Bodies (2004) s01e06 Episode Script
Episode 6
You're in my way.
NARRATOR: Previously on Bodies.
Every doctor makes mistakes.
Oh shit! Everybody in this hospital knows that Roger makes mistakes again and again and again.
- You're asking me to blow the whistle.
- Yeah.
No.
I won't blow the whistle.
Oh God.
Oh God.
It's not beating.
TONY: You had sex with me so you could come to St Lucia, huh? - Of course I did.
- You dozy bint.
You'd have to tell him about us.
Do you want to? Yes.
I'll leave him.
There were lots of mistakes.
It's my fault she's a cabbage.
When you messed up that cric on Mrs Strawberry I covered for you then.
I won't any more.
Why do you want to transfer to a new hospital? I feel you should know the real reason that this hospital is letting him go.
(THE ROCKAFELLER SKANKPLAYING) - What the hell is this? - I thought a change might be nice.
All right let's take a vote on it shall we? - The patient's under and ready.
- Bollocks to the patient.
Sort out the music first.
Jesus Christ sense of perspective Polly.
Now then who wants to listen to this instead of my usual? What does it say on the theatre list right at the top Polly? "Consultant Mr Whitman.
" "Consultant Mr Whitman.
" Correct.
So you lot can fuck right off.
(ROCK MUSIC PLAYING) ROB: What's her name? DONNA: It's Angela.
Angela Strawberry.
Angela the ENT surgeon's going to be here very soon.
In the meantime you've got to let the nebuliser help you breathe.
Rob.
(CHOKING) MAYA: Shit! DONNA: She's going.
- Rob.
- She's going to need a surgical cric.
Get back onto ENT.
Call Mr Hurley.
She needs it now Rob.
This isn't my fucking section Donna.
I've never even seen a cric.
You're the closest thing to a surgeon we've got right now.
- Still got an output.
- Just do it.
Hold her rock fucking steady.
- I'm trying.
- Try fucking harder.
ROB: Shit.
(CHOKING) Oh fuck.
Oh she's bleeding into her trachea.
I don't know what I'm doing.
I don't know what I'm doing any more.
Rob that's enough.
ROB: I had a chance to do a cric and I botched it.
You made an isolated uncharacteristic error.
And if you hadn't have acted that woman would have died.
She did die.
Rob I consider this a tragic accident.
An accident is where no one's to blame.
You're not to blame.
Rob this is Mrs Strawberry's son and daughter.
Could anything more have been done to save her? No.
Nothing more could've been done.
(PAGER BEEPING) It's Rob Lake.
The Registrar's here for you Nicola.
Sorry Rob.
This is Nicola Quinn a 31-year-old vbac.
- When was the Caesarean? - Two years ago for foetal distress.
Epidural's in she's fully dilated labouring nicely.
- But she's been having a tiny bit of PV bleeding.
- Okay.
I can understand you being a little anxious but a little vaginal bleeding really isn't anything unusual.
- Any pain? CTG okay? - No pain CTG's been fine.
I'm going to do an internal examination Nicola if that's okay.
- Okay.
- All right.
There is blood but it's only a little bit.
Everything else seems to be fine.
Really no cause for alarm.
I'm going to stick around for the next couple of contractions see how the CTG behaves okay? - Thanks Rob.
- All right.
Good luck.
(PHONE RINGING) (WOMAN SCREAMING) - What's happening? - Contractions have stopped.
- Help me please help me.
- What's wrong? - CTG? - Foetal distress.
- Can you feel what I can feel? - Yeah.
Prep theatre now.
Nicola I can feel two lumps in your abdomen.
One is your baby the other is the uterus.
Your womb's ruptured along the old Caesarean scar.
I'm going to have to do a new Caesarean you're going to require a general anaesthetic.
If the womb's badly ruptured I may have to perform a hysterectomy.
No! We need to do a section to save you and your baby.
No hysterectomy! I'll try and repair the womb but I have to caution you if it's ruptured or badly haemorrhaging then I'll have to perform a hysterectomy to save your life.
No! No hysterectomy.
I need your consent I need to get her to theatre now.
I need your consent.
Don't let him.
Please don't let him.
You know what it means to me.
I know your last child was stillborn.
I know how much having a family means to you.
But a recognised risk of uterine rupture is having to perform a hysterectomy.
If you're bleeding to death and I can't stop it I'm going to have to take your womb.
It's as simple as that.
I need your consent.
If you don't give it to me I can't operate.
Your baby will die you will die.
Thank you.
Doyens.
Okay.
Right let's pull the clamp for a core pH please.
Clamp.
Scissors.
- All yours.
- Okay to give synto? Clamp.
Okay.
Start ventilation please.
Forty units in 500 mils over four hours.
Oh come on.
There's a lot of bleeding.
Green Armytage.
- ROB: Another please.
- Ventilation.
More suction.
- More suction.
- I'm trying but there's so much blood.
Well try fucking harder.
Green Armytage.
Keep going.
Oh I can't stop the bleeding.
Shit I know you don't need to hear this Rob but her BP is dropping sats are going off.
TOM: Four more units of crossmatch please.
Quick as you can.
Shit.
More suction.
Oh shit I can't stop this bleeding.
Call in Mr Hurley for me please.
Hazel.
- Rob are you sure? - Call him in now.
- Can you get me a core pH Sister? - Haven't you seen the memo? - What are you talking about? - There's a memo from O&G admin.
All blood tests have to be agreed by the consultant.
- It's to save money on unnecessary tests.
- Get me a core pH now.
Clear it with Roger when he comes in.
So much blood shit.
- How's the baby? - Core value 6.
9 but she's pinked up on oxygen.
Transferring her to SCBU.
She's a total bloody mess.
Tom how is she doing? Not good.
She's bleeding out.
Why aren't you doing a hysto? - I was trying to avoid - Stop pissing about let's take out the uterus.
We're taking the uterus.
Abdo tray please.
- Still bleeding.
- She's stuck to it like cherryade.
For fuck's sake.
That's all we fucking need.
I'm on it.
Call the blood bank please.
We need four units of FFP as quickly as possible.
You won't get it without a named consultant's say-so.
It's in the memo.
"No blood products unless agreed by the consultant.
" For fuck's sake.
On my authority four units of FFP straightaway please.
Haematology confirmed her FTPs are up.
- DIC it is.
- Death is coming.
- We'll see.
- Just kidding.
- Sure.
Fuck off Tom.
- Rob.
Hey chill out man.
I was just kidding all right? There's oozes everywhere.
We're never going to stop this bleeding.
BPs are up.
Stats aren't bad.
Okay we're going to have to pack and close her for the night.
Okay I'll talk to ITU.
DOTTIE: Saline please.
Are we going to close the rectus sheath as normal - Yes I know Rob.
I know what I'm doing.
- I'm only asking.
Close the rectus and the skin as normal cover with a dressing.
