Doc Martin (2004) s09e01 Episode Script
To the Lighthouse
- Doc? - What's happened? Mum's stuck.
What's she doing up in the air like that? - That's what I said.
Get me down! - I thought, if I lifted up the crush, it'd help her get free, but her leg just sort of fell through the floor.
I can't check her till you cut her out of that contraption.
Pete, I am not cutting her out till THEY ARGUE Shut up! - Can you move your toes? - Yeah.
And turn your ankle? - Yeah.
- OK, no bones broken, just minor lacerations.
You can cut her out.
- OK, come on.
- Give me that ladder.
- Cut it right there.
- What's your name? - Gerry.
- Stand on there.
Steady, careful.
Mind the leg.
I don't like heights, Doc, and I'm in a lot of bloody pain here.
- Got any difficulty breathing? - I have a bit, it hurts a bit, yeah.
Where exactly does it hurt? Kind of everywhere.
Bloody cow slammed into me.
Your pulse is racing.
- OK, Doc, our lady's free.
- All right.
Bring her down very slowly and very carefully.
Yeah, thanks, Doc, we know what we're doing.
Oh, right.
OK, bring her down.
I didn't know she was in the crush.
So I sent a cow down the channel.
The cow panicked when it saw Mum and started rearing back in.
It must've knocked the mechanism, so when Mum tried to get out, - the gates just closed on her.
- Yeah, I didn't get a word of that.
Shall we bring in the jaws? Oh, Mum, I'm sorry.
Oh, careful, careful.
Can you feel your toes, Mrs? What's her name? - Lamorna.
Yeah, I can.
- All right, lift your arms.
SHE GROANS Doc, you seem to have this, we've had a shout about a TA in Pendoggett.
Yes, all right, go.
- Does this hurt? - Ow.
Yes.
All right.
Put your arms down.
I can't feel any broken ribs.
I want you to come to my surgery today so I can examine you further.
- It'll have to be this afternoon.
- Right.
- The cow didn't mean it, Mum.
- No, it's not the cow's fault.
It's YOU, you idiot.
I told you over and over, "Always check before you send one down.
" All right, stop talking, try and stay still.
And come to the surgery this afternoon.
I appreciate you coming, Doc.
I know a lot of folks think you're a tosser, but I'll be sorry to see you go.
What do you mean? I'm not going anywhere.
- Well, they're getting rid of you, aren't they? - No, they're not.
- Pretty sure I heard the same thing.
- Yeah.
No, you heard wrong.
Make sure you come to the surgery.
- Come on, Mum.
- No, thank you, I'm fine.
TEACHER: Keep going.
That's it, keep going.
Arms up in the air, wiggling around.
OK, guys Keep moving your body, moving your hips Daddy! Sorry I'm late, I had an emergency.
Yeah, Morwenna said.
We're only a few minutes late.
Keep moving your body I have to admit, it's a little strange being back here so soon.
- Why is that? - Oh, I don't know, Martin, maybe because I spent my entire adult life working here, - now I'm not.
- Right, yes, course.
Good idea of Mel's to move the nursery here, though.
Well, we'll see.
Louisa! And Master James Henry.
Shoes! - What? - I've just refurbished, and I'd rather you didn't traipse mud all through the place.
Just wouldn't want anyone to accuse me of not being stringent about health and safety.
Oh, James, are you going to give Mummy a a kiss? James? Oh, well.
He seems to like it already.
So he should.
We've got a new art station, soft play area up the back, little library over to your left.
I don't know why I didn't think about expanding before.
People are always having children.
Well, you two must be gearing up for the next one.
No, well, we're we've got our hands full with James and Well, the clock's well and truly ticking, though.
It'd be nice for James to have a little brother or sister - to boss around.
- It's none of your business.
Actually, it's literally my business.
If you know what I mean.
Right, then let me show you through the rest of the facilities.
SHE SIGHS Sorry, you can't park here.
There's no line.
There is a sign Well, there's a sign holder.
- Someone's obviously stolen the sign.
- Oh.
- You'd better tell the police.
- Ye Well, I am the police.
Then, you're already on the case.
Very sharp.
I do my best.
Dr Ellingham's surgery, just up the hill? Oh, yeah, just straight ahead, you can't miss it.
- Thank you.
- No, thank YOU.
Maybe I'll see you around? Maybe.
Take a seat.
I'm here to see Dr Ellingham.
- Oh, do you have an appointment? - No.
Technically, I'm actually first in the queue.
- That's fine.
- I'll make an appointment I don't want an appointment.
- If it means that much, go before me.
- You've misunderstood.
There's still a place for chivalry in the world.
- How was Mrs Hammond? - She got caught in a cattle crush.
Who's my first patient? Donald Abbott.
- Dr Ellingham? - Are you Donald Abbott? - No.
- Do you have an appointment? - She doesn't.
I'm Donald Abbott.
I don't mind if she goes before me Be quiet.
Go through.
Did you just tell a patient to be quiet? Yes.
Make an appointment.
That's the receptionist.
She doesn't want one, Doc.
I'm not here for a consultation.
I am Dr Rebecca Hedden from the GMC.
We weren't expecting you till Thursday.
I like to keep to my own schedule.
Well, my schedule's busy, I've lots of patients to see.
And I am here to monitor the practice, which includes shadowing you and your interaction with patients.
- No.
- It's not a request, Dr Ellingham.
It's a non-negotiable requirement of the GMC following your tribunal hearing, so, please, lead the way.
DOG BARKS What seems to be the problem? Um Oh, don't mind me, I'm just observing.
Oh, right, observe away.
It's not going to be very exciting, I'm afraid.
Um, I've been feeling a bit dizzy, Doctor, I've toppled over a couple of times.
Very inconvenient.
Have you had any other illnesses or symptoms in the last two or three months? Er, I had flu about a month ago.
Follow my finger.
- What's this for? - Shush.
- Keep your head still, just the eyes.
- If a patient has questions, it's good to reassure and educate them.
It's a technique used to detect unilateral hyper function - of the peripheral vestibular system.
- Ah, I thought as much (!) He's measuring how you respond to movement.
- Oh.
Are you a doctor as well? - I am, yes.
Are you Dr Ellingham's replacement, then? I'm just here to observe.
You have vestibular neuritis.
The flu you had has left an inflammation of the nerve in your inner ear.
That's what's causing your imbalance and nausea.
I'll write you a prescription for a course of Cinnarizine.
Will I be able to go about my daily life? I have a few things planned for the next few days.
Yes.
It's a mild infection, the medication should start working as soon you start taking it.
Provided you get enough rest, drink enough fluids, you should be fine.
If you have any more symptoms, make a follow up appointment.
Next patient! What was it we agreed on again? 100 quid, wasn't it? - LAUGHING: No, it were 40.
- Right.
Yeah.
Look, if you're gonna try and rip me off, Gus, you could at least put some effort into it.
You're barely trying there.
You a bit skint at the moment? A boat like this, the upkeep alone's killing me.
Well, sell her.
I've just had her fixed up.
What else am I gonna do? I just need a break, get even again.
Well, you never know, this might be your lucky day.
It's incredibly irritating having her hovering on my shoulder, - watching my every move.
- It's only for a day or two.
No, it's for a week or more.
You need to make an effort with her.
Well, I'm allowing her to observe, nothing more.
Well, let's just try and have a nice lunch anyway.
- Yes.
- Come on.
I was thinking, maybe we could have a talk.
- What about? - About our situation.
What situation? About what Mel said.
Oh.
Hello.
Um, we've not been introduced, I'm Louisa Ellingham.
Dr Rebecca Hedden.
I was just looking to see where's recommended around here for lunch.
Any tips? Well, we were just heading to a place on the plat that does a pretty good line in fresh fish.
- Gets pretty booked up at lunchtime.
- Luckily, we've booked a table.
Would you like to join us? You've probably got other plans.
No, that'll be good.
Thank you.
Great.
That's great.
Come on.
Erm - Hi! - Ah, great, we need two barrels changed and we're getting low on pint glasses.
Oh, hello to you, too (!) Sorry, love, I'm just rushed off my feet.
