1
00:00:13,403 --> 00:00:17,203
DISTANT BEEPING

2
00:00:22,243 --> 00:00:25,923
BEEPING INTENSIFIES

3
00:00:42,123 --> 00:00:44,682
BOY WARBLES

4
00:00:44,683 --> 00:00:46,522
WHISPERS: Hey, hey, hey, hey.

5
00:00:46,523 --> 00:00:50,522
Sammy, go back to bed.
It's still night-time.

6
00:00:50,523 --> 00:00:53,722
Yes. And the sun hasn't come up
on your clock yet.

7
00:00:53,723 --> 00:00:55,322
For goodness' sake.

8
00:00:55,323 --> 00:00:58,443
OK, buddy. Let's do this.

9
00:01:04,163 --> 00:01:07,523
DOG BARKING IN DISTANCE

10
00:01:11,243 --> 00:01:13,162
Shit... No!

11
00:01:13,163 --> 00:01:15,322
Raz?!

12
00:01:15,323 --> 00:01:16,602
TOY SQUEAKS
Ow!

13
00:01:16,603 --> 00:01:18,362
CHILD CRYING

14
00:01:18,363 --> 00:01:20,683
SHE SIGHS

15
00:01:23,003 --> 00:01:24,642
Morning.
Why didn't you wake me?

16
00:01:24,643 --> 00:01:26,522
I wanted you to have
as much sleep as possible.

17
00:01:26,523 --> 00:01:28,643
I look a state.
You look beautiful.

18
00:01:29,603 --> 00:01:31,922
I don't want to look beautiful.
I want to look competent.

19
00:01:31,923 --> 00:01:33,003
And thin.

20
00:01:34,643 --> 00:01:37,882
MUSIC: 'Shuffle A Dream'
by Little Dragon

21
00:01:37,883 --> 00:01:41,043
CHILDREN CRYING

22
00:01:49,123 --> 00:01:51,402
Oh, come on.
CHILD CRIES

23
00:01:51,403 --> 00:01:52,923
Raz?
Yeah?

24
00:01:54,443 --> 00:01:57,082
What if I hate being away from them?
Or love being away from them?

25
00:01:57,083 --> 00:01:59,402
That's worse, right?
Well, I think that's like

26
00:01:59,403 --> 00:02:01,722
worrying about not having enough
in your pension

27
00:02:01,723 --> 00:02:04,643
while worrying that the world's
gonna end next week. Two secs!

28
00:02:05,603 --> 00:02:07,083
Mars...

29
00:02:10,443 --> 00:02:13,363
Mars!
Yeah, one sec!

30
00:02:14,923 --> 00:02:16,203
SHE EXHALES

31
00:02:20,803 --> 00:02:22,523
SCREAMS: Maggie!

32
00:02:24,003 --> 00:02:25,243
SOFTLY: Morning.

33
00:02:28,363 --> 00:02:30,842
Hurry up.
OK, I'm coming!

34
00:02:30,843 --> 00:02:32,762
Don't make Mummy shout like that.

35
00:02:32,763 --> 00:02:34,643
Come on.

36
00:02:38,963 --> 00:02:41,282
It's been an intense beginning
and...

37
00:02:41,283 --> 00:02:42,842
I need a bit of space.

38
00:02:42,843 --> 00:02:44,842
You'll look back
and you'll be pleased

39
00:02:44,843 --> 00:02:47,363
that you've had the opportunity
to get out there on your own.

40
00:02:48,763 --> 00:02:50,403
Don't bite anybody on day one.

41
00:02:56,643 --> 00:02:58,923
You ready?
Absolutely.

42
00:03:00,603 --> 00:03:04,763
CHILDREN SCREAM AND CRY

43
00:03:11,163 --> 00:03:12,923
SCREAMING FADES OUT

44
00:03:15,643 --> 00:03:18,563
They'll be all right
in five minutes, right? Yeah.

45
00:03:20,363 --> 00:03:22,402
Oh, well, here she comes.

46
00:03:22,403 --> 00:03:25,082
I don't even think
I brushed my teeth this morning.

47
00:03:25,083 --> 00:03:26,682
How did she get a car seat
in that car?

48
00:03:26,683 --> 00:03:29,242
Let's go.
Hi!

49
00:03:29,243 --> 00:03:30,803
Say bye-bye!

50
00:03:38,643 --> 00:03:40,802
What did you do,
just throw her in from the door?

51
00:03:40,803 --> 00:03:44,162
No, she's fine.
Let's use our brains!

52
00:03:44,163 --> 00:03:46,402
CAR CENTRAL LOCKING BEEPS

53
00:03:46,403 --> 00:03:49,203
AMBULANCE SIRENS

54
00:03:52,043 --> 00:03:56,442
Welcome back, doctors,
from maternity or parental leave.

55
00:03:56,443 --> 00:03:58,602
This is your return to work
training induction,

56
00:03:58,603 --> 00:04:00,042
non-clinical.

57
00:04:00,043 --> 00:04:04,042
Let's start with your printed
COVID-related changes to procedures.

58
00:04:04,043 --> 00:04:05,082
Yeah.

59
00:04:05,083 --> 00:04:08,802
Please check the appendix
to see which relates to NHS-wide

60
00:04:08,803 --> 00:04:10,842
and that which relates
just to this Trust.

61
00:04:10,843 --> 00:04:12,122
BEEP

62
00:04:12,123 --> 00:04:15,882
In our Trust only,
you'll notice possibly,

63
00:04:15,883 --> 00:04:19,082
that in order to get to
the data supply one, two and three,

64
00:04:19,083 --> 00:04:20,362
via the stake holders...

65
00:04:20,363 --> 00:04:22,842
That's impressive.
Yeah, I know.

66
00:04:22,843 --> 00:04:24,042
..and then split the output,

67
00:04:24,043 --> 00:04:26,723
so either if you're going to
data supply...

68
00:04:28,043 --> 00:04:30,002
My tits are...
SHE SUCKS AIR THROUGH TEETH

69
00:04:30,003 --> 00:04:34,802
So, what, Louise is on your team?
For a full rotation, yeah.

70
00:04:34,803 --> 00:04:36,962
And you know,
but she doesn't know that you know?

71
00:04:36,963 --> 00:04:39,922
That's cosy.
That's one word for it.

72
00:04:39,923 --> 00:04:43,442
Speaking of regrettable
sexual encounters, here's your ex.

73
00:04:43,443 --> 00:04:45,202
SHE CLEARS THROAT
Good morning, ladies.

74
00:04:45,203 --> 00:04:46,522
Oh, not queuing?
Morning, Jack.

75
00:04:46,523 --> 00:04:48,242
Double espresso, please, Maxine.

76
00:04:48,243 --> 00:04:50,322
You're looking radiant,
Doctor Cavendish.

77
00:04:50,323 --> 00:04:53,202
Oh, I'm surprised they let you
operate with that visual impairment,

78
00:04:53,203 --> 00:04:54,482
Mister Oliviera.

79
00:04:54,483 --> 00:04:57,442
He always smells so lovely,
doesn't he, Catherine? What is that?

80
00:04:57,443 --> 00:05:00,042
I had a bowel perforation
at eight this morning.

81
00:05:00,043 --> 00:05:01,082
SHE SCOFFS

82
00:05:01,083 --> 00:05:03,762
Have you heard the rumour
Becky's leaving? Consultant Becky?

83
00:05:03,763 --> 00:05:06,522
When? Pretty exciting opportunity
for us if she goes.

84
00:05:06,523 --> 00:05:08,882
And you're giving me
the heads up because...?

85
00:05:08,883 --> 00:05:11,083
I miss you.
TO CASHIER: Thanks.

86
00:05:14,603 --> 00:05:16,083
Don't regret a thing.

87
00:05:17,403 --> 00:05:19,843
You are a massive twat,
you know that?

88
00:05:27,803 --> 00:05:29,442
Susan! Doctor Fisher?

89
00:05:29,443 --> 00:05:31,842
Maryam! Just the woman I wanted
to see. I was gonna call you.

90
00:05:31,843 --> 00:05:33,282
Well, it is my first day back.

