Bodies (2004) s02e09 Episode Script

NARRATOR: Previously on Bodies.
-What's that? -A friend of mine did a drugs trial at your hospital.
-What is it? -Something to do with female sexual function.
I'm very pleased to announce that we secured funding for a clinical fellowship in maternal medicine for one of our specialist registrars.
I'm sorry, I can't.
I'm I've got a family.
I have children, I'm sorry.
Did something happen between you two? There's been some inappropriate conduct involving his SHO.
Ah.
The Chief Executive and I have set this hospital the goal, before this decade is out, of landing foundation status.
Now, no project in this period will be more impressive to our doubters and none so difficult to accomplish.
Now, so far, we've won three-star status but now we have to grasp the nettle and make this a leaner and more cost-efficient operation.
Some job cuts areinevitable.
Staff cuts lead to a poorer service.
How can a poorer service enable us to achieve foundation status? It just can.
For example, some operations could be performed not by a consultant with 10 years' experience and a commensurate salary, but by a health care assistant with a few months' highly focussed training.
Well, why don't we go one stage further and train the patient's family to do the operation? I'm sure that would be even cheaper.
And we'd save a hospital bed to boot.
Obviously, we'll do everything we can to avoid any job cuts.
But, um, as a matter of interest, which of you would consider voluntary redundancy? Oh, fuck me.
Tony.
I thought you were going to let us down.
Thank you.
Maya, sorry.
The patient was a 6 3-year-old Asian lady.
-Why didn't you tell me it was amateur hour? -I forgot, obviously.
revealed multiple suspicious lesions and sputum cytology was diagnostic of pulmonary metastases from the primary ovarian tumour.
Thank you, Maya.
Um, now let's move on to the discussion of management.
BOTH: Sorry.
I referred the patient to the Oncology Department Roger, the X-ray that Maya was describing, she looked somewhat over-penetrated.
The X-ray, I mean.
-Didn't come from me.
-Really? Yeah, Roger.
I haven't told anyone.
You're the one person who saw me come out of that room.
I've accounted for why I was there.
And I believed your explanation.
-So who did it come from, Rob? -I don't know.
Felicity, I'm Mr Lake.
I'm the Registrar.
Sorry, Maya.
We'll just have a little feel around.
-Any tenderness? -Yeah.
A bit.
Okay.
Sorry.
What's her temperature doing? She has been apyrexial.
Okay.
Roger Hurley, the consultant.
What bloods have we done? FBC, U&E, blood cultures.
Also an MSU.
Slightly raised white count, negative beta HCG.
I was gonna refer her to the general surgeons (MOBILE BEEPS) I was gonna refer her as a query appendicitis.
Okay, do that.
Um, boss? Don't worry, Felicity.
We will get you better.
-Okay? I promise.
-Thank you.
We're gonna have to speak to some other doctors about you.
I'm not happy about her being turfed over to the surgeons without further investigations.
Me neither.
We need to get an ultrasound.
Cancel the referral.
She's gonna stay ours.
-But Roger said that I should -Book the ultrasound.
Sister, there's another matter I want to talk to you about.
Sure.
I told you that nothing was going on between Roger and Maya, didn't I? Mmm-hmm.
So how come Tony Whitman's making wisecracks about it? I don't know what Tony's supposed to have said.
But you told him, yeah? Well, he was going to find out sooner or later.
Not from me! The stuff he is guilty of, he gets away with.
This might be shitty, but it's working.
It is getting to him.
-I got work to do.
-So do I.
(PAGER BEEPING) Uh, it's Mr Lake.
There's some kind of mistake.
I'm not Cardiology.
I'm not on call for Gynae today, either.
You should bleep Polly Grey on What's her name? Hello, Laura.
They've been asking me about any medication I've been taking.
You still taking bisphenafil? I wasn't sure about telling them because I was getting it off friends.
I didn't know if I'd get anyone into trouble.
I need your permission to talk about your case with the doctor running the drug trial.
You're not gonna tell the doctors looking after my heart? No, this doctor should know a lot better than anyone else whether bisphenafil is responsible for these symptoms.
Like you said, we don't wanna get anyone into trouble.
That's not really who I meant.
I'm gonna have to ask you a few questions.
(ALARM BEEPING) Lignocaine.