TOM: It's stable but we can't control the bleeding.
Yeah they want to pack her and close her for 24 hours.
Good thanks.
They can take her.
Thank you.
Hot packs please.
Let's get them in.
- How long have you got left? - Two weeks.
Let's try and get through it shall we? Mr Quinn I'm Roger Hurley the consultant.
I'm afraid in order to save your wife we had to perform a hysterectomy.
Unfortunately your wife has developed a very serious condition.
Disseminated Intravascular Coagulation DIC which meant that we couldn't control the bleeding We've packed her abdomen with absorbent pads to soak up the blood and we're relying on her natural clotting to stop the bleeding.
If all goes well we'll take her back to theatre tomorrow and remove the packs.
We tried everything we could.
We couldn't save the womb.
Your baby's on the Special Care Baby Unit.
I could take you up there to see her if you want.
They're putting a line into the umbilical artery.
This allows them to monitor the baby's condition through pulse blood pressure measurements and so on.
How is she? I'm afraid the chances are your baby's got what we call HIE.
Hypoxic Ischemic Encephalopathy.
Brain damage.
Due to the lack of oxygen from when the womb ruptured to when we delivered her.
I'm very sorry.
Most babies do suffer long-term problems.
Many don't.
20, 30%.
Did you have a name for her? Hope.
I'm just going to take your temperature Maria.
36.
5.
I'll leave you to rest.
Just buzz if you need anything.
Roger I don't know if you've already been informed but Dr Orton's on the unit.
- She's back at work? - She had a miscarriage.
- She was pregnant? - Fifteen weeks.
I never knew.
I'd ask someone else but you're the consultant on call.
No of course Hazel.
I'll see her.
HAZEL: Maria.
Maria? - Maria I'm very sorry for your loss.
- No! No! No! I also completely understand your animosity towards me.
But please be assured I will give you the highest standard of care.
Like you did all those other women? The ones who you crippled or mutilated? And you! What have you done to stop him? Maria your baby has died but the foetus hasn't been expelled naturally.
You understand we have to induce labour.
Not him! What time is it? - Don't know 3:00-4:00.
- Shit! - What? - Shit! - Why didn't you wake me? - 'Cause I didn't think I had to any more.
Shit! - Didn't think I had to.
- Well you do.
Shit.
I got a lovely little something in the post this morning Polly.
And what would that be Tony? What that would be Polly is two return tickets to St Lucia.
Arriving at 5:00 local time so perfect for a cocktail or two dinner on the veranda.
If I'm presenting in the morning I'll probably just want to get an early night.
Nonsense.
All work and no play makes Polly a very very dull girl.
Christ she's got a uterus like a badger's arse.
Tim cappuccino? Hi Tony.
Look I have booked leave.
You're kidding right? This is some kind of joke yeah? No Tony I've been granted some leave and I made it the week we're going to St Lucia.
- We are not going.
- Tony.
We had a nice time together didn't we? Wouldn't it be a nice time? In the sun on the beach in the lovely hotel? Well Polly did the research so I'm taking Polly.
You said to Polly she'd have to sleep with you if she came.
No.
No that was optional.
I'm taking Polly because she did a lot of work on the research project.
She'll be giving a presentation she'll be answering questions slightly more taxing than "Would you like an umbrella in that cocktail Dr Gonzalez Rivera?" If you didn't want to shag me then you shouldn't have shagged me.
You tricked me.
You are a very bad man.
- Maya.
- You've crossed off her Substance K.
Yeah we've finished our supply.
No more's been ordered.
Why not? - Because it isn't helping.
- Why aren't you on Gynae? - I'm checking on a patient.
- Louise is a waste of electricity.
- We're going to test for brain death again.
- You can't switch her off.
She'll die.
She's already dead.
That's why he's going to switch her off.
I can't believe it.
She's going to die.
What do you expect? This is a hospital.
- Is Tony around? - He nipped out for a coffee.
He's been a while.
- I was about to send out a search party.
- I've been to the theatres.
You can get a coffee in the cafe near Outpatients.
- Or from the canteen.
- You've been to your machine haven't you? The one the drug company gave him with his little name on it.
- While you were there did you polish your plaque? - Piss off the pair of you.
It's cold.
- I want to repeat the FSD study.
- Why? Because we deliberately skewed the data to make it appear like an ineffectual drug for an unimportant condition was actually commercially viable.
Well maybe I should take Consuela to St Lucia after all.
Tony we've committed research fraud in order to please our sponsors.
It's unethical.
I never allow medical ethics to stop me doing what I think is right.
For Christ's sake I'm trying to be serious and all you can do is take the piss.
It's like you're not in the least bit interested in the quality of the research that we're putting our names to.
It's all about when we get to the conference whether or not you get to get your leg over.
Which you won't.
Hi.
Anyone got any idea why we can't order blood tests or blood transfusions any more? I might be able to help you out there Rob.
It might well be that they've pissed away the budget trying to hit the Department of Health targets.
Now they haven't got any money left to actually treat patients.
- Very sorry to keep you all waiting.
- Mr Tennant.
(WHISPERS) Mr Whitman is being very difficult about the targets.
Thank you.
As you all know the hospital recently underwent its annual audit.
We were measured according to our ability to achieve the performance targets set by the Department of Health.
These figures have now been returned to the Department of Health and we await their judgement.
Very soon we will hear whether we are a 3 star a 2 star a 1star or a no star hospital.
I cannot overstate the importance of this judgement.
Three stars shining on the sign above the hospital gates.
Three stars shimmering in every corridor and waiting room.
That sends a message to every patient and member of their family.
"This is an excellent hospital.
You will receive first-rate treatment.
"You will get better.
" When the ventilator is switched off Louise won't be able to breathe for herself.
Her heart will continue beating for a short while then it will stop too.
She's no longer in our hands.
She's in God's hands.
He'll take her or he'll heal her.
(MACHINE BEEPING) I'm ready to switch the machine off now.
Does anyone have any objections? - No.
- Okay.
(BEEPS DECREASING) (BEEPS INCREASING) Praise the Lord.
(BEEPS STOP) (FLATLINING) Maya you might not think it now but after a day or two you'll feel a great sense of relief.
Every doctor makes mistakes and when every doctor makes a mistake he can't let it haunt him or he'll be crippled by it.
HAZEL: Maria as soon as the pethidine starts to kick in we'll start pushing okay? Yeah.
- Maria if you want me to stay - Please.
- Please Ross is flying back from the States.
- Yeah.
- I should probably go.
- No I want you to stay.
I want you to stay and see what they've done to me.
- Okay how're you feeling? - I'm ready.
Okay now push.
Keep pushing Maria.
(MARIA GROANING) He's started asking questions.
What sort of questions? The sort of questions that a husband might ask if his wife stays out half the night.
What have you said to him? You've not said anything have you? - I don't want it to come out like this.
