1 00:00:29,680 --> 00:00:33,760 Cubicle three, PFO - pissed, fell over. 2 00:00:33,760 --> 00:00:36,800 Four, PGT - pissed, got thumped. 3 00:00:36,800 --> 00:00:41,240 Five, PDE - pissed, denies everything. 4 00:00:41,240 --> 00:00:45,640 Where are you from? Leicester. 5 00:00:45,640 --> 00:00:48,960 No, where are you from? 6 00:00:50,680 --> 00:00:53,600 Sweden(!) 7 00:00:53,600 --> 00:00:56,720 India, I reckon. 8 00:00:59,520 --> 00:01:03,000 Not all Pakis come from India, though. 9 00:01:07,320 --> 00:01:09,960 Hello. My name's Raj. 10 00:01:14,520 --> 00:01:21,080 You've got a headache(?) Yes, doctor. All day. Any sickness or drowsiness? 11 00:01:21,080 --> 00:01:28,640 No. And how bad is your headache? Just pain down the side of my head. Nagging. Nagging(?) 12 00:01:28,640 --> 00:01:31,240 Raj, in 12. Tib and fib. 13 00:01:31,240 --> 00:01:33,760 This is nothing to worry about. 14 00:01:33,760 --> 00:01:40,320 Take paracetamol and see your GP if it's no better in the morning. (Silly cow!) 15 00:01:45,120 --> 00:01:48,960 Ow! What appears to be the problem? 16 00:02:02,920 --> 00:02:07,560 Claire! 17 00:02:02,920 --> 00:02:07,560 Oh, I'm sorry. I'm RMO today. 18 00:02:07,560 --> 00:02:13,960 You wouldn't hold the bleep for a couple of hours, would you? Sure. Ta. 19 00:02:17,000 --> 00:02:24,280 Oh, Rajie! I saw this out shopping and I knew it'd be right for you. Let's put it on your tie. 20 00:02:24,280 --> 00:02:26,440 Right. 21 00:02:33,200 --> 00:02:35,720 When was it that you and she...? 22 00:02:35,720 --> 00:02:40,680 During my house job. Bloody hell! A year ago! 23 00:02:40,680 --> 00:02:46,160 When was the last time you had a bit of how's your father? A year ago. 24 00:03:00,040 --> 00:03:02,480 Yes! Yes! 25 00:03:02,480 --> 00:03:07,440 Now, SHE gains a full-scale deflection on Raj's babe-ometer. 26 00:03:07,440 --> 00:03:10,360 Babe alert! Casualty. Babe alert! 27 00:03:13,560 --> 00:03:18,920 Hello. Sprained wrist? 28 00:03:13,560 --> 00:03:18,920 Let me have a look at that for you. 29 00:03:21,240 --> 00:03:27,560 Mm-hm. What's a joint like this doing in a nice girl like you? 30 00:03:32,400 --> 00:03:37,840 Claire, 17-year-old lad fell off a bridge into a lake. ..Clear. 31 00:03:37,840 --> 00:03:43,160 His mates took 20 minutes to fish 32 00:03:37,840 --> 00:03:43,160 him out. There's no output. 33 00:03:37,840 --> 00:03:43,160 Pillock! 34 00:03:43,160 --> 00:03:46,160 Find a low-reading thermometer. 35 00:03:46,160 --> 00:03:48,200 Clear. 36 00:03:49,400 --> 00:03:51,920 Rectal temperature's only 25 degrees. 37 00:03:51,920 --> 00:03:54,280 Put the defib away. 38 00:03:54,280 --> 00:04:00,960 OK, Phil. I want blood gases, full blood count, U and Es, glucose, amylase, clotting, 39 00:04:00,960 --> 00:04:03,480 a chest X-ray and a 12-lead ECG. 40 00:04:03,480 --> 00:04:10,960 James, where's the nearest place with access to ECC? Nowhere within 30 miles. OK. He stays with us. 41 00:04:10,960 --> 00:04:18,520 Wrap him up. I'll pass a central line and run in warm fluids. Warm, humidified oxygen. Ventilate after. 42 00:04:18,520 --> 00:04:26,160 It's a different doctor every time I come here. Dr Turner thinks I'm a medical mystery. 43 00:04:26,160 --> 00:04:28,760 I had this problem in London in '77. 44 00:04:28,760 --> 00:04:31,280 I've noticed this ache. 45 00:04:31,280 --> 00:04:38,320 I'm pleased with your progress, Miss Climie. Thank you. ..Discharge back to GP, staff. 