Crash trolley.
-Bay 2.
Okay.
-Polly? What? There's a woman on CCU.
A young, previously healthy woman with a suspected inferior MI.
She's a regular user of bisphenafil.
Oh, sorry.
How is she? -She's just had a VT.
-Shit.
The first dose of lignocaine reverted her to sinus but she's okay at the moment.
Thank God for that.
She uses the drug regularly.
Sometimes pops two or three tablets in a night.
The trial dose limit is one pill only in any 24 hours.
She's not on the trial.
She gets the drugs off mates that are.
I need to know who she is and anyone else who knows about this.
Laura Johnson.
Uh, nobody.
Apart from me, obviously.
Thanks, Rob.
I'll I appreciate it.
Donna! Mr Lake's in bay 2.
The doctor's on his way.
You're gonna be all right.
DONNA: You're gonna be all right, Felicity.
You'll be all right.
No more saline, fast IVI.
Cefetamet 1.
5 grams.
1gram IV.
Straightaway, please.
Yeah.
I'm gonna have to take you to theatre now.
I'm gonna do my best.
Knife.
Scissors.
Roger's gonna freak when he finds out about this.
Straight in with those.
(ALARM BEEPING) BP down a little.
Colloid, please, just to be on the safe side.
Retraction.
Head down.
Forceps.
Eye-guards.
Suction.
It's a tubo-ovarian abscess.
It's ruptured.
Swab.
You took her over from Roger.
Now look.
Yeah, and you thought this was fucking appendicitis, so pipe down and concentrate.
If this had happened while we'd been transferring her BP dropping.
Shit.
This is looking like septic shock.
Right.
Come on, let's do a washout.
Move it.
Keep pushing that colloid.
We need more antibiotics, please.
-What do you want? -Gent.
(ALARM BEEPING) Right, someone fast bleep Mr Hurley, please.
Come on, let's go.
Move it.
-Have you heard about him and Maya? -But he's married.
I got a fast bleep that her pressure was crashing.
Well, she had us all worried for a while, but things have calmed down now.
Sorry, boss, I controlled the situation with fluids, antibiotics and washouts.
-I'll scrub in.
-Okay.
(WHISPERING) (WHISPERING) He spent the night in her hotel room.
Swab on a stick.
Colloid, please.
(WHISPERING) Oh, I can't tell you, mate Thank you, Rob.
ROB: Excuse me.
Maya, step out.
Step out, Maya.
-What, of the operation? -Yes.
-For a start, she needs another washout.
-Yeah, I was just about to do one You weren't even on for Gynae today.
She went into septic shock.
Her abscess ruptured.
Well, I would've known that if people kept me in the loop.
I thought we should do more tests before turfing her to the surgeons.
Yeah, you thought.
I run this firm, not you.
I'm in charge, not you! Maybe you could acknowledge that by not turfing her to the surgeons, I prevented a major fuckup and helped save one of your patients for you yet again.
Maya, I'm sorry.
-Just leave me alone.
-I'm really very sorry.
I am.
Perhaps you should take a few days' leave.
I don't want to go home.
I just want to get on with my job.
And I need to get on with mine.
That's the point.
(ALARM BEEPING) -Hi.
-Hiya.
Right, her name is Ruth Duncan.
She wouldn't tell the A&E staff what the problem is.
She won't speak to my staff nurse either.
ROB: Okay.
Donna, hi.
Sorry, Rob, are you all right to see the new referral? I've got the other clinical fellowship examiners about to join me on a conference call.
-Sure.
-Call me if there's any worry.
-Give me a minute.
-Yeah.
Boss.
Um, just out of interest, who are the other examiners? Two externals, Hilary Sachs and Manyam Virendra, plus William Lucas Hall, the Postgraduate Dean.
Beth's father.
Are you still seeing her? -No.
-Well, I hope it ended well.
I'll be examining as well but I won't interview you since, as your consultant, there might be questions of partiality.
-Partiality which way? -Hmm.
Hello, Ruth.
You only told them in A&E that you had a pain in your tummy.
Do you have any feelings inside your tummy that worry you? There's something inside of me.
What do you think it is? Something horrible.
Ruth you appear to be pregnant.
And by the look of things, probably around 20 weeks.
You're pregnant, Ruth.
