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Yes. Have you got room for a female patient, please?
โ I'll ask Sister. โ Doctor, | know you're busy, but...
Copper involved in a shoot-out. Kirsty, can you assist, please?
Can | call you in a second, please?
I'm sure you're aware, Mr Docherty, that all hospitals are experiencing difficulties
attracting sufficient numbers of A&E staff at the moment.
Yes, but I'm not convinced all avenues have been explored.
Think what you may, but this is not an area
in which previous chairmen of the consultants committee have taken an interest.
Things have changed, Mr Tennant.
I'm particularly concerned that we do not have sufficient staff to cope with absence.
Oh, sorry.
Not another quarrel.
| expect you're beginning to regret ever becoming the consultants chairman.
No. But | believe management are.
Ernest, as you're not on call tonight, | thought I'd cook us something special.
Ah. I've booked a table at Chez Michel.
โ Any particular reason? โ Oh, no, no. Just fancied a night out.
Oh, well, that's lovely. Mmm.
(Phone rings)
Well done, Phil. Let's start with haemocoel, fast as it goes.
Can you take a full blood count, U and E, and crossโmatch for eight units?
Airway clear, breathing spontaneously. Pulse weak and tachycardic.
Can we start on oxygen, please, Julie? 15 litres per minute.
Yeah, OK. Kirsty, connect him up to the monitor, please.
| don't know if you can hear me, sir, but | have to shine a light in your eyes.
โ Where is everyone? โ Remember. Red, black, yellow.
โ Right. OK. โ One cas officer's sick, the other's on leave.
The locum hasn't turned up. We've been onto all the agencies for a stand-in.
(Raj) You'll be lucky. (Julie) Scissors and James are in theatre.
(Raj) Can we bleep Mr Docherty, then?
Hope you're not planning to look this scruffy this evening. Chez Michel is very exclusive.
And | can't remember when | last went dancing.
Oh... Dancing?
Yes. I've heard the band's absolutely wonderful.
We should be ready to leave at six o'clock,
so shall | meet you in the hospital social club at halfโfive?
โ How's that? โ Right.
Er... Consider me fully briefed.
Halfโpast five.
He's taken a bullet in the upper lateral thigh but no serious bleeding.
Blood pressure 110 over 70.
Thanks, Kirsty.
Julie, can we have a pressure dressing on this thigh wound, please?
Mr Docherty, thank you for coming down. I've started a mannitol infusion.
Cervical spine is fixed. Receiving blood and plasma expanders.
Oxygen 15 litres per minute, superficial leg wound about to be dressed.
Moderate tachycardia and maintaining decent blood pressure.
Someone's been doing their homework.
I'm sure the patient will be very grateful. Well done, my boy.
Yes, but the patient requires an urgent neurosurgical assessment.
Do you have a bed for him?
โ Yes, we do. โ Excellent.
I'll arrange for his transfer right away.
Many thanks.
Well, they can take him at the General. But | think a doctor should go with him.
We're already missing two casualty officers, Mr Docherty.
And I've two surgical admissions still to clerk.
Very well. ILL arrange for Scissors to cover for me.
It appears I'm going for a short outing to the er...to...the General, this morning.
โ Thank you, Mr Docherty. โ I'll make the arrangements, Mr Docherty.
Julie, make arrangements to transfer him, will you?
Don't be frightened, Christopher. I'll give you an injection. It'll make you fall asleep
and then we'll take your appendix out, OK?
โ OK. โ OK.
โ Did you see Captain Scarlet this week? โ Yeah, it was good.
So er...who's your favourite Angel, then?
I'LL bet it's Destiny.
No? Then it must be Melody Angel.
Always liked Lieutenant Green myself.
It's about time. | was due a nice straightforward appendix.
Should have one of the nurses do it.
Amazed she did it, actually. Normally takes a nurse all day to do one of the simplest things.
It's nothing a medical student wouldn't do under supervision.
Seems some people prefer a spotty, publicโschool oik to...
His rate's dropping. You couldn't get cutting, could you? Give him some pain to bring it up.
Halothane down to one per cent, atropine 300 micrograms.
Now, one should be suspended,
Who's the git who grassed him up? Running to teacher.
| don't know.
Don't just stand there gawping. You've got an operation to do.
โ You OK there, Doc? โ Fine, thank you.
Won't be long now, my boy.
They want to divert us to the county infirmary.