46 00:04:42,880 --> 00:04:45,400 You wanted to see me? Yes, Andrew. 47 00:04:45,400 --> 00:04:49,200 You're taking too long with consultations. 48 00:04:49,200 --> 00:04:52,840 It's difficult to see people in ten minutes. 49 00:04:52,840 --> 00:04:59,600 The managers tell us we can see people in ten minutes, so we see them in ten minutes. 50 00:04:59,600 --> 00:05:04,640 Acquainting oneself with the patient's background - one minute. 51 00:05:04,640 --> 00:05:09,760 Calling the patient in - as long as a minute, if they need help. 52 00:05:09,760 --> 00:05:18,040 Patient going to the examination 53 00:05:09,760 --> 00:05:18,040 room to undress - as long 54 00:05:09,760 --> 00:05:18,040 as two minutes, if they're infirm. 55 00:05:18,040 --> 00:05:23,200 Examining the patient - two minutes. Patient dressing - two minutes. 56 00:05:23,200 --> 00:05:31,360 Phoning the lab for an important result which hasn't been filed - one minute. ..Thank you, staff. 57 00:05:31,360 --> 00:05:38,160 Completion of audit form so management can see how we're doing - 30 seconds. 58 00:05:38,160 --> 00:05:45,800 Booking new appointment and ushering out - 30 seconds. How many minutes is that? 59 00:05:45,800 --> 00:05:48,000 Ten. 60 00:05:48,000 --> 00:05:54,360 The system doesn't allow for the most important thing - talking to people. 61 00:05:54,360 --> 00:05:56,840 I don't make the rules, Andrew. 62 00:05:58,520 --> 00:06:01,000 Thank you, Dr Turner. 63 00:06:04,840 --> 00:06:06,880 Hey! 64 00:06:06,880 --> 00:06:09,360 Time for some more adrenaline. 65 00:06:09,360 --> 00:06:13,280 Right, that's a quarter of a milligram. 66 00:06:13,280 --> 00:06:21,120 Won't his lungs be full of water if he spent 20 minutes drowning? The X-ray showed no sign of it. 67 00:06:21,120 --> 00:06:27,200 A lot of victims don't due to laryngeal spasm. This lad is a dry drowner. 68 00:06:29,480 --> 00:06:35,000 Forgive the delay. Outpatients is overbooked. Thanks for coming. 69 00:06:35,000 --> 00:06:39,000 We've got a 17-year-old - dry drowning. 70 00:06:39,000 --> 00:06:45,640 Core temperature on arrival of 25. 71 00:06:39,000 --> 00:06:45,640 He's been in ventricular 72 00:06:39,000 --> 00:06:45,640 fibrillation for two hours. 73 00:06:45,640 --> 00:06:52,400 I don't anticipate 74 00:06:45,640 --> 00:06:52,400 successful cardioversion until 75 00:06:45,640 --> 00:06:52,400 the core temperature is 30 degrees. 76 00:06:52,400 --> 00:06:56,760 Quite. 77 00:06:52,400 --> 00:06:56,760 I suggest we accelerate re-warming. 78 00:07:10,640 --> 00:07:15,680 I try to feed the line into one of the paracolic gutters. Yes. 79 00:07:19,240 --> 00:07:24,480 The principle is that we bathe the abdominal cavity in the warmed saline 80 00:07:24,480 --> 00:07:29,000 so that the heat is transferred to the circulation. 81 00:07:29,000 --> 00:07:31,680 Thank you, sister. 82 00:07:31,680 --> 00:07:38,920 I advise that you change the fluids 83 00:07:31,680 --> 00:07:38,920 at intervals of 30 minutes. 84 00:07:31,680 --> 00:07:38,920 Yes, Dr Turner. You do the next one. 85 00:07:41,040 --> 00:07:45,400 What did you say 86 00:07:41,040 --> 00:07:45,400 was his last temperature, staff? 87 00:07:41,040 --> 00:07:45,400 27. 88 00:07:45,400 --> 00:07:48,680 Good. I'll be in Outpatients. 89 00:07:48,680 --> 00:07:52,680 I think he's changed, you know. 90 00:07:48,680 --> 00:07:52,680 < Who? 91 00:07:48,680 --> 00:07:52,680 Mick. 92 00:07:52,680 --> 00:07:58,240 < What's changed about him? 93 00:07:52,680 --> 00:07:58,240 He thinks it's time to settle down. 94 00:07:58,240 --> 00:08:02,680 We've set a date in the spring. 