Cardiac Arrest (1994–1996): Season 3, Episode 10 - The Holy Triad - full transcript
OK. Um... I'll get Sister Novac. Raj?
Let me guess.
You found him on the railway line.
He's always doing this. Lost that leg years ago.
— It's ketchup.
— Very original.
— Hi. How did this happen?
— It was only a knock.
Just... Aaahh! Hurts so much.
OK. I'll need to ask you some questions,
examine you, do a blood test and an X-ray.
Seeing as there's nothing actually wrong
with you, we should send you home.
— But | haven't got a home.
— Oh. Um...
— Fine. It's social services. | shall call them.
— Ah-—ah...
Here's their number.
And a cup of tea would be nice
while I'm waiting.
Why is it
that Pakistan haven't got a football team?
— | don't know.
— Every time they get a corner,
they open up a shop.
— When do you hear about the attachment?
— Shortlist's out today.
Good luck, mate.
It'd be good teaming up with you,
Scissors and everyone.
The lads in the theatre, the lads on the wards.
Can't wait to get out of this place.
— See you later.
— See you.
If you'd read the ECG properly in the first place,
maybe the outcome would have been different.
— We all make mistakes.
— Yeah, that's a bit harsh.
— It probably made little difference in the end.
— Got another one.
Oh, Andrew, you couldn't be a sweetie?
If | don't grab a coffee, I'LL die.
— Yeah, OK.
— Thanks. Bye, boys.
— Bye.
— Bye.
Just bleep me if it needs cutting.
What are you doing here?
Your girlfriend's not on duty.
Steve,
I'm just gonna have a feel of your tummy.
— Aren't you a sister here?
— On Crippen Ward. I've been away for a while.
Mesenteric adenitis, | reckon.
| don't think this is your appendix
playing up, mate.
It's more like swollen glands in your stomach.
To be on the safe side, | want to keep Steven in
for 24 hours to make sure it clears up.
— OK.
— Am | gonna be on your ward, Mum?
You don't wanna go up there, mate.
Eurgh! Full of oldies coughing up green.
— Now. You lead, Mr D.
— Right. Um...
And...
One—two-three, one—two-three,
one—two-three, one-two -three.
...1'm sorry.
Never mind. Start again, shall we?
No. No, it's no use. We're getting nowhere.
It's not your fault. Thank you for your tuition.
Can't you change your plans
so you don't have to dance?
| wanted it to be a special occasion.
Everything must be perfect. Everything.
Any special reason?
| plan to propose,
— Ah.
— Excuse me.
— But we must, er...
— Make a start in theatre. Yes.
Ernest, before you go, do you still want me
to renew your subscription to Prostate?
Thank you. The form's in the...in the...
(Sighs) Now...
(Gasps)
Oh...
Now, you know I|'m willing to overlook your
having performed an unauthorised procedure.
It would be a great help to me
to know more about Mr Smedley's involvement
in the little girl's death.
You've had time to think about it.
Now | would like to know the full story.
| do hope | don't have to push you.
I'LL give it straight to the doctor. Thanks.
INR greater than ten, PTT 35,
control 34, FDP's less than ten.
This is rather an unusual picture.
Any idea why this might have happened?
You're not on any medication.
Have you taken any tablets recently?
Tim?
Has someone in your family
taken a tablet called warfarin?
My mother.
— She had a blood clot in her leg.
— Those were the tablets you took?
Did you intend to harm yourself?
To kill yourself?
— Why did you do that?
— Things just...got too much.
You wanna talk to someone about it?
| took them two nights ago.
It was silly, really.
I'm OK now.
These tablets take a few days to work.
Warfarin stops the blood clotting.
In higher doses, it's used as rat poison.
The rats bleed to death.
Can we give the psychiatrist a ring
about Tim Whitehouse, please?
— Is that the royal "we"?
— I'll phone if you're busy.
No, no. We can't have a doctor
doing such a menial task.
— Sorry, Andrew. | really had to...
— Tim is a warfarin overdose.
Can we give him two units
of fresh frozen plasma straight away?
And recheck his INR? Thanks.
— (Knock on door)
— Come in.
— Oh, hi.
— Hi. Sorry to bother you, Mrs Trimble.
Oh, you're not bothering me, Rajesh.
Mr Docherty‘s in theatre.
No. Actually, all | wanted to know is if you had
the shortlist yet for the GP surgical attachment?
Yes, | do. Yes, I've got it right here.
Let's have a look.
Now, we've got McDonagh, Morgan,
Robertson, Ross...
Oh... Rajesh, | can't see your name down here.
I'm sorry.
Oh...
— Next year, eh?
— Oh, yes. Next year.
