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Malpractice Season 1 Episode 2

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Transcript
00:00This is 23-year-old Edith Owusu, found unconscious at home, following an accidental opioid overdose.
00:07How has this happened again?
00:09Watch your back!
00:10Ramya, I'm gonna swap her out for the shoesie.
00:12I've never treated an opioid overdose before.
00:14Give her 800 microgram doses of naloxone. Let me know when she improves.
00:17Leo, will you pick up your phone? We need you in here.
00:19She's gone into respiratory arrest.
00:21Starting compressions, put out the arrest call. Go!
00:23All right. That's enough, Lucinda.
00:25How could you be so stupid?!
00:27We have to proceed with a formal investigation into your fitness to practice.
00:31Someone changed accidental to deliberate overdose.
00:34I changed the notes. This is my career that's on the line.
00:37I know.
00:38You're Eva's GP. I think we need to tell them the truth.
00:40You ruined everything! I'll tell them you're an addict!
00:42I'm not an addict!
00:57I'm sorry, I got a... I got a bit too late. Yeah, I'll be...
01:12I've got a bit of a RTA on the way. You need to get here now.
01:14I'll be right in.
01:16Oh, my God.
01:46What happened?
01:48Local GP, Dr. Rob Thornberry, got hit by a car in Park Square.
01:52Almost lost him, but the ambulance got him back.
01:54I'm sorry, Jackie.
01:55Just don't mind your feet.
01:56Sorry about that.
01:58Oh, God.
02:00Rami, if this is too much, you can move down to Majors.
02:02No, no, I'm fine.
02:04He's got multiple injuries.
02:05Take his belongings.
02:06I need to contact his next step in, please.
02:10Okay, we're losing him.
02:12Well, I need you to get cardiothoracics here now.
02:16Okay, he's got a hemothorax.
02:18I need to drain it.
02:19Rami, you need to assist me, okay?
02:21Okay, but what about this?
02:23The hemothorax kills him.
02:24He's not going to care too much about his legs, will he?
02:26Right, yeah, yeah, of course, of course.
02:28Shit.
02:29Jesus Christ, Rami, you need to secure the artery first.
02:31Yeah, I'm sorry.
02:32I'll do it.
02:33Venus, just help her for a minute, please.
02:35Good.
02:36Yep.
02:37Okay, Venus, if you could go down and just lift this leg.
02:39Okay, that's it.
02:40A bit higher.
02:42Okay, scalpel.
02:44I'm going to have to make it tighter.
02:45Give me that.
02:47I've got some pressure in here.
02:48Okay, Rowan.
02:49You good?
02:50Yep.
02:52Okay, his BP is still dropping.
02:56His juggler veins are distended, and his heart signs are muffled.
03:01Cardiac tamponade.
03:02Uh, cardiophrastics are finishing up in theatre.
03:04They're going to be ten minutes.
03:05He's going to be gone before then.
03:07Cardiac arrest.
03:08Okay, everyone on.
03:09Oscar, we need to start comparison.
03:10Let's go.
03:10Okay.
03:11Guys, I need a scalpel and a scissors.
03:13I'm going to do an emergency thoracotomy.
03:15You need to keep that on, that pressure on there.
03:17Will somebody mute that monitor, please?
03:20Okay, step back.
03:20We're going to go in for an incision.
03:25Stop him.
03:26Stop him.
03:27Stop him.
03:28Stop him.
03:28Stop him.
03:31Okay, I need scissors.
03:32Quick, quick, quick.
03:33We're going to run out of time.
03:33So, Oscar, you're going to cut through the intercostal muscle, and you're going to meet me at the sternum, okay?
03:38Yep.
03:39Okay, ready, go.
03:44Okay, stop there.
03:46I'm going to go through the sternum.
03:47Okay.
03:51Oscar, Rami, I want you to pull back either side of the chest.
03:54You're going to retract the ribs.
03:55I'm going to hold steady, okay?
03:56Yep, yep.