95 00:07:58,240 --> 00:08:02,680 O-oh! 96 00:08:02,680 --> 00:08:07,240 We can practise 97 00:08:02,680 --> 00:08:07,240 you catching the bouquet. 98 00:08:02,680 --> 00:08:07,240 Hardly! 99 00:08:07,240 --> 00:08:12,880 It's time you had a fella. 100 00:08:07,240 --> 00:08:12,880 There's no better contraceptive 101 00:08:07,240 --> 00:08:12,880 than a child. 102 00:08:12,880 --> 00:08:18,720 As you know, in A and E, we have actively been seeking a locum consultant 103 00:08:18,720 --> 00:08:22,080 until a permanent appointment is made. 104 00:08:22,080 --> 00:08:26,680 While efforts continue, the present arrangement will obtain 105 00:08:26,680 --> 00:08:31,360 in that the consultant surgeon on take will cover A and E. 106 00:08:31,360 --> 00:08:35,600 Surgeons shoulder enough responsibility. 107 00:08:35,600 --> 00:08:42,240 The second item pertains to the changes to the surgical specialties on-call rota. 108 00:08:42,240 --> 00:08:49,240 < Now, unfortunately, there aren't sufficient funds to finance an arrangement for ENT. 109 00:08:49,240 --> 00:08:55,600 < It has therefore been proposed that one of the on-call SHOs cross covers. 110 00:08:55,600 --> 00:09:02,040 Physicians doing surgery! It's been a long time since I heard owt so daft! 111 00:09:02,040 --> 00:09:07,520 < The vacancy coincides with your on-call days, Dr Yates and Dr Turner. 112 00:09:09,880 --> 00:09:15,520 Barry's SHO is Claire Maitland, a second-year SHO with full MRCP. 113 00:09:15,520 --> 00:09:21,720 If asked to cover ENT, no doubt she could obtain a post elsewhere. < And your SHO? 114 00:09:21,720 --> 00:09:25,240 Andrew Collin. New to the rotation. 115 00:09:25,240 --> 00:09:30,360 Lucky to gain a place considering his mediocre academic background. 116 00:09:30,360 --> 00:09:34,320 I see. 117 00:09:30,360 --> 00:09:34,320 < Gentlemen. 118 00:09:34,320 --> 00:09:41,400 This proposition is lunacy. To have our junior doctors undertraining in one discipline, 119 00:09:41,400 --> 00:09:48,800 then to give them clinical duties in another unrelated discipline, with no previous experience, 120 00:09:48,800 --> 00:09:51,600 with inadequate senior staff cover, 121 00:09:51,600 --> 00:09:55,920 is a monstrous abdication > of our responsibilities. 122 00:09:57,760 --> 00:10:05,920 This white stuff here is fluid around your lung. I need to take it off to make your breathing easier. 123 00:10:34,680 --> 00:10:38,200 DISCREET COUGH 124 00:10:48,080 --> 00:10:55,120 See one, do one, teach one. That's what they tell you. There isn't the time for proper supervision. 125 00:10:55,120 --> 00:11:02,240 That's not how it should be. I've heard of junior doctors asking patients to talk them through. 126 00:11:02,240 --> 00:11:08,240 The patient's had it before. No, no. If you're not sure, get help. 127 00:11:08,240 --> 00:11:12,000 And if you can't get help, talk to me. 128 00:11:12,000 --> 00:11:14,480 This is on 24 hours a day. 129 00:11:14,480 --> 00:11:17,000 All right? 130 00:11:18,800 --> 00:11:21,320 Did you get your wrist slapped? 131 00:11:22,640 --> 00:11:26,160 What I do with my wrist is my business. 132 00:11:28,040 --> 00:11:29,680 Hmm! 133 00:11:32,360 --> 00:11:35,400 RATTLING > 134 00:11:35,400 --> 00:11:37,920 Mrs Trimble! > 135 00:11:40,200 --> 00:11:43,240 BELL TINKLES 136 00:11:43,240 --> 00:11:46,000 I don't believe it! 137 00:11:47,800 --> 00:11:51,480 Look, Mrs Trimble! One hand! 138 00:11:52,640 --> 00:11:56,760 < KNOCKING I was hoping to speak to Mr Docherty. 