Maternal (2023) s01e01 Episode Script

1
Hey, hey, hey, hey.
Sammy, go back to bed.
It's still night-time.
Yes. And the sun hasn't come up
on your clock yet.
For goodness' sake.
OK, buddy. Let's do this.
Shit No!
Raz?!
Ow!
- Morning.
- Why didn't you wake me?
I wanted you to have
as much sleep as possible.
- I look a state.
- You look beautiful.
I don't want to look beautiful.
I want to look competent.
And thin.
Oh, come on.
- Raz?
- Yeah?
What if I hate being away from them?
Or love being away from them?
- That's worse, right?
- Well, I think that's like
worrying about not having enough
in your pension
while worrying that the world's
gonna end next week.
Two secs!
Maz
- Maz!
- Yeah, one sec!
Maggie!
Morning.
- Hurry up.
- OK, I'm coming!
Don't make Mummy shout like that.
Come on.
It's been an intense beginning
and
I need a bit of space.
You'll look back
and you'll be pleased
that you've had the opportunity
to get out there on your own.
Don't bite anybody on day one.
- You ready?
- Absolutely.
They'll be all right
in five minutes, right? Yeah.
Oh, well, here she comes.
I don't even think
I brushed my teeth this morning.
How did she get a car seat
in that car?
- Let's go.
- Hi!
Say bye-bye!
What did you do,
just throw her in from the door?
No, she's fine.
Let's use our brains!
Welcome back, doctors,
from maternity or parental leave.
This is your return to work
training induction,
non-clinical.
Let's start with your printed
COVID-related changes to procedures.
Yeah.
Please check the appendix
to see which relates to NHS-wide
and that which relates
just to this Trust.
In our Trust only,
you'll notice possibly,
that in order to get to
the data supply one, two and three,
via the stake holders
- That's impressive.
- Yeah, I know.
and then split the output,
so either if you're going to
data supply
My tits are
- So, what, Louise is on your team?
- For a full rotation, yeah.
And you know,
but she doesn't know that you know?
- That's cosy.
- That's one word for it.
Speaking of regrettable
sexual encounters, here's your ex.
Good morning, ladies.
- Oh, not queuing?
- Morning, Jack.
Double espresso, please, Maxine.
You're looking radiant,
Doctor Cavendish.
Oh, I'm surprised they let you
operate with that visual impairment,
Mister Oliviera.
He always smells so lovely,
doesn't he, Catherine? What is that?
I had a bowel perforation
at eight this morning.
Have you heard the rumour
that Becky's leaving?
Consultant Becky? When?
Pretty exciting opportunity
for us if she goes.
And you're giving me
the heads up because?
I miss you.
Thanks.
Don't regret a thing.
You are a massive twat,
you know that?
Susan! Doctor Fisher?
Maryam! Just the woman I wanted
to see. I was gonna call you.
Well, it is my first day back.
The on call rota
is a reg and an SHO down.
I wouldn't ask,
but there's no-one else available.
It's just, it's my first day back,
and I'm not supposed to be
in an acute clinical setting
in my first week.
My return to work plan is
It's my IT induction.
My hero. We'll organise a clap.
Welcome back!
Fuck.
That's Hmm
I'll get the right slide.
There.
And then signing off.
So once I've finally got
a list of all the staff,
at our particular NHS Trust
that has signed off
on this new form, I can then,
with confidence, go to the
Could Nurse Barton
please report to ICU?
Oh, Becky! Hi!
Oh, Catherine, hi!
Lovely to see you.
- How are you?
- Desperate to get stuck back in.
Good for you.
I I wanted to say, actually,
how absolutely committed I am
to making consultant this year.
I know I'm behind
where I wanted to be
It will take time
to build those hours in surgery,
especially now you're doing it
round a family.
You've always been such
an inspiration to me in that regard.
The way you've juggled family life
with a brilliant career.
I'm in awe, really,
and anything I can do to emulate
- A fucking mess!
- What?
My husband's sleeping
with the nanny,
we're in debt up to our eyeballs.
How are you in debt?
- The nanny!
- Oh.
Sorry.
And now my Mother's ill.
We have to move to Norfolk.
I'm so sorry.
