Unsafe Haven - Part 2 Holby City

If you like him, you like him. Just ask him out.

-I could use a drink.

-Or ten.

It's a date.

A date?

I'm tired of trying to understand you, Luc. I don't want to do it any more.

-You suspect Legionnaires' disease?

-Yes.

An outbreak is not official

until two or more notifications are linked.

Go.

'The security guy, I sent him home. That's four cases.'

Holby could be the source.

One man's dead - a father, a husband. All because I didn't see it. I wasn't good enough.

It's not your fault.

Cavalry's here, I see.

Yes, thank the Lord.

I was really panicking,

but now that the Health Protection Agency dudes are here,

I'm totally calm.

Hey, look at it this way,

they've only got to check all the vents, taps, pipes,

shower heads, water tanks, cooling towers,

air conditioning units in the whole building.

They should be done by the year 2054.

When do I retire?

It's going to be fun and games today.

Yes.

So we are now operating an emergency procedure.

The ED is shut to further admissions, all electives are off.

Darwin and ITU will be sharing the overspill.

We're expecting a steady influx of patients with flu-like symptoms.

AAU is the designated receiving ward.

Mr Hemingway, in Mr Spence's absence, perhaps you'd be kind enough to hold the fort.

-Has the press got hold of this yet?

-We'll be issuing a press release in due course.

Erm...I'm supposed to have students in today.

I suppose that will be cancelled?

I don't see why. This is a teaching hospital, after all,

and we're dealing with Legionnaires', not bubonic plague.

I don't know whether I'm going to be able to give them the attention they deserve.

I'm sure you'll weather the storm beautifully.

Right. Cool heads, everyone. Thank you.

Mr Hemingway.

Any news of Keith Drysdale?

As far as I know, staff are still attempting to trace him.

I am aware this is an oversight. We're making every effort.

We are none of us blessed with second sight.

You treated the presentation at the time.

Let's hope they find him sooner rather than later.

Keep me updated, will you?

'Welcome to boot camp.'

This news about the electives is going down like a lead balloon.

Can you speak with Mrs Ogden? She thinks Legionnaires' is infectious and wants to leave.

-Nice one. She can't remember where the exit is.

-Oh, and the showers are out of order, too,

so that went down well.

-I'm coming. See what I mean?

-Sorry?

Is Griffin around? I think I'm needed for a consult.

Mission control at Hanssen's. I suppose it's an easy day for you, as all electives are off.

Hello? You there?

Yes, I, er...

I think I might be on a ward rotation. I'm going to go and check.

Hi.

And breathe.

DAN LAUGHS

OK?

Yes.

Yes. Yes, of course. You?

Oh, you know, bit tired,

got a bit of a headache.

Of course I am.

I'm great.

Simon...

..last night...

Yeah, I know. I know.

Me, too. But, listen, just relax, OK?

We can just take it one step at a time.

Morning.

The taps are currently off limits, so I've sorted out sterile drinking water.

Depending on the HPA, different parts of the ward will be out of order at times, so expect updates.

We've got three agency nurses supporting us today,

so if they get under your feet, looking clueless, please point them in my direction.

-Anything else?

-Yup.

A 12-year-old boy with suspected Legionnaires' coming in.

-Paramedics called ahead.

-Well, he should be up on...

-I know,

but Paeds is shut for testing. And there's a stabbing in bay three, Sacha.

-Eddi...about last night...

-Don't worry about it.

I know where your head's at, Luc.

So we sleep together, then we have to go on the obligatory date.

Before you know it, we're having domestics in the canteen.

You have to give up your trailer, you move in, we go to Ikea,

before you know it, I want a baby.

Then in order to dump me, you have to be super vile, so I actually end up dumping you

and the whole thing just ends up being this God-awful mess, right?

Wow.

I didn't realise "Eddi" meant all-seeing all-knowing goddess in Ancient Greek.

Very funny. But relax, yeah?

Last night was just...last night. That's all.

Mind your backs, folks. Coming through. Thank you.

Right, this is Noah Flett, he's 12, he suffers with severe asthma.

He collapsed at school, showing signs of fever

and possible cardiac problems.

He had an asthma attack two weeks ago, we treated him here at Holby,

we referred him to Outpatients,

and put him on a course of steroids.

I don't rate these HPA boys, you know?

I've been telling them that the vent in the corridor has been blocked for ages, but are they bothered?

Are they heck! They say they've got their own system.

But there's no substitute for in-depth knowledge of a place.

I know this hospital like the back of my hand.

That's probably all the information we need. Thank you.

Sats are 90. Temperature is 38.

That's a cool-looking piece of kit you got there, Noah.

NOAH COUGHS

Hello, Noah, my name is Luc, I'm one of the doctors here.

Can you tell me if you have any pains anywhere? Headaches?

Chest pains? Muscle pains?

HE COUGHS

Anything?

Any time before Christmas would be fantastic. Hello?

-Luc?

-Mmm-hmm?

Says here he's being treated for selective mutism.

OK, Noah. My name's Eddi.

It's OK if you don't want to talk to us,

but can you show us where it hurts?

Right, well, the school has called your parents and I'm sure they'll be here any minute.

I thought you'd like to know - they've found Keith Drysdale.

Apparently, he collapsed in the shower last night and came to this morning.

They're bringing him in now.

