Cardiac Arrest (1994–1996): Season 1, Episode 6 - The Edge - full transcript
(Shrieking)
(Shouting)
(Girl) | want to look after people. Then,
when / need it, they'll want to look after me.
(Woman) Andrew? Andrew, quick!
Come on, quick!
(Steady bleeping)
— Andrew, why don't you do something?
— What?
(Andrew) God...
CA lung. She's obviously
just wiped out her airway.
There‘s nothing we can do,
So, Claire...
Claire, you can't give her that much.
(Choking)
(Continuous tone)
Claire?
She was in respiratory distress.
| relieved her with diamorphine.
Claire, you killed her.
What happened was a recognised risk
of relieving her distress.
Andrew, | don't know
if what | did was the right thing.
Please don't think that any of this
comes easier to me than it does to you.
Trevor, | want you to keep a very close check
on Mr Johnson's fluid output.
If there's any raise in temperature,
| want to know straight away.
Excuse me.
I've told you not to come to my work!
Wait a minute. You left before we could talk.
How's Thomas?
The bruise doesn't look so bad
in the cold light of day.
He's asking me
if Mummy doesn't love him any more.
I'm taking the kids to your mother's.
Just until you're through this.
Fine.
— Monica, wait.
— Monica.
Monica, I've just got to pop down to
the pharmacy to correct a controlled drug TTO.
OK.
Aren't you supposed to be in theatre?
— Have you done Mr Williams’ obs?
— Yes.
— What's his blood pressure?
— Um... It's 130 over 90.
— Good.
— Can | have the keys to the fridge?
Of course you can. Here you go.
Thank you.
Mr Docherty wants you to assist
until Monica shows up.
(Steady beeping)
No word from Dr Broome yet?
Still not answered the bleep, Mr Docherty.
Final swab count all correct, Mr Docherty.
It's a pity you weren't so assiduous last time.
Save us having to fish out a swab that's been
swimming around her insides for two years.
| take it you remember
the swab count should be one higher,
to account for the one we've removed.
Oh...
(Tuts)
Prepare to open her up once again.
(Nurse) Good. Again.
A deep breath.
Fine.
That's fine. Once more.
Open your mouth. Open.
Yeah. Good.
You wouldn't mind starting the heparin infusion
for me, would you, Andrew?
Sister, surely you don't need a doctor
to start an infusion.
Hello, Mrs Johnson. How are you today?
Soon as you've finished here, Andrew,
I'd like you to review Mr Conroy's analgesia.
Hello?
(Patient groans)
He cries out in agony every time | move him.
Let's increase the driver to 400.
— These doses aren't even touching him.
— |'lL talk to Claire. See what Dr Turner advises.
Ken? We're gonna increase your painkiller.
It should make you more comfortable.
The way that man's been left to suffer
is disgraceful.
There was a message earlier.
The phlebotomist in anticoagulation's off sick.
So you'll have to do the bloods.
Stop it, you.
That PR was normal. Caroline?
You still haven't told me
if you're free to come out tonight.
| don't know.
What was all that?
I've increased his diamorph
to 400mg over 24 hours.
Would you like to whip in
for Ros's leaving present?
Don't know her from Adam. We can increase
the diamorph to whatever it takes.
For bony pain, regular IM,
Voltarol's a good idea.
Do you seriously believe that’s enough?
— What do you advise, Sister?
— | don't expect you to listen to a mere nurse.
Someone with a millennia of experience,
a decision—making engine?
You go ahead and write that drug chart
any way you want and I'LL sign it for you.
| will listen to you
the minute you make one decision
or take one shred of responsibility
for anything that happens on this ward.
The porter's worried Mrs Clarke's too ill to go
to X-ray. If you want her to go, you take her.
Every jobsworth in this hospital wants to dump
their work on the busiest person here.
If the domestic goes off,
do | have to clean the toilets as well?
Do you know, Andrew,
you're beginning to sound just like Claire?
A-ha! Don't often see your face
round this neck of the woods.
