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مسلسل Malpractice مترجم - Episode 1
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00:06The End
00:33Hello, hello, hello, hi.
00:35Hello.
00:36Okay, so we have an acidic tap to do.
00:39Do you want to watch?
00:41What, can I do it?
00:42How many times do I have to tell you?
00:43Oh, I know, see one, do one, teach one.
00:46Exactly.
00:47Right, the tap is in base seven, if you want to grab the equipment and meet me there.
00:52Yeah.
00:55You are way too keen.
00:56Oh, piss off.
00:58And so the pressure in your belly will decrease, and you'll feel a lot better.
01:03Okay, and then we're just going to let that drain away there.
01:11So, you're going to give him enough albumin to prevent...
01:14Um, hypovolemia.
01:16Bingo.
01:17I'd say by the size of him, he's going to drain about 20 litres.
01:2120 litres?
01:22That's like carrying triplets.
01:25You know he's got a bottle of vodka in his bag.
01:27And I don't know why we bother treating patients like him.
01:30Because it's our job.
01:31And we're not here to judge.
01:33Well, okay, then I want fast dibs on tapping him next time he turns up.
01:36Deal.
01:40I know, but unless I get the CT report, I can't discharge him.
01:44I need the bed, okay?
01:47I appreciate that.
02:00What is it?
02:01I'm at work.
02:05Jesus, how has this happened again?
02:10I'm not doing it.
02:15Sorry, ma'am, I can't help you with this.
02:17Um, you're going to have to find someone else.
02:19Bye.
02:20Sorry, I didn't mean to interrupt.
02:23It's fine.
02:26Can I help you with anything?
02:27Have you seen Dr. Harris?
02:29Oh, 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
02:33his shift.
02:33Okay.
02:36Anything else?
02:37No, no, that's fine.
02:52Oscar, what are you still doing here?
02:54Your shift finished ages ago.
02:55Yeah, I know, but it was busy and I thought you could use the airway.
02:58Go home, Oscar.
02:59You're only nearly tomorrow.
03:01Look, honestly, I can stay if you want me to.
03:04We don't need you.
03:05There's only one overdose that's coming in and Rami is going to help me with it.
03:07Oh, but it's nearly my home time.
03:10Can't we hand it over to the night shift?
03:11Uh, I'll pretend I didn't hear that.
03:14I was really hoping for a quiet hour.
03:15Uh, touch wood.
03:17Rami, I don't say the key word.
03:18Oscar, stop.
03:18Sorry, sorry.
03:20I'm going to go for my break.
03:22Rami, I'll bleep me if that overdose comes in and you are going to come with me because I need
03:25you to get the heck out of here.
03:26Come on, you're in early tomorrow.
03:27Let's go.
03:30Oh, what are you doing smoking, Edwards?
03:32I thought you'd quit.
03:34Half quiz.
03:36Just smoke when I'm at work.
03:42How's the work going?
03:44Same, same.
03:45How about you?
03:50Busy.
04:01Okay, we're in here.
04:01Watch your backs.
04:02Watch your backs.
04:03Right, bay five.
04:04This way, please.
04:06Watch yourself.
04:07Watch yourself.
04:08Okay, guys, we need you on that side, Feng.
04:10Luke, ready on three.
04:11We're going to lift.
04:11One, two, three, lift.
04:13Go.
04:14This is 23-year-old Edith Owusu, found unconscious at home following an accidental opioid overdose.
04:20Is anyone with her?
04:20No, but we found needles and drug paraphernalia beside her.
04:23We gave two doses of 400 micrograms of naloxone IM and she's responding well.
04:29Okay, Edith, darling, can you hear me?
04:31I'm Dr. Lucinda Edwards.
04:32I'm going to be looking after you, okay?
04:33Can you tell me what it is that you're taking?
04:35Can we get another dose of naloxone ready, please?
04:38Okay, I'm going to have a listen to your chance, okay, love?
04:40Reception!
04:45Lucinda, we need to go.
04:48What's happening?
04:49Come on, we need to go now.
04:50No, but I can't leave her.
