Maternal (2023–…): Season 1, Episode 2 - Episode #1.2 - full transcript
DIAL TONE
LARS: 'Catherine!'
Hi, are you through?
'Yeah. I'm in the
arrivals by the baggage.
'But I can't see you.' I'm
driving around, Elis is asleep.
But I'll pull into the arrivals
bay so you can jump in, silver TT.
'I remember.'
There's, er... a cup
of tea on the side.
Thank you.
Would you want to drive
in together this morning?
Er, yeah. That'll be nice.
Hi. Hi.
You can sit in the
front, she's fine.
There's Daddy.
Hey, Elis. BABY FUSSES
Hello, Catherine. I'm Brigitta.
Lars' wife.
BABY STARTS CRYING
CRYING INTENSIFIES
SHOUTS: Maggie! Where is she?
I don't know, coming?
Hurry up! Come on.
Morning.
Come on, we're gonna be late!
Not shutting the door, no?
My toast is broken. Right, well,
let's stick it together, shall we?
Ready? She's sitting on it.
If you loosen...
Yeah. I can see it.
No, if you loosen it, then
you can get it on easier.
Yeah, I know how it works. I
bought it and installed it, OK?
Eat your toast up.
DISTANT SIRENS Give me the bag.
BOTH EXHALE
♪ Baby you're a... ♪
Oh... What? Jesus!
♪ ... firework. ♪
Daddy, turn it back on! Daddy!
♪ Make them go ah, ah, ah... ♪
Sami! That's too
much noise for Mummy.
Did you sleep at all last night?
I thought I heard him at 2:30.
You didn't come back to bed.
I can't have a conversation
with all this...
PHONE RINGS Sami, can
you just calm it down?
Why don't you go back
to bed for a bit?
Yeah, if you want to help me,
can you help me find my phone?
It's probably work.
Maryam, you need to sleep.
Would you shut up, Sami?!
It was the Adoption
Support Team.
PHONE VIBRATES
Hello, Raz Farooqi.
Oh, wow that's, erm...
Wow. Erm...
Can I just, erm...
Yeah.
So, er...
Sami's biological mother
is pregnant again.
They want to know if we
want to adopt another baby.
I'll get the ticket.
Do you have to pay?
But you're a doctor.
Yeah.
Wait. Wait. Wait.
I'll-I'll get it.
SPEAKS SWEDISH
Full day?
Yes. Yeah. BABY CRYING
So, are your girls in school?
What were you thinking?
I was just...
You're the woman. You
should know better.
KNOCK ON WINDOW
Hi, no.
SPEAKS SWEDISH I don't
have change for...
I've got it.
The schedule is in
the front pocket.
Here. You're a sweetie!
BRIGITTA SPEAKS IN SWEDISH
And your bottles are
in the centre bit
and the key to my
flat's on the loop.
So, er, we'll see you later.
Yeah, I'll call to check in.
It's OK. We can
look after a baby.
You brought your fucking
wife without telling me?
She's Elis' family, too.
Right?
SIRENS
This is Callum Wares, aged 17.
Brought into A&E by the police,
after a drunk and disorderly arrest.
He had a fit in the
back of the van.
Er, Mr Wares has had
epilepsy since childhood,
which is usually
managed successfully
with sodium valproate.
He sustained a mild head
injury during the fit.
No signs of concussion, but
on hourly obs until 11 am.
An IV of saline might
help with the hangover?
That's a compassionate thought.
How is the head this
morning, Callum?
All right. No headache?
Er, a bit, yeah.
Well, let's see if some
fluids can help with that.
Now, we don't think you've
sustained a serious head injury,
but we are gonna keep an
eye on you for a few hours.
Are you taking your medication
as prescribed at the moment?
And you didn't miss a dose
because you were out drinking?
Right. Well, any questions
for Mr Wares? Anyone?
TESSA: Do you use anything
else to treat your epilepsy?
That's a great question, Tessa.
My Mum used to treat my seizures
with buccals. Buccal midazolam?
I don't think
we've got any left.
Right, OK.
Well, lay off the
booze, mate. Won't help.
Right, who's next?
Hello? Thank you.
So, no elective lists today
for urology and colorectal.
Which means we can't open
theatres 12 or 4 this morning.
We are down two anaesthetists
and we're short on the ODP side.
It's gonna be a struggle to
get any theatre time today.
OK? Thank you.
What's going on? We're not
doing any surgery today.
On both lists?
Absolutely outrageous!
Morning, Jemma. Morning.
I'm not going to operate
again at this rate!
Jack, I appreciate it's a waste
of your considerable talent,
could you bear to do a day
on Surgical Assessment?
Catherine, go and let
everyone down, gently.
Yeah.
How is that not a waste of
my considerable talents?
You want my job?
You need to improve your
communication skills.
Delivering bad news needs
as much practice as surgery.
Have you ever heard
Jack apologise?
They will expect you
to be better than Jack.
Hmph! Much, much better.
You don't remember me, do you?
Er, I'm-I'm your mum's sister.
It's been years.
I think you were
in primary school
the last time I saw
you and your mum.
You took us to Maccies. Yeah.
Do you wanna tell me why
you're not taking your meds?
I don't know you.
Sometimes that makes it easier.
Does... does your
mum know you're here?
No.
Do you want me to
give her a call?
If you want.
Yeah.
OK.
Right, well...
Hi. Yeah. Shut the
door, shall we?
Have a seat.
Are you all right?
What a rotten first day.
So, let me find the, erm...
Oh, yeah, here we go.
You've written in your
Case Record Review
that you asked Dr Segman
to contact Microbiology
so they could advise on a
suitable antibiotic treatment,
given Edward's history
of anaphylaxis.
And this was roughly... two
hours prior to Edward crashing.
Yes? Yes.
Good. Simon remembers
things differently.
He is adamant that he was not
instructed to contact Microbiology.
He was.
And he has raised a Datix.
What?
He's very concerned about the impact
this is gonna have on his record
and that he is being
scapegoated for your failings.
MY failings?
I'm just quoting
his incident report.
You didn't document the
instruction to contact Microbiology
in Edward's notes.
Could it be possible
you're misremembering?
I definitely said it.
OK, well...
Edward's death has been
raised to a Serious Incident.
Is there going to be
criminal proceedings?
Well, we won't know until the
coroner's report comes back.
But, oh... My God, I hope not,
otherwise, I am gonna be
drowning in paperwork!
Has anyone spoken
to the parents?
Yes. They have
filed a complaint.
You might want to
mention that to the GMC.
The GMC? Am-am...
Am I getting... am I
getting struck off?
An internal investigation
panel made up of your peers
will try to ascertain whether
any mistakes were made
and if there is any culpability.
If I'M culpable? Oh,
come on now, Maz.
Don't make this as
"us" and "them" thing.
These investigations are
designed so that we can learn
and improve patient
care in the future.
I mean, that said,
if you haven't spoken
to your legal defence
union, now is the moment.
And that's all there
is to be done for now,
so let's just shake it off, OK?
CAU again this morning?
Super.
Oh, and take Simon with you.
He actually raised a Datix?
The absolute stone
cold balls on him!
Yeah, he went to
Harrow or somewhere...