No one could find Monica so they bleeped me
to look at Betancourt's last aneurysm.
| don't know why they bother
with ITU beds for these triple—A's.
Better off reserving a plot in a boneyard.
Does your cheerful disposition
indicate a return to pumping sex action?
— | hooked up with an ex last week.
— | suppose you plundered the poor girl.
She'll be walking funny for a few days.
— Look, James, I've never been to the ITU.
— | know. It is daunting for a houseman,
but honestly, everyone is terribly friendly.
(Woman) Oi, mush. Get that filthy white coat off
wash your hands with the Hibiscrub and ring
that bloody bell before you waltz in there.
— Still no sign of Monica yet?
— No.
She's been really down
since she failed her exam.
| don't know a doctor who isn't depressed.
Maybe you should have a chat with her.
Look. I've lost at least two nights" sleep
a week for the last year.
I'm too tired and irritable to improve
my social life, which is non-existent,
because the only people | meet are at work.
Mates who didn't do well enough
to get to medical school
make twice my salary
for less than half the hours.
| hate my work, but I'm so trapped I'm worried
sick about not having found my next job yet.
I've got enough problems of my own. OK?
(Sighs)
(Bleeps)
Getting there's not a problem. No, we can sort it
out when | get there. Half past three.
You really ought to tell Andrew about us.
I'm sorry. Yeah, | know, but...
— Who cares about him?
— Bring it with you.
It's you | wanna see tonight.
I'm meeting a friend.
SOIry.
Quite a chill beginning to set in
in the evenings now, isn't there?
Mmm.
Can't wait for the winter and skiing.
Verbier we fancy this year.
Any thoughts yet
on what you'll be doing after the house jobs?
Well, | fancy A & E at the general.
Jim Sherman's department.
If you're serious
about a house officer's post there,
I'LL be happy to drop Jim a hint on your behalf.
Trust a woman to keep us waiting, eh?
Claire's having to cover RMO today
before Dr Soki's leave.
Which reminds me.
My secretary showed me
your application for leave next month.
Yeah, just a couple of weeks, you know?
Recharge the batteries.
The thing is, until | get the registrar | need,
if a houseman's off, that leaves Claire
a bit stretched to cover both wards and clinics.
In the past, my house officers have always
volunteered to forego their leave
while working here.
Angie Wilding, my house officer here a couple of
years ago... She wanted to do A & E like you.
Ended up really enjoying that job
with Jim Sherman at the general.
Ah, poor Mr Conroy.
| know I'm an old nag, but if | don’t
stick up for the patients, then who will?
Not the doctors. That's for sure.
No, Andrew cares about his patients.
Not like that hard—nosed bitch Claire Maitland.
| can't help but notice you've been off
with him lately. Have yous finished?
Yeah. No... Yes, we have, yeah.
Don't you think you ought to tell him?
There's, er... There's nowt going on
with you and Luke, is there?
— No.
— You lying mare.
No, there isn't.
Sorry I'm late. There was an arrest on Geris.
Stood more chance
of resuscitating a Christmas turkey.
Oh, please, don't leave on my account,
Mrs Conroy.
How is Kenneth today?
Doctor, | know you're doing everything you can,
but | can't bear
to see him suffer in so much pain.
What are we doing as regards analgesia?
Sub-—cut diamorphine infusion, 400mg per day,
plus Voltarol 75mg IM, BD.
And 5mg of haloperidol in his diamorph.
(Groans)
We'll make him comfortable, Mrs Conroy.
If he's having trouble with oral fluids,
I'd put up some saline.
There's really nothing more we can do with
the poor chap other than up the diamorph.
Thank you, Dr Turner.
— Lisa.
— Oh, Raj.
— There's something on your neck.
— Get off!
They found Monica. Go and see Sister.
Sit down.
(Shakily) I'm afraid I've got some bad news.
They found Monica...
She killed herself.
— Everyone's entitled to a holiday.
— | don't see there's much | can do.