This is Jeremy Hamilton, referred from the ED.

He crashed his car. He's got a mild concussion,

large laceration to the head, some abdominal pain.

BP 140 over 90. Pulse 50, temperature 37.

Hi, I'm Mr Malick, I'm the registrar here. How are you feeling?

I'm not too bad, thank you.

-OK. Can you tell me...?

-Yes. It's 2012.

The US President is Barack Obama...just.

The global economy is still in massive meltdown,

and the optimal position for tracing eye reflexes is...

just fractionally diagonally to your right.

I'm sorry, goes with the territory.

Mr Hamilton is a consultant neurologist.

Now, that's just not fair.

So where are you based?

I have a plush private practice with a cappuccino machine.

I've paid my dues.

I retired from the NHS ten years ago.

By the way, is Daniel Hamilton working here today?

Dan?

Oh, my God. You're Hamilton.

-You're his dad.

-Yes, for my sins.

Where do you think he gets his good looks from?

Speaking of the devil... Hamilton! Look who's here.

Hello, stranger. Long time no see.

The engineers should be here any minute to fit the water filters

and we're going to have to rejig your list,

including your outpatients one. Some patients may have to be transferred.

-Right, thank you.

-Having a good day so far?

-Mr Hope?

-Yes.

Barbara Alcock. Honoured to meet you.

We're all here, gagging to get going.

-I have to say, this is really exciting.

-Right.

-Do you need a hand with anything?

-Yes, thank you.

If you could take these...

What a day, eh? I'll never forget when we had an outbreak at The Royal.

Never mind overtime - triple time, more like. I'm a physiotherapist.

Well, I used to be, until I banged my head and decided I wanted to be a student again.

I know, I know, don't say it - mental!

Oh, Tetralogy of Fallot. Love that. Love it!

Right, everyone! Found Mr Hope.

Right, hello. Welcome to Holby.

I have prepared a lecture for you...

That's fine, I can do that.

We'll be looking at that most rare

and complex congenital heart defect, Tetralogy of Fallot.

Regrettably, my office is currently out of bounds, so...

Hello. ..so we'll be going upstairs to the meeting room.

So we're not looking at an actual case?

No. Not quite. One floor up on the left.

It's probably quicker if you took the...

Right, OK.

Sorry...Mrs...Miss..?

-Oh, sorry.

-Lovely, thank you. Thank you.

HE EXHALES

Come on, Daniel, what could be so important you haven't seen your old man in three months?

-Do I have to get myself admitted?

-Behave.

I've just been completely snowed under. You know what it's like.

-Oh, rubbish. I know when someone's putting me off.

-Never!

As if.

Right, all done.

Right, let's take a look at that cut.

Now, come on, out with it. Where have you been hiding yourself? You in lust again? Is that it?

-Who is she?

-Oh, you know me.

Oh, that's my boy. "I can resist everything except temptation."

DAN CHUCKLES

I miss you, you big oaf. There's no-one to argue about the state of the world with.

-I miss you, too. But I see it's business as usual.

-Hmm?

Come on. How many times is it you've crashed the Beemer?

Oh, scratched! My dear boy, scratched.

I know, I'm a foolish old man and I should know better.

I'm just going to check your reflexes, OK?

HE WINCES

-Sorry.

-Seriously. You've been lucky.

-You could have been badly hurt, or hurt someone else.

-Stop fussing.

I have one wife already.

Right, grip. Go on.

-Hmm. Slight twitch there.

-Oh, that. That's been there for ages.

-Actually, does Mum know you're here?

-Don't be daft. She's not going to, either.

Leave her alone, she has a cake sale to organise in Nailsworth.

Highly stressful.

Anyway, when are you going to let me out of here?

When you've passed my checklist, Mr H.

COUGHING

BP 80 over 60. Stats 90.

Temperature is 39.5. It's Legionnaires' pneumonia.

I told you I was unwell.

-Keith, is there someone we can call for you?

-No-one.

-How long am I going to be in?

-Well, you're not going anywhere for the minute.

We need a chest CT, FBCs, Us, Es, urine and bloods,

Azithromycin in 500 milligrams and half-hourly obs.

Two more suspected cases are coming in.

-I bet they won't slip through the net.

-I'd just keep this on for now if I were you.

-Trying to shut me up?

-I'm trying to help your compromised lungs retain as much air as possible.

I'll be right back.

It couldn't have helped he was lying on a cold floor all night.

Is it an idea to get Elliot down here?

No, I'm sure they're just as snowed under as we are. Let's just see how he does.

Look, I'm not suggesting, you know...

What? That it's my fault? Of course it is.

It's all right. We all make mistakes.

I'm a big boy. I can handle it.

OK, can you chase Mrs Prothero's scan results?

I can't see us doing Mr Bloom's valve replacement.

Would you mind imparting the news?

Are you scared of Mrs Bloom?

(Just a little bit.)

You owe me one.

A-ha. I'd say Mrs Bloom is the least of your worries.

"Once more unto the breach."

Right, I'm done. This is brilliant, this stuff.

Good. Good. Right. And where's the rest of the brood?

They've gone down the pub, to concentrate.

You know what it's like. Yoof!

Yes, indeed. Well...

Yes, OK. Well, well done, you.

Actually, I've got a couple of questions. Have you got a minute?

-Is that Drysdale's?

-Yes.

