He won't part with any of it. He's scared, Luc. I think we should wait for his parents.
0:14:35 > 0:14:37And then what? Apply in writing?
0:14:37 > 0:14:40- Just get a couple of nurses and get it done.- What, by force?
0:14:40 > 0:14:43Well, I presume falling to your knees and weeping hasn't worked?
0:14:43 > 0:14:46Since when do you let patients boss you around?
0:14:46 > 0:14:48Well, obviously this is a little bit more complex.
0:14:48 > 0:14:52I mean, not that you'd noticed or you even seem to care...
0:14:52 > 0:14:55So the symptoms are not similar to mitral valve stenosis?
0:14:55 > 0:15:00Well, that might be an initial diagnosis, which is why we perform an echocardiogram.
0:15:00 > 0:15:04- Ah. But would an echocardiogram always show the four defects? - Yes. Yes, that's right.
0:15:04 > 0:15:05Look, I...
0:15:05 > 0:15:09I appreciate your enthusiasm, but we really must wind this up.
0:15:09 > 0:15:12Oh, yeah, sure, sure, sure. Just another quick one.
0:15:12 > 0:15:15So would an ECG also diagnose the condition?
0:15:15 > 0:15:18Mr Hope, AAU just called -
0:15:18 > 0:15:20Legionnaires' pneumonia with a lung abscess.
0:15:20 > 0:15:22They need an urgent consultation.
0:15:22 > 0:15:26- Oh! Oh. Yeah. - We'll catch up later.- Yup.
0:15:26 > 0:15:28Actually, do you mind if I stuck around?
0:15:28 > 0:15:31- Actually, well, we're extremely busy...- I could help out.
0:15:31 > 0:15:35You know, point people in different directions, shift wheelchairs around. Come on.
0:15:35 > 0:15:40How often do you get a willing and eager health professional just dying to get their hands dirty?
0:15:40 > 0:15:43There's a pint in it for you...both.
0:15:43 > 0:15:44Well, now you're talking.
0:15:48 > 0:15:51OK, so you don't want to talk.
0:15:51 > 0:15:53Believe it or not, I totally understand that.
0:15:53 > 0:15:55But there's nothing wrong with your hearing, right?
0:15:55 > 0:15:59Nurse Mckee has explained to you why we need to test you, yes?
0:15:59 > 0:16:02Good. So is there any particular reason why you won't do us
0:16:02 > 0:16:05the small favour of just spitting into this?
0:16:05 > 0:16:07NOAH COUGHS
0:16:07 > 0:16:09No? I thought not.
0:16:09 > 0:16:14Let me spell this out to you, Noah. If you don't let us test your spit,
0:16:14 > 0:16:16and it turns out you do have Legionnaires' disease,
0:16:16 > 0:16:17here's what'll happen.
0:16:17 > 0:16:20You're going to start feeling much worse very quickly -
0:16:20 > 0:16:22more pain, more coughing, more fever.
0:16:22 > 0:16:25- Luc.- If that's what you want, you be my guest.
0:16:25 > 0:16:27Who do you think you're talking to?
0:16:29 > 0:16:31Don't you dare talk to him like that.
0:16:35 > 0:16:36Thank you.
0:16:38 > 0:16:40Mr Flett, I presume.
0:16:48 > 0:16:50- Hey.- Hey.
0:16:58 > 0:17:00Your dad's back from X-ray.
0:17:00 > 0:17:04- Thanks. I'll be there in a minute. - He's quite a character.
0:17:04 > 0:17:08Yes. Yes, he is. Quite a...
0:17:09 > 0:17:11..legendary neurologist.
0:17:11 > 0:17:13He's a brilliant man.
0:17:13 > 0:17:16- He's the reason I became a doctor. - Look, I understand.
0:17:16 > 0:17:18He doesn't have a clue about you, does he?
0:17:23 > 0:17:26Are you worried that I would say something to him
0:17:26 > 0:17:30- or that I expect you to say something? Because...- Oh, no.
0:17:30 > 0:17:33- No, I know that you're not... - Yeah, right.
0:17:35 > 0:17:37Dan, you've been walking round like you've seen a ghost.
0:17:39 > 0:17:42- That obvious?- Slightly.
0:17:45 > 0:17:49Look, I meant what I said, OK?
0:17:49 > 0:17:51There's no rush.
0:17:55 > 0:17:56Dan.
0:17:57 > 0:18:00I got your old man's X-ray results.
0:18:03 > 0:18:09I don't think we'll be calling a cab anytime soon.
0:18:11 > 0:18:13You can complain, but it did the trick.
0:18:13 > 0:18:16It might have done because you scared the life out of him.
0:18:16 > 0:18:19That little boy lost his mum a year ago - that's why he's not speaking.
0:18:19 > 0:18:22I mean, what..? He's 12, he's here on his own,
0:18:22 > 0:18:24he's scared. I mean, where do you get off?
0:18:24 > 0:18:27- Everybody's scared. This is a hospital, not Disneyland.- You what?
0:18:27 > 0:18:30Listen, Gavin, none of us are taking this lightly.
0:18:32 > 0:18:38I can do nothing about your son's selective mutism. The Legionnaires', I can do something about.
0:18:38 > 0:18:42- Sorry. I thought you'd like to know Mr Hope is here. - You'll have to excuse me.
0:18:45 > 0:18:48I know how this looks, OK?
0:18:48 > 0:18:51- But he really is in the best hands. - Really?
0:18:51 > 0:18:53Yeah. Mr Hemingway, he's got his own style,
0:18:53 > 0:18:56- but, please, believe me, he knows what he's doing. - FLETT SIGHS
0:18:56 > 0:18:59I hope so. Cos that little boy's been to hell and back.
0:18:59 > 0:19:01Little bit of humanity wouldn't go amiss.
0:19:04 > 0:19:08Right. His lungs are laced with abnormalities as a result of the smoking,
0:19:08 > 0:19:11BP is low, and the size of the abscess is a worry.
0:19:11 > 0:19:14- I really think we should take him up.- Drysdale not improving?
0:19:14 > 0:19:17Well, he's still got enough energy to spit blue murder
0:19:17 > 0:19:19and swear he's going to take the hospital to court.
0:19:19 > 0:19:22I dare say there are a lot of very angry people around today.
0:19:22 > 0:19:23I wouldn't get too excited.
0:19:23 > 0:19:29Some good news - the HPA's initial findings indicate the Legionella source may be Outpatients,
0:19:29 > 0:19:32- so perhaps we will return to normal by end of play.- That is good news.
0:19:32 > 0:19:34Outpatients?
0:19:34 > 0:19:36That seems to be the common link. Our records show that
0:19:36 > 0:19:39all the Legionnaires' patients passed through there at some point. Why?
0:19:39 > 0:19:42- No, no reason. - Right, well, as you were.
0:19:42 > 0:19:45Fingers crossed we ride this out with the minimum human cost.