I promise it's just for a few days until I find someone else to fill in.
Maybe you shouldn't keep firing the staff.
I caught the last one taking money out of the till.
She's lucky I didn't call Penhale on her.
Apparently it's fine for your dad to do it, though.
Ah, Dad.
Come on.
Oh.
Good news, you know that fisherman, Gus? He's a fisherman.
Yes, I gathered that.
Anyway, he's struggling with the cost of running his boat, and I said that we'd buy in as partners at a very reasonable price.
We're not buying into some boat, Dad, OK? We get discounts on all the fish that come in.
Look, we've only just paid Ruth back, OK? We can't afford this.
It's a great opportunity.
What do YOU think? Er, it doesn't matter what she thinks.
Oh, lovely (!) I give up my lunch break to help out, - and that's all the thanks I get.
- No, Morwenna, I didn't Morwenna, I didn't mean it, I ju Look Ruth only agreed to be the guarantor for the pub if I was in charge of the business decisions, yeah? And my business decision is no boat.
So give that to me.
The GMC are keen for a standardised quality of practice, and good partnership with the patients - is a keystone of that.
- Why? Because we respect the patients' right to reach decisions about their care - in conjunction with the doctor.
- It's a terrible idea.
In my experience, patients make appalling decisions.
Louisa, you're a teacher, surely you must see the benefit of consultation.
Well, actually, I WAS, but now I'm training as a counsellor - to work with children.
- Even more so, then.
Don't you think, the more informed a patient is, the better they'll respond to the treatment plan? And surely, the sooner we start that, the better.
I'm sorry, Rebecca Martin and I, we sort of have a rule, - no shoptalk at the table.
- Do we? A patient made to feel uncomfortable is more likely to withhold pertinent information.
If a patient is lying to the doctor, then he doesn't really deserve treatment, does he? I'm sorry, but that's quite inflammatory.
Oh, look, there's Ruth.
Ruth, Ruth, over here.
- Hello.
- Come join us.
I'll get you a chair.
Afternoon, Ruth.
Martin! Sorry.
The more the merrier.
Ruth, this is Dr Rebecca Hedden, she's with the GMC.
Oh, I see.
Hello, I'm Dr Ruth Ellingham.
Oh, yes.
Chris Parsons mentioned you.
We were just discussing how the attitudes of medical practitioners can affect patient care.
Opinion, not fact.
One based on numerous studies.
Based on flawed methodology.
Sally? You all right? Yes.
Just doing a little dusting.
Perfectly normal behaviour.
- I have a prescription.
- Oh.
Right.
So, how you getting on with this month's book? - The Virginia Woolf.
- Oh, yes, erm To A Lighthouse.
Oh, it's a marvellous book.
You know, she based the lighthouse on the one at Godrevy.
Yes, I've always meant to go and have a look.
Especially after reading such a marvellous book.
How about tomorrow? - Tomorrow? - The lighthouse.
A friend of mine's been doing maintenance over there, he'd be more than happy to lend me the keys.
Is this some sort of - .
.
date? - Is that a problem? No.
No, not a problem at all.
Right, then see you tomorrow.
- Bye.
- DOOR SHUTS Mm It's undeniable that being inclusive with patients - can aid the medical process.
- Just because you say something is undeniable, doesn't make it a fact.
I think that each doctor has their own method of patient care which works for them.
And what works for a doctor may not work for a patient.
But I think Martin has a point.
I mean, if he were at fault, I would say so.
And frequently, too.
- You frequently think he's at fault? - No, I didn't say that.
Sorry, can I just interrupt? Look, is Martin gonna lose his job or not? - Oh, right.
- Well, that's what all this is about, isn't it? I think we should just be honest, really.
Cards on the table.
Worst case scenario would be that it's recommended he's no longer allowed to practice.
Effectively, he'd be struck off.
- So you're saying yes.
- I have patients.
We should go.
- Thank you for lunch.
- Yeah.
You're welcome.
See you, Ruth.
I should follow them, I still have a duty to supervise.
Martin is a great asset to this community.
If you punish him, you'll be punishing them as well.
I really should go.
Well, your spleen seems intact.
There doesn't appear to be any damage to your internal organs.
I still ache all over.
It was quite the shock.
I suppose I should count myself lucky it wasn't worse.
However, I am concerned by your mitral valve.
You appear to have some inflammation of the endocardium.
Is that to do with the accident? Your pulse is irregular and your heartbeat's abnormal.
Have you experienced any breathlessness or fatigue recently? Well, I'm on the go all day, so, yeah, now and then.
- And when did that start? - A month or so.
It's been stressful ever since my Stanley passed.
Who? My husband.
Six months since.
Oh.
Type II diabetes, I remember.
It's just me and the boy now.
And he's close to useless.
The lad's gone vegetarian too now, would you believe? Stanley will be spinning.
Pull your top down and roll your sleeve up.
So this inflammation of the endo thing, - what does that mean? - It means you have endocarditis.
The endocardium is the heart's inner lining.
I'll take a blood sample and run some cultures.
Endocarditis generally occurs when bacteria, germs or fungi spread through the bloodstream and attach themselves to damaged areas in the heart.
- No.
- Yes.
No, you are here to observe only.
I feel that the patient would benefit from some additional information.
No, you do not have permission to interfere.
You're in my way, wait outside.
It's a little convenient that you're trying to get rid of me the moment you're due to draw blood.
None of this is convenient, and that has nothing to do with it.
So, you won't have an issue if I stay and watch.
HE CLEARS HIS THROA I'll have the results in the morning, make an appointment with the receptionist.
Right you are.
Let me make one thing perfectly clear, Dr Grayson.
Hedden.
No, Dr Ellingham, let me make it clear.
We are doing this my way, you do not have a choice in the matter.
And I have been willing to overlook a lot so far.
Such as? The way you snap and bark at patients.
- Your lack of cooperation.
- DOG BARKS The fact you have a dog running around your surgery.
DOG WHINES DOG WHINES DOOR SLAMS Right, can I go back to my work now? Your font is too small.
- What? - All the public signs in your surgery have lettering which is below the acceptable size of CQC guidelines.
That is ridiculous.
No.
Dismissing the threat to your career for noncompliance is ridiculous.
Who is your registered first aid responder? - My what? - First aid responder, you have been told multiple times that one is necessary, and yet you refuse to assign one.
- It's me.
- I I've been meaning to file the form confirming it.
The doc asked me a while back.
- Didn't you? - Yes.
He's even agreed to pay me time and a half for the training.
It's very generous.
I was like, "You can't do that," but he insisted, "No, no, no, it's the least I can do.
"Maybe we should make it double time.
" I'll be back tomorrow, Dr Ellingham.
I think it's worth considering what's more important, your career or your pride? I can help with one but not the other.
I'll, er, see you tomorrow, Doc.
If you're still here.
Not double time.
DOOR SHUTS I would like to apologise.
Ruth did put you in charge, and you've been doing a great job of making sure that this is a success.
I'm proud of you, boy.
Yeah.
I'm not changing my mind, it's still a note on the boat.
Oh, I know.
I know.
What we need is a stock-take.
Whiskey, everything, so we know where we stand and we can plan ahead.
- What are you up to? - Nothing.
- Sally.
- I have a problem.
- Come in, what's happened? - Oh, I just Oh, I I don't know what to wear.
Wear? As in clothes? A gentleman asked me to go out with him tomorrow to Godrevy Lighthouse, but what does that actually mean? Casual? Smart-casual? Casual-smart? Sally, when I told you you could come round and talk to me at any time, I meant more with regard to Clive's death and any resulting feelings of isolation and so forth.
I haven't been on a date for 35 years.
Oh.
When Clive passed away, I joined all these clubs and societies to keep me busy.
And there's this gentleman, Donald, in the book club.
And he's very pleasant and polite, and now he's asked me out Sally, I do understand but I don't want to stand here and give you some cliche about how life moves on and when the time is right, you'll know it's right Oh, oh, that's - Oh, that's very good, Ruth.
- No, I wasn't No, that's marvellous.
Oh, golly.