- Donna you've got to tell him about us.
- He's asked me to give him another chance.
- Is that what you want to do? We've been together a long time.
We have a house we have a life.
I don't know.
- Why not? - What do we have Rob? What do we really have? I don't have a name for it Donna.
- Hiya.
- Hi.
They said we could bring in some things for her.
She's not woken up yet.
I don't know.
It's silly really.
It's not silly.
You bullied Nicola into consenting to the hysterectomy.
I was trying to do my job.
(SOFT MUSIC PLAYING) - For Christ's sake bloody thing.
- What does everybody think? Do I need Botox? Buttocks? Yes Consuela you definitely need buttocks.
MAN: Hospital maintenance.
Please leave a message.
Could someone call me back as soon as possible regarding X-ray viewing box? Today's lists have been cancelled cut backs hopefully temporary.
Fortunately I managed to get a theatre for the patient we packed overnight.
- Are any other TCIs in yet? - Just the one Rob was consulting her.
- Shall I tell her? - Lf you don't mind.
Sorry about all this Donna.
I didn't know whether you get the BMJ, but I've circled a couple of O&G posts for you.
"Trust Junior.
"Not recognised for higher professional training.
"Locum.
" Hmm Falkirk.
Yeah well I thought You know as a stopgap.
Thanks Polly.
I'm sorry.
Okay Maya we've reopened the rectus sheath.
Mrs Quinn's an unusual case.
I don't often do this.
The packs have soaked up the oozing and have given all the bleeds time to clot up naturally.
I thought I was on the theatre list.
- Sorry Rob.
- It's fine.
- She's going to do well isn't she? - Very well.
- Good.
- Okay.
KATYA: Piss urine wee all day long.
Piss urine wee.
Mr Lake I hear you're going to be unemployed soon.
Perhaps there is vacancy as a porter.
- Hello Paul.
Any news? - The star rating? No not yet.
But fingers crossed.
Ah Roger.
This tedious problem with your Registrar.
A nurse reported him for flinging urine over her.
- What? His own? - No no a patient's.
I thought we'd agreed that we were pushing him out the door with a glowing reference.
- I withdrew it.
- You've withdrawn it and now we've got a disaffected trainee chucking piss all over our nurses.
Paul it's not a problem.
Couple of weeks he'll be gone.
History.
I want us covered.
Now get someone to say that they brought new information to your attention and you felt that you had no option but to redraft your reference.
- The Gynae Ward Sister - Donna Rix? Hmm.
We've already got a note in her record about alleged racism.
Now get her to sign something and tell her that in return we'll clean her record.
Okay.
TONY: I mean I wouldn't piss about.
Just give her an ARM now.
CONSUELA: Can I do it? Polly why don't you show Consuela how to do an ARM? Not long now hopefully before we hear about our star rating.
As Principal Consultant it would be nice if you showed some support when I announce it.
- Are you Maria Orton's midwife? - Yes.
I understand she's being referred to a psychiatrist.
Now can I confirm that the referral diagnosis was of anxiety and depression with associated paranoid thinking? TONY: It's all right Hazel.
Maria isn't paranoid.
She just lost her baby.
This has got nothing to do with her allegations against Roger Hurley.
Have it your own way Tony.
Make your little stand.
I'll just take it up with the psychiatrist.
There's a very useful four-letter word.
As a gynaecologist I'm something of an expert.
You're the biggest one I've ever come across in my life.
(SIGHING) You really should eat something.
RAJ: Hello Maria.
- Do you know where you are? - In a chair.
- In the Psychiatric Unit.
- Oh.
And do you know why you're here? Because I tried to stop Roger Hurley from killing mothers and babies.
Pudenda not "pure denda".
I mean what the hell is a pure denda anyway? Sorry.
We've received a very serious complaint against you Mr Whitman.
- What's the complaint? - There are two actually.
The husband of a patient of yours claims that you referred to his wife's vagina as a wizened sleeve.
Wizard's sleeve.
At least get the gag right.
Means voluminous.
Big.
You don't deny it? Look the bugger was listening in on the phone without my knowing it.
Just taking the piss.
I said I was sorry.
Well probably a formal written apology will save the hospital's blushes but that isn't the important one.
A member of your staff has accused you of sexual harassment.
- Which one? - I'm not at liberty to say.
Polly? Shit.
Anne-Marie? Theatre nurse? That little drug rep? Consuela.
Shit.
The member of staff claims that you tricked her into providing sexual favours - in exchange for a career enhancement.
- Consuela got the idea in her head that there was a free trip to the Caribbean if she shagged me.
I never promised her anything.
There's more.
We received this anonymously.
- This is you and Dr Gonzalez Rivera? - No.
That's Anne-Marie my secretary.
Mine and Roger's.
I assume she doesn't do that for Roger.
How many women are there? I thought you were married.
Look I did not harass Consuela I did not harass Anne-Marie.
In fact they both liked it.
You're in a position of power over them.
That's the abuse.
They would still have let me shag them.
They do do that sometimes women they let you shag them.
A complaint has been made.
It will be investigated.
You'll be notified of our procedure in due course and you may be suspended from clinical duties.
This has got nothing to do with my ability to look after my patients.
I am a gynaecologist.
This could kill my practice.
Needless to say your position as Principal Consultant is no longer tenable.
What the hell do you think you're playing at? We had an understanding.
I would do a nice thing for you you would do a nice thing for me.
But you didn't.
I didn't know that that was what you expected out of it.
You thought I would have sex with you? Why? Oh because I find you sexy? Listen you should have asked yourself "Why does this beautiful young woman want to sleep with me?" You're not young okay? Your body is not firm you're hairy When I touched you I felt how old you are.
You thought you could use me because you are a man.
And powerful.
Oh poor Mr Whitman.
Well the news has finally come through.
Ladies and gentlemen this hospital is now a 3 star hospital.
Now I was speaking to the Chief Executive only a few minutes ago and she wanted me to tell you how much you all deserve this.
For all the hard work you've put in over the year.
And she also wanted me to tell you that these stars are not our stars.
These stars are your stars.
And I would like to make another important announcement.
I have decided that the position of Principal Consultant in Obstetrics and Gynaecology should now be a term appointment.
And Mr Whitman is to hand over to Mr Hurley effective immediately.
PAUL: Roger.
- Roger.
- Tony.
- I bet you can't believe your luck can you? - I wouldn't put it like that.
If you think I'm finished you're wrong you are totally fucking wrong.
Give me six months I'll have my old title back with gongs on.
Because somebody somewhere will see you for what you really are.
A useless cack-handed management poodle.
No one sees me as that Tony.
My generation of consultants are appointed after roughly 8000 hours of training your's had 30000? I'm the future.
- Hang on Roger.
- Hello.
- Hi Donna how are you? - Fine thanks Roger.
This is something delicate.