139 00:11:56,760 --> 00:12:00,800 He's just popped out for a few moments. 140 00:12:00,800 --> 00:12:04,840 He's advising on an urgent case at the General. 141 00:12:04,840 --> 00:12:08,120 Mrs Trimble, look! No hands! > 142 00:12:09,960 --> 00:12:16,200 In your three theatre lists per week, er, two general, one urology, 143 00:12:16,200 --> 00:12:21,120 you perform fewer operations than any other of our consultants. 144 00:12:21,120 --> 00:12:26,720 I can't help feeling that it might be a more efficient use of resources 145 00:12:26,720 --> 00:12:33,240 to restrict you to two lists per week, freeing a list for another surgeon. 146 00:12:34,800 --> 00:12:38,040 I find medicine abounds with lists. 147 00:12:39,600 --> 00:12:43,560 Divisions of the facial nerve, er, temporal... 148 00:12:45,160 --> 00:12:48,520 ..zygomatic, er, TZ, er... 149 00:12:49,520 --> 00:12:53,080 Twelve Zulus buggered my cat. 150 00:12:57,080 --> 00:13:00,480 I'll leave it in your hands, Mr Docherty. 151 00:13:07,360 --> 00:13:09,880 They want me out, Mrs Trimble. 152 00:13:09,880 --> 00:13:15,000 Adrian DeVries aims to do more vascular surgery. 153 00:13:15,000 --> 00:13:18,920 He wants my list. It'll be a clinic. 154 00:13:18,920 --> 00:13:23,160 Shortly thereafter, early retirement beckons. 155 00:13:23,160 --> 00:13:26,240 Oh, Mr Docherty, I AM sorry. 156 00:13:26,240 --> 00:13:31,080 Don't be, Mrs Trimble. They haven't got my list yet. 157 00:13:31,080 --> 00:13:33,120 Thanks. 158 00:13:33,120 --> 00:13:40,480 Some bloke in the canteen reckoned he'd have had an operation if this were a trust hospital. Are we? 159 00:13:40,480 --> 00:13:47,560 Buggered if I know. 160 00:13:40,480 --> 00:13:47,560 I think we are. No. I don't know. 161 00:13:40,480 --> 00:13:47,560 There's an easy way to tell. 162 00:13:47,560 --> 00:13:54,720 If you're not, patients wait for ages, the nurses are short-staffed and doctors work long hours. 163 00:13:54,720 --> 00:14:01,680 In a trust, patients wait for ages, nurses are short-staffed and doctors work long hours. 164 00:14:04,120 --> 00:14:10,000 Seems I've dumped on you, Claire. Yeah. I've accepted three patients for you. 165 00:14:10,000 --> 00:14:16,560 The only one who's here is the query temporal arteritis. You got the bleep? Yeah. 166 00:14:16,560 --> 00:14:20,000 Three-and-a-half hours you've been going. 167 00:14:21,000 --> 00:14:23,600 Continue CPR, please. 168 00:14:28,880 --> 00:14:34,320 You're occupying the resus room while we're open to critically-ill patients. 169 00:14:34,320 --> 00:14:41,600 You know that victims of 170 00:14:34,320 --> 00:14:41,600 hypothermia are capable of survival 171 00:14:34,320 --> 00:14:41,600 after prolonged resuscitation. 172 00:14:41,600 --> 00:14:46,120 Let's hope that no-one else's survival is jeopardised. 173 00:14:46,120 --> 00:14:50,880 Also, this is taking one of my nurses out of circulation. 174 00:14:50,880 --> 00:14:53,680 All right, then. I'll take over. 175 00:14:55,320 --> 00:15:00,080 < OK, we could do with an extra pair 176 00:14:55,320 --> 00:15:00,080 of hands in the plaster room. 177 00:15:07,040 --> 00:15:09,560 Could you cover your eye, please? 178 00:15:10,560 --> 00:15:13,120 How many fingers do you see? 179 00:15:14,560 --> 00:15:17,080 I didn't realise it was so blurred. 