_
Good morning.
Morning, Sister. Who's first?
This way, please, Dr Fonseca.
Dear God! Another!
Do we have any beds left?
Well, the male ward is virtually empty.
Well, apart from Mr Palaty.
Otherwise, there's not a man in sight.
Perhaps they're all exhausted?
- Jyoti? - Yes, Dr Fonseca?
Our local bon viveur looks sober enough now.
So, discharge him and start filling up the ward
with our expectant mothers.
Looks like the women are taking over...
*CREDITS*
I'd like you to be seen in hospital.
Don't be ridiculous.
I still think it's too high.
And I still say you're overreacting.
She still won't listen to me. Can't you talk some sense into her?
Talk some sense into her?
You refer to my life's work, unsuccessful so far.
But if my grandchild's health is in question...
Yeah, according to Ruby.
She is the only qualified doctor in the family.
Thank you.
Dinesh is coming home for the birth.
When he gets here, then we can talk.
And what if his son isn't prepared to wait for him?
I think you should listen to Ruby.
Well?
I'll come with you.
Barsha?
I've seen less stubborn bull elephants.
OK. Fine. You win.
But I hate Kochi.
- And you do too. - Don't worry.
We're not going to the city. I know somewhere much better.
That head is finally in the right place, it won't be long now.
But when, Doctor? I'm very tired.
I'm afraid the exact timing, is between you and him.
It is a boy? You're sure?
When you've been doing this as long as I have,
you get a sort of feeling.
Plus he's already a day late
and causing you nothing but pain and discomfort.
QED, male.
You can really tell?
No. Of course not.
But it's her first and they're both absolutely terrified.
Believe me, when it's all over, she'll forgive me anything.
- Even a little white lie. - True enough.
And we have other things to worry about.
I blame the fertility festival.
Nine months to the day to Meena Bharani and we are overflowing!
My God, look at these people, Lydia.
We need help and we need it fast.
Our staff cannot possibly cope. If this is about Dr Walker again...
No. No.
I know we both are reluctant to replace her,
but surely a locum physician would be better than nothing?
Look at Dr Varma, he hasn't seen daylight in a month.
He looks positively vampiric.
And I've barely seen my wife in weeks.
And I promise you, as soon as I can locate my magic wand,
I'll materialise an entire army of the willing and competent.
Until then... Good morning, everyone.
Shall we begin?
Oh, my God.
So this is it?
Welcome to the Good Karma Hospital.
It's smaller than I expected.
Oh, hey, could you park up for me?
- OK. - Thank you so much.
Oh, wait, wait, wait. Be careful.
I'll take that. Here.
- Dr Walker. - Thanks.
Thank you.
Well, look what the cat dragged in.
And I see you've even brought me a new patient.
You shouldn't have. Really.
This is my sister, Barsha. She's pregnant, so...
Believe it or not, Dr Walker, despite your extended absence,
dementia has not yet set in.
I can still recognise the third trimester at 40 paces. This way!
Her blood pressure has been elevated for the past two weeks.
In the circumstances...
You decided to add another morsel to my already groaning table.
I assume you'll want a bed?
Although you couldn't have picked a worse time.
It seems every Keralan in possession of a functioning womb
has decided to give birth in my hospital.
Here we go. All yours.
Get your sister settled in and then come and find me.
We have things to discuss.
Oh.
Welcome back.
Take a seat.
So, did you find yourself up wherever you were?
- Not exactly, but... - Jolly good.
Everyone deserves a holiday.
Although I was sure we agreed only one month?
Actually I'm just here with my sister.
You know, as a relative?
So I train you for the best part of two years and you repay me
by becoming some sort of general practitioner on Daddy's estate?
I suppose that's one way of putting it.
- Yes? - It's me. It's an emergency.
I need you now, and I can't talk.
Oi! Have some decorum!
Sorry.
This area is strictly for staff and patients only.
Oh, sorry.
Dr Walker!
Oh, my God. A sight for sore eyes.
Now listen, please get busy.
I'm begging you. This place is falling apart.
And don't tell Lydia I told you that. Hm?
Look, she's back, Sister. She's back.
Aww, are you mad? You escaped!
Maybe.
- Does Lydia know you're here? - What do you think?
Actually, I think she missed you a little.
- Just a little. - I missed you a lot.
Mrs Channar?
I'll see you in a minute.
Hi.
