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Malpractice Season 1 Episode 1

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Transcript
00:00To be continued...
00:30hello hello hi hello okay so we have an acidic tap to do you want to watch what can i do it
00:42how many times i have to tell you oh i know see one do one teach one exactly right the uh the
00:48tap is in bay seven if you want to grab the equipment and meet me there yeah you are way
00:56too keen oh piss off and so the pressure in your belly will decrease you'll feel a lot better
01:03okay and then we're just gonna let that drain away there thank you
01:11so you're gonna give him enough albumin to prevent um hypervolemia bingo i'd say by the size of him
01:19he's gonna drain about 20 liters 20 liters that's like carrying triplets you know he's got a bottle
01:25of vodka in his bag and i don't know why we bother treating patients like him because it's our job
01:32and we're not here to judge well okay then i want fast dibs on tapping him next time he turns up deal
01:40i know but unless i get the ct report i can't discharge him i need the bed okay thank you thank
01:47you i appreciate that
02:00what is it i'm at work
02:05jesus how has this happened again
02:07i'm not doing it
02:15sorry ma'am i can't help you with this um you're gonna have to find someone else thank you bye
02:20sorry i didn't mean to interrupt it's fine
02:26can i help you with anything have you seen dr harris oh you've just missed him
02:30he went to go pick up his kid but you can get him on his phone for the rest of the shift okay
02:33anything else oh no no that's fine thank you
02:52oscar what are you still doing here your shift finished ages ago yeah i know but it was busy
02:57and i thought you could use the airway go home oscar you're only nearly tomorrow
03:00happened look honestly i can stay if you want me to we don't need you there's only one overdose
03:05that's coming in and rami is going to help me with it oh but it's nearly my home time can't we
03:10hand it over to the night shift uh i'll pretend i didn't hear that i was really hoping for a quiet
03:15hour uh touch wood bramie i don't say the key word sorry sorry sorry i'm gonna go for my break
03:21right me it bleat me if that overdose comes in and you are gonna come with me because i need you to
03:25get the heck out of here come on you're in early tomorrow let's go oh what are you doing smoking
03:32edwards i thought you'd quit pop quiz just smoke one of my work how's work going same same how about you
03:46how are you busy
04:00okay we're in here watch backs backs backs backs right bay five this way please thank you
04:06watch yourself watch yourself okay guys i need you on that side feng luke ready on three we're gonna lift
04:11one two three lips go this is 23 year old edith awusu found unconscious at home following an accidental
04:19opioid overdose is anyone with her no but we found needles and drug paraphernalia beside her we gave two
04:24doses of 400 micrograms of naloxone im and she's responding well thank you okay edith darling can you
04:30hear me i'm dr lucinda edwards i'm gonna be looking after you okay can you tell me what it is that you're
04:34taking can we get another dose of naloxone ready please okay i'm gonna have a listen to your chat okay love
04:40reception you said we need to go what's happening come on we need to go now but i i i can't believe
04:51her you send up we need to go now come on okay thing i need you to call dr harris get around me
04:57okay okay and stay with her i'm gonna be back as soon as i can
05:08i can't help him you've got a gun in my face
05:35so what's your friend's name no nate just help me okay i want i want to help him but i can't help
05:42him because you got a gun in your hand so please put that down and i will help you look my name is
05:45dr lucinda edwards i'm in charge here help him then i will help him i'll be the first to help him
05:51but i need you to put the gun down please listen help him now i want to help you i want to help you
06:02i'm gonna count to three one one friend safe two i just want to help you don't make me count three
06:21he's going for the car park
06:26follow him on cc tv you have a full description to the police get on it go
06:32oh can you hear me right brian he needs you down this then we're gonna lift him so everyone on three
06:37we're literally ready ready one two three watch your back okay i need as many hands on deck here please