Well, talk to the hospital manager.
Contact the BMA.
(Phone)
Alternatively, you should attempt to urinate
into a force 10 gale, it's all the same.
Hello? No, she's not here.
If you want medical jobs, you need references.
IF you don't toe the line,
you don't get references.
Maybe the reason we're given so much crap
is because we're saps who'll take it.
Doctor, Ken's trying to say something.
Ken?
(Mumbles)
May...
Make me die...
(Sobs)
It's all right, Mrs Conroy. Shh—shh...
Awful news. Absolutely awful.
God knows how we're going to cover
outpatients, let alone the minor ops List.
Anyway, ward round. The sooner we get done,
the sooner | get to see who the locum agencies
have got set up for us, mm?
Raj? Perhaps you could turn off your bleeper
and go and have a seat in my office.
My secretary's expecting you.
I'll be along presently.
It appears that Monica had been put
under considerable pressure.
Not least by you, Simon.
Perhaps the problem with this firm is that junior
doctors have the constitution of a china plate.
Maybe it's for the best when they crack.
Simon, it really is difficult to contemplate
what might lead an otherwise intelligent person
to talk such utter balls.
A man has lost his wife,
and two children their mother.
It's a tragedy of course, but clearly
the woman must have been unstable
and | will not hear of any blame
being levelled at her working environment,
especially when we've gone through it ourselves.
| certainly never did.
In my day, there weren't the pressures
put on junior hospital doctors
these young people have to endure.
And if you did go through the system, Simon,
and | have to accept your word for that,
to be an apologist for it
is incompatible with sanity.
— Did you know her?
— Hardly at all.
— Did you ever meet her?
— No, | don't think | did.
Well, these things happen.
Doctors’ rate of suicide three times the average.
Alcoholism three times the average.
Divorce seven times the average.
— So how'd she do it?
— Insulin overdose.
Smart.
When | say that my years as a junior doctor
were the happiest years of my life,
young doctors look at me as if | was mad.
But | qualified in 1952.
Things were different then.
We only had to learn
a fraction of what you need today.
A few blood tests, half a dozen drugs.
No CT.
No ultrasound.
Nobody'd even heard of DNA.
On call meant just that — on call.
Not working all day, all night
and all the next day.
In my day, matron was in charge.
And she only disturbed me
if it was absolutely necessary.
Quite often with a hot toddy.
| was proud to be a doctor.
It was a respected profession.
Nowadays, young doctors are harassed,
the nurses bullied by managers.
Caring doctors, who wish to turn off a ventilator
so that they can use a patient's organs
for transplant
are vilified for playing God.
No, no, no,
I'm truly sad that you are being denied
so many of the things
that made the profession so wonderful for, er...
for, erm... Mm—hm.
I'LL speak to the doctor later on.
— Why are you avoiding me?
— Don't be childish, Andrew.
— If you don’t wanna go out with me, just say.
— Can we talk another time?
I've had to boost Mr Conroy's driver all day.
Andrew, do me a favour.
He needs some potassium in the IVI.
All right.
(Whimpers)
Oh...
Come with me.
How could you be so stupid? | saw Conroy
ask you to put him out of his misery.
| ask you to supplement his IVI with potassium
and instead you inject it as a bolus
knowing full well it'LL kill him.
Relax. It was only water in the syringe.
— What?
— We've been through this before.
You can risk overdosing someone
if you're trying to treat profound distress.
But giving someone a lethal injection
that has no medicinal value is murder.
| thought | was doing the right thing.
I'm surprised you want to play God.
The hours are even worse
and there's no prospect of promotion.
— So why would you want to protect me?
— Andrew, this is a war we're in.
Against nurses, against consultants,
against the outside world.
You ought to realise
that you and | are on the same side.
Oh, it's sides? | thought maybe
you and | were becoming friends.
Silly me.
(Bleeping)
RMO to casualty, immediately.
RMO to casualty.
(Car horn beeps)
(# Rock music on radio)
Is that the QE2 in your pocket
or are you just pleased to see me?
