Cardiac Arrest (1994–1996): Season 3, Episode 13 - Death Us Do Part - full transcript

Pressure from blood under the nail
makes it really painful.

— I'll just cop a hold of a doctor for you.
— Morning.

— You're the new locum, then?
— Mm-—hm.

(Patient) Agh.

Kirsty.

— Can you start saline on the acute abdomen?
— Yeah, fine.

And will you come to Mr Docherty's wedding
with me tomorrow?

Yeah, OK. Erm...

— 500ml of saline, yeah?
— Yeah, every two hours.

— OK.
— Raj.

Phone. Your mum.



(Sighs)

Mum. How nice.

And how are we today, Mrs...Goodwin?

# Grandma, we love you

# Grandma, we do

— # Though you may be far away #
— Ah.

Small whisky, please.

(Cheering)

We couldn't let you get married
without some debauchery, Mr D.

Well, | do believe I'm off duty,
and you all know what that means.

Barmaid, a flagon of ale
for the blushing bridegroom.

(Cheering)

Andrew, there's something wrong
with Mrs Goodwin.

— | won't be a minute, Caroline.
— (Sighs)



Andrew.

Excuse me.

| only saw her a couple of minutes ago.

There's something dead wrong with her now.

— Boom!
— Oh.

— Boom!
— Oh.

— Boom! Yeah!
— (Cheering)

Claire, come on. Cough up for Liz.

| don't see how flowers are going to help
a mental breakdown.

— Shouldn't we buy her a straitjacket instead?
— It's a gesture of support.

Fancy a drink, Claire?

— | do now, you silver—tongued bastard.
— You're a miser, mate.

Raj.

— Thanks.
— I'LL get you another.

No, come on, tell me.

(Sighs) It's just my mum. She's got
some old-fashioned ideas, that's all.

Look, if it's gonna be a problem,
I'll stay at home.

No. I'd be proud to take you.
Mum can get stuffed.

James.

Ernest.

Graham. This is something of a surprise.

Yes. Well, | know we've had our differences
recently,

but | just wanted to offer my very best wishes
to you and to Isobel.

Oh, that's most kind. Thank you very much.

Thanks.

— Thief.
— Yes.

— Aaah!
— Aaaah! Boom!

Aaaah! Boom!

(Cheering)

# ,hits the sky like a big pizza pie

# That's amore

# That's amore
# That's amore

# When the world seems to shine
like you've had too much wine

# That's amore
# That's amore

# Bells will ring ting—a—ling—a-—ling #

— Mrs Goodwin's death certificate.
— Just leave it on the desk.

Caroline.

— Caroline.
— What?

| was going to ask if you'd give something
towards flowers for Liz,

— but fine, | won't bother.
— It's hardly as if she made any friends here.

Look, | thought we had a truce,

— What's happened?
— Nothing's happened.

You know my contract's up
at the end of the month.

Oh.

No, | didn't.

Does that mean you're gonna be going home?

Yeah.

Oh.

What does Julie think of all this?

Dunno.
We're not...seeing each other any more.

Oh.

| had a really good time over here.

Made some good mates.

But the position...

was only temporary.

Isn't everything?

(Slurred) Well, this is your liver.

Jarvis and | were baffled
as to our next manoeuvre.

Haemostasis seemed damn nigh impossible.

Hey. Where is everyone?

But it's thanks to you lads that | have won her.

Without you | would never have realised

how empty and sad one is

without the love of a good woman.

Jesus.

We've got to get you home, Mr Docherty.

Come on, mate, you're the only one
who knows where he lives.

— Give us a hand.
— Sorry.

(Raj) All right, Mr D. Come on.

(Sighs)

He did this to himself.

Come on. Come on.

(Siren)

(Yawns) Self—inflicted traumatic amputation.

— | don't know. | haven't asked him.
— Blood pressure 140 over 90.

Yeah. Fine. Thanks.

Let's take him up to theatre, Patrick.

| hope you don't mind me asking,
but, er...why did you do this to yourself?

Been obsessed with it for ages.

| suppose...

| needed to have something missing
in order to feel complete.

Erm, is it OK if | go, Patrick?

No problems.

— You look fantastic.
— Thank you.

(Applause)

(Cheering)

Give us a cross—handed one, Mr D.

(Applause)

Ah, you dirty perv!

Kissing a nursie.

— Whoa-oh.
— Ugh. Get off.