06:44somebody
06:49there's no beds we need to move someone
06:53lucinda
06:56lucinda no let me just think for a second
06:59well um let's move the overdose to majors right no we can move one of the others we can we can move
07:04the we can move the sepsis or the am i well enough what we're doing lucinda what are we doing are we
07:07moving this into what we're doing lucinda fine i'm gonna go with the overdose majors no we need you here
07:13okay ramia can go with the overdose
07:17she's stable she'll be fine with ramia this boy's bleeding out for god's sake lucinda what you do
07:23prioritize a junkie over a child listen to what we're doing come on
07:31ramia you're going to stay with this patient and you're going to go to majors i'm going to swap her
07:35out for the shooting we're going to brief you as we go right you first leave the trauma team where's
07:41dr harris oh no i'm going to call him
07:50lucinda what are you doing
07:54we need to go now lucinda lucinda i'm just checking the notes
07:59wait um lucinda i've never treated an opioid overdose before
08:18it is very straightforward okay you're gonna wait here you're gonna give her 800 microgram doses listen
08:24to me you're gonna give her 800 microgram doses of naloxone until her breathing stabilizes 800
08:28micrograms of naloxone okay do you want to repeat the plan back to me uh no no it's fine i've got it
08:32you got this yeah good let me know when she improves go okay go
08:35hi this is dr leo harris please leave me a message after the tone
08:50leo for fuck's sake will you pick up your phone we need you in here okay we need to get this to her now
08:56thank you
09:15shit his abdomen's rigid you know the surgeons are on the way they'll assess him and then we can take
09:20him to the theater there's not enough time he can feel his carotid pulse
09:26right i'm gonna have to clamp his aorta and stabilize him prep for an emergency thoracotomy
09:45edith edith can you hear me
09:50thanks lucinda
10:04six is prepped we'll take it from here you two hurry up he's gonna make it hold on see you
10:10here it's pretty good
10:17rami why aren't you with the overdose well you said to let you know when she improved
10:26shit
10:28what's happened she's gone into respiratory arrest
10:31either darling can you hear me sweetie can you hear me she's unresponsive
10:35how much naloxone did you give her 800 micrograms like you said how many doses what do you mean
10:43how many doses one
10:47i told you to repeat the dose if she didn't stabilize
10:51we're all good we're okay we're all good we're okay here we go here we go
10:57starts to drop in
10:57all right all right starting corrections put out your arrest call go go starting corrections
11:17uh
11:25uh
11:27uh
11:29uh
11:31uh
11:33uh
11:35uh
11:37uh
11:39uh
11:41Oh, shit.
11:53How long?
11:54Half an hour.
11:55I think we should call it.
11:56Hey, hey.
11:58That's it.
11:58That's enough.
11:59That's enough.
12:02It's over.
12:04Time of death, 11 minutes past 10.
12:11This is not your fault.
12:21How could you be so stupid?
12:24Stupid!
12:41This is not your fault.
13:11This is not your fault.
13:41It's an official complaint, and I was the senior doctor in charge, so the book stops with me.
13:48Yeah, but you saved that boy's life.
13:50Yeah, but either still shouldn't have died.
13:53Well, once they hear what you did do, they'll say you're a hero.
13:59Your mummy's a hero, isn't she?
14:01Is she?
14:02No, no, no, no.
14:04No?
14:04No?
14:04No.
14:05No.
14:08I'll take it high, love.
14:10Where are you going to go?
14:13Where are you going to go?
14:13Are you sitting there?
14:27Are you sitting there?
14:28Jordan!
14:30Oh, my God!
14:30Come here.
14:31What are you doing here?
14:33I work here now, as an investigator.
14:36No way!
14:36So you're not practicing medicine anymore?
14:39I'm assigned to your case.
14:41Really?
14:42No.
14:42All right.
14:44Yeah, cool.
14:44I'm sure you'll be fine, though.
14:47That's reassuring.
14:48Well, anyway, yeah.
14:49We should probably get your ex already.
14:52Grace.
14:52Okay.
15:11Thank you for coming in this morning, Dr Edwards.
15:14My name is Dr Norma Callaghan.
15:16I'm head of the West Yorkshire Medical Investigation Unit.
15:19Dr Georgia Jay, investigating doctor.
15:22Kathy Miller, medical secretary.
15:24This is a release form.
15:26If you could just fill that out, it'll give us permission to access your personnel records.
15:32It's standard procedure.
15:37Yeah.