Well I think the important thing is to feel comfortable and be true to yourself.
So .
.
smart-casual.
- Mm? - Yes.
- Thank you, thank you, Ruth.
- SHE CHUCKLES Now Ooh! I thought I saw the doc having lunch with someone today.
A lady Dr Hedden from the GMC.
Oh, she's not due till next week, how did that go? I-I-It was interesting.
Now you tell the doc that if he wants any help, he can call me any time.
Any time at all.
Bye.
I could write a letter for you, some platitudes about how you value her opinion.
- I don't value her opinion.
- That's why they're platitudes.
No, thank you.
- What happens if you lose your job? - I'm not going to lose my job.
I can't say things were helped by you inviting her to lunch, though.
Yeah, and I realise that was a mistake.
Plus, I never got a chance to talk to you about you know.
- Having another child? - Yeah.
I mean, I can't quite believe we haven't talked about it before.
Mind you, we haven't exactly been in a place where we've been able to.
In what way? Well, in the way that we were meant to get married, but neither of us showed up.
And then I left and came back pregnant and James was born, but you were gonna move to London, but you didn't.
And we did get married, but then I went to Spain, and, well, obviously, I came back and you moved out, and there was the therapy.
And now I'm training for a new job, you might lose yours cos of this whole GMC thing, so Yeah.
Yeah, there's been a lot on.
Mm.
Yes, I see what you mean.
Look, time's getting on, but it doesn't mean it's run out.
Although, if we did want another one, it'd have to be after I've finish my course - and started my practice.
- That's three years.
- About that, yeah.
- Mm.
You're pushing it.
Well, plenty of women get pregnant in their 40s.
I think you'll find they're the exception, rather than the rule.
Do YOU want another child? Do you? I don't know.
I always thought I'd have more time to think about it.
But if I'm already too you know.
- No, I don't.
- Yes, you do.
- No, I don't.
- Too old! Oh, I see.
Yes.
No, no, you're not.
I mean, you're you're mature.
Please don't say that, it makes me sound like cheese.
Medically-speaking, to fall pregnant, but, erm yes there's still time.
Yeah, OK.
Not much, though.
Yes, thank you, Martin, I understand.
Excuse me! - Excuse me! - Yes, hello? Sally Tishell.
Mrs.
Widowed.
Qualified chemist.
Registered with the General Pharmaceutical Council.
Holder of an accredited master's degree in pharmacy.
Well, it is nice to meet you.
You're happy with the doctor's work and are ready to send a glowing report back about him.
Unfortunately, I'm not at liberty to discuss the matter, so I'm sure you understand why I can't answer your question.
It wasn't a question.
First patient? Oh, you're back.
As I said, I am here for a week.
At least.
First patient, Doc, Lamorna Hammond.
Lamorna Hammond.
Go through.
I've changed all the fonts in the building.
They now all meet regulation size.
UNDER BREATH: Seemed like a big deal to everybody yesterday.
Ooh! Just a minute.
Hello, hello.
The blood cultures reveal an infection called brucellosis, caused by the brucella bacteria.
Often contracted by eating infected meat or drinking infected milk.
It can also lead to endocarditis, so, we need to establish what it is you've been consuming to cause this.
It says in your notes that you are lactose intolerant? - Have been for years, yeah.
- Do you eat meat? Well, normally, we don't bother, but, like I said, the boys are veggie.
So, you've eaten no meat in the past month? Well, we had a cow die on us, so, obviously, we turned that into a couple of burgers and steak.
Farm folk, Doc, waste not want not.
Right, brucellosis spreads fast amongst cattle.
There'll have to be tests, but it's very possible that that's the source of the infection.
You'll need a prolonged course of antibiotics and you'll have to arrange for the rest of your herd to be slaughtered.
I can't.
- Well, find someone who can.
- CLEARS THROA No, I mean, I don't want to.
There are only five left now and I promised Stanley I'd take care of them.
If that meat is infected, there could be all kinds of complications.
Subacute bacterial endocarditis, acute chronic meningitis, encephalitis and neuritis, orchitis.
Cholecystitis, herpetic suppuration, osteomyelitis - both sacroiliac and vertebral She can't, surely, be expected to know what all those mean? Subacute bacterial endocarditis is a serious condition.
Yeah, I got it, Doc, it's all bad.
But there must be another way? This isn't fair! Fair? Fair has nothing to do with it, they're cows.
If you can't arrange for them to be destroyed, then I'll report it to someone who will.
It's idiotic to be sentimental when it's putting your health at risk.
Oh, look! It's wonderful! Yes, home to seagulls, oystercatchers, pipits.
People aren't allowed on the island without permission.
But we have permission don't we? Well, we've got the keys to the lighthouse, so more or less, yes.
Well, I'm a pillar of the community, I can't break the law.
Don't worry, Sally, we're not breaking the law! Only a few people get to visit Godrevy, we're lucky.
May I ask the patient a question, Doctor Ellingham? Yes.
How does this make you feel? The way Doctor Ellingham talked to you? Suggesting you are, "Idiotic.
" I said her actions were idiotic, not her personally.
Honestly .
.
it's a bit upsetting.
I don't think the doc understands what it means to tell a farmer they've got to cull the herd.
And it's the sort of thing that might make you think twice about coming back here, if you had a problem? Right.
So, you think I'm stupid, too? No, not at all! Or just some local yokel? Who'll say what you want with a bit of prodding and pushing? - No, I think you've misunderstood.
- No, no, no, I understand fine.
The doc might be a rude tosser, but at least he talks straight and that's appreciated round here.
You want to sit and take notes? Take notes on that! And stop sticking words into my mouth! Any further questions? No, thank you.
- Be careful on those steps, Sally! - Oh, I'm fine.
SEAGULLS CRY Here we are.
How lovely to be in Woolf country! Yes, such a wonderful book.
What was your favourite part? Er, ooh, I liked all the, um all the lighthouse stuff.
And the final page, was very powerful.
It was, wasn't it? " 'Yes,' she thought, laying down her brush in extreme fatigues, " 'I have had my vision.
' " You know, you're quite unique for Portwenn, Sally.
I can't think of anyone else around here with whom one can discuss art and the finer things of life.
Oh, well, I'm sure the doc would have some remarkable insights.
The doc (?) Oh, yes, very good.
The man's so stiff you could lay him on his side and use him as a shelf (!) We'll agree to disagree on that one.
Oh.
Oh, my goodness.
- Here we are! - Ooh! PANTING It's 950 steps to the top.
950? - Well, it'll be worth it.
- God, I hope so.
Oof.
- BREATHLESS: Nearly there.
- Good! Ha! Careful.
- After you.
- Oh, thank you.
It's very steep.
Oh! SHE GASPS Come on, this way.
Oh.
Oh, my! This is quite the view! Isn't it just? Here we go.
Oh! Oh, thank you.
SHE LAUGHS, SIGHS CONTENTEDLY I hope you're enjoying yourself? Oh, I am, I'm glad I came.
I almost didn't, it's been a while.
It must be difficult, losing Clive? He annoyed me.
And then one day he wasn't around to be annoying any more.
I miss it.
Being annoyed with him? Being something with him.
Anything! I think I could have been, um .
.
a better wife.
I'm sure you tried your best.
Clive used to say that sometimes I was elsewhere.
Well, not physically, I mean.
- Emotionally? - Yes.
You don't need to feel bad any more.
No.
I suppose not.
TEARFULLY: It's just that now that Clive's gone, there's an empty space and I don't know how to fill it.
No, no, no! I'm sorry, I can't! Sally! Wait! Ooh.
- Sally! - That's not why I came here! I apologise.
It was clumsy of me, let's just forget it.
No, I think it's better if I just leave.
SHE YELLS OU Sally! - CRASHING - Oh! - Sally! - Uh - Sally - Oh.
.
.
are you all right? AGONISED GROANS - Sally! - Ooh.
- Sally? - Ooh.
No No, I am not.
Right.
No need to panic.
I have a screwdriver sticking out my arm.
Call the doctor! Try and keep them as clean and dry as possible.
- PHONE RINGS - 'Portwenn surgery.