The one thing we always managed to do was
never let personal matters interfere with work.
You want me to act
just like nothing's happened?
Can't we at least be friends?
Friends don't lie to each other
or use each other.
No, Andrew. You're not my friend.
Doctor?
— Is that blood?
— Yeah, it's fresh, frozen plasma.
It contains clotting factors to replace the ones
deactivated by the tablets you took.
I'm a Jehovah's Witness.
— You won't have the treatment?
— No.
Carry on, please.
This is the best treatment to prevent bleeding.
Now, in that knowledge,
do you refuse or consent to treatment
with blood and plasma products?
| refuse.
Doesn't Mark say that there is nothing from
without a man that entering him can defile him?
| don't want the treatment.
Andrew,
I'm not happy to carry on if Tim refuses.
We can give you an injection of vitamin K.
It'll do the same job
but take a lot longer. Is that all right?
Yes.
Vitamin K, 10 milligrams. Thank you.
Ill get the ear, nose and throat people
to look at you.
Thank you.
Adrian?
Adrian?
Not now.
I'm busy.
— You don't mind if | borrow these, do you?
— No.
We will respect your convictions, sir.
Thank you for your assistance.
— I'LL document his refusal in the medical notes.
— Yes, thank you, Liz.
Um... You haven't had to miss lunch again
today, have you, my dear?
Sometimes you just can't get away, Dr Turner.
Well, you make sure
you get yourself a proper break, hmm?
Thank you, Dr Turner.
Andrew, we must do everything in our power to
persuade that young man to change his mind.
— He does appear very adamant, Dr Turner.
— Everything, Andrew.
Yes, sir.
If there are any developments
and you have difficulty contacting me,
| believe Claire's on call today.
Thank you, Dr Turner.
The boy has a group—and-—save in his notes
which gives his blood group as A positive.
| took a blood sample myself recently
which | can assure you
was reported as O positive.
The blood sample you took
was booked into the Laboratory.
A report gave Steven Pereira's blood type as O.
Now no record of that test can be found.
No copies of that test were made.
Thank you, Helen. I'll fill in the gaps myself.
It would have been a great laugh
being teamed with you lot.
— | can't understand why they overlooked you.
— What's wrong with your hands?
Sorry. Mr Smedley,
can | have a word with you, please?
Of course. What's the matter, Kirsty?
— Yes?
— Any news on the social services?
Nothing. You may as well hop it.
While I'm here, you have a legal obligation
to find me somewhere to stay,
before you can discharge me.
So you might as well find me a bed
s0's I'll be more comfortable.
Ernest, you're back so soon. Any reason?
Good grief. What have you done?
| tripped over the diathermic pedal in theatre.
Nothing's broken, but I'll be on the bench
for a couple of, er...thingies.
— Couldn't you have been more careful?
— I'm sorry, Isobel.
But we mustn't let it spoil our night out.
It only places the dancing out of the question.
| wouldn't have minded
if you hadn't wanted to dance, silly.
Oh.
All's well, then.
You're not going out and about all evening
when you should be resting.
No, Isobel, we should go out.
Ernest, you're gonna stay home all evening
with your foot up.
And I'm gonna pamper you.
Debs?
The place hasn't been the same without you.
Well, the thought of never again seeing
your smiling face brought me racing back.
Off to see young Steven before starting shift?
Very maternal.
You and | should have a friendly talk,
you know, Debs.
Yeah, well, some other time, perhaps.
| know Steven is my son.
The blood group
on his medical records has changed.
Now, call me suspicious, but | wonder if
someone's trying to put me off the scent.
Well, if it's true, if Steven is your son...
Then | should be allowed access.
Well, | won't have you doing to him
what you did to me.
You stay away from my son.
Let's talk.
Owing to management incompetence,
the department was missing two doctors.
A nurse in training was forced to perform the
duties of a fully qualified member of staff.
You had the option to summon more personnel.
Instead, you pressed on
with insufficient and inexperienced staff,
and a little girl died.
You can stop bullying your student nurse,
Tennant.
| was in charge of the resuscitation.
| take full responsibility
for the little girl's death.
Oh! I'm so grateful for your candour,
Mr Smedley.
It makes my decision so much easier.
Right. Shall we make a move, then?
Yes.
Have you got everything?
| believe so.
Wonderful.
Mr Tennant!
— So, tonight's the night, eh?
— All I'm doing is meeting her for a drink.
It's make or break for you and Nasreen.
— She's the only girlfriend you've had.
— (# Edwyn Collins: A Girl Like You)
If she doesn't take you back tonight,
you may never ever have another.
Cheers, mate.
