The Good Karma Hospital (2017) s03e04 Episode Script

- Hey.
- Welcome home.
Long time, yes.
Good to see you.
In summary, my recommendation for the patient is a follow-up appointment after one year.
No.
Correction, after six months.
Oh Correction, after nine months.
Final answer.
Dad.
AJ?! What is this? I got an earlier train.
If they've sent you down from the University, you must tell me straight up.
We, we, we can deal with.
I don't know quite how, but most definitely Exam results.
End of term.
Are these yours? - What are you, top of the class? - Second top.
There's this girl called Dinesha who's just Wonderful! This is wonderful, my boy is a genius.
Yes.
And for years so well hidden.
.
So tell me, what are your plans for the holidays? Well, I was hoping to kick back at Greg's bar for a bit, do a bit of reading Oh, I met this beautiful girl at med school.
Absolutely no way.
Lydia! - Lydia? - Lydia! Lydia? Dad! Dad! Pranji? Hey? Pranji? You can't sleep here.
Get up.
Pranji, wake up.
Our Father who art in heaven, - Hallowed be thy name.
- Oh, my God, your burning up! Help! Doctor.
We need a doctor! Help! Father Gibson.
Come fast.
As you can see, our prodigal has returned from the bright lights of Mumbai.
And it's lovely to have you back.
Now, Dr Nair Senior tells me that you have absolutely insisted on helping out here, during your holidays.
Wouldn't take no for an answer, apparently? That's correct.
Try and stop me.
Uh, Dr Ray.
Hi.
I'm AJ.
It's a pleasure to meet you.
It's funny.
I feel like I know you already.
Dr Nair speaks of little else.
In fact, err, I understand you are top of your year? - Second top.
- There's this girl called Dinesha.
Today is Jyoti's skin grafting procedure.
I shall be assisting Dr Ray in theatre later this morning.
And I'd like Dr Varma to help, if that's OK with you? Yeah.
I think I can spare him.
So, Dr Walker can take care of the outstanding home visits.
Again? I thought you enjoyed scooting around the place on your little motorbike? - I do, it's just - Good.
I've had a call from the mission at Amuroor.
Possible dengue.
They need a doctor to attend, so you can add it to your list.
Dr Fonseca, I'd like to assist on theatre too? It's the direction I want to take, so some extra experience would be welcome.
Which is why I'm assigning you to the mother and baby clinic with Sister Mari.
What better way to demonstrate your commitment to the profession than a day spent dealing with a hundred screaming babies? Here.
Here.
Invaluable.
It's OK.
Here you go.
What's wrong? There you go.
I brought you these.
They were the only thing that kept me sane.
Don't worry I've washed them.
Have fun.
Excuse me.
We're waiting for you.
Amuroor isn't far.
Have you been before? Map.
I'll find it.
Don't you have some kind of operation to be getting on with? - Assisting Aisha wasn't my idea.
- Did I say it was? - It's an important procedure.
- Yeah.
I know.
- But you're still annoyed? - Not annoyed, just running late.
- That's you know, a big difference.
- OK.
- I'll see you later, OK? - Sure.
- Good morning! Namaste.
- Ah, your other man.
- Should I be jealous? - Yeah.
Absolutely.
- He's in very high demand, you know.
- So I see.
Ruby, my dear, I don't quite know how to say this.
- But I have some very bad news.
- She's dead.
- I'm so sorry.
- It must have been quite a shock.
Or perhaps I was naive not to anticipate it? Life does not stand still, Dr Fonseca.
So that's why we're here.
The village Ted grew up in is only a mile or so from the mission at Amuroor where I'm going.
So I thought, perhaps I could take him there today, just to visit the place where they first met? A bit of a walk down memory lane.
Which I insisted was a totally inappropriate imposition under the circumstances.
Yet I imagine she absolutely refused to take no for an answer.
It would mean a lot to me to see the place again.
- Take the Sunbeam.