180 00:15:17,080 --> 00:15:18,720 OK. 181 00:15:20,320 --> 00:15:22,840 FB right eye. Cubicle seven. Thanks. 182 00:15:22,840 --> 00:15:27,800 Julie, 200 milligrams of i.v. hydrocortisone stat, please. OK. 183 00:15:27,800 --> 00:15:34,400 OK, Mr Gillespie, if you'd just like to hop on the bed. Mr Docherty, consultant. 184 00:15:37,800 --> 00:15:42,560 Me John Thomas is playing up. You know, er, Percy. 185 00:15:42,560 --> 00:15:45,960 He means his one-eyed trouser snake. 186 00:15:45,960 --> 00:15:48,360 Me winkle. 187 00:15:48,360 --> 00:15:50,880 Me meat and two veg. 188 00:15:50,880 --> 00:15:53,400 His todger. > 189 00:15:54,800 --> 00:16:01,760 What seems to be the problem, my boy? His catheter's stuck. We can't get the balloon to deflate. 190 00:16:01,760 --> 00:16:07,800 If the catheter is cut above the valve, the balloon will deflate spontaneously. 191 00:16:07,800 --> 00:16:10,840 SNIPPING 192 00:16:14,280 --> 00:16:19,360 OW! 193 00:16:14,280 --> 00:16:19,360 Ah! Oh, dear me! 194 00:16:14,280 --> 00:16:19,360 What are you going to do now? 195 00:16:19,360 --> 00:16:21,880 Don't panic, my boy. 196 00:16:21,880 --> 00:16:28,800 We'll wheel you to ultrasound, wherein we drive a long needle through your abdomen 197 00:16:28,800 --> 00:16:31,600 and, er, pop the balloon inside you. 198 00:16:32,600 --> 00:16:35,040 A-ah! 199 00:16:35,040 --> 00:16:42,480 "Ellie-May could not believe that those hands, which had guided a fighter plane in Vietnam, 200 00:16:42,480 --> 00:16:47,080 "now were caressing her yielding body so sensuously." 201 00:16:47,080 --> 00:16:51,960 "'Oh, Chuck,' she breathed." 202 00:16:47,080 --> 00:16:51,960 It's like an oven in here. Carry on. 203 00:16:51,960 --> 00:16:58,400 It makes me wanna chuck! 204 00:16:51,960 --> 00:16:58,400 A worker's fallen off scaffolding. 205 00:16:51,960 --> 00:16:58,400 Multiple injuries. 206 00:17:00,400 --> 00:17:03,040 I'd like to continue this resus. 207 00:17:03,040 --> 00:17:07,320 We're gonna need a room this size for X-rays. 208 00:17:07,320 --> 00:17:13,280 We'll want an anaesthetist. We'll move to a cubicle. ..Join me later. 209 00:17:13,280 --> 00:17:16,520 Do you need a hand? Thank you. 210 00:17:16,520 --> 00:17:20,960 Trolley coming through the corridor! 211 00:17:16,520 --> 00:17:20,960 Mind out. 212 00:17:20,960 --> 00:17:25,560 OK, first left. OK. OK. G-g-gently! All right? OK. 213 00:17:25,560 --> 00:17:32,240 Straight in. 214 00:17:25,560 --> 00:17:32,240 Frank. Mrs Johnstone. Room two. 215 00:17:25,560 --> 00:17:32,240 Transfer her. 216 00:17:34,840 --> 00:17:39,400 Want a coffee? 217 00:17:34,840 --> 00:17:39,400 No, I'm gonna have a word. 218 00:17:49,480 --> 00:17:53,840 SIGHS 219 00:17:49,480 --> 00:17:53,840 Excuse me. 220 00:17:55,560 --> 00:18:00,360 I've had Dr Shaver on the phone. Do you know who that is? No. 221 00:18:00,360 --> 00:18:04,480 She's chairperson of the local medical committee. 222 00:18:04,480 --> 00:18:08,800 She's also the GP of the patient you told to go home. 223 00:18:08,800 --> 00:18:15,240 She's back in today with temporal arteritis. What are you playing at, boy? 224 00:18:15,240 --> 00:18:22,480 Dr Shaver also phoned me, Adrian, in my capacity as consultant in charge of A and E at the time. 225 00:18:22,480 --> 00:18:27,320 Raj, my understanding is that you were only given a vague history 226 00:18:27,320 --> 00:18:31,440 when you had a number of pressing clinical duties. 