03:57Okay, ready?
03:58Yeah, yeah.
03:58I need forceps and scissors, small ones, please.
04:00I've made an incision into the pericardium.
04:15It's relieving pressure in the heart.
04:23I need to find the source of bleeding.
04:27Come on, come on, come on, come on, come on.
04:36Okay, I need to massage the heart in order to restart.
04:39Come on.
04:41Come on, come on.
04:43Come on, come on.
04:50Oh, my God, you've done it.
04:55Okay, you can step away.
04:57Step away.
04:58Cardiotherotics can review when they arrive.
05:00Okay?
05:01Yeah?
05:02Is everyone all right?
05:04Yeah.
05:04Yes?
05:06What was on everyone?
05:06Yeah.
05:07Really?
05:07Really?
05:08I don't know.
05:08I don't know.
05:16I don't know.
05:17I don't know.
05:18I don't know.
05:23I don't know.
05:24I don't know.
05:33I don't know.
06:08I'm sorry, George, I'm, um, listen, it's, it's madness here today.
06:29We're understaffed on the A&E regs, they called in six, so I'm going to have to stay and cover
06:33for the afternoon shift, okay?
06:35So could we be on a chance to do the interview tomorrow?
06:36Oh, fine.
06:38But if you cancel again, we will have to escalate this, okay?
06:43Okay, all right, fine.
06:45That her?
06:46Yeah.
06:48What's her excuse?
06:50Uh, someone called in six, she has to cover.
06:52Do you believe her?
06:54It's A&E, it's plausible, right?
06:57If she doesn't come in tomorrow, we'll know she's avoiding us.
07:00Coffee?
07:01Yes.
07:01Here.
07:02Here.
07:03Hey, uh, is Abby sleeping?
07:33Yeah just put her down. Could you not find a minute to call me today? You just disappeared
07:44this morning. I'm so sorry I got called into work early. It was a RTA so I'm sorry I should
07:52have texted you. Was it okay? It's not a broken ankle. I meant, I meant are you okay?
08:00No, um, it was someone who I used to work with which made it even worse so I could postpone
08:13the MIU interview till tomorrow. I didn't realise. Here. I'm sorry.
08:20Thank you for attending this interview, Dr. Edwards. Not at all. Thank you for rearranging
08:34it as such. Due to the last minute reschedule, your rep can't be here. Are you happy to proceed?
08:40Um, yeah. We need to clarify some things that have come
08:44up since we first spoke. Okay. Cathy, first slide please. CCTV shows you stepping out for
08:54a break at 8.52. An ambulance called A&E at 9.07, informing A&E they were on route with
09:01Edith Arusi. Yes. And then I went straight back. So why if A&E first knew about Edith Arusi at
09:079.07, were you able to tell Dr. Morgan that an overdose was on its way before you went
09:12for your break at 8.52?
09:14Well, she's mistaken. There's no way I would have been able to tell her about the call before
09:27it came in. Cathy, next slide please. Whose number is this? I don't know. At 8.27, you
09:40received the call lasting under a minute from this number. At 8.29, the same number phones
09:45999, informing them of Edith Arusi's overdose. Then immediately after, at 8.32 they call you
09:52back. And a few minutes later, you tell Dr. Morgan that an overdose is on its way.
09:57It seems the friend who called 999 about Edith Arusi's overdose is also an acquaintance
10:03of yours. I have no connection with Edith Arusi. And have you tried to trace the call? Yes, when
10:15we tried to trace the call, it came back as unregistered. So whose number is it? I don't
10:22know. I get... I'm an A&E reg. Okay, I get a hundred calls every night on a shift. So this
10:29person didn't call you about Edith Arusi? No. Because given what happened next, that's the
10:34kind of call you'd remember. I didn't get any call. And they didn't call you back up to say
10:38an ambulance was on its way? No. And a few minutes later, you didn't tell Dr. Morgan that an overdose
10:42was expected. No, maybe she mixed it up with another overdose that came in earlier. Except
10:45there weren't any others. Well then you were as confused as I am. I don't know. Right.