15:38That's fine.
15:38Yeah.
15:39Yep.
15:45Cheers.
15:47As you're aware, following Edith Owusu's death earlier this month,
15:51her father, Sir Anthony Owusu,
15:53has lodged a complaint about the treatment she received in the RH.
15:57As the most senior doctor present,
16:00the responsibility for her care fell to you,
16:02which is why we're interviewing you today.
16:04We receive several complaints like this every year,
16:08and we are duty-bound to fully assess each one.
16:13In preparation for this interview,
16:14we've collected written statements from A&E staff on duty the night of Edith's death.
16:19Today is just about getting a clearer picture of what happened,
16:23your decision-making.
16:25That's fine, mummy.
16:25Let's go over the events of the night Edith Owusu died.
16:31Mm-hmm.
16:31Um, yes, A&E bleeped me just after nine about Edith's arrival,
16:37and I went to resource.
16:39I was treating her when the alarms went off,
16:43and Beth came in to...
16:44Matron, Beth, Ralph.
16:46Uh, yes, and, um...
16:50What happened next?
16:52So we went into reception,
16:54and that's when I saw the boy and the gunman.
16:58We've read written statements about your conduct.
17:00You are very brave.
17:03No, any doctor would have done the same.
17:06How was Edith when you left to go to reception?
17:09Uh, she was stable.
17:11She'd responded well to the naloxone given by the paramedic,
17:13so it felt safe to leave her temporarily.
17:16And when you returned to resource with the gunshot patient,
17:19you had a dilemma?
17:22Yes.
17:23Um, he needed a bed,
17:25and Edith had taken the last one.
17:28The other resource patients were...
17:30Well, they were critically unwell.
17:31Um, Edith was more stable at that point,
17:35so I decided to move her to Majors.
17:38Sounds like a straightforward decision.
17:41However, a number of witnesses state you struggle,
17:43to make this decision,
17:44that while you were deciding what to do,
17:46Edith's condition deteriorated in resource.
17:49Well, that wasn't my assessment of the situation.
17:53Dr. Ramiya Morgan states she tried to alert you
17:55to Edith's deterioration,
17:57but that you were distracted checking Edith's paperwork.
18:01I don't recollect Dr. Morgan saying anything like that.
18:04I'm wondering whether, during this delay,
18:07an opportunity to give Edith another dose of naloxone was missed.
18:11We're talking about seconds.
18:14I mean, a minute or two at most.
18:16Jesus.
18:18Edith received more naloxone as soon as she got to Majors.
18:23Surely any delay would potentially contribute
18:25to the overall worsening of her condition.
18:28If you were struggling,
18:30why didn't you...
18:31Why didn't you ask Dr. Harris to help you?
18:33I mean, he was...
18:34Yes, he was a consultant on duty that night.
18:36Yes, he was, and his shift finished at 9pm,
18:38and Edith came in shortly after.
18:40Pardon me, sorry.
18:41Dr. Morgan said she wanted to discuss a patient
18:44with Dr. Harris at 8.30,
18:46but you told her that Dr. Harris had already left.
18:49Okay, so he left a half an hour early
18:51to pick up his son.
18:53It wasn't a big deal, okay?
18:54The people with families,
18:56we look out for one another
18:58and we cover for each other.
18:59We're like a family on the ward.
19:01And I called him
19:04and he came back as soon as he could.
19:12Okay, Cathy, can we pull up the resource record, please?
19:15Yeah.
19:21Someone changed the presenting complaint
19:24from accidental to deliberate overdose.
19:28Do you know who would have done that?
19:30Uh, yeah, that was me.
19:32Why were you so sure?
19:34It was deliberate.
19:36Uh, she...
19:37had been treated for addiction
19:39and she had a history of depression
19:41with a previous suicide attempt.
19:46Edith's father states her addiction
19:47had been successfully treated last year
19:49and that she hadn't expressed suicidal ideation
19:52for a long time.
19:53Because suicidal ideation is very different from intent.
19:56Edith's actions were consistent with intent.
19:59And besides,
20:00acknowledging her mental health history felt important.