91
00:05:33,283 --> 00:05:35,562
The on call rota
is a reg and an SHO down. Right.

92
00:05:35,563 --> 00:05:37,642
I wouldn't ask,
but there's no-one else available.

93
00:05:37,643 --> 00:05:39,002
It's just, it's my first day back,

94
00:05:39,003 --> 00:05:41,642
and I'm not supposed to be
in an acute clinical setting

95
00:05:41,643 --> 00:05:43,922
in my first week.
My return to work plan is...

96
00:05:43,923 --> 00:05:46,362
It's my IT induction.

97
00:05:46,363 --> 00:05:49,362
My hero. We'll organise a clap.

98
00:05:49,363 --> 00:05:51,083
Welcome back!

99
00:05:53,283 --> 00:05:54,322
Fuck.

100
00:05:54,323 --> 00:05:57,883
That's... Hmm...
I'll get the right slide.

101
00:05:59,603 --> 00:06:01,242
There.

102
00:06:01,243 --> 00:06:02,762
And then signing off.

103
00:06:02,763 --> 00:06:05,362
So once I've finally got
a list of all the staff,

104
00:06:05,363 --> 00:06:07,402
at our particular NHS Trust
that has signed off

105
00:06:07,403 --> 00:06:11,962
on this new form, I can then,
with confidence, go to the....

106
00:06:11,963 --> 00:06:15,042
TANNOY: 'Could Nurse Barton
please report to ICU?'

107
00:06:15,043 --> 00:06:17,362
Oh, Becky! Hi!

108
00:06:17,363 --> 00:06:20,122
Oh, Catherine, hi!
Lovely to see you.

109
00:06:20,123 --> 00:06:23,002
How are you?
Desperate to get stuck back in.

110
00:06:23,003 --> 00:06:24,802
Good for you.

111
00:06:24,803 --> 00:06:27,642
I... I wanted to say, actually,
how absolutely committed I am

112
00:06:27,643 --> 00:06:29,282
to making consultant this year.

113
00:06:29,283 --> 00:06:31,522
I know I'm behind
where I wanted to be...

114
00:06:31,523 --> 00:06:34,322
It will take time
to build those hours in surgery,

115
00:06:34,323 --> 00:06:36,602
especially now you're doing it
round a family.

116
00:06:36,603 --> 00:06:39,082
You've always been such
an inspiration to me in that regard.

117
00:06:39,083 --> 00:06:41,602
The way you've juggled family life
with a brilliant career.

118
00:06:41,603 --> 00:06:44,162
I'm in awe, really,
and anything I can do to emulate...

119
00:06:44,163 --> 00:06:46,443
SHE SOBS

120
00:06:55,683 --> 00:06:58,602
A fucking mess!
What?

121
00:06:58,603 --> 00:07:00,642
My husband's sleeping
with the nanny,

122
00:07:00,643 --> 00:07:02,402
we're in debt up to our eyeballs.

123
00:07:02,403 --> 00:07:03,882
How are you in debt?

124
00:07:03,883 --> 00:07:05,763
The nanny!
Oh.

125
00:07:07,363 --> 00:07:08,762
Sorry.

126
00:07:08,763 --> 00:07:11,602
And now... my Mother's ill.

127
00:07:11,603 --> 00:07:14,322
We have to move to Norfolk.

128
00:07:14,323 --> 00:07:16,162
I'm so sorry.

129
00:07:16,163 --> 00:07:18,602
Stephen, Charles, Andrew,
those bastards,

130
00:07:18,603 --> 00:07:20,642
they all have someone
at home full-time,

131
00:07:20,643 --> 00:07:23,762
taking care of their kids,
their mothers, their golf clubs...

132
00:07:23,763 --> 00:07:25,642
Could you afford support
for your mum...

133
00:07:25,643 --> 00:07:28,002
They don't have to pay their wives!

134
00:07:28,003 --> 00:07:30,602
You want my advice?
Erm...

135
00:07:30,603 --> 00:07:34,002
Retrain now whilst you're still
young enough to do something else.

136
00:07:34,003 --> 00:07:37,242
I've only ever wanted to be
a surgeon.

137
00:07:37,243 --> 00:07:39,403
Then why did you become a mother?

138
00:07:44,283 --> 00:07:48,042
Now, the form that's coming out now
is the GDPR form.

139
00:07:48,043 --> 00:07:52,562
Erm, I'm aware that some people
find GDPR a little boring...

140
00:07:52,563 --> 00:07:55,482
Erm, not me. And certainly not...

141
00:07:55,483 --> 00:07:57,722
I've been put on call
covering the labour ward.

142
00:07:57,723 --> 00:08:00,682
Today? Can you come with me
to Occupational Health?

143
00:08:00,683 --> 00:08:03,562
OK, now? I'm not ready.
I should have taken more time out...

144
00:08:03,563 --> 00:08:05,642
You've been on maternity leave
for two years.

145
00:08:05,643 --> 00:08:09,122
I didn't mean to have two babies
one immediately after the other.

146
00:08:09,123 --> 00:08:11,842
We'll go up to Occupational Health
now and we'll sort it out, right?

147
00:08:11,843 --> 00:08:15,562
"Are you a doctor in distress?"
That's what they're gonna ask you.

148
00:08:15,563 --> 00:08:17,162
Well, I don't...

149
00:08:17,163 --> 00:08:19,522
Well, is there anything
between suicidal and...

150
00:08:19,523 --> 00:08:22,762
You're probably just nervous.
You're bound to be nervous.

151
00:08:22,763 --> 00:08:24,682
I mean, God, I feel nervous.

152
00:08:24,683 --> 00:08:26,282
I don't.

153
00:08:26,283 --> 00:08:27,722
Yeah, that's cos you're a surgeon

154
00:08:27,723 --> 00:08:29,963
and therefore, by definition,
a psychopath.

155
00:08:31,643 --> 00:08:33,842
You're an ST7 paediatric registrar.

156
00:08:33,843 --> 00:08:35,482
Of course they need you
on the acute rota.

157
00:08:35,483 --> 00:08:37,442
The alternative's
letting children die.

158
00:08:37,443 --> 00:08:39,762
Do you want to stay at home
changing nappies,

159
00:08:39,763 --> 00:08:41,802
taking your skin off
with microwave sterilisers,

160
00:08:41,803 --> 00:08:43,922
sluicing shit out of clothes

161
00:08:43,923 --> 00:08:46,243
and reading the fucking Gruffalo
the rest of your life?

162
00:08:47,563 --> 00:08:50,562
You are incredible,
with everything you've been through.

163
00:08:50,563 --> 00:08:52,202
Paeds is lucky to have you.

164
00:08:52,203 --> 00:08:53,923
Get on with it.

165
00:08:57,603 --> 00:08:58,962
Yeah.

166
00:08:58,963 --> 00:09:00,643
Probably won't even go off now.

167
00:09:02,083 --> 00:09:03,282
PAGER BEEPS

168
00:09:03,283 --> 00:09:05,443
Ah, see you later.
Good luck, OK?

169
00:09:06,803 --> 00:09:09,483
Good luck!
Hm, a second.

170
00:09:11,203 --> 00:09:12,922
That was nice of you.
Fuck off.

171
00:09:12,923 --> 00:09:14,403
Sort of.

172
00:09:31,523 --> 00:09:34,203
WOMAN YELLING IN PAIN

173
00:09:36,403 --> 00:09:39,122
41 weeks, poor trace,
baby in distress.

174
00:09:39,123 --> 00:09:40,442
Have the kits been updated?
No.

175
00:09:40,443 --> 00:09:41,923
MOTHER: What's happening?

176
00:09:43,403 --> 00:09:46,202
Please, talk to me, someone.

177
00:09:46,203 --> 00:09:48,003
Can you see what they're doing?

178
00:09:49,883 --> 00:09:52,042
He's struggling, Mars.

179
00:09:52,043 --> 00:09:55,043
Please tell me what's happening.
Is he breathing or not?

180
00:10:01,243 --> 00:10:02,603
Heartbeat below 100.

181
00:10:21,363 --> 00:10:22,923
Is he breathing?!