0:19:45 > 0:19:48No peace for the wicked. Busy, busy, busy.
0:19:48 > 0:19:51- Luc...- Is this all the patients with Legionnaires'?
0:19:51 > 0:19:54- Yeah, but... - Outpatients doesn't make sense.- Luc.
0:19:54 > 0:19:57- If this is about Noah Flett and my social skills, spare me the lecture.- No, it isn't,
0:19:57 > 0:20:01but a bit of social etiquette might come in handy right now. The lab just called.
0:20:02 > 0:20:04Noah tested positive.
0:20:09 > 0:20:13So no upper body fractures or heart problems, right?
0:20:13 > 0:20:15That's a good thing, isn't it?
0:20:15 > 0:20:18Well, I'm worried about the muscle response in his arms and legs.
0:20:18 > 0:20:19I want to run an MRI.
0:20:19 > 0:20:23- We need a clear image of any cerebral damage.- It could just be as a result of trauma?
0:20:23 > 0:20:27Look, maybe you should get your mother over. I know it's not...
0:20:27 > 0:20:29My life would not be worth it.
0:20:29 > 0:20:33Breaking the father-son confidentiality clause is the highest form of treason.
0:20:35 > 0:20:39- I can see. Ladies' man, is he?- Mmm.
0:20:39 > 0:20:42Girl in every port. Or should we say consulting room?
0:20:43 > 0:20:46Guys, two things.
0:20:46 > 0:20:48One - it seems the HPA suspect there's an infected pipe
0:20:48 > 0:20:51from Outpatients into Keller, so the ward is shutting.
0:20:51 > 0:20:55- You're kidding me, right? - No. We're going to be split between ITU and Darwin.
0:20:55 > 0:20:57I don't believe this. And the second?
0:20:57 > 0:20:59Apparently, Mr Hamilton has ordered himself a taxi.
0:20:59 > 0:21:01It's waiting at Wyvern entrance.
0:21:06 > 0:21:08Well, I know you must be worried,
0:21:08 > 0:21:11but at least now we can him on the right antibiotics.
0:21:11 > 0:21:14- We can just let them do their thing. - Right.
0:21:14 > 0:21:17Look, I'm sorry about before. Thank God you forced him.
0:21:17 > 0:21:19It's just... I haven't noticed anything.
0:21:19 > 0:21:22This morning, he was just totally like always.
0:21:22 > 0:21:24I mean, his asthma's a pain, so he was coughing,
0:21:24 > 0:21:27but I work for myself, so if I lose a day, then...
0:21:27 > 0:21:29Kids' temperatures can spike at any time.
0:21:29 > 0:21:31It's just that the way it is,
0:21:31 > 0:21:35he could be dying, and you wouldn't know. He won't talk to anyone.
0:21:35 > 0:21:37He doesn't even speak to you?
0:21:37 > 0:21:41No. It's a bit tricky, this.
0:21:41 > 0:21:43I've only really had him since his mum passed away.
0:21:43 > 0:21:47We...we weren't together when she died.
0:21:47 > 0:21:52His therapist says you've got to give it time.
0:21:52 > 0:21:56You know what they say about kids - all you need is endless love and endless patience.
0:22:01 > 0:22:02Noah.
0:22:03 > 0:22:05You all right, mate?
0:22:09 > 0:22:10I know you don't like this place,
0:22:10 > 0:22:13but you're going to have to stay here for a little while longer, all right?
0:22:15 > 0:22:17It's OK, son,
0:22:17 > 0:22:20- cos the doctors have done the test, see, and... - NOAH GROANS IN PAIN
0:22:20 > 0:22:23You all right? What's the matter?
0:22:23 > 0:22:26- Is it hurting here?- What's going on? Is this something you've given him?
0:22:26 > 0:22:31- Maybe a reaction to the Clarithromycin?- It doesn't look like usual anaphylaxis.
0:22:31 > 0:22:35I just need to have a little look at your tummy, OK? Just roll over for me.
0:22:35 > 0:22:38- Just do what the doctor tells you, there's a good boy.- Lie back.
0:22:38 > 0:22:40Let me have a little press...
0:22:40 > 0:22:42- Noah...- Noah, stop mucking about.
0:22:42 > 0:22:45Come on. That's it. Go on.
0:22:45 > 0:22:48- Stop it.- All right. - Go on, get on with it.- All right.
0:22:48 > 0:22:50Noah, look at me. It's going to be fine.
0:22:52 > 0:22:54- Stop it.- It's very tender.
0:22:54 > 0:22:58This is nothing to do with Legionnaires'. We need a CT as soon as possible.
0:22:58 > 0:22:59OK, mind his legs, yeah?
0:23:01 > 0:23:03OK, you can let him go now.
0:23:09 > 0:23:11OK, BP 90 over 70
0:23:11 > 0:23:14and his temperature is still 39.5.
0:23:14 > 0:23:16COUGHING
0:23:16 > 0:23:18LABOURED BREATHING
0:23:18 > 0:23:19I've asked for a complaints form.
0:23:19 > 0:23:25- I'm going to the press.- Easy now. - Let's get you up on your feet first.
0:23:25 > 0:23:28I'm afraid because the size of your abscess, surgery is inevitable.
0:23:28 > 0:23:32But I'd like to see how you're responding to the antibiotics first. OK?
0:23:32 > 0:23:34We'll get you a care plan
0:23:34 > 0:23:36and then you can have your press conference.
0:23:37 > 0:23:40Marvellous. OK. 15-minute obs, please.
0:23:43 > 0:23:45We really need to chase next of kin as soon as.
0:23:45 > 0:23:48Tell me about it. I've been back and forth to HR - nada.
0:23:48 > 0:23:52That's the Legionnaires' abscess, right? Are you taking him in to theatre?
0:23:52 > 0:23:56- Not right now, no. - Joy to the world. The Keller exodus.
0:23:56 > 0:23:59Aren't you just wasting time waiting for the antibiotics work?
0:23:59 > 0:24:01I mean, the risk of permanent damage...
0:24:01 > 0:24:07Is fairly calculated compared to the risk of him dying on the table as a result of complications.
0:24:07 > 0:24:12- Yeah, but...- Never mind excessive bleeding, wound infection and a far, far longer recovery time.
0:24:12 > 0:24:14Would you excuse me, please?
0:24:17 > 0:24:18'What do you mean you've sent my cab away?'
0:24:18 > 0:24:22- Dad, you have to listen to reason... - Now, look, I've humoured you and your colleague thus far,
0:24:22 > 0:24:25but any moron can see this place is falling apart.
0:24:25 > 0:24:27- So, as they say, I'm out. - Dad, please...- Daniel, I mean it.
0:24:27 > 0:24:31All right. You leave me no choice.
0:24:31 > 0:24:33I'm calling Mum.
0:24:33 > 0:24:36- She's the only one who knows how to deal with you.- No, you're not.
