Malpractice (2023) s01e03 Episode Script

1
This is 23-year-old Edith Owusu.
One of Rob's patients
accidentally overdosed.
He called me and asked me to code
that overdose is deliberate.
Why is this going to an inquest?
Just stick to the facts
regarding the treatment
you gave Edith, you'll be fine.
Don't do this, please,
I'm begging you. Stop it!
I'll tell them you're an addict!
I am not an addict!
What happened?
Local GP, Dr Rob Thornbury,
got hit by a car in Park Square.
So, the assumption is
whoever owns that number
alerted Lucinda
to Edith's overdose.
I'd like to invite the founder,
Dr Jubair Singh,
to present the award.
The winners of the Outstanding
Covid Response Award are
West Yorkshire
Royal Hospital's A&E team.
How about I give you something
that's going to help you calm down?
Fetch me four 10mg diazepam tablets.
40mg? You'll knock her out.
I need to get
my phone fixed, please.
Rob, they need to know
if you dealt with her.
If this goes any further
then, trust me,
you'll be the one
going down with her.
Shit!
So, Lucinda's phone records
finally arrived yesterday.
Right.
I cross-referenced it with the dates
she treated opioid overdoses
and, look, the same number that
called Lucinda the day Edith died
called her twice on January 7th,
before Alexander Taylor arrived
in A&E with a deliberate overdose,
and again, twice, February 23rd,
when Camilla Woodham presented
in exactly the same way.
And I checked
with the 999 call centre,
both overdoses
were called in by that number,
just like Edith.
Well, that IS interesting.
Isn't it?
Did they call before
Milo Hanbury came in? Uh, no.
But, I mean,
even if we discount Milo for now.
It looks like she's working
with someone but who?
Let's get the notes
for Alexander Taylor
and Camilla Woodham,
see if there's anything
linking them to each other,
to Lucinda, to Edith.
Already on it. I'm picking them up
later this morning.
Steady on, George -
you'll have my job next.
Well done.
Right, I better get to this inquest.
Oh, yes.
Right, the facts are, Lucinda,
you had to deal
with a gunshot victim,
so you left Edith Owusu
in Ramya's capable hands
with a clear management plan,
which you, Ramya, followed.
We did everything we could,
but this is the tragic result
of a girl
trying to take her own life.
Just to warn you,
Edith's dad, Sir Anthony,
used to be a barrister,
so he's going to be acting
as the family's
legal representation.
I know, I know, it feels daunting,
but, remember,
none of you are on trial, OK?
This is just a fact-finding exercise
to help the coroner
determine the exact cause of death,
so what you've got to do
is stick to the hospital line -
you each did your best
to treat Edith,
but these things happen.
Right? Nobody is culpable.
And what's the worst
that could happen?
Well, if the coroner concludes
it's medical negligence
that's caused Edith's death
then that could open us up
to lawsuits from the family,
the police could get involved,
so let's not give them
the opportunity.
However, if he rules it's a suicide,
then the hospital will look
less responsible. So
Good luck. Let's get going.
Thank you.
I can see that
this is difficult for you,
but when did you last see Edith?
The day she died.
What was your impression of Edith's
mental state during those times?
We had no reason to believe
she was using drugs.
Was there a hint
of suicidal thinking?
No.
None.
Thank you.
If you'd wait there, please.
Mrs Roberts,
do you have any questions?
Verity Roberts, legal counsel,
West Yorkshire Royal Hospital.
When Edith left your home,
did she mention any anxiety
about the new job,
any problems with friends
or a partner?
Edith didn't have a partner.
She was excited about the new job,
but I don't believe
she was trying to kill herself.
I'd like to play part of
the 999 call that was made
the night that Edith died,
and if you find that too distressing
I can read out a transcript instead.
No, it's fine.
Please, go ahead.
Can we play the recording, please.
I need a
I need an ambulance
to 9 Somerville Road.
My friend, Edith,
I think she's tried to kill herself.
OK, who am I speaking to?
And what has Edith done?
I don't know. She's She's
I think she's dying,
she's not responding.