04:51Lucinda, we need to go now.
04:54Come on.
04:54Okay, Feng, I need you to call Dr. Harris, get around here.
04:57Okay, and stay with her.
04:58I'm going to be back as soon as I can.
05:10I'm going to be back as soon as I can.
05:29I'm not going to go anywhere.
05:30Oh, I know that I'm not going to go anywhere.
05:30I'm not going to do anything.
05:31Believe me, they're not going to do anything.
05:32Lerthor.
05:33Help him!
05:33I can't help him.
05:34You've got a gun in my face.
05:37So what's your friend's name?
05:39No names.
05:40Just help him!
05:40Okay, I want to help him, but I can't help him because you've got a gun in your hand.
05:43So please put that down and I will help you.
05:45Look, my name is Dr. Lucinda Edwards.
05:47I'm in charge here.
05:48Help him, then!
05:49I will help him.
05:50I'll be the first to help him, but I need you to put the gun down, please.
05:54Listen.
05:54Oh, my God.
05:56Help him, now.
05:59I want to help you.
06:01I think I want to help you.
06:02I'm going to count to three.
06:04I want to find safe.
06:07One.
06:07I just want to help you, please.
06:09Don't make me count three!
06:10What's that?
06:24He's going through the car!
06:26He's going through the car!
06:28To the police, get on it, go!
06:30Come on, guys, come on.
06:32Help, can you hear me?
06:33Right, Brian, he needs your day at this end.
06:35We're going to lift him.
06:35So, everyone, on three, we're going to lift him.
06:37You ready?
06:38Ready?
06:38One, two, three.
06:41Watch your fire!
06:43Okay, I need as many hands on deck here, please.
06:49There's no beds.
06:50We need to move someone.
06:53Lucinda.
06:56Lucinda?
06:57No, let me just think for a second.
06:59Well, um, let's move the overdose to majors.
07:02Right, no, we can move one of the others.
07:03We can move the sepsis or the MI.
07:05You've got well enough.
07:06What are we doing?
07:07Lucinda, what are we doing?
07:07Oh, we're moving Lucinda.
07:08Lucinda, what are we doing?
07:08Lucinda.
07:09Fine, I'm going to go with the overdose to majors.
07:11No, we need you here.
07:13Okay, Ramya can go with the overdose.
07:17She's stable.
07:18She'll be fine with Ramya.
07:19This boy's bleeding out.
07:20For God's sake, Lucinda.
07:22What are you going to do?
07:23Prioritize a junkie over a child.
07:26Lucinda, what are we doing?
07:27Come on.
07:31Ramya, you're going to stay with this patient and you're going to go to majors.
07:34I'm going to swap her out for the shoezine.
07:36We're going to brief you as we go.
07:37Okay.
07:38Right.
07:39You fast bleep the trauma team.
07:41Where's Dr. Harris?
07:42I don't know what I'm going to call him.
07:44Just checking.
07:45He's a mail.
07:45Catch back now.
07:47Okay.
07:47He's a quick scan.
07:48Can you move?
07:49Keep out of the way.
07:50Lucinda, what are you doing?
07:54We need to go.
07:55Now, Lucinda.
07:58Lucinda.
07:58Yeah, I'm just checking the notes.
08:00Right.
08:09Okay.
08:15Um, Lucinda, I've never treated an opioid overdose before.
08:18This is very straightforward, okay?
08:20You're going to wait here.
08:21You're going to give her 800 microgram doses.
08:23Listen to me.
08:24You're going to give her 800 microgram doses of naloxone until her breathing stabilizes.
08:28Okay, 800 micrograms, no maloxone.
08:30Okay, do you want to repeat the plan back to me?
08:31Uh, no, no, it's fine.
08:32I've got it.
08:32You got this?
08:33Yeah.
08:33Good.
08:33Let me know when she improves.
08:34Go.
08:34Okay.
08:35Go.
08:45Hi, this is Dr. Leo Harris.
08:47Please leave me a message after the tone.
08:50Leo, for fuck's sake, would you pick up your phone?
08:52We need you in here.
08:54Okay, we need to get this to her now.