Stephen, Charles, Andrew,
those bastards,
they all have someone
at home full-time,
taking care of their kids,
their mothers, their golf clubs
Could you afford support
for your mum
They don't have to pay their wives!
- You want my advice?
- Erm
Retrain now whilst you're still
young enough to do something else.
I've only ever wanted to be
a surgeon.
Then why did you become a mother?
Now, the form that's coming out now
is the GDPR form.
Erm, I'm aware that some people
find GDPR a little boring
Erm, not me. And certainly not
I've been put on call
covering the labour ward.
Today?
Can you come with me
to Occupational Health?
OK, now?
I'm not ready.
I should have taken more time out
You've been on maternity leave
for two years.
I didn't mean to have two babies
one immediately after the other.
We'll go up to Occupational Health
now and we'll sort it out, right?
"Are you a doctor in distress?"
That's what they're gonna ask you.
Well, I don't
Well, is there anything
between suicidal and
You're probably just nervous.
You're bound to be nervous.
I mean, God, I feel nervous.
I don't.
Yeah, that's cos you're a surgeon
and therefore, by definition,
a psychopath.
You're an ST7 paediatric registrar.
Of course they need you
on the acute rota.
The alternative's
letting children die.
Do you want to stay at home
changing nappies,
taking your skin off
with microwave sterilisers,
sluicing shit out of clothes
and reading the fucking Gruffalo
the rest of your life?
You are incredible,
with everything you've been through.
Paeds is lucky to have you.
Get on with it.
Yeah.
Probably won't even go off now.
- Ah, see you later.
- Good luck, OK?
- Good luck!
- Hm, a second.
- That was nice of you.
- Fuck off.
Sort of.
41 weeks, poor trace,
baby in distress.
- Have the kits been updated?
- No.
What's happening?
Please, talk to me, someone.
Can you see what they're doing?
He's struggling, Maz.
Please tell me what's happening.
Is he breathing or not?
Heartbeat below 100.
Is he breathing?!
Congratulations.
Thank you!
Yes Oww!
Fuck! Ooh! Fuck
Oh, fuck! Fuck!
Here she is! Salam, Ammi!
Where are the boys?
Boys are watching TV,
Raza's running late.
- How was it?
- I was covering the labour ward.
- Wonderful!
- It was.
What did I tell you?
A doctor needs to be
at the hospital, treating patients.
I'm so proud of you, Maryam.
We'll show them!
- Allah hafiz, baby.
- Thanks, Mum.
Mum, so what about Thursday?
What time does Pilates start?
OK. Mum, is there any night
you can help?
Maggie! Don't sit on your brother!
He's got my doggy!
I don't care!
Get off him. Don't wind him up.
What about Saturday
after Nordic walking?
Pour it,
pour it into the other bucket
So you can't have her at all
next week?
Oi! Maggie, get out.
Oh, my God!
Well, can I call you back
after choir?
Mum?
Mum!
Thanks a lot, Mum.
So, your profile on
the childcare site says £15 an hour,
could you go to 12
if you're both asleep?
Yeah, sure. Erm
Hey. It's only 8:30.
I'm awake.
You smell of beer.
Long day?
Bell went five hours ago.
I don't care.
So, what's new in IT?
Not much.
Actually, I, er..
I missed most of the IT thing.
I was, er on call.
Covering the labour ward.
Delivering babies.
Yeah, I know
what the labour ward is.
It felt amazing.
We had an agreement.
- There was a gap in the rota.
- There's always a gap in the rota.
I'm fine, Raz, I promise.
You know, one good day doesn't mean
everything's fixed.
Oh, are we still working on
trying to "fix me", then?
I'm a very qualified paediatrician.
I know what I'm doing
and they need me.
Fuck, Maryam, so do we.
I mean, we agreed to
some boundaries, didn't we?
So we can look after you.
But that place,
they're gonna have you back
working all these hours
Well, you're teaching
through the holidays.
- in life and death situations.
- I'm a doctor, Raz!
If I can't go back to life or death
situations, then I can't go back!
They, erm
need me on the on call rota
for the rest of the week.
Maz
you OK?
I was pregnant and you were
treating COVID patients in ICU.