One tiny slip and you'll be back in your room
in Heartbreak Hotel
on the banks of Lake Loneliness
in the town of Tears.
The thing is, to calm my nerves,
| need to get a few drinks down me,
— but if one thing leads to another...
— What, the return of Mr Floppy?
— Mm...
— | know.
I've still got that stuff we nicked from pharmacy,
Erectol or Stiffon or whatever it's called.
— What? | don't know.
— Trust me.
| think it's stopped. Are you OK, Tim?
| think so.
— What are his obs?
— Pulse 90.
BP 120 over 70.
This doesn't appear
to have been a serious haemorrhage.
However, you may need surgery tonight
to prevent it happening again.
| want you to reconsider your decision earlier,
Vitamin K's gonna take a long time to work.
You need blood and fresh frozen plasma.
Oh, do whatever you want.
Thank you.
Think it through carefully, Tim.
Andrew? End of discussion.
Two units FFP stat.
Check PT, another two units, and so on.
Cross—match his blood
and transfuse according to his Hb.
Have the consent documented in his notes.
| don't believe
he's providing sincere, informed consent.
— Give the treatment.
— He's a devout Jehovah's Witness
who's tried to kill himself
and can still repent that sin.
He's stopped caring
if he's damned before his god.
Liz, give Tim Whitehouse
two units of fresh plasma and check...
— No, | think we should take this to Dr Turner.
— | don't know which golf course he's on.
It's my decision. Follow it.
You don't understand
because you don't believe in anything.
— Evening, chaps.
— (All) Evening, Mr DeVries.
Whisky and soda, please.
Can | get anyone else a drink?
— Raj?
— Oh, yeah.
Er... I've got a patient to review in Casualty.
On call tonight, eh?
Hard lines.
— He's already lost a few units.
— We need the surgeons to take him now.
— What's his latest clotting time?
— It's not been done.
Why not?
Because Andrew Said not to. He said...
Be quiet and do as | say.
Liz, physically go down to the blood bank
and pick up two units of fresh frozen plasma.
— But...
— Now.
Are you glad to be back?
(Raj) Shot.
So, what do you chaps get up to
in the evenings?
Go to town. Few beers, a curry. The usual.
Sounds a laugh.
I'd have thought
you'd have finished at A and E by now, Raj.
On the GP rotation, Mr DeVries.
Good stuff.
— Actually, James. | ought to make a move.
— Yeah, all right.
— Good luck, mate.
— Off out, eh?
Yes, Mr DeVries. See ya.
see ya.
— It's stopped.
— On the retreat, anyway.
— Tim, you can still change your mind.
— We're fine as we are, thank you, Andrew.
Tim...
He's tried to top himself. He's in no fit state
to decide one way or the other.
— You'll have him believing in the tooth fairy.
— I'm not converting him.
| disagree deeply with his religion.
It doesn't stop me respecting it.
Refusing treatment's part of his suicidal
ambition which we're assisting.
I'm just supporting him in a decision
he'll be happy with when this is over.
If this is over. Ethical concern's the kind of crap
that gets you in court.
Think of your own position first,
and then think of the patient's second.
You were the one | gave the instructions to.
| don't care who tells you otherwise.
You talk to me before you do different.
Why can't you just leave me alone?
Save the waterworks.
It may fool the others
but it doesn't cut any ice with me.
(Siren)
If you don't want him bleeding to death in
the theatre, you have to correct his clotting.
| know. That's what I'm trying to do,
On the other hand, it does sound like there's an
argument for respecting the bloke's beliefs.
Am | the only person in this hospital
who can see that we're following the wishes
of a manifestly irresponsible patient?
Try telling this one to the coroner.
Now, you weren't going to hide away
in your room, were you?
— I'll sleep better.
— That's why your flat would be much better.
Nice, comfy double bed.
Goodnight, Adrian.
Hi, Steven.
Sorry about earlier.
Pressure of work, you know.
Anyway, Sorry.
125,000 to beat.
— What?
— Your go.
125,000 to beat.
You're on.
How do | start this?
— So what's the matter?
— She wanted to break the news to me gently.
All those long, cold nights in the panda
with the sarge.
He's already moved into the flat.
Now, no wobblage of that top lip, Raj.
Sitting on my sofa,
with his flat, copper feet on my coffee table,
watching one of my Star Trek videos, with
his big, hairy copper hands all over my bird.
State the holy triad.
| don't know what | ever saw in her.
| don't know why | went out with her.
Well shot of her.
So what did you get me down here for, anyway?
Because thanks to you, that poxy injection
hasn't worn off yet.
I'm close to passing out.
Just lie there. Think of your mum.
It'll go away soon enough.