20:04You have to understand that
20:04if I had coded her overdose as accidental,
20:09she never would have fit the criteria
20:10for psychiatric review prior to her discharge.
20:13Do you understand?
20:14That's... that's true.
20:18Okay.
20:21Okay.
20:21Let's move on to what happened in majors.
20:23Uh, I gave Dr. Morgan a managing plan for Edith
20:27and I stayed in recess to look after the shooting.
20:29And what were your instructions?
20:31I told her to give her 800 micrograms of naloxone
20:34and stay with Edith
20:35so she could repeat the dose
20:37if her breathing rate dropped.
20:38The whole point is that she had to stay
20:40and wait for her breathing to stabilise.
20:42Dr. Morgan states you only told her
20:45to give one dose of naloxone
20:46and to let you know when Edith improved.
20:48No.
20:49No, no, that's...
20:50that's not true because
20:51breathing can improve but not be stable.
20:54Dr. Morgan clearly doesn't understand the difference.
20:57Why didn't you write the plan in the notes?
20:58There wouldn't have been any confusion then.
21:00Because there wasn't enough time.
21:02There wasn't enough time.
21:03Dr. Morgan's statement mentions a drain
21:07you didn't allow her to fit earlier in the shift
21:09because you didn't think that she was competent.
21:12No, I didn't.
21:13Yet you felt she was sufficiently competent
21:15to manage an overdose.
21:17Draining ascites is technically difficult.
21:21Writing naloxone on a drug chart and waiting is not.
21:26Dr. Morgan states she expressly told you
21:29that she had never before managed an opioid overdose.
21:33Did that not concern you?
21:34No.
21:35Because my instructions were clear.
21:38That's how doctors learn in A&E.
21:40Junior doctors, that's how they learn.
21:43Okay, but if that's the case
21:45why did Dr. Morgan only give one dose?
21:49She didn't wait with Edith long enough
21:51so when her breathing rate dropped
21:53Dr. Morgan wasn't there.
21:56So Edith did not receive more naloxone.
21:59So either she didn't understand the instructions
22:01or your instructions weren't clear.
22:04My instructions were clear.
22:05The only thing that's clear to me, Dr. Edwards
22:07is that Edith Owusu did not receive enough naloxone
22:10to prevent her death.
22:12So whether that was due to a delay
22:13in her receiving more doses
22:15a miscommunication in her treatment plan
22:18or an unavoidable consequence of circumstance
22:23can only now be clarified
22:25by looking more closely at events that night.
22:28That will do us for sure.
22:29Sorry, what does that mean?
22:30Well, we'll go over everything
22:31and decide whether a full fitness
22:33to practice investigation is needed.
22:35And when can I expect to hear from you?
22:37We'll notify you in writing
22:38before the end of the week.
22:41If the shooting hadn't come in,
23:00Edith Owusu would still be alive.
23:02She'd still be alive
23:03if she'd received more naloxone.
23:04Well...
23:05Lucinda did that over her decision to move Edith,
23:07a decision a doctor of her experience
23:09and capability should be comfortable making.
23:12She shouldn't have left Edith with Dr. Morgan,
23:14a doctor several grades her junior
23:16who just wasn't competent
23:18to manage a serious overdose.
23:21And her instructions were wrong
23:22or at best unclear.
23:25You know we're going to have to look
23:25into this further, don't you?
23:28Are you going to be comfortable
23:28without giving your connection?
23:32Medicine's a small world.
23:34I knew that when I took the job.
23:36I can be objective.
23:37Can you?
23:38Yes.
23:42What is a full fitness
23:43to practice investigation?
23:45Don't be alarmed.
23:46They just have to be thorough.
23:48They might not even get to that.
23:51So you think that went okay?
23:54I've seen far worse, believe me.
23:57I think you'll be fine.
23:58Yes.
24:10Yes.
24:12And tea.
24:18That one is the eyeline.
24:22And this one.
24:26She's my favourite.
24:27Yeah, look at her long tail.
24:34Mummy!
24:36Mm-hm?
24:37And this one to miss a table.
24:39Mm-hm.
24:40And this one to miss a table.
24:43Yeah.
24:44Look at that, right there.
