Bodies (2004) s01e05 Episode Script

NARRATOR: Previously on Bodies.
I had the opportunity to do a cric and I botched it.
Every doctor makes mistakes.
Oh shit.
Everybody in this hospital knows that Roger makes mistakes again and again and again.
I can't control the bleeding.
This is about you Rob.
Your negligence not mine.
Push him out the door with glowing references.
Pretty soon he'll be some other hospital's problem.
It's you this should be happening to Roger.
Not me.
I'm pregnant again.
It's my fault she's a cabbage.
We're beginning a trial of a membrane stabiliser called Substance K.
Everything's going to be all right now.
(WOMAN MOANING) Tim? Polly meet Deirdre Stott.
She has a 12-month history of intermittent vaginal bleeding.
- Wait 12 months? - Yes and she - What's the name of this department? - What? It's starts with an "A" and ends in an "E.
" - A&E? - Accident and Emergency.
This is neither accident nor emergency.
She has a gynaecological problem that I think needs treating.
- She should see her GP.
- She has.
They should have referred her to Gynae Outpatients.
They did and she's still waiting to be seen.
It is not my problem if her doctors can't get their arses in gear.
- Who are they? I'll give them a call.
- Actually Polly it's you.
- I'll admit her.
- There's just one problem though.
The good news Mrs Stott is that your wait is over.
The bad news is we don't have a bed for you I'm afraid.
- Sorry.
- Sorry.
Did you mean it? About me not being around? Mean what? Me not being around making it easier for this thing to fizzle out.
I meant it would be easier might be easier.
- Is that what you want? For it to be easier? - Hi.
- She's due for a theatre tomorrow Mr Lake.
- Okay.
Because if I get this job I'm not going to be around.
Could you just hold that for me please? Lovely.
What time's your interview today? 10:00.
Shouldn't be back too late.
Do you want to nip over later? Probably not.
Okay.
Good luck Mr Lake.
It's been a pleasure working under you.
MAN: Welcome, Mr Lake.
I'm John Field Principle Consultant in Obstetrics and Gynaecology.
- Good morning.
- Mr Lake you already hold a Specialist Registrar post.
Why do you want to transfer to a new hospital? (STAMMERING) Well my current post has been a very fruitful experience but it's made me reconsider my goals.
The grounding offered at this rotation is second to none.
Mr Lake what would you do if you were scrubbing for a list and you smelled alcohol on your consultant's breath? That's a good question.
Um Well if there was a clear and present threat to the patient's safety I in private would speak to my consultant and suggest that perhaps they should forgo the day's clinical duties and if possible I'd try to involve one of their trusted colleagues.
In the long term I'd be worried about my consultant's welfare.
The demands on the consultant grade have never been higher.
- Hear hear.
- And well his or her drinking could be a cry for help.
Again this would all be in confidence and I'd try to involve one of their trusted colleagues.
Good.
Just one more question before I hand over to Mr Denning.
What brought you into obstetrics and gynaecology? Well my mum was a midwife.
Couple of aunties too so I suppose my image of doctors was not so much that they looked after the sick and dying but more they were bringing new life into the world.
- Gynae.
- Dr Consuela Gonzalez Rivera.
I am the new Senior House Officer for Mr Whitman.
I am very happy to meet you at last Mr Whitman.
This is Polly our Registrar and Gynae Ward Sister Donna.
Nurse! Sorry Tony.
Are you all right Ivy? - Is it normally like this? - No today is a good day.
Let's get you to the toilet Ivy.
(IVY WHIMPERING) It's okay.
This is Mrs Stott.
She's for theatre tomorrow.
(WHISPERS) Well I don't know about porters to get her on the table.
Bloody crane more like.
Morning.
Maya this is Louise's sister Iris.
She's only just come back from abroad.
She hasn't had today's Substance K yet.
She's got to have it on time.
Why hasn't anyone given it to her? Well the best data on the pharmakinetics give us a two-hour window on dosing.
Maybe I should just give it myself.
We must have faith.
Here are my figures relating to Obstetrics.
Total number of deliveries 49.
Maternal deaths zero.
Perinatal deaths one.
Sadly one of our mothers lost her baby at 25 weeks.