Wow.

That's a big abscess.

It's not your fault.

How's the mute? Has the sputum test come back yet?

He won't part with any of it. He's scared, Luc. I think we should wait for his parents.

And then what? Apply in writing?

-Just get a couple of nurses and get it done.

-What, by force?

Well, I presume falling to your knees and weeping hasn't worked?

Since when do you let patients boss you around?

Well, obviously this is a little bit more complex.

I mean, not that you'd noticed or you even seem to care...

So the symptoms are not similar to mitral valve stenosis?

Well, that might be an initial diagnosis, which is why we perform an echocardiogram.

-Ah. But would an echocardiogram always show the four defects?

-Yes. Yes, that's right.

Look, I...

I appreciate your enthusiasm, but we really must wind this up.

Oh, yeah, sure, sure, sure. Just another quick one.

So would an ECG also diagnose the condition?

Mr Hope, AAU just called -

Legionnaires' pneumonia with a lung abscess.

They need an urgent consultation.

-Oh! Oh. Yeah.

-We'll catch up later.

-Yup.

Actually, do you mind if I stuck around?

-Actually, well, we're extremely busy...

-I could help out.

You know, point people in different directions, shift wheelchairs around. Come on.

How often do you get a willing and eager health professional just dying to get their hands dirty?

There's a pint in it for you...both.

Well, now you're talking.

OK, so you don't want to talk.

Believe it or not, I totally understand that.

But there's nothing wrong with your hearing, right?

Nurse Mckee has explained to you why we need to test you, yes?

Good. So is there any particular reason why you won't do us

the small favour of just spitting into this?

NOAH COUGHS

No? I thought not.

Let me spell this out to you, Noah. If you don't let us test your spit,

and it turns out you do have Legionnaires' disease,

here's what'll happen.

You're going to start feeling much worse very quickly -

more pain, more coughing, more fever.

-Luc.

-If that's what you want, you be my guest.

Who do you think you're talking to?

Don't you dare talk to him like that.

Thank you.

Mr Flett, I presume.

-Hey.

-Hey.

Your dad's back from X-ray.

-Thanks. I'll be there in a minute.

-He's quite a character.

Yes. Yes, he is. Quite a...

..legendary neurologist.

He's a brilliant man.

-He's the reason I became a doctor.

-Look, I understand.

He doesn't have a clue about you, does he?

Are you worried that I would say something to him

-or that I expect you to say something? Because...

-Oh, no.

-No, I know that you're not...

-Yeah, right.

Dan, you've been walking round like you've seen a ghost.

-That obvious?

-Slightly.

Look, I meant what I said, OK?

There's no rush.

Dan.

I got your old man's X-ray results.

I don't think we'll be calling a cab anytime soon.

You can complain, but it did the trick.

It might have done because you scared the life out of him.

That little boy lost his mum a year ago - that's why he's not speaking.

I mean, what..? He's 12, he's here on his own,

he's scared. I mean, where do you get off?

-Everybody's scared. This is a hospital, not Disneyland.

-You what?

Listen, Gavin, none of us are taking this lightly.

I can do nothing about your son's selective mutism. The Legionnaires', I can do something about.

-Sorry. I thought you'd like to know Mr Hope is here.

-You'll have to excuse me.

I know how this looks, OK?

-But he really is in the best hands.

-Really?

Yeah. Mr Hemingway, he's got his own style,

-but, please, believe me, he knows what he's doing.

-FLETT SIGHS

I hope so. Cos that little boy's been to hell and back.

Little bit of humanity wouldn't go amiss.

Right. His lungs are laced with abnormalities as a result of the smoking,

BP is low, and the size of the abscess is a worry.

-I really think we should take him up.

-Drysdale not improving?

Well, he's still got enough energy to spit blue murder

and swear he's going to take the hospital to court.

I dare say there are a lot of very angry people around today.

I wouldn't get too excited.

Some good news - the HPA's initial findings indicate the Legionella source may be Outpatients,

-so perhaps we will return to normal by end of play.

-That is good news.

Outpatients?

That seems to be the common link. Our records show that

all the Legionnaires' patients passed through there at some point. Why?

-No, no reason.

-Right, well, as you were.

Fingers crossed we ride this out with the minimum human cost.

No peace for the wicked. Busy, busy, busy.

-Luc...

-Is this all the patients with Legionnaires'?

-Yeah, but...

-Outpatients doesn't make sense.

-Luc.

-If this is about Noah Flett and my social skills, spare me the lecture.

-No, it isn't,

but a bit of social etiquette might come in handy right now. The lab just called.

Noah tested positive.

So no upper body fractures or heart problems, right?

That's a good thing, isn't it?

Well, I'm worried about the muscle response in his arms and legs.

I want to run an MRI.

-We need a clear image of any cerebral damage.

-It could just be as a result of trauma?

Look, maybe you should get your mother over. I know it's not...

My life would not be worth it.

Breaking the father-son confidentiality clause is the highest form of treason.

-I can see. Ladies' man, is he?

-Mmm.

Girl in every port. Or should we say consulting room?

Guys, two things.

One - it seems the HPA suspect there's an infected pipe

from Outpatients into Keller, so the ward is shutting.

-You're kidding me, right?

-No. We're going to be split between ITU and Darwin.

I don't believe this. And the second?