I'll be straight with you.
It doesn't come from me it comes from management.
Do you remember a patient called Angela Strawberry? Yeah she had acute epiglottitis.
Rob Lake attempted a procedure he wasn't equipped to perform and as a result she died.
As I said this is delicate.
I want to include this information in his reference but I have to account for why it wasn't there before.
I've drawn up this letter giving your account of Mrs Strawberry's death bringing Rob's failings to my attention.
I'd rather not get involved.
I know but the management have said they'll look very favourably upon you for helping us out with this.
Very favourably indeed.
As I said Roger I'd rather not get involved.
I think a failure to cooperate would make your position as Gynae Sister very difficult.
Come on Donna let's not make a song and dance out of this.
Rob Lake will be gone in no time.
He's just another doctor you've barely said two words to.
Just sign the letter please.
Fuck off Roger.
How are you feeling Nicola? The operation was successful.
The tiny vessels that were bleeding have clotted off.
The wound was closed.
You cut out my womb.
It was too badly damaged to repair you would have bled to death.
DONNA: Here she is.
She's so little to be on all those tubes.
Do they hurt her? Hope hasn't gained consciousness yet so I think we can assume that she can't feel any pain.
However the paediatrician says that there is some good news.
Hope has started to have basic neurological reflexes which is a sign of recovery.
- Will she get better? - It's too early to say.
- Can I touch her? - Of course you can.
She's beautiful.
However she is she'll always be beautiful.
I want him to go now.
Are you going home or are you coming with me? Why don't you ever choose? Did you get those results? Good.
Morning Maya.
How you feeling? - Good Roger.
- Really? I made a mistake but what you said was right.
You made me realise that I've got to move on.
- Thanks Roger.
- Pleasure.
- Oh for goodness sake.
- Leave it to me I'll get on to it.
I'm supposed to be finishing here in just over a week.
Nobody wants to stay where they're not wanted.
I'm going to apply for another post.
I'd like you not to interfere.
Let me have a decent reference and I won't be your problem any more.
You blew the whistle.
You say you didn't but you did.
You think you can just count up how many operations a surgeon does how often things go wrong and that tells you how good he is? The patient lives or dies they bleed or they don't a wound gets infected or it doesn't a condition recurs or it doesn't.
You know it's not that simple.
But you still pointed the finger.
You're not fit to be any consultant's Registrar Rob.
Or any doctor's colleague.
Roger I've got nowhere else to go.
When I first met you I thought "There's someone with a soft centre.
" (PAGER BEEPING) - This is Rob Lake.
- MAN: Come to A&E straightaway.
Who's call (DIAL TONE) (WOMAN SCREAMING) MAN: Nine-year-old boy, 80% third-degree burns.
(WOMAN SCREAMS) MAN: Bear with me.
The baby is it all right? Please tell me.
Is it all right? As soon as Mr Hurley's made this nick in your vein we can start giving you fluids.
- I can put in a central line.
- I'm doing a cut-down she hasn't got any veins.
(SOBBING) The baby! What about the baby? Tell me.
ROGER: Madam you have to keep still.
ROGER: Can you keep still please? I've already done that.
Who called for assistance? My instructions were as clear as day.
Who called him in? - Do you need anything Mr Hurley? - No I'm fine.
ROB: All right that's your own heartbeat.
- My baby.
- Shit.
Bloody thing.
Madam please keep still.
Has anyone told her? I'm very sorry but we can't find your baby's heartbeat at the moment.
(SOBBING) - Tim get me a central line.
- Roger's doing a cut-down.
ROGER: Keep still please.
- What do you think you're doing? - Patient needs a central line I'm putting one in.
- I'm in charge here.
- A central line will get more fluids into her faster.
Hold her head for me please.
(SCREAMS) Sorry.
I know it's sharp.
I'm sorry.
ROGER: You have to keep still.
Good.
All right get ready to connect up.
I'm almost in here.
Maya connect up.
For fuck's sake Maya.
- Tim.
- Maya it's okay.
Shh.
You're going to be fine.
Anyone tell me why the trauma team isn't running this please? They called him in because of the obstetrics problem.
The trauma team are busy dealing with her son.
Hurley insisted that he could handle this by himself.
He's the O&G Principal Consultant now.
He's got to act like it.
This woman needs burns care.
She needs to be taken to ITU now.
Roger's bound to be sorting that out right now.
- What's the matter with you? - What's the matter with you? She's lost the baby but I've managed to stabilise her.
(MAN SHOUTING) It was the boyfriend.
He kicked the stuffing out of her and her son.
He killed the baby.
He poured petrol on both of them.
Then lit a match.
What can you do? MAN: When the fuck's the doctor going to see me? (COUGHING) I'm an A&E Registrar.
Okay to see him now? Thank you.
The oxygen will help you breathe.
- I need to listen to your chest please.
- What the fuck for? You've got smoke inhalation.
You could have lung damage that'll cause you chest problems for the rest of your life.
Sit up.
Breathe in.
Out.
In out.
Again.
Out.
Why'd you do it? Use this.
- Why'd you do it? - Fuck off! Your baby's dead.
- Your girlfriend's probably going to die.
- Fuck 'em.
We've got to get the baby out.
As soon as it dies it starts to macerate.
That means its skin peels off.
I'm going to have to crack a hole in your baby's skull suck its brains out through a tube so its head collapses so I can get it out.
Fuck 'em.
You got a reaction to the smoke that you've inhaled.
I'll have to give you an injection to take down the inflammation.
Whatever.
- Roll up your sleeve please.
- Just get on with it dickhead.
What the fuck's the matter with you? Hey you dickhead what the fuckin' hell are you doing? You think you're going to be running around saving people's lives.
With the tail of your white coat flapping around your arse like Batman's fucking cape.
You get little victories.
This is a good life.
I wouldn't choose another.
What about all the shite? You learn to walk away.
I'm sick of walking away.
(CLEARS THROAT) Hello it's Mr Lake here.
I'm calling from the hospital.
I want to talk to you about your mother.
We didn't tell you the whole truth before.
We should have but we didn't.
We We walked away and let you pick up the pieces.
Your mother had acute epiglottitis.
Her throat became swollen and she was choking to death.
I decided to carry out a cricothyrotomy.
Even though I hadn't seen one done before let alone done one myself.
I thought I might be able to manage it as I thought I was the type of person that didn't make mistakes.
I made a terrible mistake.
I carried out the procedure wrongly.
And it was clear to see from the start that I didn't really know what I was doing but I didn't stop.
I kept trying and trying to make things right for your mother but I was making things worse.
Yeah.
Your mother must have suffered terribly because of what I was doing to her.
I was just trying to make things right but things weren't working out that way.
It's my job to make people better.
But your mother died.
I'm sorry she died.
I'm very sorry about my mistake.
I'm sorry you haven't got a mum any more.
I'm sorry.