227 00:18:31,440 --> 00:18:38,440 I suggest that you and I meet in private to discuss the lessons that can be learned. Yes. 228 00:18:38,440 --> 00:18:41,440 Thanks, Mr Docherty. 229 00:18:41,440 --> 00:18:49,000 I hope that's not him off the hook. 230 00:18:41,440 --> 00:18:49,000 Ruth Shaver has warned... 231 00:18:41,440 --> 00:18:49,000 She's a profoundly silly woman. 232 00:18:49,000 --> 00:18:55,800 You might care to remind her that by informing you of this case, because of a close acquaintance, 233 00:18:55,800 --> 00:19:00,760 when you have no direct involvement, constitutes a breach of confidence. 234 00:19:00,760 --> 00:19:07,520 If I hear of any further discussion the matter will be referred to the General Medical Council. 235 00:19:07,520 --> 00:19:10,040 Trolley coming through! 236 00:19:10,040 --> 00:19:12,720 My patient. 237 00:19:16,280 --> 00:19:23,960 Raj, it is mandatory that you 238 00:19:16,280 --> 00:19:23,960 take a complete history and perform 239 00:19:16,280 --> 00:19:23,960 the appropriate clinical examination 240 00:19:23,960 --> 00:19:28,720 if you are to make the diagnosis of temporal arteritis. 241 00:19:28,720 --> 00:19:35,840 If untreated, Raj, the result can be permanent blindness. Yes, Mr Docherty. I'm sorry. 242 00:19:35,840 --> 00:19:40,880 Yes, I agree, Sir Maurice. It's probably nothing to worry about. 243 00:19:40,880 --> 00:19:47,680 Perhaps it would be reassuring for 244 00:19:40,880 --> 00:19:47,680 all if I were to see Her Ladyship 245 00:19:40,880 --> 00:19:47,680 at my rooms. ..My pleasure. 246 00:19:47,680 --> 00:19:52,320 Do we have the chest X-ray? 247 00:19:47,680 --> 00:19:52,320 Yes, Dr Turner. 248 00:19:57,880 --> 00:20:00,520 His sodium is 123. 249 00:20:00,520 --> 00:20:08,360 Hyponatraemia might be due to inappropriate ADH secretion. It might be due to... Mitotic lesion. 250 00:20:08,360 --> 00:20:16,120 Let's see what's thrown up in the pleural aspirate. We should check plasma and urine osmoloties. 251 00:20:16,120 --> 00:20:23,520 Was that you having a knock 252 00:20:16,120 --> 00:20:23,520 in the nets at the medical school? 253 00:20:16,120 --> 00:20:23,520 Could have been. Use your feet more. 254 00:20:23,520 --> 00:20:29,360 I should talk. I was more of a bowler, really. Medium pace over the wicket. 255 00:20:29,360 --> 00:20:33,720 Now, it's more snail's pace over the hill. 256 00:20:33,720 --> 00:20:40,720 If we get the weather again, the consultants could take on the juniors. Marvellous idea! 257 00:20:40,720 --> 00:20:45,640 Do you play the beautiful game? No, I never really... Never mind. 258 00:20:45,640 --> 00:20:50,360 Do you smoke, sir? Oh, no, no! I gave up this morning. 259 00:20:50,360 --> 00:20:54,480 But you've been losing weight? I think I have. 260 00:20:54,480 --> 00:21:02,040 Don't forget to culture for 261 00:20:54,480 --> 00:21:02,040 tubercle. The most likely pathology 262 00:20:54,480 --> 00:21:02,040 is neoplastic. What's the verdict? 263 00:21:02,040 --> 00:21:08,960 Er, we're doing some more tests, sir, and we'll have a good idea soon. Good man. 264 00:21:08,960 --> 00:21:14,120 That's all, isn't it, today? Actually, Andrew, I want a word. 265 00:21:14,120 --> 00:21:20,760 I've been asked to inform you that, when you're on call, you've to cover ENT. 266 00:21:20,760 --> 00:21:26,280 On top of the fact that as RMO I'm busy enough, I've never done any ENT. 267 00:21:26,280 --> 00:21:33,480 Reluctance to accept responsibility does not dispose one's seniors towards providing a reference. 