' Yeah, OK, all right, slow down, um, hold on.
Um, Doc, it's an emergency, it's Donald Abbott.
- Yes? - 'Er, hello, Sally, er' Mrs Tishell, managed to trip over and injure herself.
'Oh, I just need a second.
' Hello, Doctor, it's Sally Tishell, Um I have a screwdriver 'lodged in my forearm, an inch below the elbow joint.
' Right, whatever you do, don't pull it out.
Where are you? At the top of Godrevy lighthouse.
Well, what on earth are you doing there? 'Well, there was this book club' somebody chose Virginia Woolf, to be honest, I couldn't get past the first chapter, it was so boring.
'All right, stop talking and listen to me.
' Apply pressure to the wound to stop the bleeding, but don't push the screwdriver in any further.
Lie down and raise your arm on a table or chair.
Wait for me and stay calm.
Call Penhale and have him get the lifeboat and meet me to take me to Godrevy Island, please.
Thank you, Doctor.
DOG BARKS - HORN HONKS - 'Come on!' You're gonna to have to move this forward or backwards.
We can't move it, Joe, some moron's parked it and gone off somewhere.
Where's the lifeboat? A slight issue, a moron's parked in front of the lifeboat place.
It's all under control though.
Crisis management is my forte.
I need a boat NOW.
Some say it's an alpha male trait.
Right, it's that one, that's 27 - Hey! - .
.
28 So, this is your idea of a stock-take, is it? Listen, I can explain everything You're paying for a share of the boat with whiskey, even though I told you not to.
You said you'd cleared it with him.
Figure of speech.
That's about 700 quid's worth of stock there.
Right, bugger this! Call me when you've decided what you wanna do.
Look, you may be in charge, but I've run businesses all my life! Yes, run them into the ground! - Is this your boat, now? - Yes.
- No, oh.
Doesn't matter, get me to Godrevy.
No, Doc, no.
This boat's in use.
No, it's not, come on, I've got to get to Godrevy.
- Not you, you get seasick, don't you? - What? No, I don't.
- Anyway, you need someone to pilot the boat.
- Oh.
- Oh, really?! - Non-negotiable, means non-negotiable.
Penhale to the rescue again! You can let go now.
- Doc, just wait a minute! - ENGINE STARTS We'll be back.
Right, be careful, Penhale, it's quite shallow here.
It's an emergency, Doc.
Stop worrying.
I know these waters like the back of my hand.
Can you look where you're going? THE BOAT JUDDERS What happened? It's just a sea bump.
Er, I don't mean to worry you, but water's coming in.
Oh, you idiot! We're sinking! I can confirm, there is a hole in the boat.
Right, we need to lighten the load.
Doc, we can't throw her over.
Actually, can you swim? It's not that far to shore.
Just give me a hand! Should we be doing this, Doc? It's either that or sink.
Good point.
THEY STRAIN Right, that should do it.
Let's go.
Is he actually a policeman? Yes.
- Mrs Tishell? - Oh, I'm up here! BREATHLESS: Wonderful.
- Doctor.
- Don't move, sit down.
Yes.
What are you doing here? You told me I could go about my daily life.
I meant get some rest, not go chasing around lighthouses.
What? Did you have to bring her? Shush.
She's lost a lot of blood.
HE GAGS Yes.
Are you sure you're all right to continue, Dr Ellingham? Do you need me to step in? A screwdriver has punctured a branch of the brachial artery.
I'll have to pull it out.
I need you to keep your arm completely still.
I won't move a muscle, doc.
I'll get you something to bite on.
Here you are.
Right, look away.
Look away.
SHE WINCES - Oh! - Doctor? I'm fine, give me some space.
HE VOMITS PENHALE: The boat's a write-off, but the lifeboat's on its way.
Oh, dear.
- Don't worry, I'm here.
- Don't touch her, she's Ah! Oh, God You all right? Ouch.
The shock must have stopped her heart.
Let's get her away from these wires.
Be terrible if she died, Doctor.
She's not responding to the CPR.
I'll have to give her a precordial thump.
Pre That's very dangerous, Doctor, go ahead.
I can't watch.
SHE GASPS Yup, that did it, the heart's got a rhythm.
- Now, what's your name? - Donald.
Call the ambulance and have them meet us on the Portwenn Side.
The lifeboat's coming.
Well, can you help me get her up and get her downstairs? Thank you, Doctor.
- You came running in my hour of need.
- Yes.
What? Here, where's the boat? Don't worry, the boat's fine.
A little bit of a, er, rip in it.
A rip? Please tell me it didn't bloody sink? No, it didn't "bloody sink.
" We tossed the whisky overboard so it stayed afloat, so it's fine.
You've damaged his boat and thrown away all my whisky?! It was a police emergency.
Bollocks.
Look, you'll be compensated.
Although it's quite a complicated procedure, lots of forms, lots of paperwork, so how about I buy you guys a pint and we call it quits? Bollocks.
Two pints? Fine, I'll get on with the paperwork.
Oh, thank you.
Oh, thank you for, erm For an interesting morning.
I'd ask if there was gonna be another one, but I have a feeling perhaps you are elsewhere? As Woolf herself said, "One cannot find peace by avoiding life.
" Oh, I never actually read that book.
Yes, I gathered that.
Well, I've gotta go now, things to do.
All right.
See you at the book club, then, Sally Tishell.
Only if I can choose the book.
You're gonna be taken to hospital, where they'll monitor your heart rhythm for 24 hours and they'll, erm, treat the burns on your hands.
Your chest will be sore and it'll hurt to breathe because of the bruising from the thump I gave you.
- Do you understand? - Yes.
Right, I'll call the hospital and monitor your recovery.
I still need to deliver my report, so you'll be hearing from me, as well.
Yes.
Come on, Chippy.
You've been here all day, mate.
- Well, I wanna drink some more.
- I know you do, which is exactly why you should get on home and sleep it off.
Well, I don't wanna sleep it off.
I know.
On your bike, mate.
Be careful, good luck.
Yes, yes, I know I'm late.
I haven't said anything.
- You were going to, though.
- No, no.
I mean, sure, you did say you'd be here, what, over an hour ago.
You do realise this isn't actually my job? And if it was, I'd quit.
Oh, look, you're right.
You're right, I'm sorry.
I'm sorry.
I've been a bit stressed, this is the one chance I've got of actually having a business that works out.
I appreciate you.
SHE SNIGGERS You appreciate me?! Yeah, that didn't sound great, did it? Er I'm not good at saying this kind of thing.
What I meant was .
.
I love you.
Go on.
And you're amazing.
- Is that it? - No! No, and you're the most important thing in my life and I couldn't imagine not being with you.
What a lovely proposal.
I thought I told you to go home, Chippy? Wait, that was a proposal? Of course it was! Al, was it? Yeah, I suppose it was.
Yes! - Yes? - The answer is yes! Is it? CHIPPY CHEERS - OK? - Hmm.
Congratulations! Everyone, Al just proposed to Morwenna and she said yes! - Drinks on the house! - CHEERING You didn't tell me you were gonna propose.
I didn't know I was gonna propose, it sort of slipped out.
But you meant it, right? Er - Electrocuted? - Mm-hmm.
And then her heart stopped.
But you got it started again.
Mm.
Can you pass the pepper, please? Is that good or bad? Well, it's good for her.
I don't know if it'll affect her assessment, or not.
Are you worried about that? No, I'm not.
Well, I'm worried.
It could have serious implications for our future.
Is this about us having a second child? Well, it makes things uncertain, doesn't it? And I know you don't want another child anyway.
I didn't say that.
So, you want another child? If that's what you want, yes.
You'd have a second child? If you want to, yes.
You're not going to say that I'm too old, or something? No, I'm not.
Whatever decision you make, I'll support you.
Thank you, Martin.
You're welcome.
Can I have the pepper, please? Yeah, sorry.
They want me to do three refresher courses, starting with lobotomy.
It's our prize goat, she's jealous of our happiness! He knows what we get up to.
We are very compatible, physically.