Mm. He's gonna get fried
on his surgical rotation.
Yet, Susan thinks
I've killed someone,
I'm being investigated,
the parents are complaining
to the GMC and I'm smoking.
This is disgusting.
This is never gonna go to the GMC,
it's an internal SI investigation.
I mean, we've all
killed someone.
I mean, not deliberately.
Just like that guy you
said was just a cold
and you sent home from A&E and
he came back in a body bag.
I'd forgotten about
that. Thanks, Catherine.
People die, they're ill. It
doesn't make us Harold Shipman.
That's a low bar.
Can you imagine raising
an incident report
on one of our Reg's in your
first week out of med school?
Are you sleeping?
No, don't you start.
And what if that little
boy died because of me?
Oh, for God's sake, Maryam,
they put you in an
acute clinical situation
on your first day back
on the job in two years!
You're the one who told
me to get on with it!
Just cooperate fully
with the investigation.
Have they appointed the
investigation panel, yet?
No, I don't think so.
Want me to volunteer
for it? HELEN CHUCKLES
Oh, shit, you're serious.
Why not? I need the communication
practice, apparently.
How did it go with
Lars this morning?
He brought his wife.
Wow! What's she like?
Hot. Bit judgy.
PAGER BEEPS
Go get 'em. Just take
it one at a time, yeah?
Do you think she's slept?
Of course she hasn't slept, she's
got two children under three
and she won't sleep train them.
I'm really worried about her.
Oh, he's just a posh prick
who's scared of taking
responsibility for something.
Maz is brilliant,
she'll be fine.
Yes, cos that is exactly how
these situations usually play out.
I need your help with something.
Yeah, where shall we start?
I need you to look at my vagina.
I tried to have sex with
Jack and it really hurt.
Maybe it's trying to
tell you something.
Is there a side room free on
Acute? I'm not looking at your...
I wouldn't know what I
was looking at... for.
You need someone who
spends time down there.
Ask Jack. Or maybe
someone in Obs and Gynae.
I don't trust gynaecologists.
Lars' wife says
it's all my fault.
Well, an affair is never
just one person's fault.
Thank you! I'm not
even the married one.
Sorry. Just a quick look to
make sure nothing's hanging out.
No! Just cos you're dead
from the waist down.
You have driven a truck
through her life, Catherine,
and that IS your fault.
And do NOT put your name down
for Maz's investigation team.
One minute we were bouncing
and the next, she's screaming.
Just here is that's
sore, Peggy? Yes.
She must have landed wrong.
Shall I call her mum?
Are you not the Dad? Stepdad.
Yes, please. Can you
wiggle your fingers for me?
If an adult is
bouncing with a child,
when the adult lands,
it stretches the canvas,
so it must be like
landing on concrete.
Well, I think it's broken, but
we'll need an X-ray to confirm that.
And I will get you something
to stop it hurting so much, OK?
Must be the concrete
thing, you think?
She didn't fall at
all? I don't think so.
All right, well,
I'll see you soon.
So, what do you
think? Broken elbow.
You don't think there's
anything weird about it?
Weird how?
I would like to order
a full skeletal survey.
You think it's non-accidental?
She's quiet, and he keeps
saying this concrete thing.
Well, he's right.
But he keeps saying
it. Like he's read it.
Well, the internet probably.
We see dozens of broken
bones from trampolines.
Or like he's rehearsed it.
Or he was asked by reception,
and by the triage nurse,
and then by you and now by
me. So it has been rehearsed.
I think that there is
something not right about it.
I think you need to
rein your imagination in
and stop paging me for cases
that don't need my attention.
Like sepsis?
Do we have a problem,
Doctor Segman?
I'm your Registrar.
I have years of
specialist experience,
treating children
and their families
and you've been out of
medical school three weeks.
This is a safeguarding issue.
If I tell you
something, you listen.
If you don't understand
something, you ask me to explain.
You did not... Are we clear?
You did not tell me to
contact Microbiology!
You were stood right there.
It is your job to do as
I say and to take notes.
You didn't write it up.
Right, because for you, it's
about not taking the blame.
Yes!
Not that someone's child died.
Maz? Maz? The board's stacked.
Can you go upstairs and move
things along in ultrasound?
Did you see the girl
in five? Briefly.
Any red flags for NAI?
It was a trampoline, wasn't it?
You OK?
Yeah, erm...
Can you order a full
skeletal scan from radiology?
Yeah, sure. And a Social
Services referral.
Don't you want to wait
for the results of...?
No, call Social Services now.
OK.
What, again?
This is the third time
it's been cancelled.
I know, it's a nightmare. I've
just got back from maternity leave,
I can't get surgical
hours for love nor money.
Two years, I've had this hernia.
I'll have died of something
else at this rate.
Yeah. It's not going to kill
you. That's the problem.
This is not acceptable.
Would you like to complain?
Isn't that what I'm doing now?
Well, no, you're complain-ing.
That's different.
It hurts.
I'll get you a form.
Why haven't these
been discharged?
Well, I ordered ultrasounds
to rule out appendicitis.
On all four of them? Are we in
the midst of another pandemic?
Do we need trolleys in the
corridors? No, I'll clear it.
Er, now?
Simon, run up to radiology...
I can't really talk, right now.
Right, er... Are you on a
later start one day this week?
Well, whatever
the calendar says.
OK, I'll have a look, then we
can go in and meet with them.
All she would tell me
on the phone was...
No, no! I-I-I don't
want to think about it.
The more we think about
it, the more real it is,
and I want to think about it
before I start feeling it.
Why, what you feeling?
Harassed and underpaid.
Take it easy, Maz, you're tired.
OK, see you later.
Well?
Hello.
He's had a fit. Obviously.
Callum thinks he might have some
more buccal midazolam at home.
Do you know if he's
still got a good supply?
Yeah, they've run out.
Haven't they, Cal?
He needs some more, but we
can't get an appointment.
Right, well, he didn't mention that.
He gets prescribed them regularly.
So if he's getting
through them that fast,
we need to look at a new
management plan for him.
Well, if you can find a way
to make it more complicated,
and dazzle us all with
how clever you are,
then I'm sure you will.
You still with him?
Yes.
We've got three children.
You've had babies?
Yeah, Maggie's five, Archie's
three and Cleo's 15 months.
Five years old? Yes!
Fuck's sake, Hel.
Yeah, so Callum's
been underage drinking
and he's had a fit in
the back of a police van.
Patient
confidentiality! Oi! Ow!
He's got a head injury.
Well, you might as well get on
to social services again then.
He's 17, so there's
not much point now.
Fuck's sake.
Margaret? Maggie. Yeah.
She'd have liked that.
Yeah, well. He just needs
more of the buccal things,
so if you can get 'em, and
then we'll get out of your way.
Yeah, well, I'll need to,
er, speak to neurology first.
Hello, Mrs Thomason, my
name's Catherine MacDiarmid.
Oh, hello.
I'm sorry, erm, I seem
to have the wrong list...
What are you in for today?
A GI obstruction. End
stage colorectal cancer.
It's, erm, palliative, so I can
stop coming in here every day.
Erm... Are you a surgeon?
Er, yes, yes, hello,
I'm your surgeon.
Ha! It's amazing!