She had a history of miscarriages and the cause appeared most likely to be cervical incompetence.
And now I believe I'm handing you over to Unit General Manager for a quick word.
Mr Tennant.
Thank you Roger.
This week is the hospital's annual audit.
Now I cannot overemphasise the importance of achieving the targets set by the Department of Health from which this unit will be star rated.
Audit day is the most important day of the year.
Now we have to reduce waiting times in order to become a 3 star hospital.
Now ladies and gentlemen that is what we are here for.
(WHISPERING) Not to treat patients.
Now all departments are going to be involved in the audit but perhaps Mr Whitman as Principle Consultant you'd like to make some comments specific to Obstetrics and Gynaecology.
(CLEARS THROAT) Yeah.
So rah-rah O&G.
Let's try our very best to help the hospital win its 3 star rating.
That's right 3 stars! 3 stars! 3 stars! 3 stars! 3 stars! 3 stars! 3 stars! 3 stars! Excuse me.
Excuse me.
I'm terribly sorry.
We're going as fast as we can but you're just going to have to wait.
So Tim amuse me.
What's their target for A&E? 90%of all patients to be either admitted or discharged in less than four hours.
Tossers.
Mr Tennant Tim Sibley A&E Senior SHO.
If there's anything I can do to help the hospital get a 3 star rating don't hesitate to let me know.
- You taking the piss? - No.
Goodness no.
I really mean it.
Thank you Dr Sibley that's most refreshing.
(MAN RETCHING) You'll find that man needs your attention.
Ah the Department of Health have given us advance warning of their assessment.
Now we are going to double shifts hire agency staff and cancel all routine operations.
Bed 24.
Pooja Sharma under Mrs Obi-Nadozie.
Two days post-hysterectomy.
No problems.
That's everyone there you are.
Right okay girls.
Er Has anybody seen the bank nurse yet? They get paid twice what we do and then they don't turn up.
Oh no.
Yeah this is Sister Rix Gynae.
I booked a bank nurse last week for one of my members of staff who's on holiday.
Cancelled? Who cancelled her? That means someone's got to do a double shift.
Okay.
Anyone want Guess it'll be me then.
- Donna sorry to bother you.
- Okay.
Donna? - Sister? - Sister? Donna? One of my staff tells me you might have eaten something that's disagreed with you.
- Hi.
- Hiya.
What happened? Shitty day totally shitty day.
Just didn't want to go home sorry.
Don't be sorry.
How'd it go today? Okay.
Not well? Got the job.
I've failed here.
Didn't stop Hurley.
The Taylors didn't get their compensation.
And I'm walking away with a false reference.
It's not false you're a good doctor.
- Am I? - I think you are.
We don't have to stop seeing each other you know if we don't want.
If you don't want.
I know it'll be different.
It'll be like stealing an hour after one of my shifts.
You'd have to tell him about us.
Do you want to? No of course I don't want to.
What? Nothing.
TIM: Not long now.
Have you in and out.
Get you sorted out.
Do you know how long I've been standing here? I'm sorry Maya but the rules say that a patient's waiting time doesn't officially start until they've entered the Casualty Department.
- Number 3.
There you go.
- What's this? Oh I'm doing a double shift.
I'm doing my own job but through an agency as a locum.
At double rate? Triple.
Marie MacDonald I'm Dr Dutta.
- Well? - Well what? Thank you guys.
Thanks a lot.
So what do you think? - It is a coffee machine? - No no no the plaque.
The plaque.
"Donated by Bing-Stornoway-Carroll Pharmaceuticals PLC "in association with Mr AJ Whitman.
" How admirable.
Consuela perhaps I could offer you the inaugural cappuccino? Yes that would be nice.
Thank you Tony.
Mmm.
So why don't I whip up a Whitman? Is her HCG back yet? - Not yet.
- Okay.
We're talking about the pregnancy hormone HCG Mrs Moriarty.
If the levels are raised then we might suspect your pain is due to an ectopic pregnancy or some other gynaecological condition.
If the HCG isn't raised then it'd be some other problem and I'd hand you over to the general surgeons okay? So what do you want me to do? If her HCG comes back low turf her to the surgeons.
