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Murder Most Horrid
A Life or Death Operation
Hello?
Hello?
Dr Marshall?
Yes. Who are you?
So you came then. -Look what is all this nonsense?
Who are you? Are you a journalist? -Ha! No.
So what's your interest in the Michael Osman case then?
Have you any idea what it's like to be completely alone?
Have you, Dr Marshall? -It's Ms Marshall actually.
I'm a surgeon, not a doctor. -It doesn't mean anything to you, does it?
I've got no-one, no-one.
It's you, isn't it? Eleanor Osman.
God you look terrible.
You killed my husband. -Well that was ten years ago. -You killed him!
My job is to save lives. Sometimes I fail.
It was a routine operation. -Mrs Osman, I am very sorry about what
happened to your husband, but it was a Iong time ago
and frankly if that is the only reason you've dragged me out here...
You were supposed to wait for the consultant, weren't you?
I haven't been wasting my time these last ten years Ms Marshall.
No. -I'm going to have the inquiy re-opened.
You're mad. You haven't got a chance.
I don't need one. Even if I lose, it's not going to look too good, is it?
Plastered all over the newspapers 'TV doctor killed my husband'.
I've been talking to people, staff who were there,
who were prevented from giving evidence at the time.
I know that you went directly against official procedure,
but you were too proud, too arrogant to admit that you
couldn't handle the situation.
Err, look why don't we have a proper chat about this?
Why don't you come and have some coffee with me over there? Come on, Come on.
Alright.
Good. I'll just park the Jeep up.
Oh shit.
Welcome back. In the reconstruction in Part One of Accident
And Emergency we saw how a box of drawing pins,
and unattended lathe and a foolish third former led to a punctured lung for
woodwork teacher Martin Pike.
With the nearest hospital over 70 miles away, the local doctor has no choice
but to operate on the spot. Our medical expect, casualty surgeon Kate Marshall
takes us through this astonishing operation.
Yes, thank you, Gavin. An ordinay woodwork bench,
some old tools and a jar of swarfega. Not the ideal set up to pemorm an
emergency operation you might think, but it was enough to save
your life, wasn't it, Martin? -That's right, Kate.
Good. Would you might if l... excuse me just a moment...
could you get on here? Thank you.
Now, Martin here had a pneumothorax, a collapsed lung,
brought about by air entering his chest cavity.
To alleviate the pressure, this simple gimlet was forced
into Martin's chest, like this.
Whilst other members of staff held Martin down, this large mallet
was used to drive it home between his ribs, thus.
But even that wasn't enough. They got this simple electric drill here
and drilled a huge hole in here so that they could insert
this little piece of tubing here brought over from the chemisty block.
That was put in here, so. Now the next thing to do was to clear
the tube by giving it a quick suck here...
Ho, ho, ho, she's done that before! -I bet she has.
Corr, rather you than me mate.
Then by placing the other end in this beaker ofwater
There's a first.
Are you doing anything whacky for 'Save Teddy's Day'?
Just the usual business of general surgey if that's alright with you, Giles?
Fine. -I mean, I know it's not as important
as pushing a bed up a high street with a stethoscope tied to your arse
but you know... -We're just tying to save the hospital.
Well I'm tying to save lives and no-one's going to stop me, right?
No-one. -Right. Right.
Thunderbirds are go!
That is a porter's job not a nurse's job. Go and do what you're trained for.
Okay, what have we got? -Internal bleeding, Likelihood of a pemorated bowel,
massive hyper bulimic shock and multiple fractures including the skull.
Nasty. -What happened? -Hit and run victim. -Oh?
Found at a motomay service station. Been there quite a while by the look of it.
Well? -Blood pressure falling in spite
of fluids Kate. 90 systolic.
She's tachycardic.
Kate? Kate?
Err, Err, right put a central line in, emergency cross mat.
I'm going to need at least 8 units. I want a full blood count
and biochemisty. -Blood pressure still falling.