And we agreed to mitigate the risks.
I mean, how exactly
did you expect to be able
- to have socially distanced sex?
- But it didn't start then, did it?
We haven't had sex
since we conceived Cleo, that's
- 25 months.
- Well, at least you're still counting.
No, no, I can just add
the gestation of a human foetus
to knowing how old our baby is.
How much have you talked together
about your experience
of working through COVID?
Well, I-I wasn't really, I didn't
We're still working through COVID.
We will be
for the rest of the decade.
Guy, you seem very focused
on the lack of physical intimacy
- as the sole cause of the breakdown
- It is.
I'm not demanding
my conjugal rights here, it
It's how we connect.
Emotionally.
Helen's refusal
I thought this
wasn't about your conjugal rights?
- It isn't!
- Well, it obviously is.
It isn't,
but you do refuse to participate
in any physical relationship with me
and that is the problem.
OK.
When I hear you say that,
I think perhaps
there's an element
of you obscuring what's happened.
May we look at that together?
I'm appreciative that we have
a relationship based on honesty.
I think she's talking about
you fucking your 24-year-old
house officer.
I think I'd feel happier
talking to a man.
Doctor Kellet
to oncology, please.
Doctor Kellet to oncology.
- Hi.
- Hi.
Do you know
who the on call registrar is?
- Hello. I'm Maryam.
- Doctor Simon Segman.
Right, er, yes.
Erm, could you take a look
at this four-year-old,
he's been referred by his GP
with a temperature of 39.5,
heart rate of 115 bpm.
And he won't let me
anywhere near him.
Have you spent a lot of time
with children?
God, no.
Mind if I take my coat off?
Why did his GP refer him?
Complex history.
He's currently under consultant care
for various congenital conditions,
including congenital heart disease,
and he has got a long list
of previous, serious reactions
to antibiotics.
And how are the parents?
Fine. Anxious.
Come on, then,
let's take a look at him.
See anything you fancy?
Sorry, Catherine,
no surgery for you,
you're on call to A&E today.
- Oh, but my surgical hours, I've
- You've been out for nearly a year,
you can't expect to just waltz
back into theatre time.
She handed in her notice
this morning.
For definite?
Wants to spend more time
with her kids.
Have you had breakfast?
Sounds great.
My treat.
I've got to scrub in.
I heard the prof say
they'll have the ad out
for her job next week.
May the best man win.
But if you're hungry
Duty cleaner
to reception, please.
Duty cleaner to reception.
I'm Doctor Maryam Afridi,
one of the paediatric registrars.
And you must be Edward.
I love Hey Duggee!
Who's your favourite Squirrel?
Go on
Crocodile.
Happy? That's a good choice.
Can I get a high five?
How do the two of you feel like
he's doing this morning?
He's OK. He's a bit grumpy.
He's not himself.
He's had a temperature for 48 hours.
Edward.
Did I just see a fly
go into your mouth?
You'd better open up,
so I can take a look.
Big "ah". Ah!
Hm, that's OK Oh, no.
Oh, no, I think it's just flown up
to your eye.
Do you think you can pull it down,
so I can take a look?
Hm. Good zombie face!
Can you pull the other one down
as well?
Well done.
What did you have for breakfast
this morning, Edward?
He's only managed
a spoonful of Krispies.
Do you think I can I see
if I can hear where it is?
Has it gone into your throat?
No. It's not there
No, maybe it's here.
Got it! Brilliant teamwork.
Well done, Edward.
Edward's temperature and heart rate
are slightly higher than we'd like,
it's probably something viral.
He is a little dehydrated.
But we'll encourage some fluids
and some paracetamol.
Doctor Segman will keep an eye on
his urine output and blood gases,
and half-hourly obs,
just to make sure that his temperature
and heart rate are coming down.
And then we'll get you home.
- Sorry to cause a bother.
- No
We're just over careful.
You've done exactly the right thing
if you're concerned.
It's no bother.
Is there anything
that you're not clear on?
What's a Hey Duggee?
Yeah, try and find out
a little more than the triage nurse
before you come
and find your seniors next time.
So it's been, what, a year?
More than, yeah.
Sorry, I haven't got long,
I'm on call.