24:47Mm?
24:49No, Abby, you've got loads of toys in here.
24:51Look at these ones.
24:52Look at that one.
24:53Yeah, look, where's your fishing rod gone?
24:57For fuck's sake, Gabby!
25:00Jesus Christ, what'd you do that for?
25:02Tom!
25:03Tom!
25:04Tom!
25:05What?
25:06What is it?
25:07Just look after her, please.
25:09Just do this, do this, please.
25:11What?
25:12You frightened the life out of me.
25:27Why are you doing that for your time?
25:28Caleb, come in all world.
25:30Hello.
25:31subjects육y dieser
25:32And she doesn't have that high limit on any subjects.
25:42Have you?
25:44I don't need nothing in the room.
25:45Whatever it is, can I go HER now?
25:50I don't need nothing, please.
25:51Reminds me.
25:54You
26:16Morning
26:18Yeah, morning
26:21Just some boring life admin I have to deal with
26:24Oh
26:32I can't believe dr. Harris is making me add this fucking reflection to my portfolio
26:36You know edith's death is going to be on my record forever
26:39Yeah, but i'd say you got left pretty lightly
26:41I mean you could have been referred to my you
26:44Yeah true
26:46Or maybe i should reflect on this into assaulting me
26:48Did you did you put that in your miu statement?
26:53No
26:55But i should have done
26:56The pitch deserves it
26:58Well if i were you i'd keep that to myself
27:01Why
27:02Lucinda's being investigated not me
27:04Yeah, but you were the one looking after the patient right
27:06So what if they come after you as well
27:09Look come on you need dr. Harris to sign you for this rotation and Lucinda is his little protégé
27:13But she was clearly in the wrong
27:15So what he's not going to back you up over her is he
27:17Like you've got a couple of months left on it
27:19I need one of you to carry out an urgent lumbar puncture
27:21Bay four
27:23I'd rather not
27:25But i've just got a ton of other jobs to do already
27:27And i've never done one before so
27:29I can do it if you need it doing that
27:31No, dr. Morgan should do it
27:32It'll look great for your eve portfolio
27:36The patient's 12
27:38Suspected meningitis
27:42Yeah, i just i don't really feel comfortable sticking a needle onto a 12-year-old spine
27:46Are you refusing to carry out a procedure requested by your senior?
27:51No
27:52No, of course not
27:56A complaint against one of our doctors puts us all at risk
27:58Ninety-eight percent of complaints from aggrieved family members go nowhere
28:03We'd have to be very unlucky
28:05Right, but if it spirals
28:08And we need a sacrificial lamb
28:10Not Lucinda
28:12She doesn't deserve that
28:13She's a good doctor
28:14Well, would you rather i said you?
28:16Because this won't go any higher
28:19The buck will stop with A&E
28:23Yeah, come in
28:24Dr. Callaghan and Dr. Ajay from the M.I.U. for you
28:29Oh great, thank you jane
28:31Thank you
28:32Thanks, i'll leave you to it
28:33Norma Callaghan
28:35Dr. Mike Willett clinical director
28:37Leo Harris
28:39Norma
28:40Leo's our lead A&E consultant
28:42Are you joining us?
28:43I'm afraid i have to leave
28:46Yes, i gather you're in the habit of leaving early
28:48Hmm?
28:49Were you left early the night Edith Owusu died?
28:52Oh, yes
28:52Yes, I had to collect my son from a rugby match
28:56My wife was away at a convention
28:58His ride fell through
29:00And i didn't feel too comfortable about putting a seven-year-old in a minicab
29:04But you felt comfortable enough leaving dr edwards in charge of A&E
29:08Well, yes, she's an excellent doctor
29:11I have absolute faith in her fitness to practice
29:14Well, i'm afraid we deal with facts, not faith, which is why we're here
29:21Carly, you're going to stay as still as possible for dr morgan, okay
29:29Are you sure this is necessary?
29:30Yes
29:31This is the quickest way for us to sample the fluid around your daughter's brain
29:35Okay, it's going to help us work out how best to treat her
29:37As you insert the needle, aim towards the umbilicus, level up
29:47You'll feel a give as the needle enters the subrachnoid space
29:52And the fluid should come out clear
30:00Ow!