Apparently, Mr Hamilton has ordered himself a taxi.

It's waiting at Wyvern entrance.

Well, I know you must be worried,

but at least now we can him on the right antibiotics.

-We can just let them do their thing.

-Right.

Look, I'm sorry about before. Thank God you forced him.

It's just... I haven't noticed anything.

This morning, he was just totally like always.

I mean, his asthma's a pain, so he was coughing,

but I work for myself, so if I lose a day, then...

Kids' temperatures can spike at any time.

It's just that the way it is,

he could be dying, and you wouldn't know. He won't talk to anyone.

He doesn't even speak to you?

No. It's a bit tricky, this.

I've only really had him since his mum passed away.

We...we weren't together when she died.

His therapist says you've got to give it time.

You know what they say about kids - all you need is endless love and endless patience.

Noah.

You all right, mate?

I know you don't like this place,

but you're going to have to stay here for a little while longer, all right?

It's OK, son,

-cos the doctors have done the test, see, and...

-NOAH GROANS IN PAIN

You all right? What's the matter?

-Is it hurting here?

-What's going on? Is this something you've given him?

-Maybe a reaction to the Clarithromycin?

-It doesn't look like usual anaphylaxis.

I just need to have a little look at your tummy, OK? Just roll over for me.

-Just do what the doctor tells you, there's a good boy.

-Lie back.

Let me have a little press...

-Noah...

-Noah, stop mucking about.

Come on. That's it. Go on.

-Stop it.

-All right.

-Go on, get on with it.

-All right.

Noah, look at me. It's going to be fine.

-Stop it.

-It's very tender.

This is nothing to do with Legionnaires'. We need a CT as soon as possible.

OK, mind his legs, yeah?

OK, you can let him go now.

OK, BP 90 over 70

and his temperature is still 39.5.

COUGHING

LABOURED BREATHING

I've asked for a complaints form.

-I'm going to the press.

-Easy now.

-Let's get you up on your feet first.

I'm afraid because the size of your abscess, surgery is inevitable.

But I'd like to see how you're responding to the antibiotics first. OK?

We'll get you a care plan

and then you can have your press conference.

Marvellous. OK. 15-minute obs, please.

We really need to chase next of kin as soon as.

Tell me about it. I've been back and forth to HR - nada.

That's the Legionnaires' abscess, right? Are you taking him in to theatre?

-Not right now, no.

-Joy to the world. The Keller exodus.

Aren't you just wasting time waiting for the antibiotics work?

I mean, the risk of permanent damage...

Is fairly calculated compared to the risk of him dying on the table as a result of complications.

-Yeah, but...

-Never mind excessive bleeding, wound infection and a far, far longer recovery time.

Would you excuse me, please?

'What do you mean you've sent my cab away?'

-Dad, you have to listen to reason...

-Now, look, I've humoured you and your colleague thus far,

but any moron can see this place is falling apart.

-So, as they say, I'm out.

-Dad, please...

-Daniel, I mean it.

All right. You leave me no choice.

I'm calling Mum.

-She's the only one who knows how to deal with you.

-No, you're not.

Your mother and I are, regrettably, no longer together.

Don't be so ridiculous.

I've been staying at the club for the last few days.

I have been trying to call you, you know.

Anyway, there you have it. Oh, stop looking at me like that.

All things come to an end.

What happened?

Nothing...

that hasn't been waiting to happen for a long time.

What has she found out?

I've...

I've never pretended to be a saint. Your mother knew what she was getting into.

You only live once. One has to do what one has to do.

Don't tell me you've left her?

Right. We ready to move?

No, it's all right, I'll do it.

Ah, glad you took my advice at last.

I told you that vent was dodgy.

-Mr H.

-Big Mac. You know Keith Drysdale, don't you? Security.

I know one shouldn't speak of the ill, but...he's a miserable get.

Nonetheless...

we don't have next of kin details for him,

and he could really use a relative by his side now.

-Any ideas?

-I might be able to help you.

I have my ways and means, you know. I'll need a hand.

-Have you got five minutes?

-Lead on.

Come on. She's a tough old bird under all that chintz. She'll get over it.

Oh, for heaven's sake, Daniel.

Do you mind? Now isn't a good time.

Well, I'm sorry. But we do have to make a move.

What do you think you're doing?

Taking you to ITU. We need to move and we need to do it now.

-No, you're not. I'm going to check into a private clinic.

-Can we just...?

Tell you what. I'll take you to ITU and then you can take it from there.

-With respect, who's in charge here? Say something.

-OK, Dad.

Are you going to let a nurse tell you what to do? I mean, for...

-What's the matter with you?!

-All right, Mr Hamilton.

I understand you're upset, but you could be a bit more respectful.

Excuse me?!

Could I just have a word?

OK, we'll have a full abdomen.

Start at the bottom of the chest and work down.

I feel sorry for him. He looks scared.

Yeah, that's clear, keep moving down.

I used to have one of these.

What, when you were a kid?

No. Bought it last year.

Lost it when I moved here, though. OK, that's clear.

Keep moving round, please.

What?

Wait, wait, wait.

Here, this shadow.

Haematoma round the kidney?

Why would there be blood round there?

He's hitting me. >

Did he just say, "He's hitting me?"

Noah?

Noah, did you say something?

Noah?

Noah.

Let's get him out of there.