Why are you telling us this now? To be judged.
NARRATOR: Previously on Bodies.
Every doctor makes mistakes.
Oh shit! Everybody in this hospital knows that Roger makes mistakes again and again and again.
- You're asking me to blow the whistle.
- Yeah.
No.
I won't blow the whistle.
Oh God.
Oh God.
It's not beating.
TONY: You had sex with me so you could come to St Lucia, huh? - Of course I did.
- You dozy bint.
You'd have to tell him about us.
Do you want to? Yes.
I'll leave him.
There were lots of mistakes.
It's my fault she's a cabbage.
When you messed up that cric on Mrs Strawberry I covered for you then.
I won't any more.
Why do you want to transfer to a new hospital? I feel you should know the real reason that this hospital is letting him go.
(THE ROCKAFELLER SKANKPLAYING) - What the hell is this? - I thought a change might be nice.
All right let's take a vote on it shall we? - The patient's under and ready.
- Bollocks to the patient.
Sort out the music first.
Jesus Christ sense of perspective Polly.
Now then who wants to listen to this instead of my usual? What does it say on the theatre list right at the top Polly? "Consultant Mr Whitman.
" "Consultant Mr Whitman.
" Correct.
So you lot can fuck right off.
(ROCK MUSIC PLAYING) ROB: What's her name? DONNA: It's Angela.
Angela Strawberry.
Angela the ENT surgeon's going to be here very soon.
In the meantime you've got to let the nebuliser help you breathe.
Rob.
(CHOKING) MAYA: Shit! DONNA: She's going.
- Rob.
- She's going to need a surgical cric.
Get back onto ENT.
Call Mr Hurley.
She needs it now Rob.
This isn't my fucking section Donna.
I've never even seen a cric.
You're the closest thing to a surgeon we've got right now.
- Still got an output.
- Just do it.
Hold her rock fucking steady.
- I'm trying.
- Try fucking harder.
ROB: Shit.
(CHOKING) Oh fuck.
Oh she's bleeding into her trachea.
I don't know what I'm doing.
I don't know what I'm doing any more.
Rob that's enough.
ROB: I had a chance to do a cric and I botched it.
You made an isolated uncharacteristic error.
And if you hadn't have acted that woman would have died.
She did die.
Rob I consider this a tragic accident.
An accident is where no one's to blame.
You're not to blame.
Rob this is Mrs Strawberry's son and daughter.
Could anything more have been done to save her? No.
Nothing more could've been done.
(PAGER BEEPING) It's Rob Lake.
The Registrar's here for you Nicola.
Sorry Rob.
This is Nicola Quinn a 31-year-old vbac.
- When was the Caesarean? - Two years ago for foetal distress.
Epidural's in she's fully dilated labouring nicely.
- But she's been having a tiny bit of PV bleeding.
- Okay.
I can understand you being a little anxious but a little vaginal bleeding really isn't anything unusual.
- Any pain? CTG okay? - No pain CTG's been fine.
I'm going to do an internal examination Nicola if that's okay.
- Okay.
- All right.
There is blood but it's only a little bit.
Everything else seems to be fine.
Really no cause for alarm.
I'm going to stick around for the next couple of contractions see how the CTG behaves okay? - Thanks Rob.
- All right.
Good luck.
(PHONE RINGING) (WOMAN SCREAMING) - What's happening? - Contractions have stopped.
- Help me please help me.
- What's wrong? - CTG? - Foetal distress.
- Can you feel what I can feel? - Yeah.
Prep theatre now.
Nicola I can feel two lumps in your abdomen.
One is your baby the other is the uterus.
Your womb's ruptured along the old Caesarean scar.
I'm going to have to do a new Caesarean you're going to require a general anaesthetic.
If the womb's badly ruptured I may have to perform a hysterectomy.
No! We need to do a section to save you and your baby.
No hysterectomy! I'll try and repair the womb but I have to caution you if it's ruptured or badly haemorrhaging then I'll have to perform a hysterectomy to save your life.
No! No hysterectomy.
I need your consent I need to get her to theatre now.
I need your consent.
Don't let him.
Please don't let him.
You know what it means to me.
I know your last child was stillborn.
I know how much having a family means to you.
But a recognised risk of uterine rupture is having to perform a hysterectomy.
If you're bleeding to death and I can't stop it I'm going to have to take your womb.
It's as simple as that.
I need your consent.
If you don't give it to me I can't operate.
Your baby will die you will die.
Thank you.
Doyens.
Okay.
Right let's pull the clamp for a core pH please.
Clamp.
Scissors.
- All yours.
- Okay to give synto? Clamp.
Okay.
Start ventilation please.
Forty units in 500 mils over four hours.
Oh come on.
There's a lot of bleeding.
Green Armytage.
- ROB: Another please.
- Ventilation.
More suction.
- More suction.
- I'm trying but there's so much blood.
Well try fucking harder.
Green Armytage.
Keep going.
Oh I can't stop the bleeding.
Shit I know you don't need to hear this Rob but her BP is dropping sats are going off.
TOM: Four more units of crossmatch please.
Quick as you can.
Shit.
More suction.
Oh shit I can't stop this bleeding.
Call in Mr Hurley for me please.
Hazel.
- Rob are you sure? - Call him in now.
- Can you get me a core pH Sister? - Haven't you seen the memo? - What are you talking about? - There's a memo from O&G admin.
All blood tests have to be agreed by the consultant.
- It's to save money on unnecessary tests.
- Get me a core pH now.
Clear it with Roger when he comes in.
So much blood shit.
- How's the baby? - Core value 6.
9 but she's pinked up on oxygen.
Transferring her to SCBU.
She's a total bloody mess.
Tom how is she doing? Not good.
She's bleeding out.
Why aren't you doing a hysto? - I was trying to avoid - Stop pissing about let's take out the uterus.
We're taking the uterus.
Abdo tray please.
- Still bleeding.
- She's stuck to it like cherryade.
For fuck's sake.
That's all we fucking need.
I'm on it.
Call the blood bank please.
We need four units of FFP as quickly as possible.
You won't get it without a named consultant's say-so.
It's in the memo.
"No blood products unless agreed by the consultant.
" For fuck's sake.
On my authority four units of FFP straightaway please.
Haematology confirmed her FTPs are up.
- DIC it is.
- Death is coming.
- We'll see.
- Just kidding.
- Sure.
Fuck off Tom.
- Rob.
Hey chill out man.
I was just kidding all right? There's oozes everywhere.
We're never going to stop this bleeding.
BPs are up.
Stats aren't bad.
Okay we're going to have to pack and close her for the night.
Okay I'll talk to ITU.
DOTTIE: Saline please.
Are we going to close the rectus sheath as normal - Yes I know Rob.
I know what I'm doing.
- I'm only asking.
Close the rectus and the skin as normal cover with a dressing.