30:02You've been a very brave girl Carly, well done
30:04Is this right?
30:14Keep going, you're doing fine, it's just a bloody tap
30:17Okay
30:24You did well for your first attempt
30:26You should have warned me about the potential for a bloody tap
30:30Or you should have learned that in medical school
30:32You forced me to do that procedure, i told you i didn't want to do it
30:35Rami, you are a A&E doctor
30:39You're here to learn these procedures
30:41But if you feel uncomfortable i can talk to dr harris
30:44That's that's not what i meant, i just
30:46Is it now? Have you got a sec?
30:49Is this a bad time?
30:51No, no, dr edwards is just giving me some useful bedside teaching
30:56Right, we'll take this in the office
30:57Okay, so after further examination of the events of the night of edith the woose's death
31:08We have decided to proceed with a formal investigation into your fitness to practice
31:12And as part of that investigation dr willett has kindly given permission for george to observe you in A&E
31:19George will be observing the whole department so it's not just you
31:23Just need to get an idea of how the team works
31:25Not just me
31:27No
31:27No
31:30And how long for?
31:32Just a few days i won't be with you all the time i'll spend some time looking at your A&E case history and uh
31:38Just chatting to the staff and your team
31:39Yeah you just need to show these guys you know what you're doing under similar presentations that's all
31:45Which i know you do
31:47No and you know don't worry i'll be discreet
31:51Won't even see me
31:52Like a ghost yeah great
32:00Yeah i know i need to talk that's why
32:02Go ahead one time
32:15Okay okay i have to go
32:21He did say to me
32:22Come on
32:33Sweet jesus christ you're literally following me aren't you
32:35Shadowing you
32:36George you said i was going to be fine
32:38You might still be
32:40Yeah because you shadow me at work is what your boss's way of saying that everything's
32:45A-okay
32:46If you prefer i can talk to matron beth first then find you later
32:49You can't she's not in it's your day off
32:52Okay then i'll i'll stick with you
32:54Great
32:58When we were F2s i never would have guessed you working in
33:01NYU
33:03I thought you loved oncology
33:04I did but you know life happened
33:10Why did you switch like i said the work-life balance got to me
33:15Is it true that you killed a patient
33:19If you know why are you asking
33:28It's all right listen dad
33:30We've all been there but we don't quit
33:32We just get on with it
33:41Get in the other way
33:42Okay thank you if you just like to lay down for us now thank you
33:50You just lean back you feeling how's that dizziness now
33:53It's a bit better now
33:54A bit better so it gets worse is it when you try and move around
33:56Yeah it's just when you're mobile
33:58When you're mobile well i'm going to put these slides up for you
34:00In case you're trying to escape on me
34:02I don't know what you're going to do
34:04He had an ataxic gait i think the stagmus may be lateral rectospority but then it's disorientated
34:14Excellent so
34:19Is it vernicke's encephalopathy yes
34:21Yeah
34:22Yes you're going to give him plenty of thiamine
34:27You know your stuff baby okay you should be more confident
34:32Shouldn't it be papernic's iv instead of the oral thiamine
34:39That is a good spot well done baby
34:43Mr verity
34:44I'm going to leave you here with this brain box of mine okay thank you
34:49See you
34:50Take care
34:53Okay just try and relax the nurse is going to come and see you all right
34:56Thank you doctor
34:56Thank you
34:58Oscar does that happen often
35:00What
35:01Correcting dr edwards mistakes
35:04No uh i mean it's not really a mistake it's the same drug i just thought the iv would be better
35:10You're a big fan of dr edwards
35:12I wouldn't say that that's how your statement reads
35:15She is a good doctor approachable and keeps the team's morale up like a and a isn't really
35:21The easiest place to be and loose is one of the best things about it loose
35:25Dr edwards does ramia get on with dr edwards as well as you do ramia um
35:31You'd have to go and ask her yeah
35:34Quick while i've got you here um during the pandemic dr edwards took several months off
35:38I can't use that against her use what against her
35:44It's nothing