Unbelievable.
We, erm, we've had a bet
about... about female surgeons.
Jen didn't think
I'd ever have one!
You've had, like,
six men. Yeah.
So are we off, then?
Oh, no. It's not been cancelled?
You... You can't cancel it.
There's a shortage of staff...
You can't let us spend a
week in her favourite place
before she's too sick
to go? Jen, stop.
She's dying, for God's sake!
Jennifer, stop it.
Let's let her speak.
So, erm, yeah, like,
sorry we're just...
we're just running behind.
Oh! Oh, that's...
Aw, Mum? That's a relief.
Mum... come on. Sorry. Sorry.
That's really great news,
I thought you were going
to say it was cancelled!
It's OK, cos we can
still go to the beach.
See! Get a woman and
they sort it out.
Yeah! THEY LAUGH
So have you any idea
when? It's just, erm...
I'm nil by mouth,
obviously, and I'm starving.
I know. No. Not yet.
SHE SIGHS Thank you.
You made our month.
It... it's fine.
We can have burgers...
Fuck.
I need a theatre
for an hour. No.
Vascular are flying through theirs.
I think they'll be finished by four.
Don't question my schedule. It's
a very complicated spreadsheet.
I'm sure it's a masterclass
in resource management.
It is, thank you. And if anyone
can get me a theatre for 30 minutes
for a GI obstruction,
Laura, it's you.
Oh, you can have the theatre!
Thank you.
You just can't have any
nursing staff, ODPs,
a SHO or an anaesthetist.
It's teamwork makes the
dream work, Catherine.
Hi, sorry..
Hi. What's up?
Could I have a word?
Yeah.
Erm, Debbie's here.
My sister. Half-sister.
Yes, OK. Half-sister.
And, er, the epileptic
that had a fit
in the back of the
police van is... Callum.
Ah, well, that solves the mystery
of why he's run out of his meds.
Erm, I'll get Louise to take it.
Well, it's... Actually,
it's fine because, er,
I've already,
spoken to her, so...
Helen, you didn't need to. We've
been free of her for years.
Six years, actually, and
I'm treating him, not her.
And after five minutes,
she's got you wrapped
around her little
finger. She's my sister!
OK, well, look he's my patient,
so... Come on. Shall we?
Oh.. Hello, Debbie.
Here we fucking go.
Captain Big Dick.
Callum, we can't understand
how you're getting
through your medication so fast.
Are you "sharing" your
medication with anyone else?
This is harassment going back
years. Someone with a history
of acute alcohol and
benzodiazepine dependency?
This is her trying to get 'em
to take you off me, before.
Yeah, but it didn't work.
Because I'm a good mother!
Guy, please! We
can't prescribe drugs
if we think you're
sharing them with family.
I want her treating him.
Can we not do this here?
He's a controlling bastard.
You don't know anything about
me! I know you're an addict
and a drunk, I don't
want you near us.
She was my sister before
she was your wife.
Can you both calm down? I've got a
right to see me nieces and nephews!
You can't keep me
from my family!
I don't keep you from
anyone, Debbie. Guy!
They choose not to see you cos
you destroy everything you touch.
I didn't have a fit!
Just faked it, so I
won't get charged.
You know, I've never
understood it. You and him.
Because you're so strong
and he's so weak.
Get your stuff, I'll
see you downstairs.
WHISPERS: Fuck sake.
So that magic cream
should have worked by now,
so I'll need your hand again,
to give you some very
special medicine.
Then you can have a sticker if you
like, would you like that? Yeah.
OK, good. OK.
Doctor Segman?
Doctor Segman is
going to do it, OK?
HE CLEARS THROAT
Tourniquet on.
Feel for the vein.
Right. Erm, this one?
Er, I'd go for the left one,
you'll get more flat of
the hand for the fix.
All... done!
One sticker, coming up!
Maz? Er, yeah, two secs.
HER BREATHING INTENSIFIES
Thank you for
letting me do that.
It's nothing
personal, the Datix.
OK. All done.
Sorry.
If you're gonna lie
about your condition,
there isn't much I
can do to help you.
Is it hard to be a doctor?
Why?
You interested? I might be.
You need A Levels.
Mum says you're the smart one.
Yeah, well, that's just
a toxic family narrative.
What's she if I'm
"the smart one"?
The fuck up. Fair.
She also says that Grandad
was a bit of a shit.
Yeah.
But your mum was nice.
She was.
What about Lamotrigine?
Lamotrigine? Yeah,
what about it?
Well, if I am
fitting more often,
like, if it were a real fit in
the back of the police van...
..thought I might ask
about Lamotrigine?
And stop drinking sambucas.
Yeah.
Er, Tessa, can you make Callum
an outpatient appointment
to discuss a review
of his medication?
Yeah. Thank you.
Good drug knowledge, by the way.
It's just Google, innit? Mm-hm.
Told yer, it's not that hard.
Have you got any emergencies
you can delay for a few hours?
All of them, apparently. No
anaesthetists free for anything.
I need to get one of our
cancelled list in today.
Which one? GI obstruction.
Has it perforated?
No. Good idea, though.
What happened? End
stage colorectal cancer.
It's palliative, so she can
spend the time she has left
at the seaside with her
daughter. You bottled it.
No, I didn't. I reassessed
the priority of the patient.
I can't get an aortic aneurysm
in for twelve weeks. Really?
Yeah. Welcome to
post-COVID surgery.
Do you want me
to tell her? No.
No, don't.
I will do it. Suit yourself.
Will you go via CAU and take
this appendicitis up with you?
What's her name?
Oh, erm. Sally Thomason. Why?
In case I can help.
Maz, I think social
services are here.
Do you want to speak to
them before they transfer?
Yeah. Thanks.
EERIE DRONE
Social Services? You
called Social Services?
She fell off the trampoline!
I've been her dad since
she was 18 months old!
I come in here for help
and now I've got some woman
asking me questions
about my parenting?
Aren't you gonna say anything?
Maz?
Maz?
HER BREATHING QUICKENS
Maz?
You're having a panic attack.
Come on, breathe with me.
PANTING You are OK.
Come on. Come on. You're OK.
MUFFLED SIRENS
There's no harm in asking
for a little time off.
There is. Yeah, yeah there is.
I was trying to be more Helen.
Sorry.
How was Raz when you told him?
I haven't told him. Why?
Raz didn't think I was
ready to come back at all.
Looks like he was right.
My Mum's gonna be heartbroken.
Who's gonna hire me as a consultant
if I'm under investigation?
Everyone. The NHS is haemorrhaging
staff, they're desperate.
You have to tell him, Maryam.
And I have to tell a dying
woman and her daughter
they can't spend their last
days together at the beach.
That's not an easy thing to do.
You manage it.
I did. Before.
I felt pity for the
parents before. And now...
We all make mistakes, Maz.
Imagine if it was Elis.
It wasn't, though. Was it?
He was someone's Elis.
Or Sami, Xavi, Maggie,
Cleo... the other one?
Archie. Yeah, thank you.
You can't feel it like
it's yours every time.
What if I do, though?
This is why I prefer my
patients unconscious.
SHE CHUCKLES
Hi, Helen. Hi.