Noah, what did you mean? Who's hitting you?

Noah.

You can tell us, we can help you.

Oh...

HE COUGHS

If the Legionnaires' disease in this place don't get you,

the dust will.

Any luck?

Don't say I don't risk myself in the line of duty.

Right, these are the original files, before they were computerised.

-Right.

-Shall we?

-Must be here somewhere.

There you go, sir.

-They are a bit comfy.

-Oh, thank you.

There we go.

Oh, just a bit of a wobble, I missed my lunch break.

You and me both.

It's...

..seen better days.

Sorry, but...it should do.

Now that is what I call proper man management.

I've got one, thank you.

Right, let's find this file.

Was that really necessary?

You're acting like a jobsworth.

It IS my job.

And you know I'd be in trouble if I didn't do it.

So thanks for your support(!)

Oh, come on. You know I can't...

I thought you understood.

Dan, I didn't ask you to snog my face off in front of him. I mean, just be professional.

He's going through a lot right now.

He's just told me he's split up from my mum.

Well, I am sorry. I am,

but that does not give him the right to speak to me that way.

This is ridiculous!

I'll be there in a minute.

I don't understand. Are you trying to get back at me?

What for?

Well, you say there's no pressure,

but maybe you're not as laid back as you make out.

No, listen, I meant what I said. I'm not the one being dishonest.

CRASHING

Ah!

Ah...

What do you mean he spoke? He can't have, he never does, not to anyone.

-Well, he did.

-What?!

And the blood around his kidney suggests a blunt trauma, possibly even a repeated one.

I-Is he serious? Is he OK?

Normally we'd operate, but due to the Legionnaires' and his asthma, putting him under is a bit risky.

(This is not happening, this.)

The real issue is how he came by these injuries.

Do you have any idea at all, Gavin?

W-Who could it be? Somebody at the school?

To be honest, they keep a pretty good eye on him, he's special needs. I could give them a call...

Mr Flett, he said, erm...

He said, "He's hitting me".

You think it's ME?

Argh!

OK, Dad. Just over to the bed. Round.

-Argh!

-Easy.

HE BREATHES ERRATICALLY

-He just fell.

-OK. I'll get his feet.

Of course I didn't just fall! I was... I was trying to get up.

-Leave me alone, you clumsy oaf!

-Whoa! That's not a good idea, Mr Hamilton.

You know your X-ray showed a pelvic fracture.

-Could we get some oxygen, five milligrams of morphine?

-Of course.

HE CRIES OUT

-Did you see it happen?

-No, but, what are you thinking?

-I don't know.

Right, Mr Hamilton. There's some bruising in your leg and the pelvic fracture is now an emergency,

-and we need to get you into theatre.

-Are you thinking... an arterial embolism?

-Exactly.

-Who's going to open me up?

-We'll get an orthopaedic surgeon, I'll oversee him.

-Quite right, too. Their knowledge doesn't extend much beyond bone-crunching.

-OK, Dad.

Don't "all right" me! If you listened instead of trying to please everyone,

I wouldn't be in this state!

HIS BREATHING SLOWS DOWN

-This has got to be a joke, right?!

-We're not accusing you of anything.

-He said, "He's hitting me".

-I would NEVER touch that kid, never!

What about before, on the ward?

Oh, come on! Before?! I had to do that and you know why!

Exactly. That's what I'm saying. Anybody can snap. It's a tricky situation.

-His mother's died, he's been foisted onto you...

-Foisted?!

Sent to you, whatever. The point is you weren't playing happy families before, were you?

-Luc, I'd stop there.

-You seem to know all about it, got it all worked out.

-What, you got kids, have ya?

-That's irrelevant.

I have an imagination, I can imagine having a son who won't look at you, talk to you, must be hurtful.

And there's all the mumbo-jumbo about endless love and patience.

That must wear you down, it's perfectly understandable.

I'm not listening to this, I'm going to go see my son.

-Not right now, you're not.

-You what?!

-I-I'm not judging you...

-That's good of you(!)

We have procedures we have to...

You saying I can't SEE my son?!

Not unsupervised, no.

-Luc, let's go outside.

-What?

-Yep, go on.

Can you just give me five minutes?

OK.

DOOR SHUTS

-There you go, sweetheart. Straw makes it easier, didn't it?

-You've done this before, right?

Actually, back in a tick.

Erm...

You know, that guy, in there? I think he's really struggling. Shall I pop in, see how he's doing?

-Sure. Tell him I'm just coming.

-OK.

There IS a God. I may have got somewhere.

See this? Drysdale filled it in when he applied.

See, next of kin details, no name, but there's a phone number.

What's she doing?

-What are you doing?

-Oh, I was going to try and do some postural draining on Mr Drysdale.

-You know, make breathing a bit easier for him.

-You never said you were doing that.

Well, you were busy and I've done it a million times before...

(Are you out of your mind?)

Well, it can help drain fluid from the lungs.

Yes, I know what postural drainage is but this man has an abscess,

so in his case, you'll be putting unbelievable pressure on his lungs, leading to respiratory arrest!

Now, I know you are very keen, and you think you know more than your peers.

Nonetheless, you are not a physician yet, you are a physiotherapist.

-Half-knowledge is more dangerous than no knowledge.

-Quite.

I wonder, Mr Hope, if we can catch up, please.