โ Why do they want us all the way out there? โ The General's had to use their last ITU bed.
โ Will he be all right for another half-hour? โ He'll have to be, won't he?
Diverting to country infirmary.
Here, we usually take temperature through the oral route.
Show me how you do it, Kirsty.
Lacerated arm waiting to be sutured.
Have you assisted with suturing yet, Kirsty?
Cut, please.
Well done.
Brilliant. Even better than the last one.
I'm afraid we're not able to arrange return transport, Mr Docherty.
Madam, | have patients waiting for me at my own hospital.
I'm very sorry, Mr Docherty, but it's not our policy to offer transport to visiting medical staff.
In that case, may | please use your telephone?
I'm afraid you'll have to use the payphone.
Er... Nurse?
| am a visiting consultant surgeon who has been abandoned.
Do you have money for... No, for the tele...
Excuse me. Madam?
Excuse me. Now...
| have suffered a dreadful inconvenience.
โ | just wanted to make sure he's OK. โ He is. Aren't you, Christopher?
That's all.
I'll get a surgeon to write him up for analgesia.
โ I'll do it. โ Thanks.
Doctor, my leg feels funny.
This one?
Can you feel me touching you? Same on the other side.
OK.
Let me just take the pulse here.
โ OK, it's fine. Byeโbye, Christopher. โ Bye-bye.
It's probably nothing, but get Scissors to review him if he's not better later.
โ Thanks, James. โ OK.
Mr Nixon. Doctor's just seeing Christopher.
Isn't he the one that's in all the papers?
To provide a hospital taxi, I'd need to have the approval of our hospital manager
who'd first have to secure a promise of reimbursement
from your hospital manager.
โ Then please do so. โ This would have to go through both hospitals.
You won't receive approval until tomorrow morning at the earliest.
Madam, | have no money for a ta... | have no money for a bus.
Perhaps | could send an urgent fax to your hospital.
That would be most kind.
(# The Pretenders: Brass in Pocket)
# Iโm gonna use it
ยฅ Intention #
| thought the flat was in your name, mate. Bit rich of her kicking you out.
| never paid a penny rent, did I? Still Lumbered with my med-โschool overdraft.
โ Back with your mates, where you belong. โ Oh, yeah. My mates?
Kirsty the student nurse is gagging for it.
Still, you've got to admit. Birds have been chucking themselves at you recently.
She's a tease, that one.
Kirsty the linguist knows how to give a boy the run-around.
โ Are you in charge here? โ Paul Tennant. Unit General Manager.
That pervert shouldn't have been allowed near him in the first place.
โ | will take statements from all concerned. โ A cover-up.
That's how his sort get jobs.
| will call the police if there is the merest suggestion a crime's been committed.
Letting queers near children. You people.
He's got AIDS, too, hasn't he? No one warned me it was going to be him treating my son.
Normally, I'd suggest the first step would be a meeting between you, Dr Mortimer and myself.
We don't need a tea party to know what he did.
| want him sacked. That'll be the end of it.
Why do they call her the linguist?
Linguist. A person with a facility for difficult tongues.
(Bleeping)
โ She can get her mouth round anything. โ Contact the hospital manager's office.
โ Oh, you mean she's got a talent for... โ (James clears throat)
โ Oh, Mrs Trimble. You look lovely. โ Well, thank you. Thank you very much.
โ Ul just get that. โ Um... Rajesh?
โ Have you seen Mr Docherty anywhere? โ He can't still be at the General, can he?
โ | don't know. โ | could find out for you.
Would you do that? That'd be lovely. Thank you.
Gotta go.
We've just received an urgent fax regarding transport for one of our doctors.
Put it through the normal channels.
A patient's father has made a most serious allegation.
Christopher Nixon, an eight-year-old boy whom you anaesthetised for an appendectomy?
Appendicectomy. Is he all right?
Well, Christopher's fine.
However, Christopher's father alleges that you touched Christopher's legs, groin and genitals
in an inappropriate fashion.
| tested pulses and sensations in his legs
to ensure there was no neurovascular deficit.
| advise that you write a full account of the incident while it's still fresh in your mind
and bring it to me tomorrow morning.
In the meantime, you're suspended.
Now, suspension should be regarded as a neutral act.
Believe me, James, if there was any other way...
That's no way to get back with Nasreen, Raj.