09:15Shit.
09:16His abdomen's rigid.
09:17Well, the surgeons are on the way.
09:19They'll assess him, and then we can take him to theater.
09:20There's not enough time.
09:22I can feel his carotid pulse.
09:26I'm going to have to clamp his aorta and stabilize him.
09:29Prep for an emergency thworkotomy.
09:45Edith, Edith, can you hear me?
10:02Thanks, Lucinda.
10:04The theater's prepped.
10:05We'll take it from here.
10:06You two, hurry up.
10:08He's going to make it.
10:09Hold on.
10:09See you.
10:10Cheers.
10:11Anything else.
10:17Rami, why aren't you with the overdose?
10:19Well, you said to let you know when she improved.
10:25Shit.
10:28What's happened?
10:28She's gone into respiratory arrest.
10:31Edith, darling, can you hear me?
10:32Sweetie, can you hear me?
10:34She's unresponsive.
10:38How much naloxone did you give her?
10:40800 micrograms, like you said.
10:41How many doses?
10:42What do you mean?
10:43How many doses?
10:44One.
10:47I told you to repeat the dose if she didn't stabilize.
10:51We're all good.
10:52We're okay, Edith.
10:53We're all good.
10:53We're okay.
10:54Here we go.
10:54Here we go.
10:55Here we go.
10:57Starts to drop in.
11:00Right, starting compressions.
11:01Put it out to your rest call.
11:02Go.
11:02Go.
11:03Starting compressions.
11:05Here, here, here, four.
11:06Six.
11:08Here, here, here, four.
11:21Here, here, here, here.
11:52Oh, 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.
12:20This is all your fault.
12:21How could you be so stupid?
12:25Stupid!
12:25Stupid!
12:35I don't know.
13:10I don't know.
13:26I don't know.
13:26What's this?
13:27A big boy.
13:28A big boy.
13:31A massive foot goes in there.
13:35I keep telling you.
13:37You'll be fine.
13:38Don't need the help.
13:39You did nothing wrong.
13:40Yeah, but it's not that simple.
13:43It's an official complaint and I was a senior doctor in charge so the book stops with me.
13:48Yeah, but you saved that boy's life.
13:49Yeah, but either still shouldn't have died.
13:52Well, 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.
14:03No.
14:04No.
14:04No.
14:08I didn't take a hug, Rob.
14:11I'm going to go.
14:26You're sitting there?
14:28Jordan!
14:30Oh my God!
14:32What 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?
14:41No.
14:43No.
14:43All right.
14:44Yeah, cool.
14:44I'm sure you'll be fine, though.
14:47That's reassuring.
14:48Well, anyway.
14:49Yeah.
14:49We should probably get...
14:50We should.
14:51Your ex already.
14:52Grace.
14:57Okay.
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, that's fine.
15:38Yeah.
15:38Yep.
15:45Cheers.
15:47As you're aware, following Edith Owusu's death earlier this month, her father, Sir Anthony
15:53Owusu, has lodged a complaint about the treatment she received in the RH.
15:57As the most senior doctor present, the responsibility for her care fell to you, which is why we're interviewing you
16:04today.
16:05We've received several complaints like this every year, and we are duty bound to fully assess each one.
16:12In preparation for this interview, we'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, your decision making.
16:24That's fine, Mummy.
16:26Let's go over the events of the night Edith Owusu died.
16:30Mm-hmm.
16:31Um, yes, A&E bleeped me just after nine about Edith's arrival, and I went to resus.
16:39I was treating her when the alarms went off, and Beth came in to-
16:44Matron?
16:45Beth?
16:45Ralph?
16:45Uh, yes.
16:47And, um...
16:50What happened next?
16:52So we went into reception, and 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.
17:10She'd responded well to the naloxone given by the paramedic, so it felt safe to leave her.
17:15Temporarily.
17:16And when you returned to resus with the gunshot patient, you had a dilemma?
17:22Yes.
17:23Um, he needed a bed, and Edith had taken the last one.
17:28The other resus patients were, well, they were critically unwell.
