All language subtitles for This is Going to Hurt - 01x07 - Episode 7

I've had another complaint.

And it's a GMC one.
It's going to tribunal.

- Why would Erika complain again?
- She hasn't. It's anonymous.

You think that you are the
cleverest person in the room,

and that makes you
dangerous. You're a liability!

I mean, I guess you are the
one who sent her home early

- and then falsified the notes.
- All right, Judge Judy!

If you ever want to chat about
Harry, you know I'm here for you.

I think I'm actually
designed to be on my own.

I'm sorry. I really did try.

I don't know what she was thinking.

Sorry you've ended up with a twin
room. No room at the inn today.

Better than a bunk bed, I guess.

Yeah
- get four to a room that way!

Sorry! Sorry about the room.

Sorry.

Hey, baby!

I'm so sorry about all this.

He got wasted at the office party.

I'm going to strangle him later.

Make sure you do a thorough job
because they're really busy in A&E.

- That's a nice big contraction now.
- One last big push for me.

You're doing really well.

Stop pushing. Pant.

Yay! Wahey!

Love you!

Love you.

Sir!

Sir! Stop that.

This is not a toilet, you absolute...

Why don't you pop downstairs and
go for a walk for half an hour?

What, you can't squeeze
us in before then?

I'm not running a Pizza Express, sir.

- Who bleeped me?
- Tracy needs an FBS done, love.

Do me an FBS.

- What does FBS mean?
- Foetal blood sample.

Oh.

- Which room?
- Five. Erm...

Are you going to go to
Shruti's thing later?

Well, I was planning to,

but I'm not sure I can
leave all this with a...

PE teacher in scrubs.

Er, Adam, can I ask you a question
about a patient I've just seen?

- Quick, then.
- So... she's 32 and a half years old,

she's 37 weeks pregnant,
generally fit and well.

She has asthma, so sometimes...

Quick's the one when you
get to the fucking point.

- Right. She's got a urine infection, so...
- Yeah, erm...

So, should I give her some antibiotics?

As opposed to what, a healing
crystal and some magic runes?

Absolute waste of organs.

And the award for Boss
of the Year goes to... !

_

Angle the lamp a bit better for me.

Please?

Please.

Remember to file another
complaint about my manners.

I've had weeks of this now, Adam.

- Can you stop being quite so much of a twat.
- Tracy!

No, don't "Tracy" me!
Anyway, the patient's deaf.

And if she wasn't sure,
I'm sure she'd agree

that was a pretty twat-ish thing to say.

I know old habits are hard to change,

but want to try being professional?

What, like you?

Well, that's assuming I
still have a profession

after my hearing tomorrow.

And just so you know,

I'm nipping out to Shruti's
memorial for five minutes, if I can.

What, so you've got time for
her now she's dead, do you?

I'm... sorry. I didn't mean that.

Absolutely sure that
it's me that's the twat?

You do know I can lip-read, right?

Hey.

You coming to the memorial?

Yeah.

- Have fun.
- Hey, give me that.

She'd have wanted you there.

- You sure?
- Of course.

You've got 30 seconds.

Right. So Emma's been getting
this weird pain in her groin.

It only happens if she stands
on one leg, but it's agony.

- What do you reckon?
- Stand on two legs.

I mean, if she's
putting her trousers on.

It's probably just
symphysis pubis dysfunction.

It's nothing to worry
about. See a physio.

- They can give her this special belt thing.
- You're a legend, and...

Time's up! Bye.

Thanks so much to so
many of you for coming.

Christ knows who's looking
after the labour ward.

Better not be me!

We're obviously here to
remember Shruti Akarya

and to unveil this lovely...

... I'm going to say
oak tree in her honour.

So let me hand over, first
of all, to Mr and Mrs Akarya.

- Acharya.
- Acharya.

Thank you, all, for coming.

You know, Shruti loved being a doctor.

But every time she called
us, she would tell us how much

she enjoyed working with you all.

Shruti... brought us huge pride
in everything she achieved.

And it brings us great
joy that she will live on,

not just in our hearts and our minds,

but in this beautiful tree which
will live longer than anyone here.