There's something wrong with it.
In what way? It's deformed.
How do you know that? Because its father is.
In what way is he deformed? Does he have a medical condition? I don't know.
Why can't you be sure? Because he comes into my bedroom when I'm asleep.
Do you see his face? No.
Is there something you feel when he's attacking you? His skin.
What about his skin? It's rough, you know.
It's It's like hide.
-DONNA: Hide? -Mmm.
He's some kind of creature, you know.
He's not human.
Ruth, I'd like to do some blood tests.
I'd like to do a scan of the baby.
And I'd like to get a female doctor to take a look inside and see if you've got any injuries.
Is that okay? Okay, good.
Thank you.
Okay.
ROB: I think she's describing a hypnagogic hallucination.
Or this is pure pro-psychosis.
We need to get a psychiatrist to take a look at her.
Agreed? -Agreed.
-Glad we agree on something.
The drug's done this to me, hasn't it? I wouldn't leap to that conclusion.
You knew I was taking the bisphenafil, but you never warned me about it.
Were you pissed off at me for not wanting you for more than a one-night stand? Like I said, there's no evidence that the drug's responsible.
I didn't know of any side-effects in the past.
I'm sorry if you wanted more from me.
Are you in a relationship now? I better be going.
A young woman who's been using bisphenafil has had a suspected MI.
Oh, Christ.
What, while shagging? -No.
Actually, she's not even part of the trial.
-Why didn't you say so? If she's not part of the trial, then we don't have to use her with the data.
Well, no, we don't.
Look, lots of people have heart attacks.
-Not healthy young women.
-She's not healthy.
She's got a dodgy ticker.
Tony, nobody's more disappointed about this than I am.
Yeah, okay, of course.
She was taking high doses, but this could be the single case that uncovers a toxicity effect.
From a single case, you cannot possibly prove that bisphenafil was responsible.
A single case is meaningless when you compare that to all of the data you get from a much larger trial.
But this could've uncovered something that the trial missed.
Nobody gets excited about a trial that shows that a new drug is unusable.
But I'm thinking of you, Polly.
You're up for the clinical fellowship.
I'm gonna delay delivering the trial data to Bing, Stornoway, Carroll till I've looked into it.
Hello, Ruth.
I'm the consultant, Roger Hurley.
The Gynae SHO and I examined her.
We find no physical signs of assault or rough sex.
Everything's fine.
There's nothing wrong with your baby, Ruth.
Everything looks absolutely as it should.
No abnormalities from the blood test.
Good.
Look, it's not right.
I've told you all.
A normal scan at this stage means that the chances of your baby having a severe abnormality are actually quite remote.
It's a normal pregnancy.
Ruth, it's a normal baby.
The psychiatrists won't see her.
-Why not? -Because they're crap.
They'll only see her in clinic in three days.
I've got a full theatre list tomorrow.
That bed's got to be cleared or someone's going to miss out on their operation.
I'll miss my targets.
Ruth.
Ruth, I think it's better if you stay on the ward for the time being so we can keep a close eye on you.
Now, I don't want you thinking I'm doing that because there's something wrong with your pregnancy.
Ruth, I'm a consultant obstetrician.
I'm the clinical director of this department.
I see hundreds of pregnancies every year.
If I thought for one moment that there was something wrong with yours, I'd be telling you and I'd be doing everything in my power to find out what was wrong and how to fix it.
There's nothing wrong.
Ruth.
There's nothing wrong.
Mmm.
I've called the TCI who was coming into Ruth's bed.
She's very upset about being cancelled.
Actually, he made a pretty sensible decision considering how fucked-up he's become over these rumours about him and Maya.
A dangerous doctor's become even more dangerous.
And that's my fault.
All this stuff All this stuff about Roger, you talking to Tony All this hospital politics has never been a part of me and you.
Our relationship was a refuge from all that crap.
Well, at least we're calling it a relationship now.
I've got to do some swatting tonight.
I'm not making excuses, not avoiding you.
You're looking better tonight, Felicity.
There you are.
Yes, I'd like to be sent a prospectus, please.
Thanks.
Yeah, okay, yeah.
I'll hold.
Yeah, sure.
It's Donna Rix.
R-I-X.
-Ruth, how are you feeling? -All right.
Any discomfort or strange sensations in your tummy? No.