Abdomen pretty distended, lots of bruising on the abdominal wall
almost certainly a ruptured spleen. -She's had quite a blow to the head
possibly spinal fracture. -Right, we need a surgical collar and a swan gown.
Blood pressure still falling. -Right, let's get the spleen out.
Get her down to theatre.
Abdomen looks okay for the time being.
Blood pressure's stabilised at 110 over 70.
I'm going to have a look at the bowel it's in a real mess.
Whoever did this must have known about it. -Yes.
I don't know. What sort of bastard could leave her in this state?
Probably some joyriding kid. -Like murder, isn't it? They should get life.
Well let's hope she makes it then they might catch the bastard.
Err Kate?
Argh, celebrity surgeon in action, as usual.
Everything's under control here thank you Duncan.
Yes I'm sure it is, Kate. I hope you don't mind,
I heard there was an emergency splenectomy going on so
I thought I'd bring the students along, let them experience the
more goy side of the job.
I believe it's traditional for the first one to pass out
to buy everyone a drink.
Can you just get back please?
Kate, I think you've just nipped the colon back there.
No, I didn't. No, I didn't!
Look have you ever seen Chinatown? -Do you mind if I have a quick look?
Ooh I'm afraid your upstart young assistant is right, Kate.
So what would happen if we just left this hole in the colon?
Simon? Naresh?
The patient would develop foetal peritonitis and would certainly die.
Vey good, Naresh. -Look this isn't University Challenge,
Duncan, it's rather a critical case.
Can you get them out of here? -Ooh, pardon moi.
If any of you ever make it to consultant, now you know how you'll be treated.
You did a good job there Kate, in the end.
Duncan, I'd like to keep her under sedation for a couple more days.
Is that necessay? -Just until I'm confident about her respiration, yeah.
Alright, but not for too long.
There's a bed ready in the main ITU, Ms Marshall.
I'd like Mrs Osman to go into a side room, Debbie.
Side room? Sory there's already someone in there.
Look, are you a nurse or a hotel receptionist? Get them out.
Yes, Ms Marshall. Ooh look, there's some people here waiting to see you.
What people? -Police officers.
Don't do it, don't do it. -So, can I help you?
Um, Detective Inspectors Morgan and Hooper.
So, is she going to live then? -Sorry?
The hit and run victim. Terrible case.
Yes, yes well it's very hard to tell at the moment.
We're in charge of the investigation.
Thought you might be able to help us.
Me? -Well you were the surgeon that tended her.
We wondered if you might be able to give us some
information about the nature of her injuries?
Yes, yes, of course, of course.
You're that doctor off the telly, aren't you? -Yes I am.
So, what sort of state is she in? Can we talk to her?
No, no, sorry she's in a very, very deep coma at the moment.
She was hit several times. I mean in several places, at the same time.
She's got the usual sort of injuries. Massive internal bleeding,
she's got a ruptured spleen, fractured skull, it's very, very bad.
Right, so so what's that Gavin Campbell like then?
He's very nice. -Yes he seems it.
Vey clever bloke, I've heard.
Well, err the victim's name is Mrs Osman.
Lived on her own apparently, widow.
Really? -My wife loves that programme.
Be quiet! I wonder if, with your experience and everything,
you could possibly give us some information about the size ofvehicle
which struck the lady? -No, no, no, no, no I couldn't.
Generally talking, are we speaking about a
large vehicle, a van, four wheel drive?
No I don't think so. They're very low down
the first impact injuries, l would say you're Iooking for
something more like a Mini perhaps a Robin Reliant,
Robin Reliant? -How would you get into that sort ofthing?
TV? Do you think they might want a police expert?
Well um, thank you doctor. We haven't got much to go on,
but we have been following around the garages anyway.
Oh, why? -Why?
Well because whoever did this to Mrs Osman will have a bloody great dent
that'll need fixing. -Oh right.