Like she'll take me back after kicking me out of the flat.
Suspension should be regarded as a neutral act.
โ Kirsty, our shift has finished now. โ Sorry?
| will follow protocol. I'll not pander to prejudice.
(Dr Hudson) Having been suspended this year, you are in no position to give an ultimatum.
Staff Nurse Langridge, isn't it?
Jane.
You didn't see Dr Mortimer's examination.
Fortunately, Mr Tennant, | did, and...
| haven't made myself clear.
You didn't see Dr Mortimer's examination.
I'm surprised you've not been here before. This is where the cool people hang out.
Ooh. Sorry.
(# Soft rock plays)
I've always wanted to help people, all my life.
Being a doctor's a vocation to me.
When you're this dedi...cated..,
But work hard, play hard. That's my motto.
After all, er... I'LL get you another drink.
No. I've gotta go. I've got Italian class tonight.
โ What's your name? โ Raj.
โ OK. See ya. โ See ya.
Two lagers. And whatever he's having.
(# Elvis Presley: He'll Have To Go)
How could | have been so stupid, eh?
Tell me, mate. How could | have been so stupid?
โ | don't know how you've been so stupid. โ Nasreen was premier league.
I've always been too content to score goals in the lower divisions.
Like Kirsty. A good cup fixture but nothing like a championship.
| feel as if I've let Isobel down terrible.
| have to make it up to her somehow.
We'll help you, won't we, James?
โ James? โ Work's all I've got.
Now they're even trying to take that away from me.
Well, you put up a brave fight, my boy.
Perhaps now it's time for you...
Look, mate, we're all on your side. But Mr D has a point.
Thanks for all your support!
Oh, no. James? James?
| intended no offence.
Come back, mate. There's loads more wallowing for us to do in selfโpity.
(Woman laughing)
โ Is this everything? โ I'm afraid that's all we've got on Mr Smedley.
| might be able to get stuff from further back.
No, Dawn. Forget it.
Isobel, my day was a catalogue of illโfate.
| did everything in my power not to let you down.
| know. It's unbelievable, isn't it, that there wasn't someone at the county hospital
who could help a senior consultant?
Well, we'll go out some other night.
Look, Ernest. With your case load and now the committee,
doesn't it make much more sense for us just to eat in?
No, no, no. We should go out. Make an occasion of it.
Oh... OK. Chez Michel. Dinner, dancing.
Rest assured, Isobel. Nothing will get in my way.
Good morning, Mr Nixon. | am Ernest Docherty,
the consultant surgeon in charge of Christopher's care.
Christopher, we'd like to ask you a few questions about yesterday.
โ (Nixon) Tell him what the doctor did. โ He touched me.
โ Now where did he touch you, Christopher? โ It was your private parts, wasn't it?
(Docherty) Can you show me the places where the doctor touched you?
Did he press it like this?
โ What happened next? โ Touched your private parts, didn't he?
Is that what happened, Christopher?
Like your father says?
Christopher, I'd like to ask you a question.
โ | think we've heard enough already. โ Mr Nixon?
Christopher...
Why do you think the doctor did what he did?
It's all right. No oneโs gonna punish you.
Why do you think he did it?
Because he's a dirty queer.
Yes, | was wondering whether you'd had any joy finding us a locum.
โ | know the hospital's been onto you. โ No, it hasn't
| thought the hospital had been onto all the locum agencies.
No.
Right. Right, thank you.
โ Fancy getting some lunch? โ Love to, but we're having a minor crisis.
Julie, I'm sorry but we've had three kids come in with smoke inhalation.
OK. Thanks.
โ Where the hell is everyone? โ Oh, sorry, Raj.
โ At the RMO. โ What about the casualty officers?
(Raj) I'm it!
100 per cent oxygen, hydrocortisone.
This one's in the worst condition.
โ Ooh. Sorry. โ Everyone stop.
Now just calm down and take this stage by stage.
There aren't enough of us so we should prioritise.
The two big kids have the best chance. Let's work on them.
Julie, Kirsty, manage airways. Raj, get venous access.
This one leave to me. | need to go for an interโosseous infusion.
Bottom drawer.
That's it.
Right.
Finding a vein on a kid this young is difficult.
Need to go a couple of centimetres below the tibial tuberosity.
The needle passes through the cortex
into the marrow.
No pulse now. Adrenalin, please.