He started slurring his speech
a few minutes ago.
Tim? Can you understand me?
Mmm...
There's now a bleed in your brain.
It's given you a stroke.
It's destroyed your speech
and the movement on your right side.
It may resolve in time.
| don't know what you want me to do.
(Nurse) There's fresh frozen plasma on standby.
stop.
Thank you.
| want him to have neuro obs half—hourly,
an urgent CT scan if he deteriorates.
Oh, and your application for the post of God
has been turned down.
If this goes to court, I'll be clear that
it was me alone who acted against your advice.
You're damn right you will.
— Morning, Mr D.
— Morning.
— How'd it go?
— Oh... (Chuckles)
A catastrophe, James. A catastrophe.
A night in front of the television
with my foot up on a stool, being attended to.
Hardly the atmosphere for a proposal.
Even when | removed the plaster, | couldn't
convince her to go out for the night.
Still, at least she didn't know
to get her hopes up, eh, Mr D?
Isobel, is there something...
Have you found a moment
to have a word with Rajesh?
He's extremely disappointed
not to be shortlisted to work with you.
Surely there must be some mistake.
— Morning.
— Morning.
— Do you want a cuppa?
— No, thanks.
| suppose you've already had one snuggled up
in bed with your bionic lover.
Exactly.
Tim.
This morning's blood tests show
the clotting's back to normal now.
— There'll be no more bleeding.
— So how are you doing, Tim?
Better.
— How's the young Jehovah's Witness?
— | don't know, Dr Turner.
— Oh?
— Sometimes | get the impression
the team don't want me involved.
| say team. | suppose it's no secret
that Claire has it in for me.
Perhaps, Liz,
you've misunderstood Claire's methods.
But it's really beginning to get me down,
Dr Turner.
Leave it with me, my dear.
Some claptrap
about saving his soul as well as his life
after | left express instructions.
| believe
| was acting in the patient's best interests.
Andrew acted with my knowledge. | take full
responsibility for the patient's treatment.
If you want to take someone to task,
make it me.
Don't make the mistake of believing
that that appeases me.
Dr Turner, | will not let Claire take the blame...
Andrew!
I'm also extremely disturbed to find
that you have upset our house officer.
— Liz is lazy.
— She's highly strung.
She's mad.
I've never once had cause to complain
about your professional performance.
But I'm warning you. Don't test my loyalty now.
Am | clear?
Pellucid.
Henceforth,
any reference | write for either of you
will state
that | cannot rely upon you to follow orders.
With such early signs of recovery, | think
we can be optimistic that the stroke will resolve.
Doctor?
WiLL you pray with me?
Andrew?
Don't ever pull a stunt like that again.
| accept the lad's being given to a prank or two.
But Raj has now become
one of our most able and personable juniors.
Ernest, | know what's happened.
There's been a misunderstanding.
I'LL tell the personnel officer
to put Raj on the list.
What kind of misunderstanding?
It's just that we tend to overlook applicants
with foreign names, that's all.
Adrian! | will not allow this racism to continue!
| want every single application to be reassessed.
— And a new shortlist drawn up.
— We just bung him on the list, no harm done.
| certainly could not be comfortable
if | entertained the slightest suspicion
that | gained my position
through anything other than merit.
But perhaps, Adrian, | speak only for myself.
— Now, Ernest. Don't you think...
— Today.
Or it goes to the General Medical Council.
Well, if only you were that decisive
the rest of the time.
I'm beginning to wonder if you've sneaked
a look at my duty rota for the week.
Early, early, late, day off, early.
| just wanna talk, Debs.
| don't wanna drag this through the courts.
(Sighs)
No more Mr Nice Guy.
Would it be disingenuous of me to suggest
that this witch—hunt has anything to do with
me seeing your ex—wife?
Purely as a piece of information, Julie and |
are separated. We remain legally married.
You intend to stop me seeing her?
Julie's free to see whomever she pleases,
as indeed you are, Mr Smedley.
However,
your contract with us runs out very soon.
Don't expect it to be renewed here,
or anywhere else in the region.
Erm...
You're from Adelaide, aren't you?
Plenty of work there this time of year, | expect.
I'm at a loss to conceive how I've upset her.
You've always got to be one step ahead, Mr D.
Clearly, there's a science behind the success
you boys have had with women.
Got any advice, Scissors?
You're the man who's got the woman he wants.
— Sure | have.
— Raj, can | have a word with you?
It's just to tell you you're on the shortlist now.
— What happened, Mr Docherty?
— Well, | think you can guess.
But you must understand, | had no idea.
— | do, Mr Docherty.
— Hey, Raj. Tell Claire. She hasn't heard it.