As Shruti's educational supervisor,

I know first-hand what a committed
and dedicated doctor she was,

as evidenced by her passing
her Part One exam first-time -

something, I might add, I did not do.

Seven driving tests, too, and counting.

Can do a caesarean in
five minutes with one hand,

can't reverse around a bloody corner!

We're all the poorer for her loss.

But depression is cruel,
and in Shruti's case, silent.

While she was...

... clearly doing well at work,

obviously, there were
other forces at play.

In life, like on labour
ward, you never really know

what's around the corner.

- Miss Houghton?
- All right?

I think maybe Shruti wasn't quite
as happy at work as you said.

No? Do you reckon?

Well, what did you want her parents
to hear, that she couldn't hack it?

I mean, like, shouldn't there
be some kind of investigation?

Or are we all just
going to keep pretending

there's nothing wrong with this place?

Sorry, I must be dementing. When
did I say there was nothing wrong?

This hospital's got about three
doctors and a budget of ã12.50.

So, if you want to change it,
become a government minister,

because there is bollocks-all
any of us here can do.

Well, I...

So what do we do now, then?

Well, we all toddle off
back to work, don't we?

And eventually they forget to water
the tree and that dies as well.

I'm so sorry for your loss.

Er... Did you work closely with Shruti?

I...

No, not really, no. Erm...

But she's much missed.

Walk with me, Kay.

So... tomorrow's your
big day at GMC towers?

Yes, yeah. It is, yeah.

I must say, I'm very sorry
you're going through all this.

For what it's worth, I
think it's bloody unfair

- that it has to end like this.
- I'm not sure it's going to end.

Well, you falsified the notes.
Seemed pretty cut-and-dry to me.

I'm not sure anyone really
comes back from that.

No, I wrote what you told me to write,

and then you weaselled back on it.

Well, my lawyer thinks I
stand a fighting chance.

How are you intending to
play things at the tribunal?

Well, hopefully I'll persuade
them that a simple lapse

in my professional judgment
shouldn't need to bring

my future into question.

You're a bloody good doctor, Adam.

We need more doctors like you.

You owe it to yourself, to your
patients, to stay in the game.

If I was in your position, I think
I'd try and realign the narrative

ever so slightly.

I'm not sure that I follow.

Well, you just tell our friends
at the GMC that your colleague,

Dr Acharya, mistakenly told
you that I said it was OK

to send the patient home when,
in fact, she hadn't spoken to me.

She and she alone knocked
over the first domino.

But she... but she didn't do that.

Who's to know?

You're suggesting that I throw her...

... I throw Shruti under the bus?

No-one loses this way.

It's time for pragmatism,
Adam, not emotions -

if you want to keep your job, that is.

I've got a crowbar!

Just me, Mum.

I know it's just you. I've
come to smash up the piano.

Schubert.

You'd never know just from listening.

You all set for tomorrow?

- Yeah, I guess.
- It's just a hiccup. It's a vexatious bit of bureaucracy.

- You are going to shave, right?
- Mm-hm.

Make sure you give a good showing, Adam,

because we've all worked
so hard to get you here.

Oh, "we", is it?

Remind me how many labour
ward shifts you've done.

Oh, just the one visit to a labour ward,

and then an entire lifetime
given up to getting you here.

Not sure I remember ever asking you to.

Quite how you ended up
so rude, I'll never know.

A mystery for the ages.

We are now approaching
Manchester Piccadilly,

where this service terminates.

Yeah, so I just say yes
or no to their questions.

And anything that needs a longer
answer than that, I'll take it.

Am I going to be all right?

Yeah, totally.

Oh, sorry, hang on. What did he say?

- Am I going to be all right?
- Oh, Christ knows.

But... but you know my motto -

never say never.

- I'm going to go to the bathroom.
- OK.

You've got five minutes, Alan.

Just do it.

You treated me like
shit when I was alive.

What does one more time matter?

You weren't doing coke in there?

No.

Adam Kay?

Right, after you. Good luck.

Hope you saved some for us afterwards.

Great. I'm going to get struck
off in a room that looks like

it's used for a speed-awareness course.

Good afternoon. My name
is Tina Sharpehouse,

and I'm the tribunal chair.

This is a fitness to practise
hearing for Adam Richard Kay.