10:54Let's move on. You kindly gave us access to your occupational health record. During the
11:01pandemic, you took some time off for stress. Uh, yeah. Was there any specific trigger?
11:07Probably because I was on the front line during a global pandemic. Right. It's just that from the
11:12dates, it seems you burnt out right at the start when the pandemic had barely begun. Yeah, because I'd
11:17only just come back from maternity leave a few weeks. But I'm not ashamed to say that I... that I struggled.
11:24Then why have large sections of your record been redacted? I'm not legally required to discuss anything that has been expunged from my record.
11:34We have a source that says you assaulted a patient. No, that's not what happened and it's not an assault.
11:43So what did happen? Fine. Fine. Um, I was asked to come back from my maternity leave early to help out because things were so bad.
11:59bad. And, uh, I was tired. I was run down. Abby was my daughter. She was breastfeeding at the time. And I thought it was that. But in fact, I had COVID and I didn't know. And I continue to work.
12:16Um, and then, uh, a lot of people died. It was, um, patients, families who had come with them. And, uh, and they were able to trace it back to when I treated them in Amy.
12:37I was given ten days off for my anxiety for the harm that I caused. And, uh, because of that, I returned to work and, uh, I was on edge. I was...
12:56just fastidious about hand washing and masks and sanitizing. And then one day this drunk just walked into A&E ranting about his opinions on how COVID is fake. It's all fake news. It doesn't exist.
13:13Meanwhile, he is coughing and splurring all over patients who'd been waiting hours to see a doctor. And some of them were incredibly ill. So I asked him kindly to put on a mask and he didn't.
13:24And he became aggressive towards me and security. They were useless. They were terrified of themselves getting COVID that they, they, they didn't help. And so Dr. Harris helped me escort him out of A&E.
13:44I should never have come back to work so soon. And that's my fault.
13:48But why get the record erased?
13:54Because there was inaccuracies in the way it was detailed.
13:57Inaccuracies that would affect your future work as a doctor.
14:01They were reviewed and deemed appropriate to be erased.
14:04By Dr. Harris. The man who trained you and wants you to be his successor.
14:11So, according to you, there was no assault during the pandemic.
14:16No.
14:17But we've been informed of another, more recent assault. On a colleague.
14:23It's a pattern we just can't ignore anymore.
14:24Sorry, what? Who the heck said that?
14:26Our sources are confidential.
14:28Okay, so have they made an official complaint?
14:30No.
14:31Okay then, there you go.
14:32Look, A&E is an incredibly tough place. Emotions run high all the time.
14:36You have to deal with people who are having the worst day of their life.
14:39And just people can't hack it, but for those of us who can, we just fucking get on with it.
14:43That may be the case, but we're still taking this very, very seriously.
14:48Let's leave it there for today.
14:52Woohoo!
14:53She is clearly lying. Whoever called 999 knew Lucinda and warned her of Edith's overdose in advance.
14:59She's clearly lying.
15:11Whoever called 999 knew Lucinda and warned her of Edith's overdose in advance.
15:17Yeah, but how do we prove it if the number's unregistered?
15:24What's she hiding?
15:26This is nothing like the person I used to work with.
15:28Hmm.
15:29What are you doing tomorrow night?
15:35Er, no, well...
15:36It's not a date, relax.
15:38Actually, watching Chelsea kick Leeds' arse.
15:41Careful.
15:43You're not actually.
15:44Am I not?
15:45You're coming to this delightful thing.
15:47What's that?
15:48The Patient Care Awards with me.
15:51Okay.
15:53All right, what are you thinking?
15:54Well, Lucinda's team's nominated.
15:56Let's get a broader picture of her, and while we're there, let's talk to Ramia.
16:02Ramia?
16:03Yeah, well, she's been pretty helpful so far.
16:05Maybe we can persuade her to help us out a little more.