0:24:37 > 0:24:41Your mother and I are, regrettably, no longer together.
0:24:41 > 0:24:43Don't be so ridiculous.
0:24:43 > 0:24:45I've been staying at the club for the last few days.
0:24:45 > 0:24:47I have been trying to call you, you know.
0:24:47 > 0:24:51Anyway, there you have it. Oh, stop looking at me like that.
0:24:51 > 0:24:53All things come to an end.
0:24:53 > 0:24:54What happened?
0:24:54 > 0:24:55Nothing...
0:24:55 > 0:24:58that hasn't been waiting to happen for a long time.
0:24:58 > 0:25:00What has she found out?
0:25:00 > 0:25:01I've...
0:25:02 > 0:25:06I've never pretended to be a saint. Your mother knew what she was getting into.
0:25:06 > 0:25:10You only live once. One has to do what one has to do.
0:25:10 > 0:25:12Don't tell me you've left her?
0:25:12 > 0:25:16Right. We ready to move?
0:25:16 > 0:25:18No, it's all right, I'll do it.
0:25:28 > 0:25:30Ah, glad you took my advice at last.
0:25:30 > 0:25:33I told you that vent was dodgy.
0:25:33 > 0:25:38- Mr H.- Big Mac. You know Keith Drysdale, don't you? Security.
0:25:38 > 0:25:42I know one shouldn't speak of the ill, but...he's a miserable get.
0:25:42 > 0:25:45Nonetheless...
0:25:45 > 0:25:49we don't have next of kin details for him,
0:25:49 > 0:25:51and he could really use a relative by his side now.
0:25:51 > 0:25:54- Any ideas? - I might be able to help you.
0:25:54 > 0:25:56I have my ways and means, you know. I'll need a hand.
0:25:56 > 0:25:59- Have you got five minutes?- Lead on.
0:25:59 > 0:26:02Come on. She's a tough old bird under all that chintz. She'll get over it.
0:26:02 > 0:26:04Oh, for heaven's sake, Daniel.
0:26:06 > 0:26:08Do you mind? Now isn't a good time.
0:26:08 > 0:26:12Well, I'm sorry. But we do have to make a move.
0:26:12 > 0:26:13What do you think you're doing?
0:26:13 > 0:26:16Taking you to ITU. We need to move and we need to do it now.
0:26:16 > 0:26:19- No, you're not. I'm going to check into a private clinic. - Can we just...?
0:26:19 > 0:26:22Tell you what. I'll take you to ITU and then you can take it from there.
0:26:22 > 0:26:25- With respect, who's in charge here? Say something.- OK, Dad.
0:26:25 > 0:26:28Are you going to let a nurse tell you what to do? I mean, for...
0:26:28 > 0:26:30- What's the matter with you?! - All right, Mr Hamilton.
0:26:30 > 0:26:33I understand you're upset, but you could be a bit more respectful.
0:26:33 > 0:26:35Excuse me?!
0:26:35 > 0:26:37Could I just have a word?
0:26:43 > 0:26:45OK, we'll have a full abdomen.
0:26:45 > 0:26:47Start at the bottom of the chest and work down.
0:26:50 > 0:26:52I feel sorry for him. He looks scared.
0:26:52 > 0:26:55Yeah, that's clear, keep moving down.
0:27:00 > 0:27:02I used to have one of these.
0:27:02 > 0:27:03What, when you were a kid?
0:27:03 > 0:27:05No. Bought it last year.
0:27:05 > 0:27:08Lost it when I moved here, though. OK, that's clear.
0:27:08 > 0:27:11Keep moving round, please.
0:27:13 > 0:27:14What?
0:27:18 > 0:27:19Wait, wait, wait.
0:27:19 > 0:27:21Here, this shadow.
0:27:21 > 0:27:23Haematoma round the kidney?
0:27:23 > 0:27:26Why would there be blood round there?
0:27:26 > 0:27:28He's hitting me. >
0:27:30 > 0:27:32Did he just say, "He's hitting me?"
0:27:32 > 0:27:34Noah?
0:27:34 > 0:27:36Noah, did you say something?
0:27:36 > 0:27:38Noah?
0:27:38 > 0:27:39Noah.
0:27:42 > 0:27:43Let's get him out of there.
0:27:47 > 0:27:49Noah, what did you mean? Who's hitting you?
0:27:50 > 0:27:51Noah.
0:27:53 > 0:27:54You can tell us, we can help you.
0:28:00 > 0:28:01Oh...
0:28:01 > 0:28:03HE COUGHS
0:28:03 > 0:28:06If the Legionnaires' disease in this place don't get you,
0:28:06 > 0:28:07the dust will.
0:28:07 > 0:28:08Any luck?
0:28:08 > 0:28:12Don't say I don't risk myself in the line of duty.
0:28:12 > 0:28:16Right, these are the original files, before they were computerised.
0:28:16 > 0:28:19- Right.- Shall we? - Must be here somewhere.
0:28:21 > 0:28:23There you go, sir.
0:28:23 > 0:28:25- They are a bit comfy.- Oh, thank you.
0:28:27 > 0:28:29There we go.
0:28:32 > 0:28:35Oh, just a bit of a wobble, I missed my lunch break.
0:28:35 > 0:28:38You and me both.
0:28:38 > 0:28:40It's...
0:28:41 > 0:28:43..seen better days.
0:28:43 > 0:28:47Sorry, but...it should do.
0:28:47 > 0:28:52Now that is what I call proper man management.
0:28:52 > 0:28:54I've got one, thank you.
0:28:56 > 0:28:59Right, let's find this file.
0:29:00 > 0:29:02Was that really necessary?
0:29:02 > 0:29:04You're acting like a jobsworth.
0:29:04 > 0:29:05It IS my job.
0:29:05 > 0:29:09And you know I'd be in trouble if I didn't do it.
0:29:09 > 0:29:11So thanks for your support(!)
0:29:11 > 0:29:13Oh, come on. You know I can't...
0:29:13 > 0:29:15I thought you understood.
0:29:15 > 0:29:19Dan, I didn't ask you to snog my face off in front of him. I mean, just be professional.
0:29:19 > 0:29:22He's going through a lot right now.
0:29:22 > 0:29:24He's just told me he's split up from my mum.
0:29:25 > 0:29:27Well, I am sorry. I am,
0:29:27 > 0:29:29but that does not give him the right to speak to me that way.
0:29:29 > 0:29:31This is ridiculous!
0:29:31 > 0:29:32I'll be there in a minute.
0:29:34 > 0:29:38I don't understand. Are you trying to get back at me?
0:29:38 > 0:29:40What for?
0:29:40 > 0:29:42Well, you say there's no pressure,
0:29:42 > 0:29:45but maybe you're not as laid back as you make out.
0:29:45 > 0:29:48No, listen, I meant what I said. I'm not the one being dishonest.
0:29:48 > 0:29:50CRASHING
0:29:50 > 0:29:51Ah!