Would you please stand up, Dr Kay?

Still calling me "doctor",
that's a good start.

Do you swear to tell the
truth, the whole truth

and nothing but the truth?

I do.

Please be seated.

On April 16th, at 4.15pm, you
reviewed patient Erika Van Hegan,

25 weeks pregnant and
presenting with a headache.

You discharged her home.

You wrote in the notes that
you had discussed this decision

with your consultant, Mr Nigel Lockhart,

a fact that he denies.

- I'd like to say a few words.
- No, you wouldn't!

There's time for you to say
anything you need to later on.

- You may sit back down.
- On the day in question,

I was working alongside
an SHO colleague...

... called Shruti Acharya.

I did not see that coming.

I mean, if you'd asked me before,
I'd have said you were toast,

but then - bam, out of nowhere
- you come out with that.

I literally can't believe we won.

I can't tell you how much
I needed this, by the way.

My numbers have NOT been good this year.

Good to see you.

- You too.
- Do you want... something?

No, thanks.

How are you?

Yeah, not bad.

That's good.

The couple downstairs have a new baby,

which screams, like, 20 hours a
day, so your timing was pretty good.

You're looking well.

Does that mean fat?

It's her cooking. It's...

You know, the main ingredient is butter.

How is it?

Attached back to Mummy's apron strings?

They're slightly strangling.

But, you know,

when did a bit of light
strangulation ever hurt anyone?

So, I had a good chat
with the estate agents.

They said there's actually
a six-month break clause,

so I can move out in September.

I printed off the form.

You just need to sign at the bottom.

How's work?

Shit.

Shruti?

It's so horrible.

I just keep playing over in my
mind everything I said to her.

Everything I should have said.

Everything I shouldn't. I just...

... I don't understand how it...

Anyway.

I let her down so terribly.

Don't beat yourself up.

I'm sure you were a great boss.

I was a crap boss.

Crap boyfriend. Crap doctor.

Hey, come on.

So, what, I was an amazing boyfriend?

What are you doing Saturday?

A 1OK.

That sounds awful.

Well, there's still a place at
Greg's wedding if you fancy it.

And that's meant to be an upgrade?

Emma's designed the table
decorations. They're terrible.

- Like 4ft foot glass dildos.
- Christ.

Anyway,

would you consider being
my temporary plus-one?

Oh, I don't know. I
don't... I'm not sure.

Special...

... one-night-only cameo appearance?

- Hi, Greg.
- Quick one, sure it's nothing.

Then, maybe don't phone me about it.

Emma just called to say
the baby's not been kicking.

You know, it's normally a right
little Ronaldo, but this morning

it's more of a Ronny Rosenthal.

More homosexual references, please.

Footwork of Bob Fosse,
that kind of thing.

- When did she last feel any movement?
- About 90 minutes ago.

Tell her to drink a
pint of ice-cold water.

Should get it moving.

Bit like chucking a pint of cold
water over Jakesy to wake him up.

Exactly.

Isn't one of the school lot
a recruitment consultant now?

- Yeah, Welly.
- Oh, shit.

- Is anyone else?
- He's amazing at it, amazingly.

He's a bit like the Incredible Hulk,

only it's tequila that sets him off.

Is this about the... ?

Oh, Christ, did you get struck off?

No, no. I did what I had to.

Meaning?

Just wonder if a change of
scenery might be good for me.

OK, look at you!

Look who's here.

My God, Dr Adam!

Oh, my God.

I'm so glad you made it.

Can you believe Misty's going home?

You've got to say hello.

Look who came to see you.

Dr Adam.

I'm just very pleased that everything's

turned out well in the end.

Well, I actually got you something.

Just to say thank you.

I mean, he wouldn't be here without you.

Wow.

"World's best doctor."

- I don't know about that, but...
- You are.

Oh, joint best.

I got one for the lovely
Asian lady doctor, too,

so would you mind passing it on?

Actually, she...

No problem.

- Do you want to hold him?
- Sure.

Yeah?

Yeah!

Cuddles.

Ah, yes!

Look.

You're going to be a surgeon
like Dr Adam when you grow up.

If that's what he really wants to do.

Whatever he does, I'm sure
he'll make you very proud.