You're back.
Not exactly.
My sister's pregnant.
Her blood pressure's been high, so I thought...
Seizures, stroke, kidney failure.
Right.
Exactly.
I'm late for clinic.
Hey.
That's all I'm getting?
You have been away for four months. What did you expect?
I don't know. Something, at least?
Well, I'm sorry to disappoint you.
You're angry with me.
Is that a question or a statement?
Look, I know I should have called...
Can we talk?
Please?
Since your absence we've been very short staffed.
As a result my clinic is full and I'm already late.
But please do give my best to your sister.
So no emergency?
Look around you!
They've only gone and banned alcohol. Not even the beer is safe!
I left a hospital teeming with pregnant women for this.
Look, pouring good beer on the sand! Poor Palaty nearly had a coronary.
Greg, why am I here?
Because I see you as a key ally in this struggle, Lydia.
There are clear public health implications.
I agree. Positive ones.
Well, think of the local economy!
The birth rate!
Look at 'em!
Men and women from around the globe make this long journey to paradise
simply in order to procreate!
They can't do it sober. No-one ever had sex on smoothies!
This is ridiculous, and I'm leaving.
No. No. No.
I've got one bottle of high quality rum they haven't found yet.
I need you to hide it for me.
As a doctor, you're above suspicion.
Plus, even the police are terrified of you.
- No. - They are! Just ask P.C. Pandala.
Please Lydia?
When have I asked you for anything?
Under protest!
Anyway, why don't you embrace this whole abstainer thing?
You might even lose a few pounds.
And this bar would make a wonderful cafe.
A cafe!
Is that what you want?
Carrot cake and chamomile?
I'm ruined. Spiritually and financially ruined!
On the contrary, I think it could be the making of you.
Why don't I just nail my balls to the dart board?
And let everyone take pot shots.
And as you well know, I'm very good at darts.
Well, you'd have to be. 'Cause these have shrunk to nothing.
Laughing.
Your first?
Very much so.
You must be excited?
I think terrified is more the exact word.
She is in the toilet.
Oh, snap.
So, they tell me you are a doctor,
that you used to work here?
Clearly news travels fast.
I'm sorry, that is none of my business.
Apologies.
No, it's fine. Erm, I'm just...
.. taking a career break.
Sort of.
As I said, none of my business.
And, erm...
This is just after he proposed.
Aww.
He was a little drunk.
So happy for you. It's wonderful news, Jyoti.
Thank you, Sister.
You're one of my best nurses
and in fact I was hoping to appoint
a new senior staff nurse this year.
I hope that getting married won't put a dent
in your professional aspirations?
No, Sister.
Although, when it comes to my career,
I will have to respect my husband's opinion.
Obviously.
I'm sorry. Excuse me.
So what is this?
Lime and soda. Delicious.
Little brolly on the house.
Don't say I don't look after you.
Utterly foul. Will it get me drunk?
Only if you wait for the concentrated citrus to ferment.
I will find something.
Believe me, the police are not that smart.
I'll drink to that. And may your many gods go with you.
Barman! Service, please.
Tommy.
Hello, Dad.
Tommy!
Aww.
This is to you... Wait, I'm coming round for a proper hug.
Why the hell didn't you tell me you were coming?
I'd've picked you up.
Well, it was kind of last minute.
I was meant to be at some yoga retreat in Karnataka.
But, erm, well, I got kicked out for smuggling fags in.
You'd given up last time I saw you.
You know how it is.
Anyway Kush and I decided to take off.
Kush?
Oh, he's a friend. You'd like him.
So I thought, well, my dad runs this legendary bar down in Barco.
I should go down there and have some proper fun.
So you didn't hear about the booze ban, then?
Are you serious?
Yeah.
Isn't that like a human rights violation?
Believe me, I've tried to make that case.
They do it all the time. Some new politician tying to make a point.
Trick is to see it as a challenge.
But hey...
I mean, how long's it been -- 18 months?
It's been three years.
Oh.
Well, then, this calls for a celebration.
Let's get out of here.
- What about the bar? - Nothing going on here anyway.
Come on.
I've got a stash back at my house. Follow me.
Hey up.
It's OK. Just... just go. I'll be fine.
For me. Just... just go get something to eat OK.
I'll be fine.
- You take care, alright? - Yes.
Is she OK?
- I think so. - What's happened?
Vasovagal, I think.