17:32Um, Edith was more stable at that point, so I decided to move her to Majors.
17:38Sounds like a straightforward decision.
17:40However, a number of witnesses state you struggled to make this decision,
17:44that while you were deciding what to do, Edith's condition deteriorated in resus.
17:48Well, that wasn't my assessment of the situation.
17:53Dr. Ramiya Morgan states she tried to alert you to 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, an opportunity to give Edith another dose of naloxone was missed.
18:12We're talking about seconds. I mean a minute or two at most. Jesus.
18:18Edith received more naloxone as soon as she got to Majors.
18:23Surely any delay would potentially contribute to the overall worsening of her condition.
18:28If you were struggling, why didn't you, why didn't you ask Dr. Harris to help you?
18:32I mean he was, yes he was a consultant on duty that night.
18:36Yes he was, and his shift finished at 9pm and Edith came in shortly after.
18:40Pardon me, sorry.
18:41Dr. Morgan said she wanted to discuss a patient with 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 to pick up his son.
18:53It wasn't a big deal, okay?
18:54People with families, we look out for one another and we cover for each other.
18:59We're like a family on the ward.
19:03I called him and he came back as soon as he could.
19:12Okay, Cathy, can we pull up the resource record please?
19:15Yep.
19:21Someone changed the presenting complaint from accidental to deliberate overdose.
19:27Do you know who would have done that?
19:30Uh, yeah, that was me.
19:32Why were you so sure it was deliberate?
19:36Uh, she had been treated for addiction and she had a history of depression.
19:41With a previous suicide attempt.
19:46Edith's father states her addiction had been successfully treated last year
19:49and that she hadn't expressed suicidal ideation for a long time.
19:53Because suicidal ideation is very different from intent.
19:56Edith's actions were consistent with intent.
19:59And besides, acknowledging her mental health history felt important.
20:03You have to understand that if I had coded her overdose as accidental,
20:08she never would have fit the criteria for psychiatric review prior to her discharge.
20:13Do you understand?
20:14That's, that's true.
20:18Okay.
20:21Okay, let's move on to what happened in Majors.
20:24Uh, I gave Dr. Morgan a managing plan for Edith and 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 and stay with Edith so she could repeat the dose
20:37if her breathing rate dropped.
20:38The whole point is that she had to stay and wait for her breathing to stabilize.
20:43Dr. Morgan states you only told her to give one dose of Naloxone and to let you know when Edith
20:48improved.
20:48No.
20:50No, that's not true because breathing can improve but not be stable.
20:54Dr. Morgan clearly doesn't understand the difference.
20:56Why didn't you write the plan in the notes? There wouldn't have been any confusion then.
21:00Because there wasn't enough time.
21:02There wasn't enough time.
21:04Dr. Morgan's statement mentions a drain.
21:07You didn't allow her to fit earlier in the shift because you didn't think that she was competent.
21:12No, I didn't.
21:13Yet you felt she was sufficiently competent to 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 that she had never before managed an opioid overdose.
21:32Did that not concern you?
21:34No.
21:35Because my instructions were clear.
21:38That's how doctors learn in A&E. Junior doctors, that's how they learn.
21:42Okay, but if that's the case, why did Dr. Morgan only give one dose?
21:49She didn't wait with Edith long enough.
21:51So when her breathing rate dropped, Dr. Morgan wasn't there.
21:55So Edith did not receive more Naloxone.
21:58So either she didn't understand the instructions, or your instructions weren't clear.
22:04My instructions were clear.
22:05The only thing that's clear to me, Dr. Edwards, is that Edith the Wusu did not receive enough Naloxone to
22:10prevent her death.
22:12So whether that was due to a delay in her receiving more doses, a miscommunication in her treatment plan,
22:20or an unavoidable consequence of circumstance, can only now be clarified by looking more closely at events that night.
22:28Sorry, what does that mean?
22:30Well, we'll go over everything and decide whether a full fitness to practice investigation is needed.
22:35And when can I expect to hear from you?
22:37We'll notify you in writing before the end of the week.
22:57If the shooting hadn't come in, Edith the Wusu would still be alive.