Have you thought about how you are going to deal with your hemophobia? Once I have located a suitable vein, I will insert the needle and take the blood.
What's she doing up in the air like that? - That's what I said.
Get me down! - I thought, if I lifted up the crush, it'd help her get free, but her leg just sort of fell through the floor.
I can't check her till you cut her out of that contraption.
Pete, I am not cutting her out till THEY ARGUE Shut up! - Can you move your toes? - Yeah.
And turn your ankle? - Yeah.
- OK, no bones broken, just minor lacerations.
You can cut her out.
- OK, come on.
- Give me that ladder.
- Cut it right there.
- What's your name? - Gerry.
- Stand on there.
Steady, careful.
Mind the leg.
I don't like heights, Doc, and I'm in a lot of bloody pain here.
- Got any difficulty breathing? - I have a bit, it hurts a bit, yeah.
Where exactly does it hurt? Kind of everywhere.
Bloody cow slammed into me.
Your pulse is racing.
- OK, Doc, our lady's free.
- All right.
Bring her down very slowly and very carefully.
Yeah, thanks, Doc, we know what we're doing.
Oh, right.
OK, bring her down.
I didn't know she was in the crush.
So I sent a cow down the channel.
The cow panicked when it saw Mum and started rearing back in.
It must've knocked the mechanism, so when Mum tried to get out, - the gates just closed on her.
- Yeah, I didn't get a word of that.
Shall we bring in the jaws? Oh, Mum, I'm sorry.
Oh, careful, careful.
Can you feel your toes, Mrs? What's her name? - Lamorna.
Yeah, I can.
- All right, lift your arms.
SHE GROANS Doc, you seem to have this, we've had a shout about a TA in Pendoggett.
Yes, all right, go.
- Does this hurt? - Ow.
Yes.
All right.
Put your arms down.
I can't feel any broken ribs.
I want you to come to my surgery today so I can examine you further.
- It'll have to be this afternoon.
- Right.
- The cow didn't mean it, Mum.
- No, it's not the cow's fault.
It's YOU, you idiot.
I told you over and over, "Always check before you send one down.
" All right, stop talking, try and stay still.
And come to the surgery this afternoon.
I appreciate you coming, Doc.
I know a lot of folks think you're a tosser, but I'll be sorry to see you go.
What do you mean? I'm not going anywhere.
- Well, they're getting rid of you, aren't they? - No, they're not.
- Pretty sure I heard the same thing.
- Yeah.
No, you heard wrong.
Make sure you come to the surgery.
- Come on, Mum.
- No, thank you, I'm fine.
TEACHER: Keep going.
That's it, keep going.
Arms up in the air, wiggling around.
OK, guys Keep moving your body, moving your hips Daddy! Sorry I'm late, I had an emergency.
Yeah, Morwenna said.
We're only a few minutes late.
Keep moving your body I have to admit, it's a little strange being back here so soon.
- Why is that? - Oh, I don't know, Martin, maybe because I spent my entire adult life working here, - now I'm not.
- Right, yes, course.
Good idea of Mel's to move the nursery here, though.
Well, we'll see.
Louisa! And Master James Henry.
Shoes! - What? - I've just refurbished, and I'd rather you didn't traipse mud all through the place.
Just wouldn't want anyone to accuse me of not being stringent about health and safety.
Oh, James, are you going to give Mummy a a kiss? James? Oh, well.
He seems to like it already.
So he should.
We've got a new art station, soft play area up the back, little library over to your left.
I don't know why I didn't think about expanding before.
People are always having children.
Well, you two must be gearing up for the next one.
No, well, we're we've got our hands full with James and Well, the clock's well and truly ticking, though.
It'd be nice for James to have a little brother or sister - to boss around.
- It's none of your business.
Actually, it's literally my business.
If you know what I mean.
Right, then let me show you through the rest of the facilities.
SHE SIGHS Sorry, you can't park here.
There's no line.
There is a sign Well, there's a sign holder.
- Someone's obviously stolen the sign.
- Oh.
- You'd better tell the police.
- Ye Well, I am the police.
Then, you're already on the case.
Very sharp.
I do my best.
Dr Ellingham's surgery, just up the hill? Oh, yeah, just straight ahead, you can't miss it.
- Thank you.
- No, thank YOU.
Maybe I'll see you around? Maybe.
Take a seat.
I'm here to see Dr Ellingham.
- Oh, do you have an appointment? - No.
Technically, I'm actually first in the queue.
- That's fine.
- I'll make an appointment I don't want an appointment.
- If it means that much, go before me.
- You've misunderstood.
There's still a place for chivalry in the world.
- How was Mrs Hammond? - She got caught in a cattle crush.
Who's my first patient? Donald Abbott.
- Dr Ellingham? - Are you Donald Abbott? - No.
- Do you have an appointment? - She doesn't.
I'm Donald Abbott.
I don't mind if she goes before me Be quiet.
Go through.
Did you just tell a patient to be quiet? Yes.
Make an appointment.
That's the receptionist.
She doesn't want one, Doc.
I'm not here for a consultation.
I am Dr Rebecca Hedden from the GMC.
We weren't expecting you till Thursday.
I like to keep to my own schedule.
Well, my schedule's busy, I've lots of patients to see.
And I am here to monitor the practice, which includes shadowing you and your interaction with patients.
- No.
- It's not a request, Dr Ellingham.
It's a non-negotiable requirement of the GMC following your tribunal hearing, so, please, lead the way.
DOG BARKS What seems to be the problem? Um Oh, don't mind me, I'm just observing.
Oh, right, observe away.
It's not going to be very exciting, I'm afraid.
Um, I've been feeling a bit dizzy, Doctor, I've toppled over a couple of times.
Very inconvenient.
Have you had any other illnesses or symptoms in the last two or three months? Er, I had flu about a month ago.
Follow my finger.
- What's this for? - Shush.
- Keep your head still, just the eyes.
- If a patient has questions, it's good to reassure and educate them.
It's a technique used to detect unilateral hyper function - of the peripheral vestibular system.
- Ah, I thought as much (!) He's measuring how you respond to movement.
- Oh.
Are you a doctor as well? - I am, yes.
Are you Dr Ellingham's replacement, then? I'm just here to observe.
You have vestibular neuritis.
The flu you had has left an inflammation of the nerve in your inner ear.
That's what's causing your imbalance and nausea.
I'll write you a prescription for a course of Cinnarizine.
Will I be able to go about my daily life? I have a few things planned for the next few days.
Yes.
It's a mild infection, the medication should start working as soon you start taking it.
Provided you get enough rest, drink enough fluids, you should be fine.
If you have any more symptoms, make a follow up appointment.
Next patient! What was it we agreed on again? 100 quid, wasn't it? - LAUGHING: No, it were 40.
- Right.
Yeah.
Look, if you're gonna try and rip me off, Gus, you could at least put some effort into it.
You're barely trying there.
You a bit skint at the moment? A boat like this, the upkeep alone's killing me.
Well, sell her.
I've just had her fixed up.
What else am I gonna do? I just need a break, get even again.
Well, you never know, this might be your lucky day.
It's incredibly irritating having her hovering on my shoulder, - watching my every move.
- It's only for a day or two.
No, it's for a week or more.
You need to make an effort with her.
Well, I'm allowing her to observe, nothing more.
Well, let's just try and have a nice lunch anyway.
- Yes.
- Come on.
I was thinking, maybe we could have a talk.
- What about? - About our situation.
What situation? About what Mel said.
Oh.
Hello.
Um, we've not been introduced, I'm Louisa Ellingham.
Dr Rebecca Hedden.
I was just looking to see where's recommended around here for lunch.
Any tips? Well, we were just heading to a place on the plat that does a pretty good line in fresh fish.
- Gets pretty booked up at lunchtime.
- Luckily, we've booked a table.
Would you like to join us? You've probably got other plans.
No, that'll be good.
Thank you.
Great.
That's great.
Come on.
Erm - Hi! - Ah, great, we need two barrels changed and we're getting low on pint glasses.
Oh, hello to you, too (!) Sorry, love, I'm just rushed off my feet.
I promise it's just for a few days until I find someone else to fill in.