35:46Right
35:48Sounds like something no i just i just meant you know everyone took time off work at some point and you can't hold that against them
35:54Okay look um
35:55You'll help her more by telling me what you know now instead of us finding out later
36:01Yeah
36:01So why'd she take so much time off
36:04Was the pandemic particularly hard for her
36:05The pandemic was hard for everyone okay and if you did any clinical work you would know that
36:10All right lucinda was not the only one we all did it
36:13Look i honestly i need to get back to work now it's pretty busy if you haven't noticed
36:16Yeah okay thanks
36:29Where the hell have you been good to see you too
36:32Great to see you too rob how are you holding up i haven't slept in days you're following me around in work rob
36:37Okay this isn't going away i think we need to tell them the truth
36:40Sit sit down if we just sit tight and say nothing
36:44This all blows over i changed the notes
36:47This is my career that's on the line i know
36:51I was thinking okay you're either's gp
36:55I think you need to just tell the miu you prescribed her just a little extra methadone because you were afraid that she was going to buy
37:01I can't do that i can't do that rob if the miu keep investigating they'll find out about the other overdoses
37:07Okay i could be completely struck off you won't get struck off
37:12Great you're not gonna help me then great because any investigation into me will do more than end both our careers
37:21What's that mean
37:24If the miu goes crawling through my prescribing it won't just be edith's record that interests them will it
37:30You gave me those pills so that i can work okay they helped me do my job
37:39You really think that's how the miu will see it
37:43Luce just stick it out i promise you we'll both be fine
37:51Okay
38:01You know what you've got to do put yourself on those dating apps that's what i'm doing
38:04Are you
38:07Don't look so surprised i'm not going to leave all this to rot
38:10You should do it put yourself out there
38:12All right all right well does ruina you're on dating apps
38:15She's got a girlfriend now
38:19She's having more fun than me all right anyway
38:21How did today go yes yes um
38:26HR sent lucinda's personnel fell through on email finally
38:30I did notice she had a particularly long period of sick leave during covid but the notes are heavily redacted
38:37Well that's odd yeah i tried asking oscar beaty about it but i got nothing out of him
38:43I mean he thinks lucinda can do no wrong
38:45There's a bit of an odd fight between them actually what do you mean odd
38:48I caught him um checking up on her
38:53Uh changing a prescription she made
38:56She prescribed oral thiamine and oscar corrected it to ivy pabridix
39:02Christ that's that is not a mistake to make at her level
39:07I mean those mistakes cost lives that's why we do the job we do george
39:13No we all make mistakes don't we
39:17You have to let that go
39:22George what happened to you don't draw parallels with this it's not the same
39:25I know I know you're a good doctor george
39:27I know
39:28So stop it put that behind you
39:31Yes boss
39:33Good
39:34Talk to dr morgan tomorrow and get her side of things
39:39Better get another drink
39:43Right well i've been up all night looking through lucinda's past patient notes
39:49scintillating
39:51Carry on
39:53She hasn't once given incorrect advice on an opiate overdose
39:57Are you sure she didn't ask you to stay with edith
40:00Um yeah sorry why why are you asking me questions that i've already answered
40:04Excuse me please
40:05I just i just need to be clear about what happened that night
40:10Can you take me through it again step by step
40:13Uh fine
40:15Um i mean it was a really busy shift it was relentless
40:20So busy that oscar actually stayed until after his shift finished
40:23Does he do that often
40:24He says he likes to help out but i swear he only does it when lucinda's on it's embarrassing
40:28Uh that night he stayed like two hours after his shift just in case she needed help with anything
40:37Um and lucinda
40:39Practically forced him to go home before nine even though she knew there was a big overdose coming
40:44And she still managed to go out for a fag break
40:46Lucinda knew about the overdose before nine