Listen.
Why don't Pakistan have a football team?
That joke isn't funny any more, James.
Let me guess.
You found him on the railway line.
He's always doing this. Lost that leg years ago.
— It's ketchup.
— Very original.
— Hi. How did this happen?
— It was only a knock.
Just... Aaahh! Hurts so much.
OK. I'll need to ask you some questions,
examine you, do a blood test and an X-ray.
Seeing as there's nothing actually wrong
with you, we should send you home.
— But | haven't got a home.
— Oh. Um...
— Fine. It's social services. | shall call them.
— Ah-—ah...
Here's their number.
And a cup of tea would be nice
while I'm waiting.
Why is it
that Pakistan haven't got a football team?
— | don't know.
— Every time they get a corner,
they open up a shop.
— When do you hear about the attachment?
— Shortlist's out today.
Good luck, mate.
It'd be good teaming up with you,
Scissors and everyone.
The lads in the theatre, the lads on the wards.
Can't wait to get out of this place.
— See you later.
— See you.
If you'd read the ECG properly in the first place,
maybe the outcome would have been different.
— We all make mistakes.
— Yeah, that's a bit harsh.
— It probably made little difference in the end.
— Got another one.
Oh, Andrew, you couldn't be a sweetie?
If | don't grab a coffee, I'LL die.
— Yeah, OK.
— Thanks. Bye, boys.
— Bye.
— Bye.
Just bleep me if it needs cutting.
What are you doing here?
Your girlfriend's not on duty.
Steve,
I'm just gonna have a feel of your tummy.
— Aren't you a sister here?
— On Crippen Ward. I've been away for a while.
Mesenteric adenitis, | reckon.
| don't think this is your appendix
playing up, mate.
It's more like swollen glands in your stomach.
To be on the safe side, | want to keep Steven in
for 24 hours to make sure it clears up.
— OK.
— Am | gonna be on your ward, Mum?
You don't wanna go up there, mate.
Eurgh! Full of oldies coughing up green.
— Now. You lead, Mr D.
— Right. Um...
And...
One—two-three, one—two-three,
one—two-three, one-two -three.
...1'm sorry.
Never mind. Start again, shall we?
No. No, it's no use. We're getting nowhere.
It's not your fault. Thank you for your tuition.
Can't you change your plans
so you don't have to dance?
| wanted it to be a special occasion.
Everything must be perfect. Everything.
Any special reason?
| plan to propose,
— Ah.
— Excuse me.
— But we must, er...
— Make a start in theatre. Yes.
Ernest, before you go, do you still want me
to renew your subscription to Prostate?
Thank you. The form's in the...in the...
(Sighs) Now...
(Gasps)
Oh...
Now, you know I|'m willing to overlook your
having performed an unauthorised procedure.
It would be a great help to me
to know more about Mr Smedley's involvement
in the little girl's death.
You've had time to think about it.
Now | would like to know the full story.
| do hope | don't have to push you.
I'LL give it straight to the doctor. Thanks.
INR greater than ten, PTT 35,
control 34, FDP's less than ten.
This is rather an unusual picture.
Any idea why this might have happened?
You're not on any medication.
Have you taken any tablets recently?
Tim?
Has someone in your family
taken a tablet called warfarin?
My mother.
— She had a blood clot in her leg.
— Those were the tablets you took?
Did you intend to harm yourself?
To kill yourself?
— Why did you do that?
— Things just...got too much.
You wanna talk to someone about it?
| took them two nights ago.
It was silly, really.
I'm OK now.
These tablets take a few days to work.
Warfarin stops the blood clotting.
In higher doses, it's used as rat poison.
The rats bleed to death.
Can we give the psychiatrist a ring
about Tim Whitehouse, please?
— Is that the royal "we"?
— I'll phone if you're busy.
No, no. We can't have a doctor
doing such a menial task.
— Sorry, Andrew. | really had to...
— Tim is a warfarin overdose.
Can we give him two units
of fresh frozen plasma straight away?
And recheck his INR? Thanks.
— (Knock on door)
— Come in.
— Oh, hi.
— Hi. Sorry to bother you, Mrs Trimble.
Oh, you're not bothering me, Rajesh.
Mr Docherty‘s in theatre.
No. Actually, all | wanted to know is if you had
the shortlist yet for the GP surgical attachment?
Yes, | do. Yes, I've got it right here.
Let's have a look.
Now, we've got McDonagh, Morgan,
Robertson, Ross...
Oh... Rajesh, | can't see your name down here.
I'm sorry.
Oh...
— Next year, eh?
— Oh, yes. Next year.
The one thing we always managed to do was
never let personal matters interfere with work.