You just let your epileptic
son lie to doctors about a fit
so you can keep on
stealing his benzos.
I need help.
Yeah, course you do.
Will you help me?
Yeah, sure, Debbie.
Do you know what,
I'll just let you back
into our lives so you
can destroy them again
because you sat on a
bench and... cried.
Do you know, I was
sat up there, I was...
I was thinking of ways
that I could trick pharmacy
or double prescribe,
or risk my career
so I could come down here
and bargain with you.
But then I remembered, there
are no bargains to be made.
Not anymore, not
this time, I'm-I'm...
Oh, shut up. Shut up.
Can you get me the pills anyway?
No.
You forget. I have...
We've been here before.
Do you know everyone warned
me that I would miss Mum
when Maggie was born?
I missed you.
I'm so sorry.
Call me from an AA meeting
and I will be there.
Anytime.
Any place.
I love you.
It's Ben, right?
Matt.
Matt, how are you fixed for
the next hour and a half?
I'm going home to pick
up my dog from the vets.
Can I find someone
to do that for you?
Cos I need you here, so
I can do a GI obstruction
which might not sound
like an emergency,
but it's palliative.
Usually, you offer
to sleep with me.
I think collecting your dog
is just less complicated
at this moment.
Er... erm...
She's got a teenage daughter.
Yeah, OK. Yeah, fine.
Just let me call...
Thank you!
It's sexual
harassment, actually.
Oh, OK. No. OK, well, just...
just, stay there!
Don't... don't move!
MUSIC: 'Best To
You' by Blood Orange
Oh, Jack.
Sally!
SIREN BLARES
You told Sally to go home.
Lost you some
surgical hours, did I?
Yes. No, that's
not... I got her in!
Anaesthetist Matt was going to
stay. Don't beat yourself up.
I've always been better at dealing
with patients than you have.
Stay away from my
lists and my patients.
Maz.
Three-day-old male, lethargic,
midwife sent him in.
I don't like the look of him.
Er... Temperature
is 36.3, resps 70,
sats 99, BP 60/40.
He was making these
funny movements.
Chest is clear,
fontanelle normotensive.
Full term?
41 weeks, vaginal delivery,
unremarkable first day check.
Is he feeding well?
He was, but then he started
vomiting everything back up.
Do you want me to get a
line in and do a blood gas?
Is he OK?
We should administer
antibiotics immediately.
Just a minute. We need
to go through the steps.
Yes, let's treat per neonatal
sepsis guidelines, Benpen 25mg/kg
Gent 5mg/kg stat.
Anything else?
One second.
WHISPERS: OK, come on. Come on.
OK, come on. Come on,
think. It's not sepsis.
It's err... Come on.
SHE PANTS
Yes!
The funny movements.
That's not normal.
OK, oxygen mask on,
as quick as you can.
Bleep the on call neonatal
team and the paeds consultant,
call Embrace and
endocrinology at Alder Hey,
stop the feed and get a line in.
I need a 10%
infusion of dextrose,
bloods for ammonia and a plasma,
urine for amino and
organic acid profiles,
quick as you can.
What's the lactate and
glucose on the blood gas?
It's running. It's not sepsis?
Not likely, but we're
covering all bases.
Let me know when the
Benpen is in. Yeah.
Blood gases - glucose
5, lactate 3.9.
Encephalopathic, I'm
going to intubate.
We should give the mask longer,
shouldn't we? Benpen is in.
We need to put a tube into your
baby's mouth to help him breathe.
It's not nice to
watch. I'm sorry.
Why are we calling for
an emergency transfer?
Tachypnoeic baby,
possibly encephalopathic.
Absence of sepsis risk factors,
absence of signs of
circulatory compromise.
Lactic acidosis
or hypoglycaemic?
No. The gas indicates acidaemia.
He needs to go to Alder Hey.
Oxygen sats are dropping. I
can't hear a heart murmur.
Well, I think it's an
inborn error of metabolism,
maple syrup urine or
isovaleric acidaemia.
Oxygen sats have dropped to 88.
OK. Give him ten minutes
on the oxygen mask.
I don't think he
has ten minutes.
Well, I'm worried about his
airway. He needs oxygen now.
Are you treating for sepsis?
Benpen and Gent are in.
Smell him, Susan.
OK. Give Doctor Afridi
some space, Simon.
I'm in.
Yes to ketonuria.
Call ahead to Alder
Hay with those results.
It's a better colour.
Well done. Let's
get him transferred.
Oh, Callum!
Outpatient appointment.
Don't miss it.
It's been nice to see you again.
Bit intense.
Yeah, it was a bit, wasn't
it? Look after your head.
Actually, let me give you my
number on the back of here.
Then you can give
me a call anytime.
There you go. What about Mum?
Your Mum's got my number.
She always has done.
Guess you'd better take
mine an' all then. Oh, yeah.
In case you need anything
Googling. Ha-ha, yes.
Come in, Catherine.
They're recruiting for
an investigation panel
into a Serious Incident
in paediatrics.
I'd like to be on it.
You've never shown any interest
in that kind of work before.
I know what you mean.
I mean, I understand
why I have to be better at it.
At talking to patients.
And I'm not, am I?
But, erm... I want to be.
I want this job.
It's a hard road.
As you may have gathered from
our conversation in the cupboard.
No one would judge you
for finding an easier one.
Except me.
I'll look into it. I'm sure
they'll be delighted to have you.
It will look excellent
on your application.
Why are you helping me?
Because...
I'd rather believe that I
failed, than it's impossible.
I got an email about
a witness statement.
Er, Edward Williams?
Do you want a jelly baby?
We keep showing up, right?
Well, good thing
you showed up today.
Nice catch on the
maple syrup urine.
Fucking hell.
Why can't you all
just hang things up?
MUSIC: 'At The Bay' by
The Silhouettes Project
Clare? It's, er, Maryam
Afridi. Raz Farooqi.
You called earlier about Sami's
birth mother being pregnant.
Erm, yes, he said.
I was just wondering if you
had any other information...?
Er, OK, so... Sure.
That's not long, is it?
A girl.
That's...
Erm, thank you.
Yeah, we'll, we'll
see you then. Bye.
It's a girl.
I love you so much.
It's just what you
always wanted, Maz.
SHE BREATHES DEEPLY
He's taking the bins out.
Oh, he didn't have to do that...
Look, I'm sorry. For all this.
I think what you're
doing is really amazing.
Well...
Lars could not have had a
career as a transplant surgeon,
if he had been a
single parent, so...
Look, I-I saw your
rota on the fridge.
You work a lot of nights
and weekends still.
Oh, I can do this,
once I'm a consultant.
Oh, and when will that...
When will that be?
I can start applying, there's
a job coming up here, actually.
Until then?
I'm spending a lot of money
on unreliable strangers.
Look, until then,
you need our help.
Hey...
Hey. Everything OK?
Mm-hm.
Erm, Catherine and I were just
talking about practicalities.
OK.
THEY TALK IN SWEDISH
Did you talk about paternity?
Yeah. The first thing
that-that we need
is for the paternity to
be officially recognised,
here and in Sweden.
Then Elis can have
a Swedish passport.
Then she can come and...
she can come and
stay with us. So...
What do you think?