That's my bleeper. Mmm!
You and Monica never really
did hit it off, did you?
No. | don't suppose we did.
— Raj, are you all right?
— Why shouldn't...
Do you know, when you told me
that Monica had killed herself,
do you know the first thought
that crossed my mind?
"God, there's going to be
s0 much more to do on the ward.”
(Door opens, hurried footsteps)
— I'm the RMO.
— Patient in resus.
Pepperoni.
Claire, little girl brought in, collapsed,
coming up to 15 minutes.
She's had adrenalin, atropine, no shocks.
— | didn't ask for the RMO.
— No, | did.
50 Joules shock, please. Is there a paediatrician
on the way from the general?
— Must be caught in traffic.
— What happened?
It was an accident on a merry—go-round.
Shock, please.
One...two...three...
Still asystole. Continue CPR, more adrenalin.
Someone get me a brown Venflon
and a 50ml syringe.
Looks to me
like she's had a heck of a whack on the chest.
— Tamponade.
— You're damn right, tamponade.
Adrenalin.
More adrenalin.
One...two...three...
Four...
Five...
Stop resuscitation.
| called you down because Dr Poll was dithering
but wouldn't admit that he needed help.
You did the right thing.
If he'd thought of tamponade right away,
would it have made a difference?
You must have seen a few tamponades before.
It's my first one.
Do we have any details on this little girl?
Her name is Lucy Buxton.
She was seven years old.
I'LL go and tell her mother.
(Sobs)
Not my baby...
No...
(Mother) Somebody help...
No!
No!
| resent
the way you talked down to me earlier on.
You should learn to treat your fellow doctors
with more respect.
| can respect my fellow doctor.
But I'll be damned if I'll respect you.
Isn't there anything you can do
to stop him suffering so much pain?
Would you excuse us a minute, please,
Mrs Conroy?
| don't know what more we can do.
You're a caring and sympathetic doctor
who's never gonna become cynical.
| know you'll do the right thing.
(Door opens)
Trouble?
Yeah.
(Shouting)
(Girl) | want to look after people. Then,
when / need it, they'll want to look after me.
(Woman) Andrew? Andrew, quick!
Come on, quick!
(Steady bleeping)
— Andrew, why don't you do something?
— What?
(Andrew) God...
CA lung. She's obviously
just wiped out her airway.
There‘s nothing we can do,
So, Claire...
Claire, you can't give her that much.
(Choking)
(Continuous tone)
Claire?
She was in respiratory distress.
| relieved her with diamorphine.
Claire, you killed her.
What happened was a recognised risk
of relieving her distress.
Andrew, | don't know
if what | did was the right thing.
Please don't think that any of this
comes easier to me than it does to you.
Trevor, | want you to keep a very close check
on Mr Johnson's fluid output.
If there's any raise in temperature,
| want to know straight away.
Excuse me.
I've told you not to come to my work!
Wait a minute. You left before we could talk.
How's Thomas?
The bruise doesn't look so bad
in the cold light of day.
He's asking me
if Mummy doesn't love him any more.
I'm taking the kids to your mother's.
Just until you're through this.
Fine.
— Monica, wait.
— Monica.
Monica, I've just got to pop down to
the pharmacy to correct a controlled drug TTO.
OK.
Aren't you supposed to be in theatre?
— Have you done Mr Williams’ obs?
— Yes.
— What's his blood pressure?
— Um... It's 130 over 90.
— Good.
— Can | have the keys to the fridge?
Of course you can. Here you go.
Thank you.
Mr Docherty wants you to assist
until Monica shows up.
(Steady beeping)
No word from Dr Broome yet?
Still not answered the bleep, Mr Docherty.
Final swab count all correct, Mr Docherty.
It's a pity you weren't so assiduous last time.
Save us having to fish out a swab that's been
swimming around her insides for two years.
| take it you remember
the swab count should be one higher,
to account for the one we've removed.
Oh...