- What? A senior officer needs a decent staff car.
And your motorbike is a deathtrap.
- Are you sure? - I must be mellowing.
Or the heat's finally getting to me.
Thank you.
I'll look after it.
Oh, you better My God! I haven't been in one of these for years.
I remember dear old Si Crockett totalling his on the A-39.
Although he was a terrible driver.
- What happened to him? - Became a tank commander.
Allowed him to simply go over things.
Let's go.
Before Lydia changes her mind.
This is very good of you.
No problem at all.
The two villages are really close.
Well my one is easy to spot -- it has a big pink church in the middle.
Look familiar? I suppose these villages can change a lot in 50 years.
There was a well in the centre and a tree where Dina and I used to sit This one.
Maybe they cut it down? Maybe I'm really losing my damn marbles! Bloody drugs they have me on.
You can't tell what's real or a dream or Dammit! Let's take a walk? See if you recognise anything? No.
No.
No.
I'm just wasting your precious time.
You have a proper job to be getting on with.
- I don't mind.
- Well, I mind.
It's ridiculous.
- Can we leave? Please? - Of course.
So, today we will remove the temporary covering and complete the first permanent split skin graft.
It'll take about 90 minutes.
We will take skin from the thigh around here and graft it to the wound.
Dr Varma and Dr Fonseca will assist me.
I understand.
Thank you.
I have made some sketches so that things are clearer for you.
It's fine.
Really.
I trust you.
I wish all our patients had such faith in our abilities.
I've seen what good doctors can do.
OK.
Well, if you'd just like to sign there And then Dr Ray can work her magic.
OK.
Now we will get on with it.
Are are you sure there's nothing else you wish to discuss with Dr Ray? Recovery time, or complications? - I just want my life back.
- Of course.
I understand.
Thank you.
I'm sorry, Ted.
I should never have dragged you there.
Just a quick house call, and I'll take you home.
I would appreciate that.
Do you want to wait here? - Ted? - Doctor? Father Gibson.
Hi.
It's just this way.
One of our parishioners found him in the church this morning.
Pranji's been begging in the village for years.
Most people give him a rupee or two.
Then he comes to the orphanage every Sunday for a proper meal.
Whosoever is generous to the poor lends to the Lord, and he will repay him for his deed.
Proverbs 19, Verse 17.
Believe me, I'm banking on it.
I hoped that he'd recover with a little bit of food and water but he just seems to be getting worse.
I can't tell without doing some tests.
But he looks septic.
- Tachycardic.
- Would this be of some use to you? I may be as old as Methuselah but I still have some utility.
Never in doubt.
- Check his temperature for me? - Yes, ma'am.
OK.
Alright.
Hey, come on.
- They're certainly full of energy.
- Holy terrors, all of them.
If I didn't love them, I'd kill them.
Seriously.
I guess you and your husband must have your hands full? My husband? Sachin? He runs off to work every morning.
As if this isn't work? It's all his fault.
Too damn fertile.
And it's not like we're always having hot sex.
Believe me, what you see here, is almost a 100% hit rate.
Err, no problems here.
Perfect health.
So we can we leave? I have an appointment and I cannot be late.
Nearly there.
I just need to check the height and the weight.
Then hurry up.
They're getting bored.
Five more minutes and they'll really kick off.
- OK.
- Shh! - Is she always this arrogant? - What? Lydia? I think she would see it as confidence.
- And you just accept it? - Lydia is Lydia.
You either go with her, or you leave.
So there's not even a tiny battle? What have you done with the real Dr Varma? These days I only fight when I know I can win.
I think I preferred the original version.
Passionate and committed? And look where that got me.
Oh, the joys of 21st century travel.
Now for the price of a one-way ticket you can stare at your phone in every corner of the globe.
- And your point is? - Look up.
Life's happening all around you.
Sun, sand, sea, sex.
- Sex? - Yeah, over there.
German couple.