0:29:54 > 0:29:55Ah...
0:29:57 > 0:30:00What do you mean he spoke? He can't have, he never does, not to anyone.
0:30:00 > 0:30:02- Well, he did.- What?!
0:30:02 > 0:30:07And the blood around his kidney suggests a blunt trauma, possibly even a repeated one.
0:30:07 > 0:30:09I-Is he serious? Is he OK?
0:30:09 > 0:30:14Normally we'd operate, but due to the Legionnaires' and his asthma, putting him under is a bit risky.
0:30:14 > 0:30:16(This is not happening, this.)
0:30:16 > 0:30:20The real issue is how he came by these injuries.
0:30:20 > 0:30:22Do you have any idea at all, Gavin?
0:30:22 > 0:30:25W-Who could it be? Somebody at the school?
0:30:25 > 0:30:29To be honest, they keep a pretty good eye on him, he's special needs. I could give them a call...
0:30:29 > 0:30:31Mr Flett, he said, erm...
0:30:31 > 0:30:35He said, "He's hitting me".
0:30:36 > 0:30:38You think it's ME?
0:30:40 > 0:30:42Argh!
0:30:42 > 0:30:45OK, Dad. Just over to the bed. Round.
0:30:45 > 0:30:46- Argh!- Easy.
0:30:46 > 0:30:48HE BREATHES ERRATICALLY
0:30:48 > 0:30:51- He just fell. - OK. I'll get his feet.
0:30:51 > 0:30:54Of course I didn't just fall! I was... I was trying to get up.
0:30:54 > 0:30:58- Leave me alone, you clumsy oaf! - Whoa! That's not a good idea, Mr Hamilton.
0:30:58 > 0:31:01You know your X-ray showed a pelvic fracture.
0:31:01 > 0:31:04- Could we get some oxygen, five milligrams of morphine?- Of course.
0:31:04 > 0:31:06HE CRIES OUT
0:31:06 > 0:31:10- Did you see it happen?- No, but, what are you thinking?- I don't know.
0:31:10 > 0:31:16Right, Mr Hamilton. There's some bruising in your leg and the pelvic fracture is now an emergency,
0:31:16 > 0:31:20- and we need to get you into theatre. - Are you thinking... an arterial embolism?- Exactly.
0:31:20 > 0:31:24- Who's going to open me up? - We'll get an orthopaedic surgeon, I'll oversee him.
0:31:24 > 0:31:28- Quite right, too. Their knowledge doesn't extend much beyond bone-crunching.- OK, Dad.
0:31:28 > 0:31:31Don't "all right" me! If you listened instead of trying to please everyone,
0:31:31 > 0:31:33I wouldn't be in this state!
0:31:33 > 0:31:36HIS BREATHING SLOWS DOWN
0:31:36 > 0:31:41- This has got to be a joke, right?! - We're not accusing you of anything.
0:31:41 > 0:31:46- He said, "He's hitting me". - I would NEVER touch that kid, never!
0:31:46 > 0:31:48What about before, on the ward?
0:31:48 > 0:31:52Oh, come on! Before?! I had to do that and you know why!
0:31:52 > 0:31:56Exactly. That's what I'm saying. Anybody can snap. It's a tricky situation.
0:31:56 > 0:31:59- His mother's died, he's been foisted onto you...- Foisted?!
0:31:59 > 0:32:03Sent to you, whatever. The point is you weren't playing happy families before, were you?
0:32:03 > 0:32:06- Luc, I'd stop there. - You seem to know all about it, got it all worked out.
0:32:06 > 0:32:08- What, you got kids, have ya? - That's irrelevant.
0:32:08 > 0:32:13I have an imagination, I can imagine having a son who won't look at you, talk to you, must be hurtful.
0:32:13 > 0:32:16And there's all the mumbo-jumbo about endless love and patience.
0:32:16 > 0:32:18That must wear you down, it's perfectly understandable.
0:32:18 > 0:32:21I'm not listening to this, I'm going to go see my son.
0:32:21 > 0:32:22- Not right now, you're not. - You what?!
0:32:22 > 0:32:24- I-I'm not judging you... - That's good of you(!)
0:32:24 > 0:32:27We have procedures we have to...
0:32:27 > 0:32:30You saying I can't SEE my son?!
0:32:30 > 0:32:33Not unsupervised, no.
0:32:33 > 0:32:36- Luc, let's go outside.- What? - Yep, go on.
0:32:39 > 0:32:41Can you just give me five minutes?
0:32:41 > 0:32:44OK.
0:32:46 > 0:32:48DOOR SHUTS
0:32:51 > 0:32:56- There you go, sweetheart. Straw makes it easier, didn't it? - You've done this before, right?
0:32:58 > 0:32:59Actually, back in a tick.
0:32:59 > 0:33:02Erm...
0:33:02 > 0:33:07You know, that guy, in there? I think he's really struggling. Shall I pop in, see how he's doing?
0:33:07 > 0:33:09- Sure. Tell him I'm just coming.- OK.
0:33:11 > 0:33:14There IS a God. I may have got somewhere.
0:33:14 > 0:33:18See this? Drysdale filled it in when he applied.
0:33:18 > 0:33:22See, next of kin details, no name, but there's a phone number.
0:33:22 > 0:33:23What's she doing?
0:33:27 > 0:33:32- What are you doing?- Oh, I was going to try and do some postural draining on Mr Drysdale.
0:33:32 > 0:33:36- You know, make breathing a bit easier for him.- You never said you were doing that.
0:33:36 > 0:33:39Well, you were busy and I've done it a million times before...
0:33:41 > 0:33:42(Are you out of your mind?)
0:33:42 > 0:33:45Well, it can help drain fluid from the lungs.
0:33:45 > 0:33:49Yes, I know what postural drainage is but this man has an abscess,
0:33:49 > 0:33:54so in his case, you'll be putting unbelievable pressure on his lungs, leading to respiratory arrest!
0:33:54 > 0:33:59Now, I know you are very keen, and you think you know more than your peers.
0:33:59 > 0:34:04Nonetheless, you are not a physician yet, you are a physiotherapist.
0:34:04 > 0:34:08- Half-knowledge is more dangerous than no knowledge.- Quite.
0:34:11 > 0:34:14I wonder, Mr Hope, if we can catch up, please.
0:34:18 > 0:34:22Bottom line is, we need to look after the boy, we need to call Social Services.
0:34:22 > 0:34:25OK, so you messed up yesterday and now you want to play it all by the book.
0:34:25 > 0:34:28Look, it is clear that he loves his son Luc, it's clear he needs some help.
0:34:28 > 0:34:30Love has many faces. It's a fine line.
0:34:30 > 0:34:33- Why does that not surprise me coming from you?- I beg your pardon?
0:34:33 > 0:34:37- You judge everyone by your own bleak standards. - I must have missed something.
0:34:37 > 0:34:40- You're not exactly known for your sunny disposition.- Maybe.