268 00:21:33,480 --> 00:21:36,040 But I am NOT trained for it! 269 00:21:36,040 --> 00:21:40,680 No-one wants to have the reputation 270 00:21:36,040 --> 00:21:40,680 as a troublemaker. 271 00:21:42,800 --> 00:21:45,320 There's a line been drawn for me. 272 00:21:46,400 --> 00:21:53,840 Cross it one more time and there'll be a poster in every hospital saying "Do not employ this man." 273 00:21:53,840 --> 00:21:56,880 BLEEPER 274 00:21:58,840 --> 00:22:01,880 This is Dr Collin. ..Oh, hi, Alison. 275 00:22:01,880 --> 00:22:04,320 No, I'm on take tonight. 276 00:22:04,320 --> 00:22:06,960 Well, I think I DID tell you. 277 00:22:06,960 --> 00:22:14,400 It's not gonna make any difference. Just hang on. Can you do a form for this MSU? Is that your wife? Yeah. 278 00:22:14,400 --> 00:22:20,920 She's concerned I'm not showing commitment to church activities. Fascinating(!) 279 00:22:20,920 --> 00:22:25,760 "His hand unbuttoned her blouse which clung to her ripe breasts. 280 00:22:25,760 --> 00:22:32,640 "'I don't care about your flashbacks,' she husked. 'Take me now.'" 281 00:22:32,640 --> 00:22:39,160 Dr Maitland? Yes. Are you aware Dr Yates's clinic started an hour ago? 282 00:22:39,160 --> 00:22:46,440 Hand this case to another doctor and attend. I think doctors on call for emergencies should be excused. 283 00:22:46,440 --> 00:22:51,520 I can't be in two places. Without you, patients will be kept waiting. 284 00:22:51,520 --> 00:22:59,080 < As you well know, we are committed 285 00:22:51,520 --> 00:22:59,080 to seeing patients within 286 00:22:51,520 --> 00:22:59,080 15 minutes of their appointed time. 287 00:23:03,360 --> 00:23:05,920 I'm committed here. 288 00:23:14,480 --> 00:23:17,800 30.2. 289 00:23:14,480 --> 00:23:17,800 Yes! 290 00:23:17,800 --> 00:23:20,240 Clear. 291 00:23:22,840 --> 00:23:25,880 Nothing. 292 00:23:25,880 --> 00:23:30,720 We'll cook him. Continue re-warming and shock every half-an-hour? 293 00:23:30,720 --> 00:23:33,200 Yeah, sounds sensible to me. 294 00:23:35,360 --> 00:23:41,280 I'm afraid I've arranged to see one of my private patients. I'm on my mobile. 295 00:23:41,280 --> 00:23:47,440 I'm told the family have been tracked down. I've just enough time to speak to them. 296 00:23:47,440 --> 00:23:50,520 Now, you can hand over to the on-call team. 297 00:23:50,520 --> 00:23:57,840 Thanks, Dr Turner. Do you hand over to first or second on? We're staying. Of course we are. 298 00:23:57,840 --> 00:24:03,880 At low temperatures, the heart is unresponsive to drugs or electrical stimulation. 299 00:24:03,880 --> 00:24:06,880 We give supportive treatment first. 300 00:24:06,880 --> 00:24:11,360 After being like this, isn't there a risk of brain damage? 301 00:24:11,360 --> 00:24:18,320 Hypothermia results in a low metabolic demand. The likelihood of lasting damage is reduced. 302 00:24:18,320 --> 00:24:22,600 We can't say how things will go. 303 00:24:18,320 --> 00:24:22,600 It's too early. 304 00:24:25,520 --> 00:24:33,400 We understand. Thank you SO much 305 00:24:25,520 --> 00:24:33,400 for everything you're doing. 306 00:24:25,520 --> 00:24:33,400 That's what we're here for. 307 00:24:38,400 --> 00:24:42,960 How are your eyes now? No problem at all. Good. 308 00:24:44,320 --> 00:24:49,080 Alf, I thought I might have a quick word. Fire away, doc. 309 00:24:49,080 --> 00:24:53,600 Sorry we didn't get a chance to talk earlier. Never do. 310 00:24:53,600 --> 00:25:00,800 Someone reminds you that every minute you spend with one patient keeps another waiting. Don't worry. 