Well, I guess being a doctor
isn't everyone's cup of teeth.

Oh, sorry.

- Labour ward, room one, shoulder dystocia.
- I have to...

- That's labour ward, room one, shoulder dystocia.
- Dr Adam...

... Dr Adam, you forgot your present.

Shoulder dystocia are two
words you never want to hear

as an obstetrician.

Baby's head delivers, but
its shoulders get stuck.

All the time this is going on,

baby's brain isn't getting any oxygen.

Five minutes of that, and
it's irreversible damage.

3 minutes 20.

My name is Adam. I'm one of the doctors.

I'm sure your midwife has explained

the baby's head has come
out, but the body is stuck.

I want you to listen to what I ask
you to do, and we'll get baby out.

Get those knees up higher.

Higher, proper McRoberts.

Come on, you need to get him out!

3 minutes 40.

What have you tried?

Woods' Screw Manoeuvre? Posterior arm?

Tracy? Agnieszka? Someone.

Suprapubic pressure,
rotating on all fours.

We couldn't reach the posterior arm.

- You've emptied the bladder?
- Yes.

I'm going to put a hand inside

to help baby out.

Fuck.

- I need the on-call consultant in here now.
- OK.

That's four minutes.

Last resort, seen it once three
years ago. Do one, teach one.

I'm going to have to break your
baby's collarbone to get him out.

He should heal perfectly,
but there is a chance

it can damage a nerve in his arm.

Please don't hurt my baby.

- I don't have any other option.
- Please, please!

- 4 minutes 20.
- My God. My God.

There's one other option. I can
make a cut to divide your pubic bone.

- Never seen it.
- Can we have some time to discuss this?

I've got less than one minute
to get your baby delivered alive.

OK. Cut the bone.

Local anaesthetic, needle,
syringe, catheter, scalpel.

Do you understand what I'm going to do?

You've got this.

Stay nice and calm for me, darling.

Anaesthetic's going in.

OK?

OK, darling. It's OK.

Argh! Ah.

Oh, God.

Is he OK?

Is he OK?

One, 1,000.

Two, 1,000.

Three, 1,000.

Congratulations.

Fuck.

That was close.

You did really well in there, Adam.

I thought I was a menace to society

and a danger to everyone I encounter.

Can you just take a compliment?

I'm not great at it, no.

Can we just go back to
insulting each other?

- Get a haircut.
- Going to have to hit me harder than that.

Fine. Get a boyfriend.

Maybe slightly less hard.

Everything OK?

I thought that baby was going to die...

... right in front of me.

Yeah. Me, too, to be
honest, but, hey, it didn't.

I just didn't know what to do.

- I was useless.
- You weren't useless.

You were actively making things worse.

Not calling me for three
minutes, then just standing there

while all the rest of us...

I'm sorry. I don't mean that.

I was exactly the same
as you at this stage.

Maybe a bit better.

And, yeah, the job can be horrible.

So, you find ways of dealing with it.

Give me your bleep.

Take the rest of the afternoon off.

- Are you sure?
- 100%.

Decompress, phone your mum,
have a wank. Separately.

- Come on.
- Thank you, Adam.

Right, Dad's taking
me to the station now.

Um...

... I'll be late, so don't wait up.

I'd check the invitation.

I imagine it says dress
fancy, not fancy dress.

Ha-ha.

Unless you're entertaining
the kiddies' table.

I get it. You don't like my clothes,

you want me to be more successful,
you wish I was straight.

I just want you to be happy.

I was happy with Harry.

Yes, but, clearly, he wasn't
that happy with you, was he?

What do you know about
being happy anyway?

I know that it's difficult playing
second fiddle to somebody's job.

By the time you've had
children, you're third fiddle.

You're practically sat
back with the cellos.

Not everybody is able to cope with that.

Monica's nephew's a homosexual, too.

There's a lot of it about.

He's a barrister.

We could...

... have them all over for lunch.

Oh, so it's just graphic designers

that you've got a bit of
a thing against, is it?

That was unkind. I'm sorry.

I'm sorry if you think
I've been hard on you.

I don't...

... think you've been hard on me.

Well, in that case, I'm going to
get you some of your father's shoes

because those are
barely fit for gardening.