0:34:40 > 0:34:44But someone who lets themselves go like that is not trying to hide a temper.
0:34:44 > 0:34:47- Anyway, what would you know about emotions?- I beg your pardon?
0:34:47 > 0:34:49Er, sorry to break up the party, guys.
0:34:49 > 0:34:53It's been announced. They've found the Legionnaires' source.
0:34:53 > 0:34:55Tests on the Outpatients have come back positive.
0:34:55 > 0:34:59So they've re-opened the ED and we'll start getting referrals over
0:34:59 > 0:35:02and the critical care Legionnaire cases as well.
0:35:02 > 0:35:05They came back positive?! That's not possible. They must have got that wrong.
0:35:05 > 0:35:08- Is that the updated cases list? - Yeah.- Thank you.
0:35:10 > 0:35:12No, I'm sorry, this makes no sense.
0:35:12 > 0:35:14What doesn't?
0:35:14 > 0:35:17Not one member of staff, all patients.
0:35:17 > 0:35:19Not a single doctor, not a nurse.
0:35:19 > 0:35:23Well, I guess patients by their very nature have compromised immune systems.
0:35:23 > 0:35:27I know nobody wants to hear this but if there is a second source location
0:35:27 > 0:35:30more people could be ill, this could be an even bigger disaster.
0:35:30 > 0:35:35Then maybe we should worry about treating the patients we DO have and not trying to save the world.
0:35:35 > 0:35:38Yes, exactly. On that note, Mr Garrill needs a chest drain removed.
0:35:38 > 0:35:43- I'm very happy to do it. - No, it's fine, I'll do it. Call Social Services.
0:35:43 > 0:35:46Call Social Services, keep Mr Flett in that office.
0:35:46 > 0:35:4815 minute obs on the boy.
0:35:50 > 0:35:51Don't.
0:35:52 > 0:35:57I did say that I was concerned I wouldn't be able to give them the time they deserved.
0:35:57 > 0:36:00And I had every confidence that you would adjust your workload accordingly.
0:36:00 > 0:36:04Obviously it goes without saying that Ms Alcock is trying
0:36:04 > 0:36:08to punch way above her weight, which can be tedious in the extreme.
0:36:08 > 0:36:11- You're telling me!- However, she's a highly talented student
0:36:11 > 0:36:14and one who I hear has made enormous personal sacrifices to be here.
0:36:14 > 0:36:18I imagine she feels it's now or never, as it were.
0:36:20 > 0:36:22I'm sure you can relate to that.
0:36:25 > 0:36:31And, er, I know you must be angry and very upset but please,
0:36:31 > 0:36:35please call me as soon as you get this.
0:36:39 > 0:36:40Bad news?
0:36:40 > 0:36:42HE SIGHS
0:36:42 > 0:36:45No news. I succumbed and called my mother.
0:36:46 > 0:36:49They're prepping your dad for theatre.
0:36:54 > 0:36:55I'm sorry.
0:36:55 > 0:36:57I didn't mean what I said.
0:36:57 > 0:37:00Forget it, really. I mean you've got so much on.
0:37:04 > 0:37:06We'll talk later.
0:37:10 > 0:37:14I'm sorry, love. OK, take 20 quid out the biscuit tin
0:37:14 > 0:37:17and call a takeaway pizza or something, yeah?
0:37:17 > 0:37:21And no, no fizzy drinks. No, don't push it, all right?
0:37:22 > 0:37:24OK...
0:37:25 > 0:37:27All right, listen, babe, I've got to go. OK, all right,
0:37:27 > 0:37:29I'll talk to you later. Bye.
0:37:29 > 0:37:32- Sorry, erm... - That's quite all right.
0:37:33 > 0:37:35- Look, erm... - I've just rung that number.
0:37:35 > 0:37:37It's a care home.
0:37:37 > 0:37:40He's got a sister, Nicola, with severe autism.
0:37:40 > 0:37:4335 years old. He's her only carer, apparently.
0:37:43 > 0:37:44Who knew?
0:37:44 > 0:37:46BEEPING
0:37:48 > 0:37:50HE GASPS
0:37:51 > 0:37:54BP down, heart rate through the roof.
0:37:54 > 0:37:58OK. The antibiotics haven't worked.
0:37:58 > 0:37:59I'm taking him in.
0:38:01 > 0:38:02Are you coming with me?
0:38:02 > 0:38:06- But I've never been in theatre. - Well, there's always a first time.
0:38:08 > 0:38:11Luc, we need to clear some beds urgently.
0:38:11 > 0:38:15I think we can discharge bed six and eight. We're just waiting on their meds, OK?
0:38:15 > 0:38:17TELEPHONE RINGS
0:38:18 > 0:38:19Nurse McKee?
0:38:19 > 0:38:21(Nurse McKee... What...?)
0:38:21 > 0:38:27I'm taking Mr Flett to see his son, which is well within his rights, until Social Services get here.
0:38:27 > 0:38:31- Which is when?- As you know they're almost impossibly difficult to get hold of, so...- I see.
0:38:31 > 0:38:32What do you think you're doing?
0:38:32 > 0:38:36I'm going to go do obs and then I will show him out.
0:38:36 > 0:38:39It is within his rights, Luc. We can't just refuse him.
0:38:39 > 0:38:41- This is entirely... - Noah! Noah, what is it?!
0:38:41 > 0:38:45He's dropped his stats, pulse is elevated, must be the perirenal bleed.
0:38:45 > 0:38:49- It'll be OK, son.- OK, call theatre, get him prepped, we're taking him in.
0:38:49 > 0:38:53- You said that was dangerous. - It's more dangerous to leave him. - Well, can't we wait and see?
0:38:53 > 0:38:57- Look at him! We must stop the bleed. Do you understand?- Don't talk to me like that. I'm not simple.
0:38:57 > 0:39:00- This really isn't helping Noah. - I want a second opinion.
0:39:00 > 0:39:03- Second opinion?!- I can get Mr Levy. - No, we cannot call Mr Levy.
0:39:03 > 0:39:07I understand your concerns but this is a lifesaving procedure. It's better that we work together.
0:39:07 > 0:39:11- Work together?! After how you treated me?! You having a laugh? - We've no other option.
0:39:11 > 0:39:14- No, no, I know my rights, you need my consent.- Right.
0:39:14 > 0:39:19If you're not prepared to help us we'll be forced to contact a judge and they will overrule you.
0:39:19 > 0:39:22Do I have your consent?
0:39:22 > 0:39:24NOAH COUGHS
0:39:27 > 0:39:29Thank you. Right, let's get him in.
0:39:29 > 0:39:32OK, Noah, mate, you've got to tell them I haven't touched you.
0:39:32 > 0:39:36- Security!- Please, son... - Can I have Security? Thank you.
0:39:36 > 0:39:41- Noah, it's really important you tell them...- Can you get him into that office and keep him there? Thanks.