(Tuts)
Prepare to open her up once again.
(Nurse) Good. Again.
A deep breath.
Fine.
That's fine. Once more.
Open your mouth. Open.
Yeah. Good.
You wouldn't mind starting the heparin infusion
for me, would you, Andrew?
Sister, surely you don't need a doctor
to start an infusion.
Hello, Mrs Johnson. How are you today?
Soon as you've finished here, Andrew,
I'd like you to review Mr Conroy's analgesia.
Hello?
(Patient groans)
He cries out in agony every time | move him.
Let's increase the driver to 400.
— These doses aren't even touching him.
— |'lL talk to Claire. See what Dr Turner advises.
Ken? We're gonna increase your painkiller.
It should make you more comfortable.
The way that man's been left to suffer
is disgraceful.
There was a message earlier.
The phlebotomist in anticoagulation's off sick.
So you'll have to do the bloods.
Stop it, you.
That PR was normal. Caroline?
You still haven't told me
if you're free to come out tonight.
| don't know.
What was all that?
I've increased his diamorph
to 400mg over 24 hours.
Would you like to whip in
for Ros's leaving present?
Don't know her from Adam. We can increase
the diamorph to whatever it takes.
For bony pain, regular IM,
Voltarol's a good idea.
Do you seriously believe that’s enough?
— What do you advise, Sister?
— | don't expect you to listen to a mere nurse.
Someone with a millennia of experience,
a decision—making engine?
You go ahead and write that drug chart
any way you want and I'LL sign it for you.
| will listen to you
the minute you make one decision
or take one shred of responsibility
for anything that happens on this ward.
The porter's worried Mrs Clarke's too ill to go
to X-ray. If you want her to go, you take her.
Every jobsworth in this hospital wants to dump
their work on the busiest person here.
If the domestic goes off,
do | have to clean the toilets as well?
Do you know, Andrew,
you're beginning to sound just like Claire?
A-ha! Don't often see your face
round this neck of the woods.
No one could find Monica so they bleeped me
to look at Betancourt's last aneurysm.
| don't know why they bother
with ITU beds for these triple—A's.
Better off reserving a plot in a boneyard.
Does your cheerful disposition
indicate a return to pumping sex action?
— | hooked up with an ex last week.
— | suppose you plundered the poor girl.
She'll be walking funny for a few days.
— Look, James, I've never been to the ITU.
— | know. It is daunting for a houseman,
but honestly, everyone is terribly friendly.
(Woman) Oi, mush. Get that filthy white coat off
wash your hands with the Hibiscrub and ring
that bloody bell before you waltz in there.
— Still no sign of Monica yet?
— No.
She's been really down
since she failed her exam.
| don't know a doctor who isn't depressed.
Maybe you should have a chat with her.
Look. I've lost at least two nights" sleep
a week for the last year.
I'm too tired and irritable to improve
my social life, which is non-existent,
because the only people | meet are at work.
Mates who didn't do well enough
to get to medical school
make twice my salary
for less than half the hours.
| hate my work, but I'm so trapped I'm worried
sick about not having found my next job yet.
I've got enough problems of my own. OK?
(Sighs)
(Bleeps)
Getting there's not a problem. No, we can sort it
out when | get there. Half past three.
You really ought to tell Andrew about us.
I'm sorry. Yeah, | know, but...
— Who cares about him?
— Bring it with you.
It's you | wanna see tonight.
I'm meeting a friend.
SOIry.
Quite a chill beginning to set in
in the evenings now, isn't there?
Mmm.
Can't wait for the winter and skiing.
Verbier we fancy this year.
Any thoughts yet
on what you'll be doing after the house jobs?
Well, | fancy A & E at the general.
Jim Sherman's department.
If you're serious
about a house officer's post there,
I'LL be happy to drop Jim a hint on your behalf.
Trust a woman to keep us waiting, eh?
Claire's having to cover RMO today
before Dr Soki's leave.
Which reminds me.
My secretary showed me
your application for leave next month.