We've had more of your test results back.
All normal just like the others.
All looks well.
Sorry, Roger.
I was in the office.
I'd just like to keep you in until a psychiatrist sees you.
I'll call them again for you, Ruth.
See if they can't come today.
Thank you, Donna.
-Maya not on the ward, then? -No, Roger's given her leave.
How convenient.
When he's abused his position of power and ruined the poor girl's life and career, hmm? Oh, my God, Donna.
This is priceless, hmm? This is a bloke who, when you phone him up, he goes, ''Please leave a message after the high moral tone.
'' No one can be 100% sure of all the facts apart from the two people involved.
Donna, this is no time for faint hearts.
If he didn't skewer her kebab, then he's too dickless to be the Clinical Director.
So, we get Maya to make a formal complaint or we make a complaint on her behalf.
Either way, it's better coming from you.
Better coming from a woman.
You're not going to lose your job or anything.
Donna, trust me.
They're not going to send you back to Scotland, hmm? By any standards, that would be a most cruel and unusual punishment.
Look, Tony, I am not in the mood for hospital politics right now.
Anyone seen Ruth? -Yeah, Roger, just.
-Okay, good.
Ms Sharma's firm's gonna cover us while we're in the examination.
How did your revision go last night? Okay.
I got some more to do.
I'm going to ask for this afternoon as study leave.
Getting the fellowship would mean job security.
Good luck.
Well, thank you.
Ben.
Got your message.
Came as soon as I could.
Yesterday there was a big space in my in-tray.
Today it's still not been filled.
Where is the trial data? Well, I can understand that you're concerned.
Look, bisphenafil's the dream drug.
For every dry old slapper and every frustrated husband or boyfriend.
Now, that's what I want for us all, Tony.
The dream.
My company's profit's soaring.
My share options getting noughts added to their value, and you sunning yourself in wealth and research glory.
So, I'm going to sit here till you go back to your little office and bring me back the data we own.
I'm not finished.
Oh, bollocks.
Tony.
You would be the only fucker in this department who doesn't use the word ''password'' as their password.
What are you doing? They need the trial data.
I want to wait and see what Laura Johnson's angiography shows.
If her coronary vessels have been permanently damaged by bisphenafil Why let some stupid bloody nympho knacker everything that we've worked for? Everything that we've achieved? Tony, I have very serious moral problems with this.
Well, I suppose you will mention the trial at your VIVA.
It depends whether it comes up.
And Laura Johnson's heart condition, hmm? Will that come up? Hmm? Polly, I need this password.
Thank you.
Miss Gray.
Mr Lake.
Miss Gray, I'm William Lucas Hall, Postgraduate Dean.
I will be one of the external examiners today.
Please look at the slide for a few moments then tell me when you're ready to receive questions.
Now, Mr Lake, tell me about this specimen.
It's an ovary displaying a gross appearance of endometriosis.
Multiple chocolate cysts.
Nice easy one to warm you up.
-Thank you.
-Thank you.
Please describe the histological appearance of the specimen.
The slide shows proliferated chorionic villi in a state of degeneration.
Which conditions would you associate with this appearance? Hydatidiform mole and choriocarcinoma.
Good.
Very good.
Now, where else might you find endometriotic foci? In the retrovaginal pouch, the uterosacral ligaments, surface of the pelvic peritoneum.
More rarely, the umbilicus, abdominal scars, and very rarely, distant organs such as the lungs.
Can you tell me the genetic character of trophoblast tissue? -I'm sorry? -I mean its carrier type.
I'm sorry.
(BELL RINGS) Thank you, Miss Gray.
If you'd now proceed to Mr Hurley.
ROGER: How are you, Polly? -Very well, thank you, Mr Hurley.
-Good.
William Lucas Hall, I'm very pleased to meet you.
Very nice to meet you.
My daughter's mentioned you to me on a few occasions, Mr Lake.
-How is Beth? -Well, thank you.
Please look at the slide for a few moments then tell me when you're ready to receive questions.
The clinical fellowship in maternal medicine is predominantly an academic appointment.
Perhaps you could tell me about your research experience.
I've just completed a large and significant clinical trial of a novel treatment for Female Sexual Dysfunction.
Well, a lot of trials don't get to this stage.