Okay.
Okay.
Leave it to me.
TIM: Rob? Look I'm not being funny but you're not thinking of leaving that patient over there are you? I have that option.
Considering we're not conjoined twins yeah.
Mr Lake today is target day.
We're all really going for it down here.
90% of patients either discharged or given a hospital bed in four hours or less.
I mean no one wants A&E to not hit its targets just because O&G are on a go-slow.
Piss off Tim.
Please Rob.
Look we haven't got a diagnosis we have to wait for the test results to see whether we admit her under O&G or turf her to the surgeons.
Simple.
Thank you.
Christ Almighty how do they pay for all this? Erm Rob said to forget about the HCG.
Just get her up to O&G.
But there isn't a bed for her yet.
Rob said to discharge someone make room for her.
Okay.
Kat is Ivy being discharged? No I'm giving her a day at the zoo.
- She isn't fit to go.
- So what? The doctors have given the okay.
Just just a moment please.
Why are you discharging Ivy Redwood? To empty a bed for a new patient.
Dr Dutta.
Great thanks.
Kat the new patient's HCG has come back.
It's normal.
- She can move to General Surgery then.
- Who can? Rasheen Moriarty.
The woman from A&E who took the empty bed.
Her HCG isn't raised so she's not Gynae after all.
Who wanted her admitted without a proper diagnosis? Rob.
Well her bed's going to be free again so she can stay.
First she goes then she stays.
We're going to give her vertigo.
Ivy! Mr Lake what do you think you're doing? You've discharged a patient who isn't ready for home to make way for another who isn't even a Gynae patient.
- No I haven't.
- Maya? - You did Rob.
- I didn't.
Because you two can't even talk to each other without getting confused two patients have been dicked about.
You are crap.
We're talking about the woman who was waiting on the HCG? - Tim said you said not to wait.
- Tim? (MAN GROANING) What's a joint like this doing in a nice girl like you eh? Rob look I'm really sorry.
I had no choice.
Management are all over us to get our targets.
You know how it is.
Quick word.
(SLAPS) - Gail? - Yeah.
Hiya I'm Debbie Clarke I'll be the midwife looking after you today.
- This is Darpak.
- Hello.
- So when did you start contracting? - About 8:00 this morning.
The contractions were weak and widely spaced but now they're strong regular.
- And five minutes apart.
- My membranes haven't ruptured yet.
The neck of the womb hasn't really begun to dilate at all.
I think you've actually got quite a long way to go.
You'll see.
- Thank you.
- Yeah thank you.
Hiya.
Carton of milk please.
Can I get that as well please? Thank you.
- So you're a nurse? - Yes.
- And are you medical as well? - I'm a GP.
- Everything all right? - Relax it's fine.
- GAIL: Ah.
- Sorry.
Sorry all fingers and thumbs.
It's silly I was fine till I found out you were both medical.
You're making steady progress.
Is everything all right by you? You don't want to try and speed things along do you? - No.
- We're in your hands.
All right bye.
Moron.
She thought she was in labour turns out to be wind.
We've got antenatals building up.
Two electives due in tomorrow.
No advanced labours tonight.
- How's yours? - They're medical.
Oh that's all we need.
She's been in labour all day there's nothing doing.
Reckon she could easily go overnight.
Here we are twiddling our thumbs and we're going to be overrun tomorrow.
Patients are going to be kept waiting.
You know how much the management's into getting the waiting times down.
Well what can we do about it? Let's try and deliver it tonight.
Who's on? Rob.
(MUSIC PLAYING) (KNOCKING AT DOOR) (KNOCKING AT DOOR) Hiya.
I've got something for you.
(PAGER BEEPING) (PHONE RINGS) - Labour ward.
- It's Rob.
One of our mum's is stuck not progressing at all.
She's been delayed for hours.
We would like to speed her up.
Do we have your permission for ARM and synto? How many hours has she been in labour? How many centimetres has she dilated? Three to four.
And why exactly do you want to accelerate her? She's a nurse he's a GP they've asked for it.
- Okay.
- Thank you Doctor.
Yes! Now you might not like it.
- Koala bear.
- Nice.