Bottom line is, we need to look after the boy, we need to call Social Services.

OK, so you messed up yesterday and now you want to play it all by the book.

Look, it is clear that he loves his son Luc, it's clear he needs some help.

Love has many faces. It's a fine line.

-Why does that not surprise me coming from you?

-I beg your pardon?

-You judge everyone by your own bleak standards.

-I must have missed something.

-You're not exactly known for your sunny disposition.

-Maybe.

But someone who lets themselves go like that is not trying to hide a temper.

-Anyway, what would you know about emotions?

-I beg your pardon?

Er, sorry to break up the party, guys.

It's been announced. They've found the Legionnaires' source.

Tests on the Outpatients have come back positive.

So they've re-opened the ED and we'll start getting referrals over

and the critical care Legionnaire cases as well.

They came back positive?! That's not possible. They must have got that wrong.

-Is that the updated cases list?

-Yeah.

-Thank you.

No, I'm sorry, this makes no sense.

What doesn't?

Not one member of staff, all patients.

Not a single doctor, not a nurse.

Well, I guess patients by their very nature have compromised immune systems.

I know nobody wants to hear this but if there is a second source location

more people could be ill, this could be an even bigger disaster.

Then maybe we should worry about treating the patients we DO have and not trying to save the world.

Yes, exactly. On that note, Mr Garrill needs a chest drain removed.

-I'm very happy to do it.

-No, it's fine, I'll do it. Call Social Services.

Call Social Services, keep Mr Flett in that office.

15 minute obs on the boy.

Don't.

I did say that I was concerned I wouldn't be able to give them the time they deserved.

And I had every confidence that you would adjust your workload accordingly.

Obviously it goes without saying that Ms Alcock is trying

to punch way above her weight, which can be tedious in the extreme.

-You're telling me!

-However, she's a highly talented student

and one who I hear has made enormous personal sacrifices to be here.

I imagine she feels it's now or never, as it were.

I'm sure you can relate to that.

And, er, I know you must be angry and very upset but please,

please call me as soon as you get this.

Bad news?

HE SIGHS

No news. I succumbed and called my mother.

They're prepping your dad for theatre.

I'm sorry.

I didn't mean what I said.

Forget it, really. I mean you've got so much on.

We'll talk later.

I'm sorry, love. OK, take 20 quid out the biscuit tin

and call a takeaway pizza or something, yeah?

And no, no fizzy drinks. No, don't push it, all right?

OK...

All right, listen, babe, I've got to go. OK, all right,

I'll talk to you later. Bye.

-Sorry, erm...

-That's quite all right.

-Look, erm...

-I've just rung that number.

It's a care home.

He's got a sister, Nicola, with severe autism.

35 years old. He's her only carer, apparently.

Who knew?

BEEPING

HE GASPS

BP down, heart rate through the roof.

OK. The antibiotics haven't worked.

I'm taking him in.

Are you coming with me?

-But I've never been in theatre.

-Well, there's always a first time.

Luc, we need to clear some beds urgently.

I think we can discharge bed six and eight. We're just waiting on their meds, OK?

TELEPHONE RINGS

Nurse McKee?

(Nurse McKee... What...?)

I'm taking Mr Flett to see his son, which is well within his rights, until Social Services get here.

-Which is when?

-As you know they're almost impossibly difficult to get hold of, so...

-I see.

What do you think you're doing?

I'm going to go do obs and then I will show him out.

It is within his rights, Luc. We can't just refuse him.

-This is entirely...

-Noah! Noah, what is it?!

He's dropped his stats, pulse is elevated, must be the perirenal bleed.

-It'll be OK, son.

-OK, call theatre, get him prepped, we're taking him in.

-You said that was dangerous.

-It's more dangerous to leave him.

-Well, can't we wait and see?

-Look at him! We must stop the bleed. Do you understand?

-Don't talk to me like that. I'm not simple.

-This really isn't helping Noah.

-I want a second opinion.

-Second opinion?!

-I can get Mr Levy.

-No, we cannot call Mr Levy.

I understand your concerns but this is a lifesaving procedure. It's better that we work together.

-Work together?! After how you treated me?! You having a laugh?

-We've no other option.

-No, no, I know my rights, you need my consent.

-Right.

If you're not prepared to help us we'll be forced to contact a judge and they will overrule you.

Do I have your consent?

NOAH COUGHS

Thank you. Right, let's get him in.

OK, Noah, mate, you've got to tell them I haven't touched you.

-Security!

-Please, son...

-Can I have Security? Thank you.

-Noah, it's really important you tell them...

-Can you get him into that office and keep him there? Thanks.

This, this is all wrong, it's not how we should be handling it.

Congratulations, cos this has all happened because of you!

So in the future, kindly, just do as I tell you!

Injecting the contrasting material.

-OK.

-What?

There doesn't seem to be any arterial problem.

-No embolism?

-None.

So that's good news, right?

Depends on how you look at it.

What is good news, we can get on with inserting an external fixator.

But...?

If there's no clot then there must be another problem behind the motor functions.

I'll come and find you when we're done.

Please don't ever speak to me like that again.

I asked you to get Social Services and to keep them apart.

For some reason you decided to do the opposite.

-And I asked you not to speak to me like that again.

-I'm sorry, next time I'll sing.

I just wondered, why it was you did that?

Oh, you think I did it to spite you?