Oh, Mr Theobold, I am so sorry, it's got a bit of a slippy clutch you see.
I mean, women drivers, what are we? Just a bunch of fluf_
airheads, aren't we. I quite agree, yeah.
But please don't wory about anything 'cause I'm going to claim
it all on my insurance. You won't have to pay a thing, sorry.
She still there? -She hasn't moved.
I've never seen her like this about a patient.
She really wants this one to make it.
Hello? -Kate, it's Hilary. I'm calling from the studio.
Listen, I've had a bit of an idea about this week's show.
What does the name Mrs Osman mean to you?
Err, Mrs Osman, let me think, was brought into my
casualty the other night. Hit and run victim. Hit by a mystey driver.
Nobody knows who the mystey person is, that's why it's a mystey.
Why? -Well I've had a visit from a Detective Inspector Morgan,
and he's having trouble tracking down Mrs Osman's next of kin.
We thought, since she was a patient of yours,
it might be an idea to do an appeal on the show.
No, I really don't think it's a good idea to use my patients on the show...
Apprentice with nail gun's been cut.
Don't be so modest Kate, it'll be fine.
See you soon, bye. -So if you think you know this woman, or
perhaps you're even related to her in some way, do please contact us on
the phone number we're going to give you at the end of the show.
Well Kate, let's all hope and pray that Mrs Osman does make a full recovery.
Yes, thank you, Gavin. -And who knows, perhaps one day she'll be
able to come here on the show in person and thank you for all
that you've done for her.
And I'm afraid that's just about it for tonight.
Do remember, think safe and stay alive.
From both of us here, from me and from Katie, goodnight.
Do not call me Katie.
Save Teddy's! Save Teddy's!
Kate, Kate, saw Mrs Osman on the box yesterday.
Bloody good stuff. Just the sort of publicity that
could help save the hospital.
Oh I'm sorry, Ms Marshall, we haven't had time to clear it away yet.
Not to wory at all.
So, Debbie, doing anything exciting for Save Teddy's Day
when you knock offfrom work? -Unfortunately, I've got
to go up to Manchester tonight, father-in-Iaw's funeral tomorrow.
That sounds like a great idea.
Actually I've got no choice really. -Yeah well every bit helps, doesn't it.
Jane absolutely no insulin left in the fridge. Would you
be a love, pop downstairs, get some more, would you?
Now Jane.
Who's in here? -We have, TV's Dr Kate.
Duncan! -I hope you don't mind me showing my young apprentices
your celebrity patient, as featured on TV I understand.
Not at all, not at all.
This was the emergency splenectomy, I'm sure you'll all remember.
Do cary on, don't let us interfere with the treatment.
Righteo. -In fact, can any of you tell me what
Kate might be doing in this instance? -Simon,
what might be in that injection? -Naresh?
Erm, heparin? -Could be, could be.
How much? Simon? -Erm, 800mg?
800, ha ha ha! -No, we don't want to kill her, do we?
No, no. -Go on, Kate, put us out ofour misery. What actually is it?
In here?
This is um, well that the um, that's the pneumococcal vaccination.
Yes of course. Well do cary on.
Righto.
Vey, very thick skin look. Having a little bit of
trouble finding a vein here.
But if you've got anything else you'd rather be doing, please do.
No, no, they're here for 7 years.
They've got plenty of time. -Right, oh well, here goes then.
There we are, all done.
I do believe there's a very interesting case of Guillain-Barre
syndrome in the IT unit. Do feel free to pop down there.
Well off you go, all of you.
I'd just like a quick word with Ms Marshall on my own.
Don't think I don't know what's going on here, Kate.
What? -This patient's been kept sedated for over a week now.
You're just stringing the whole thing out just to help your television career
Oh that is most unfair Duncan.
You know how much we need this bed.
Well I'm only doing what is best for the patient. -For the patient?