— Snog her again. Go on.
— Kiss, kiss, kiss.

Wahey!

Raj, Raj, Raj, Raj.

You don't look well, Caroline. Are you all right?

Hi, it's Dr Collin.

Oh, hi, Alison. How are you?

I'm fine. Listen, I'm glad you called.

lL be getting off early tonight.
Do you want to go out?

Yeah. That would be good.

(Cheering and whistles)

Now, er... (Laughs)

Now, you all know that

| have always been one of these people

who...who...who seize life

— by the scruff of the...the, er...the thingy.
— Hooray!

And...and it was exactly the same
when | first met Isobel

No. | simply overwhelmed her with my brio

and the force of my romantic firepower.

Absolutely.

Fair heart never won...

faint...

Uh-huh.

(Laughter)

Er, no. But | want to speak, er, seriously.

| want to speak seriously to some of you
young chaps who are here...

tonight.

lf there is, er...

If there is someone that you care about...

er, YOu...

mustn't hesitate...

in letting them know.

Thank you.

(Whooping)

(Cheering and whistles)

— Congratulations, Mr D.
— Thank you.

— Well done.
— Thank you.

Will you be all right to mind the store
while I'm away?

— Everything will be fine, Mr D.
— And you'll be here when | get back?

— | think I'm gonna be around for a long time.
— Good man.

— | thought you were thinking of going home.
— | guess something made me change my mind.

You know, he should know better at his age.

| remember my wedding day.

Tipping it down with rain.

Mrs Garden's mum threw a wobbly
over the best man's speech, and her dad...

he got legless and threw up
over the bridesmaid.

1 years.

| could have murdered her
and been out on parole by now.

Hey.

— Query fractured neck of femur.
— Have to go to Coronary Care.

(Phil) No $1Q323.

Those aren't the only electrocardiographic signs
of pulmonary embolism.

There's also sinus tachycardia
and right ventricular strain,

both of which are present here.

Heparinise her and arrange for a V—Q scan
as soon as poss.

OK. Thanks, Claire.

Since when have housemen made referrals?

Phil felt the case required a more
senior opinion. | was out of the hospital.

At a wedding, how romantic.

| had to leave my clinic to do your job.
| won't do it again.

Claire.

I'm sorry | was absent.
| think Phil did the right thing.

Thank you for your help.

— How's he doing?
— The MI?

His ECG looks like he's wiped out
a lot of myocardium.

We've had to start TPA.

| was about to bleep Andrew.
| didn't realise he was one of your patients.

He's not.

He's my father.

Dad.

Rajesh.

Now you are here,
perhaps someone will tell us what's going on.

Mum, Dad's had a heart attack.
He's on all the right treatment.

That doctor.

He was in and out like a flash.

You know how busy the job is.

Well? Aren't you going to have a look
at your own father?

Mum, Dad's already in good hands.
| don't want to step...

No one has seen him for over an hour, Rajesh.

You must do your job.

Blood pressure’s still 90 over 60.

— Are we measuring urine output?
— Mm.

Hello, Raj.

— Andrew, | was just...
— Yeah, | understand.

| found crackles up to the mid—zones, yeah?

— Yes.
— Yeah.

We'll start dobutamine.
Five mikes per kilo per minute. Thanks.

We'll start something to give your heart a boost.

It's a bit weak following the heart attack, OK?

Andrew. Andrew, look...

— Raj. Be a bit more tactful, eh?
— I'm sorry.

Aren't you going to chat with your father?

You have hardly spoken.
ILL try telephoning Vindu again.

(Sighs)

You must be, er...

Yes.

How's work?

Oh, it's...it's, er, OK.

| ought to get back to work.

Yes.

I'll be back Later.

Bye, Dad.

Yes. It's Patrick Garden, Casualty.
Hang on a minute, will you?

— So what did you go up to Coronary for?
— Nothing.

You've been skiving half the day.
You know how busy we are here.

There's that fractured neck of femur still waiting.

I'm sorry.

Well, take him up, then.

(James coughs)

(Continues coughing)

Sorry to keep you, Winnie.
I'm afraid you've broken your hip.

Oh, dear.

I'LL ask our orthopaedic team to look at you.

They're used to mending this sort of thing
in young ladies like you.

Raj.

I'LL be right back, Winnie.

Old boy just brought in on his last legs.

We need a white coat to look at him
before he pegs it.

George Grady, 80 years old,

advanced CA of the larynx.