Yeah, just a couple of weeks, you know?
Recharge the batteries.
The thing is, until | get the registrar | need,
if a houseman's off, that leaves Claire
a bit stretched to cover both wards and clinics.
In the past, my house officers have always
volunteered to forego their leave
while working here.
Angie Wilding, my house officer here a couple of
years ago... She wanted to do A & E like you.
Ended up really enjoying that job
with Jim Sherman at the general.
Ah, poor Mr Conroy.
| know I'm an old nag, but if | don’t
stick up for the patients, then who will?
Not the doctors. That's for sure.
No, Andrew cares about his patients.
Not like that hard—nosed bitch Claire Maitland.
| can't help but notice you've been off
with him lately. Have yous finished?
Yeah. No... Yes, we have, yeah.
Don't you think you ought to tell him?
There's, er... There's nowt going on
with you and Luke, is there?
— No.
— You lying mare.
No, there isn't.
Sorry I'm late. There was an arrest on Geris.
Stood more chance
of resuscitating a Christmas turkey.
Oh, please, don't leave on my account,
Mrs Conroy.
How is Kenneth today?
Doctor, | know you're doing everything you can,
but | can't bear
to see him suffer in so much pain.
What are we doing as regards analgesia?
Sub-—cut diamorphine infusion, 400mg per day,
plus Voltarol 75mg IM, BD.
And 5mg of haloperidol in his diamorph.
(Groans)
We'll make him comfortable, Mrs Conroy.
If he's having trouble with oral fluids,
I'd put up some saline.
There's really nothing more we can do with
the poor chap other than up the diamorph.
Thank you, Dr Turner.
— Lisa.
— Oh, Raj.
— There's something on your neck.
— Get off!
They found Monica. Go and see Sister.
Sit down.
(Shakily) I'm afraid I've got some bad news.
They found Monica...
She killed herself.
— Everyone's entitled to a holiday.
— | don't see there's much | can do.
Well, talk to the hospital manager.
Contact the BMA.
(Phone)
Alternatively, you should attempt to urinate
into a force 10 gale, it's all the same.
Hello? No, she's not here.
If you want medical jobs, you need references.
IF you don't toe the line,
you don't get references.
Maybe the reason we're given so much crap
is because we're saps who'll take it.
Doctor, Ken's trying to say something.
Ken?
(Mumbles)
May...
Make me die...
(Sobs)
It's all right, Mrs Conroy. Shh—shh...
Awful news. Absolutely awful.
God knows how we're going to cover
outpatients, let alone the minor ops List.
Anyway, ward round. The sooner we get done,
the sooner | get to see who the locum agencies
have got set up for us, mm?
Raj? Perhaps you could turn off your bleeper
and go and have a seat in my office.
My secretary's expecting you.
I'll be along presently.
It appears that Monica had been put
under considerable pressure.
Not least by you, Simon.
Perhaps the problem with this firm is that junior
doctors have the constitution of a china plate.
Maybe it's for the best when they crack.
Simon, it really is difficult to contemplate
what might lead an otherwise intelligent person
to talk such utter balls.
A man has lost his wife,
and two children their mother.
It's a tragedy of course, but clearly
the woman must have been unstable
and | will not hear of any blame
being levelled at her working environment,
especially when we've gone through it ourselves.
| certainly never did.
In my day, there weren't the pressures
put on junior hospital doctors
these young people have to endure.
And if you did go through the system, Simon,
and | have to accept your word for that,
to be an apologist for it
is incompatible with sanity.
— Did you know her?
— Hardly at all.
— Did you ever meet her?
— No, | don't think | did.
Well, these things happen.
Doctors’ rate of suicide three times the average.
Alcoholism three times the average.
Divorce seven times the average.
— So how'd she do it?
— Insulin overdose.
Smart.
When | say that my years as a junior doctor
were the happiest years of my life,
young doctors look at me as if | was mad.
But | qualified in 1952.
Things were different then.
We only had to learn
a fraction of what you need today.