You want me to act
just like nothing's happened?
Can't we at least be friends?
Friends don't lie to each other
or use each other.
No, Andrew. You're not my friend.
Doctor?
— Is that blood?
— Yeah, it's fresh, frozen plasma.
It contains clotting factors to replace the ones
deactivated by the tablets you took.
I'm a Jehovah's Witness.
— You won't have the treatment?
— No.
Carry on, please.
This is the best treatment to prevent bleeding.
Now, in that knowledge,
do you refuse or consent to treatment
with blood and plasma products?
| refuse.
Doesn't Mark say that there is nothing from
without a man that entering him can defile him?
| don't want the treatment.
Andrew,
I'm not happy to carry on if Tim refuses.
We can give you an injection of vitamin K.
It'll do the same job
but take a lot longer. Is that all right?
Yes.
Vitamin K, 10 milligrams. Thank you.
Ill get the ear, nose and throat people
to look at you.
Thank you.
Adrian?
Adrian?
Not now.
I'm busy.
— You don't mind if | borrow these, do you?
— No.
We will respect your convictions, sir.
Thank you for your assistance.
— I'LL document his refusal in the medical notes.
— Yes, thank you, Liz.
Um... You haven't had to miss lunch again
today, have you, my dear?
Sometimes you just can't get away, Dr Turner.
Well, you make sure
you get yourself a proper break, hmm?
Thank you, Dr Turner.
Andrew, we must do everything in our power to
persuade that young man to change his mind.
— He does appear very adamant, Dr Turner.
— Everything, Andrew.
Yes, sir.
If there are any developments
and you have difficulty contacting me,
| believe Claire's on call today.
Thank you, Dr Turner.
The boy has a group—and-—save in his notes
which gives his blood group as A positive.
| took a blood sample myself recently
which | can assure you
was reported as O positive.
The blood sample you took
was booked into the Laboratory.
A report gave Steven Pereira's blood type as O.
Now no record of that test can be found.
No copies of that test were made.
Thank you, Helen. I'll fill in the gaps myself.
It would have been a great laugh
being teamed with you lot.
— | can't understand why they overlooked you.
— What's wrong with your hands?
Sorry. Mr Smedley,
can | have a word with you, please?
Of course. What's the matter, Kirsty?
— Yes?
— Any news on the social services?
Nothing. You may as well hop it.
While I'm here, you have a legal obligation
to find me somewhere to stay,
before you can discharge me.
So you might as well find me a bed
s0's I'll be more comfortable.
Ernest, you're back so soon. Any reason?
Good grief. What have you done?
| tripped over the diathermic pedal in theatre.
Nothing's broken, but I'll be on the bench
for a couple of, er...thingies.
— Couldn't you have been more careful?
— I'm sorry, Isobel.
But we mustn't let it spoil our night out.
It only places the dancing out of the question.
| wouldn't have minded
if you hadn't wanted to dance, silly.
Oh.
All's well, then.
You're not going out and about all evening
when you should be resting.
No, Isobel, we should go out.
Ernest, you're gonna stay home all evening
with your foot up.
And I'm gonna pamper you.
Debs?
The place hasn't been the same without you.
Well, the thought of never again seeing
your smiling face brought me racing back.
Off to see young Steven before starting shift?
Very maternal.
You and | should have a friendly talk,
you know, Debs.
Yeah, well, some other time, perhaps.
| know Steven is my son.
The blood group
on his medical records has changed.
Now, call me suspicious, but | wonder if
someone's trying to put me off the scent.
Well, if it's true, if Steven is your son...
Then | should be allowed access.
Well, | won't have you doing to him
what you did to me.
You stay away from my son.
Let's talk.
Owing to management incompetence,
the department was missing two doctors.
A nurse in training was forced to perform the
duties of a fully qualified member of staff.
You had the option to summon more personnel.
Instead, you pressed on
with insufficient and inexperienced staff,
and a little girl died.
You can stop bullying your student nurse,
Tennant.
| was in charge of the resuscitation.
| take full responsibility
for the little girl's death.
Oh! I'm so grateful for your candour,
Mr Smedley.
It makes my decision so much easier.
Right. Shall we make a move, then?
Yes.
Have you got everything?
| believe so.
Wonderful.
Mr Tennant!
— So, tonight's the night, eh?
— All I'm doing is meeting her for a drink.
It's make or break for you and Nasreen.
— She's the only girlfriend you've had.
— (# Edwyn Collins: A Girl Like You)
If she doesn't take you back tonight,
you may never ever have another.
Cheers, mate.
One tiny slip and you'll be back in your room
in Heartbreak Hotel
on the banks of Lake Loneliness
in the town of Tears.