Please, you need to send someone
right away. 9 Somerville Road.
Do you know this friend of Edith's?
No.
No, I don't. Never heard
I've never heard that voice ever
before, but she had many friends.
She was
She was popular, it was hard
to keep up with everyone.
He states very clearly
that Edith tried to kill herself.
Is it not possible that
during those last days
that Edith hid her drug use
and her suicidal thoughts?
It wasn't suicide.
If I thought for one second
Edith intended to harm herself
I would never have left her
on her own.
Never.
Edith's overdose
was an accident,
and your hospital missed
an opportunity to save her life.
I'm sorry.
Thank you.
You may step down now.
The post-mortem indicated
Edith was using opioids regularly.
There were multiple puncture marks
on her body
consistent with drug injection,
and hair follicle samples
contained opioid metabolites,
indicating long-term use.
In your opinion, did opioids
contribute to Edith's death?
Yes.
Toxicology and pathology
confirm intravenous administration
of the opioid drug fentanyl
caused Edith's death.
Had Edith taken a large amount
of fentanyl?
We found high levels of fentanyl
in Edith's blood.
63.8 micrograms per litre.
So, given the high levels
of fentanyl found in Edith's blood,
was the overdose likely to have been
deliberate or accidental?
Fentanyl is 50 times stronger
than heroin,
but a seasoned drug user like Edith
would know you only need
a small amount to feel its effect.
So why did she take so much?
On the other hand, she could easily
just be pursuing a greater high
and miscalculated the dose.
Thank you.
I have no further questions.
Mrs Roberts?
No, sir.
Sir Anthony?
No, sir.
In that case I'd like to thank you,
Dr Adeyemi. You may step down.
The next witness I would
like to call is Dr Eva Tait.
Dr Tait, would you care
to swear or affirm?
I'll swear.
In that case, there is a small card
on the ledge in front of you,
if you'd read from that, please.
"I swear by the Almighty God
"that the evidence I give
shall be the truth,
"the whole truth,
and nothing but the truth."
Thank you, Dr Tait, for taking time
out of your maternity leave
to be with us today.
The court much appreciates that.
It's the least I could do.
Now, you were Edith's
addiction consultant
at the Guelder Clinic
from May to October 2021?
Yes, that's right.
Edith had a complex history
of drug misuse,
including cocaine,
alcohol and heroin,
which was her main problem.
And she wanted to be free of it.
But she engaged well
with the treatment,
and she achieved this.
She was abstinent when she left us.
So, was there any possibility
that she could have relapsed?
Well, yes, sadly.
For opiate addicts,
their risk of relapse is high.
Particularly now that it's easier
to buy synthetic opioids,
such as fentanyl, on the streets.
And when Edith was under your care
did she ever express
suicidal tendencies?
Yes.
Erm
We did extensive work
on her negative thoughts
and core beliefs,
but her suicidal ideation
remained a prominent problem.
She
It's OK, take your time.
Thank you.
It's very sad.
Why the hell didn't you say you knew
Edith from the Guelder Clinic?
Shh, Lucinda, have you
forgotten where we are?
We're at the inquest
of a girl who died
because Rob prescribed her fentanyl.
What the fuck was he thinking?
You can't prove that
the fentanyl came from Rob.
Edith could easily
have bought it off the street.
He told me he was prescribing her
He told me he was
prescribing her methadone.
She was a patient of YOURS.
No, she was not my patient
when she died.
I hadn't seen her for months.
No, Rob specifically called me
because he didn't want anyone
looking into his prescribing.
He was covering up
what the hell you two were doing.
No, I haven't done anything.
If Rob was prescribing for Edith,
I knew nothing about it.
OK, so how did he know them?
How did he know Camilla, Alexander,
all the other patients -
is it just a fucking coincidence?
Is it just a coincidence
that they were all being treated
at the Guelder Clinic?
I have done nothing wrong,
but you have covered up, what,
three overdoses for Rob,
so you're just as implicated now.
He was prescribing
legal drugs to addicts.
Yeah - addicts like you.
