The Good Karma Hospital (2017–…): Season 4, Episode 6 - Episode #4.6 - full transcript

THEY SNORE

So, what's the plan?

Honestly? No plans.

How's Lydia?

Same old, obviously.

Look, you can come back
if you want to,

but don't come back for me.

You know we can't just pick up
where we left off.

At least I can't.

I won't risk it...

..again.



I know that.

She's going to nail my balls
to the wall, isn't she, Lydia?

Oh, yeah.
HE CHUCKLES

Try and keep up.

JULES: "Liddy, you cannot deny
the truth.

"You still love me.

"I feel it. So do you.

"You will not find happiness
with another."

CHATTER

OK, I'll keep this brief.

As you know, all routine
morning clinics have been cancelled.

The dynamic duo
that is Mr Hasan and Dr Sharma

have kindly offered to deal with
medical emergencies.

The wedding ceremony begins
at ten sharp



and, I'm reliably informed,
will last for 20 minutes.

I will permit all those working
this afternoon

one glass of champagne only.

Any questions?
I do.

Well, it's not precisely
a question.

Oh, for God's sake, sit down.

But on behalf of the doctors,
the staff

and the patients of this hospital,

I would just like to congratulate
our beloved leader

for having taken the wisest decision
of her lifetime.

Ladies and gentlemen,
I present to you, Dr Lydia Fonseca!

CHEERING AND APPLAUSE

HORN HONKS

HORN HONKS,
BRAKES SCREECH

Idiot! Did you see that?

Hey. Hey, are you OK?

I'm a doctor. What happened?

Can you see? Look at me.

Driver's semi-conscious.

There's a young girl in the back.

OK. My name is Gabriel Varma,
and this is my colleague, Ruby.

We're both doctors.
Can you tell me your name?

Tulsi. Bharat, my husband.

Merish, my daughter.

OK, OK, listen to me, Tulsi.
You're seriously injured, OK?

Now, we're going to get you
and your family out of here

as fast as we can, but until then,
I need you to do one thing, OK?

Make sure you don't move your head
or your neck. Keep absolutely still.

Do you understand?
Uh-huh. Good.

PAUL HUMS

GREG GROANS

Why do I feel like someone's
stabbed me in the right eye

with a rusty kitchen knife?

You dance with the devil,
you're gonna get burned.

Or in your case,
if you down 15 shots of Sambuca.

Hang on.

You matched me, drink for drink.

Somehow, you're looking
remarkably chipper.

That's because I know the secret.
Guaranteed hangover prevention.

Pint of full-cream milk before bed,
two ibuprofen,

sleep of the gods,
wake up fresh as a daisy.

Before you is the living proof.

Number one,
we haven't got any ibuprofen.

Number two, despite the fact
we're in the land of the sacred cow,

we haven't got any milk either,
full cream or otherwise.

My diagnosis?

You're still drunk.

Wow.
Are you trying to upstage the bride?

You think it's too much?

My mother always said you can't make
a silk purse out of a sow's ear.

Mr Hasan,
I need some assistance in here.

What? No!

God!
Will you please tell Sister Mari

just how amazing she looks?

There's really no need.

Yeah. She's right.
You look incredible.

Really sort of... traditional.

In a good way.

I've got, erm...
Yes.

Yeah.

Oh... my... God.

SHE CHUCKLES

These colours are starting
to give me a migraine.

HE SIGHS

All the full-cream milk in the world
in't curing this.

On the bright side,
we're both available for panto.

HE CHUCKLES

Do you think this is what she wants?

Well, I'll admit scarlet
isn't doing you a lot of favours.

No, not the outfit. Me.

Well, she asked you, didn't she?

I'm getting kicked out the country,
so under duress.

Say yes to the duress!

HE CHUCKLES

Oh, sorry, it's a TV show,
Say Yes To The Dress.

Listen, you love each other.

You should have done it years ago.
We couldn't.

She was still secretly married
to the love of her life, remember?

My Maggie was the best thing
that ever happened to me.

In fact, I think it was a bloke
standing not a million miles away

that told me that.

Lydia loves you, and it's time
you made an honest woman of her.

So don't be a daft apeth,
put your big boy pants on

and get yourself
down to that altar, right?

Yes, sir.

You know what,
this is growing on me.

Let's go.

SHE MOANS

Listen, you're doing great.
The ambulance is on its way.

I just wanna get out of here.

The glass is very close to an artery
in your neck.

If you move, it could slip.

I can't see them.
Yeah, don't worry.

My colleague has them, look.
I'm looking at her right now.

Ruby is a wonderful doctor,
she's actually much better than me.