40:48Yeah and she came back stinking of cigarettes
40:51It was gross
40:52Sorry are you absolutely sure lucinda mentioned the overdose before 9 pm
40:56Yeah i remember because we had this whole conversation about it being in my last hour
41:01I said it hoped it stayed quiet and oscar got all superstitious because i said the word quiet and
41:07Touched wood toward off the drinks i'd created and lucinda got all snappy
41:11I've got i've got to go bro thank you thanks
41:14Yeah i'm happy to help
41:17Isaac could you put that for me please
41:19Okay thank you
41:20So i've put together a timeline for the night edith died
41:27A&E was first alerted to the arrival of an overdose patient when the paramedics called it in en route with edith this was at 9 0 7 pm
41:37But ramia has stated she remembers clearly being told by lucinda that an overdose was on its way before lucinda went on a break
41:44CCTV cameras outside any show lucinda leaving the department for that break at 8 52 pm
41:52Look
41:53Right there
41:58So
41:59How did lucinda know an overdose was coming to any before nine
42:05Ramia must be wrong i mean lucinda can't have known before the call was put in unless she's
42:09psychic or someone told her
42:12We only asked her to detail what happened after edith arrived in a and e
42:16No one cared about when she got there
42:19So i requested
42:21Lucinda's call logs for the evening of edith's death
42:25And at 8 27 she received the call from this number lasting less than one minute
42:31At 8 29 the 999 call center received the call from an anonymous male reporting edith's overdose
42:38He gave edith's location but hung up before any further details could be ascertained
42:43This call lasted approximately two minutes
42:46Then at 8 32
42:48Lucinda received another call from this same number
42:54Lasting less than a minute
42:56And then sometime between 8 32 and 8 52 lucinda tells ramia that an overdose is on its way even though
43:02ANE don't know this until 9 0 7
43:07Did that did that make sense of course
43:09Yeah yeah yeah it makes perfect sense well done
43:12So
43:13The assumption is whoever owns that number
43:17Alerted lucinda and 999 to edith's overdose
43:20But why
43:22What have we missed
43:23Do you think lucinda and edith knew each other well i mean it's possible but
43:30Why not just say that i mean it doesn't really add up does it
43:33Kathy let's um get lucinda in for another interview tomorrow
43:39i want to hear an unedited version of events
43:45Look they want to interview me again so um
44:08I've decided that i'm going to tell them the truth
44:13Okay so um yeah
44:16There's uh some oj there for you
44:21Right missus
44:23We can play with it afterwards you eat your food first
44:26Oh your uh your phone's ringing
44:29Rose who's rose
44:31Can you give me that
44:38You eat some of your breakfast in the house?
45:03No
45:05Luce?
45:15Lucinda!
45:19Luce!
45:24You come in, babe. You come in, darling.
45:29Go.
45:30Luce! Luce!
45:35What the fuck, Luce? I thought we agreed to keep quiet.
45:38I can't, okay? They're looking at my phone records, for God's sake.
45:41From when?
45:42From the night neither died.
45:44Barbara, if they go back far enough, then...
45:46No, but they don't know what to look for. They've got no idea.
45:48Right, so why are they requesting them, okay? They must know something.
45:51Look, you're just panicking. When's the interview?
45:53This afternoon.
45:54Oh, shit. Okay, okay. You need to stall them? Tell them you're sick or something.
45:57I can sort this out, but I need more time.
45:59I am so done. We're doing favors for you. Do you understand that?
46:01Lucinda, listen to me!
46:02Lucinda, listen to me!
46:03Listen, don't do this!
46:04Please, I'm begging you.
46:05Stop it, Barbara. I'm begging you.
46:06You'll ruin everything.
46:07You have no idea what you're doing.
46:08Stop! Stop it!
46:09I'm telling you, you're an addict!
46:10I'm not an addict!
46:11I'm not an addict!
46:12I'm not a addict!
46:13I'm an addict!
46:15You're not a addict!
46:16Hey, my God!
46:17You're a addict!
46:18My son.
46:19Man.
46:20Talk to me.
46:21Hey, wait!
46:22You're a addict!
46:23What's this out?
46:24Ha-ha-ha-ha-ha-ha-ha-ha-ha-ha-ha-ha!
46:26Oh.
46:27Hey, hey!
46:28What's this out?
46:29Hey, hey, hey!
46:30What's this out?
46:31Hey!
46:32Hey!
46:33Hey!
46:34Hey!
46:35Hey, hey, hey!