16:08Okay, boss.
16:26Oh.
16:28Oh.
16:28Oh.
16:29Oh.
16:30Oh.
16:31You seen that?
16:54Checking up on your gunshot patient?
16:55No, no, I was checking Rob Thornberry.
16:58He was my supervisor when I was in med school.
17:03Oh, Lewis, I'm so sorry. I didn't... I hadn't realised that.
17:06Ah, no, no, no, it's Ben.
17:10Were you too close?
17:12Yeah, we were, but I hadn't seen him in years, so it was crazy.
17:18God.
17:21So how is he doing?
17:23Honestly, he's still touching Google.
17:25Oh, God, jeez.
17:30I feel sorry for his wife.
17:32I have to look after two small kids and a baby.
17:36Anyway.
17:37Yeah, good luck.
17:42Thank you for coming in.
17:49Thank you for inviting me into this humble abode.
17:53What's that?
17:54That is a little box that I got in Ghana.
17:58With all your little secrets.
17:59No secrets in there.
18:02You want to see me?
18:04Look.
18:05You've always been my first choice, as you know, for the consultant post.
18:13Mm-hmm.
18:14But given current circumstances, I'm sorry, but we just can't offer you that job right now.
18:24No, you can't do this.
18:25If nothing comes with the inquest or the MIU investigation, then obviously the job will be yours.
18:30You know, I would not be in this situation if you were there.
18:34Oh, come on.
18:35How many times have I lied and covered for you?
18:38No, no, you're not doing this.
18:39No, I worked my ass off.
18:41Yes, you did.
18:42I did everything right.
18:43Mm-hmm.
18:43I passed my exams early.
18:45My e-portfolio is perfect.
18:46You promised me that job.
18:48And the job will be yours.
18:50Look.
18:53The board.
18:54Mm-hmm.
18:54They just want to cover their arses, Lucy.
18:56Just in case the investigation doesn't go our way.
19:03Fine.
19:04It's a legal thing, you know?
19:05Fine.
19:09I'm sorry.
19:10Okay, anything else?
19:13Uh, no.
19:14Uh, yes.
19:15Yes.
19:16Look, um...
19:18You would hear me tonight.
19:19I think everybody would understand if you didn't feel up to going.
19:23I feel great.
19:24So I'll be there.
19:25Um, okay.
19:26Look, to be honest, the board.
19:27Again, I feel that it might be a bit awkward.
19:30You're unbelievable.
19:31With the current given situation.
19:33You're unbelievable.
19:40Brambia, what are you doing here?
19:42You've only been on A&E for two months.
19:44Yeah, well, I heard Beth couldn't come,
19:45so I persuaded Dr. Harris to give me her ticket.
19:48Of course you did.
19:49Have you seen Lucinda around?
19:52Oh, mate, you're unbelievable.
19:54Yeah, she's at the bar.
19:55Well, get me a drink while you're left.
20:05Thank you very much.
20:09Bit fancy, innit?
20:14Oh, don't they ever stop working?
20:16You know, I suspect they're here to try and ruin my night.
20:19They won't.
20:22Here's to our team.
20:24Cheers.
20:25One Mahito mocktail for you.
20:27Lovely.
20:28With virgin peanut butter for me.
20:30Cheers.
20:35Professor Lonegan, hi.
20:37I am so sorry to interrupt.
20:39I'm a huge fan of your work.
20:40Sorry, I'm Dr. Lucinda Edwards.
20:43I'm a doctor at RH.
20:45Corin, please.
20:46I'll visit you there, Singh.
20:47Nice to meet you.
20:48He's the owner of the Wellspring Pharmacy chain.
20:50I, uh, I'll just need to speak to someone there.
20:53I'll catch you later.
20:54Nice to meet you.
20:54Nice to meet you.
20:55Yeah.
20:57Are you, um, are you up for an award?
21:00No.
21:01No, I'm vice president of BioCure Pharmaceuticals.