23:02She'd still be alive if 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 and capability should be comfortable making.
23:12She shouldn't have left Edith with Dr. Morgan.
23:14A doctor several grades her junior who just wasn't competent to manage a serious overdose.
23:20And her instructions were wrong or at best unclear.
23:24You know we're gonna have to look into this further, don't you?
23:28Are you gonna be comfortable with that given your... connection?
23:32Medicine's a small world.
23:33I knew that when I took the job.
23:36I can be objective.
23:37Can you?
23:38Yes.
23:42What is a full fitness to 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?
23:53I've seen far worse, believe me.
23:57I think you'll be fine.
24:11And...
24:12Tea!
24:19That is Mr Iris.
24:22And...
24:23This one.
24:25She's my favourite.
24:28Look at her long tail.
24:30Look at her long tail.
24:34Mummy!
24:37And this one to miss a table.
24:40And this one to miss a table.
24:43And this one to miss a table.
24:43Look at that.
24:45Right there.
24:47Hmm?
24:50No, Abby, you've got loads of toys in here.
24:51Look at these ones.
24:53Yeah, look, where's your fishing rod gone?
24:59For fuck's sake, Gabby!
25:00Jesus Christ, what did you do that for?
25:02Tom!
25:03Tom! Tom!
25:05What?
25:06What is it?
25:07Just look after her, please.
25:09Just do this, do this, please.
25:12You frightened the life out of me.
25:27Oh, my God.
25:41I haven'tcard me them.
25:45I haven't that Hind?
25:45I didn't Hurray, okay?
25:46Hi.
25:53Oh, my God!
25:54Jim, you didn't TMLS do anything.
25:56But this one, you followed the plan up being over the background.
26:16Morning.
26:18Yeah, morning.
26:20Everything all right?
26:21Just some boring life admin I had to deal with.
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've got left off pretty lightly.
26:41I mean, you could have been referred to the MIU.
26:44Yeah, true.
26:46Or maybe I should reflect on this end of assaulting me.
26:51Did you put that in your MIU statement?
26:54No, but I should have done.
26:56The bitch 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?
27:15He's not going to back you up over her, is he?
27:17Like, you've got a couple of months left on that age.
27:19Why don't you just carry out an urgent lumbar puncture?
27:21Day four.
27:23I'd rather not.
27:25But I've just got a ton of other jobs to do already, and I've never done them 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 ETH portfolio.
27:36The patient's 12.
27:37Mm-hmm.
27:38Suspective meningitis.
27:41Yeah, I just...
27:42I don't really feel comfortable sticking a needle into a 12-year-old spine.
27:46Are you refusing to carry out a procedure requested by your senior?
27:51No.
27:52No.
27:52Of course not.
27:55A complaint against one of our doctors puts us all at risk.
27:5998% of complaints from aggrieved family members go nowhere.
28:03We'd have to be very unlucky.
28:05Right, but if it spirals, and 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.
28:27Dr. Callaghan and Dr. Ajay from the MIU for you.
28:30Oh, great. Thank you, Jane.
28:32Thanks, I'll leave you to it.
28:33Bye, Norma Callaghan.
28:34Dr. 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.
28:53Yes, I had to collect my son from a rugby match.
28:56Uh, my 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.
29:09She'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.
29:17Which is why we're here.
29:20Carla, 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?
29:35It's going to help us work out how best to treat her.
29:42As 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.
29:54It's okay.
29:55It's okay.
30:00Ow!
30:02You've been a very brave girl, Carly.
30:03Well done.
30:13Is this right?
30:14Keep going.
30:15You're doing fine.
30:15It'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.
30:30You should have learned that in medical school.
30:32You forced me to do that procedure.
30:33I 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 not what I meant.
30:45I just...
30:46You sitting there?
30:46It's a morning would have been...
30:47Have you got a sec?
30:49Is this a bad time?
30:51No, no.
30:52Dr. Edwards was just giving me some useful bedside teaching.
30:56Right, we'll take this in the office.
30:58Mm-hmm.
