Abs tells his colleagues they are calling off the work-to-rule, while Tess reassures the department how vital they all are, as the medical drama continues.
David, the father of an autistic child, is unwell, disorientated and can't see. As he stumbles away from the playground where his son is playing, his condition worsens and he ends up being taken to Holby ED. His son, Joe, meanwhile, causes an accident in the play area and, along with a young girl, Lily, is also taken to Holby ED.
Adam struggles to deal with Joe and argues with Jessica over his treatment. There is still a spark between Jessica and Adam, but Jessica tells him she is not looking for a relationship.
Elsewhere, Ruth tries to impress Marilyn Fox but, unbeknown to her colleagues, she is also taking caffeine pills. She deals well with Lily, performing a complicated procedure expertly, but a misdiagnosis in the condition of David has repercussions no one could foresee. Having made an initial assumption, Ruth ignores a colleague's opinion and decides on a particular course of treatment. She is later shown some medical notes, which illustrate her mistake, and the team question why she didn't ask their advice.
That night, Ruth writes up her diary, unable to face the situation she has created, and decides on a drastic course of action.
Abs is played by James Redmond, Tess by Suzanne Packer, Adam by Tristan Gemmill, Jessica by Gillian Kearney and Ruth by Georgia Taylor.
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. Silly Jess!! 
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