Now, don't worry because
they're both in safe hands,

I promise.
Now, I can keep watching for them,

as long as you can just keep
looking straight at me, yes?

SIREN WAILS

Please wait, not gonna be too long.

I don't want to talk about it.
No, I live for this.

In fact, I can't understand
how it could have been going on

right before my eyes
this whole time.

There's nothing going on.

You are so into him.

And when he saw you, it was like...

Ah!

Do you know how old he is?

Early thirties?
Ha! And me?

Come here.

Hmm. You see the problem.

Wow.

No words, just... wow.

If I rub your lamp,
do I get three wishes?

I knew it was over the top.

Paul talked me into it.
He thought we should go traditional.

How drunk were you, exactly?

Everybody's poised.

Very, obviously.

You two ready?

As I'll ever be. Come on.

Before you declare your vows
to one another,

I want you to confirm
that it is indeed your intention

to be married today.

She's really special,
don't you think?

Lydia? Sure.

Not just Lydia.

SIREN WAILS

RTC on the Barco road,
we were first on the scene.

This is Tulsi, penetrating trauma
to anterior neck.

We're going to need two wide-bore
cannulas, warm fluids and blood.

I'm sorry, who are you?
Dr Varma. He used to work here.

Yeah, and this is Mishka Chandra,
23-year-old female,

head injury with facial trauma.
Airways OK?

So far, but her right orbit
looks nasty. This is the father.

I'll check him over.
OK, thanks.

Sir, sir, please, please.

Lydia?

Lydia...
Five minutes.

What?

I dunno.

Three casualties,
two with significant injuries.

That's Mishka,
primary survey was fine,

but there's an obvious head injury
and possible orbital disruption.

MISHKA MOANS
She could lose that eye.

When did you last perform
a lateral canthotomy?

This'll be my first time.

Dr Varma, assuming
you're not here for a reference,

you can make yourself useful
and walk Mr Hasan through it.

Lydia, I think,
under the circumstances,

it's best that
I deal with the neck trauma.

Dr Varma, I think,
under the circumstances,

you should do exactly
as you're bloody well told.

Tulsi was the front seat passenger.
Her airway's fine

and she's remained
cardiovascularly stable.

It's close to the great vessels
and we don't know how deep it is.

Take her straight to theatre,
prepare to intubate.

I'll join you
as soon as I get out of this.

What are you waiting for?

See? I told you she missed you.

Ow!

There could be a fracture.

We'll need to do an X ray.
But otherwise,

I would say you were lucky.

Thank you, Doctor.

There was a truck.

I tried to swerve.

Then I came to in the car.
The driver came to the window.

It was his fault,
but he didn't help us.

He left us to die.

I'm really sorry
about your father, Ruby.

Are you sure you feel up to this?
Yeah, of course.

I assume that Hurricane Gabriel
arrived unannounced?

Yeah.

Yeah, wasn't exactly in the plan.

And, erm... you're getting married?

Hmm.

A bit sudden.

Long story.

Right, shall we do this?
Yeah.

Perfect. Now make the incision.

Knife please, Sister.

Excellent.
Sure this is your first time?

Mr Hasan has fine hands, Dr Varma.

A simple procedure like this...
It's good to see you, too, Sister.

At least no-one's punched me
yet today.

It's still early.

There's some damage
to the superficial tissues,

but I think it's missed
the carotid vessels.

Blood pressure?
110 systolic.

We're sure
it's not still tamponading?

Not that I can see.

OK, I've a clamp ready
over the common carotid,

but obviously,
I'd prefer not to use it.

You're positive
you want me to do this?

If you can't perform a simple
procedure like this, Dr Walker,

then all my training
really has been wasted.

Just don't drop it.

Do I need to clamp?
No, not yet. Wait.

SIGH OF RELIEF

What are you wearing?
Mr Silly Hat!

Nice outfit!

At least someone's getting a kick
out of all of this.

You know the worst thing?

Lydia... always has the high ground.

"Oh, there's an emergency!
Drop everything."

Can't even complain.

Well, you're complaining now.

Sod this.

I'm gonna get changed.

Field looks dry,
no obvious ongoing bleeding points.

Blood pressure and pulse settling.
Good. Let's leave a drain in.

Close her up
and get her settled in recovery.

We just need to let her husband know
it's gone well. No problem.

OK.

Just give me a few minutes

and then we can pick up
where we left off.

What the hell
are you doing with that?

I could ask you the same question.

Jules must have put it in my bag
before I left.

I didn't even know it was in there
until...

Do I look like a bloody idiot?