182
00:10:24,763 --> 00:10:27,682
BABY STARTS CRYING

183
00:10:27,683 --> 00:10:30,283
MUSIC: 'Time (You And I)'
by Khruangbin

184
00:10:41,443 --> 00:10:42,922
Congratulations.

185
00:10:42,923 --> 00:10:45,282
Thank you!

186
00:10:45,283 --> 00:10:48,202
# That's life, if we had more time

187
00:10:48,203 --> 00:10:50,242
# We could live forever

188
00:10:50,243 --> 00:10:52,522
# Just you and I, we could... #

189
00:10:52,523 --> 00:10:54,242
Yes... Oww!

190
00:10:54,243 --> 00:10:57,563
Fuck! Ooh! Fuck...
Oh, fuck! Fuck!

191
00:11:12,443 --> 00:11:14,802
Here she is! Salam, Ammi!

192
00:11:14,803 --> 00:11:16,242
Where are the boys?

193
00:11:16,243 --> 00:11:19,403
Boys are watching TV,
Raza's running late.

194
00:11:20,643 --> 00:11:23,402
How was it?
I was covering the labour ward.

195
00:11:23,403 --> 00:11:25,122
Wonderful!
It was.

196
00:11:25,123 --> 00:11:26,602
What did I tell you?

197
00:11:26,603 --> 00:11:29,522
A doctor needs to be
at the hospital, treating patients.

198
00:11:29,523 --> 00:11:32,082
I'm so proud of you, Maryam.

199
00:11:32,083 --> 00:11:33,723
We'll show them!

200
00:11:35,123 --> 00:11:37,402
Allah hafiz, baby.
Thanks, Mum.

201
00:11:37,403 --> 00:11:40,363
SHE CHATTERS WITH TODDLERS

202
00:11:47,003 --> 00:11:48,803
Mum, so what about Thursday?

203
00:11:50,203 --> 00:11:52,323
What time does Pilates start?

204
00:11:54,243 --> 00:11:57,243
OK. Mum, is there any night
you can help?

205
00:11:58,283 --> 00:12:01,242
Maggie! Don't sit on your brother!

206
00:12:01,243 --> 00:12:02,762
He's got my doggy!

207
00:12:02,763 --> 00:12:05,202
I don't care!
Get off him. Don't wind him up.

208
00:12:05,203 --> 00:12:08,843
What about Saturday
after Nordic walking?

209
00:12:09,803 --> 00:12:12,603
Pour it,
pour it into the other bucket...

210
00:12:18,483 --> 00:12:21,962
So you can't have her at all
next week?

211
00:12:21,963 --> 00:12:25,083
Oi! Maggie, get out.

212
00:12:33,923 --> 00:12:37,042
CHILD SCREAMS
Oh, my God!

213
00:12:37,043 --> 00:12:39,482
Well, can I call you back
after choir?

214
00:12:39,483 --> 00:12:42,162
Mum?

215
00:12:42,163 --> 00:12:43,682
Thanks a lot, Mum.

216
00:12:43,683 --> 00:12:47,842
So, your profile on
the childcare site says £15 an hour,

217
00:12:47,843 --> 00:12:50,243
could you go to 12
if you're both asleep?

218
00:12:59,643 --> 00:13:01,363
IN DISTANCE: Yeah, sure. Erm...

219
00:14:12,483 --> 00:14:15,722
Hey. It's only 8:30.

220
00:14:15,723 --> 00:14:17,762
I'm awake.

221
00:14:17,763 --> 00:14:19,202
You smell of beer.

222
00:14:19,203 --> 00:14:20,562
HE GRUNTS

223
00:14:20,563 --> 00:14:22,002
Long day?

224
00:14:22,003 --> 00:14:25,602
Bell went five hours ago.
I don't care.

225
00:14:25,603 --> 00:14:27,563
So, what's new in IT?

226
00:14:28,563 --> 00:14:29,883
Not much.

227
00:14:31,003 --> 00:14:35,082
Actually, I, er..
I missed most of the IT thing.

228
00:14:35,083 --> 00:14:38,842
I was, er... on call.

229
00:14:38,843 --> 00:14:40,922
Covering the labour ward.
Delivering babies.

230
00:14:40,923 --> 00:14:42,882
Yeah, I know
what the labour ward is.

231
00:14:42,883 --> 00:14:44,562
It felt amazing.

232
00:14:44,563 --> 00:14:46,482
We had an agreement.

233
00:14:46,483 --> 00:14:49,402
There was a gap in the rota.
There's always a gap in the rota.

234
00:14:49,403 --> 00:14:50,763
I'm fine, Raz, I promise.

235
00:14:52,403 --> 00:14:54,842
You know, one good day doesn't mean
everything's fixed.

236
00:14:54,843 --> 00:14:59,123
Oh, are we still working on
trying to "fix me", then?

237
00:15:00,203 --> 00:15:02,202
I'm a very qualified paediatrician.

238
00:15:02,203 --> 00:15:04,202
I know what I'm doing
and they need me.

239
00:15:04,203 --> 00:15:05,683
Fuck, Maryam, so do we.

240
00:15:07,123 --> 00:15:09,402
I mean, we agreed to
some boundaries, didn't we?

241
00:15:09,403 --> 00:15:11,042
So we can look after you.
But that place,

242
00:15:11,043 --> 00:15:13,362
they're gonna have you back
working all these hours...

243
00:15:13,363 --> 00:15:15,202
Well, you're teaching
through the holidays.

244
00:15:15,203 --> 00:15:17,722
..in life and death situations.
I'm a doctor, Raz!

245
00:15:17,723 --> 00:15:21,042
If I can't go back to life or death
situations, then I can't go back!

246
00:15:21,043 --> 00:15:22,923
HE SIGHS

247
00:15:25,723 --> 00:15:27,882
They, erm...

248
00:15:27,883 --> 00:15:30,363
need me on the on call rota
for the rest of the week.

249
00:15:33,803 --> 00:15:38,203
CHILD CRIES

250
00:15:46,203 --> 00:15:47,803
Mars...

251
00:15:48,883 --> 00:15:50,443
..you OK?

252
00:16:05,123 --> 00:16:10,042
I was pregnant and you were
treating COVID patients in ICU.

253
00:16:10,043 --> 00:16:13,322
And we agreed to mitigate the risks.

254
00:16:13,323 --> 00:16:15,682
I mean, how exactly
did you expect to be able

255
00:16:15,683 --> 00:16:18,602
to have socially distanced sex?
But it didn't start then, did it?

256
00:16:18,603 --> 00:16:20,842
We haven't had sex
since we conceived Cleo, that's...

257
00:16:20,843 --> 00:16:22,842
25 months. Well,
at least you're still counting.

258
00:16:22,843 --> 00:16:25,362
No, no, I can just add
the gestation of a human foetus

259
00:16:25,363 --> 00:16:26,922
to knowing how old our baby is.

260
00:16:26,923 --> 00:16:29,642
How much have you talked together

261
00:16:29,643 --> 00:16:32,522
about your experience
of working through COVID?

262
00:16:32,523 --> 00:16:34,402
Well, I-I wasn't really, I didn't...

263
00:16:34,403 --> 00:16:36,762
We're still working through COVID.

264
00:16:36,763 --> 00:16:39,123
We will be
for the rest of the decade.

265
00:16:41,883 --> 00:16:47,202
Guy, you seem very focused
on the lack of physical intimacy

266
00:16:47,203 --> 00:16:49,682
as the sole cause
of the breakdown... It is.

267
00:16:49,683 --> 00:16:51,563
HELEN CHUCKLES

268
00:16:52,483 --> 00:16:55,962
I'm not demanding
my conjugal rights here, it...

269
00:16:55,963 --> 00:16:57,123
HE SIGHS

270
00:16:58,923 --> 00:17:00,203
It's how we connect.

271
00:17:01,723 --> 00:17:02,882
Emotionally.

272
00:17:02,883 --> 00:17:03,922
Erm...

273
00:17:03,923 --> 00:17:07,202
Helen's refusal... I thought this
wasn't about your conjugal rights?

274
00:17:07,203 --> 00:17:08,682
It isn't!
Well, it obviously is.

275
00:17:08,683 --> 00:17:10,682
It isn't,
but you do refuse to participate

276
00:17:10,683 --> 00:17:13,163
in any physical relationship with me
and that is the problem.