311 00:25:00,800 --> 00:25:07,280 I know. Just as I knew that first doctor put the needle in the wrong side. 312 00:25:07,280 --> 00:25:14,360 Well, he'd been up all night. He seemed a decent enough fella and I didn't want to cause trouble. 313 00:25:14,360 --> 00:25:21,840 I just wanted to confirm what you suspect. The most likely cause of your problems is lung cancer. 314 00:25:21,840 --> 00:25:29,280 I thought so. But there's a chance it could be something else. There's some tests need to be done. OK, son. 315 00:25:29,280 --> 00:25:34,000 OK, I'll see you, Alf. I'll see you, doc. 316 00:25:34,000 --> 00:25:37,080 Ah, just the, er... 317 00:25:37,080 --> 00:25:43,160 My secretary passed on your letter regarding your application for the, er... 318 00:25:43,160 --> 00:25:49,320 Still, I'd be happy to provide you with a reference. Thank you, Mr Docherty. 319 00:25:49,320 --> 00:25:56,400 Keep it to yourself, my boy. Otherwise all the no-hopers will be beating a path to my door. 320 00:26:01,520 --> 00:26:04,960 Dr Yates! You're not on tonight are you? 321 00:26:04,960 --> 00:26:11,480 If my SHO can find something to do when she should be at home, I'm sure I can. 322 00:26:11,480 --> 00:26:17,360 I'll bet Turner won't mind the old buffer looking in. What's his temperature? 323 00:26:17,360 --> 00:26:19,760 Er, 33, wasn't it? 324 00:26:19,760 --> 00:26:23,640 200. OK. Clear. ..Clear. 325 00:26:23,640 --> 00:26:31,080 When are the interviews for that registrar's post at the General? I didn't apply for it. 326 00:26:31,080 --> 00:26:36,120 Graham Turner seemed convinced you'd dance it. More long hours, 327 00:26:36,120 --> 00:26:43,600 some poxy research project of no importance whatsoever. There's no climbing out of this cesspit. 328 00:26:43,600 --> 00:26:50,680 Aye, you'll find that as you climb the ladder all that changes is the droppings from above get warmer. 329 00:26:50,680 --> 00:26:54,760 BLEEPER 330 00:26:50,680 --> 00:26:54,760 Excuse me. 331 00:27:07,880 --> 00:27:13,520 He's been dead for ten hours. His temperature's normal. Can we move on? 332 00:27:13,520 --> 00:27:20,640 If that's what YOU think, call off the resuscitation. Sign your name. It's not my responsibility. Exactly. 333 00:27:20,640 --> 00:27:26,360 It's easy to make decisions when you don't have to carry the can. I do! 334 00:27:26,360 --> 00:27:30,240 Maybe we should think about it. We carry on! 335 00:27:36,080 --> 00:27:38,840 Hold it! Sinus brady. 336 00:27:43,000 --> 00:27:48,800 Good output on that. 337 00:27:43,000 --> 00:27:48,800 Time for the old buffer 338 00:27:43,000 --> 00:27:48,800 to fade away. 339 00:27:48,800 --> 00:27:53,600 Our lad's trying to breathe on his own now. 340 00:27:53,600 --> 00:28:01,160 Best see if there's an ITU bed anyway, just in case. You must be joking. It's full of Bosnians! 341 00:28:01,160 --> 00:28:04,480 We've been working hard for hours... 342 00:28:04,480 --> 00:28:10,520 I'm meeting the lads for a drink. You're welcome to come. Maybe next time. 343 00:28:10,520 --> 00:28:15,000 < He's gonna be all right? 344 00:28:10,520 --> 00:28:15,000 Yes, he'll pull through. > 345 00:28:15,000 --> 00:28:18,720 Oh, thank you! 346 00:28:15,000 --> 00:28:18,720 It's part of the job. 347 00:28:18,720 --> 00:28:21,240 Actually, James, maybe I will. 348 00:29:02,440 --> 00:29:07,400 Subtitles by Linda Singh BBC Scotland 1995