I take a lot from you,

but don't treat me like a fool.
He means nothing to me.

You're such a terrible liar, Lydia.

Or should I say Liddy?

Or is that just a private thing
between you and him?

You're being utterly ridiculous.
I don't want him.

I want you.
That's why I'm marrying you.

Do you remember
what you used to call this?

"A mutually beneficial arrangement."

I was your little guilty secret.

I thought it was cute. Fun, even.

But actually, now,
I think that's all I ever was.

A stand-in.

That's not true.

Do you love him?

There you are. There is
a small fracture to your wrist,

nothing too serious,
but I'll need to plaster it for you.

My daughter's hand is so cold.
Is this right?

I'm sure everything is fine.

Mr Hasan was very pleased
with the procedure.

Doctor?

Erm... I'll be back in a second.

Free fluid in Morrison's pouch.
Could be a spleen?

Or liver lac, duodenal rupture.

Is she still tachycardic?

120.
Blood pressure 100 systolic.

She's on the verge
of decompensating.

We should open her up.
Are you asking me or telling me?

Prep theatre
for an exploratory laparotomy.

Dr Varma will assist me.
Doctor.

I'll need four units
crossmatched immediately.

Let the father know.
Yes, Dr Walker.

Wait, Dr, erm...
Sharma.

Yeah. Dr Walker
doesn't need my assistance.

Please just prep her patient
for theatre. The father knows me,

I'll talk to him.
Of course. No problem.

Lydia?
Everybody was wondering if...

Lydia?

Lydia, what's wrong?

He's gone, Ram.

This time he's really gone.

Your daughter is losing some blood
from her internal organs.

So, once we find the source
of the bleeding,

we can repair it
and stabilise her.

Look, I appreciate
this is a lot to take in,

so if you have any questions...

No, Doctor. Thank you.

Why don't I take you
to sit with your wife?

Maybe get some food?

Doctor!

We found him in his vehicle
by the side of the road.

At first, we thought
he'd been drinking.

Hey, hello, can you hear me?

Head injury. Help here, please!

Head injury!
Come, come, come. Left, left.

That's the driver. It's him!

The driver.

OK. It's OK.

Wait a minute.
The man who crashed into us.

GCS 3, and the right pupil's
fixed and dilated.

Clinical skull fracture.
I agree he's a likely extradural.

He needs a decompression
immediately.

You think it's the driver?
It could be.

I didn't get a look at him.

If it's an extradural,

then a lucent interval
is a possibility.

Enough time for him
to drive away from the scene.

Then when the pressure builds up

and he starts to feel unwell,
he pulls over.

A few moments later,
they find him in a coma.

Dr Varma, go and check
on Dr Walker's progress.

As soon as she starts to close,

we'll get him into theatre.
Thank you.

Ram, we need to inform
the police as soon as possible

And, erm... keep the father.
well away from here.

I'll make the call.
But are you OK?

Because if not,
I can deal with this.

Honestly, right now,
there's nowhere I'd rather be. Mari!

Yes? Thank you, Dr Sharma.

He is the cause of all this.
He should be in jail.

Mr Chandra,
the police are being informed.

We must let them deal with this.
That wrist must be very painful.

Why don't you let me
put a plaster on it for you?

It will take a few minutes only,
then you can go sit with your wife.

Please. It will feel much easier.

Dr Walker, we need theatre.
Acute extradural.

Yeah, just finishing up here.
Simple liver tear, no drama.

The daughter's stabilised nicely.

Also, the father is convinced
it's the driver,

the truck that nearly hit you.
Did you get a look at him?

What?

No, not really.

Erm... I want to say orange.

Orange overalls?

Yeah. Yeah. Orange overalls.

OK.

I'll tell them we're ready.
OK.

OK, so, let's consider
the possibility

that she's telling you the truth.
You didn't see the look in her eyes.

Oh, why didn't you say?

If she looked at you funny,
then it's case closed

Pass the Courvoisier.

I've been humiliated.
WOMAN: Excuse me.

We're closed.
Landlord's having an ego crisis.

You think this is funny?

No, I think it's sad.

Because I know
what this is all about.

It's you, not her.

It's you, because you don't believe
that you're good enough for her.

So, you're not a doctor or a banker
or a big shot lawyer,

or whatever this ex-husband is...

Definitely a doctor.
Hmm.

Well, that is your bloody problem,
not hers.

So, don't go pretending
that she's been playing away

when it's all about yours truly.

You're better than that.

At least I thought you were.

And if you really
don't want to marry her,

then go and tell her exactly why.

And if you do,
maybe it's not too late.