TOM: It's stable but we can't control the bleeding.
Yeah they want to pack her and close her for 24 hours.
Good thanks.
They can take her.
Thank you.
Hot packs please.
Let's get them in.
- How long have you got left? - Two weeks.
Let's try and get through it shall we? Mr Quinn I'm Roger Hurley the consultant.
I'm afraid in order to save your wife we had to perform a hysterectomy.
Unfortunately your wife has developed a very serious condition.
Disseminated Intravascular Coagulation DIC which meant that we couldn't control the bleeding We've packed her abdomen with absorbent pads to soak up the blood and we're relying on her natural clotting to stop the bleeding.
If all goes well we'll take her back to theatre tomorrow and remove the packs.
We tried everything we could.
We couldn't save the womb.
Your baby's on the Special Care Baby Unit.
I could take you up there to see her if you want.
They're putting a line into the umbilical artery.
This allows them to monitor the baby's condition through pulse blood pressure measurements and so on.
How is she? I'm afraid the chances are your baby's got what we call HIE.
Hypoxic Ischemic Encephalopathy.
Brain damage.
Due to the lack of oxygen from when the womb ruptured to when we delivered her.
I'm very sorry.
Most babies do suffer long-term problems.
Many don't.
20, 30%.
Did you have a name for her? Hope.
I'm just going to take your temperature Maria.
36.
5.
I'll leave you to rest.
Just buzz if you need anything.
Roger I don't know if you've already been informed but Dr Orton's on the unit.
- She's back at work? - She had a miscarriage.
- She was pregnant? - Fifteen weeks.
I never knew.
I'd ask someone else but you're the consultant on call.
No of course Hazel.
I'll see her.
HAZEL: Maria.
Maria? - Maria I'm very sorry for your loss.
- No! No! No! I also completely understand your animosity towards me.
But please be assured I will give you the highest standard of care.
Like you did all those other women? The ones who you crippled or mutilated? And you! What have you done to stop him? Maria your baby has died but the foetus hasn't been expelled naturally.
You understand we have to induce labour.
Not him! What time is it? - Don't know 3:00-4:00.
- Shit! - What? - Shit! - Why didn't you wake me? - 'Cause I didn't think I had to any more.
Shit! - Didn't think I had to.
- Well you do.
Shit.
I got a lovely little something in the post this morning Polly.
And what would that be Tony? What that would be Polly is two return tickets to St Lucia.
Arriving at 5:00 local time so perfect for a cocktail or two dinner on the veranda.
If I'm presenting in the morning I'll probably just want to get an early night.
Nonsense.
All work and no play makes Polly a very very dull girl.
Christ she's got a uterus like a badger's arse.
Tim cappuccino? Hi Tony.
Look I have booked leave.
You're kidding right? This is some kind of joke yeah? No Tony I've been granted some leave and I made it the week we're going to St Lucia.
- We are not going.
- Tony.
We had a nice time together didn't we? Wouldn't it be a nice time? In the sun on the beach in the lovely hotel? Well Polly did the research so I'm taking Polly.
You said to Polly she'd have to sleep with you if she came.
No.
No that was optional.
I'm taking Polly because she did a lot of work on the research project.
She'll be giving a presentation she'll be answering questions slightly more taxing than "Would you like an umbrella in that cocktail Dr Gonzalez Rivera?" If you didn't want to shag me then you shouldn't have shagged me.
You tricked me.
You are a very bad man.
- Maya.
- You've crossed off her Substance K.
Yeah we've finished our supply.
No more's been ordered.
Why not? - Because it isn't helping.
- Why aren't you on Gynae? - I'm checking on a patient.
- Louise is a waste of electricity.
- We're going to test for brain death again.
- You can't switch her off.
She'll die.
She's already dead.
That's why he's going to switch her off.
I can't believe it.
She's going to die.
What do you expect? This is a hospital.
- Is Tony around? - He nipped out for a coffee.
He's been a while.
- I was about to send out a search party.
- I've been to the theatres.
You can get a coffee in the cafe near Outpatients.
- Or from the canteen.
- You've been to your machine haven't you? The one the drug company gave him with his little name on it.
- While you were there did you polish your plaque? - Piss off the pair of you.
It's cold.
- I want to repeat the FSD study.
- Why? Because we deliberately skewed the data to make it appear like an ineffectual drug for an unimportant condition was actually commercially viable.
Well maybe I should take Consuela to St Lucia after all.
Tony we've committed research fraud in order to please our sponsors.
It's unethical.
I never allow medical ethics to stop me doing what I think is right.
For Christ's sake I'm trying to be serious and all you can do is take the piss.
It's like you're not in the least bit interested in the quality of the research that we're putting our names to.
It's all about when we get to the conference whether or not you get to get your leg over.
Which you won't.
Hi.
Anyone got any idea why we can't order blood tests or blood transfusions any more? I might be able to help you out there Rob.
It might well be that they've pissed away the budget trying to hit the Department of Health targets.
Now they haven't got any money left to actually treat patients.
- Very sorry to keep you all waiting.
- Mr Tennant.
(WHISPERS) Mr Whitman is being very difficult about the targets.
Thank you.
As you all know the hospital recently underwent its annual audit.
We were measured according to our ability to achieve the performance targets set by the Department of Health.
These figures have now been returned to the Department of Health and we await their judgement.
Very soon we will hear whether we are a 3 star a 2 star a 1star or a no star hospital.
I cannot overstate the importance of this judgement.
Three stars shining on the sign above the hospital gates.
Three stars shimmering in every corridor and waiting room.
That sends a message to every patient and member of their family.
"This is an excellent hospital.
You will receive first-rate treatment.
"You will get better.
" When the ventilator is switched off Louise won't be able to breathe for herself.
Her heart will continue beating for a short while then it will stop too.
She's no longer in our hands.
She's in God's hands.
He'll take her or he'll heal her.
(MACHINE BEEPING) I'm ready to switch the machine off now.
Does anyone have any objections? - No.
- Okay.
(BEEPS DECREASING) (BEEPS INCREASING) Praise the Lord.
(BEEPS STOP) (FLATLINING) Maya you might not think it now but after a day or two you'll feel a great sense of relief.
Every doctor makes mistakes and when every doctor makes a mistake he can't let it haunt him or he'll be crippled by it.
HAZEL: Maria as soon as the pethidine starts to kick in we'll start pushing okay? Yeah.
- Maria if you want me to stay - Please.
- Please Ross is flying back from the States.
- Yeah.
- I should probably go.
- No I want you to stay.
I want you to stay and see what they've done to me.
- Okay how're you feeling? - I'm ready.
Okay now push.
Keep pushing Maria.
(MARIA GROANING) He's started asking questions.
What sort of questions? The sort of questions that a husband might ask if his wife stays out half the night.
What have you said to him? You've not said anything have you? - I don't want it to come out like this.