277
00:17:14,643 --> 00:17:16,842
OK.

278
00:17:16,843 --> 00:17:20,682
When I hear you say that,
I think perhaps

279
00:17:20,683 --> 00:17:24,603
there's an element
of you obscuring what's happened.

280
00:17:25,923 --> 00:17:28,642
May we look at that together?

281
00:17:28,643 --> 00:17:32,043
I'm appreciative that we have
a relationship based on honesty.

282
00:17:37,043 --> 00:17:38,682
I think she's talking about

283
00:17:38,683 --> 00:17:40,683
you fucking your 24-year-old
house officer.

284
00:17:55,003 --> 00:17:57,523
I think I'd feel happier
talking to a man.

285
00:18:09,523 --> 00:18:11,762
INTERCOM: 'Doctor Kellet
to oncology, please.

286
00:18:11,763 --> 00:18:13,562
'Doctor Kellet to oncology.'

287
00:18:13,563 --> 00:18:15,202
Hi.
Hi.

288
00:18:15,203 --> 00:18:17,682
Do you know
who the on call registrar is?

289
00:18:17,683 --> 00:18:20,563
Hello. I'm Maryam.
Doctor Simon Segman.

290
00:18:22,923 --> 00:18:24,682
Right, er, yes.

291
00:18:24,683 --> 00:18:27,562
Erm, could you take a look
at this four-year-old,

292
00:18:27,563 --> 00:18:30,842
he's been referred by his GP
with a temperature of 39.5,

293
00:18:30,843 --> 00:18:32,402
heart rate of 115 bpm.

294
00:18:32,403 --> 00:18:35,082
And he won't let me
anywhere near him.

295
00:18:35,083 --> 00:18:38,242
Have you spent a lot of time
with children? God, no.

296
00:18:38,243 --> 00:18:40,883
Mind if I take my coat off?

297
00:18:42,283 --> 00:18:44,042
Why did his GP refer him?

298
00:18:44,043 --> 00:18:45,602
Complex history.

299
00:18:45,603 --> 00:18:48,682
He's currently under consultant care
for various congenital conditions,

300
00:18:48,683 --> 00:18:51,762
including congenital heart disease,
and he has got a long list

301
00:18:51,763 --> 00:18:55,202
of previous, serious reactions
to antibiotics.

302
00:18:55,203 --> 00:18:56,923
And how are the parents?

303
00:18:58,923 --> 00:19:01,282
Fine. Anxious.

304
00:19:01,283 --> 00:19:03,483
Come on, then,
let's take a look at him.

305
00:19:12,403 --> 00:19:13,642
See anything you fancy?

306
00:19:13,643 --> 00:19:15,602
Sorry, Catherine,
no surgery for you,

307
00:19:15,603 --> 00:19:16,922
you're on call to A&E today.

308
00:19:16,923 --> 00:19:19,762
Oh, but my surgical hours, I've...
You've been out for nearly a year,

309
00:19:19,763 --> 00:19:22,723
you can't expect to just waltz
back into theatre time.

310
00:19:25,323 --> 00:19:27,042
She handed in her notice
this morning.

311
00:19:27,043 --> 00:19:28,242
For definite?

312
00:19:28,243 --> 00:19:30,163
Wants to spend more time
with her kids.

313
00:19:32,363 --> 00:19:34,682
Have you had breakfast?

314
00:19:34,683 --> 00:19:36,402
Sounds great.

315
00:19:36,403 --> 00:19:38,282
My treat.

316
00:19:38,283 --> 00:19:40,162
I've got to scrub in.
I heard the prof say

317
00:19:40,163 --> 00:19:42,042
they'll have the ad out
for her job next week.

318
00:19:42,043 --> 00:19:43,842
May the best man win.

319
00:19:43,843 --> 00:19:45,362
But if you're hungry...

320
00:19:45,363 --> 00:19:47,802
INTERCOM: 'Duty cleaner
to reception, please.

321
00:19:47,803 --> 00:19:49,722
'Duty cleaner to reception.'

322
00:19:49,723 --> 00:19:53,522
I'm Doctor Maryam Afridi,
one of the paediatric registrars.

323
00:19:53,523 --> 00:19:55,723
And you must be Edward.

324
00:19:56,803 --> 00:19:59,323
I love Hey Duggee!
Who's your favourite Squirrel?

325
00:20:01,283 --> 00:20:02,443
Go on...

326
00:20:03,603 --> 00:20:04,842
Crocodile.

327
00:20:04,843 --> 00:20:08,443
Happy? That's a good choice.
Can I get a high five?

328
00:20:12,203 --> 00:20:14,562
How do the two of you feel like
he's doing this morning?

329
00:20:14,563 --> 00:20:16,202
He's OK. He's a bit grumpy.

330
00:20:16,203 --> 00:20:19,482
He's not himself.
He's had a temperature for 48 hours.

331
00:20:19,483 --> 00:20:20,923
Edward.

332
00:20:21,963 --> 00:20:24,762
Did I just see a fly
go into your mouth?

333
00:20:24,763 --> 00:20:27,842
You'd better open up,
so I can take a look.

334
00:20:27,843 --> 00:20:29,922
Big "ah". Ah!

335
00:20:29,923 --> 00:20:32,042
Hm, that's OK... Oh, no.

336
00:20:32,043 --> 00:20:34,282
Oh, no, I think it's just flown up
to your eye.

337
00:20:34,283 --> 00:20:36,643
Do you think you can pull it down,
so I can take a look?

338
00:20:37,963 --> 00:20:40,802
Hm. Good zombie face!

339
00:20:40,803 --> 00:20:42,563
Can you pull the other one down
as well?

340
00:20:44,123 --> 00:20:45,282
Well done.

341
00:20:45,283 --> 00:20:47,962
What did you have for breakfast
this morning, Edward?

342
00:20:47,963 --> 00:20:50,202
He's only managed
a spoonful of Krispies.

343
00:20:50,203 --> 00:20:53,722
Do you think I can I see
if I can hear where it is?

344
00:20:53,723 --> 00:20:56,882
Has it gone into your throat?

345
00:20:56,883 --> 00:20:59,322
No. It's not there. Hmm...

346
00:20:59,323 --> 00:21:01,203
No, maybe it's here.

347
00:21:03,163 --> 00:21:06,882
Got it! Brilliant teamwork.
Well done, Edward.

348
00:21:06,883 --> 00:21:10,162
Edward's temperature and heart rate
are slightly higher than we'd like,

349
00:21:10,163 --> 00:21:12,082
it's probably something viral.

350
00:21:12,083 --> 00:21:13,682
He is a little dehydrated.

351
00:21:13,683 --> 00:21:16,562
But we'll encourage some fluids
and some paracetamol.

352
00:21:16,563 --> 00:21:20,442
Doctor Segman will keep an eye on
his urine output and blood gases,

353
00:21:20,443 --> 00:21:21,802
and half-hourly obs,

354
00:21:21,803 --> 00:21:23,682
just to make sure
that his temperature

355
00:21:23,683 --> 00:21:25,202
and heart rate are coming down.

356
00:21:25,203 --> 00:21:26,642
And then we'll get you home.

357
00:21:26,643 --> 00:21:28,162
Sorry to cause a bother.

358
00:21:28,163 --> 00:21:29,682
No...
We're just over careful.

359
00:21:29,683 --> 00:21:32,042
You've done exactly the right thing
if you're concerned.

360
00:21:32,043 --> 00:21:33,443
It's no bother.

361
00:21:35,923 --> 00:21:38,322
Is there anything
that you're not clear on?

362
00:21:38,323 --> 00:21:39,603
What's a Hey Duggee?

363
00:21:41,003 --> 00:21:43,322
Yeah, try and find out
a little more than the triage nurse

364
00:21:43,323 --> 00:21:45,443
before you come
and find your seniors next time.

365
00:21:48,083 --> 00:21:50,002
So it's been, what, a year?

366
00:21:50,003 --> 00:21:51,442
More than, yeah.

367
00:21:51,443 --> 00:21:54,282
Sorry, I haven't got long,
I'm on call.