I did it because it was the right thing to do, the human thing to do,

and in any other circumstances, you would've done the same

but this person you've decided to become today,

this weird caricature of yourself - this isn't you, I know it isn't.

And you know that how? Because we spent one night together?

Wow.

Someone must've really hurt you... make you behave this way.

I feel sorry for you.

All exploratory procedures we've run have come up inconclusive.

So cut to the chase. Where do we go from here?

You want me to be blunt or diplomatic?

Spare me. When have you ever been diplomatic?

I think we have to get a neurologist on board.

-But he IS a neurologist.

-Exactly.

Maybe he knows something's going on. Maybe that explains everything, including the erratic behaviour,

wanting to get away from here, from you.

Look, Dan, the CPK results are back.

They indicate possible muscle deterioration.

And there are a few neurological conditions we need to explore.

Alzheimer's, dementia, Parkinson's...

I wouldn't jump to worst-case scenario just yet.

Do you want me to talk to him?

No...

No, I'll do it.

MOBILE PHONE BUZZES

Excuse me.

It's...

Mum! Where have you...?

OK, midline up and down done.

Retractor, please.

OK, suction please.

There is so much blood.

Can you help me move the colon to expose the kidney, please?

OK. Retractor, please. Thank you.

OK, here we go.

Oh, hang on. Can you see that?

This bleed, it's coming from...

A tumour. Brilliant. Why wasn't this spotted at his Outpatients appointment last week?

That's a 12-year-old boy, I'm not hanging around.

We'll perform a nephrectomy. Clamps, please.

You know what this means, of course.

His father never touched him.

They want to run some more tests...

Neurological tests.

-What's going on, Dad?

-How should I know? Run the tests.

I spoke to Mum.

She told me.

Stop playing. You didn't leave her, she left you.

I suppose she rang you from "Gai Paris".

Did she sound happy?

I dare say she was, first time in yonks, as she put it.

-Anyway, it's of no consequence.

-It must be, because you hadn't been drinking yesterday.

The tox screen showed up nothing.

Are you depressed? Is that why you had the accident?

-Depressed? Am I some teenager?

-Well, is there anything else?

Listen to yourself. You sound like some soppy female counsellor.

No, you listen to yourself. Stop pretending everything's tickety-boo.

Oh, and be a wet blanket like you?!

I'm sorry, I didn't mean... Daniel!

OK, forceps please.

OK...

Would you like to come round and take a closer look?

Yeah, I'm just peeling back the pleura.

OK.

Now, can you see it?

The abscess?

Hmm...

-On the lower lobe?

-Good. Staple gun.

Now, here's the interesting bit.

Stapling round the lobe...

..and sealing the vessels. Thank you.

Kidney dish.

Thank you. Right...

And there it is.

One abscess.

Blinding.

HE CHUCKLES

I come in peace.

He's right, you know.

Who am I to tell him to stop pretending?

Dan, give yourself a break.

I suppose I've just been lying for so long, may as well keep it up.

Even my mother managed to make the break, my mother!

Do you never get tired of beating yourself up?

You know, when I told my father he didn't speak to me for three years.

And my mother didn't exactly jump for joy either.

-Three years?

-Well, he was Chief Inspector Marshall,

-Salford Under-12's football coach, local darts champion. I mean you get it, right?

-Think so.

I know what it's like growing up with a dad who...

Well, I don't know about that. My dad's not that bad.

All right, Daniel, keep your hair on.

What I'm saying is...

..it's not an easy thing to do.

But you can only be who you are.

'Doors opening. Lift going up.'

-Did you get my message?

-Yeah, I did.

-And I've called Outpatients.

-And?

Apparently Noah Flett never made that appointment last week. You were right. Thank you.

-I've called Hanssen.

-I knew it. If he has got Legionnaires' and he didn't contract it in Outpatients,

then he must have got it elsewhere in the hospital. But where?

-Look, about before...

-How is he?

-Noah?

-He's in ITU. Tumour's gone off to Histology. We'll know in a couple of days.

-I'm aware I owe his father an apology.

-Oh, well, apparently you don't.

The tumour caused the bleeding, nobody was hitting him. I was wrong.

Well, he claims that he was.

-What?!

-Yep.

He told Social Services that it was all getting too much for him

and he hit him...regularly.

The police have taken him into custody now,

so congratulations, Luc. You were right.

About everything.

I couldn't have been.

I couldn't have been.

Mr Griffin?

I, er...asked him to come in on this.

Brought in the big guns, have you?

Excuse me.

We've run the EMG test

and I've asked Mr Bently from neurology for a consult.

He's going to have to run some more tests, but...

initial symptoms indicate the early stages of motor neurone disease.

I'm sorry. I know this must be a shock

and you'll probably have some questions for neurology.

Oh, I'm sure my father knows all there is to know about it.

(Thank you.)

I was wrong.

Your son had a tumour. You haven't been hitting him. Why did you lie?

I've not lied. I still hit him. A lot.

No, no, you haven't.

Believe me, I don't often admit I'm wrong but I have been here. Now, what are you doing?

You son is in intensive care. He has Legionnaires'.

Depending on what Histology comes back with, he may need further treatment. He needs you now.

He doesn't need me! He doesn't need ME!

He'd be better off without me. Now, just stay out of this!

-You're bleeding...