Hello, George. I'm Dr Rajah. We'll do something
about your distress straightaway.

Oxygen, diamorph, Maxolon.
Keep him comfortable.

James.

Carcinoma of the larynx
diagnosed five years ago.

Surgery. Radiotherapy.

Now terminal.

| don't think it would be kind to do
anything heroic with this chap.

Not for 222.

Agreed with the patient.

He doesn't want resuscitating,
I'm not going to stand in his way. You?

Me neither. Let him go in peace.

(Pager beeps)

— Contact Coronary Care,
— What does Coronary Care want you for?

— If you're busy, I'll take over here.
— Yeah, thanks.

(Laboured breathing)

Dad, the new treatment’s working.

Soon you'll be out of danger.

Thank you very much, Rajesh.

(Sighs)

| can't place that bloke.

Maybe you've worked with him
somewhere before.

Please contact Casualty.

Must have.

How's the punter with the CA larynx?

Comfortable.

Not a nice way to go, is it?

— Are you OK, James?
— Fine.

— | just wondered.
— (Phone)

Hello, Dr Rajah.

Thanks for getting back to me. Yeah,
I've got a 500—-year—old lady with a broken hip.

No past medical. Er...

Sorry. Just one moment, please.

— Yeah?
— Mr Grady's passed away.

Couldn't certify him, one of you two, could you?

Sure.

(Knock at door)

Ken. Could you do a quick chest X-ray for me,
please?

Sure. Where's the patient?

Standing right in front of you, actually.

(Coughs)

I'd like your opinion on this.

— Is this you?
— Yeah.

| think you have pneumocystis pneumonia.

Yeah, | thought so.

Would you like me to contact the HIV unit
at the General?

| don't know.

Winnie.

You're not still here, are you, Winnie?

Winnie.

Winnie.

Dr Rajah. Charge Nurse Garden.

So, you suspect foul play?

| think someone must have
deliberately overdosed her, yes.

There are no other possible causes of death,
then?

WellL..yes, there are.

— Have you noticed anything suspicious?
— Not that | can think of, Mr Tennant.

You may confer with your consultant.

But | would like to proceed as per any medically
unexplained death, i.e. a postmortem.

Dr Rajah.

You have something of a reputation for being
one of our less serious—minded doctors.

| sincerely hope
this isn't one of your ill—judged pranks.

Caroline.

I'm pregnant.

"When will Rajesh settle down?", he asks.

"when will he show some ambition?"

And | have to say, "| don't know."

You are such a disappointment to him.

You disappoint everyone who cares for you.

James, do you think I'm a failure?

See that dog over there licking its nads
without a care in the world?

Do you think he's worried about
his career prospects as a dog?

(Raj laughs)

Sometimes maybe a thing's not complete...

unless there's a part missing.

(James sighs)

| want to ask you something.

If | get really sick...

| don't want to be left to fester.

Do you understand
what I'm asking you to agree to?

— Do you?
— Yeah.

| mean, you know, you don't have to say yes.

| can easily ask someone else.

I'm just asking you first.

Yeah.

Yes.

| thought you'd be all right. | mean, after that
bloke with the throat cancer and all that.

If it's someone you know, you don't...

You can't tell

What do you mean,
after the bloke with the throat cancer?

You mean you didn't turn his diamorph up
before | got there?

| thought you did after | left.

Oh, shit!

Oh, sh...

Dad. Dad!

Dad.

— Dad.
— Rajesh.

Are you OK?

No one's given you any funny injections?

— Wh...what's the matter?
— Er...

|, er...

This stuff between us, the, er...

the arranged marriage, the career thing.

| have to go my own way.

So we'll talk, yeah?

— Yes.
— I'll be back.

Ah. | see your pacemaker list has finished early.

Nice to know the theatre won't be cluttered up
with surgical amateurs.

How's the PE that | had to diagnose for you?

Miraculously, her treatment hasn't been affected
by the breach of medical etiquette.

— 30-love.
— (Laughs)

What's so funny?

That was a ticking—off, | assume.

Me at my worst.

Scary.

Excuse me. | left my bleep in the theatre.

Erm... I've changed my mind.

I'm not going anywhere, I'm staying.

Hi, Liz.

How are you doing?

Got you some flowers.

Everyone put in for them.

So...

We, er...

all miss you,

you know.

The place isn't the same.

| had some news today.

Guess we've all got our problems.

You being a surgeon, | suppose there's...