Sounds like a great plan.
Good.
Yeah.
LARS: 'Catherine!'
Hi, are you through?
'Yeah. I'm in the
arrivals by the baggage.
'But I can't see you.' I'm
driving around, Elis is asleep.
But I'll pull into the arrivals
bay so you can jump in, silver TT.
'I remember.'
There's, er... a cup
of tea on the side.
Thank you.
Would you want to drive
in together this morning?
Er, yeah. That'll be nice.
Hi. Hi.
You can sit in the
front, she's fine.
There's Daddy.
Hey, Elis. BABY FUSSES
Hello, Catherine. I'm Brigitta.
Lars' wife.
BABY STARTS CRYING
CRYING INTENSIFIES
SHOUTS: Maggie! Where is she?
I don't know, coming?
Hurry up! Come on.
Morning.
Come on, we're gonna be late!
Not shutting the door, no?
My toast is broken. Right, well,
let's stick it together, shall we?
Ready? She's sitting on it.
If you loosen...
Yeah. I can see it.
No, if you loosen it, then
you can get it on easier.
Yeah, I know how it works. I
bought it and installed it, OK?
Eat your toast up.
DISTANT SIRENS Give me the bag.
BOTH EXHALE
♪ Baby you're a... ♪
Oh... What? Jesus!
♪ ... firework. ♪
Daddy, turn it back on! Daddy!
♪ Make them go ah, ah, ah... ♪
Sami! That's too
much noise for Mummy.
Did you sleep at all last night?
I thought I heard him at 2:30.
You didn't come back to bed.
I can't have a conversation
with all this...
PHONE RINGS Sami, can
you just calm it down?
Why don't you go back
to bed for a bit?
Yeah, if you want to help me,
can you help me find my phone?
It's probably work.
Maryam, you need to sleep.
Would you shut up, Sami?!
It was the Adoption
Support Team.
PHONE VIBRATES
Hello, Raz Farooqi.
Oh, wow that's, erm...
Wow. Erm...
Can I just, erm...
Yeah.
So, er...
Sami's biological mother
is pregnant again.
They want to know if we
want to adopt another baby.
I'll get the ticket.
Do you have to pay?
But you're a doctor.
Yeah.
Wait. Wait. Wait.
I'll-I'll get it.
SPEAKS SWEDISH
Full day?
Yes. Yeah. BABY CRYING
So, are your girls in school?
What were you thinking?
I was just...
You're the woman. You
should know better.
KNOCK ON WINDOW
Hi, no.
SPEAKS SWEDISH I don't
have change for...
I've got it.
The schedule is in
the front pocket.
Here. You're a sweetie!
BRIGITTA SPEAKS IN SWEDISH
And your bottles are
in the centre bit
and the key to my
flat's on the loop.
So, er, we'll see you later.
Yeah, I'll call to check in.
It's OK. We can
look after a baby.
You brought your fucking
wife without telling me?
She's Elis' family, too.
Right?
SIRENS
This is Callum Wares, aged 17.
Brought into A&E by the police,
after a drunk and disorderly arrest.
He had a fit in the
back of the van.
Er, Mr Wares has had
epilepsy since childhood,
which is usually
managed successfully
with sodium valproate.
He sustained a mild head
injury during the fit.
No signs of concussion, but
on hourly obs until 11 am.
An IV of saline might
help with the hangover?
That's a compassionate thought.
How is the head this
morning, Callum?
All right. No headache?
Er, a bit, yeah.
Well, let's see if some
fluids can help with that.
Now, we don't think you've
sustained a serious head injury,
but we are gonna keep an
eye on you for a few hours.
Are you taking your medication
as prescribed at the moment?
And you didn't miss a dose
because you were out drinking?
Right. Well, any questions
for Mr Wares? Anyone?
TESSA: Do you use anything
else to treat your epilepsy?
That's a great question, Tessa.
My Mum used to treat my seizures
with buccals. Buccal midazolam?
I don't think
we've got any left.
Right, OK.
Well, lay off the
booze, mate. Won't help.
Right, who's next?
Hello? Thank you.
So, no elective lists today
for urology and colorectal.
Which means we can't open
theatres 12 or 4 this morning.
We are down two anaesthetists
and we're short on the ODP side.
It's gonna be a struggle to
get any theatre time today.
OK? Thank you.
What's going on? We're not
doing any surgery today.
On both lists?
Absolutely outrageous!
Morning, Jemma. Morning.
I'm not going to operate
again at this rate!
Jack, I appreciate it's a waste
of your considerable talent,
could you bear to do a day
on Surgical Assessment?
Catherine, go and let
everyone down, gently.
Yeah.
How is that not a waste of
my considerable talents?
You want my job?
You need to improve your
communication skills.
Delivering bad news needs
as much practice as surgery.
Have you ever heard
Jack apologise?
They will expect you
to be better than Jack.
Hmph! Much, much better.
You don't remember me, do you?
Er, I'm-I'm your mum's sister.
It's been years.
I think you were
in primary school
the last time I saw
you and your mum.
You took us to Maccies. Yeah.
Do you wanna tell me why
you're not taking your meds?
I don't know you.
Sometimes that makes it easier.
Does... does your
mum know you're here?
No.
Do you want me to
give her a call?
If you want.
Yeah.
OK.
Right, well...
Hi. Yeah. Shut the
door, shall we?
Have a seat.
Are you all right?
What a rotten first day.
So, let me find the, erm...
Oh, yeah, here we go.
You've written in your
Case Record Review
that you asked Dr Segman
to contact Microbiology
so they could advise on a
suitable antibiotic treatment,
given Edward's history
of anaphylaxis.
And this was roughly... two
hours prior to Edward crashing.
Yes? Yes.
Good. Simon remembers
things differently.
He is adamant that he was not
instructed to contact Microbiology.
He was.
And he has raised a Datix.
What?
He's very concerned about the impact
this is gonna have on his record
and that he is being
scapegoated for your failings.
MY failings?
I'm just quoting
his incident report.
You didn't document the
instruction to contact Microbiology
in Edward's notes.
Could it be possible
you're misremembering?
I definitely said it.
OK, well...
Edward's death has been
raised to a Serious Incident.
Is there going to be
criminal proceedings?
Well, we won't know until the
coroner's report comes back.
But, oh... My God, I hope not,
otherwise, I am gonna be
drowning in paperwork!
Has anyone spoken
to the parents?
Yes. They have
filed a complaint.
You might want to
mention that to the GMC.
The GMC? Am-am...
Am I getting... am I
getting struck off?
An internal investigation
panel made up of your peers
will try to ascertain whether
any mistakes were made
and if there is any culpability.
If I'M culpable? Oh,
come on now, Maz.
Don't make this as
"us" and "them" thing.
These investigations are
designed so that we can learn
and improve patient
care in the future.
I mean, that said,
if you haven't spoken
to your legal defence
union, now is the moment.
And that's all there
is to be done for now,
so let's just shake it off, OK?
CAU again this morning?
Super.
Oh, and take Simon with you.
He actually raised a Datix?
The absolute stone
cold balls on him!
Yeah, he went to
Harrow or somewhere...
Mm. He's gonna get fried
on his surgical rotation.