It's really good to see you again.
- Yeah, so
- I wanted
Oh.
- You go.
- OK.
I wanted to apologise
for my behaviour
last time we saw each other.
Erm, my marriage
was in a difficult time, and, er
my wife, my children,
they mean everything to me.
And you
You are a peer,
who I respect profoundly, but
Yeah, good. Erm
After we had sex three times a night
for two nights
and twice on the Heathrow Express,
I discovered that I was pregnant.
I I wanted to tell you sooner,
but it didn't feel like
the kind of thing
I wanted to text you and
and honestly, I didn't know
why I would be telling you,
but you're in town now,
so, it, er
It felt like the right thing to do.
I'm sorry, Catherine, so sorry
that you had to go through that,
I, erm
Was it?
I think it's very straightforward
here, isn't it? Right?
What do you mean?
Do you have people you can talk to?
Oh, OK. I'm not here to tell you
that I had a termination.
This isn't Hollyoaks.
I mean, I have had one,
but that was over a decade ago
and not relevant
to this increasingly
disastrous conversation.
- What's Hollyoaks?
- Lars, erm, this is your daughter.
Elis. She's nine months old.
Just go home to your wife and family
and we can forget
this conversation ever happened.
Is that what you want?
- We don't need anything from you.
- Yeah.
- Can I see that picture again?
- Sure.
- She looks like my sister.
- Really?
Yeah. Yeah, cos, er,
my daughters look just like
like their mother.
Sorry, I've got to go.
Yeah.
Sorry.
Bye, Lars.
Catherine?
- Could you send me that picture?
- Sure.
Is this the ward round?
- First day?
- Yeah.
Welcome to acute.
Morning, team.
Shall we?
Right, Louise, I believe
we have the pleasure of hearing you
tell us all about Mrs Osei?
Mrs Osei, 86,
admitted after a collapse at home.
Er, medical history significant
for hypertension,
for which
she takes bendroflumethiazide.
Blood tests confirm
the patient is hyponatraemic,
sodium levels 121.
So I've restricted fluids
to a litre per 24 hours
and sent the usual tests
for hyponatraemia.
- Very clear. Thank you.
- May I?
Er, please.
Good morning, Mrs Osei.
My name's Helen
and I'm a doctor here.
You're in hospital.
- How are you feeling this morning?
- Shit.
When you're at home, erm,
do you cook for yourself?
It's just me. What's the point?
Do you ever have a glass of juice,
or squash, or water?
- Water's for washing in.
- Yeah.
OK. Teaching hospital,
buzzers at the ready!
One management plan
for hyponatraemia
is restriction of fluids
to help to try to rebalance
the sodium levels in the blood.
It's the one we tend to leap to
in a hospital setting.
But, paradoxically,
this condition
can also be caused by
any of our F1s wanna impress?
- Er, dehydration?
- Absolutely.
And that would appear to be
the most probable cause here,
now that Helen has discovered
a little extra history.
How do you remember to take
your pills when you're at home?
What pills? Who's he?
His name is Doctor Cavendish,
he's one of the consultants here.
Don't trust him, love.
Yeah. Not as far as
I could throw him, don't worry.
I think compounded perhaps
by erratic doses
of a thiazide diuretic.
Very possibly.
So, what treatment plan
are you suggesting?
I think we need to get her to eat
and drink something.
Or a switch to amlodipine?
Yeah, there just
different side effects to manage.
Well, a change in meds
might be useful in the medium-term.
I think in the medium-term,
what she needs is more,
- more support at home and a pillbox.
- And a cup of tea?
You've jumped to
a medicalised solution, Louise.
I'm a medic, Helen.
A very rigorous assessment.
Thank you
both.
Er, let's reassess Mrs Osei
once she's had the chance
to take on some fluids
and a delicious NHS jacket potato.
Right, shall we?
Speak up
when you're asked a question.
And don't let the boys
swagger ahead of you.
Please don't undermine me
in front of the other juniors.
Then don't be shit.
Hello again.
He's been very quiet.
There are obs missing here.
Yeah, we've got agency nurses today,
so
Well, I asked you to do it.
Edward, you seem a little down.
Has he had much to drink?