368
00:21:54,283 --> 00:21:55,762
It's really good to see you again.

369
00:21:55,763 --> 00:21:57,162
Yeah, so...
I wanted...

370
00:21:57,163 --> 00:21:58,563
Oh.

371
00:22:00,203 --> 00:22:02,122
You go.
OK.

372
00:22:02,123 --> 00:22:04,722
I wanted to apologise
for my behaviour

373
00:22:04,723 --> 00:22:06,243
last time we saw each other.

374
00:22:07,563 --> 00:22:11,882
Erm, my marriage
was in a difficult time, and, er...

375
00:22:11,883 --> 00:22:16,802
my wife, my children,
they mean everything to me.

376
00:22:16,803 --> 00:22:18,402
And you...

377
00:22:18,403 --> 00:22:21,442
You are a peer,
who I respect profoundly, but...

378
00:22:21,443 --> 00:22:22,602
Yeah, good. Erm...

379
00:22:22,603 --> 00:22:24,882
After we had sex three times a night
for two nights

380
00:22:24,883 --> 00:22:26,362
and twice on the Heathrow Express,

381
00:22:26,363 --> 00:22:27,762
I discovered that I was pregnant.

382
00:22:27,763 --> 00:22:31,362
I... I wanted to tell you sooner,
but it didn't feel like

383
00:22:31,363 --> 00:22:33,922
the kind of thing
I wanted to text you and...

384
00:22:33,923 --> 00:22:36,362
and honestly, I didn't know
why I would be telling you,

385
00:22:36,363 --> 00:22:38,683
but you're in town now,
so, it, er...

386
00:22:40,003 --> 00:22:41,963
It felt like the right thing to do.

387
00:22:43,083 --> 00:22:45,802
I'm sorry, Catherine, so sorry
that you had to go through that,

388
00:22:45,803 --> 00:22:47,202
I, erm...

389
00:22:47,203 --> 00:22:48,683
Was it...?

390
00:22:50,083 --> 00:22:52,642
I think it's very straightforward
here, isn't it? Right?

391
00:22:52,643 --> 00:22:54,522
What do you mean?

392
00:22:54,523 --> 00:22:56,923
Do you have people you can talk to?

393
00:22:59,123 --> 00:23:03,002
Oh, OK. I'm not here to tell you
that I had a termination.

394
00:23:03,003 --> 00:23:04,682
This isn't Hollyoaks.

395
00:23:04,683 --> 00:23:08,522
I mean, I have had one,
but that was over a decade ago

396
00:23:08,523 --> 00:23:10,082
and not relevant

397
00:23:10,083 --> 00:23:12,162
to this increasingly
disastrous conversation.

398
00:23:12,163 --> 00:23:16,922
What's Hollyoaks?
Lars, erm, this is your daughter.

399
00:23:16,923 --> 00:23:19,923
Elis. She's nine months old.

400
00:23:37,923 --> 00:23:40,602
Just go home to your wife and family

401
00:23:40,603 --> 00:23:42,962
and we can forget
this conversation ever happened.

402
00:23:42,963 --> 00:23:45,162
Is that what you want?

403
00:23:45,163 --> 00:23:47,683
We don't need anything from you.
Yeah.

404
00:23:49,883 --> 00:23:52,083
Can I see that picture again?
Sure.

405
00:24:05,363 --> 00:24:07,442
She looks like my sister.
Really?

406
00:24:07,443 --> 00:24:10,723
Yeah. Yeah, cos, er,
my daughters look just like...

407
00:24:11,683 --> 00:24:12,883
..like their mother.

408
00:24:19,963 --> 00:24:21,802
PAGER BEEPS

409
00:24:21,803 --> 00:24:23,882
Sorry, I've got to go.

410
00:24:23,883 --> 00:24:25,123
Yeah.

411
00:24:33,563 --> 00:24:35,642
SHE CLEARS THROAT
Sorry.

412
00:24:35,643 --> 00:24:36,883
Bye, Lars.

413
00:24:38,043 --> 00:24:39,402
Catherine?

414
00:24:39,403 --> 00:24:42,523
Could you send me that picture?
Sure.

415
00:24:56,083 --> 00:24:57,882
Is this the ward round?

416
00:24:57,883 --> 00:24:59,882
First day?
Yeah.

417
00:24:59,883 --> 00:25:01,362
Welcome to acute.

418
00:25:01,363 --> 00:25:03,682
Morning, team.

419
00:25:03,683 --> 00:25:05,203
Shall we?

420
00:25:07,043 --> 00:25:10,802
Right, Louise, I believe
we have the pleasure of hearing you

421
00:25:10,803 --> 00:25:13,482
tell us all about Mrs Osei?

422
00:25:13,483 --> 00:25:16,962
Mrs Osei, 86,
admitted after a collapse at home.

423
00:25:16,963 --> 00:25:19,242
Er, medical history significant
for hypertension,

424
00:25:19,243 --> 00:25:21,882
for which
she takes bendroflumethiazide.

425
00:25:21,883 --> 00:25:24,282
Blood tests confirm
the patient is hyponatraemic,

426
00:25:24,283 --> 00:25:26,242
sodium levels 121.

427
00:25:26,243 --> 00:25:28,442
So I've restricted fluids
to a litre per 24 hours

428
00:25:28,443 --> 00:25:30,642
and sent the usual tests
for hyponatraemia.

429
00:25:30,643 --> 00:25:32,963
Very clear. Thank you.
May I?

430
00:25:34,203 --> 00:25:35,882
Er, please.

431
00:25:35,883 --> 00:25:37,322
Good morning, Mrs Osei.

432
00:25:37,323 --> 00:25:38,962
My name's Helen
and I'm a doctor here.

433
00:25:38,963 --> 00:25:40,242
You're in hospital.

434
00:25:40,243 --> 00:25:42,922
How are you feeling this morning?
Shit.

435
00:25:42,923 --> 00:25:45,642
When you're at home, erm,
do you cook for yourself?

436
00:25:45,643 --> 00:25:48,362
It's just me. What's the point?

437
00:25:48,363 --> 00:25:51,802
Do you ever have a glass of juice,
or squash, or water?

438
00:25:51,803 --> 00:25:53,562
Water's for washing in.
Yeah.

439
00:25:53,563 --> 00:25:56,282
OK. Teaching hospital,
buzzers at the ready!

440
00:25:56,283 --> 00:25:58,282
One management plan
for hyponatraemia

441
00:25:58,283 --> 00:25:59,602
is restriction of fluids

442
00:25:59,603 --> 00:26:02,082
to help to try to rebalance
the sodium levels in the blood.

443
00:26:02,083 --> 00:26:04,482
It's the one we tend to leap to
in a hospital setting.

444
00:26:04,483 --> 00:26:05,682
But, paradoxically,

445
00:26:05,683 --> 00:26:07,563
this condition
can also be caused by...

446
00:26:08,603 --> 00:26:10,722
..any of our F1s wanna impress?

447
00:26:10,723 --> 00:26:12,722
MAN: Er, dehydration?
Absolutely.

448
00:26:12,723 --> 00:26:15,082
And that would appear to be
the most probable cause here,

449
00:26:15,083 --> 00:26:17,442
now that Helen has discovered
a little extra history.

450
00:26:17,443 --> 00:26:20,042
How do you remember to take
your pills when you're at home?

451
00:26:20,043 --> 00:26:22,562
MRS OSEI: What pills? Who's he?

452
00:26:22,563 --> 00:26:27,162
His name is Doctor Cavendish,
he's one of the consultants here.

453
00:26:27,163 --> 00:26:28,402
Don't trust him, love.

454
00:26:28,403 --> 00:26:31,722
Yeah. Not as far as
I could throw him, don't worry.

455
00:26:31,723 --> 00:26:33,602
I think compounded perhaps

456
00:26:33,603 --> 00:26:35,802
by erratic doses
of a thiazide diuretic.

457
00:26:35,803 --> 00:26:38,562
Very possibly. So, what
treatment plan are you suggesting?

458
00:26:38,563 --> 00:26:41,522
I think we need to get her to eat
and drink something.

459
00:26:41,523 --> 00:26:42,802
Or a switch to amlodipine?