0:39:44 > 0:39:46This, this is all wrong, it's not how we should be handling it.
0:39:46 > 0:39:49Congratulations, cos this has all happened because of you!
0:39:49 > 0:39:52So in the future, kindly, just do as I tell you!
0:39:56 > 0:39:59Injecting the contrasting material.
0:40:01 > 0:40:03- OK.- What?
0:40:03 > 0:40:06There doesn't seem to be any arterial problem.
0:40:06 > 0:40:08- No embolism?- None.
0:40:08 > 0:40:10So that's good news, right?
0:40:10 > 0:40:13Depends on how you look at it.
0:40:13 > 0:40:17What is good news, we can get on with inserting an external fixator.
0:40:17 > 0:40:19But...?
0:40:19 > 0:40:23If there's no clot then there must be another problem behind the motor functions.
0:40:24 > 0:40:26I'll come and find you when we're done.
0:40:29 > 0:40:32Please don't ever speak to me like that again.
0:40:32 > 0:40:35I asked you to get Social Services and to keep them apart.
0:40:35 > 0:40:37For some reason you decided to do the opposite.
0:40:37 > 0:40:41- And I asked you not to speak to me like that again. - I'm sorry, next time I'll sing.
0:40:41 > 0:40:44I just wondered, why it was you did that?
0:40:44 > 0:40:46Oh, you think I did it to spite you?
0:40:47 > 0:40:50I did it because it was the right thing to do, the human thing to do,
0:40:50 > 0:40:53and in any other circumstances, you would've done the same
0:40:53 > 0:40:56but this person you've decided to become today,
0:40:56 > 0:40:59this weird caricature of yourself - this isn't you, I know it isn't.
0:40:59 > 0:41:03And you know that how? Because we spent one night together?
0:41:05 > 0:41:06Wow.
0:41:07 > 0:41:12Someone must've really hurt you... make you behave this way.
0:41:13 > 0:41:15I feel sorry for you.
0:41:22 > 0:41:27All exploratory procedures we've run have come up inconclusive.
0:41:27 > 0:41:30So cut to the chase. Where do we go from here?
0:41:30 > 0:41:32You want me to be blunt or diplomatic?
0:41:32 > 0:41:36Spare me. When have you ever been diplomatic?
0:41:36 > 0:41:38I think we have to get a neurologist on board.
0:41:38 > 0:41:41- But he IS a neurologist.- Exactly.
0:41:42 > 0:41:47Maybe he knows something's going on. Maybe that explains everything, including the erratic behaviour,
0:41:47 > 0:41:50wanting to get away from here, from you.
0:41:50 > 0:41:53Look, Dan, the CPK results are back.
0:41:53 > 0:41:56They indicate possible muscle deterioration.
0:41:57 > 0:42:01And there are a few neurological conditions we need to explore.
0:42:01 > 0:42:04Alzheimer's, dementia, Parkinson's...
0:42:04 > 0:42:07I wouldn't jump to worst-case scenario just yet.
0:42:08 > 0:42:10Do you want me to talk to him?
0:42:10 > 0:42:12No...
0:42:12 > 0:42:14No, I'll do it.
0:42:14 > 0:42:15MOBILE PHONE BUZZES
0:42:15 > 0:42:17Excuse me.
0:42:17 > 0:42:18It's...
0:42:23 > 0:42:24Mum! Where have you...?
0:42:26 > 0:42:29OK, midline up and down done.
0:42:29 > 0:42:30Retractor, please.
0:42:30 > 0:42:32OK, suction please.
0:42:32 > 0:42:35There is so much blood.
0:42:35 > 0:42:38Can you help me move the colon to expose the kidney, please?
0:42:38 > 0:42:41OK. Retractor, please. Thank you.
0:42:41 > 0:42:43OK, here we go.
0:42:45 > 0:42:48Oh, hang on. Can you see that?
0:42:48 > 0:42:50This bleed, it's coming from...
0:42:50 > 0:42:55A tumour. Brilliant. Why wasn't this spotted at his Outpatients appointment last week?
0:42:55 > 0:42:58That's a 12-year-old boy, I'm not hanging around.
0:42:58 > 0:43:01We'll perform a nephrectomy. Clamps, please.
0:43:01 > 0:43:04You know what this means, of course.
0:43:05 > 0:43:06His father never touched him.
0:43:12 > 0:43:16They want to run some more tests...
0:43:16 > 0:43:18Neurological tests.
0:43:18 > 0:43:21- What's going on, Dad? - How should I know? Run the tests.
0:43:21 > 0:43:23I spoke to Mum.
0:43:23 > 0:43:24She told me.
0:43:26 > 0:43:30Stop playing. You didn't leave her, she left you.
0:43:30 > 0:43:33I suppose she rang you from "Gai Paris".
0:43:36 > 0:43:38Did she sound happy?
0:43:39 > 0:43:43I dare say she was, first time in yonks, as she put it.
0:43:44 > 0:43:48- Anyway, it's of no consequence. - It must be, because you hadn't been drinking yesterday.
0:43:48 > 0:43:50The tox screen showed up nothing.
0:43:51 > 0:43:54Are you depressed? Is that why you had the accident?
0:43:54 > 0:43:57- Depressed? Am I some teenager? - Well, is there anything else?
0:43:57 > 0:44:00Listen to yourself. You sound like some soppy female counsellor.
0:44:00 > 0:44:04No, you listen to yourself. Stop pretending everything's tickety-boo.
0:44:04 > 0:44:06Oh, and be a wet blanket like you?!
0:44:11 > 0:44:14I'm sorry, I didn't mean... Daniel!
0:44:17 > 0:44:19OK, forceps please.
0:44:25 > 0:44:27OK...
0:44:27 > 0:44:30Would you like to come round and take a closer look?
0:44:30 > 0:44:33Yeah, I'm just peeling back the pleura.
0:44:34 > 0:44:35OK.
0:44:36 > 0:44:39Now, can you see it?
0:44:39 > 0:44:40The abscess?
0:44:40 > 0:44:41Hmm...
0:44:43 > 0:44:45- On the lower lobe?- Good. Staple gun.
0:44:47 > 0:44:50Now, here's the interesting bit.
0:44:50 > 0:44:53Stapling round the lobe...
0:44:54 > 0:44:58..and sealing the vessels. Thank you.
0:44:59 > 0:45:00Kidney dish.
0:45:02 > 0:45:03Thank you. Right...
0:45:05 > 0:45:06And there it is.
0:45:06 > 0:45:08One abscess.
0:45:08 > 0:45:09Blinding.
0:45:12 > 0:45:14HE CHUCKLES
0:45:20 > 0:45:22I come in peace.
0:45:29 > 0:45:31He's right, you know.
0:45:32 > 0:45:34Who am I to tell him to stop pretending?
0:45:37 > 0:45:40Dan, give yourself a break.
0:45:40 > 0:45:44I suppose I've just been lying for so long, may as well keep it up.