Maybe you shouldn't keep firing the staff.
I caught the last one taking money out of the till.
She's lucky I didn't call Penhale on her.
Apparently it's fine for your dad to do it, though.
Ah, Dad.
Come on.
Oh.
Good news, you know that fisherman, Gus? He's a fisherman.
Yes, I gathered that.
Anyway, he's struggling with the cost of running his boat, and I said that we'd buy in as partners at a very reasonable price.
We're not buying into some boat, Dad, OK? We get discounts on all the fish that come in.
Look, we've only just paid Ruth back, OK? We can't afford this.
It's a great opportunity.
What do YOU think? Er, it doesn't matter what she thinks.
Oh, lovely (!) I give up my lunch break to help out, - and that's all the thanks I get.
- No, Morwenna, I didn't Morwenna, I didn't mean it, I ju Look Ruth only agreed to be the guarantor for the pub if I was in charge of the business decisions, yeah? And my business decision is no boat.
So give that to me.
The GMC are keen for a standardised quality of practice, and good partnership with the patients - is a keystone of that.
- Why? Because we respect the patients' right to reach decisions about their care - in conjunction with the doctor.
- It's a terrible idea.
In my experience, patients make appalling decisions.
Louisa, you're a teacher, surely you must see the benefit of consultation.
Well, actually, I WAS, but now I'm training as a counsellor - to work with children.
- Even more so, then.
Don't you think, the more informed a patient is, the better they'll respond to the treatment plan? And surely, the sooner we start that, the better.
I'm sorry, Rebecca Martin and I, we sort of have a rule, - no shoptalk at the table.
- Do we? A patient made to feel uncomfortable is more likely to withhold pertinent information.
If a patient is lying to the doctor, then he doesn't really deserve treatment, does he? I'm sorry, but that's quite inflammatory.
Oh, look, there's Ruth.
Ruth, Ruth, over here.
- Hello.
- Come join us.
I'll get you a chair.
Afternoon, Ruth.
Martin! Sorry.
The more the merrier.
Ruth, this is Dr Rebecca Hedden, she's with the GMC.
Oh, I see.
Hello, I'm Dr Ruth Ellingham.
Oh, yes.
Chris Parsons mentioned you.
We were just discussing how the attitudes of medical practitioners can affect patient care.
Opinion, not fact.
One based on numerous studies.
Based on flawed methodology.
Sally? You all right? Yes.
Just doing a little dusting.
Perfectly normal behaviour.
- I have a prescription.
- Oh.
Right.
So, how you getting on with this month's book? - The Virginia Woolf.
- Oh, yes, erm To A Lighthouse.
Oh, it's a marvellous book.
You know, she based the lighthouse on the one at Godrevy.
Yes, I've always meant to go and have a look.
Especially after reading such a marvellous book.
How about tomorrow? - Tomorrow? - The lighthouse.
A friend of mine's been doing maintenance over there, he'd be more than happy to lend me the keys.
Is this some sort of - .
.
date? - Is that a problem? No.
No, not a problem at all.
Right, then see you tomorrow.
- Bye.
- DOOR SHUTS Mm It's undeniable that being inclusive with patients - can aid the medical process.
- Just because you say something is undeniable, doesn't make it a fact.
I think that each doctor has their own method of patient care which works for them.
And what works for a doctor may not work for a patient.
But I think Martin has a point.
I mean, if he were at fault, I would say so.
And frequently, too.
- You frequently think he's at fault? - No, I didn't say that.
Sorry, can I just interrupt? Look, is Martin gonna lose his job or not? - Oh, right.
- Well, that's what all this is about, isn't it? I think we should just be honest, really.
Cards on the table.
Worst case scenario would be that it's recommended he's no longer allowed to practice.
Effectively, he'd be struck off.
- So you're saying yes.
- I have patients.
We should go.
- Thank you for lunch.
- Yeah.
You're welcome.
See you, Ruth.
I should follow them, I still have a duty to supervise.
Martin is a great asset to this community.
If you punish him, you'll be punishing them as well.
I really should go.
Well, your spleen seems intact.
There doesn't appear to be any damage to your internal organs.
I still ache all over.
It was quite the shock.
I suppose I should count myself lucky it wasn't worse.
However, I am concerned by your mitral valve.
You appear to have some inflammation of the endocardium.
Is that to do with the accident? Your pulse is irregular and your heartbeat's abnormal.
Have you experienced any breathlessness or fatigue recently? Well, I'm on the go all day, so, yeah, now and then.
- And when did that start? - A month or so.
It's been stressful ever since my Stanley passed.
Who? My husband.
Six months since.
Oh.
Type II diabetes, I remember.
It's just me and the boy now.
And he's close to useless.
The lad's gone vegetarian too now, would you believe? Stanley will be spinning.
Pull your top down and roll your sleeve up.
So this inflammation of the endo thing, - what does that mean? - It means you have endocarditis.
The endocardium is the heart's inner lining.
I'll take a blood sample and run some cultures.
Endocarditis generally occurs when bacteria, germs or fungi spread through the bloodstream and attach themselves to damaged areas in the heart.
- No.
- Yes.
No, you are here to observe only.
I feel that the patient would benefit from some additional information.
No, you do not have permission to interfere.
You're in my way, wait outside.
It's a little convenient that you're trying to get rid of me the moment you're due to draw blood.
None of this is convenient, and that has nothing to do with it.
So, you won't have an issue if I stay and watch.
HE CLEARS HIS THROA I'll have the results in the morning, make an appointment with the receptionist.
Right you are.
Let me make one thing perfectly clear, Dr Grayson.
Hedden.
No, Dr Ellingham, let me make it clear.
We are doing this my way, you do not have a choice in the matter.
And I have been willing to overlook a lot so far.
Such as? The way you snap and bark at patients.
- Your lack of cooperation.
- DOG BARKS The fact you have a dog running around your surgery.
DOG WHINES DOG WHINES DOOR SLAMS Right, can I go back to my work now? Your font is too small.
- What? - All the public signs in your surgery have lettering which is below the acceptable size of CQC guidelines.
That is ridiculous.
No.
Dismissing the threat to your career for noncompliance is ridiculous.
Who is your registered first aid responder? - My what? - First aid responder, you have been told multiple times that one is necessary, and yet you refuse to assign one.
- It's me.
- I I've been meaning to file the form confirming it.
The doc asked me a while back.
- Didn't you? - Yes.
He's even agreed to pay me time and a half for the training.
It's very generous.
I was like, "You can't do that," but he insisted, "No, no, no, it's the least I can do.
"Maybe we should make it double time.
" I'll be back tomorrow, Dr Ellingham.
I think it's worth considering what's more important, your career or your pride? I can help with one but not the other.
I'll, er, see you tomorrow, Doc.
If you're still here.
Not double time.
DOOR SHUTS I would like to apologise.
Ruth did put you in charge, and you've been doing a great job of making sure that this is a success.
I'm proud of you, boy.
Yeah.
I'm not changing my mind, it's still a note on the boat.
Oh, I know.
I know.
What we need is a stock-take.
Whiskey, everything, so we know where we stand and we can plan ahead.
- What are you up to? - Nothing.
- Sally.
- I have a problem.
- Come in, what's happened? - Oh, I just Oh, I I don't know what to wear.
Wear? As in clothes? A gentleman asked me to go out with him tomorrow to Godrevy Lighthouse, but what does that actually mean? Casual? Smart-casual? Casual-smart? Sally, when I told you you could come round and talk to me at any time, I meant more with regard to Clive's death and any resulting feelings of isolation and so forth.
I haven't been on a date for 35 years.
Oh.
When Clive passed away, I joined all these clubs and societies to keep me busy.
And there's this gentleman, Donald, in the book club.
And he's very pleasant and polite, and now he's asked me out Sally, I do understand but I don't want to stand here and give you some cliche about how life moves on and when the time is right, you'll know it's right Oh, oh, that's - Oh, that's very good, Ruth.
- No, I wasn't No, that's marvellous.
Oh, golly.
Well I think the important thing is to feel comfortable and be true to yourself.
So .