Really going at it.
Urgh, that's funny.
You know, You're being a right grumpy cow nowadays.
And Lydia's noticed, d'you know that? She getting in your face? I just think you should treat people with a little more respect.
Especially the ones I'm in a committed sexual partnership with.
- OK, Dad.
- Hey.
Where are you going? I thought we were gonna open up together? Yeah.
I'm sick.
I wanna go back to bed.
Sorry.
His temperature's over 40, so it's definitely an infection.
It could be dengue fever.
We'll have to admit him.
I'll call an ambulance.
Oh, yeah.
Problem.
Despite our constant prayers to a higher power, the signal here still remains very poor.
There's a phone in my office.
Oh, thanks.
Poor chap.
You say that he's been here for years? Everybody knows Pranji.
Asks for little.
Everything he owns is in his cart.
The simple life.
Perhaps he has something to teach us all? Perhaps so.
Though when your own roof is leaking, poverty tends to lose its appeal.
Yet you still take him in? This place may be on its last legs but we can still provide Christian charity.
You have a church too? Oh yeah, built by the Portuguese, would you believe? Well, dozens at the time, but only the persistent remain.
We were supposed to be the start of the great conversion.
Now we're just a a remnant.
Yet the work continues, though our house is crumbling about our ears.
I'm sorry, I'm feeling a little queasy.
I think I'll just take some air.
- If you'll excuse me? - Of course.
Amuroor.
- Hey, Les, can you hear me? - I can see you too.
That's a dreadful old shirt.
In context, it's totally fashion forward.
So, is Tommy driving you up the wall yet? I assume that's why you're calling me for the first time in God knows how long.
Kinda.
I dunno I'm a bit worried about her, to be honest.
She told me she was just here for a holiday but it seems more than that.
She won't talk to me.
Join the club.
What are you doing? Multi-tasking.
So, what's going on? I mean, I assume she's running from something.
Some bastard that broke her heart? - Apart from her dad, you mean? - Nuh, nuh, nuh No, she dumped the current ex-bastard about three months after Ben was born.
Ben? Don't tell me you've forgotten the name of your own grandson? Oh, Ben.
Yeah.
Of course.
I thought you said something else.
Is she around? Look, can you speak to her? She's gotta get back here, Ben needs his mum.
No, she's just stepped out.
OK.
Look, erm, I'm losing signal here I'll I'll have to call you back.
I'm sorry.
Greg! Michelle, handle this, will you? Quilting the graft improves cosmoses in sensitive areas.
So, how do you decide where to place the sutures? You don't.
You just feel it.
I've always wanted to be an artist.
My father insisted I study medicine.
But a determined woman will find a way to get whatever she wants, right? Right.
This is the first permanent graft.
Perfection is essential.
Well, it's either wrong or it's right.
Ah.
My ex-student is quoting me.
We all have our little cliches.
She's a little hypothermic.
35.
And we're done here.
You can start waking her up and we'll dress this.
Can you also check haemoglobin too? She'll have lost some blood.
Dina? There you are.
Hey, the ambulance is here.
Are you ready? Err, yes of course.
Of course.
We must make a move.
- Are you OK? - Yes.
I'm fine, absolutely.
Yeah.
Come on.
I got better.
It's a miracle cure.
So, were you ever even gonna mention it? - About? - I called your mother.
Apparently I'm a bloody grandfather, which is quite a thing to deal with on a Tuesday morning.
- Why the hell didn't you tell me? - It's been very tricky.
It's very complicated.
I knew if I told you, it would just be a really big thing.
Well, you're correct there.
I didn't think that you would care.
Oh, for God's sake, you're my daughter.
My family.
Of course I'd care.
Look, the reason I came here was to try and get away from it all.
OK? Just me.
Just to try and get my head around it.
- I don't need a million questions.
- Jesus.
I don't believe this.
I knew you were irresponsible, but Christ.