31:03Okay, so after further examination of the events of the night of Edith Owusu'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?
31:26No.
31:27No.
31:30And how long for?
31:32Just a few days.
31:33I won't be with you all the time.
31:34I'll spend some time looking at your A&E case history and, uh, just chatting to the staff and your
31:39team.
31:40Yeah, you just need to show these guys you know what you're doing under similar presentations, that's all.
31:44Which I know you do.
31:47Yeah, and, you know, don't worry.
31:49I'll be discreet.
31:51Won't even see me.
31:52Like a ghost?
31:53Yeah.
31:54Great.
31:54Great.
32:00Yeah, I know, I need to talk, that's why.
32:07Okay, what time?
32:15Okay, okay, I have to go.
32:32Sweet Jesus Christ, you're literally following me, aren't you?
32:35I'm shadowing you.
32:36George, you said I was going to be fine.
32:38You might still be.
32:40Yeah, because you shadowing me at work is what your boss's way of saying that everything's A-OK.
32:46If you prefer, I can talk to Matron Beth first, then find you later.
32:49You can't.
32:50She's not in.
32:51It's a day off.
32:52Okay then, I'll stick with you.
32:54Great.
32:58When we were F2s, I never would have guessed you were working in NYU.
33:03I thought you loved oncology.
33:04I did.
33:05But, you know, life happened.
33:10Why did you switch?
33:11Like I said, the work-life balance got to me.
33:15Is it true that you killed a patient?
33:24If you know, why are you asking?
33:28Sorry, Lucinda.
33:30We've all been there, but we don't quit.
33:32We just get on with it.
33:46Hey, thank you.
33:48If you'd just like to lay down for us now, thank you.
33:50You just lean back.
33:51You feeling, how's that dizziness now?
33:53A bit better now.
33:54A bit better.
33:54So it gets worse, is it, when you try and move around?
33:57Yeah, it's just when you're mobile.
33:58When you're mobile.
33:58Well, I'm going to put these sides up for you.
34:00In case you're trying to escape on me.
34:05He had an ataxic gait.
34:07I think the stagmus may be lateral rectus paucy.
34:10But then he was disorientated.
34:14Excellent.
34:15So?
34:19Is it Wernicke's incephalopathy?
34:21Yes.
34:22Yeah?
34:22Yes.
34:23You're going to give him plenty of timing.
34:27You know your stuff, Brady, okay?
34:28You should be more confident.
34:32Shouldn't it be Papernic's IV?
34:34Instead of the ortho, I mean.
34:39That is a good spot.
34:41Well done, Beatty.
34:43Mr. Verity.
34:44I'm going to leave you here with this brain box of mine.
34:48Okay.
34:49See you.
34:50Take care.
34:53Okay, just try and relax.
34:54The nurse is going to come and see you, all right?
34:56Thank you, Doctor.
34:58Oscar, does that happen often?
35:00What?
35:01Correcting Dr. Edwards' mistakes.
35:04No.
35:05I mean, it's not really a mistake.
35:07It's the same drug.
35:08I just thought the IV would be better.
35:10You're a big fan of Dr. Edwards.
35:12I wouldn't say that.
35:13That's how your statement reads.
35:15She is a good doctor, approachable, and keeps the team's morale up.
35:19Like, A&E isn't really the easiest place to be, and Luce is one of the best things about it.
35:23Luce.
35:25God.
35:25Dr. Edwards.
35:27Does Ramya get on with Dr. Edwards as well as you do?
35:29Ramya, um...
35:31You'd have to go and ask her.
35:32Yeah.
35:34Quick, while I've got you here.
35:36During the pandemic, Dr. Edwards took several months off.
35:39You can't use that against her.
35:40Use what against her?
35:44It's nothing.
35:47I think...
35:47It sounds like something.
35:49No, I just meant, you know, everyone took time off work at some point, and you can't hold that against
35:54them.
35:54Okay, look.
35:57You'll help her more by telling me what you know now, instead of us finding out later.
36:01So why'd she take so much time off?
36:04Was the pandemic particularly hard for her?
36:06The pandemic was hard for everyone, okay?