I've hardly been able to get
anything down him since his UTI.
How long ago was the UTI?
A month ago.
But that's cleared up now.
Well, whilst we're running
some urine obs,
- I'd like to do some more tests
- Why? What's wrong?
I just wanna be double sure that
his UTI has cleared up properly.
So let's run blood gases,
urine culture,
FBC, lactate and a PCT.
Is there an antibiotic you know
that he doesn't react to?
We've not found one, no.
We're going to call microbiology
to see what we can give him,
just as a precaution.
Thank you, Doctor.
A few tests would reassure us.
Well, Simon and the nurse
will be back in a minute
to take some bloods.
It's always worth
asking specifically about UTIs.
A previous infection
should raise our concern.
Well, it was a month ago,
so I didn't think it was relevant.
You knew?
Well, she said
it'd been cleared up for a month.
Well, I make decisions
based on what you tell me
and if you don't
tell me everything shit.
- Yes?
- OK.
OK. Mark the bloods as urgent
and then call me when they're back.
And when did this pain
in your abdomen start?
So what made you feel
that today was the day
you needed to be seen in the
accident and emergency department
by a highly qualified surgeon?
Well, Julia asked if we wanted
to buy their Astra on Tuesday
Was it Tuesday?
Yeah, must have been because
the binmen were late, again.
- Hmm.
- Ken thought we'd missed it.
So we were getting the rubbish
into the back of the hatchback.
Because it was a green Tuesday,
not a blue Tuesday.
Thank God. Someone's been stabbed.
So, no pre-alert, am I leading?
- Yes? OK. Is surgery here yet?
- Yes!
Hypotensive with four stab wounds,
BP's 70/50, pulse is 120.
Responding to fluid intervention.
He's had two litres.
- What are you doing?
- I'm intubating.
Do you know he doesn't have
a pneumothorax?
- He's tensioning!
- Shit!
He needs a chest drain.
Scalpel?
Heart rate dropping.
We're gonna need to be quick.
OK, we're in.
So I can ventilate the patient now?
You're welcome.
I am in the middle of delivering
a lecture.
Apologies to interrupt you,
Professor,
this is looking like a thoracotomy.
How many litres have you got there?
- Erm
- It's going to get to 1.5 litres.
What is it now?
Nearly one litre, the chest drain
only went in 90 seconds ago.
Do let your colleague know, Doctor,
that we only open a man's chest up
if we have 1.5 litres of blood.
I know that and you might want
to address your questions to me,
seeing I led this crash call
and saved this patient's life.
Erm, I think that is 1.5 litres now.
Ah. I think theatre five
should be free.
Thank you, everyone.
We'll take it from here.
My father always said what
an outstanding teacher you are.
Catherine MacDiarmid,
special registrar, general surgery.
- I'm Edward
- You're Teddy's daughter?
Yes. Could I scrub in?
Actually, Professor,
if she could assist,
er, I could make my earlier flight.
- Come on, then.
- Er, yeah. Coming.
Thank you.
- LFT is negative.
- OK, good.
The sore throat's so bad,
that I can't swallow any more,
- I think it's gone to my ears.
- He's going deaf.
I'm not going deaf,
I've got earache.
Ah.
Also, I dunno how
He needs someone
to look at his bollocks.
- Shut up!
- They're huge.
They're a bit sore.
No. They're not normally that big,
mate.
What? They're not.
Can you please look at his balls?
Tessa?
He's got mumps.
And half of those with orchitis will
be left with minor atrophy, so
Atrophy sounds bad.
Can you look? No offence.
Yeah, no problem.
Have you ever seen any bigger?
They're the biggest I've seen today.
Am I gonna be OK?
It can be a lasting effect
of the virus in some cases.
So just make sure
all of your vaccines are up-to-date.
Could you just take a photo of
both our balls alongside each other?
No. Good luck with
your politics degrees, boys.
If you don't lead,
the patient and anyone they're with
will defer
to the more senior colleague.
They were your bollocks, Tessa.
Don't you have a flight to catch?
Actually,
there wasn't an earlier flight.
It just sounded like
you'd earned the opportunity.
Well, I might be a crap surgeon,
for all you know.