At least that made you shut up.

— Mm-mm, mm-mm.
— Mm.

— I'm not easy, you know.
— Yeah, now, here.

I'm playing hard to get.

Anything you can do, | can do better.

God, | wish you were six foot.

This doesn't mean we're gonna shag, does it?

— Yes.
— Let's get over to the short person's bench.

Come here. (Laughs)

— Patrick. The house officer. Where is he?
— Went off duty.

— | know who he is. Call the police now.
— Who is he?

— Now.
— Who is he? Straight into resus.

Don't think she means to kill herself.

Not really.

She's a doctor.

She knows it takes far too long to die
from slit wrists.

She tries to hurt herself.

We tell her she's going to get better,
she doesn't listen.

(Knock at door)

(Knocking continues)

Doctor, can you help me, please? I'm a diabetic
and I'm not sure what my next dose should be.

Erm... What are your normal injections?

35 units in the morning and 20 in the evening,
but my blood sugar's low now.

— What is it?
— Seven.

Have you missed any meals?

Oh. | only had a little Lunch.

Well, that's probably it. You should eat properly
to balance your sugar out.

Er, if | have something to eat now
and then carry on as normal, will | be all right?

| should think so, but get a nurse
to check your sugar if you don't feel well.

— Thank you, Doctor.
— OK.

Oh!

Oh! Get off!

Agh!

(Liz turns TV on)

— Get away from me! Liz!
— Get away from me!

— Liz, help me!
— Liz, help!

Help!

— Ow. Jeez.
— (TV) BBC Sports Personality of the Year...

— What's going on?
— Raj!

I'm Dr Rajah. Do you remember me?

| saw you last night in Casualty
when you took those tablets.

Yeah. | remember.

(TV) Dodgy barnet

Agh!

(Patient) Ow! Ow!

Agh!

(TV) ..at ten past I] crisis in...

(Changes channels)

There was some old Doris
he got down in Casualty.

— How did she do?
— She didn't make it.

Phone Casualty.
Tell them we've got an insulin overdose coming.

Hypoglycaemia. Rajah, I'll go the same way.

— You keep taking to me, come on.
— Get the blood sugar up.

Some glucose in there.

That's right, Andrew. And what else?

A Venflon, yeah?

We'll get some sugar there. Speak to me.

And what else?

Pregnant.

Andrew.

— Andrew, come on. Speak to me.
— I'm pregnant.

Andrew! Come on!

After the central line...

— James. Are you sure you're all right?
— You taught me.

(Andrew laughs)

Central line and glucagon.

— Get the 50% glucose solution, Patrick, please.
— OK.

Thank you.

Oh.

| hope | wasn't interrupting
anything too important.

Was it IM or IV and how long ago?

— About ten minutes.
— Agh!

— Intramuscular.
— |t will still be absorbed into the bloodstream.

I'LL cut it out. | need a dissection kit,
a dressing and local anaesthetic.

— But this isn't a sterile area.
— Like I'm worried about infection.

— I'm just saying.
— (Andrew) And forget the local, Scissors.

Relaxed muscle's easier to cut through, mate.

— (Raj) Let's get the glucose solution running.
— Sorry. Should have known about that.

Get ready to off—Load if | go into fluid...

Let's have a furosemide IV, nitrates
and inotropes on standby.

Start off with 50mg of fruse.

— OK.
— How big was the needle?

(Andrew) An inch, maybe.

— Raj, I'll need you to help with any bleeding.
— |'m on it.

OK. I'm feeling faint.

Sick and sweaty.
My blood sugar's starting to drop.

Get another lot of glucose in, please, James.
Patrick, get another unit of gluco.

You'll probably lose consciousness soon,
so I've got to ask you these questions now.

There's a danger that prolonged hypoglycaemia
will cause irreversible brain damage,

if that happens, do you want me to make sure
that you don't survive?

No.

OK.

If we never speak again...

— I've enjoyed working with you, Claire.
— Pull the other one.

Have you got any genuine messages
you want me to pass on to anyone?

Tell my wife...

No.

There's another message.

Patrick! More glucose.

Lay him flat. Increase the rate of injection.

— More glucagon.
— Patrick.

And diazemuls, 10mg, please.

As soon as we're done, monitor him up.

Take over the airway.
Have ITU on standby to monitor him.

(Patrick) The resus is free. Carry on treatment.
There's no trolley.

(Scissors) 2-2.

That's three.