Get your clothes off Sheila! - Very clever where'd you learn that trick? - Me dad.
Me and brother when we used to go to sleep at night he'd say "You two boys "time to go to sleep.
Keep your mouths closed no more talking.
Night-night.
" We'd say "Good night Dad see you in the morning.
" Thank you.
Leave him.
Come with me when I go.
(PHONE RINGING) Labour ward.
And how far apart are they? And have her water's broken? Oh yeah come down we're really quiet tonight.
Matthias M-A-T That's great.
All right thanks see you later.
- Labour ward.
- It's Hazel.
- Sorry running late.
- Sorry Debs.
My fault.
No problem.
Bye Debbie.
(PHONE RINGING) Hi Hazel.
Labour ward.
- Priffy's called in sick.
- Like that's never happened.
I need you to look in room 1Gail Gill.
- She's a nurse he's a GP.
- Marvellous! (PHONE RINGING) Labour ward.
(GAIL GROANING) Who cancelled them? Time to push now Gail come on.
One two three - Big push now.
four five six seven eight nine ten.
- Well done well done.
- Well done love.
- It hurts.
- You're doing really well.
You're doing really well Gail really well.
Debbie if you get this message tonight can you come back in? I've got one off sick and someone's cancelled the two bank midwives without telling us.
Thanks.
- Labour ward.
- Ambulance, we've got an emergency breech.
She's breech booked in for an elective section next week but she went into labour tonight.
Okay no problem I'll do a semi-elective.
- I bleeped Maya she's on her way.
- Thank you.
MAN: Oi! (BANGING) For God's sake give us a break.
Hello! (BUZZING) Labour ward.
- We're here, Mr and Mrs Matthias.
- Who? Mr and Mrs Matthias, we phoned about an hour ago.
- My wife's in labour.
- Matthias? Nobody told me you were coming.
What's the matter with you? My wife's in labour here! (DOOR BUZZES) Push me girl! Push! - You're doing great.
- The next push the baby'll be out.
- ROB: Feel that? - No.
- She's fine.
- Okay.
- Everyone here? - Paeds are ready.
Good let's get baby out.
Knife.
Come on push for me now Gail push! It's coming! Here it comes.
Here it comes.
Here it comes.
(GAIL SCREAMING) Push! - Is something wrong? - Come on push Gail.
Push! - What's happening? - Push! Big push! Push now big push! Shit! Shit! Push! Shit! Help in room 1! Help! Room 1! This is a shoulder dystocia.
Can you help? - I never did much obstetrics.
- Pull the button on the wall get help.
Come on push! (ALARM BLARING) Shit what's happening? - What's wrong is the baby okay? - Don't worry it's not you.
- It must be one of the delivery rooms.
- Give me the Doyens.
Do you know the McRoberts manoeuvre? McRoberts.
Grab her leg.
Do what I do stretch the hips externally rotate.
- Is it working? - Push Gail push! - Is it working? - No go and get help! - No! - Darpak quick please.
Darpak don't leave me.
Please don't leave me.
(GAIL SCREAMING) (ALARM BLARING) - We need help.
- This lady's in labour I can't leave her.
There are others in theatre.
- Hey you can't come in here.
- Please our baby's a shoulder dystocia.
We tried the McRoberts manoeuvre but it's failed.
- Shit! - Maya can you hold the fort for me please? - No.
- Call Roger or one of the other registrar's.
Don't do anything sit tight.
Rob I don't want another Louise Weazer.
What's going on? There's just going to be a short pause in the proceedings.
The suprapubic pressure isn't working I'm going to have to do an episiotomy.
Okay I'm going to make a cut in your vagina it's going to help the baby come out.
Come on.
When's he coming back? I know I'm very sorry.
It won't be long now.
What about my baby is it okay? (PHONE RINGING) Theatre.
Mmm-hmm? Thank you.
The only Registrar they can get hold of is Stammer.
Hmm.
- So how long is Mr Hurley going to be? - I don't know.
I can't I've never done a section.
(GAIL SCREAMING) Shit! Episiotomy hasn't worked.
Baby's shoulders won't clear the pubic arch.
McRoberts has failed I can't rotate the anterior shoulder.