-What is it with you?! Why can't you leave well alone?!

That boy hates me. You saw it - he doesn't want me.

Otherwise why would he tell everyone I hit him?!

-He'll never forgive me, never!

-Forgive you for what?

-His mum...

When she got diagnosed. I couldn't cope, and I left her, so can you blame him?

He's just collapsed. He's recently been stitched. We need a CT scan as soon as possible.

-There's a possible subjural injury which may need draining, so get on to Neuro...

-Er, Luc...

Of course. If he starts fitting, ten mil of Diazapam.

-Of course, what?

-We've been looking at the wrong person all along.

-Huh?

Yeah, they've been here before, but not for Noah, for Gavin.

They went to ED. That's why they didn't make it to Outpatients, so the Legionnaires' source must be...

-But ED's been given the all-clear.

-Exactly, so where?

Where could they've gone to when he came to get his head injury treated that none of the staff use?

-Who are you calling?

-Hanssen. Got it.

He said he would be prepared to wait until the start of next season,

by which time the former New Zealand forward coach would be free.

Well, too right. Let's hope they don't revisit the utter ruins of last year's World Cup.

-Shambles.

-I don't think I could endure that. Thank you.

-Daniel, about before...

-Oh, look, Dad...

-Things...

Things have been happening for a while.

And the thing is, I know it's not psychosis...

..it's not dementia, it can't be Korsakoff's because my thiamine levels are fine,

which rather narrows it down a bit.

Perhaps I'm just, just getting old.

Maybe.

Ooh, she's cute as a button, that one, isn't she?

Mmm? Don't say you haven't looked.

-Well...

-Yes, course you have.

Bit more palatable than, erm... What's she called? Christine. Chrissie?

-Dad, be nice.

-Come on, give over. You knew it was going nowhere, hence you aborted in good time.

Mind you, your mother was in despair. She'd set her heart on a £300 pound hat.

-I bet she had.

-Get it anyway, I said. Won't be long before you settle down with someone.

The visitors' car park?

Only patients ever come here.

No medical staff would because they'd have to pay.

And they'd have their cigarettes at the back,

of course, not in view of the public.

-That's why none of them got infected.

-Yes.

Well done, you two.

I'll inform the HPA.

You might like to steer them clear of the air vent.

Yes, of course.

PHONE CHIMES

Noah Flett. He's waking up.

Oh. I'll, um...

Oh, Mr Hope?

I know it's a bit late in the day, but can I buy you a coffee?

About today. Look...

I'm sorry. I may have been...

No, no, no.

It was a cracking day. Best day ever.

Well, bar the birth of my kids.

Actually, do you know what? That's a big fat lie.

The first one was a breach and the second one was a C-section.

It was hell!

Anyway. You know what I'm trying to say.

Yes. You're welcome.

'Lift going up.'

Dan!

You all right?

Yeah.

How's your Dad?

OK, for now.

You look done in.

I am, kinda.

Drink?

I don't know.

I'm shattered.

Been a bit of a day.

Think I'm going to head home.

Yeah, OK.

How you feeling, Noah?

Shall I tell you something?

I used to have one of these.

I'm sorry.

Did your mother buy you that?

So, have the nurses spoken to you about your father?

They've taken him in to theatre now.

They found bruises all over his body.

Of course, this could be caused by any number of things.

Could be blood cancer, could be immune system deficiency

or it could be a clotting disorder,

or it could just be...

Well, could just be someone hitting him.

Of course, we treat each of these conditions very differently, so...

they were wondering if you knew anything.

Is someone hitting him?

Are you hitting him, Noah?

See, I think you wanted to punish him,

he felt he deserved it because he left your mother,

and so he lets you hurt him.

Am I right?

I know you're scared.

OK.

Fear can make people do very strange things.

It can make them push away the people who care about them the most.

Sometimes if you push too hard, there's nothing left.

There's no great prize at the end of the road.

It's just cold and lonely.

Don't go there.

Nurse Mckee.

Eddi.

Noah's taken it all back. I thought you'd want to know.

Thanks.

Listen, I was thinking maybe we should...

-Yeah, let's not.

-Right. OK.

I'm going to apply for a transfer.

HE SCOFFS

Yeah, I know. But when they give it to me, I'm going to stick to it this time.

I can't do this any more.

I mean, what happened today, it all went pear-shaped because of us.

-It wasn't just because of us...

-Yes, it was. It was just because of us.

If we'd have worked together like a team,

it wouldn't have even got to that place.

It's toxic, this, Luc. You know, it is not good for us.

I don't understand. This morning, you said last night didn't really mean anything...

What did you expect me to say?

You woke up, you found me in your bed,

you freaked out and you ran away, didn't you?

Yeah, course you did.

What did you think I was going to do, Luc?

Did you think I was going to walk onto the ward and profess my undying love for you?

-I mean, Jesus...

-Don't do this. Please.

-Please stop.

-There is no point...

-Just stop. Eddi...

I don't know how to do this.

Oh. Um...

OK.

Look, what did you say came after sleeping together but before Ikea?

A date.

Yeah, that's it, then. Date.

Yeah.

-Weird, isn't it?

-Yeah, it's a bit weird.

-Yeah.

I suppose we could give it a go, though.

Maybe?

OK.

Go and get changed, Luc.

Oh, right, yeah.

Call me!

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