The drugs are either useless or the side-effects too severe.
Please continue.
155 patients completed a three-month course of treatment Define the genetic character of trophoblast tissue.
Trophoblast is usually genetically paternal, but with a 46xx carrier type.
Rarely, triploid is seen, partial mole containing foetus.
Excellent.
Outstanding.
Well done.
Very good.
Thank you both.
Mr Flaherty, Mrs Zema, please.
I'm Roger Hurley, the Clinical Director here.
-How'd it go? -Fine, I think.
So, that was the Postgraduate Dean, Beth's dad? -Yeah.
-I'm sure she said good things about you.
Hurley ask you about your research? That's to be expected.
And about your FSD trial.
Does Laura Johnson know that we might be connecting her condition to her bisphenafil abuse? She was taking an experimental drug without prescription or monitoring.
She knows she hasn't got a case against the hospital.
-I haven't told the cardiologist about it.
-Why not? There's nothing about the putative causality of her MI which would alter the management of the case, apart from recommending that she discontinue the drug, which I've already done.
They should do a coronary angiography.
I've checked.
One's booked.
Okay.
Look, I don't want you thinking that I'm trying to cover this up because I'm not.
If there is a side-effect, then this is about as serious as it gets.
-She could've dropped dead.
-I can think of worse ways to go.
-So what's the story with you two? -Nothing.
Rob? You didn't.
I didn't.
-You did.
You shagged a Gynae patient.
-Shh.
Well, we must do it again sometime.
-We'll see.
-Yes, sorry about the You know.
Morning, Rog.
Thought I'd trade her up for something a bit niftier, you know, something with a bit more poke.
Yes, Polly calls it my penis extension.
Something you don't appear to have any problems with.
Oh, by the way, Roger.
I'm due to speak with your wife, Harriet, today.
GP, isn't she? Referred a patient that I need her to follow up on.
So when would be a convenient time to get her attention? -Morning.
-Morning.
I see you've got the good news? Yes, thank you, Mr Hurley.
-Congratulations.
Well done.
-Thank you.
So we should meet and discuss your programme for the coming year.
I'm looking forward to that.
-Well done.
-Thank you.
Rob.
If it's any consolation, Rob, it was an extremely close decision.
May I ask what swung it? Uh, Polly's research into Female Sexual Dysfunction.
Thank you.
If my research missed a serious side-effect, I won't let the drug on the market.
Rob.
Congratulations on the clinical fellowship.
You're very good at your job.
There'll be other opportunities.
I try and try and try to get on.
What's the point? All the shit that I take.
All the times that I've covered Hurley.
He won't even cut me an half-decent break.
Sometimes I just think fuck it.
-What do you mean? -Cut my losses.
Start somewhere fresh.
Get a proper foothold.
Proper job security.
Of course, I'd talk to you about it first.
Hi, it's me.
How are you? I'm fine, fine.
How are the boys? Sorry, I just wanted to see if you were okay.
Listen, Tony Whitman didn't call you today, did he? Tony Whitman.
I thought he needed to speak to you about a patient.
We must have Must have got our wires crossed.
Um, yeah, there's, um There's something at work I need to talk to you about.
No, it's nonsense, but (STAMMERING) But we'll talk tonight when I've got more time.
Okay, bye.
I'll check the wound myself and I'll get back to you if I've any concerns, yeah? Okay, bye.
Hello, Ruth.
I'll come back and see you in a minute.
Hello.
Okay.
The wound is still a bit red.
But it's not infected.
We'll just keep it clean for now.
Okay.
Thank you.
-Have you seen Ruth Duncan? -No.
everywhere for her, but we found her in the toilet in D wing.
She's in delivery room 2.
BP 130 over 75.
She's passed stringy, clotty blood.
Have you felt something happen to the baby, Ruth? Has it stopped kicking? Whatever it is, it's dead.
ROB: Ruth.
Is this a spontaneous miscarriage? Or have you done something to yourself to bring it on? I have to ask 'cause if you've done something, I'm gonna have to examine you internally to see if there's any damage.
Ruth.
Am I gonna have to examine you? Ruth? -You knew.
-Knew what? -That something was wrong.
-No, no, that's not it.
That's not right at all.
The way you kept me in the hospital, that's how I could tell.