.
smart-casual.
- Mm? - Yes.
- Thank you, thank you, Ruth.
- SHE CHUCKLES Now Ooh! I thought I saw the doc having lunch with someone today.
A lady Dr Hedden from the GMC.
Oh, she's not due till next week, how did that go? I-I-It was interesting.
Now you tell the doc that if he wants any help, he can call me any time.
Any time at all.
Bye.
I could write a letter for you, some platitudes about how you value her opinion.
- I don't value her opinion.
- That's why they're platitudes.
No, thank you.
- What happens if you lose your job? - I'm not going to lose my job.
I can't say things were helped by you inviting her to lunch, though.
Yeah, and I realise that was a mistake.
Plus, I never got a chance to talk to you about you know.
- Having another child? - Yeah.
I mean, I can't quite believe we haven't talked about it before.
Mind you, we haven't exactly been in a place where we've been able to.
In what way? Well, in the way that we were meant to get married, but neither of us showed up.
And then I left and came back pregnant and James was born, but you were gonna move to London, but you didn't.
And we did get married, but then I went to Spain, and, well, obviously, I came back and you moved out, and there was the therapy.
And now I'm training for a new job, you might lose yours cos of this whole GMC thing, so Yeah.
Yeah, there's been a lot on.
Mm.
Yes, I see what you mean.
Look, time's getting on, but it doesn't mean it's run out.
Although, if we did want another one, it'd have to be after I've finish my course - and started my practice.
- That's three years.
- About that, yeah.
- Mm.
You're pushing it.
Well, plenty of women get pregnant in their 40s.
I think you'll find they're the exception, rather than the rule.
Do YOU want another child? Do you? I don't know.
I always thought I'd have more time to think about it.
But if I'm already too you know.
- No, I don't.
- Yes, you do.
- No, I don't.
- Too old! Oh, I see.
Yes.
No, no, you're not.
I mean, you're you're mature.
Please don't say that, it makes me sound like cheese.
Medically-speaking, to fall pregnant, but, erm yes there's still time.
Yeah, OK.
Not much, though.
Yes, thank you, Martin, I understand.
Excuse me! - Excuse me! - Yes, hello? Sally Tishell.
Mrs.
Widowed.
Qualified chemist.
Registered with the General Pharmaceutical Council.
Holder of an accredited master's degree in pharmacy.
Well, it is nice to meet you.
You're happy with the doctor's work and are ready to send a glowing report back about him.
Unfortunately, I'm not at liberty to discuss the matter, so I'm sure you understand why I can't answer your question.
It wasn't a question.
First patient? Oh, you're back.
As I said, I am here for a week.
At least.
First patient, Doc, Lamorna Hammond.
Lamorna Hammond.
Go through.
I've changed all the fonts in the building.
They now all meet regulation size.
UNDER BREATH: Seemed like a big deal to everybody yesterday.
Ooh! Just a minute.
Hello, hello.
The blood cultures reveal an infection called brucellosis, caused by the brucella bacteria.
Often contracted by eating infected meat or drinking infected milk.
It can also lead to endocarditis, so, we need to establish what it is you've been consuming to cause this.
It says in your notes that you are lactose intolerant? - Have been for years, yeah.
- Do you eat meat? Well, normally, we don't bother, but, like I said, the boys are veggie.
So, you've eaten no meat in the past month? Well, we had a cow die on us, so, obviously, we turned that into a couple of burgers and steak.
Farm folk, Doc, waste not want not.
Right, brucellosis spreads fast amongst cattle.
There'll have to be tests, but it's very possible that that's the source of the infection.
You'll need a prolonged course of antibiotics and you'll have to arrange for the rest of your herd to be slaughtered.
I can't.
- Well, find someone who can.
- CLEARS THROA No, I mean, I don't want to.
There are only five left now and I promised Stanley I'd take care of them.
If that meat is infected, there could be all kinds of complications.
Subacute bacterial endocarditis, acute chronic meningitis, encephalitis and neuritis, orchitis.
Cholecystitis, herpetic suppuration, osteomyelitis - both sacroiliac and vertebral She can't, surely, be expected to know what all those mean? Subacute bacterial endocarditis is a serious condition.
Yeah, I got it, Doc, it's all bad.
But there must be another way? This isn't fair! Fair? Fair has nothing to do with it, they're cows.
If you can't arrange for them to be destroyed, then I'll report it to someone who will.
It's idiotic to be sentimental when it's putting your health at risk.
Oh, look! It's wonderful! Yes, home to seagulls, oystercatchers, pipits.
People aren't allowed on the island without permission.
But we have permission don't we? Well, we've got the keys to the lighthouse, so more or less, yes.
Well, I'm a pillar of the community, I can't break the law.
Don't worry, Sally, we're not breaking the law! Only a few people get to visit Godrevy, we're lucky.
May I ask the patient a question, Doctor Ellingham? Yes.
How does this make you feel? The way Doctor Ellingham talked to you? Suggesting you are, "Idiotic.
" I said her actions were idiotic, not her personally.
Honestly .
.
it's a bit upsetting.
I don't think the doc understands what it means to tell a farmer they've got to cull the herd.
And it's the sort of thing that might make you think twice about coming back here, if you had a problem? Right.
So, you think I'm stupid, too? No, not at all! Or just some local yokel? Who'll say what you want with a bit of prodding and pushing? - No, I think you've misunderstood.
- No, no, no, I understand fine.
The doc might be a rude tosser, but at least he talks straight and that's appreciated round here.
You want to sit and take notes? Take notes on that! And stop sticking words into my mouth! Any further questions? No, thank you.
- Be careful on those steps, Sally! - Oh, I'm fine.
SEAGULLS CRY Here we are.
How lovely to be in Woolf country! Yes, such a wonderful book.
What was your favourite part? Er, ooh, I liked all the, um all the lighthouse stuff.
And the final page, was very powerful.
It was, wasn't it? " 'Yes,' she thought, laying down her brush in extreme fatigues, " 'I have had my vision.
' " You know, you're quite unique for Portwenn, Sally.
I can't think of anyone else around here with whom one can discuss art and the finer things of life.
Oh, well, I'm sure the doc would have some remarkable insights.
The doc (?) Oh, yes, very good.
The man's so stiff you could lay him on his side and use him as a shelf (!) We'll agree to disagree on that one.
Oh.
Oh, my goodness.
- Here we are! - Ooh! PANTING It's 950 steps to the top.
950? - Well, it'll be worth it.
- God, I hope so.
Oof.
- BREATHLESS: Nearly there.
- Good! Ha! Careful.
- After you.
- Oh, thank you.
It's very steep.
Oh! SHE GASPS Come on, this way.
Oh.
Oh, my! This is quite the view! Isn't it just? Here we go.
Oh! Oh, thank you.
SHE LAUGHS, SIGHS CONTENTEDLY I hope you're enjoying yourself? Oh, I am, I'm glad I came.
I almost didn't, it's been a while.
It must be difficult, losing Clive? He annoyed me.
And then one day he wasn't around to be annoying any more.
I miss it.
Being annoyed with him? Being something with him.
Anything! I think I could have been, um .
.
a better wife.
I'm sure you tried your best.
Clive used to say that sometimes I was elsewhere.
Well, not physically, I mean.
- Emotionally? - Yes.
You don't need to feel bad any more.
No.
I suppose not.
TEARFULLY: It's just that now that Clive's gone, there's an empty space and I don't know how to fill it.
No, no, no! I'm sorry, I can't! Sally! Wait! Ooh.
- Sally! - That's not why I came here! I apologise.
It was clumsy of me, let's just forget it.
No, I think it's better if I just leave.
SHE YELLS OU Sally! - CRASHING - Oh! - Sally! - Uh - Sally - Oh.
.
.
are you all right? AGONISED GROANS - Sally! - Ooh.
- Sally? - Ooh.
No No, I am not.
Right.
No need to panic.
I have a screwdriver sticking out my arm.
Call the doctor! Try and keep them as clean and dry as possible.
- PHONE RINGS - 'Portwenn surgery.
' Yeah, OK, all right, slow down, um, hold on.