Would you please be seated?

Ladies and gentlemen, what
a beautiful setting we're in

and what a beautiful reason we're here.

The celebration of love.

In the words of Andrew Lloyd Webber,

"Love, love changes everything."

I'd go one further.

Love IS everything.

It completes us.

It fulfils us.

It makes the half whole.

Well, hello.

- Ah, hello.
- Hello, Emma.

Room for a little one?

Congratulations, Emma. The table
decorations look really amazing.

Oh, they really do, don't they?

Is Harry in the bathroom?

No, he... he...

... he didn't make it.

I thought that he...

... but, yeah, it was
a no-show, I'm afraid.

Oh, Adam.

- That's awful.
- Honestly, I'm having a lovely time on my own.

We've got a reserve list of 20.

My cousin Harriet's fiancée
couldn't have a place.

They're actually IN a relationship.

Sorry.

How are you?

- I'm fine.
- Yeah?

Um...

... would you mind if we go
somewhere private quickly?

If this is about money,
can you speak to Gregory?

It's not about money.

- No?
- Can we try out here?

Excuse me.

Just here.

I just wanted to give you this.

Oh, is this a vibrator?

- It's not funny.
- No, no, no.

It's a sonic aid, like
in an antenatal clinic.

I just thought the last few
weeks might be easier if, um...

Anyway. Well, I'll show you.

- So, you press this.
- Mm-hm.

And, yeah, if you lift up your...

- Oh.
- Pop this...

... there.

Hold on.

Shit, sorry. I think it might be dead.

What?

- No, the battery. The battery.
- Oh.

Sorry, I just...

Oh, no, that's on. OK.

Right.

Oh!

Oh.

Listen.

Now, you can hear
Baby whenever you want.

Incredible.

Thank you so much.

Best wedding gift, bar none.

Well, until the main present
arrives in a few weeks.

Of course. When are you due?

Oh, no, I meant the Maserati from Greg.

Yeah.

It's got held up in Bologna.

- Long story.
- Hm.

Shall we have a photo?

No, no, no, I'm all right. Oh.

- Oh.
- You have to look into the...

Quite fast. Is... ?

- Yay!
- Oh.

OK. Yeah.

I am sorry Harry couldn't make it.

I hope you can still enjoy the day.

I'm really happy for you, Greg.

Ah.

- Well, that was almost convincing.
- I mean it.

Love is a very precious thing.

All right, Richard Curtis.

I'm sorry that Harry bailed.

But that does mean that
I can set you up with Ayo.

He works in derivatives,
and he's got a jawline

- you could cut tiles with.
- I'm fine.

Thank you.

Anyway, that would never work. Ayo Kay?!

Gregorio!

Ladam!

- Now, when am I up?
- Probably next...

- ... ten mins?
- Ah.

Right, shall we?

Oh, did you guys get a chance
to chat about work stuff yet?

Yeah, you got any jobs
for washed-up doctors?

Every day of the week, mate.

I must have placed, like, three
ex-doctors into proper, grown-up,

Minimum hours, maximum dosh.

Dream scenario. Really?

Totalmente.

I mean, think of all those
transferable skills you've got.

Pulling babies out of vaginas?

Uno, problem solving.

Duo, time management.

Tru-o, empathy.

Yeah, well, that's
two out of three, then.

Ladies and gentlemen,

if you could please take your seats

as the evening speeches
are about to commence.

Just call the office, and
we'll fix a meeting, yeah? Boom.

Ding-dong, the legend's
here. Hello, everybody.

My name is Welly, AKA
the well of all knowledge,

and I am the best man
to young Greg, here.

Now, a lot of people worry,
naturally, that marriage

is the biggest mistake
they'll ever make.

Not our Greg, though,
because on his gap year,

he lost his virginity to a prostitute

who looked like Pavarotti.

Only cost him three tenors.

That was genius.

So sorry I'm late.

Isn't that MY line?

Did you know there's
more than one Farmborough?

- Yes.
- And they're not close.

Look, I tried to text,
but I ran out of credit.

I don't care.

I'm just...

... glad you're here.

- How much have I missed?
- Um...

... not enough. Come on.

Isn't the wedding where all those
people with dinner jackets are?