(RUTH GROANING) She's contracting.
(BABY WHINES) It's alive.
It's over, Ruth.
It's finished.
What was it? A baby, a normal baby.
Why didn't she believe me? You weren't to blame.
Roger was.
She should never have been on my ward.
What was he supposed to do? Send her home? Why are you defending him? It's thanks to him that you've got no future here.
Hey, I've got more reasons to hate Roger than you.
I've got more reasons to hate him than anybody.
Don't.
Don't walk out on me.
WOMAN ON INTERCOM: Labour ward.
Sorry, it's fine.
How long can you carry on here with nothing ever changing? Some things have changed.
Hey.
Harriet.
Hello.
You can't sound so stressed on the phone and expect me not to worry.
Are you okay? There's a shitty rumour that That I That I've had a thing with my SHO.
It's not true.
-Why are people saying you have? -Please, let's go home, let's talk about it Why? We went on that firm trip out for the Royal College symposium and I was seen coming out of her room.
-At what time? -What? At what time did you go to her room? -Midnight, maybe 1:00.
-And you were in there with her? You said you were seen coming out so you were in there with her in the middle of the night? Yes.
You go to her room and people think that you went there for sex.
There must have been something.
You must've been tempted.
You must have gone to this girl's room with the idea at least crossing your mind.
Harriet, Harriet, nothing happened.
-Harriet.
-Something has happened, Roger.
You were tempted.
All that we've got together, our life, our children, the child I'm carrying, you were tempted, at least for one second, to risk all that.
Now what will I think when you call to say you're working late? What will I think every time you go away to give a lecture? No.
Please.
Please.
I promise you.
I promise you nothing will ever come between me being a loving husband and a loving father.
Nothing will ever stop that.
You'll see the boys in the morning as normal.
I don't want them sensing a change.
And then you'll say you're working away from home for a while.
-No, Harriet, please.
No.
-And the girl -The girl -The girl, Roger, she has to go.
Don't go, Harriet.
Please! Please MAYA: If she's finding a temperature, I could take another set of blood cultures.
Okay.
Tonight's my on call night.
I thought I should come in or someone else would have to do extra hours.
Thank you, Maya.
Donna, sorry, do you have a minute? Perhaps working relations between us haven't been quite what they were since I took on the added pressure of the Clinical Directorship in the HRPU.
As the person on staff who's known me the longest, I wonder if I could rely on you to help dispel the gossip about my private life.
Harriet's just undergone IVF and I'm not sure what sort of condition she'll be in.
I don't even know if any one believes me any more.
(MOBILE BEEPS) (TIM LAUGHING) -You've got a fucking nerve.
-What? -Why won't you believe me? -Roger? Give me the phone.
-Sorry, Mr Hurley -Give it to me.
Give me the phone.
-Mr Hurley, you're hurting -Give me the phone.
-Give me the phone! -Mr Hurley! -Give me the fucking phone.
-Mr Hurley, please.
It was a charity thing I did for the church fete last year.
I'm sorry.
How unseemly.
-I don't understand what happened.
-Me, neither.
What happened was Roger Hurley has a girly.
We're all human.
Things can get too much for any one of us.
I came as soon as I could.
Roger, please understand right away that I do not regard this as a disciplinary matter.
I regard this as a cry for help.
I think we should look again at the burden that's been put on you by becoming Clinical Director.
No, I'm gonna fight these rumours, I'm gonna beat them.
Demoting me puts out the signal that I'm guilty.
Roger, let's not even talk about that now.
First of all, we need to tackle these laughable allegations.
You believe me? Without reservation.
But let's go and find somewhere a little more private to discuss this.
Hi.
I don't want hospital politics coming between us.
Me, neither.
You've been looking for a way out, too, haven't you? Just a bit pissed off about the clinical fellowship, that's all.
I'm gonna leave.
-What? The ward? -The hospital, nursing.
That'll be the end of me and you.
The opposite.
If you came with me.
NARRATOR: Next time on Bodies.
The best time to kick a man is when he's down.
-Push.
-Push! You, and you alone, Roger, should accept responsibility.
Did he come straightaway? I wanna come home! Hurley's downfall, Tony's back running the show.
It's what you've been after all along, isn't it, Rob? (WAILING) It's up to you now, son.
If you've got the balls.