21:05We're the main sponsor tonight.
21:09I thought you told her not to come.
21:13I did.
21:14I did.
21:15I actually, uh, CCT soon.
21:18So if there's any good, you know, consultant jobs going, can you give me a call?
21:22I'm a doctor.
21:23I'm on the hospital board.
21:26Yes.
21:26So I know about the young lady who died and the investigation.
21:32Look, something similar happened to me when I was younger, and I really regret letting it alter the direction of my work.
21:44From what I hear, from what I hear, you have a bright career ahead of you.
21:49You're a talented doctor.
21:51Don't let this ruin it.
21:54Thank you very much.
21:57Excuse me.
21:59Enjoy your night.
22:01Our final award is given in recognition of the outstanding effort during the COVID pandemic.
22:18Kindly sponsored by Wellspring Pharmacies, I'd like to invite founder Dr. Jubeer Singh to present the award.
22:31I'd like to first congratulate all the teams who were nominated for this very special award.
22:41If we could award you all, we would.
22:44So without further ado, the winners of the outstanding COVID response award are West Yorkshire Royal Hospital's A&E team.
23:01Thank you so much.
23:11Thank you so much.
23:13Wow.
23:14Oh, my God.
23:15Wow.
23:16Oh, an honor.
23:18Sorry.
23:19I can honestly say that I was not expecting us to win this.
23:22Oh, yeah.
23:24Okay.
23:25I want to thank our fantastic A&E team for all your hard work during the pandemic.
23:30And I want to just say a special thank you to two people here tonight.
23:35Dr. Leo Harris, our amazing team leader.
23:39Leo, stand up.
23:40That's it, Leo.
23:41Come on, stand up.
23:43And that's it again, Dr. Willis.
23:45Come on.
23:46Yes.
23:48This is exactly what I didn't want to hear.
23:50Thank you for your constant support and dedication.
23:55Where would we be without you?
23:59During the pandemic, A&E staff, we faced an unprecedented crisis, thinking of, you know, novel ways to cope with the sheer volume of cases.
24:14And I'm not ashamed to admit that sometimes I got it wrong.
24:21We all did.
24:23Doctors, management, government.
24:29None of us had a fucking clue what we were doing.
24:33And that's because we're human.
24:36We're just trying to do our best while juggling these protocols and assignments and assessments and bad press with the constant pressure of all this bureaucratic bullshit that makes each day harder.
24:51So I'm going to dedicate this award to all the medical staff that are just trying to do their best, even if sometimes they're made to feel like their best isn't good enough.
25:00Isn't good enough.
25:13That is subtle.
25:16Are we celebrating negligence now?
25:18Apparently.
25:30Alania.
25:40Rania.
25:42Uh, can I get your drink?
25:43I'm alright, thanks.
25:44Um, actually, can you talk?
25:46About what?
25:47Lucinda.
25:49Okay.
25:51Oh, not here.
25:52Okay.
25:56Oh, not here.
26:05We have concerns about Lucinda's behaviour and practice,
26:08but we need your help to find out more.
26:10It will be useful for us to have somebody like you
26:12who's already part of the team
26:14reporting back to us on a regular basis.
26:16Wait, sorry.
26:17You want me to spy on Lucinda?
26:19Well, you've been a really great source of information so far.
26:22So then don't you have enough on her already?
26:25I mean, surely...
26:27I told you she assaulted me.
26:29I know, and that's helped us a lot.
26:41Let me think about it.
26:42As a doctor, Ramia, you are duty-bound to ensure patients...
26:46I said I'll think about it.
26:47I've already risked a lot, telling you as much as I have.
27:04So...
27:04Sorry to call you in early,
27:06but the coroner summons us arrived for the Owusu inquest.
27:09Can I just ask, why is this going to an inquest?
27:13Suicides and death from substance misuse
27:16always go to the coroner.
27:18Just stick to the facts regarding the treatment you gave Edith.
27:21You'll be fine.