โ Can you take over, Raj? โ Yeah, sure.
โ Adrenalin. โ Thank you.
Julie, you help Raj with those two. They have a better chance. I'LL do the best | can here.
OK. I'll just get him connected up.
โ Hydrocortisone. This one needs bagging. โ I'm with you.
(Continuous tone)
Asystole,
Stop bagging and convert to mask.
โ Raj, | need you over here now. โ |'m on it.
We've lost output here.
I'LL manage. Go.
(Julie) OK? (Raj) OK.
โ Shock? โ 50 joules on a kid that size.
โ 50. โ Clear.
Carry on. How's yours?
| can hear his chest rattling from here.
20 milligrams.
Clear.
โ Sorry. Students aren't allowed to give IVs. โ (Scissors) Give it!
Everything in this room is my responsibility.
Clear.
This one's back.
(Coughs)
Now giving atropine.
Lysine that kid up a bit more.
Spontaneous reps.
Fiveโtoโone.
One, two, three, four, five.
One, two, three, four, five.
One, two, three, four, five.
I'm happy to let you get rid of this rotten apple on the quiet.
Stop him getting his filthy hands on anyone else's child.
That's the important thing, right?
We sack him and you don't involve the police.
Look, | know what it's like.
So many politically correct rules and regulations protecting these people.
Now he's been caught red-handed, here's your chance to have shot of him.
three, four, five...
Kirsty, you sort out these two. I'LL help with the little one.
Get those two out of here, Raj, and into a cubicle.
Move!
Come on.
| can't believe Jane Langridge hasn't stood up for me.
โ Maybe if | spoke to her... โ I'm afraid that won't be possible.
Staff Nurse Langridge has accepted a transfer to another unit.
| think maybe the time has come for you to part company with us.
No.
In order to save his son the trauma of testifying against you,
Mr Nixon has accepted to withdraw his complaint if you resign.
You will be spared disciplinary action.
No.
Strictly between us,
this administration would be willing to make a very generous settlement
to release you from your contract.
My baby! Why?
Our baby. Our own child. Why?
The other two were adopted.
They've been trying for one of their own for years.
The father said you touched up his son. What do you say? What did you do?
Is it true that you fondled the boy while he was under the anaesthetic?
| am satisfied that James conducted a proper examination.
The father is coaching that boy to bear false witness.
And the nurse didn't witness the examination either.
No, regrettably not. She's very distressed by the whole business.
| see,
I'm very sorry.
โ Switchboard. โ Personnel department, please.
โ Hold on. โ He's lying.
| agree.
Christopher, | never meant to frighten you or upset you.
| was helping to make you better.
My dad said never to speak to you.
Your father hates me and he wants you to hate me, too.
| think that's wrong.
| think you know it is, too.
You know it's wrong to lie to get someone else into trouble.
Hey! Get away from him! I'LL have the police up here!
Dr Mortimer, you know that you're barred from hospital wards.
You're the one who's sick. Actually teaching someone to hate?
โ Dr Mortimer, leave at once. โ Go on.
(Door opens)
I'm glad | could help James, but I'm sorry,
I'm not prepared to bring a case against the management.
I'll give you my full support as chairman of the consultants committee.
And I'm suspended for years while you argue in boardrooms?
| know you mean well, but I'm sorry, Mr Docherty.
Ah, James. Important business.
And...one...
Yes. Er... You lead, Mr D.
That's it. Up. OK? Take charge.
Good. One-โtwo-three...
That's it.
No one blames you.
How could anyone have asked a mother to choose between her children?
You did the best you could.
The only thing people are going to think is "Thank God it wasn't me who had to decide.โ
Come on.
| expect this is a first for you, coming down here.
Don't be nervous, Kirsty. | can call you Kirsty?
Mm.
There are a few things | need to know about a case from yesterday. Now, it's purely routine.
| just want to fill in some gaps, that's all.
Kirsty, did you give an intravenous injection?
I'm not accusing you of anything. In fact, | understand a doctor made you. Is that right?
Look, maybe it would be better if Sister Novac was here.
You do like working here, don't you, Kirsty?
A doctor gave an order that he shouldn't have.
The very same doctor's misjudgment led to an infant's death.
Now what do you think the nursing tutor will do
when | tell her that not only did you perform an unauthorised procedure,
but that you refused to help with the inquiry?
Now, | can't help you unless you tell me what | want to know.
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