Listen to you,
accusing me and Rob and
you seem to have forgotten
about your own drug habit.
I wonder what the MIU
would make of that?
You wouldn't dare.
Wouldn't I?
If you don't stop
pointing the finger at us
I will have no choice.
And judging by the sound of you,
you're due a refill.
If you weren't so busy accusing me
I might have been able to help you.
Tom?
Abi?
I've gone through the A&E notes
for Alexander Taylor
and Camilla Woodham, but nothing
indicates Lucinda knew them.
How was the inquest?
Oh, you know, long.
None of the RH team even
gave evidence today,
so it was just the pathologist,
Edith's psychiatrist from
the Guelder Clinic, and her mum.
The Guelder Clinic?
Wait, hold on.
I'm sure
Oh, yeah, yeah.
Both Camilla and Alexander
were detoxed there.
Well, that can't be a coincidence.
Could Lucinda have
a connection to the clinic?
Will you go there tomorrow
and see what you can find out?
Yeah, yeah. Will do.
Camilla
In your statement,
you said there weren't any options.
Edith was the most stable patient,
she needed to be moved,
so Dr Edwards
showed poor clinical judgement,
wasn't able to prioritise,
and delayed Edith's transfer
for, what, no reason?
Uh, perhaps, I don't remember.
Really?
You don't recall pressurising
Dr Edward's
into prioritising Patient X
because, I quote,
"She's just a child,"
over Edith who, I quote,
"Was just a junkie?"
No!
Well
we have a statement from a porter
who alleges you did just that.
No, I would never use the word
junkie to describe a patient.
That's derogatory. I
I just wouldn't
I wouldn't use that word.
Hmm.
You know,
sometimes facts like that are
Well, they're hard
to remember, aren't they?
No further questions, sir.
Thank you, Sir Anthony.
Mrs Roberts, any questions?
No, sir.
Thank you.
Thank you, Mrs Relph,
you're free to go.
Please step down.
Our next witness is Dr Ramya Morgan.
Would you care to swear or affirm?
I'll swear.
Would you like an alternative text?
No, the regular Bible's fine.
Thanks.
OK, thank you.
If you would read from the card
in front of you, please.
"I swear by Almighty God
"that the evidence
I give shall be the truth,
"the whole truth,
and nothing but the truth."
Thank you.
Sir Anthony, your witness.
Dr Morgan.
Can you take us through
your involvement
in Edith's A&E care?
Um
I was bleeped to Resus
to watch Edith
while Dr Edwards took care
of an emergency in reception.
And when she came back
I thought she would continue
looking after Edith,
but instead I was told
a Patient X needed Edith's bed,
and I was going to Majors
with Edith,
and Dr Edwards gave me
a treatment plan.
And what was that treatment plan?
Dr Edwards asked me to give
800 micrograms naloxone,
and if Edith's breathing improved,
to let her know.
And what happened next?
Well, after the naloxone was given,
Edith's respiratory rate improved,
so I returned to Resus.
Leaving Edith alone?
There were other staff around.
But no-one dedicated
to her care, correct?
Correct.
Did you consider waiting
and observing Edith
to see if the improvement
in her breathing
would be maintained?
I waited to see the improvement.
And then you left - immediately?
No, no. Uh, not immediately.
Uh, I can't remember
how long I stayed.
Hmm.
Dr Morgan, do you know how quickly
the initial effects of naloxone
can wear off?
I now know.
But you didn't know when
you prescribed the drug for Edith?
Did you?
How long have you been
a qualified doctor?
About 18 months.
How long did Dr Edwards
ask you to wait and observe Edith?
I'm not
I don't remember.
I'm so sorry, could you speak up,
so the whole court can hear you.
I don't remember.
And when you returned to Resus,
was Dr Edwards grateful for your
extra pair of hands?
I don't remember.
Well, let me help you there,
shall I?
I'm quoting from her statement -
"When Dr Morgan returned to Resus
"I asked her why she wasn't
with the overdosed patient."