- Donna you've got to tell him about us.
- He's asked me to give him another chance.
- Is that what you want to do? We've been together a long time.
We have a house we have a life.
I don't know.
- Why not? - What do we have Rob? What do we really have? I don't have a name for it Donna.
- Hiya.
- Hi.
They said we could bring in some things for her.
She's not woken up yet.
I don't know.
It's silly really.
It's not silly.
You bullied Nicola into consenting to the hysterectomy.
I was trying to do my job.
(SOFT MUSIC PLAYING) - For Christ's sake bloody thing.
- What does everybody think? Do I need Botox? Buttocks? Yes Consuela you definitely need buttocks.
MAN: Hospital maintenance.
Please leave a message.
Could someone call me back as soon as possible regarding X-ray viewing box? Today's lists have been cancelled cut backs hopefully temporary.
Fortunately I managed to get a theatre for the patient we packed overnight.
- Are any other TCIs in yet? - Just the one Rob was consulting her.
- Shall I tell her? - Lf you don't mind.
Sorry about all this Donna.
I didn't know whether you get the BMJ, but I've circled a couple of O&G posts for you.
"Trust Junior.
"Not recognised for higher professional training.
"Locum.
" Hmm Falkirk.
Yeah well I thought You know as a stopgap.
Thanks Polly.
I'm sorry.
Okay Maya we've reopened the rectus sheath.
Mrs Quinn's an unusual case.
I don't often do this.
The packs have soaked up the oozing and have given all the bleeds time to clot up naturally.
I thought I was on the theatre list.
- Sorry Rob.
- It's fine.
- She's going to do well isn't she? - Very well.
- Good.
- Okay.
KATYA: Piss urine wee all day long.
Piss urine wee.
Mr Lake I hear you're going to be unemployed soon.
Perhaps there is vacancy as a porter.
- Hello Paul.
Any news? - The star rating? No not yet.
But fingers crossed.
Ah Roger.
This tedious problem with your Registrar.
A nurse reported him for flinging urine over her.
- What? His own? - No no a patient's.
I thought we'd agreed that we were pushing him out the door with a glowing reference.
- I withdrew it.
- You've withdrawn it and now we've got a disaffected trainee chucking piss all over our nurses.
Paul it's not a problem.
Couple of weeks he'll be gone.
History.
I want us covered.
Now get someone to say that they brought new information to your attention and you felt that you had no option but to redraft your reference.
- The Gynae Ward Sister - Donna Rix? Hmm.
We've already got a note in her record about alleged racism.
Now get her to sign something and tell her that in return we'll clean her record.
Okay.
TONY: I mean I wouldn't piss about.
Just give her an ARM now.
CONSUELA: Can I do it? Polly why don't you show Consuela how to do an ARM? Not long now hopefully before we hear about our star rating.
As Principal Consultant it would be nice if you showed some support when I announce it.
- Are you Maria Orton's midwife? - Yes.
I understand she's being referred to a psychiatrist.
Now can I confirm that the referral diagnosis was of anxiety and depression with associated paranoid thinking? TONY: It's all right Hazel.
Maria isn't paranoid.
She just lost her baby.
This has got nothing to do with her allegations against Roger Hurley.
Have it your own way Tony.
Make your little stand.
I'll just take it up with the psychiatrist.
There's a very useful four-letter word.
As a gynaecologist I'm something of an expert.
You're the biggest one I've ever come across in my life.
(SIGHING) You really should eat something.
RAJ: Hello Maria.
- Do you know where you are? - In a chair.
- In the Psychiatric Unit.
- Oh.
And do you know why you're here? Because I tried to stop Roger Hurley from killing mothers and babies.
Pudenda not "pure denda".
I mean what the hell is a pure denda anyway? Sorry.
We've received a very serious complaint against you Mr Whitman.
- What's the complaint? - There are two actually.
The husband of a patient of yours claims that you referred to his wife's vagina as a wizened sleeve.
Wizard's sleeve.
At least get the gag right.
Means voluminous.
Big.
You don't deny it? Look the bugger was listening in on the phone without my knowing it.
Just taking the piss.
I said I was sorry.
Well probably a formal written apology will save the hospital's blushes but that isn't the important one.
A member of your staff has accused you of sexual harassment.
- Which one? - I'm not at liberty to say.
Polly? Shit.
Anne-Marie? Theatre nurse? That little drug rep? Consuela.
Shit.
The member of staff claims that you tricked her into providing sexual favours - in exchange for a career enhancement.
- Consuela got the idea in her head that there was a free trip to the Caribbean if she shagged me.
I never promised her anything.
There's more.
We received this anonymously.
- This is you and Dr Gonzalez Rivera? - No.
That's Anne-Marie my secretary.
Mine and Roger's.
I assume she doesn't do that for Roger.
How many women are there? I thought you were married.
Look I did not harass Consuela I did not harass Anne-Marie.
In fact they both liked it.
You're in a position of power over them.
That's the abuse.
They would still have let me shag them.
They do do that sometimes women they let you shag them.
A complaint has been made.
It will be investigated.
You'll be notified of our procedure in due course and you may be suspended from clinical duties.
This has got nothing to do with my ability to look after my patients.
I am a gynaecologist.
This could kill my practice.
Needless to say your position as Principal Consultant is no longer tenable.
What the hell do you think you're playing at? We had an understanding.
I would do a nice thing for you you would do a nice thing for me.
But you didn't.
I didn't know that that was what you expected out of it.
You thought I would have sex with you? Why? Oh because I find you sexy? Listen you should have asked yourself "Why does this beautiful young woman want to sleep with me?" You're not young okay? Your body is not firm you're hairy When I touched you I felt how old you are.
You thought you could use me because you are a man.
And powerful.
Oh poor Mr Whitman.
Well the news has finally come through.
Ladies and gentlemen this hospital is now a 3 star hospital.
Now I was speaking to the Chief Executive only a few minutes ago and she wanted me to tell you how much you all deserve this.
For all the hard work you've put in over the year.
And she also wanted me to tell you that these stars are not our stars.
These stars are your stars.
And I would like to make another important announcement.
I have decided that the position of Principal Consultant in Obstetrics and Gynaecology should now be a term appointment.
And Mr Whitman is to hand over to Mr Hurley effective immediately.
PAUL: Roger.
- Roger.
- Tony.
- I bet you can't believe your luck can you? - I wouldn't put it like that.
If you think I'm finished you're wrong you are totally fucking wrong.
Give me six months I'll have my old title back with gongs on.
Because somebody somewhere will see you for what you really are.
A useless cack-handed management poodle.
No one sees me as that Tony.
My generation of consultants are appointed after roughly 8000 hours of training your's had 30000? I'm the future.
- Hang on Roger.
- Hello.
- Hi Donna how are you? - Fine thanks Roger.
This is something delicate.
I'll be straight with you.
It doesn't come from me it comes from management.