Exactly.

Come on.

"In lieu of wedding favours,
we have made a donation

of ã50 per person to Chipping
Norton Donkey Sanctuary."

I hate donkeys.

- Can I get the 50 quid for myself?
- How can you hate babies?

- You what?
- Baby horses.

No, donkeys are not baby horses.

Well, what are they, then?

Donkeys.

Oh.

Well, I... I grew up in London.

- I... they... we didn't have any...
- Schools?

What would your ideal wedding be?

Oh.

All right, OK, um...

... free booze, loads of people,
like, everyone in my contacts list...

Estate agent.

HSBC.

Yeah, they love a party.

Um...

... massive curry, no speeches,

karaoke,

and a kebab at 3am.

It sounds nice.

Hm. We've finished it.

You can't do that.

Don't worry. I'll go and get it.

- Woo!
- What are you doing?

Woo! Come on, Grandad.

Jesus!

Oh, this is cold.

Oh, God.

Oh, oh, oh, oh.

It's fresh.

Go on, then.

What would your ideal wedding be?

Heated lake.

- Obviously.
- Obviously.

And otherwise, the same as yours.

Because I'd be marrying you.

Adam...

Tell me we weren't good together.

We were good, but we
were also quite bad.

But the bad stuff was...

... that was all to do with my job.

You know, medicine is not good for me.

It's, um...

... it's ruined my life.

And it destroyed us.

I don't think it was...

... that simple.

- I'd like to say a few words.
- Dr Kay, you may sit back down.

On the day in question,

I was working alongside an SHO colleague

called Shruti Acharya.

Dr Kay...

She asked me to review
the patient in triage,

and then she assisted
me with the caesarean.

Dr Acharya has since...

Dr Acharya has since taken her own life.

On the morning she died,

Shruti found out she'd passed her
Obs and Gynae membership exams,

exams she worked
ridiculously hard for...

... on top of the 90-hour weeks,

on top of this complaint.

But she didn't see this as a success.

The idea of carrying on
working in a broken system

under shoddy conditions didn't
feel like any kind of future.

She was a great doctor.

Kind, focused, determined.

And it was still too much for her.

It's too much for anyone.

I mean, you saw what it...

... what it turned me into.

I don't know if I can do it any more.

Don't leave medicine for me.

One doctor,

in this country, takes their own life

every three weeks.

And it should be a national fucking
headline every time it happens,

and instead it's just
brushed under the carpet.

Doctors, nurses, midwives,
pharmacists, physios,

a million and a half of them...

... they don't do this for the money,

for the kudos, for the anything.

They do it because they care.

Day in, day out, going the extra mile

to keep the rest of us on the road.

That's a pretty fucking special thing.

And you could do yourselves a favour
to remember that once in a while.

You know, I...

... I really miss you.

I know.

This is the bit where you
say that you miss me, too.

Yeah, I do.

Well, if you miss me, then...

... let's just... let's...

Why don't we give it another go?

A proper go.

When you get all of me.

But it's what you do.

Being a doctor, it's who you are.

Put your hand on your heart,

and tell me you want
to give all that up.

I don't think I can.

It's OK.

It's OK.

Call an ambulance!

Can't call an ambulance at a hospital.

Get someone, then!

Hello.

I'm Adam. I'm one of the doctors.

- What kind of a doctor?
- Doesn't matter what kind!

Right, hello.

Baby's just sitting
there, ready to come out.

Probably best if we
finish what you've started.

Next contraction, give
me a nice big push.

Have you got anything
to put down on the seats?

Oh, is that ever going to
come out of the upholstery?

Honestly, Tim!

Shoelaces.

You're doing so well.
Nearly there. Nearly there.

Push, push. Push, push, push!

Here we go.

Congratulations.

Oh!

Laces.

Something to cut the cord?

Hi.

What do we do now?

I think you have to
feed it for a few years,

let it live in your house,
and then send it to school.

Right, labour ward's on the second floor

of that building there. Um...

... just give me a minute,
and I'll get you up there.

Thank you so much, Dr...

Adam's a good name.

Oh.

- _
- For fuck's sake.

- Synced and corrected by chamallow -
- www.addic7ed.com -