What kind of parent walks out on their own child? You! You did! How old was I, when you left? Can you even remember, Dad? - Was I 10? Was I 11? - That's completely different.
I needed to get away.
And who wants to spend their entire life in the bloody Black Country? People who give a shit about their kids? Oh come on! You were practically grown up! I bought you make-up for your Christmas.
Oh, oh OK, sorry.
Well, then.
That's fine then.
That absolutely fine.
And here I am, all grown up and I am absolutely fine with it.
Perhaps you just taught me a really good life lesson.
- Look after number one.
- Tommy! Shit.
Dr Walker.
- This the dengue case? - Suspected.
I've just sent urgent serology to Kochi.
We won't know for sure until tomorrow.
OK.
Let's have a look here.
Here.
Petechial rash.
Spreading.
That's new.
This is dengue.
So we need to inform the local authority.
Sure.
And if this is shock syndrome then he's going to need ICU.
If his kidneys fail, we can't support him here.
If he makes it that far.
I'll look into a transfer.
See what's available.
Good.
- How did it go? - Hmm? - The graft? - Oh, good.
Yeah.
Beautiful in fact.
She certainly hasn't lost her touch.
There you are.
I was just making the operation notes.
I need you to sign? Of course.
I heard it was successful? Jyoti's procedure? I had a very skilled assistant.
We always made such a good team.
- Dr Varma? - Yes.
- I'll call Kochi.
- OK.
Hello, my friend.
Ah, yes.
Of course, Dr Ram.
When I was Professor Pandya's house surgeon, he worked me so hard, I didn't eat for three days.
By the end of the appointment I was so malnourished your grandmother couldn't recognise me.
Sorry? So, what have you learned? Well, that I really, really want to be a surgeon but I never ever want children.
I can't believe you made me miss Dr Ray's surgery for this.
Not all medicine is glamorous.
Now, come on, eat up or you'll be late for your afternoon clinic.
What? There's more? Dad, how many more children are there? Enough to keep you busy, Dr Nair.
- How are you feeling, honey? - Fine.
- A little woozy.
- Mmm.
The procedure went well? As well as can be expected.
So, when can I look? The dressing remains where it is for at least three days.
And then we can expose the graft to the air.
Just that I'm really nervous.
I can't wait to see what you've done.
It's a process, Jyoti.
There will be more procedures, more healing to be done.
This is medicine, not magic.
- Isn't that right, Dr Fonseca? - Exactly.
We're still at the start of a very long road.
Thank you.
For everything you've done.
Both of you.
Thanks to you, I have a future again.
Thank you.
Can we get some help here please? Breathing.
BP 70 over 45.
- What happened? - Emergency ambulance admission.
- Her family are following on.
- I know her.
Jaya.
She was in the clinic earlier.
She was in a rush to get to an appointment.
How is she? - This is your wife? - Yes.
- Tell me what happened please? - She got sterilised this afternoon.
She told the doctor she was in pain, but he didn't listen.
And after we got back home she just collapsed.
- Hello? Can you hear me? - She's unconscious.
Theatre now, come on.
Quick.
Quick.
Quick.
Another swab, please.
Thank you.
There.
The bleeding's coming from a lacerated uterine artery.
Vicryl tie please, sister.
These clinics, they pay women to be sterilised.
It's the government's so-called solution to overpopulation.
As you can see, this is a rush job.
They've damaged the artery in the process.
See, they get so busy, that there's no proper aftercare.
OK.
Another Vicryl, please.
Thank you.
Lovely.
Just do one more tie here.
Yes.
So what now, doctor? Err, well, err, we check for further damage before we close her up? Exactly.
- Dinesha had better watch out.
- Another swab, please, sister.
Yes, doctor.
None of the hospitals in Kochi will help.
You think I'd have accepted the way it works by now -- no money, no treatment.
- We'll make him comfortable here.
- Yeah.
Well, I'll I'll sit with him.