Let me try.
(GAIL SCREAMS) Shit.
It's jammed on the symphysis.
We're going to have to try and deliver the posterior arm.
I've got a section on the table with only Maya in theatre.
Okay go go.
Just get back as soon as you can.
- Boss I can't just leave.
- I've got it go.
(GAIL SOBBING) Baby's other shoulder is jammed on the base of your spine.
We're going have to try and break your baby's collar bone to narrow his shoulders to squeeze him out okay? The fracture will heal but I have to do this to get your baby out do you understand? I have to break the clavicle to deliver the arm.
You're going to hear a crack now it'll sound worse than it is.
(BONE CRACKS) Shit.
It won't come out.
Shit it won't come out.
Shit! - ROB: It's a big one.
- Thank God for that.
Stammer all yours.
Cl-cl-cl-clamp.
Can't deliver the posterior arm it's jammed against her side.
Shit! Push! - Push! - I'm pushing.
- No the shoulders are still stuck.
- Fuck! ROGER: I can't Shit! I can't - We can't get him out.
- Do something please! Please do something! We can't get him out.
We're going to have to get her to theatre I've never done it in me life.
Me neither.
Fuck it let's go.
Prep theatre number 2 now for emergency section.
- What? - Theatre 2 now! ROGER: Come on let's go.
We're going to push the baby back up and deliver him by Caesarean section.
Neither of us have done this procedure before but it's the only chance to save your baby.
- Maya call the Paeds.
Look after Dr Gill.
- Who's Dr Gill? ROB: Knife.
It's moving.
- Okay.
- Curved scissors.
All right get your hands in.
Big pull.
Clean knife.
Paeds are here.
(BEEPING) - Are you into the uterus yet? - Through now going down.
ROGER: Come on.
ROGER: Get your hands on him.
ROGER: Pull! Okay frontal pressure.
(BABY WAILING) Think I'd be just as noisy if I'd been through the same.
Can Dad see baby? Yeah I reckon he could.
Congratulations Dr Gill you have a baby boy.
We're just closing up your wife's Caesarean.
Thank you.
- He's going to be fine.
- (SOBBING) Thank you.
(BOTH CHATTERING) (NURSES LAUGHING) (DOOR CLOSING) Donna I'd given up on you.
I got your message.
I should have returned your call I'm sorry.
I know how hard this is on you.
Consorting with excluded personnel.
That'd make me public enemy number one.
Public sector enemy number one.
Things are moving forward.
- I feel hopeful.
Cautiously hopeful.
- Good.
Good.
- And how's the bump? - The bump it's okay.
Yeah it's good.
A lot less nausea at last.
Great that's great.
- I'll call you let's meet up.
- Yeah that'll be nice really nice.
I really really hope things go well for you today okay? - Thank you.
- Yeah.
Okay.
- Thanks for coming.
- Yeah you're welcome.
Hospital security please.
Hello my name is Dr Maria Orton I'm attending a medical examination today.
And I'm supposed to be escorted in by someone from security.
I was told someone was on his way but I'm still waiting.
Okay.
- Maya.
- What's going on? There's been no improvement with the Substance K.
She's shown no sign of recovery.
- They want to test her for brain death.
- What? They'll do a test today and then they'll repeat it after 24 hours.
Then they'll switch her off.
I'm sorry Maya.
You can't switch her off she's on Substance K.
For fuck's sake.
Maya I know you feel responsible but you have to face facts.
She's had devastating anoxic damage she's shown no sign of recovering.
Mr Whitman you must have a say in this surely.
What about your figures? Well it's more than 30 days since I performed the hysterectomy so if she does die it's not a perioperative mortality it goes straight to ITU's figures.
No.
She can spontaneously combust as far as I'm concerned.
Hi my name is Raj.
I'm one of the Consultant Psychiatrists here.
The hospital management have asked me to meet you following their decision to place you on indefinite psychiatric sick leave.
The purpose of this mental state examination is to establish your psychiatric and emotional fitness to return to duty.
- Do you understand that Maria? - Yes I understand.
I'm not stupid.
You've been off work how long now? Eight weeks.
And this was because you suffered an emotional breakdown? No.