The thing is, to calm my nerves,
| need to get a few drinks down me,
— but if one thing leads to another...
— What, the return of Mr Floppy?
— Mm...
— | know.
I've still got that stuff we nicked from pharmacy,
Erectol or Stiffon or whatever it's called.
— What? | don't know.
— Trust me.
| think it's stopped. Are you OK, Tim?
| think so.
— What are his obs?
— Pulse 90.
BP 120 over 70.
This doesn't appear
to have been a serious haemorrhage.
However, you may need surgery tonight
to prevent it happening again.
| want you to reconsider your decision earlier,
Vitamin K's gonna take a long time to work.
You need blood and fresh frozen plasma.
Oh, do whatever you want.
Thank you.
Think it through carefully, Tim.
Andrew? End of discussion.
Two units FFP stat.
Check PT, another two units, and so on.
Cross—match his blood
and transfuse according to his Hb.
Have the consent documented in his notes.
| don't believe
he's providing sincere, informed consent.
— Give the treatment.
— He's a devout Jehovah's Witness
who's tried to kill himself
and can still repent that sin.
He's stopped caring
if he's damned before his god.
Liz, give Tim Whitehouse
two units of fresh plasma and check...
— No, | think we should take this to Dr Turner.
— | don't know which golf course he's on.
It's my decision. Follow it.
You don't understand
because you don't believe in anything.
— Evening, chaps.
— (All) Evening, Mr DeVries.
Whisky and soda, please.
Can | get anyone else a drink?
— Raj?
— Oh, yeah.
Er... I've got a patient to review in Casualty.
On call tonight, eh?
Hard lines.
— He's already lost a few units.
— We need the surgeons to take him now.
— What's his latest clotting time?
— It's not been done.
Why not?
Because Andrew Said not to. He said...
Be quiet and do as | say.
Liz, physically go down to the blood bank
and pick up two units of fresh frozen plasma.
— But...
— Now.
Are you glad to be back?
(Raj) Shot.
So, what do you chaps get up to
in the evenings?
Go to town. Few beers, a curry. The usual.
Sounds a laugh.
I'd have thought
you'd have finished at A and E by now, Raj.
On the GP rotation, Mr DeVries.
Good stuff.
— Actually, James. | ought to make a move.
— Yeah, all right.
— Good luck, mate.
— Off out, eh?
Yes, Mr DeVries. See ya.
see ya.
— It's stopped.
— On the retreat, anyway.
— Tim, you can still change your mind.
— We're fine as we are, thank you, Andrew.
Tim...
He's tried to top himself. He's in no fit state
to decide one way or the other.
— You'll have him believing in the tooth fairy.
— I'm not converting him.
| disagree deeply with his religion.
It doesn't stop me respecting it.
Refusing treatment's part of his suicidal
ambition which we're assisting.
I'm just supporting him in a decision
he'll be happy with when this is over.
If this is over. Ethical concern's the kind of crap
that gets you in court.
Think of your own position first,
and then think of the patient's second.
You were the one | gave the instructions to.
| don't care who tells you otherwise.
You talk to me before you do different.
Why can't you just leave me alone?
Save the waterworks.
It may fool the others
but it doesn't cut any ice with me.
(Siren)
If you don't want him bleeding to death in
the theatre, you have to correct his clotting.
| know. That's what I'm trying to do,
On the other hand, it does sound like there's an
argument for respecting the bloke's beliefs.
Am | the only person in this hospital
who can see that we're following the wishes
of a manifestly irresponsible patient?
Try telling this one to the coroner.
Now, you weren't going to hide away
in your room, were you?
— I'll sleep better.
— That's why your flat would be much better.
Nice, comfy double bed.
Goodnight, Adrian.
Hi, Steven.
Sorry about earlier.
Pressure of work, you know.
Anyway, Sorry.
125,000 to beat.
— What?
— Your go.
125,000 to beat.
You're on.
How do | start this?
— So what's the matter?
— She wanted to break the news to me gently.
All those long, cold nights in the panda
with the sarge.
He's already moved into the flat.
Now, no wobblage of that top lip, Raj.
Sitting on my sofa,
with his flat, copper feet on my coffee table,
watching one of my Star Trek videos, with
his big, hairy copper hands all over my bird.
State the holy triad.
| don't know what | ever saw in her.
| don't know why | went out with her.
Well shot of her.
So what did you get me down here for, anyway?
Because thanks to you, that poxy injection
hasn't worn off yet.
I'm close to passing out.
Just lie there. Think of your mum.
It'll go away soon enough.
He started slurring his speech
a few minutes ago.
Tim? Can you understand me?
Mmm...