So, clearly Dr Edwards
wasn't expecting you back,
so I'll ask you again,
why did you leave Edith so quickly
and return to Resus
to a different patient,
who was already being handled
by doctors with far more experience?
Dr Edwards never said that
I needed to stay longer
in case the naloxone
stopped working.
I'm sorry, are you saying
that Dr Edwards lied?
No, no.
What she said in her
written statement was false?
No, but I can only tell you
what I remember.
OK.
So, in this hospital,
full of competent doctors,
Dr Edwards didn't tell you
how long to wait with Edith,
and after 18 months
as a qualified medical practitioner
you didn't know how long
to wait either.
A&E is really hectic.
And patients turn up all the time
with conditions
that you don't know how to treat,
so you have to rely on your seniors
for the support to work safely.
OK, so what you're really saying is
that without instructions
from a senior
you don't know how
to treat an overdose.
No, I didn't say that.
But I'm a junior -
I'm there to learn,
and there's a lot to remember.
And after giving only one dose
of naloxone to my daughter,
you returned to Resus.
If you'd only waited
a few minutes more
you'd have noticed the initial
effects of the naloxone wearing off
and been able to administer
a second,
potentially life-saving dose,
but you left her
struggling to breathe
and under-medicated.
You effectively
left Edith to die, didn't you?
Hmm?
No further questions, sir.
Thank you.
Mrs Roberts,
questions from yourself?
No, sir.
Thank you. You may step down
when you're ready. Thank you.
Do you have any idea - any idea -
how damaging this is to the trust?
You threw me under the bus as soon
as he questioned your competence.
But I didn't know how long to wait.
And you didn't tell me the naloxone
would wear off so quickly.
Well, if you'd stayed
like I told you,
you would've seen
how quickly it wears off.
Instead you came to Resus. You need
to control your juniors, Leo.
This has got nothing to do with me.
I wasn't there.
Yeah, and you should have been
Hey, come on, guys, guys, come on.
Come on, rein this in.
We can recover from this,
but it is all going
to depend heavily on you, Lucinda,
not messing it up this afternoon.
You've got to stick to the script.
Have you got that?
Lucinda?
Have you?
I'm an A&E doctor,
I'm not a mental health specialist.
Assessing whether a patient
deliberately wanted
to kill themselves,
that should be done
by a psychiatrist, not me.
But Edith had deliberately
overdosed before.
Past behaviour usually predicts
future behaviour,
and in cases
where intent isn't clear
I always err on the side of caution
and code it as deliberate.
This ensures that the patients
are reviewed by psychiatry
prior to discharge.
And when did you become aware
that there was a problem
with Edith's care?
Shortly after
we stabilised Patient X
the alarms in Majors went off.
I ran to Edith, but she was already
in respiratory failure.
Edith shortly went
into cardiac arrest.
We worked on her for half an hour
but we never got her back.
Thank you, Dr Edwards.
If you'd wait there, please.
Sir Anthony, your witness.
Thank you, sir.
Dr Edwards, would you say Dr Morgan
is prone to forgetting
simple instructions?
Uh
We're all prone
to occasional forgetfulness.
Yes, but it's highly unlikely
that a doctor capable of learning
enough facts to pass her finals,
with distinction, 18 months prior,
wouldn't remember
the simple instructions
of watch, wait, and repeat a dose?
Well, in normal circumstances, yes.
But A&E isn't normal.
And with all due respect, sir,
memorising facts for an exam
is very different
to processing information
in a real-life,
high-pressure situation.
Yes, but even with
all this pressure,
Dr Morgan correctly remembered
the more complex details
you gave her vis-a-vis
the type of drug and the dose.
Isn't it more likely that
your instructions were unclear?
No, because she wasn't listening.
Yes, you said that Dr Morgan
wasn't listening,
and your colleague spoke
of your reluctance
to leave Edith with her,
so why did you?
Because I had no choice and I had
to make a decision, that's why.
Yes, you made all the decisions.
You dithered, and Edith
No. No, no. But I didn't
deteriorated. You chose
to leave Edith with a doctor
whose incompetence
has been shown today,
and that choice killed her.