Well, I I could have said that
she gives an amazing blow job
on the Heathrow Express
I think the careers
of many female professionals
hinge on that kind of detail,
actually.
Are you, er Are you really OK?
What do you mean?
Raising her on your own.
It's a lot.
We're fine.
- OK.
- Have a safe flight.
- Good luck.
- Mmh.
Miss MacDiarmid,
would you like to open him up?
Blood test results for Doctor Segman.
I can take those.
OK. Thank you.
Hey, Maz. Can we see you
down in delivery ASAP, please?
Er, yeah. No worries.
Edward?
Edward, wake up.
Is everything OK?
I need some help in here, please!
I'm getting a line in.
BP is 90/50.
No. Second attempt to cannulate.
Was it the UTI? BP is 86/42.
Shit. Come on, Edward.
It's OK. Come on.
No
BP's still dropping.
Come on Edward, give me a vein.
Can't get a vein. Fuck!
That's three.
I need an IO kit
and a consultant in here now!
- That's peri-arrest, BP is 79/35.
- Put out a crash call.
- I need a consultant in here.
- Understood.
Four-year-old in septic shock.
Three failed attempts to cannulate,
I'm getting an IO in.
Take blood for the gas first.
20 mils per
Er, no, wait, let's go slowly
for his heart condition.
Let's do 10 mils per kilo of saline.
- Simon, what did micro say?
- Micro?
I told you to call microbiology
to see what antibiotics to give him.
No, you didn't.
OK, step back
and deal with that urgently, please.
Let's start from the beginning.
A to E assessment.
Yes.
Urgent alternative antibiotic
required
for a four-year-old in septic shock.
Looks like you were right
about Mrs Osei.
She's looking much brighter.
Did you give Mrs Osei's children
a call?
Someone did,
they're coming later this week.
And I am outta here.
Who reviewed bed 16's ECG?
Me, Tessa.
Er, there was some ST elevation.
You see an ECG you don't like,
you tell me immediately, all right?
- Yes, Doctor Cavendish.
- OK, come with me.
Supervise your F1s properly,
can you?
Ow.
No. No. Sorry. Ow! Ooh, fuck.
Ow, ow, ow maybe
Oh! No, no sorry. Ow.
Get out of me. Ooh.
Sorry.
- You OK?
- Yeah
Yeah, just the first time
since having Elis.
Clearly needs a Sorry.
Shit.
The baby-sitter's gonna kill me.
- Dad's not in the picture, then?
- No.
By mutual agreement.
I did wonder. With the dates.
What, you?
You thought she might be yours?
We were
What, you didn't think to
- You didn't exactly want me to
- What?
I am a massive twat.
He should be responding
to the antibiotics by now,
shall I call micro again?
That's the lab,
his creatinine is 1,000.
- He's crashing.
- Kidneys are failing.
Asystole.
Do you want to lead on this,
or shall I?
13, 14, 15.
Pulse check.
No. Adrenaline in.
13, 14, 15!
Hello!
Mum? Isn't it ceramics?
The girl found my number
on the fridge.
She said to tell you,
she isn't coming back.
I scrubbed in on a thoracotomy.
I wasn't interested in your
father's God complex, Catherine,
- and I'm not interested in yours.
- I know. Sorry.
My pot is unglazed.
Er, thank you for coming. Elis OK?
Fast asleep.
Oh, I've taken my number
off the fridge
and I shall turn my phone off
in future.
Thank you.
You wanted to be a mother.
Demands sacrifice.
Fuck.
Sorry.
Hello?
- Hi, Catherine.
- Lars?
I
I wanna be a father to Elis.
Hi.
Do you want to be able
to have sex with other people?
Why don't we just try it?
You can have sex
with whoever you like for a month.
Louise.
Or whoever.
And if it helps us, then
Then what?
Then you carry on.
Where has this come from?
Have you got any idea
how humiliating it is
for me to be back at work?
The little wife and mother,
your junior,
- when everyone knows
- No.
No, everyone knows
No. Everybody at work
thinks you're brilliant.
Cos you are brilliant.
I don't want to have sex
with anyone else.
I want to have sex with you.
No! Please, don't
Maryam.
Corrections by bird