There's now a bleed in your brain.
It's given you a stroke.
It's destroyed your speech
and the movement on your right side.
It may resolve in time.
| don't know what you want me to do.
(Nurse) There's fresh frozen plasma on standby.
stop.
Thank you.
| want him to have neuro obs half—hourly,
an urgent CT scan if he deteriorates.
Oh, and your application for the post of God
has been turned down.
If this goes to court, I'll be clear that
it was me alone who acted against your advice.
You're damn right you will.
— Morning, Mr D.
— Morning.
— How'd it go?
— Oh... (Chuckles)
A catastrophe, James. A catastrophe.
A night in front of the television
with my foot up on a stool, being attended to.
Hardly the atmosphere for a proposal.
Even when | removed the plaster, | couldn't
convince her to go out for the night.
Still, at least she didn't know
to get her hopes up, eh, Mr D?
Isobel, is there something...
Have you found a moment
to have a word with Rajesh?
He's extremely disappointed
not to be shortlisted to work with you.
Surely there must be some mistake.
— Morning.
— Morning.
— Do you want a cuppa?
— No, thanks.
| suppose you've already had one snuggled up
in bed with your bionic lover.
Exactly.
Tim.
This morning's blood tests show
the clotting's back to normal now.
— There'll be no more bleeding.
— So how are you doing, Tim?
Better.
— How's the young Jehovah's Witness?
— | don't know, Dr Turner.
— Oh?
— Sometimes | get the impression
the team don't want me involved.
| say team. | suppose it's no secret
that Claire has it in for me.
Perhaps, Liz,
you've misunderstood Claire's methods.
But it's really beginning to get me down,
Dr Turner.
Leave it with me, my dear.
Some claptrap
about saving his soul as well as his life
after | left express instructions.
| believe
| was acting in the patient's best interests.
Andrew acted with my knowledge. | take full
responsibility for the patient's treatment.
If you want to take someone to task,
make it me.
Don't make the mistake of believing
that that appeases me.
Dr Turner, | will not let Claire take the blame...
Andrew!
I'm also extremely disturbed to find
that you have upset our house officer.
— Liz is lazy.
— She's highly strung.
She's mad.
I've never once had cause to complain
about your professional performance.
But I'm warning you. Don't test my loyalty now.
Am | clear?
Pellucid.
Henceforth,
any reference | write for either of you
will state
that | cannot rely upon you to follow orders.
With such early signs of recovery, | think
we can be optimistic that the stroke will resolve.
Doctor?
WiLL you pray with me?
Andrew?
Don't ever pull a stunt like that again.
| accept the lad's being given to a prank or two.
But Raj has now become
one of our most able and personable juniors.
Ernest, | know what's happened.
There's been a misunderstanding.
I'LL tell the personnel officer
to put Raj on the list.
What kind of misunderstanding?
It's just that we tend to overlook applicants
with foreign names, that's all.
Adrian! | will not allow this racism to continue!
| want every single application to be reassessed.
— And a new shortlist drawn up.
— We just bung him on the list, no harm done.
| certainly could not be comfortable
if | entertained the slightest suspicion
that | gained my position
through anything other than merit.
But perhaps, Adrian, | speak only for myself.
— Now, Ernest. Don't you think...
— Today.
Or it goes to the General Medical Council.
Well, if only you were that decisive
the rest of the time.
I'm beginning to wonder if you've sneaked
a look at my duty rota for the week.
Early, early, late, day off, early.
| just wanna talk, Debs.
| don't wanna drag this through the courts.
(Sighs)
No more Mr Nice Guy.
Would it be disingenuous of me to suggest
that this witch—hunt has anything to do with
me seeing your ex—wife?
Purely as a piece of information, Julie and |
are separated. We remain legally married.
You intend to stop me seeing her?
Julie's free to see whomever she pleases,
as indeed you are, Mr Smedley.
However,
your contract with us runs out very soon.
Don't expect it to be renewed here,
or anywhere else in the region.
Erm...
You're from Adelaide, aren't you?
Plenty of work there this time of year, | expect.
I'm at a loss to conceive how I've upset her.
You've always got to be one step ahead, Mr D.
Clearly, there's a science behind the success
you boys have had with women.
Got any advice, Scissors?
You're the man who's got the woman he wants.
— Sure | have.
— Raj, can | have a word with you?
It's just to tell you you're on the shortlist now.
— What happened, Mr Docherty?
— Well, | think you can guess.
But you must understand, | had no idea.
— | do, Mr Docherty.
— Hey, Raj. Tell Claire. She hasn't heard it.
Listen.
Why don't Pakistan have a football team?
That joke isn't funny any more, James.