The management persist with this misinformation.
I presented them with a catalogue of Roger Hurley's negligence.
I was then put on leave pending an inquiry.
The inquiry never happened.
I was then informed I was on indefinite psychiatric sick leave.
Have you ever suffered from a mental illness? Not when I blew the whistle on Roger Hurley.
Please answer the question Maria.
- Have you suffered a mental illness? - You know I have.
- Would you tell me about that please? - You know about this.
Why are you asking me to go through this? I'm sorry Maria.
I'm working under orders.
My husband and I have been trying for a baby for many years now.
Ten years I would say.
I resorted to IVF.
I failed on the first cycle.
On the second cycle I became pregnant.
At nine weeks I miscarry.
I actually find this really painful to talk about.
And given that you have my information on your records I resent having to relive this under these oppressive circumstances.
I'm sorry.
- And you were incapacitated? - Yeah.
I took three months sick leave.
You got over it then? I'm not over it no.
But I got myself together.
I got back to work.
Why do you say you're not over it? Because it still upsets me to think about losing my baby.
Sometimes when people are very upset they have strange experiences.
For example they might hear voices when there's no one in the room.
- Do you hear voices Maria? - No.
I don't hear voices.
I don't have hallucinations.
I don't think that the Ten O'Clock News carries coded messages.
Do you have anything sensible to ask me or can this farce be over with? (KNOCKING AT DOOR) We're organising a little surprise drink for Rob you know for getting the new job.
A couple of us are on call so it's going to have to be at the hospital unfortunately.
I know it's short notice but it'll be great if you can make it.
But don't worry too much if you can't.
(MUSIC PLAYING) So Rob now is as good a time as any.
I get very embarrassed very embarrassed by all this stuff.
Here you go.
"Good luck Rob.
" CONSUELA: Come on what is it? POLLY: Come on open it.
Why do you support Man U you twat? Thanks Polly.
How did you know? - Well a girl picks up on these things.
- Come on.
Try it on Rob.
TONY: Listen could I get anybody a bit more wine? - There's some more in the fridge.
I'll go get it.
- No it's okay.
I'll go.
Polly? Ever since this St Lucia thing I never know how to act with him.
What is this St Lucia thing? (IMITATING SPANISH ACCENT) Yes.
What is this St Lucia thing? He asked me to go with him on a conference and then he said he wanted me to sleep with him while we were there.
He just asked you? - Cool.
- Yuck.
- Yuck.
Horrendous horrendous.
- What did you say to Tony? - No.
- What kind of a conference is it? Oh it's the Second Annual Symposium on Female Sexual Dysfunction.
Dullsville but it would have been the Caribbean.
HAZEL: It's still not worth it.
The Caribbean.
The Caribbean.
Thy rod and thy staff comfort me.
Thou hast anointed my head with oil.
She blinked.
Tom Louise just blinked.
Blink if you can hear me Louise.
Blink if you can hear me.
IRIS: Louise.
It's me Louise.
Well good night.
Now look can I give anybody a lift home? It's no trouble.
Me? Oh no honestly the It's five minutes on the bus.
- Consuela are you - No thanks.
All right.
Bye.
I thought the only sure thing in life was death.
So can I give you a lift Consuela? Connie? Yes please.
I hate this.
I hate that my life is so empty.
That this shitty superficial thing of ours means so much.
Yes.
I'll leave him.
I'll leave him.
DONNA: Won't be long now Mrs Stott.
Hey Polly.
This operation's going to be like an assault on the north face of the Eiger.
I'll sort this out Tony yeah? This St Lucia thing I suppose it was a mistake to ask you to shag me when we got there.
I'm not apologising it was worth a pop.
But I am big enough to take no for an answer.
Look I got a call from Bing Stornoway & Carroll.
They've asked me to finalise my party for the St Lucia conference.
I think you should still come Polly strictly as a professional colleague.
Thank you.
But that's not the thing that's bothering me.
- Consuela? - No.
You're accepting gifts from a drug company in return for unreliable biased research.
It stinks and I'm party to it.
Look I'm not the one who needs research credits to get on.
I've made it.
The one that needs them is you.
I'm doing this for you Polly.