Or for your ratings?
Okay, I'll take her offthe ventilator.
Yes and start reducing her sedation.
Okay, will do. Yep.
Clean this mess up, now.
Dr Kate, Dr Kate!
Please don't get your hopes up.
She may well not sunrive it. She may die, alright.
She may die, alright. She may die.
Great story, Kate.
Hey, well done, Kate. -Kate, this is wonderful. You've really caught the
public imagination. -They have you 3 minutes on Channel 4 news,
you have 6 minutes on the 9 o'clock news. -And you've got 7 seconds
on the Big Breakfast news! -Is it right what this paper says?
Your house is worth 400.000 quid?
I'm sorry about this. It'll all blow over soon.
No we don't want it to. That's why we've put Mrs Osman and you
right at the top of Thursday's show. -What?
Yeah, we've been tying to find out more about
her as a person You know, about her past. -Don't do that.
Why not? -Because it's absolutely none of your business, that's why not.
Come on Kate, this is great stuff. -It's a great idea.
We found out where she was born, we found out who her husband was.
Guess what? He died at your hospital!
Apparently there was some kind of inquiy.
We're tying to pull a few strings, see if we can get hold of a copy.
Kate, perhaps you could help us? -No, no I can't. I'm sorry, this
whole thing is completely stupid.
Just leave it alone, all of you, just leave it alone.
At last, she's behaving like a real star.
I'm afraid this whole thing has just gone far enough.
If only you hadn't dug up the past Mrs O.
You see, if I don't kill you, I'm afraid I won't be able
to cary on saving lives. Which is what I am rather good at.
Hello. -Ms Marshall? -What's happened? -It's Mrs Osman.
I'm on my way.
Oh no, oh no, oh no. -Died during the night.
We've only just found out, the alarm seems to have packed up.
Oh, god! Isn't it awful.
Oh well I suppose I'd better go and tell the papers.
The papers? Why was he famous?
He? No it's a she!
Mr Adams. -P.E. we brought in on the 27th.
You know, I really thought he was going to make it.
But... I thought... what's happened to Mrs Osman?
Mrs Osman's been moved to general ward. -Why? -I thought Jane rang to tell you.
Jupp took her off sedation yesterday. She came to in the middle of the night.
You mean Mrs Osman is conscious?
Yeah, good news hey. -Yeah, has she spoken to the police at all?
Well I don't know.
As you probably know, Mrs Osman regained consciousness
at 4 o'clock this morning.
I think that the care and devotion...
These are for Mrs Osman.
Kate! Kate. -Um, thank you, um.
Well I'd just like to say I think it's fantastic news that Mrs Osman
has recovered and I've got some more good news for you,
which is that I know who it was that ran her over.
Um, well err it was me.
I ran her over in a motorway service station
because I thought she was going to ruin my career.
That's very amusing Kate, but seriously... -No, I am being serious.
I ran her over and then I reversed back over her, and I did that an
unfeasibly merciless amount oftimes, as Mrs Osman will no doubt tell you.
All this time, you thought that I was tying to save her
but actually I was tying to finish her off
and last night I thought I had actually
succeeded but I killed someone else by mistake.
I mean, chances are he was going to die anyway
but that's not the point, it's still murder.
But worse still, and I'm sorry to have
to confess this, it's very hard for me.
The worse thing of all is that I freely admit that I
deliberately drove my jeep
into my neighbour Mr Theobold's Passat, which is a kind of car.
And I'm only telling you this because I
want you to know that l am not an evil person.
I just got completely carried away and messed up about the whole thing.
I mean, for God's sake, no-one's perfect are they?
I think we should have a word with our TV doctor, hey Hooper?
I think you're right. -Any change?
No.
How are you Mrs Osman?
Who? -Mrs Osman, love, that's your name.
She's still got total amnesia I'm afraid.
Don't you remember, love. You were in an accident. -No, where's my husband?
The End
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