Um, Doc, it's an emergency, it's Donald Abbott.
- Yes? - 'Er, hello, Sally, er' Mrs Tishell, managed to trip over and injure herself.
'Oh, I just need a second.
' Hello, Doctor, it's Sally Tishell, Um I have a screwdriver 'lodged in my forearm, an inch below the elbow joint.
' Right, whatever you do, don't pull it out.
Where are you? At the top of Godrevy lighthouse.
Well, what on earth are you doing there? 'Well, there was this book club' somebody chose Virginia Woolf, to be honest, I couldn't get past the first chapter, it was so boring.
'All right, stop talking and listen to me.
' Apply pressure to the wound to stop the bleeding, but don't push the screwdriver in any further.
Lie down and raise your arm on a table or chair.
Wait for me and stay calm.
Call Penhale and have him get the lifeboat and meet me to take me to Godrevy Island, please.
Thank you, Doctor.
DOG BARKS - HORN HONKS - 'Come on!' You're gonna to have to move this forward or backwards.
We can't move it, Joe, some moron's parked it and gone off somewhere.
Where's the lifeboat? A slight issue, a moron's parked in front of the lifeboat place.
It's all under control though.
Crisis management is my forte.
I need a boat NOW.
Some say it's an alpha male trait.
Right, it's that one, that's 27 - Hey! - .
.
28 So, this is your idea of a stock-take, is it? Listen, I can explain everything You're paying for a share of the boat with whiskey, even though I told you not to.
You said you'd cleared it with him.
Figure of speech.
That's about 700 quid's worth of stock there.
Right, bugger this! Call me when you've decided what you wanna do.
Look, you may be in charge, but I've run businesses all my life! Yes, run them into the ground! - Is this your boat, now? - Yes.
- No, oh.
Doesn't matter, get me to Godrevy.
No, Doc, no.
This boat's in use.
No, it's not, come on, I've got to get to Godrevy.
- Not you, you get seasick, don't you? - What? No, I don't.
- Anyway, you need someone to pilot the boat.
- Oh.
- Oh, really?! - Non-negotiable, means non-negotiable.
Penhale to the rescue again! You can let go now.
- Doc, just wait a minute! - ENGINE STARTS We'll be back.
Right, be careful, Penhale, it's quite shallow here.
It's an emergency, Doc.
Stop worrying.
I know these waters like the back of my hand.
Can you look where you're going? THE BOAT JUDDERS What happened? It's just a sea bump.
Er, I don't mean to worry you, but water's coming in.
Oh, you idiot! We're sinking! I can confirm, there is a hole in the boat.
Right, we need to lighten the load.
Doc, we can't throw her over.
Actually, can you swim? It's not that far to shore.
Just give me a hand! Should we be doing this, Doc? It's either that or sink.
Good point.
THEY STRAIN Right, that should do it.
Let's go.
Is he actually a policeman? Yes.
- Mrs Tishell? - Oh, I'm up here! BREATHLESS: Wonderful.
- Doctor.
- Don't move, sit down.
Yes.
What are you doing here? You told me I could go about my daily life.
I meant get some rest, not go chasing around lighthouses.
What? Did you have to bring her? Shush.
She's lost a lot of blood.
HE GAGS Yes.
Are you sure you're all right to continue, Dr Ellingham? Do you need me to step in? A screwdriver has punctured a branch of the brachial artery.
I'll have to pull it out.
I need you to keep your arm completely still.
I won't move a muscle, doc.
I'll get you something to bite on.
Here you are.
Right, look away.
Look away.
SHE WINCES - Oh! - Doctor? I'm fine, give me some space.
HE VOMITS PENHALE: The boat's a write-off, but the lifeboat's on its way.
Oh, dear.
- Don't worry, I'm here.
- Don't touch her, she's Ah! Oh, God You all right? Ouch.
The shock must have stopped her heart.
Let's get her away from these wires.
Be terrible if she died, Doctor.
She's not responding to the CPR.
I'll have to give her a precordial thump.
Pre That's very dangerous, Doctor, go ahead.
I can't watch.
SHE GASPS Yup, that did it, the heart's got a rhythm.
- Now, what's your name? - Donald.
Call the ambulance and have them meet us on the Portwenn Side.
The lifeboat's coming.
Well, can you help me get her up and get her downstairs? Thank you, Doctor.
- You came running in my hour of need.
- Yes.
What? Here, where's the boat? Don't worry, the boat's fine.
A little bit of a, er, rip in it.
A rip? Please tell me it didn't bloody sink? No, it didn't "bloody sink.
" We tossed the whisky overboard so it stayed afloat, so it's fine.
You've damaged his boat and thrown away all my whisky?! It was a police emergency.
Bollocks.
Look, you'll be compensated.
Although it's quite a complicated procedure, lots of forms, lots of paperwork, so how about I buy you guys a pint and we call it quits? Bollocks.
Two pints? Fine, I'll get on with the paperwork.
Oh, thank you.
Oh, thank you for, erm For an interesting morning.
I'd ask if there was gonna be another one, but I have a feeling perhaps you are elsewhere? As Woolf herself said, "One cannot find peace by avoiding life.
" Oh, I never actually read that book.
Yes, I gathered that.
Well, I've gotta go now, things to do.
All right.
See you at the book club, then, Sally Tishell.
Only if I can choose the book.
You're gonna be taken to hospital, where they'll monitor your heart rhythm for 24 hours and they'll, erm, treat the burns on your hands.
Your chest will be sore and it'll hurt to breathe because of the bruising from the thump I gave you.
- Do you understand? - Yes.
Right, I'll call the hospital and monitor your recovery.
I still need to deliver my report, so you'll be hearing from me, as well.
Yes.
Come on, Chippy.
You've been here all day, mate.
- Well, I wanna drink some more.
- I know you do, which is exactly why you should get on home and sleep it off.
Well, I don't wanna sleep it off.
I know.
On your bike, mate.
Be careful, good luck.
Yes, yes, I know I'm late.
I haven't said anything.
- You were going to, though.
- No, no.
I mean, sure, you did say you'd be here, what, over an hour ago.
You do realise this isn't actually my job? And if it was, I'd quit.
Oh, look, you're right.
You're right, I'm sorry.
I'm sorry.
I've been a bit stressed, this is the one chance I've got of actually having a business that works out.
I appreciate you.
SHE SNIGGERS You appreciate me?! Yeah, that didn't sound great, did it? Er I'm not good at saying this kind of thing.
What I meant was .
.
I love you.
Go on.
And you're amazing.
- Is that it? - No! No, and you're the most important thing in my life and I couldn't imagine not being with you.
What a lovely proposal.
I thought I told you to go home, Chippy? Wait, that was a proposal? Of course it was! Al, was it? Yeah, I suppose it was.
Yes! - Yes? - The answer is yes! Is it? CHIPPY CHEERS - OK? - Hmm.
Congratulations! Everyone, Al just proposed to Morwenna and she said yes! - Drinks on the house! - CHEERING You didn't tell me you were gonna propose.
I didn't know I was gonna propose, it sort of slipped out.
But you meant it, right? Er - Electrocuted? - Mm-hmm.
And then her heart stopped.
But you got it started again.
Mm.
Can you pass the pepper, please? Is that good or bad? Well, it's good for her.
I don't know if it'll affect her assessment, or not.
Are you worried about that? No, I'm not.
Well, I'm worried.
It could have serious implications for our future.
Is this about us having a second child? Well, it makes things uncertain, doesn't it? And I know you don't want another child anyway.
I didn't say that.
So, you want another child? If that's what you want, yes.
You'd have a second child? If you want to, yes.
You're not going to say that I'm too old, or something? No, I'm not.
Whatever decision you make, I'll support you.
Thank you, Martin.
You're welcome.
Can I have the pepper, please? Yeah, sorry.
They want me to do three refresher courses, starting with lobotomy.
It's our prize goat, she's jealous of our happiness! He knows what we get up to.
We are very compatible, physically.
Have you thought about how you are going to deal with your hemophobia? Once I have located a suitable vein, I will insert the needle and take the blood.