This isn't going to be a hysterectomy more like the climax to Moby Dick.
TONY: Okay on three.
This is obviously a - DONNA: Yeah.
Thanks Tony.
corruption.
That's it.
(YAWNING) - Are you in theatre today? - No I just like the coffee.
Is Tony not with you? Mr Whitman's had to go and see a couple of ward referrals.
I'm finishing off the list on my own.
Are things not good between you now? They're okay.
Why? Well because you said no to going to St Lucia.
I said no to sleeping with him.
I'm still going to the conference.
Girl! - Is this some kind of joke? - What is? You're still taking Polly to St Lucia? - Looks like it.
- What about me? And what about you? I did something nice for you Tony.
You should do something for me.
Oh so you're saying you had sex with me so you could come to St Lucia huh? Of course I did.
You dozy bint.
My boss says if there is any sign of recovery however small we've got no choice.
We have to give her more time.
It's got to be the Substance K.
It's working.
Can't we just switch her off anyway? The histology in this particular example as you can see shows a cystadenocarcinoma.
Could be a sheep's cock as far as anyone can see.
The patient receives Cisplatin for six months and a second-look laparotomy confirmed disease remission.
Thank you.
Roger.
- John Field.
- John.
How are you? - Don't usually see you at these sort of things.
- Well I thought I'd make a special trip.
- Well done.
Very informative.
- Thank you.
- May I have a quick word about your Registrar? - Rob Lake? Yes he's going to be transferring to our rotation.
You gave him a glowing reference.
- You must be sorry to lose him.
- Yeah.
I'm curious.
May I ask why is he leaving? I'm sure that's something you covered in his interview John.
Of course Roger but if we employ a doctor in good faith and Roger you don't want people saying "Would you buy a used car from this man?" We send you a registrar who's really two SHO's welded together.
I believe the job here didn't turn out to be what he'd hoped for.
- Roger.
- Michael.
Hello.
PAUL: I'm sorry we've had to meet at this time.
My diary's full.
I'm just glad we're going to resolve this at last.
- Resolve? - I assume you have the psychiatrist's assessment.
Your psychiatric evaluation detected symptoms of anxiety and depression with associated paranoid thinking.
I'm anxious to get back to work.
I'm depressed because you won't let me.
And I think people are out to get me because they are.
Nonetheless Maria there is nothing in here that would convince anyone that there's been an improvement in your condition.
What condition? I am not mentally ill.
I'm perfectly fit to return to work.
I've got nothing to do.
Five years at medical school 10 years training three years as an Anaesthetic's Consultant and it's all just gone to waste.
You're making my life hell.
- Maria - What next a lobotomy? Yeah write that down.
Yeah.
- Are you all right? - What happens now? Well this wasn't so much a meeting as a meeting about having a meeting.
We should reconvene in due course.
You may bring legal representation should you so wish.
- We can consider our position - When? your long term position the needs of the Anaesthetic Department.
- When? - You will of course be kept on full pay (SHOUTS) When? Twelve months.
- You okay love? - Oh God.
- You all right? - Yeah yeah I'm fine.
I'm fine.
(SCREAMS) Oh God! Oh God! - No.
Just leave me.
- Why don't you lie down? - Just leave me please! - Come on Maria.
My God are you all right? - Let me call someone else Maria.
- Don't! Just go.
We're friends.
I'll look after her.
It's okay.
Maria? Maria let's call the Registrar someone who can do a proper scan for your baby.
I can find my own baby's heartbeat.
It's not beating.
Donna it's not ROGER: I've been looking through the case notes and some of the signs may have indicated that the labour needed accelerating.
Obviously that wasn't the case but I can assure you that the fracture will heal and the bruises will heal.
You think being a doctor will always help you but it's like being in a plane and seeing the crash coming and not being able to reach the controls.
Just seeing the crash coming.
(BABY GURGLING) Mr Whitman is seeing your wife now Mr Stott.
Wait on the telephone please.
Okay well you're recovering much more slowly than a less heavy person and at a far greater risk of infection than a less heavy person.
I have prescribed tinzaparin for her Mr Whitman.
- How much? - 3500 units.
Sorry.
You know those old safari films the ones with Stewart Granger in them? I don't understand.
