Maternal (2023) s01e02 Episode Script
Episode 2
1
[PICKS UP PHONE]
- 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.
Hello, Catherine. I'm Brigitta.
Lars' wife.
[ELIS CRYING]
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.
Give me the bag.
Thanks.
Baby you're a ♪
- Oh Jesus!
- What?
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, mate?
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.
[PHONE RINGING]
Would you shut up, Sami?!
[PHONE RINGING]
It was the Adoption Support Team.
[PHONE VIBRATING]
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.
[HE SPEAKS IN SWEDISH]
Full day?
Yes. Yeah.
- So, are your girls in school?
- What were you thinking?
I was just
You're the woman.
You should know better.
[TAPS ON WINDOW]
Hi, no.
[SWEDISH]
I don't have change for
[SPEAKS IN SWEDISH]
I've got it.
The schedule is in the front pocket.
[THEY SPEAK IN SWEDISH]
And your bottles are
in the centre bit, and, erm
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?
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?
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?
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.
- [MOBILE RINGING]
- 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 that Sami's
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!
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.
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?
- Erm, 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 perhaps 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 a family member.
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 because
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.
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?
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.
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.
Mr and Mrs Williams
[PHONE RINGING]
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?
Maz?
[PANTING]
Maz?
You're having a panic attack.
Come on, breathe with me.
You are OK.
Come on. Come on. You're OK.
CATHRINE: There's no harm
in asking for a little time off.
MAZ: 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.
- 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!
Best To Youby Blood Orange.
Oh, Jack.
Sally!
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.
OK, come on. Come on.
OK, come on. Come on, think.
It's not sepsis.
It's err Come on.
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.
OK, he's 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?
[SIGHS]
At The Bay ♪
by The Silhouettes Project.
[SIGHS]
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.
[EXHALES]
I love you so much.
It's just what you always wanted,
Maz.
[SIGHS]
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 SPEAK 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?
Well
Sounds like a great plan.
Good.
Yeah.
Where is my mind by A.A. Williams
- slow piano cover
With your feet in the air
and your head on the ground ♪
Try this trick and spin it, yeah ♪
Your head will collapse ♪
But there's nothing in it
and you'll ask yourself ♪
Where is my mind? ♪
Where is my mind? ♪
Where is my mind? ♪
Way out in the water, see it swimmin' ♪
Hoooooo ♪
♪
♪
♪
♪.
[PICKS UP PHONE]
- 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.
Hello, Catherine. I'm Brigitta.
Lars' wife.
[ELIS CRYING]
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.
Give me the bag.
Thanks.
Baby you're a ♪
- Oh Jesus!
- What?
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, mate?
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.
[PHONE RINGING]
Would you shut up, Sami?!
[PHONE RINGING]
It was the Adoption Support Team.
[PHONE VIBRATING]
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.
[HE SPEAKS IN SWEDISH]
Full day?
Yes. Yeah.
- So, are your girls in school?
- What were you thinking?
I was just
You're the woman.
You should know better.
[TAPS ON WINDOW]
Hi, no.
[SWEDISH]
I don't have change for
[SPEAKS IN SWEDISH]
I've got it.
The schedule is in the front pocket.
[THEY SPEAK IN SWEDISH]
And your bottles are
in the centre bit, and, erm
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?
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?
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?
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.
- [MOBILE RINGING]
- 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 that Sami's
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!
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.
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?
- Erm, 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 perhaps 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 a family member.
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 because
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.
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?
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.
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.
Mr and Mrs Williams
[PHONE RINGING]
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?
Maz?
[PANTING]
Maz?
You're having a panic attack.
Come on, breathe with me.
You are OK.
Come on. Come on. You're OK.
CATHRINE: There's no harm
in asking for a little time off.
MAZ: 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.
- 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!
Best To Youby Blood Orange.
Oh, Jack.
Sally!
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.
OK, come on. Come on.
OK, come on. Come on, think.
It's not sepsis.
It's err Come on.
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.
OK, he's 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?
[SIGHS]
At The Bay ♪
by The Silhouettes Project.
[SIGHS]
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.
[EXHALES]
I love you so much.
It's just what you always wanted,
Maz.
[SIGHS]
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 SPEAK 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?
Well
Sounds like a great plan.
Good.
Yeah.
Where is my mind by A.A. Williams
- slow piano cover
With your feet in the air
and your head on the ground ♪
Try this trick and spin it, yeah ♪
Your head will collapse ♪
But there's nothing in it
and you'll ask yourself ♪
Where is my mind? ♪
Where is my mind? ♪
Where is my mind? ♪
Way out in the water, see it swimmin' ♪
Hoooooo ♪
♪
♪
♪
♪.