A few blood tests, half a dozen drugs.
No CT.
No ultrasound.
Nobody'd even heard of DNA.
On call meant just that — on call.
Not working all day, all night
and all the next day.
In my day, matron was in charge.
And she only disturbed me
if it was absolutely necessary.
Quite often with a hot toddy.
| was proud to be a doctor.
It was a respected profession.
Nowadays, young doctors are harassed,
the nurses bullied by managers.
Caring doctors, who wish to turn off a ventilator
so that they can use a patient's organs
for transplant
are vilified for playing God.
No, no, no,
I'm truly sad that you are being denied
so many of the things
that made the profession so wonderful for, er...
for, erm... Mm—hm.
I'LL speak to the doctor later on.
— Why are you avoiding me?
— Don't be childish, Andrew.
— If you don’t wanna go out with me, just say.
— Can we talk another time?
I've had to boost Mr Conroy's driver all day.
Andrew, do me a favour.
He needs some potassium in the IVI.
All right.
(Whimpers)
Oh...
Come with me.
How could you be so stupid? | saw Conroy
ask you to put him out of his misery.
| ask you to supplement his IVI with potassium
and instead you inject it as a bolus
knowing full well it'LL kill him.
Relax. It was only water in the syringe.
— What?
— We've been through this before.
You can risk overdosing someone
if you're trying to treat profound distress.
But giving someone a lethal injection
that has no medicinal value is murder.
| thought | was doing the right thing.
I'm surprised you want to play God.
The hours are even worse
and there's no prospect of promotion.
— So why would you want to protect me?
— Andrew, this is a war we're in.
Against nurses, against consultants,
against the outside world.
You ought to realise
that you and | are on the same side.
Oh, it's sides? | thought maybe
you and | were becoming friends.
Silly me.
(Bleeping)
RMO to casualty, immediately.
RMO to casualty.
(Car horn beeps)
(# Rock music on radio)
Is that the QE2 in your pocket
or are you just pleased to see me?
That's my bleeper. Mmm!
You and Monica never really
did hit it off, did you?
No. | don't suppose we did.
— Raj, are you all right?
— Why shouldn't...
Do you know, when you told me
that Monica had killed herself,
do you know the first thought
that crossed my mind?
"God, there's going to be
s0 much more to do on the ward.”
(Door opens, hurried footsteps)
— I'm the RMO.
— Patient in resus.
Pepperoni.
Claire, little girl brought in, collapsed,
coming up to 15 minutes.
She's had adrenalin, atropine, no shocks.
— | didn't ask for the RMO.
— No, | did.
50 Joules shock, please. Is there a paediatrician
on the way from the general?
— Must be caught in traffic.
— What happened?
It was an accident on a merry—go-round.
Shock, please.
One...two...three...
Still asystole. Continue CPR, more adrenalin.
Someone get me a brown Venflon
and a 50ml syringe.
Looks to me
like she's had a heck of a whack on the chest.
— Tamponade.
— You're damn right, tamponade.
Adrenalin.
More adrenalin.
One...two...three...
Four...
Five...
Stop resuscitation.
| called you down because Dr Poll was dithering
but wouldn't admit that he needed help.
You did the right thing.
If he'd thought of tamponade right away,
would it have made a difference?
You must have seen a few tamponades before.
It's my first one.
Do we have any details on this little girl?
Her name is Lucy Buxton.
She was seven years old.
I'LL go and tell her mother.
(Sobs)
Not my baby...
No...
(Mother) Somebody help...
No!
No!
| resent
the way you talked down to me earlier on.
You should learn to treat your fellow doctors
with more respect.
| can respect my fellow doctor.
But I'll be damned if I'll respect you.
Isn't there anything you can do
to stop him suffering so much pain?
Would you excuse us a minute, please,
Mrs Conroy?
| don't know what more we can do.
You're a caring and sympathetic doctor
who's never gonna become cynical.
| know you'll do the right thing.
(Door opens)
Trouble?
Yeah.