Yet, Susan thinks
I've killed someone,
I'm being investigated,
the parents are complaining
to the GMC and I'm smoking.
This is disgusting.
This is never gonna go to the GMC,
it's an internal SI investigation.
I mean, we've all
killed someone.
I mean, not deliberately.
Just like that guy you
said was just a cold
and you sent home from A&E and
he came back in a body bag.
I'd forgotten about
that. Thanks, Catherine.
People die, they're ill. It
doesn't make us Harold Shipman.
That's a low bar.
Can you imagine raising
an incident report
on one of our Reg's in your
first week out of med school?
Are you sleeping?
No, don't you start.
And what if that little
boy died because of me?
Oh, for God's sake, Maryam,
they put you in an
acute clinical situation
on your first day back
on the job in two years!
You're the one who told
me to get on with it!
Just cooperate fully
with the investigation.
Have they appointed the
investigation panel, yet?
No, I don't think so.
Want me to volunteer
for it? HELEN CHUCKLES
Oh, shit, you're serious.
Why not? I need the communication
practice, apparently.
How did it go with
Lars this morning?
He brought his wife.
Wow! What's she like?
Hot. Bit judgy.
PAGER BEEPS
Go get 'em. Just take
it one at a time, yeah?
Do you think she's slept?
Of course she hasn't slept, she's
got two children under three
and she won't sleep train them.
I'm really worried about her.
Oh, he's just a posh prick
who's scared of taking
responsibility for something.
Maz is brilliant,
she'll be fine.
Yes, cos that is exactly how
these situations usually play out.
I need your help with something.
Yeah, where shall we start?
I need you to look at my vagina.
I tried to have sex with
Jack and it really hurt.
Maybe it's trying to
tell you something.
Is there a side room free on
Acute? I'm not looking at your...
I wouldn't know what I
was looking at... for.
You need someone who
spends time down there.
Ask Jack. Or maybe
someone in Obs and Gynae.
I don't trust gynaecologists.
Lars' wife says
it's all my fault.
Well, an affair is never
just one person's fault.
Thank you! I'm not
even the married one.
Sorry. Just a quick look to
make sure nothing's hanging out.
No! Just cos you're dead
from the waist down.
You have driven a truck
through her life, Catherine,
and that IS your fault.
And do NOT put your name down
for Maz's investigation team.
One minute we were bouncing
and the next, she's screaming.
Just here is that's
sore, Peggy? Yes.
She must have landed wrong.
Shall I call her mum?
Are you not the Dad? Stepdad.
Yes, please. Can you
wiggle your fingers for me?
If an adult is
bouncing with a child,
when the adult lands,
it stretches the canvas,
so it must be like
landing on concrete.
Well, I think it's broken, but
we'll need an X-ray to confirm that.
And I will get you something
to stop it hurting so much, OK?
Must be the concrete
thing, you think?
She didn't fall at
all? I don't think so.
All right, well,
I'll see you soon.
So, what do you
think? Broken elbow.
You don't think there's
anything weird about it?
Weird how?
I would like to order
a full skeletal survey.
You think it's non-accidental?
She's quiet, and he keeps
saying this concrete thing.
Well, he's right.
But he keeps saying
it. Like he's read it.
Well, the internet probably.
We see dozens of broken
bones from trampolines.
Or like he's rehearsed it.
Or he was asked by reception,
and by the triage nurse,
and then by you and now by
me. So it has been rehearsed.
I think that there is
something not right about it.
I think you need to
rein your imagination in
and stop paging me for cases
that don't need my attention.
Like sepsis?
Do we have a problem,
Doctor Segman?
I'm your Registrar.
I have years of
specialist experience,
treating children
and their families
and you've been out of
medical school three weeks.
This is a safeguarding issue.
If I tell you
something, you listen.
If you don't understand
something, you ask me to explain.
You did not... Are we clear?
You did not tell me to
contact Microbiology!
You were stood right there.
It is your job to do as
I say and to take notes.
You didn't write it up.
Right, because for you, it's
about not taking the blame.
Yes!
Not that someone's child died.
Maz? Maz? The board's stacked.
Can you go upstairs and move
things along in ultrasound?
Did you see the girl
in five? Briefly.
Any red flags for NAI?
It was a trampoline, wasn't it?
You OK?
Yeah, erm...
Can you order a full
skeletal scan from radiology?
Yeah, sure. And a Social
Services referral.
Don't you want to wait
for the results of...?
No, call Social Services now.
OK.
What, again?
This is the third time
it's been cancelled.
I know, it's a nightmare. I've
just got back from maternity leave,
I can't get surgical
hours for love nor money.
Two years, I've had this hernia.
I'll have died of something
else at this rate.
Yeah. It's not going to kill
you. That's the problem.
This is not acceptable.
Would you like to complain?
Isn't that what I'm doing now?
Well, no, you're complain-ing.
That's different.
It hurts.
I'll get you a form.
Why haven't these
been discharged?
Well, I ordered ultrasounds
to rule out appendicitis.
On all four of them? Are we in
the midst of another pandemic?
Do we need trolleys in the
corridors? No, I'll clear it.
Er, now?
Simon, run up to radiology...
I can't really talk, right now.
Right, er... Are you on a
later start one day this week?
Well, whatever
the calendar says.
OK, I'll have a look, then we
can go in and meet with them.
All she would tell me
on the phone was...
No, no! I-I-I don't
want to think about it.
The more we think about
it, the more real it is,
and I want to think about it
before I start feeling it.
Why, what you feeling?
Harassed and underpaid.
Take it easy, Maz, you're tired.
OK, see you later.
Well?
Hello.
He's had a fit. Obviously.
Callum thinks he might have some
more buccal midazolam at home.
Do you know if he's
still got a good supply?
Yeah, they've run out.
Haven't they, Cal?
He needs some more, but we
can't get an appointment.
Right, well, he didn't mention that.
He gets prescribed them regularly.
So if he's getting
through them that fast,
we need to look at a new
management plan for him.
Well, if you can find a way
to make it more complicated,
and dazzle us all with
how clever you are,
then I'm sure you will.
You still with him?
Yes.
We've got three children.
You've had babies?
Yeah, Maggie's five, Archie's
three and Cleo's 15 months.
Five years old? Yes!
Fuck's sake, Hel.
Yeah, so Callum's
been underage drinking
and he's had a fit in
the back of a police van.
Patient
confidentiality! Oi! Ow!
He's got a head injury.
Well, you might as well get on
to social services again then.
He's 17, so there's
not much point now.
Fuck's sake.
Margaret? Maggie. Yeah.
She'd have liked that.
Yeah, well. He just needs
more of the buccal things,
so if you can get 'em, and
then we'll get out of your way.
Yeah, well, I'll need to,
er, speak to neurology first.
Hello, Mrs Thomason, my
name's Catherine MacDiarmid.
Oh, hello.
I'm sorry, erm, I seem
to have the wrong list...
What are you in for today?
A GI obstruction. End
stage colorectal cancer.
It's, erm, palliative, so I can
stop coming in here every day.
Erm... Are you a surgeon?
Er, yes, yes, hello,
I'm your surgeon.
Ha! It's amazing!
Unbelievable.