0:45:45 > 0:45:48Even my mother managed to make the break, my mother!
0:45:48 > 0:45:51Do you never get tired of beating yourself up?
0:45:54 > 0:45:58You know, when I told my father he didn't speak to me for three years.
0:45:58 > 0:46:00And my mother didn't exactly jump for joy either.
0:46:00 > 0:46:04- Three years?- Well, he was Chief Inspector Marshall,
0:46:04 > 0:46:09- Salford Under-12's football coach, local darts champion. I mean you get it, right?- Think so.
0:46:10 > 0:46:12I know what it's like growing up with a dad who...
0:46:12 > 0:46:15Well, I don't know about that. My dad's not that bad.
0:46:16 > 0:46:19All right, Daniel, keep your hair on.
0:46:22 > 0:46:24What I'm saying is...
0:46:26 > 0:46:27..it's not an easy thing to do.
0:46:28 > 0:46:31But you can only be who you are.
0:46:32 > 0:46:34'Doors opening. Lift going up.'
0:46:38 > 0:46:41- Did you get my message?- Yeah, I did.
0:46:41 > 0:46:43- And I've called Outpatients.- And?
0:46:43 > 0:46:47Apparently Noah Flett never made that appointment last week. You were right. Thank you.
0:46:47 > 0:46:52- I've called Hanssen.- I knew it. If he has got Legionnaires' and he didn't contract it in Outpatients,
0:46:52 > 0:46:54then he must have got it elsewhere in the hospital. But where?
0:46:57 > 0:47:00- Look, about before...- How is he?
0:47:00 > 0:47:04- Noah?- He's in ITU. Tumour's gone off to Histology. We'll know in a couple of days.
0:47:04 > 0:47:08- I'm aware I owe his father an apology.- Oh, well, apparently you don't.
0:47:08 > 0:47:12The tumour caused the bleeding, nobody was hitting him. I was wrong.
0:47:12 > 0:47:14Well, he claims that he was.
0:47:15 > 0:47:17- What?!- Yep.
0:47:17 > 0:47:20He told Social Services that it was all getting too much for him
0:47:20 > 0:47:23and he hit him...regularly.
0:47:23 > 0:47:25The police have taken him into custody now,
0:47:25 > 0:47:28so congratulations, Luc. You were right.
0:47:29 > 0:47:31About everything.
0:47:32 > 0:47:33I couldn't have been.
0:47:34 > 0:47:36I couldn't have been.
0:47:43 > 0:47:45Mr Griffin?
0:47:45 > 0:47:48I, er...asked him to come in on this.
0:47:49 > 0:47:50Brought in the big guns, have you?
0:47:52 > 0:47:53Excuse me.
0:48:02 > 0:48:05We've run the EMG test
0:48:05 > 0:48:09and I've asked Mr Bently from neurology for a consult.
0:48:09 > 0:48:12He's going to have to run some more tests, but...
0:48:12 > 0:48:17initial symptoms indicate the early stages of motor neurone disease.
0:48:19 > 0:48:22I'm sorry. I know this must be a shock
0:48:22 > 0:48:25and you'll probably have some questions for neurology.
0:48:25 > 0:48:28Oh, I'm sure my father knows all there is to know about it.
0:48:30 > 0:48:31(Thank you.)
0:48:44 > 0:48:45I was wrong.
0:48:45 > 0:48:49Your son had a tumour. You haven't been hitting him. Why did you lie?
0:48:49 > 0:48:52I've not lied. I still hit him. A lot.
0:48:52 > 0:48:54No, no, you haven't.
0:48:54 > 0:48:58Believe me, I don't often admit I'm wrong but I have been here. Now, what are you doing?
0:48:58 > 0:49:02You son is in intensive care. He has Legionnaires'.
0:49:02 > 0:49:06Depending on what Histology comes back with, he may need further treatment. He needs you now.
0:49:06 > 0:49:08He doesn't need me! He doesn't need ME!
0:49:08 > 0:49:12He'd be better off without me. Now, just stay out of this!
0:49:12 > 0:49:16- You're bleeding...- What is it with you?! Why can't you leave well alone?!
0:49:17 > 0:49:20That boy hates me. You saw it - he doesn't want me.
0:49:20 > 0:49:22Otherwise why would he tell everyone I hit him?!
0:49:22 > 0:49:27- He'll never forgive me, never! - Forgive you for what?- His mum...
0:49:28 > 0:49:34When she got diagnosed. I couldn't cope, and I left her, so can you blame him?
0:49:36 > 0:49:40He's just collapsed. He's recently been stitched. We need a CT scan as soon as possible.
0:49:40 > 0:49:46- There's a possible subjural injury which may need draining, so get on to Neuro...- Er, Luc...
0:49:48 > 0:49:52Of course. If he starts fitting, ten mil of Diazapam.
0:49:53 > 0:49:58- Of course, what?- We've been looking at the wrong person all along.- Huh?
0:50:00 > 0:50:04Yeah, they've been here before, but not for Noah, for Gavin.
0:50:04 > 0:50:09They went to ED. That's why they didn't make it to Outpatients, so the Legionnaires' source must be...
0:50:09 > 0:50:12- But ED's been given the all-clear. - Exactly, so where?
0:50:12 > 0:50:17Where could they've gone to when he came to get his head injury treated that none of the staff use?
0:50:21 > 0:50:24- Who are you calling? - Hanssen. Got it.
0:50:25 > 0:50:30He said he would be prepared to wait until the start of next season,
0:50:30 > 0:50:35by which time the former New Zealand forward coach would be free.
0:50:35 > 0:50:40Well, too right. Let's hope they don't revisit the utter ruins of last year's World Cup.
0:50:40 > 0:50:43- Shambles.- I don't think I could endure that. Thank you.
0:50:44 > 0:50:48- Daniel, about before... - Oh, look, Dad...- Things...
0:50:49 > 0:50:51Things have been happening for a while.
0:50:51 > 0:50:55And the thing is, I know it's not psychosis...
0:50:56 > 0:51:00..it's not dementia, it can't be Korsakoff's because my thiamine levels are fine,
0:51:00 > 0:51:02which rather narrows it down a bit.
0:51:04 > 0:51:06Perhaps I'm just, just getting old.
0:51:07 > 0:51:09Maybe.
0:51:09 > 0:51:12Ooh, she's cute as a button, that one, isn't she?
0:51:12 > 0:51:14Mmm? Don't say you haven't looked.
0:51:14 > 0:51:17- Well...- Yes, course you have.
0:51:17 > 0:51:22Bit more palatable than, erm... What's she called? Christine. Chrissie?
0:51:22 > 0:51:27- Dad, be nice.- Come on, give over. You knew it was going nowhere, hence you aborted in good time.
0:51:28 > 0:51:32Mind you, your mother was in despair. She'd set her heart on a £300 pound hat.