27:22You mean the treatment I gave under Lucinda's instruction?
27:25Well, if you listened to my instruction,
27:27you wouldn't be here.
27:28Then you should have documented your plan, but you didn't.
27:30Because I was trying to save a boy's life.
27:31There's no time.
27:32You know as well as I do that in medicine,
27:34if it wasn't written down, it didn't happen.
27:36We want to avoid any of this you-said-she-said business.
27:38Mike is right.
27:40We do need to present a united front on this.
27:43So if that's all clear, you can go.
27:46Crystal.
27:47Good.
27:47Ramya?
27:49Yeah, that's clear.
27:51Good, Ram.
27:51I'll see you later.
27:52Check in with Beth until I'm going to be a couple of minutes late.
27:55Thank you, Ramya.
27:57Okay, so who else has been summoned?
27:59Me?
28:00Ramya?
28:00Which of the doctors?
28:02You?
28:03No, no.
28:03A psychiatrist and a GP.
28:07Who's your GP?
28:08Um, Dr. Charlotte Peel?
28:14Well, you know her?
28:16Um, no.
28:18No, I thought I did.
28:21Yeah, no, I know.
28:22But those are the symptoms,
28:23so I'm not sure how she would put this.
28:28Look, I'm just saying,
28:29if Mary Johnson doesn't get her scan, then.
28:31Yeah, no, it's fine.
28:33I'll, I'll, I'll redo the request.
28:35Yeah, thank you.
28:38Mary Johnson's in again.
28:40I only discharged her two days ago.
28:42Yep, no, she's back with the same vague abdo pain,
28:46and radiology have refused my request to scan her,
28:50unless my request is more specific.
28:51Do you want me to write it?
28:53Would you?
28:54No, come here.
28:55Write down your login details.
28:58And I'll get to it once I'm finished mine.
29:00You are a lifesaver.
29:09You all right?
29:11Mm-hmm.
29:13Sure?
29:14Yeah.
29:16Just need caffeine.
29:17Then we all.
29:19See you in a bit.
29:20See you in a bit.
29:50See you in a bit.
30:20See you in a bit.
30:50See you in a bit.
30:52See you in a bit.
31:18I don't know.
31:48I don't know.
32:18I don't know.
32:19I don't know.
32:20Yeah, you are shaking quite a lot.
32:37How can you not do that?
32:39That would really help me.
32:40Do you think it will scar?
32:42Not if you start moving.
32:44Do you know what?
32:51How about I give you something that will help you calm down?
33:06Okay?
33:07Mm-hmm.
33:08And then I can finish this later.
33:12Thanks.
33:13Can you fetch me four 10 milligram Diasmon tablets from the medical cupboard, please?
33:2540 milligrams?
33:26You'll knock her out.
33:28I'm sorry, but if you had someone who was threading a needle close to your eye, how conscious
33:35would you like to be?
33:37Yeah.
33:38Plane taken.
33:39Okay.
33:40Three more days after the dahsy was done down.
33:43Two more days after the refuge was pulled off the stairs.
33:46I can't believe you're broken.
33:48I'm going to put out my foot in my head.
33:49All right.
33:50I'll customs that I saw it right now.
33:52Yeah.
33:53I got it.
33:54Fuck it.
33:55I was pushing it.
33:56All right.
33:57I'm sorry mate, excuse me, hi I want to get, I need to get my phone fixed please, my little
34:22girl dropped it and when I try to turn it back on now the passcode has not been recognised
34:27on it anymore. Just put your name and number down. Okay, on that can you just make sure
34:33that none of the data, like the photos, sorry, excuse me, just none of the, I need to keep
34:38all the content on it. Yeah, sure, just come tomorrow morning. I'm sorry mate, can I, any
34:45chance I could just hang around and you could just fix it now? We're closing right now. How
34:49long did it take, like 10 minutes? You know what, if you want to take it somewhere else
34:53you can do. No, no, it's fine, fine, it's fine. Thank you.