We, erm, we've had a bet
about... about female surgeons.
Jen didn't think
I'd ever have one!
You've had, like,
six men. Yeah.
So are we off, then?
Oh, no. It's not been cancelled?
You... You can't cancel it.
There's a shortage of staff...
You can't let us spend a
week in her favourite place
before she's too sick
to go? Jen, stop.
She's dying, for God's sake!
Jennifer, stop it.
Let's let her speak.
So, erm, yeah, like,
sorry we're just...
we're just running behind.
Oh! Oh, that's...
Aw, Mum? That's a relief.
Mum... come on. Sorry. Sorry.
That's really great news,
I thought you were going
to say it was cancelled!
It's OK, cos we can
still go to the beach.
See! Get a woman and
they sort it out.
Yeah! THEY LAUGH
So have you any idea
when? It's just, erm...
I'm nil by mouth,
obviously, and I'm starving.
I know. No. Not yet.
SHE SIGHS Thank you.
You made our month.
It... it's fine.
We can have burgers...
Fuck.
I need a theatre
for an hour. No.
Vascular are flying through theirs.
I think they'll be finished by four.
Don't question my schedule. It's
a very complicated spreadsheet.
I'm sure it's a masterclass
in resource management.
It is, thank you. And if anyone
can get me a theatre for 30 minutes
for a GI obstruction,
Laura, it's you.
Oh, you can have the theatre!
Thank you.
You just can't have any
nursing staff, ODPs,
a SHO or an anaesthetist.
It's teamwork makes the
dream work, Catherine.
Hi, sorry..
Hi. What's up?
Could I have a word?
Yeah.
Erm, Debbie's here.
My sister. Half-sister.
Yes, OK. Half-sister.
And, er, the epileptic
that had a fit
in the back of the
police van is... Callum.
Ah, well, that solves the mystery
of why he's run out of his meds.
Erm, I'll get Louise to take it.
Well, it's... Actually,
it's fine because, er,
I've already,
spoken to her, so...
Helen, you didn't need to. We've
been free of her for years.
Six years, actually, and
I'm treating him, not her.
And after five minutes,
she's got you wrapped
around her little
finger. She's my sister!
OK, well, look he's my patient,
so... Come on. Shall we?
Oh.. Hello, Debbie.
Here we fucking go.
Captain Big Dick.
Callum, we can't understand
how you're getting
through your medication so fast.
Are you "sharing" your
medication with anyone else?
This is harassment going back
years. Someone with a history
of acute alcohol and
benzodiazepine dependency?
This is her trying to get 'em
to take you off me, before.
Yeah, but it didn't work.
Because I'm a good mother!
Guy, please! We
can't prescribe drugs
if we think you're
sharing them with family.
I want her treating him.
Can we not do this here?
He's a controlling bastard.
You don't know anything about
me! I know you're an addict
and a drunk, I don't
want you near us.
She was my sister before
she was your wife.
Can you both calm down? I've got a
right to see me nieces and nephews!
You can't keep me
from my family!
I don't keep you from
anyone, Debbie. Guy!
They choose not to see you cos
you destroy everything you touch.
I didn't have a fit!
Just faked it, so I
won't get charged.
You know, I've never
understood it. You and him.
Because you're so strong
and he's so weak.
Get your stuff, I'll
see you downstairs.
WHISPERS: Fuck sake.
So that magic cream
should have worked by now,
so I'll need your hand again,
to give you some very
special medicine.
Then you can have a sticker if you
like, would you like that? Yeah.
OK, good. OK.
Doctor Segman?
Doctor Segman is
going to do it, OK?
HE CLEARS THROAT
Tourniquet on.
Feel for the vein.
Right. Erm, this one?
Er, I'd go for the left one,
you'll get more flat of
the hand for the fix.
All... done!
One sticker, coming up!
Maz? Er, yeah, two secs.
HER BREATHING INTENSIFIES
Thank you for
letting me do that.
It's nothing
personal, the Datix.
OK. All done.
Sorry.
If you're gonna lie
about your condition,
there isn't much I
can do to help you.
Is it hard to be a doctor?
Why?
You interested? I might be.
You need A Levels.
Mum says you're the smart one.
Yeah, well, that's just
a toxic family narrative.
What's she if I'm
"the smart one"?
The fuck up. Fair.
She also says that Grandad
was a bit of a shit.
Yeah.
But your mum was nice.
She was.
What about Lamotrigine?
Lamotrigine? Yeah,
what about it?
Well, if I am
fitting more often,
like, if it were a real fit in
the back of the police van...
..thought I might ask
about Lamotrigine?
And stop drinking sambucas.
Yeah.
Er, Tessa, can you make Callum
an outpatient appointment
to discuss a review
of his medication?
Yeah. Thank you.
Good drug knowledge, by the way.
It's just Google, innit? Mm-hm.
Told yer, it's not that hard.
Have you got any emergencies
you can delay for a few hours?
All of them, apparently. No
anaesthetists free for anything.
I need to get one of our
cancelled list in today.
Which one? GI obstruction.
Has it perforated?
No. Good idea, though.
What happened? End
stage colorectal cancer.
It's palliative, so she can
spend the time she has left
at the seaside with her
daughter. You bottled it.
No, I didn't. I reassessed
the priority of the patient.
I can't get an aortic aneurysm
in for twelve weeks. Really?
Yeah. Welcome to
post-COVID surgery.
Do you want me
to tell her? No.
No, don't.
I will do it. Suit yourself.
Will you go via CAU and take
this appendicitis up with you?
What's her name?
Oh, erm. Sally Thomason. Why?
In case I can help.
Maz, I think social
services are here.
Do you want to speak to
them before they transfer?
Yeah. Thanks.
EERIE DRONE
Social Services? You
called Social Services?
She fell off the trampoline!
I've been her dad since
she was 18 months old!
I come in here for help
and now I've got some woman
asking me questions
about my parenting?
Aren't you gonna say anything?
Maz?
Maz?
HER BREATHING QUICKENS
Maz?
You're having a panic attack.
Come on, breathe with me.
PANTING You are OK.
Come on. Come on. You're OK.
MUFFLED SIRENS
There's no harm in asking
for a little time off.
There is. Yeah, yeah there is.
I was trying to be more Helen.
Sorry.
How was Raz when you told him?
I haven't told him. Why?
Raz didn't think I was
ready to come back at all.
Looks like he was right.
My Mum's gonna be heartbroken.
Who's gonna hire me as a consultant
if I'm under investigation?
Everyone. The NHS is haemorrhaging
staff, they're desperate.
You have to tell him, Maryam.
And I have to tell a dying
woman and her daughter
they can't spend their last
days together at the beach.
That's not an easy thing to do.
You manage it.
I did. Before.
I felt pity for the
parents before. And now...
We all make mistakes, Maz.
Imagine if it was Elis.
It wasn't, though. Was it?
He was someone's Elis.
Or Sami, Xavi, Maggie,
Cleo... the other one?
Archie. Yeah, thank you.
You can't feel it like
it's yours every time.
What if I do, though?
This is why I prefer my
patients unconscious.
SHE CHUCKLES
Hi, Helen. Hi.
You just let your epileptic
son lie to doctors about a fit
so you can keep on
stealing his benzos.