Well when they used to bring down the elephant with a tranquiliser dart they didn't use the same dose they used for the antelope did they? No they didn't Mr Whitman.
Thank you.
(WHISPERS) She's a very large lady.
What must it be like for her husband? Yes I pity the poor bugger who has to climb up Mount Stott.
She's got a fanny like a wizard's sleeve.
Her husband is waiting to speak with you Mr Whitman.
Mr Stott Mr Whitman is here.
Yes hello Mr Stott.
Mr Whitman here.
- TONY: No I apologise.
- Rob can we have a chat please? TONY: I am so sorry.
TONY: I'm sorry.
So sorry.
- I've just been with the Gills.
- How are they? The other night we nearly had an obstetric death I'm looking into why that state of affairs arose.
This was the midwifery record.
"9:30 pm in first stage for 14 hours VE eight centimetres.
"Discussed with Mr Lake for ARM and syntocinon.
" I'd like you to explain to me why you decided to accelerate the labour.
That's not right at all.
She was stopped for 24 hours at three to four centimetres.
- They wanted it to be speeded up.
- Did you see the patient yourself? The midwives called me and said there was delay in the first stage.
- Did you see the patient yourself? - No.
The notes are as plain as day.
You ordered an ARM and synto.
She didn't need it.
That baby nearly died because you accelerated a labour that didn't need accelerating.
I thought it needed accelerating.
That's what I was told anyway.
What you were told? For all the attention you gave her they could've asked you if it was okay to lob the Gills' baby out the delivery room window.
- I know what I was told.
- And I know what the notes say.
When you messed up that cric on Mrs Strawberry I thought "Poor bugger he's just started.
I'll give him a chance.
" I covered for you then.
I won't any more.
I apologise.
I want to know why when you bleeped me you said Gail Gill needed an ARM and synto when the notes say that she didn't.
I don't know what you're talking about Mr Lake.
Do you know anything about this? Sorry.
How come the notes say "discussed with Mr Lake" when there was no discussion? You making up some fucking stupid decision to make your life easier and then blaming me - The notes say what they say.
- You bullshitted me to make your job easier.
Whatever this is about can't we talk about it? Why didn't you close the unit down? Why didn't you ask for extra staff? The management were looking for someone to blame.
It's never them.
They've blown the budget on extra staff for A&E and cancelled all our agency midwives.
- But it won't be them to blame it'll be me.
- Dottie! Fuck the lot of you.
Healed and wheeled Mr Cassidy.
- Excellent work Doctor Doctor.
- Thank you very much Mr Tennant.
- Outstandingly good work really.
- Thank you.
Sorry Mr Tennant.
What's happened to all of the extra staff and the empty beds? Well the targets were met.
Everything will go back to normal until next audit next year.
Right Mrs Keith John Field please.
John this is Roger Hurley.
It's about Rob Lake.
I feel you should know the real reason that this hospital is letting him go.
- You screwed me.
- I'm in the middle of a ward round.
He's just called me and told me I haven't got the job any more.
That's down to you right? Would you excuse me for a moment please? - We had a deal.
- Tell me the deal Rob.
You know what the deal is Roger.
I wouldn't talk about you and your ways so I could piss off out of this fucking mental house.
Calm down Rob.
This isn't about me it's about you.
The Gills' baby could have died that was your fault.
It wasn't my fault that that baby nearly died.
The midwives the lack of agency staff Dottie lying to me Everyone is to blame but you.
Same old song just like Angela Strawberry.
I made a mistake that's why Angela Strawberry died.
Me moving to a new job doesn't stop me having to live with that.
- You screwed me.
- You screwed yourself.
NARRATOR: Next time on Bodies.
- He's started asking questions.
- Donna you've got to tell him about us.
(WOMAN SCREAMING) - I thought I was on the theatre list.
- Sorry Rob.
That's gonna put the brakes on my brilliant career.
This could kill my practice.
Are we going to close the rectus sheath as normal Yes I know Rob.
I know what I'm doing.
What have you done to stop him? As I said Roger I'd rather not get involved.
You're not fit to be any consultant's registrar Rob.
You going home or are you coming with me?