0:51:32 > 0:51:36- I bet she had.- Get it anyway, I said. Won't be long before you settle down with someone.
0:51:40 > 0:51:42The visitors' car park?
0:51:42 > 0:51:44Only patients ever come here.
0:51:44 > 0:51:46No medical staff would because they'd have to pay.
0:51:48 > 0:51:50And they'd have their cigarettes at the back,
0:51:50 > 0:51:52of course, not in view of the public.
0:51:52 > 0:51:54- That's why none of them got infected.- Yes.
0:51:54 > 0:51:56Well done, you two.
0:51:56 > 0:51:57I'll inform the HPA.
0:51:57 > 0:52:01You might like to steer them clear of the air vent.
0:52:01 > 0:52:02Yes, of course.
0:52:05 > 0:52:07PHONE CHIMES
0:52:08 > 0:52:10Noah Flett. He's waking up.
0:52:10 > 0:52:12Oh. I'll, um...
0:52:18 > 0:52:20Oh, Mr Hope?
0:52:21 > 0:52:25I know it's a bit late in the day, but can I buy you a coffee?
0:52:27 > 0:52:29About today. Look...
0:52:29 > 0:52:31I'm sorry. I may have been...
0:52:31 > 0:52:32No, no, no.
0:52:32 > 0:52:35It was a cracking day. Best day ever.
0:52:35 > 0:52:37Well, bar the birth of my kids.
0:52:38 > 0:52:40Actually, do you know what? That's a big fat lie.
0:52:40 > 0:52:43The first one was a breach and the second one was a C-section.
0:52:43 > 0:52:44It was hell!
0:52:44 > 0:52:47Anyway. You know what I'm trying to say.
0:52:47 > 0:52:49Yes. You're welcome.
0:52:51 > 0:52:53'Lift going up.'
0:52:54 > 0:52:56Dan!
0:52:58 > 0:52:59You all right?
0:52:59 > 0:53:01Yeah.
0:53:01 > 0:53:03How's your Dad?
0:53:04 > 0:53:07OK, for now.
0:53:07 > 0:53:08You look done in.
0:53:08 > 0:53:10I am, kinda.
0:53:10 > 0:53:11Drink?
0:53:14 > 0:53:16I don't know.
0:53:16 > 0:53:17I'm shattered.
0:53:17 > 0:53:19Been a bit of a day.
0:53:21 > 0:53:23Think I'm going to head home.
0:53:23 > 0:53:25Yeah, OK.
0:53:39 > 0:53:40How you feeling, Noah?
0:53:44 > 0:53:46Shall I tell you something?
0:53:46 > 0:53:47I used to have one of these.
0:53:49 > 0:53:51I'm sorry.
0:53:51 > 0:53:53Did your mother buy you that?
0:53:56 > 0:53:59So, have the nurses spoken to you about your father?
0:53:59 > 0:54:01They've taken him in to theatre now.
0:54:02 > 0:54:05They found bruises all over his body.
0:54:05 > 0:54:08Of course, this could be caused by any number of things.
0:54:08 > 0:54:11Could be blood cancer, could be immune system deficiency
0:54:11 > 0:54:13or it could be a clotting disorder,
0:54:13 > 0:54:15or it could just be...
0:54:16 > 0:54:19Well, could just be someone hitting him.
0:54:20 > 0:54:25Of course, we treat each of these conditions very differently, so...
0:54:25 > 0:54:28they were wondering if you knew anything.
0:54:29 > 0:54:31Is someone hitting him?
0:54:34 > 0:54:36Are you hitting him, Noah?
0:54:38 > 0:54:40See, I think you wanted to punish him,
0:54:40 > 0:54:43he felt he deserved it because he left your mother,
0:54:43 > 0:54:45and so he lets you hurt him.
0:54:45 > 0:54:46Am I right?
0:54:50 > 0:54:51I know you're scared.
0:54:51 > 0:54:53OK.
0:54:54 > 0:54:56Fear can make people do very strange things.
0:54:56 > 0:55:00It can make them push away the people who care about them the most.
0:55:01 > 0:55:05Sometimes if you push too hard, there's nothing left.
0:55:05 > 0:55:08There's no great prize at the end of the road.
0:55:09 > 0:55:11It's just cold and lonely.
0:55:14 > 0:55:15Don't go there.
0:55:19 > 0:55:20Nurse Mckee.
0:55:21 > 0:55:24Eddi.
0:55:24 > 0:55:27Noah's taken it all back. I thought you'd want to know.
0:55:27 > 0:55:28Thanks.
0:55:30 > 0:55:32Listen, I was thinking maybe we should...
0:55:32 > 0:55:34- Yeah, let's not.- Right. OK.
0:55:36 > 0:55:38I'm going to apply for a transfer.
0:55:38 > 0:55:40HE SCOFFS
0:55:40 > 0:55:43Yeah, I know. But when they give it to me, I'm going to stick to it this time.
0:55:45 > 0:55:46I can't do this any more.
0:55:46 > 0:55:49I mean, what happened today, it all went pear-shaped because of us.
0:55:49 > 0:55:52- It wasn't just because of us...- Yes, it was. It was just because of us.
0:55:52 > 0:55:55If we'd have worked together like a team,
0:55:55 > 0:55:56it wouldn't have even got to that place.
0:55:57 > 0:56:01It's toxic, this, Luc. You know, it is not good for us.
0:56:01 > 0:56:05I don't understand. This morning, you said last night didn't really mean anything...
0:56:05 > 0:56:07What did you expect me to say?
0:56:07 > 0:56:09You woke up, you found me in your bed,
0:56:09 > 0:56:12you freaked out and you ran away, didn't you?
0:56:13 > 0:56:15Yeah, course you did.
0:56:15 > 0:56:17What did you think I was going to do, Luc?
0:56:17 > 0:56:20Did you think I was going to walk onto the ward and profess my undying love for you?
0:56:20 > 0:56:22- I mean, Jesus... - Don't do this. Please.
0:56:22 > 0:56:24- Please stop.- There is no point... - Just stop. Eddi...
0:56:36 > 0:56:38I don't know how to do this.
0:56:42 > 0:56:44Oh. Um...
0:56:44 > 0:56:46OK.
0:56:46 > 0:56:50Look, what did you say came after sleeping together but before Ikea?
0:56:54 > 0:56:55A date.
0:56:55 > 0:56:57Yeah, that's it, then. Date.
0:56:57 > 0:56:58Yeah.
0:56:58 > 0:57:01- Weird, isn't it? - Yeah, it's a bit weird.- Yeah.
0:57:01 > 0:57:03I suppose we could give it a go, though.
0:57:05 > 0:57:06Maybe?
0:57:09 > 0:57:10OK.
0:57:14 > 0:57:16Go and get changed, Luc.
0:57:16 > 0:57:17Oh, right, yeah.
0:57:19 > 0:57:20Call me!
0:57:45 > 0:57:49Subtitles by Red Bee Media Ltd