I need help.
Yeah, course you do.
Will you help me?
Yeah, sure, Debbie.
Do you know what,
I'll just let you back
into our lives so you
can destroy them again
because you sat on a
bench and... cried.
Do you know, I was
sat up there, I was...
I was thinking of ways
that I could trick pharmacy
or double prescribe,
or risk my career
so I could come down here
and bargain with you.
But then I remembered, there
are no bargains to be made.
Not anymore, not
this time, I'm-I'm...
Oh, shut up. Shut up.
Can you get me the pills anyway?
No.
You forget. I have...
We've been here before.
Do you know everyone warned
me that I would miss Mum
when Maggie was born?
I missed you.
I'm so sorry.
Call me from an AA meeting
and I will be there.
Anytime.
Any place.
I love you.
It's Ben, right?
Matt.
Matt, how are you fixed for
the next hour and a half?
I'm going home to pick
up my dog from the vets.
Can I find someone
to do that for you?
Cos I need you here, so
I can do a GI obstruction
which might not sound
like an emergency,
but it's palliative.
Usually, you offer
to sleep with me.
I think collecting your dog
is just less complicated
at this moment.
Er... erm...
She's got a teenage daughter.
Yeah, OK. Yeah, fine.
Just let me call...
Thank you!
It's sexual
harassment, actually.
Oh, OK. No. OK, well, just...
just, stay there!
Don't... don't move!
MUSIC: 'Best To
You' by Blood Orange
Oh, Jack.
Sally!
SIREN BLARES
You told Sally to go home.
Lost you some
surgical hours, did I?
Yes. No, that's
not... I got her in!
Anaesthetist Matt was going to
stay. Don't beat yourself up.
I've always been better at dealing
with patients than you have.
Stay away from my
lists and my patients.
Maz.
Three-day-old male, lethargic,
midwife sent him in.
I don't like the look of him.
Er... Temperature
is 36.3, resps 70,
sats 99, BP 60/40.
He was making these
funny movements.
Chest is clear,
fontanelle normotensive.
Full term?
41 weeks, vaginal delivery,
unremarkable first day check.
Is he feeding well?
He was, but then he started
vomiting everything back up.
Do you want me to get a
line in and do a blood gas?
Is he OK?
We should administer
antibiotics immediately.
Just a minute. We need
to go through the steps.
Yes, let's treat per neonatal
sepsis guidelines, Benpen 25mg/kg
Gent 5mg/kg stat.
Anything else?
One second.
WHISPERS: OK, come on. Come on.
OK, come on. Come on,
think. It's not sepsis.
It's err... Come on.
SHE PANTS
Yes!
The funny movements.
That's not normal.
OK, oxygen mask on,
as quick as you can.
Bleep the on call neonatal
team and the paeds consultant,
call Embrace and
endocrinology at Alder Hey,
stop the feed and get a line in.
I need a 10%
infusion of dextrose,
bloods for ammonia and a plasma,
urine for amino and
organic acid profiles,
quick as you can.
What's the lactate and
glucose on the blood gas?
It's running. It's not sepsis?
Not likely, but we're
covering all bases.
Let me know when the
Benpen is in. Yeah.
Blood gases - glucose
5, lactate 3.9.
Encephalopathic, I'm
going to intubate.
We should give the mask longer,
shouldn't we? Benpen is in.
We need to put a tube into your
baby's mouth to help him breathe.
It's not nice to
watch. I'm sorry.
Why are we calling for
an emergency transfer?
Tachypnoeic baby,
possibly encephalopathic.
Absence of sepsis risk factors,
absence of signs of
circulatory compromise.
Lactic acidosis
or hypoglycaemic?
No. The gas indicates acidaemia.
He needs to go to Alder Hey.
Oxygen sats are dropping. I
can't hear a heart murmur.
Well, I think it's an
inborn error of metabolism,
maple syrup urine or
isovaleric acidaemia.
Oxygen sats have dropped to 88.
OK. Give him ten minutes
on the oxygen mask.
I don't think he
has ten minutes.
Well, I'm worried about his
airway. He needs oxygen now.
Are you treating for sepsis?
Benpen and Gent are in.
Smell him, Susan.
OK. Give Doctor Afridi
some space, Simon.
I'm in.
Yes to ketonuria.
Call ahead to Alder
Hay with those results.
It's a better colour.
Well done. Let's
get him transferred.
Oh, Callum!
Outpatient appointment.
Don't miss it.
It's been nice to see you again.
Bit intense.
Yeah, it was a bit, wasn't
it? Look after your head.
Actually, let me give you my
number on the back of here.
Then you can give
me a call anytime.
There you go. What about Mum?
Your Mum's got my number.
She always has done.
Guess you'd better take
mine an' all then. Oh, yeah.
In case you need anything
Googling. Ha-ha, yes.
Come in, Catherine.
They're recruiting for
an investigation panel
into a Serious Incident
in paediatrics.
I'd like to be on it.
You've never shown any interest
in that kind of work before.
I know what you mean.
I mean, I understand
why I have to be better at it.
At talking to patients.
And I'm not, am I?
But, erm... I want to be.
I want this job.
It's a hard road.
As you may have gathered from
our conversation in the cupboard.
No one would judge you
for finding an easier one.
Except me.
I'll look into it. I'm sure
they'll be delighted to have you.
It will look excellent
on your application.
Why are you helping me?
Because...
I'd rather believe that I
failed, than it's impossible.
I got an email about
a witness statement.
Er, Edward Williams?
Do you want a jelly baby?
We keep showing up, right?
Well, good thing
you showed up today.
Nice catch on the
maple syrup urine.
Fucking hell.
Why can't you all
just hang things up?
MUSIC: 'At The Bay' by
The Silhouettes Project
Clare? It's, er, Maryam
Afridi. Raz Farooqi.
You called earlier about Sami's
birth mother being pregnant.
Erm, yes, he said.
I was just wondering if you
had any other information...?
Er, OK, so... Sure.
That's not long, is it?
A girl.
That's...
Erm, thank you.
Yeah, we'll, we'll
see you then. Bye.
It's a girl.
I love you so much.
It's just what you
always wanted, Maz.
SHE BREATHES DEEPLY
He's taking the bins out.
Oh, he didn't have to do that...
Look, I'm sorry. For all this.
I think what you're
doing is really amazing.
Well...
Lars could not have had a
career as a transplant surgeon,
if he had been a
single parent, so...
Look, I-I saw your
rota on the fridge.
You work a lot of nights
and weekends still.
Oh, I can do this,
once I'm a consultant.
Oh, and when will that...
When will that be?
I can start applying, there's
a job coming up here, actually.
Until then?
I'm spending a lot of money
on unreliable strangers.
Look, until then,
you need our help.
Hey...
Hey. Everything OK?
Mm-hm.
Erm, Catherine and I were just
talking about practicalities.
OK.
THEY TALK IN SWEDISH
Did you talk about paternity?
Yeah. The first thing
that-that we need
is for the paternity to
be officially recognised,
here and in Sweden.
Then Elis can have
a Swedish passport.
Then she can come and...
she can come and
stay with us. So...
What do you think?
Sounds like a great plan.
Good.
Yeah.