WOMAN: Can we get a drink?
We're still closed.

THEY SIGH

Serious?
Can you believe it?

Don't even think about it.

And what exactly am I thinking?
Oh, come.

Well, maybe something like,

"Why don't I just
walk back into her life

"and pick up where I left off"?

I mean, not those exact words,
but you know.

Maybe I've realised
I'm in love with her.

Today, maybe.
But what about tomorrow?

Or the day after?
She's better off without you.

Like I said,
don't even think about it.

MACHINES
BEEPING RAPIDLY

No pulse.
She's not moving any air. OK.

She's arrested from asphyxiation,
she looks cyanose.

We need to establish
a definitive airway now.

Come on, Tulsi.

I can't bag her.
I think she's obstructed.

OK, nothing.
Try and intubate.

Drain's blocked,
lots of soft tissue swelling here.

I can't get a view. Nothing.

Tracheostomy kit now.
Stop compressions. Anything?

Nothing. I'll have to try blind.

What have we got?
Obstructed airway, post-op.

Can't intubate, can't ventilate.

Proceeding to surgical airway.
Do it.

Mr Chandra.

Move the other patients
out of the ward, please.

OK, Mr Chandra.
No, no.

Tracheostomy sited. Bag, please.

We are ventilating.
Back on the chest.

Two minutes,
then we check for activity.

Please, Doctor,
I must know what is happening.

OK. Just stay here.

Pulse check.

Nothing.
Come on, let's keep going.

She's been down 15 minutes
without a pulse.

There's no sign
of electrical activity.

No, we should carry on.
Please, Sister, keep going.

I said keep going!

OK, we're looking good here.
Tissue looks healthy.

Blood pressure's back down.
Think we're ready to close up.

I lied to her.

I promised her...
everything would be OK.

I can talk to him.

She was my patient, too.

No.

Then we can go and do it
both together.

OK.

Doctor?

Mr Chandra...

I'm afraid I have some bad news.

The swelling from the injury caused
Tulsi's airway to become compressed.

We managed to get
a breathing tube in,

but... because of the swelling,

it was extremely challenging
and took a long time.

She was without oxygen
for a prolonged period,

and because of that...

..I'm sorry, but, erm...

her heart was unable
to carry on beating.

No... no.

I'm afraid your wife died
a few moments ago, Mr Chandra.

No. This cannot happen.

She should have been cared for.

Instead you were treating
this animal who did this to her!

Really, that's not true.
I saw with my own eyes!

This creature is being taken care of

while my own wife is being ignored
and neglected!

This is wrong, I tell you!
She should have come first!

She did nothing wrong.

She should have come first.

I want to see her.

Take me to her.

Leave me, please.
Of course.

HE SIGHS

Mr Chandra?

Mr Chandra. Mr Chandra, please.
Get back. I mean it.

Mr Chandra, please! Please, sir!

Get away from me!
Someone, help! Mr Chandra!

I need some help in here!
Hey, what you doing?

Hey, hey, hey!
OK, mate, OK.

Hey.
Let's just stay calm.

Hey, stay back!
It's OK, no-one's doing anything.

We just wanna help you.

Stay back.

My name's Greg. What's yours?

Bharat.

Bharat. Good.

That young doctor you've got there,
her name's Niki.

So, what's all this about?

He killed her. He killed my wife.

I understand.
Very sorry to hear that.

That's not fair.
Greg...

It's their fault.
They should have helped her.

Not him!

Maybe they did their best
they could.

In fact, I'm sure they did.

Bet she kept you out of trouble,
right?

Stopped you doing
a lot of stupid things,

stuff you may go on to regret?

I love her.

Yeah, I know you do, Bharat.
That's obvious.

But what would she think
of all this, eh?

She wouldn't want this,
not in a million years.

Come here. It's OK.

Drop the scissors, Bharat, eh?

I lost her.

I know.

Come here.

It's all right.

Wait! Wait!

It's not cold feet.

I'm scared.

I've seen what that piece of paper
can do to a relationship,

I've lived through
one failed marriage,

and I'm terrified
of going through another.

Plus, I'm stubborn.

Demanding. Uncompromising.

Pig-headed.

Do you think I went into this
with my eyes shut?

I know exactly what you are.

You've got the wrong end
of the stick completely.

Jules wasn't enough for me.

You are.

You always were.

And...

..I'm the happiest
I've ever been with you.

I love you, Greg.

I love you, too.

What the hell have we been doing?

Can we just get married, please?

Greg and Lydia, having heard
that it is your intention

to be married to each other,

I now ask you to declare
your marriage vows.