Are you not therefore guilty
of gross negligence?
Sir, this is NOT a criminal court.
If I may remind counsel,
whilst I understand the
emotional distress of this hearing,
he must refrain from accusing
witnesses of criminal offences
they're not on trial for.
You treated my daughter
without diligence or due care.
A total disregard for the
for the severity
of the symptoms.
Erm
Sir, I apologise.
No further questions.
Thank you.
In that case, I'd like to bring
the session to a close.
I'll retire to consider my verdict.
We will reconvene in three hours.
Thank you.
Thank you, Dr Edwards,
you may step down.
And thank you, everyone else,
for your time.
Excuse me, Sir Anthony, I just
I'm very sorry for your loss.
Can I get a bottle of
the liquid NightSoothe.
Yeah.
Yeah, and
the one-a-night.
These both contain diphenhydramine,
so don't take them both together.
They're sedatives.
Take one tablet at bedtime
or a dose of the liquid
Yeah, I'm a doctor,
I know how to take them.
All right, OK.
For fuck sake.
Hello!
Hello!
How did it go?
Awful.
Let's just say I'm happy
to be back on the shop floor.
What are you doing?
Are you STILL doing that audit?
I've told you, Oscar,
nobody wastes medication in my A&E.
You know that.
Mm, you sure about that?
Mm-hm.
Yeah?
What's this?
A patient that Ramya saw
with Lucinda.
The patient needed 10,
not 40, milligrams of diazepam.
Hang on, are you telling me
that Ramya threw away 30mg?
Come on, it might not
be Ramya's fault.
Maybe they thought
the patient needed that much.
No, Oscar. Absolutely not.
40mg of diazepam for mild sedation?
That sounds like a Ramya cock up,
doesn't it?
Listen
Mm?
If you take medication
from the store
it is your responsibility
to make sure
you take the amount
that's actually needed.
I know.
Right.
Hi.
Hi. Can I help you?
Yes, my name's Dr George Adjei
from the Medical Investigation Unit.
We're investigating a doctor
who treated four
of your former patients -
Edith Owusu, Camilla Woodham,
Alexander Taylor and Milo Hanbury.
One of our doctors?
She's called Dr Lucinda Edwards.
She's currently at the RH,
but I was hoping you could tell me
if she's ever worked here
or has any connection to the clinic.
The name isn't familiar, but I'll
check our staffing records. Thanks.
No, no, she's never worked here.
Oh.
Has the clinic ever received
a referral from Dr Edwards?
No. Or have you ever referred
any patients to her at the RH?
No, no, there's nothing.
The name isn't anywhere
on our system.
OK. Uh
Could I get copies of the notes
for the patients I mentioned?
I'm afraid not. We
We would written consent
from each patient first.
Fine, can you contact and ask?
Of course, yeah.
I'll let you know.
Do you have a card?
Oh, sorry. One
Edith was treated
by a Dr Eva Tait -
do you know if any
of the others were?
I I can check.
No, no, they all
had different doctors.
Besides,
Dr Tait's on maternity leave,
she hasn't worked here
for six months.
Right.
I can tell you they were all
successfully detoxed
and rehabilitated
during their time here.
They were all completely drug free
when they were discharged?
Yeah.
We've broken that revolving door
addiction-patient tradition
so often perpetuated by the NHS.
Once our clients are discharged,
they don't need to come back.
They get what they pay for.
But the patients I mentioned
all relapsed and overdosed
after leaving this clinic.
You know Edith Owusu died?
Well, that had nothing to do with
the treatment they received here.
Yeah, but
it's not what they paid for, right?
No complaints have ever been made
against the Guelder Clinic.
OK. Not yet, but if you
keep focusing
on getting patients
out of the door quickly
instead of giving them
proper treatment,
it won't take long, will it?
Is that everything?
Yeah, for now.
Thanks.
Edith had taken a large amount
of a dangerous opioid, fentanyl.
It's impossible to determine
whether she intended
to take her own life,
or whether this was accidental.