36:08And if you did any clinical work, you would know that.
36:10All right, Lucinda was not the only one.
36:12We all did it.
36:13Look, honestly, I need to get back to work now.
36:15It's pretty busy, if you haven't noticed.
36:16Yeah, okay.
36:17Thanks.
36:29Where the hell have you been?
36:30Good to see you, too.
36:32Great to see you, too, Rob.
36:33How are you holding up?
36:34I haven't slept in days.
36:35They're following me around in work, Rob.
36:37Okay, this isn't going away.
36:39I think we need to tell them the truth.
36:40No, no, sit, sit down.
36:41If we just sit tight and say nothing, this all blows over.
36:45I changed the notes.
36:46Yeah.
36:47This is my career that's on the line.
36:49I know.
36:51Rob, I was thinking, okay?
36:53You're either's GP.
36:55I think you need to just tell the MIU you prescribed her just a little extra methadone
37:00because you were afraid that she was going to buy the other shit off the streets.
37:02I can't do that.
37:03Rob, if the MIU keep investigating, they'll find out about the other overdoses.
37:07Okay, I could be completely struck off.
37:09You won't get struck off.
37:12Great.
37:12You're not going to help me then.
37:13Great.
37:13Because 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
37:29them, will it?
37:31You gave me those pills so that I can work, okay?
37:36They helped me do my job.
37:39You really think that's how the MIU will see it?
37:44Luz, just stick it out.
37:47I promise you, we'll both be fine.
37:51Okay?
38:01You know what you've got to do?
38:02Put yourself on those dating apps.
38:03That's what I'm doing.
38:04Are you?
38:06Don't look so surprised.
38:08I'm not going to leave all this to rot.
38:10You should do it.
38:11Put yourself out there.
38:12All right, all right.
38:13Well, does Rumi know you're on dating apps?
38:15She's got a girlfriend now.
38:19She's having more fun than me.
38:20Right.
38:21Anyway, how did today go?
38:24Yes, yes.
38:25Um, HR sent Lucinda's personnel file through on the email, finally.
38:30I did notice she had a particularly long period of sick leave during COVID, but the notes
38:34are heavily redacted.
38:37Well, that's odd.
38:38Yeah.
38:39I tried asking Oscar Beatty 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 vibe between them, actually.
38:47What 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 Pabrodex.
39:03Christ, that's...
39:04That is not a mistake to make at her level.
39:07I mean, those mistakes cost lives.
39:10That's why we do the job we do, George.
39:13We all make mistakes, aren't we?
39:17You have to let that go.
39:22George, what happened to you?
39:23Don't draw parallels on this.
39:24Yes, it's not the same.
39:25I know, I know.
39:26You're a good doctor, George.
39:27I know.
39:28So stop it.
39:29Put that behind you.
39:31Yes, boss.
39:32Good.
39:34Talk to Dr. Morgan tomorrow, and get her side of things.
39:39I'm going to get another drink.
39:44Right.
39:45Well, 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.
40:01Why are you asking me questions that I've already answered?
40:04Excuse me, please.
40:07I 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.
40:18It was relentless.
40:20So busy that Oscar actually stayed until after his shift finished.
40:23Does he do that often?
40:25Yeah, he says he likes to help out, but I swear he only does it when Lucinda's on.
40:28It's embarrassing.
40:30Uh, that night, he stayed, like, two hours after his shift, just in case she needed help with anything.
40:37Um, and Lucinda practically forced him to go home before nine, even though she knew there was a big overdose
40:43coming.
40:44And she still managed to go out for a fag break.
40:46Lucinda knew about the overdose before nine?
40:48Yeah.
40:49And she came back stinking of cigarettes.
40:51What?
40:51It was gross.
40:52Sorry, are you absolutely sure Lucinda mentioned the overdose before nine p.m.?
40:56Yeah.
40:57I remember because we had this whole conversation about it being in my last hour.
41:01I said I hoped it'd stay quiet, and Oscar got all superstitious because I said the word quiet,
41:06and touched wood to ward off the jinx I'd created, and Lucinda got all snappy.