It's OK.
Try some slow, deep breaths?
I'll ask Mari to run an ECG and then come and review it.
It's OK. I can do it.
I mean, I'm just sat here anyway.
If you're sure?
Where's your husband?
I sent him to the food stall.
I have to insist or he wouldn't eat.
Do you have any other family?
My family doesn't approve of Ketan. But he is a good man.
And once this baby is born we will have our own family.
How did you meet?
He used to work for my father.
My family has money, but he was an employee.
We might be from two very different castes, Doctor,
but I love my husband.
And I don't think you can choose who they love, do you?
Can I sit here or are you going to bite my head off?
I'll take that has a yes.
Look, I know I didn't call.
I just needed some time to work things out.
No distractions?
But I was thinking about you, a lot.
I'm honoured, I think.
You know I could have taken Barsha to Kochi, to anywhere.
But I didn't. I think the least you can do is talk to me.
Technically, the least I can do is silence.
Which I have achieved.
Technically, you just talked to me, so.
Ruby?
Ruby? It's your sister.
The pain started a few minutes ago.
So does that mean I'm in labour?
Quite possibly.
Shit.
Dinesh's plane has been delayed!
It could be six hours, or 16, or 60.
It's fine. He'll be here, OK? I promise.
Oh, so now you're an air traffic controller as well as a damn doctor.
This isn't labour. You're bleeding.
Get Lydia. Now.
It's alright. Just lie back. You're gonna be fine. Alright.
Placenta's absolutely fine. Heart beat nice and regular.
CTG?
Normal.
Which means I don't think we need
to push the panic button just yet.
You're sure? There's definitely no sign off an abruption?
Because if there's any chance of antepartum haemorrhage...
Dr Walker. A word.
In a situation like this,
a little anxiety on your part is understandable.
But when that anxiety is transmitted to my patients, I get annoyed.
Pain and bleeding antepartum are significant...
Can be caused by any number of conditions.
As you well know, most of them are benign and self-limiting.
To care for patients properly, you need distance.
Which is why being a doctor and a relative don't mix.
I'd suggest that whilst you're here, you limit yourself to hand holding
and tea duty.
Thank you, I'd prefer to look after my...
Sorry. When I said suggest, I meant insist.
We can't do this anymore.
I'm going to miss you.
Do you have to do this?
I'm sorry.
Your place is amazing.
I-I-I actually can't believe that this is your life.
Sometimes I can't believe it myself.
Here.
Thanks.
So, erm...
How's your mum?
Still hates you.
Mm.
I know I've properly pissed her off when she says,
"You're exactly like your father!"
Remember that Christmas
I bought her all those knock-off fairy lights
and fused the whole house?
I thought she was gonna murder us both.
Yeah. That was actually a really nice Christmas.
- Oh. - Oh, Lydia. This is Tommy.
She's come to stay.
Tommy? As in... your daughter Tommy?
- It's really nice to meet you. - Hi!
Dad's told me you run a hospital and everyone's shit scared of you.
- Has he indeed? - I didn't say that...
His exact words were 'weapons-grade ballbreaker'.
Has he ever told you about the time
he drove a load of dodgy Porsches across Europe?
And he got chased down the Autobahn by the German police?
No, never.
OK. Right.
Well, it's vital I tell you everything.
First I have to nip out for a fag.
Round the front?
Yeah. Yeah.
I don't approve.
Official line.
Ah, gotcha.
That's what makes it fun, though.
Well, she turned out alright.
Amazing, considering.
Considering what?
Oh, you know. Me, basically.
I tried my best to be supportive -- Christmas, birthdays, weekends.
Your basic fun dad.
Big presents, never ever says no.
- Am I warm? - Tropical.
How long's she staying? We can show her around.
Maybe... maybe even go up to Kumarakom this weekend.
I don't know what her plans are.
She might just be passing through.
Well ask her.
I mean, come on, you haven't seen her in years.
Well, we like to keep things, you know, relaxed.
No pressure.
This is the happiest I've seen you in months.
I'll ask her.
In the morning.
I thought I'd go in later this morning
so we can all have breakfast together.
Did you remember to put out the clean towels?
Actually, er...
Looks like she's off already.
Gone up the coast to see her mate. She says thanks for last night.
Oh, Greg...
It's fine.
She never said she was gonna stay.
It was just, you know, nice to catch up.