Whilst I can find no fault with
the doctors' actions in relation
to the outcome of Edith's overdose,
I find it unacceptable that a doctor
working in a
high-pressure environment like A&E
should be reliant on instruction
from a senior
to correctly treat
an opioid overdose.
There is, therefore,
something amiss
in the training of junior doctors
within the Royal Hospital's
A&E department.
And, as such, I shall write
a prevention of
future deaths report
recommending the trust review
its medical education programme.
I would like to give
a narrative conclusion
that Edith Owusu died
following the self administration
of a large quantity of fentanyl,
resulting in cardiac arrest
and death.
That is the end of my conclusion.
I would like to thank you
for your time,
and please feel free to leave.
Well, that could
have been loads worse.
Were you listening
to a different verdict?
Thank you so much for all
your hard work today, Lucinda.
You really did us proud.
Hey, all right, Mike. Leave it.
She did her best, yeah?
Are you happy now?
Excuse me?
Edith's death wasn't my fault -
I assume we're done.
You know that's not how this works.
Oh, mate, you're so lucky
you were out of it.
I mean, it was horrendous.
Oh, really?
It literally made me feel like
the worst doctor in the world.
All I do is try my best,
and every time I get shat on.
I mean, what is the point?
Hey, our jobs make a difference.
Do they?
Yeah.
OK, how long have you been working
on that audit for?
And is it really going to save
the department any money?
Yeah, actually,
I think it will, yeah.
I don't know. I think you should've
recycled last year's audit,
like the rest of us.
It's a tick-box exercise, Oscar,
nobody actually cares.
THUMP
Being an A&E doctor is a privilege,
and maybe instead of complaining
all the time
you should focus on your work
and then you wouldn't make
so many mistakes, would ya?
Sorry, what the fuck
have I done this time?
Sorry, it may be my bad.
I may have mentioned
a dispensing error that you made.
What?! When?
Takes a look at that.
Lucinda told me to get 40mg,
and I even questioned the dose
at the time. I said
I wouldn't worry about this,
all right?
Look, look, look, my audits
Oscar
Listen, my audits aren't about
individual mistakes,
they're about saving money
that we're wasting
on chucking unused meds, OK?
Beth's going to get over it.
Hmm.
Right, so, Edith, Alexander,
Camilla and Milo were all treated
by different doctors
at the Guelder Clinic.
Eva Tait wasn't even there
when they overdosed,
she was on maternity leave.
So, Lucinda is still the only
concrete link we have between them.
Shit.
Well, besides them relapsing
and deliberately overdosing
after discharge.
Isn't it odd that they all tried
to kill themselves?
And using the same method -
I mean, what are the chances?
Isn't it more likely
that they came out of treatment
and accidentally overdosed because
they'd been off drugs for a while?
But if that were true
why would Lucinda code them all
as deliberate? Look.
Do we have Edith's file here?
Yeah, yeah, sure.
Oh, yeah, here you go.
All right, we asked Lucinda that
in her first interview.
And she said she changed this
to deliberate
to ensure Edith got a psych review.
She said it again
at the inquest, but
what if she
What if she just didn't want anyone
to know it was an accident?
But what does she stand to gain
by coding them as deliberate
if she knew they were accidents?
Because when it's an accident
you look at
what caused the accident.
The drugs!
Yes.
The drugs.
We've been focusing on
the wrong thing.
Her parents had Edith stop buying
street drugs a long time ago.
So where was she getting them?
We understand your disappointment
at the coroner's conclusions.
Edith deserved better.
If those doctors
had done their job properly,
Edith would still be alive.
Well
regarding that,
we would really appreciate
your permission
to take a little look
around Edith's flat.
What for?
Well, we're looking for anything
that might tell us
where she got the drugs
she overdosed on.
Are you trying to say that it was
Edith's fault that she died?
No, not at all.
We feel there might be
potentially something in there
linking Edith to whoever
supplied her with the fentanyl
that ended her life.
Hmm
Is she behind the mirror?
Nope!
Behind the curtain?
No!
Mummy, Mummy, where are you?
Is she
on top of the bed?
No.
Hello.
Camilla Camilla, hi.