41:11Look, I've got to go, Brooke.
41:13Thanks.
41:14Yeah, happy to help.
41:17Isaac, could you put that for me, please?
41:19Okay, thank you.
41:23So, I've put together a timeline for the night Edith died.
41:28A&E was first alerted to the arrival of an overdose patient when the paramedics called it in, en route
41:33with Edith.
41:33This was at 9.07 p.m.
41:37But Ramya has stated she remembers clearly being told by Lucinda that an overdose was on its way before Lucinda
41:43went on a break.
41:44Like, CCTV cameras outside A&E show Lucinda leaving the department for that break at 8.52 p.m.
41:52Look.
41:53Right there.
41:58So, how did Lucinda know an overdose was coming to A&E before nine?
42:05Ramya must be wrong.
42:06I mean, Lucinda can't have known before the call was put in, unless she's psychic.
42:10Or someone told her.
42:12We only asked her to detail what happened after Edith arrived in A&E.
42:16No one cared about when she got there.
42:18So, I requested Lucinda's call logs for the evening of Edith's death.
42:24And, at 8.27, she received a call from this number lasting less than one minute.
42:31At 8.29, the 999 call centre received a 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.
42:45Then, at 8.32, Lucinda received another call from this same number.
42:53Lasting less than a minute.
42:55And then, sometime between 8.32 and 8.52, Lucinda tells Ramya that an overdose is on its way,
43:01even though A&E don't know this until 9.07.
43:06Did that... did that make sense?
43:08Yeah, yeah, yeah, yeah.
43:09It makes perfect sense.
43:11Well done.
43:12So, the assumption is, whoever owns that number alerted Lucinda and 999 to Edith's overdose.
43:20But why?
43:22What have we missed?
43:25Do you think Lucinda and Edith knew each other?
43:28Well, I mean, it's possible, but why not just say that?
43:31I mean, it doesn't really add up, does it?
43:35Kathy, let's, um, get Lucinda in for another interview tomorrow.
43:39I want to hear an unedited version of events.
44:06Look, they want to interview me again.
44:08So, um, I've decided that I'm going to tell them the truth.
44:12All right, so, um, yeah.
44:16There's, uh, some OG there for you.
44:18Unless you're over there and you get coffee.
44:19Oh, no.
44:21Right, missus.
44:23We can play with that afterwards.
44:24You eat your food first.
44:26Oh, your, uh, your phone's ringing.
44:29Rose.
44:30Who's Rose?
44:31Can you give me that?
44:32Give me that.
45:02You eat some of your breakfast, huh?
45:04Now.
45:07Rose?
45:16Lucinda!
45:20Rose!
45:25Come in, baby, darling.
45:26You come in, baby.
45:27You come in, darling.
45:29Go.
45:31Oh, oh, oh.
45:33Luce.
45:34Luce!
45:35What the fuck, Luce?
45:37I thought we agreed to keep quiet.
45:38I can't.
45:39Okay, they're looking at my phone records, for God's sake.
45:42From when?
45:42From the night neither died.
45:44Barbara, if they go back far enough, then...
45:46No, but they don't want to look for it.
45:47They've got no idea.
45:48Right, so why are they requesting them?
45:50Okay, they must know something.
45:51Look, you're just panicking.
45:52When's the interview?
45:52This afternoon.
45:54Oh, shit.
45:55Okay, okay.
45:56You need to stall them.
45:57Tell them you're sick or something.
45:57I can sort this out, but I need more time.
45:59I am so done.
46:00We're doing favors for you.
46:01Do you understand?
46:02Listen, listen to me.
46:02Stop it.
46:02Please, stop.
46:03Don't do this.
46:04Please, I'm begging you.
46:05Stop it, Barbara.
46:05I'm begging you.
46:06You'll ruin everything.
46:07You have no idea what you're doing.
46:08Stop it.
46:09I'll tell them you're an addict.
46:09I'm not an addict.
46:15Stop it.
47:09I'll tell them you're an addict.
47:12I'll tell them you're an addict.
47:13I'll tell them you're an addict.
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