She really is a lovely girl.
Yeah.
Better open the cafe.
Now you, you better get to work.
I'll crack on with the washing up.
Jyoti, come with me. I need to talk to you now.
That man I saw you with yesterday.
He wasn't your fiance.
A friend of mine.
Despite my youthful appearance, I wasn't born yesterday.
You were kissing him.
What I do and who I see are my affair.
I do not approve of my nurses, engaged or otherwise,
conducting liaisons on the grounds of this hospital.
Do you understand?
I do understand.
If you must know, I was saying goodbye.
Marrying for love is a luxury not all of us can afford.
Not that it's any of your business.
Please excuse me.
Oh, Christ, Palaty. Look at the state of you.
I'm OK.
See!?
I told you I'd find it.
What the hell is that?
Oh!
Oh.
Come on. Come on, man.
Get it all out.
Oh, God, that stinks.
I fail to see what the problem is.
He should be studying, Lydia!
Being a medical student is a serious business.
You remember!
I remember that in my first term I drank more than I thought
was humanly possible and got engaged three times.
Are his grades OK?
Top of the class! If he is telling the truth.
Then let him learn a little about life too.
Life?!
This he knows, Lydia.
Medicine is his weak point!
Lydia!
- Come on, mate. - He actually drank this?
Apparently. I think it's some kind of home brew.
I wouldn't bother you, but I've never seen him so out of it.
That's cause it's not alcohol. Smell.
Sweet. It's coolant.
From an engine maybe?
Ethylene glycol.
Yeah. I found him between the fishing boats.
He must have nicked it off there.
Christ. No wonder he's sick.
So what, he just sleeps it off?
Not if he's really drunk this much. I'll need to do some tests.
Not going to die, is he?
Well, that, I'm afraid, is a distinct possibility.
- Her blood pressure is elevated. - How high?
140/100. And the abdominal pains are back.
- You've checked her urine. - Three pluses.
She's pre-eclamptic. She'll need a section.
Get theatre one prepped.
Dr Varma can help me once he's out of clinic.
Ruby. You know I trust you.
But if she's Dr Fonseca's patient, Lydia was very clear.
Barsha's my sister.
And I want you to prep theatre now.
OK?
Yes, Doctor.
_
What time will she be prepped for theatre?
- Doctor. - Soon.
Doctor.
Doctor, please, Doctor, my heart is racing.
Do you think you can give me something?
Medication isn't good for the baby.
The best thing you can do right now is try and relax.
- But... - Remember how I told you to breath?
Nice and deep?
OK. I'll try. Show me.
Good. That's good.
What else?
It's not helping.
- What else can I do? - Keep breathing. Come on.
Nice and deep.
- That's good. - Dr Walker?
Look, erm, I really need to go.
It won't be long now, I promise. OK?
I found Sister Mari preparing theatre.
Now, she explained the situation to me.
If your sister has early signs of pre-eclampsia,
- we should induce her. - I don't agree.
In the circumstances, an urgent section...
An unnecessary risk. One we don't need to take.
Get ready for an induction. I'll examine her immediately.
Yes, Doctor.
Fine, we can try an induction. I can help.
A situation like this asks for an objective mind.
You trust me, yes?
As a doctor?
Yes, of course.
Then please trust me now.
You need to wait here.
- Sister, let's move her to resus. - Yes, Doctor.
I get him drunk with this?
The alcohol is the only thing that can displace the antifreeze
in his blood.
In layman's terms, he needs to get pissed and stay pissed
for the next twelve hours.
As a barman, that should be child's play.
But this is vintage rum.
It's worth hundreds.
I was saving it for us, for a special occasion.
Well, I think we've found one, don't you?
Have you heard from her yet?
Not yet.
But that's kind of standard.
You raise them to be independent...
Maybe she'll call tomorrow?
Yeah. Maybe she will.
There you go.
Cheers. Your good health.
You're not allowed.
Manisha?
Doctor! Quick.
- Doctor! - What's wrong?
She not... she's not responding!
What happened?
- She's not breathing. - What is it, Doctor?
She's arrested. Put a call out now.
Cardia arrest, bed 4. Lydia!
- Give me some space. - Is she going to be OK?
- Get him out of here now! - She'll be fine, right?
- Hurry up! Quick! - Let Dr Ruby do her work. Come.
I know. I know. She is in good hands.