Oh, erm... yeah.

Our life on a beer mat.
How appropriate.

No, it's not just a beer mat.

It's THE beer mat.

The one you wrote your phone number
on all those years ago.

You kept it all this time?

It was a life-changing moment.

You're beautiful.

Strong.

Funny.

And wise.

You made me realise
I've never been in love before.

Before I fell in love with you.

And Lydia?

Well, I've said this once before,
and I'll say it again.

You're the best I've ever had,
Greg McConnell.

And I love you.

And so now,
by the power vested in me

by the Government of Kerala,

it is my honour to
pronounce you husband and wife.

You may kiss the bride.

SHE LAUGHS

So, what happens now?
Oh, I think you know.

SHE LAUGHS

You know,
when I was at medical school,

all my friends found me
really irritating.

You wanna know why?
The weird snorty laugh thing?

I was always trying to set them up
with their perfect partner.

But they could never get too mad,
because I was always right.

Every time. It's basically a curse.

Just ask her.

Cheers.
Cheers.

Oh, just a last one.

What did I tell you?

Hey!
THEY CHUCKLE

You know what you are?

You are ins...

Indispensable.

That's easy for you to say.
You really mean that?

Yeah, course! You're like...

Taylor to my Clough.

Slightly less charisma,
but absolutely vital to the team.

Why?

I was thinking of staying,
if you still need a pot washer?

Back of the net! Come here!

Oh! Oh, yes, mate!

Hey, make sure
you get a bloody visa.

THEY LAUGH

Oh, let's go and tell the wife,
shall we? Yeah.

Ah, yes.
Could I get two minutes?

HE EXHALES

It's beautiful.
It is.

Just like you.
God!

Sorry, that was really bad,
wasn't it? Awful.

Sorry. It's been a long time
since I've ever...

And I wasn't actually any good
at this kind of thing

in the first place.

Probably the best thing about
arranged marriages.

Erm... what I'm trying to say

is that I've sort of...
totally forgotten how to do this.

What is THIS, exactly?

Well...

..you and me.

Us.

If you want to.

I mean, to try...

..a proper date, or...
Stop.

Do it now.

Now?

Now.

Definitely now.

HE HUMS

Dr Sharma.

About... what happened today.

I don't think
we should tell your father

about all the potentially
gory details, right?

He'd be horrified.
Agreed.

Insist I come home right away.

Undoubtedly.

Which is why we will
never speak of it ever again.

What would you say to me
staying for another six months?

With Dr Fonseca's approval,
of course.

Erm...

I think it will be a... great idea.

Ask her.
I can't.

She's in a good mood.
She'll say yes immediately. Ask her.

I...

..think I owe you an apology.

That's the understatement
of the century.

You trusted me and...
I let you down.

Well, it was nothing

compared to the devastation
you caused Dr Walker.

Well, that's why I'm here.
Oh, so you think

that flashing those sad eyes
of yours

will win her round, do you?

You remind me so much
of my ex-husband.

Like you,
he's an extraordinary surgeon,

but with the emotional intelligence
of a small child.

We're all fallible.
We all make mistakes.

Me more than most, actually.
But if you don't own up to them,

then no one will ever get to know
the true Gabriel.

And... I think that...

Yeah, that would be a real tragedy.

Now, we're short-staffed.

So, tomorrow...

don't be late.

Excuse me.

You're leaving already?
Yeah. It's been a long day.

I'll see you tomorrow?

Er... yes, see you tomorrow.

HE CHUCKLES

What?

It's funny.

When you first came here,
I had to tolerate all your mistakes.

But now I'm asking you
to tolerate mine.

Pretty big ones.
Mm.

Talking about the mistakes?
I am talking about the mistakes.

See, the truth is...

..I'm a much better surgeon

than I am a human being.

But...

..I'm willing to learn.

Right, and, er...
I'm supposed to teach you?

Just a few pointers now and then,
you know.

When I get it all wrong,
all the time.

I have a proposal.

OK.

We start tomorrow.
One day at a time.

And if you mess up...

..you're out.

That's... that's fair.

No more chances.

Deal.
Deal.

Do you want a ride?

Hello.
Hello!

We did it.
We certainly did.

Come here. Ah.

HE SIGHS

Look at that.

Are you sure you're OK
about changing your name?

What? I didn't agree to that.
Sorry, I just assumed.

No, it's a ridiculous custom. No.

Oh.

Actually, I think Dr McConnell

has a certain gravitas.

This can always be annulled,
you know.

No, we can't annul it,
cos we've already done it.

Argh!

SHE LAUGHS

Whoo!