460
00:26:42,803 --> 00:26:45,082
Yeah, there just
different side effects to manage.

461
00:26:45,083 --> 00:26:47,442
Well, a change in meds
might be useful in the medium-term.

462
00:26:47,443 --> 00:26:49,602
I think in the medium-term,
what she needs is more,

463
00:26:49,603 --> 00:26:52,162
more support at home and a pillbox.
And a cup of tea?

464
00:26:52,163 --> 00:26:54,442
You've jumped to
a medicalised solution, Louise.

465
00:26:54,443 --> 00:26:56,882
I'm a medic, Helen.

466
00:26:56,883 --> 00:26:59,162
A very rigorous assessment.
Thank you...

467
00:26:59,163 --> 00:27:00,762
both.

468
00:27:00,763 --> 00:27:03,762
Er, let's reassess Mrs Osei
once she's had the chance

469
00:27:03,763 --> 00:27:07,123
to take on some fluids
and a delicious NHS jacket potato.

470
00:27:08,123 --> 00:27:09,562
Right, shall we?

471
00:27:09,563 --> 00:27:11,922
Speak up
when you're asked a question.

472
00:27:11,923 --> 00:27:14,203
And don't let the boys
swagger ahead of you.

473
00:27:15,643 --> 00:27:18,122
Please don't undermine me
in front of the other juniors.

474
00:27:18,123 --> 00:27:20,403
Then don't be shit.

475
00:27:26,123 --> 00:27:27,562
Hello again.

476
00:27:27,563 --> 00:27:28,923
He's been very quiet.

477
00:27:31,323 --> 00:27:33,602
There are obs missing here.

478
00:27:33,603 --> 00:27:35,562
Yeah, we've got agency nurses today,
so...

479
00:27:35,563 --> 00:27:38,283
Well, I asked you to do it.

480
00:27:40,243 --> 00:27:42,882
Edward, you seem a little down.
Has he had much to drink?

481
00:27:42,883 --> 00:27:45,843
I've hardly been able to get
anything down him since his UTI.

482
00:27:47,163 --> 00:27:48,922
How long ago was the UTI?

483
00:27:48,923 --> 00:27:51,363
A month ago.
But that's cleared up now.

484
00:27:52,483 --> 00:27:54,842
Well, whilst we're running
some urine obs,

485
00:27:54,843 --> 00:27:57,642
I'd like to do some more tests...
Why? What's wrong?

486
00:27:57,643 --> 00:28:01,042
I just wanna be double sure that
his UTI has cleared up properly.

487
00:28:01,043 --> 00:28:04,082
So let's run blood gases,
urine culture,

488
00:28:04,083 --> 00:28:05,842
FBC, lactate and a PCT.

489
00:28:05,843 --> 00:28:08,642
Is there an antibiotic you know
that he doesn't react to?

490
00:28:08,643 --> 00:28:10,922
We've not found one, no.

491
00:28:10,923 --> 00:28:13,522
We're going to call microbiology
to see what we can give him,

492
00:28:13,523 --> 00:28:15,442
just as a precaution.

493
00:28:15,443 --> 00:28:18,962
Thank you, Doctor.
A few tests would reassure us.

494
00:28:18,963 --> 00:28:20,962
Well, Simon and the nurse
will be back in a minute

495
00:28:20,963 --> 00:28:22,602
to take some bloods.

496
00:28:22,603 --> 00:28:25,402
It's always worth
asking specifically about UTIs.

497
00:28:25,403 --> 00:28:27,442
A previous infection
should raise our concern.

498
00:28:27,443 --> 00:28:30,442
Well, it was a month ago,
so I didn't think it was relevant.

499
00:28:30,443 --> 00:28:32,602
You knew?

500
00:28:32,603 --> 00:28:34,522
Well, she said
it'd been cleared up for a month.

501
00:28:34,523 --> 00:28:36,682
Well, I make decisions
based on what you tell me...

502
00:28:36,683 --> 00:28:38,962
and if you don't tell me
everything... Shit.

503
00:28:38,963 --> 00:28:40,562
Yes?
OK.

504
00:28:40,563 --> 00:28:43,403
OK. Mark the bloods as urgent
and then call me when they're back.

505
00:28:50,083 --> 00:28:53,003
PAGER BEEPS

506
00:29:00,763 --> 00:29:03,083
WOMAN SCREAMS

507
00:29:06,603 --> 00:29:09,042
And when did this pain
in your abdomen start?

508
00:29:09,043 --> 00:29:10,923
1998.

509
00:29:12,643 --> 00:29:14,562
So what made you feel
that today was the day

510
00:29:14,563 --> 00:29:17,282
you needed to be seen in the
accident and emergency department

511
00:29:17,283 --> 00:29:19,842
by a highly qualified surgeon?

512
00:29:19,843 --> 00:29:25,122
Well, Julia asked if we wanted
to buy their Astra on Tuesday...

513
00:29:25,123 --> 00:29:27,922
Was it Tuesday?

514
00:29:27,923 --> 00:29:32,842
Yeah, must have been because
the binmen were late, again.

515
00:29:32,843 --> 00:29:35,562
Hmm.
Ken thought we'd missed it.

516
00:29:35,563 --> 00:29:40,202
So we were getting the rubbish
into the back of the hatchback.

517
00:29:40,203 --> 00:29:45,083
Because it was a green Tuesday,
not a blue Tuesday.

518
00:29:46,203 --> 00:29:48,403
PAGER BEEPS

519
00:29:49,403 --> 00:29:51,283
Thank God. Someone's been stabbed.

520
00:30:01,643 --> 00:30:03,642
So, no pre-alert, am I leading?

521
00:30:03,643 --> 00:30:06,522
Yes? OK. Is surgery here yet?
Yes!

522
00:30:06,523 --> 00:30:10,442
Hypotensive with four stab wounds,
BP's 70/50, pulse is 120.

523
00:30:10,443 --> 00:30:12,962
Responding to fluid intervention.
He's had two litres.

524
00:30:12,963 --> 00:30:14,762
What are you doing?
I'm intubating.

525
00:30:14,763 --> 00:30:16,522
Do you know he doesn't have
a pneumothorax?

526
00:30:16,523 --> 00:30:19,602
MACHINES BEEP

527
00:30:19,603 --> 00:30:21,282
He's tensioning!
Shit!

528
00:30:21,283 --> 00:30:22,603
He needs a chest drain.

529
00:30:24,123 --> 00:30:25,323
Scalpel?

530
00:30:32,963 --> 00:30:34,323
Heart rate dropping.

531
00:30:36,603 --> 00:30:38,003
We're gonna need to be quick.

532
00:30:45,003 --> 00:30:46,482
OK, we're in.

533
00:30:46,483 --> 00:30:48,723
So I can ventilate the patient now?

534
00:30:51,203 --> 00:30:52,883
You're welcome.

535
00:30:54,843 --> 00:30:56,842
I am in the middle of delivering
a lecture.

536
00:30:56,843 --> 00:30:58,522
Apologies to interrupt you,
Professor,

537
00:30:58,523 --> 00:31:01,442
this is looking like a thoracotomy.
How many litres have you got there?

538
00:31:01,443 --> 00:31:03,082
Erm...
It's going to get to 1.5 litres.

539
00:31:03,083 --> 00:31:04,522
What is it now?

540
00:31:04,523 --> 00:31:07,322
Nearly one litre, the chest drain
only went in 90 seconds ago.

541
00:31:07,323 --> 00:31:09,642
Do let your colleague know, Doctor,

542
00:31:09,643 --> 00:31:12,282
that we only open a man's chest up
if we have 1.5 litres of blood.

543
00:31:12,283 --> 00:31:15,002
I know that and you might want
to address your questions to me,

544
00:31:15,003 --> 00:31:17,842
seeing I led this crash call
and saved this patient's life.

545
00:31:17,843 --> 00:31:21,042
Erm, I think that is 1.5 litres now.

546
00:31:21,043 --> 00:31:24,603
Ah. I think theatre five
should be free.

547
00:31:26,003 --> 00:31:28,802
Thank you, everyone.

548
00:31:28,803 --> 00:31:30,363
We'll take it from here.