Do you remember a patient called Angela Strawberry? Yeah she had acute epiglottitis.
Rob Lake attempted a procedure he wasn't equipped to perform and as a result she died.
As I said this is delicate.
I want to include this information in his reference but I have to account for why it wasn't there before.
I've drawn up this letter giving your account of Mrs Strawberry's death bringing Rob's failings to my attention.
I'd rather not get involved.
I know but the management have said they'll look very favourably upon you for helping us out with this.
Very favourably indeed.
As I said Roger I'd rather not get involved.
I think a failure to cooperate would make your position as Gynae Sister very difficult.
Come on Donna let's not make a song and dance out of this.
Rob Lake will be gone in no time.
He's just another doctor you've barely said two words to.
Just sign the letter please.
Fuck off Roger.
How are you feeling Nicola? The operation was successful.
The tiny vessels that were bleeding have clotted off.
The wound was closed.
You cut out my womb.
It was too badly damaged to repair you would have bled to death.
DONNA: Here she is.
She's so little to be on all those tubes.
Do they hurt her? Hope hasn't gained consciousness yet so I think we can assume that she can't feel any pain.
However the paediatrician says that there is some good news.
Hope has started to have basic neurological reflexes which is a sign of recovery.
- Will she get better? - It's too early to say.
- Can I touch her? - Of course you can.
She's beautiful.
However she is she'll always be beautiful.
I want him to go now.
Are you going home or are you coming with me? Why don't you ever choose? Did you get those results? Good.
Morning Maya.
How you feeling? - Good Roger.
- Really? I made a mistake but what you said was right.
You made me realise that I've got to move on.
- Thanks Roger.
- Pleasure.
- Oh for goodness sake.
- Leave it to me I'll get on to it.
I'm supposed to be finishing here in just over a week.
Nobody wants to stay where they're not wanted.
I'm going to apply for another post.
I'd like you not to interfere.
Let me have a decent reference and I won't be your problem any more.
You blew the whistle.
You say you didn't but you did.
You think you can just count up how many operations a surgeon does how often things go wrong and that tells you how good he is? The patient lives or dies they bleed or they don't a wound gets infected or it doesn't a condition recurs or it doesn't.
You know it's not that simple.
But you still pointed the finger.
You're not fit to be any consultant's Registrar Rob.
Or any doctor's colleague.
Roger I've got nowhere else to go.
When I first met you I thought "There's someone with a soft centre.
" (PAGER BEEPING) - This is Rob Lake.
- MAN: Come to A&E straightaway.
Who's call (DIAL TONE) (WOMAN SCREAMING) MAN: Nine-year-old boy, 80% third-degree burns.
(WOMAN SCREAMS) MAN: Bear with me.
The baby is it all right? Please tell me.
Is it all right? As soon as Mr Hurley's made this nick in your vein we can start giving you fluids.
- I can put in a central line.
- I'm doing a cut-down she hasn't got any veins.
(SOBBING) The baby! What about the baby? Tell me.
ROGER: Madam you have to keep still.
ROGER: Can you keep still please? I've already done that.
Who called for assistance? My instructions were as clear as day.
Who called him in? - Do you need anything Mr Hurley? - No I'm fine.
ROB: All right that's your own heartbeat.
- My baby.
- Shit.
Bloody thing.
Madam please keep still.
Has anyone told her? I'm very sorry but we can't find your baby's heartbeat at the moment.
(SOBBING) - Tim get me a central line.
- Roger's doing a cut-down.
ROGER: Keep still please.
- What do you think you're doing? - Patient needs a central line I'm putting one in.
- I'm in charge here.
- A central line will get more fluids into her faster.
Hold her head for me please.
(SCREAMS) Sorry.
I know it's sharp.
I'm sorry.
ROGER: You have to keep still.
Good.
All right get ready to connect up.
I'm almost in here.
Maya connect up.
For fuck's sake Maya.
- Tim.
- Maya it's okay.
Shh.
You're going to be fine.
Anyone tell me why the trauma team isn't running this please? They called him in because of the obstetrics problem.
The trauma team are busy dealing with her son.
Hurley insisted that he could handle this by himself.
He's the O&G Principal Consultant now.
He's got to act like it.
This woman needs burns care.
She needs to be taken to ITU now.
Roger's bound to be sorting that out right now.
- What's the matter with you? - What's the matter with you? She's lost the baby but I've managed to stabilise her.
(MAN SHOUTING) It was the boyfriend.
He kicked the stuffing out of her and her son.
He killed the baby.
He poured petrol on both of them.
Then lit a match.
What can you do? MAN: When the fuck's the doctor going to see me? (COUGHING) I'm an A&E Registrar.
Okay to see him now? Thank you.
The oxygen will help you breathe.
- I need to listen to your chest please.
- What the fuck for? You've got smoke inhalation.
You could have lung damage that'll cause you chest problems for the rest of your life.
Sit up.
Breathe in.
Out.
In out.
Again.
Out.
Why'd you do it? Use this.
- Why'd you do it? - Fuck off! Your baby's dead.
- Your girlfriend's probably going to die.
- Fuck 'em.
We've got to get the baby out.
As soon as it dies it starts to macerate.
That means its skin peels off.
I'm going to have to crack a hole in your baby's skull suck its brains out through a tube so its head collapses so I can get it out.
Fuck 'em.
You got a reaction to the smoke that you've inhaled.
I'll have to give you an injection to take down the inflammation.
Whatever.
- Roll up your sleeve please.
- Just get on with it dickhead.
What the fuck's the matter with you? Hey you dickhead what the fuckin' hell are you doing? You think you're going to be running around saving people's lives.
With the tail of your white coat flapping around your arse like Batman's fucking cape.
You get little victories.
This is a good life.
I wouldn't choose another.
What about all the shite? You learn to walk away.
I'm sick of walking away.
(CLEARS THROAT) Hello it's Mr Lake here.
I'm calling from the hospital.
I want to talk to you about your mother.
We didn't tell you the whole truth before.
We should have but we didn't.
We We walked away and let you pick up the pieces.
Your mother had acute epiglottitis.
Her throat became swollen and she was choking to death.
I decided to carry out a cricothyrotomy.
Even though I hadn't seen one done before let alone done one myself.
I thought I might be able to manage it as I thought I was the type of person that didn't make mistakes.
I made a terrible mistake.
I carried out the procedure wrongly.
And it was clear to see from the start that I didn't really know what I was doing but I didn't stop.
I kept trying and trying to make things right for your mother but I was making things worse.
Yeah.
Your mother must have suffered terribly because of what I was doing to her.
I was just trying to make things right but things weren't working out that way.
It's my job to make people better.
But your mother died.
I'm sorry she died.
I'm very sorry about my mistake.
I'm sorry you haven't got a mum any more.
I'm sorry.
Why are you telling us this now? To be judged.