This isn't Rob.
No, no, I'm the new doctor
that took over from Rob.
OK, can we meet
at Southern Square?
Yeah, I can meet you there
in half an hour.
Right. OK, great.
OK, see you then.
Mummy, come and find me.
Is she
under the bed?
I haven't been out of the house
since the inquest. Please.
Yeah, it's fine. OK, OK.
Yeah?
Yeah, yeah. Fine, fine, fine.
Are you going to be good for Daddy?
These are stickers!
Oh, she's got stickers for you!
Come show me,
what have you got there?
Thank you again so much for this.
We really do appreciate it.
OK, so, this key
is for the front door
and this key
is to Edith's flat - Flat B.
You're not coming in?
Uh it's too difficult.
Just put the key through
the letterbox when you're done.
Thank you.
Did you remember gloves?
Oh. Yes.
Um, well,
I'll take this room and the kitchen,
and you take that first bedroom
on the way in,
and the middle one,
and that bathroom.
Yes, boss.
All right.
Excuse me, uh, Camilla?
Yeah.
Jesus fucking Christ.
Jesus
We've actually met before.
I treated you
a couple of months ago in A&E.
OK.
Well, I don't pay this much
to be kept waiting, so
Oh, of course.
Fentanyl, 50 patches,
enough for a month.
Did you say a month?
Yeah, that's what Rob prescribes me.
There's a week prescription.
A week?
What the fuck
am I meant to do with that?
I don't know. You figure it out.
You're either going
to take it or leave it.
How do you pay Rob?
Do you pay him here or later?
I pay the pharmacy,
like I usually do.
See ya.
Norma!
Right, are you ready
for some dinner, darling?
What are you doing?
Eh, Abi?
Abi?
Come on, come on!
Come on, move!
Help in bay four, please.
Help, please, help.
Here.
Tom?
She's not
She wasn't breathing,
she was just lying there. OK, OK.
Just calm down, take a breath.
Now tell me what happened.
I think she got hold of some
some diazepam.
Can you page ITU now, please?
Is she going to be OK?
Are you sure it was diazepam?
Yeah, there was an empty strip
of 10mg tablets lying next to her.
Why do you have that strength
of diazepam lying around the house?
I had a
a shoulder injury.
I had a prescription.
OK, and how many tablets
were left in the strip?
I don't know, maybe a couple.
OK.
Is she going to be OK? Even if
there was only one Yeah, OK.
Tell me she's not going to die.
We're going to need flumazenil.
Beth, could you give her
120 micrograms over 15 seconds
and set up an infusion, please.
Thank you.
She's not going to die, is she?
She's going to be fine.
She's not going to die, is she?
Need airways securing?
Yes, please, thank you, Sam.
And could someone take Tom
to the relatives' room, please?
Come on, it's just this way.
Luce, it's Tom.
You have to come
Come to the hospital. We're in A&E.
It's Abi, she's really sick, right?
So just come come to the hospital.
Call me back. Call me
Hi.
Hey, are you all right?
How can I help?
The young lady
who was just in here, I'm her GP.
Erm, what young lady?
The one who just paid you
for her fentanyl prescription.
She paid the normal
NHS prescription charge,
like everybody else, so
I know she paid you extra.
Can I speak to your manager, please?
I don't want to cause any trouble,
I would just like to meet them.
Right, yeah. Wait here.
Thank you.
Luce, just pick up your phone.
Why aren't you picking up?
Fucking
Luce, it's Tom.
Pick up your phone.
Call me back.
Something's happened.
Right, you can come through
to the back.
Pick up your phone, it's Abi.
She's not well.
OK? Just come to the hospital.
Are you all right? Abi
Abi's not well.
She's taken some pills.
Lucinda, it's Beth, I need you
to come into the hospital.
Call me back.
He's waiting for you in the back.
Pick up your fucking phone.
It's Abi. Hello?
Lucinda, it's Leo here
Do you want me to go and get him?
I need you to come to the hospital
as quickly as you possibly can,
please.
Abi's not well,
come to the hospital now.