549
00:31:31,563 --> 00:31:34,042
My father always said what
an outstanding teacher you are.

550
00:31:34,043 --> 00:31:36,602
Catherine MacDiarmid,
special registrar, general surgery.

551
00:31:36,603 --> 00:31:38,482
I'm Edward...
You're Teddy's daughter?

552
00:31:38,483 --> 00:31:39,883
Yes. Could I scrub in?

553
00:31:41,483 --> 00:31:44,122
Actually, Professor,
if she could assist,

554
00:31:44,123 --> 00:31:45,883
er, I could make my earlier flight.

555
00:31:49,483 --> 00:31:52,003
Come on, then.
Er, yeah. Coming.

556
00:31:53,523 --> 00:31:55,363
MOUTHS: Thank you.

557
00:32:14,443 --> 00:32:17,323
PAGER BEEPS

558
00:32:25,203 --> 00:32:28,042
LFT is negative.
OK, good.

559
00:32:28,043 --> 00:32:30,282
The sore throat's so bad,
that I can't swallow any more,

560
00:32:30,283 --> 00:32:32,122
I think it's gone to my ears.
He's going deaf.

561
00:32:32,123 --> 00:32:33,962
I'm not going deaf,
I've got earache.

562
00:32:33,963 --> 00:32:35,643
Ah.

563
00:32:37,683 --> 00:32:40,922
Also, I dunno how... He needs
someone to look at his bollocks.

564
00:32:40,923 --> 00:32:42,922
Shut up!
They're huge.

565
00:32:42,923 --> 00:32:44,482
They're a bit sore.

566
00:32:44,483 --> 00:32:46,123
No. They're not normally that big,
mate.

567
00:32:47,203 --> 00:32:48,763
What? They're not.

568
00:32:50,003 --> 00:32:51,923
Can you please look at his balls?

569
00:32:53,203 --> 00:32:54,483
Tessa?

570
00:32:56,123 --> 00:32:57,402
He's got mumps.

571
00:32:57,403 --> 00:33:01,282
And half of those with orchitis will
be left with minor atrophy, so...

572
00:33:01,283 --> 00:33:02,802
Atrophy sounds bad.

573
00:33:02,803 --> 00:33:04,882
Can you look? No offence.

574
00:33:04,883 --> 00:33:06,203
Yeah, no problem.

575
00:33:14,683 --> 00:33:16,443
Have you ever seen any bigger?

576
00:33:19,323 --> 00:33:21,362
They're the biggest I've seen today.

577
00:33:21,363 --> 00:33:22,482
Am I gonna be OK?

578
00:33:22,483 --> 00:33:25,442
It can be a lasting effect
of the virus in some cases.

579
00:33:25,443 --> 00:33:28,162
So just make sure
all of your vaccines are up-to-date.

580
00:33:28,163 --> 00:33:30,882
Could you just take a photo of
both our balls alongside each other?

581
00:33:30,883 --> 00:33:34,043
No. Good luck with
your politics degrees, boys.

582
00:33:37,043 --> 00:33:39,602
If you don't lead,
the patient and anyone they're with

583
00:33:39,603 --> 00:33:42,762
will defer
to the more senior colleague.

584
00:33:42,763 --> 00:33:44,883
They were your bollocks, Tessa.

585
00:33:47,123 --> 00:33:49,322
Don't you have a flight to catch?

586
00:33:49,323 --> 00:33:52,482
Actually,
there wasn't an earlier flight.

587
00:33:52,483 --> 00:33:55,282
It just sounded like
you'd earned the opportunity.

588
00:33:55,283 --> 00:33:58,242
Well, I might be a crap surgeon,
for all you know.

589
00:33:58,243 --> 00:34:01,402
Well, I... I could have said that

590
00:34:01,403 --> 00:34:04,522
she gives an amazing blow job
on the Heathrow Express...

591
00:34:04,523 --> 00:34:06,562
I think the careers
of many female professionals

592
00:34:06,563 --> 00:34:08,443
hinge on that kind of detail,
actually.

593
00:34:10,283 --> 00:34:12,802
Are you, er... Are you really OK?

594
00:34:12,803 --> 00:34:14,802
What do you mean?

595
00:34:14,803 --> 00:34:18,483
Raising her on your own.
It's a lot.

596
00:34:19,683 --> 00:34:21,203
We're fine.

597
00:34:22,523 --> 00:34:24,842
OK.
Have a safe flight.

598
00:34:24,843 --> 00:34:26,403
Good luck.

599
00:34:53,963 --> 00:34:56,923
Miss MacDiarmid,
would you like to open him up?

600
00:34:59,643 --> 00:35:05,082
PHONE RINGS

601
00:35:05,083 --> 00:35:07,402
CIU? 'Blood test results
for Doctor Segman.'

602
00:35:07,403 --> 00:35:08,883
I can take those.

603
00:35:13,283 --> 00:35:14,842
OK. Thank you.

604
00:35:14,843 --> 00:35:17,323
PAGER BEEPS,
PHONE RINGS

605
00:35:18,443 --> 00:35:21,722
CIU? 'Hey, Mars. Can we see you
down in delivery ASAP, please?'

606
00:35:21,723 --> 00:35:25,643
Er, yeah. No worries.
PAGER BEEPS

607
00:35:49,843 --> 00:35:51,762
Edward?

608
00:35:51,763 --> 00:35:53,202
Edward, wake up.

609
00:35:53,203 --> 00:35:55,322
Is everything OK?

610
00:35:55,323 --> 00:35:57,763
ALARM BLARES
I need some help in here, please!

611
00:36:07,043 --> 00:36:09,282
I'm getting a line in.

612
00:36:09,283 --> 00:36:11,763
BP is 90/50.

613
00:36:13,043 --> 00:36:14,922
No. Second attempt to cannulate.

614
00:36:14,923 --> 00:36:18,962
Was it the UTI? BP is 86/42.

615
00:36:18,963 --> 00:36:21,482
Shit. Come on, Edward.

616
00:36:21,483 --> 00:36:22,643
It's OK. Come on.

617
00:36:24,563 --> 00:36:25,602
SHE SIGHS
No...

618
00:36:25,603 --> 00:36:27,082
BP's still dropping.

619
00:36:27,083 --> 00:36:28,803
Come on Edward, give me a vein.

620
00:36:32,083 --> 00:36:33,682
Can't get a vein. Fuck!
That's three.

621
00:36:33,683 --> 00:36:36,282
I need an IO kit
and a consultant in here now!

622
00:36:36,283 --> 00:36:39,002
That's peri-arrest, BP is 79/35.
Put out a crash call.

623
00:36:39,003 --> 00:36:41,403
I need a consultant in here.
Understood.

624
00:36:44,603 --> 00:36:46,162
Four-year-old in septic shock.

625
00:36:46,163 --> 00:36:49,202
Three failed attempts to cannulate,
I'm getting an IO in.

626
00:36:49,203 --> 00:36:51,043
Take blood for the gas first.

627
00:36:57,563 --> 00:36:59,323
20 mils per...

628
00:37:00,363 --> 00:37:02,962
Er, no, wait, let's go slowly
for his heart condition.

629
00:37:02,963 --> 00:37:04,922
Let's do 10 mils per kilo of saline.

630
00:37:04,923 --> 00:37:08,402
Simon, what did micro say?
Micro?

631
00:37:08,403 --> 00:37:11,122
I told you to call microbiology
to see what antibiotics to give him.

632
00:37:11,123 --> 00:37:12,562
No, you didn't.

633
00:37:12,563 --> 00:37:14,882
MACHINES BEEP

634
00:37:14,883 --> 00:37:16,963
OK, step back
and deal with that urgently, please.

635
00:37:18,243 --> 00:37:20,762
Let's start from the beginning.
A to E assessment. Yes.

636
00:37:20,763 --> 00:37:22,642
Urgent alternative antibiotic
required

637
00:37:22,643 --> 00:37:24,763
for a four-year-old in septic shock.

638
00:37:25,883 --> 00:37:28,162
Looks like you were right
about Mrs Osei.

639
00:37:28,163 --> 00:37:29,683
She's looking much brighter.