34:59Thank you for your help.
35:09Hey, hey, hey, the wrong line. Thank you for your help.
35:13... services disrupted for the next few weeks. Police are appealing for witnesses after a
35:18local GP was left with critical injuries following a road collision in Leeds.
35:22For the sake, they always go too fast on that road. They should be up with a camera or something.
35:27... area of the city. West Yorkshire police are treating the incident as suspicious.
35:32They want anyone who saw what happened to contact them. I'm going to go to bed.
35:37... businesses across Yorkshire are still at the cost of the pandemic.
35:41... ArmsCAfe.
35:50...
35:53...
35:59...
36:01...
36:06...
36:06THE END
36:36Hi, Eva. I'm Dr. Lucinda Edwards. I was one of the doctors that looked after your husband.
36:56Oh, God, what's happened?
36:57No, sorry, there's been no change.
36:59I'm so sorry that I've dropped in on you like this. Is it okay if I come in and talk?
37:02Uh, yeah, um, sorry, yes. Come in.
37:06Could you? Yeah, I'll get you through.
37:10Um, Courtney, here's just the playroom. Thank you so much.
37:13Okay, my gorgeous. Oh, sorry, can I set your coat?
37:16I know it's fine.
37:17Okay, all right.
37:18So it's, uh, two, two boys and a girl.
37:22And a girl, yes.
37:23Lovely.
37:25Um, sorry, I don't mean to be rude, but A&E doctors don't routinely visit their patients' homes.
37:34No.
37:36Rob was actually my, uh, supervisor at medical school, but we've been in contact more recently.
37:40For work.
37:43Work.
37:43Uh, what work?
37:46Uh, a few months ago, Rob contacted me to help with some of his GP patients that needed some A&E treatment.
37:55Go on.
37:56They were patients that he was helping with ongoing addiction problems after they left treatment.
38:00Patients that he said he was prescribing for at his GP practice.
38:05He said he was flexible with their prescribing so that, you know, they wouldn't buy street drugs.
38:09Yeah, because he's a good doctor and working in an inflexible system.
38:13I thought that he was, you know, giving them a week's worth of methadone so they didn't have to pick it up every day.
38:22Yeah, well, Rob's good like that.
38:24He'll do anything he can to help keep his patients on track to recovery.
38:28One of Rob's patients accidentally overdosed.
38:33He called me and asked me to code that overdose is deliberate.
38:37Suicide attempt so that nobody would question his prescribing.
38:40No way.
38:41Rob would never ask you to do that.
38:43Okay, but he did and now she's dead.
38:46And the MIU is investigating me.
38:48And if they're investigating me, they will find out about Rob's prescribing.
38:52Look, whatever mistakes you made in A&E, that has nothing to do with Rob.
38:56I've looked at her medical record and I can't find Rob's name anywhere.
39:00He wasn't her GP.
39:01Yeah, well, that's obviously a mistake.
39:04You know, incorrect patient information is uploaded all the time.
39:06She's not the only one.
39:07This has happened three times.
39:09What are you trying to say?
39:10Rob was prescribing for people that weren't his patients and I was helping to cover it up and I didn't realise what I was doing.
39:15I can't believe...
39:17My husband is lying in ITU, nearly dead, and you come here to my home and you say all these things about him.
39:26I don't know who the hell you think you are.
39:27Eva, I'm so sorry.
39:28I'm not trying to upset you.
39:29This whole situation is getting out of control.
39:31Oh, so you just thought you'd blame it all on Rob?
39:33No, I just want to warn you that Rob could be in as much trouble as I am.
39:37Look, don't implicate my husband in whatever mess you're in.
39:41I would like you to leave.
39:47Now, get out of my house.
39:49Get out.
39:50I'm sorry, Eva, I'm sorry.
39:51Medical trauma.
40:12I have got severe opioid overdose.
40:1427-year-old male, ETA, seven minutes.
40:17This is Milo Hanbury, 27 accidental opiate overdose.