- Ruby? - Unwitnessed cardiac arrest.
- She's 40 plus 1. - Bleeding?
Not that I can see.
OK, get the wedge in. Give me a line, put the defib on.
OK. Stop.
- No pulse. - Back on the chest.
Any other symptoms? We need to know what caused this.
She was a little short of breath.
I thought she was just anxious.
Could be a PE or amniotic fluid embolism.
We need to get the baby out. Now.
I agree. It's the last chance.
1, 2, 3, 4, 5,
6, 7, 8, 9, 10...
15, 16, 17...
No pulse.
Back on the chest.
- Let's move her? - No, no time.
Clear the ward as best you can.
And then get me gloves and a scalpel.
- Yes, Doctor. - Just make sure I can see.
OK. Clamps.
Scissors.
Right, clamp the cord.
And cut.
All yours.
Continue CPR. Packs, please.
Ready.
More fluid, please.
OK.
OK. One more.
Come on.
OK, stop. That's two minutes.
Pulse check?
Come on
She's breathing.
There she is.
Hey.
Wait, wait, wait.
There's an output.
It's faint, but there's an output.
Thank Christ for that.
OK, we're not out of the woods yet.
We'll get an art line in. Check for gas.
We'll move her to resus once she's stable.
Well done, well done. All of you.
Well done.
Alright. Alright.
Time for another one.
You, sir, are an excellent friend.
Have one yourself. I don't like to drink alone.
And that, sir, is a lie.
But it's one I'm prepared to overlook.
What shall we drink to?
Erm, absent friends.
Yes! To absent friends!
Well, that's the last drop.
Let's hope it does the trick.
Come on, Greg! Sing it with me!
Ch! Bus! Bus!
Yeah, sorry. Sorry about that.
I know, he's drunk.
Doctor?
Your wife is still very sick.
But is she alive?
Yes.
Hey, it's OK.
Sorry, that was in appropriate.
It's fine. Really.
And my son? How is my son?
Your son is a daughter.
And she's doing brilliantly.
My wife gave up everything for me.
Her family, her future, everything.
They say this country is equal but we know the truth.
Now all we have is each other.
She'll be OK, I promise.
I'm forever in your debt.
No. You don't owe me anything.
No. No. No. I owe you everything.
Can I see them?
Yeah, of course.
Hey.
There's someone you should meet.
Less than an hour. Hardly a labour at all.
Your sister has a remarkable pelvis.
You have a nephew.
Say hello to Aunty Ruby.
He looks like you.
Now I see why you love this place.
That's baby brain talking. It's just a hospital.
They need you here. All these people.
We don't.
Thanks.
Actually, no.
Now I see why you love this place.
Better be careful.
My nephew is out of there. I can punch you now!
Did I make it?
Dinesh!
Congratulations.
Go on. Sit.
- Hell of a day. - How is she?
Better.
Intubated. Her pupils are nicely reactive.
So with any luck she should do well.
You spoke to the husband?
Yeah, yeah, he's fine.
But that's not why you're here.
I seem to remember us being in this situation before.
Back then I insisted you stay.
Because you needed certainty.
But not now.
Now you need to make your own choices.
I won't beg you to stay.
Not this time.
Oh. Sorry. Lydia?
He's back with us. Palaty.
How is he?
Can hangovers actually kill?
There we go. That's it. Down here.
See if we can get him down here.
Sit. Turn round.
That's it.
Do we know where he actually lives?
I assumed you did?
Has anyone ever adopted a 50-year-old man
with a hygiene problem?
You mean apart from the one I live with?
Cheeky cow.
Hey, Dad!
It's Tommy!
Tommy!
Hi!
Kush, you OK?
So I told Kush about the booze ban
and he said he could help.
Top man, Kush.
So does this mean you're staying?
Well, you know.
Got nowhere else to go.
Thought maybe I could help out around here a little bit?
If that's OK?
Sounds like an excellent idea.
OK. Drinks, everyone?
On the house!
Sounds good!
Hi.
Hello, stranger.
Why don't we go for a walk?
You know, this is a very hard place to leave.
That is certainly true.
Although for a minute there it looked like you had managed it.
Are you trying to say that you missed me?
Err...
Maybe. Maybe just a little.
So what happens now?
Well, I guess we both just do this.
Right.
As in now?
Yeah, I think so, don't you?
OK.
*CREDITS*