640
00:37:30,763 --> 00:37:33,442
Did you give Mrs Osei's children
a call?

641
00:37:33,443 --> 00:37:35,762
Someone did,
they're coming later this week.

642
00:37:35,763 --> 00:37:37,883
And I am outta here.

643
00:37:43,363 --> 00:37:45,562
Who reviewed bed 16's ECG?

644
00:37:45,563 --> 00:37:47,762
Me, Tessa.

645
00:37:47,763 --> 00:37:50,202
Er, there was some ST elevation.

646
00:37:50,203 --> 00:37:52,882
You see an ECG you don't like,
you tell me immediately, all right?

647
00:37:52,883 --> 00:37:55,043
Yes, Doctor Cavendish.
OK, come with me.

648
00:37:56,443 --> 00:37:58,643
Supervise your F1s properly,
can you?

649
00:38:41,443 --> 00:38:44,122
MUSIC: 'This Sound'
by Greentea Peng

650
00:38:44,123 --> 00:38:47,242
# It's very physical
But metaphysical and mystical

651
00:38:47,243 --> 00:38:50,362
# And though we're not
In your peripheral

652
00:38:50,363 --> 00:38:52,482
# Would find it difficult
To miss you ... #

653
00:38:52,483 --> 00:38:53,602
SHE GRUNTS
Ow.

654
00:38:53,603 --> 00:38:56,522
No. No. Sorry. Ow! Ooh, fuck.

655
00:38:56,523 --> 00:38:58,842
# Metaphysical and mystical

656
00:38:58,843 --> 00:39:01,202
# And though we're not
In your peripheral

657
00:39:01,203 --> 00:39:03,482
# Would find it difficult
To miss you #

658
00:39:03,483 --> 00:39:04,882
# This sound... #

659
00:39:04,883 --> 00:39:06,763
Ow, ow, ow... maybe...

660
00:39:08,203 --> 00:39:12,082
Oh! No, no sorry. Ow.
Get out of me. Ooh.

661
00:39:12,083 --> 00:39:13,562
Sorry.

662
00:39:13,563 --> 00:39:15,162
You OK?
Yeah...

663
00:39:15,163 --> 00:39:17,642
Yeah, just the first time
since having Elis.

664
00:39:17,643 --> 00:39:21,122
Clearly needs a... Sorry.

665
00:39:21,123 --> 00:39:24,123
Shit.
The baby-sitter's gonna kill me.

666
00:39:25,243 --> 00:39:27,643
Dad's not in the picture, then?
No.

667
00:39:29,083 --> 00:39:31,282
By mutual agreement.

668
00:39:31,283 --> 00:39:33,483
I did wonder. With the dates.

669
00:39:34,963 --> 00:39:36,802
What, you?
You thought she might be yours?

670
00:39:36,803 --> 00:39:38,242
We were...

671
00:39:38,243 --> 00:39:40,002
What, you didn't think to...

672
00:39:40,003 --> 00:39:42,123
You didn't exactly want me to...
What?

673
00:39:46,443 --> 00:39:48,123
SHE EXHALES

674
00:39:49,963 --> 00:39:52,643
I am a massive twat.

675
00:39:54,083 --> 00:39:56,242
He should be responding
to the antibiotics by now,

676
00:39:56,243 --> 00:39:57,722
shall I call micro again?

677
00:39:57,723 --> 00:40:00,202
That's the lab,
his creatinine is 1,000.

678
00:40:00,203 --> 00:40:01,922
He's crashing.
Kidneys are failing.

679
00:40:01,923 --> 00:40:03,722
Asystole.

680
00:40:03,723 --> 00:40:05,642
MACHINES BEEP

681
00:40:05,643 --> 00:40:07,683
Do you want to lead on this,
or shall I?

682
00:40:10,923 --> 00:40:12,563
SHE SOBS

683
00:40:16,323 --> 00:40:18,243
13, 14, 15.

684
00:40:19,723 --> 00:40:21,242
Pulse check.

685
00:40:21,243 --> 00:40:23,802
No. Adrenaline in.

686
00:40:23,803 --> 00:40:25,843
SOBBING

687
00:40:30,083 --> 00:40:31,882
13, 14, 15!

688
00:40:31,883 --> 00:40:35,323
SIRENS

689
00:40:39,203 --> 00:40:41,283
Hello!

690
00:40:45,043 --> 00:40:47,322
Mum? Isn't it ceramics?

691
00:40:47,323 --> 00:40:49,922
The girl found my number
on the fridge.

692
00:40:49,923 --> 00:40:52,083
She said to tell you,
she isn't coming back.

693
00:40:53,083 --> 00:40:54,802
I scrubbed in on a thoracotomy.

694
00:40:54,803 --> 00:40:57,682
I wasn't interested in your
father's God complex, Catherine,

695
00:40:57,683 --> 00:41:00,042
and I'm not interested in yours.
I know. Sorry.

696
00:41:00,043 --> 00:41:02,283
My pot is unglazed.

697
00:41:03,963 --> 00:41:07,962
Er, thank you for coming. Elis OK?

698
00:41:07,963 --> 00:41:09,642
Fast asleep.

699
00:41:09,643 --> 00:41:11,682
Oh, I've taken my number
off the fridge

700
00:41:11,683 --> 00:41:13,842
and I shall turn my phone off
in future.

701
00:41:13,843 --> 00:41:15,122
Thank you.

702
00:41:15,123 --> 00:41:16,923
You wanted to be a mother.

703
00:41:18,203 --> 00:41:20,123
Demands sacrifice.

704
00:42:10,203 --> 00:42:12,842
MOBILE RINGS
Fuck.

705
00:42:12,843 --> 00:42:15,442
Sorry.

706
00:42:15,443 --> 00:42:16,762
Hello?

707
00:42:16,763 --> 00:42:18,602
'Hi, Catherine.'
Lars?

708
00:42:18,603 --> 00:42:20,243
'I...'
HE EXHALES

709
00:42:21,443 --> 00:42:24,363
'I wanna be a father to Elis.'

710
00:42:27,763 --> 00:42:32,203
RINGING

711
00:42:33,843 --> 00:42:35,723
MOBILE RINGS

712
00:42:37,603 --> 00:42:39,402
Hi.

713
00:42:39,403 --> 00:42:42,083
Do you want to be able
to have sex with other people?

714
00:42:44,603 --> 00:42:46,122
'Why don't we just try it?

715
00:42:46,123 --> 00:42:50,043
'You can have sex
with whoever you like for a month.'

716
00:42:51,923 --> 00:42:53,483
Louise.

717
00:42:57,083 --> 00:42:58,602
Or whoever.

718
00:42:58,603 --> 00:43:01,643
'And if it helps us, then...'

719
00:43:03,923 --> 00:43:05,523
Then what?

720
00:43:08,003 --> 00:43:10,283
Then you carry on.

721
00:43:11,683 --> 00:43:12,923
'Where has this come from?'

722
00:43:16,203 --> 00:43:18,082
Have you got any idea
how humiliating it is

723
00:43:18,083 --> 00:43:19,562
for me to be back at work?

724
00:43:19,563 --> 00:43:24,042
The little wife and mother,
your junior,

725
00:43:24,043 --> 00:43:27,562
when everyone knows...
'No.'

726
00:43:27,563 --> 00:43:29,922
No, everyone knows...

727
00:43:29,923 --> 00:43:32,243
'No. Everybody at work
thinks you're brilliant.'

728
00:43:34,083 --> 00:43:35,563
Cos you are brilliant.

729
00:43:38,403 --> 00:43:40,403
'I don't want to have sex
with anyone else.'

730
00:43:41,843 --> 00:43:43,763
I want to have sex with you.

731
00:44:24,683 --> 00:44:26,363
SHE SNIFFLES

732
00:44:48,923 --> 00:44:51,243
No! Please, don't...

733
00:44:58,843 --> 00:45:01,043
Maryam.
SHE PANTS

734
00:45:04,283 --> 00:45:07,923
SOBBING

735
00:45:24,283 --> 00:45:28,203
MOTHER WEEPS

736
00:45:31,243 --> 00:45:33,763
MARYAM SOBS

737
00:45:58,883 --> 00:46:01,723
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