It could be hours.
"What would Jesus do" has become something of a joke, Dr Walker.
But He got a lot right, in my humble opinion.
Nobody needs to be alone.
Thank you.
It was all Jaya's idea.
We couldn't afford any more children.
It seemed like the best option.
The fee was enough for a scooter.
That way I could come back home earlier and help out with the kids.
Will she be OK? Err, we'll know more in the morning.
It's best if you take them home.
Get some rest.
I'm looking for Dr Kumar? Hey, are you one of the surgeons here? Dr Kumar? Yes.
If your wife wants an appointment, she needs to book in after nine.
I'm not a patient.
My name's AJ Nair.
I work at the Good Karma Hospital.
Good Karma Hospital.
Masochist, eh? But we are fully staffed.
Maybe next year? Huh? I've just had to treat one of your patients.
Her name is Jaya? Sorry.
I see a lot of patients.
Hey! Hey! Hey! I need to talk to you.
What the hell is this, eh? She was bleeding when she left here.
She told you she was in pain and you ignored it.
I have work to do.
If you'll allow me.
So that's it? Huh? No apology, nothing? She has children, a family rely on her.
Listen, doctor, I do my job.
These women are well paid.
The government encourage it.
So thank you for your help, but I'm a busy man.
This isn't medicine.
You should be ashamed of yourself.
What kind of doctor ignores his own patients, huh? You're a butcher, not a surgeon.
And you, Dr Nair, how dare you! Before you start, I don't need a lecture.
Good, because I don't intend giving one.
I would like to talk to you, though Please.
Do you mind my asking where the father is? 'Cause these things usually take two? He left.
Or rather I chucked him out.
Another great move on my part.
Well, fathers can be optional, but bringing up a baby alone is tough Most couples find it hard.
I've seen it so many times.
During a pregnancy there's excitement and anticipation and then reality hits.
It's just you and this little thing that screams and cries and totally refuses to even think about sleeping.
Or it sleeps all day when you're wide awake.
So let me take a little guess.
It's the middle of the night, and you haven't slept in days.
He won't sleep, or feed and you're so tired you can't even think straight and then a small part of you, just wishes it would end.
That this problem, this baby, this this thing that's driving you insane, would go away.
And you start to think, terrible, terrible thoughts, about how you might make that happen.
And so you do the one thing, that you think you can do.
Run, far, far, away where you can't hurt anyone.
I love him.
I do.
- I love him.
- I know you do, my darling.
- I know you do.
I know.
- I love my baby.
Well? Well, she's a very confused and scared young woman.
- Shall I err.
.
- No.
No.
Talk to her tomorrow morning.
And if she wants to, she'll tell you all about it.
Thank you so much.
We make a great team, don't we? Honestly, I see you more as my assistant, especially in emotional matters.
Happy to help.
Oh Wow.
Grandad McConnell.
- Suppose that makes you - Don't even go there.
When I got to India, it changed me.
Not all at once, obviously.
But, it just seeps in to your soul.
I think this place makes you a better person.
It certainly changes you.
Once you're about to start chanting, I'm out of here.
What I'm trying to say is, that bloke who ran off here, left you and your mum on your own, he's gone.
Dead and buried.
Don't even know him.
But the shitty thing is, I still have to be responsible for the crap he pulled.
So, this is me apologising on his behalf, but also asking you not to punish me.
Because not that I don't deserve it, but because all it's doing is making two people who ought to love each other bloody unhappy.
- Umm mawah.
- Oh, piss off.
I think I should go home.
AJ.
Get in here.
Is it true? You insulted this doctor in his own surgery? - You called him a, a - A butcher.
A butcher.
Is that right? Yes.
Sir, my son is an impetuous boy.
Always the rebel, always defying his parents' wishes.
I've raised him, I've raised him to know the difference between right and wrong.
And what you do, sir, is wrong.
Those women are your patients.
What you have done is a disgrace to our profession.