40:24Ramium naloxone is competing with an opiate for the receptors, but its half-life is short,
40:29which means if a patient took a lot of opiates, the effects will continue once the naloxone wears off.
40:33Respiratory rate is returning to normal.
40:39GCS is improving.
40:41Okay, so this immediate improvement lasts around 20 to 30 minutes, sometimes longer, sometimes shorter.
40:46So that is why it is so important to watch and wait and make sure that the patient's breathing rate remains stable.
40:59Lucinda is dropping again.
41:00Can I get another dose of naloxone, please?
41:09Shit, his cannula is tissued.
41:10He's not breathing properly.
41:12The naloxone is working, it's just been blocked rapidly, which means the patient has either taken a drug that is competing with the binding site,
41:19or he's taken a long-acting, high-strength opioid.
41:24Can you just, are you ready to hear?
41:26Excuse me, Milo.
41:27Milo, can you hear me, love?
41:29Milo?
41:29But shall I call Dr. Harris?
41:31No, no, we just have to get a line in and run a lapsone infusion.
41:34I can't get another line in.
41:35Okay, let me do it, will you?
41:42His veins are fucked.
41:43Okay, I need to get a central line in his neck, fast.
41:47Lucinda's respiratory oration, you're intubating before he crashes.
41:50No, because I need to get a line in.
41:51Better know what I'm doing.
41:54Can we prep his neck, please?
41:55So you're going to go up a line before it's an ultrasound, please?
41:57She doesn't have any fucking time, does he?
42:00This is bollocks, I'm getting Dr. Harris.
42:04Scabble.
42:09Go on, quick, quick, quick.
42:13All right.
42:16Central line.
42:35You ready?
42:37Right, we're on that.
42:38Go.
42:43Right.
42:43Right, what does?
42:44Thank you, Alison.
42:48Okay, as soon as Oscar confirms it's Venus, run the dose at 720 micrograms per hour.
42:58It is Venus.
43:02What's going on here?
43:03The patient?
43:04The patient wasn't responding well to the Luxembourg, so we did an infusion.
43:09And it's working great.
43:12You see?
43:13You didn't need me after all.
43:14Mrs. Mrs. Hanbury, Milo took a large amount of opioid drugs, and I'm afraid that all signs
43:28point to him being a regular drug user.
43:29No, no, no.
43:30He swore to me he's clean now.
43:32The clinic cued him.
43:36Excuse me, what clinic?
43:38The Gilder Clinic.
43:39Do you know the name of the doctor?
43:43No, I don't know.
43:47Oh, God.
43:48And it was too good to be true.
43:50Hey.
44:00Oh, hi.
44:02Um, thanks for meeting with me.
44:05It's all right.
44:07Uh, so, I've thought about what you said at the awards.
44:10Okay.
44:10And I'll help you.
45:10The way Ramya described it, Lucinda's behaviour with Milo Hanbury was strangely similar
45:21to when she treated Edith.
45:23She insisted on treating it myself.
45:25Do you think someone tipped her off about Milo as well as Edith?
45:28I mean, it's a serious possibility.
45:31Right.
45:32Let's get the admission dates and times of any opioid overdose patients that Lucinda treated
45:36this year, and let's cross-reference them with her phone records.
45:41Did she receive calls shortly before any other overdoses came in from our mystery caller?
45:46Yeah.
45:47George, and if so, do those numbers match the 999 calls?
45:52This will take a few days.
45:53It's going to take as long as it takes, isn't it?
45:56If there's any connection between these overdoses and Lucinda, we're going to find it.
46:00Well, you're going to find it.
46:06Here you go.
46:06That's 15 pounds altogether.
46:09Cash.
46:49Rob, I need you to call me back ASAP.
47:09They need to know if you've dealt with her.
47:11If this goes any further,
47:13then trust me, you'll be the one going down with her.
47:16So don't waste any time to sort it out.
47:19So don't waste any time to...
47:20No, I don't waste any time.