Now leave my hospital.
- Your son is in the wrong - What the hell are you doing here? Still! - What a piece of work, eh? - Don't push it.
But actually with your idealism and my good looks, I think we make a fine team.
Oh, do you know where Jyoti is? I wanted to change her dressing.
Look.
Look.
What have you done? - Jyoti - This is not what you promised! You promised it had gone well! - Where is she? Where is she?! - Listen to me, Jyoti.
Please.
If you will just calm down, let me dress that for you.
You liar! Look what you've done to my face! Jyoti.
Jyoti.
Listen.
You calm down and then we'll talk.
- No.
No She's a liar.
- Calm down.
- She has ruined my face.
- Into bed.
Jyoti, come on.
- She has ruined my face.
- Come on.
Calm down, calm down.
15 milligrams of diazepam, please.
Thank you very much.
It's OK.
I am here.
It's OK.
Jyoti, I am right here.
I warned you.
I warned you and you ignored me.
You let her think that I could transform her.
The brilliant surgeon from Mumbai.
The miracle worker.
- That's not true and you know it.
- Isn't it? It was you who begged me to stay here.
How could I be so selfish, to go home and leave poor Jyoti? And now she sees me as the villain.
This is all your ego, isn't it? The woman who can fix anything.
Running her little hospital with a rod of iron.
You needed her to be grateful to you, 'cause it's the only damn thing that feeds you.
Finished? Because I've certainly heard enough.
We both know exactly why you came here.
You may think I'm stupid, but I'm not blind.
I've seen the little looks, between you and Dr Varma.
The fluttering eyelashes across the table.
Jyoti was just a convenient excuse.
So don't you dare get on your high horse with me.
I did what you told me.
- I took your advice.
- What? I told Deepak that I didn't want to marry him.
That I didn't love him.
So you see, I followed my heart.
And look where it got me.
A ruined face.
A ruined woman.
Jyoti I, I didn't say that Thank you, sister.
Thank you from the bottom of my heart.
Thank you.
This dengue business, is it serious? I'm going there later with a temporary clinic.
We need to check the people who've been exposed and then they'll spray the entire village to kill the mosquitoes.
Would you mind if I tag along, lend a hand? Fifty paces, right flank rear.
I'm your man in a crisis, very level-headed, invaluable even.
Firstly, it's not necessary.
Secondly and most importantly, Dr Fonseca would kill me.
If I'm prepared to take the risk, isn't that my business? Are you always this stubborn? I prefer "intrepid", Dr Walker.
Look, I know how much this means to you.
But if there's dengue there, I can't let you risk going back.
Not yet at least.
Now, I need to go and send this, OK? Pranji.
"Whosoever is generous to the poor, lends to the Lord "and he shall repay them for the deed.
" - Seriously? - Yeah.
Thousands of rupees, just piled up in there.
Interesting.
It's called Diogenes syndrome.
It's the hoarding disease.
You could even write it up as a case study.
I don't think you have a romantic bone in your body, do you? My clavicle is romantic, but the rest of me not so much.
By the look in your eyes, it looks like there's something else.
I know what you said, and maybe you want to believe it, but I don't think you're over her.
You see, I'm, I'm selfish.
I kind of need to have you all to myself.
You know I didn't want her to come back here, right? Yeah.
And yet here she is.
So why don't you j Why don't you just figure it out and get back to me? Hmm? OK.
OK.
OK.
Good talk.
I need to go.
So, err, when you coming back? Well, I don't really know.
How do you want to do this? I'm not very good at these things.
Yeah.
Err come here.
Look after yourself.
Phone me, text me, Snapchat, whatever they do these days.
I really want to be part of your life.
We're family.
Goodbye, lovey.
And remember, when you get back, you can always call me.
Doesn't matter what time, you just pick up the phone.
And I'll be here.
I promise.
Thank you.
Bye, Dad.
Bye.
Come here.
Come here.