01x06 - Episode 06

Episode transcripts for the TV show "The Good Karma Hospital". Aired: February 5, 2017 to present.*
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"The Good Karma Hospital" is about a junior doctor, who becomes disillusioned with her life and broken relationship, decides to leave the UK. She travels to South India hoping to make a fresh start and finds herself working at an under-resourced and over-worked cottage hospital run.
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01x06 - Episode 06

Post by bunniefuu »

Hey!

What do you do
when you run out of pans?

I have no idea. I mean, it's
never actually rained before.

- Where you going?
- If we're gonna build an ark

I need to get started.
And you, you need to find what?

Two of each kind of animal.
Meet me back here in 20 minutes.

Er... No. That's impossible.

All right. Well, 30,
and no more. Emergency.

- It's stopped.
- Thank you, Captain Obvious.

Ha-ha!

I have to go to work.

You better get building,
there's a monsoon coming.

Wait.

- What?
- You know...

you know how you're always
right about everything?

Keep talking.

You were right about us.

About all this...

This is what we need.

We never had...
had time for each other before.

- Which was my fault.
- No, no.

We weren't broken.

We were just stuck...in a rut.
But both of us.

And you had the balls
to up and leave.

I seem to remember
you dumping me.

- Because I'm an idiot.
- Yes.

And I thought
you might back down.

- Not disappear to India.
- Sorry to disappoint you.

No! I get it.

It is amazing here.

Let's take off.
Let's hit the road.

- And go where.
- Well, I don't know.

- Let's get lost together.
- And then?

Who knows?

But let's see.

I have to go.

- Will you think about it?
- I'll think about it.

Seriously?

I'll think about it.

You can drop me here.

I can take you to
the front door. It's no trouble.

Lydia.

Tell me again why we aren't
doing this for real?

I've got work to do.

What time do you call this?

For God's sake! You want
to give me heart att*ck?

There's no inheritance
if that's what you're thinking.

You didn't come home last night.
I was worried.

Where I go at night
is my own business.

Ms Pradeep...
is very nice company.

A most stimulating woman.

What if she
is just after your money?

So it is about
the inheritance!

Come on, look all around you.

Is this what you call
Mumbai luxury?

There you are.

At my age one never knows
when the rain will come.

And by rain, I mean death.

OK. Order of service.

Dr Varma - minor ops list.

Dr Nair
has his follow-up clinic.

Dr Walker
will deal with casualty.

Any questions?

Then let's get on with it.

Dr Walker?
A moment of your time, please?

I called about our nun.
She's recovering very well.

I'm glad. She was lucky.

- Is that all?
- Not quite.

I understand you have
a guest staying with you?

A friend from England.
He arrived unexpectedly.

I see.

Hospital accommodation
is for staff only,

Dr Walker.

I was considering
taking some leave.

OK, yeah.
A day or two is fine.

Just make sure
your clinics are covered.

Actually, we were planning
on a couple of weeks.

- Maybe more.
- You have a job here.

A potential career.

I'd advise against
wasting your time

with a rucksack
and a guidebook.

No matter who asks you.

I think that's for me to decide,
don't you?

Fine, Dr Walker. If you wish
to leave, just leave. Today.

I need committed doctors,
not dilettantes.

Like I told you, my patients
are not dinner party stories.

Sorry!

- Going somewhere?
- Home.

How's Maggie?

Not good.

I mean...

I didn't think
it was gonna be this quick.

Sorry.

Hey, don't be daft.

I don't know what I'm gonna do.

Don't...don't wish it away?

Whatever you've got.

I just came to say,
thanks, you know, for...

Well, for everything. It helped.

I served cold beer
and bad cocktails.

Exactly!

Look after yourself.

Unbelievable!
How many is that now?

Good doctors who left us

because they couldn't stand
your craziness!

I'll tell you. Six. Six!

- You're exaggerating.
- Shall I name them?

When we find the right people,
they stay.

- Dr Varma, for example.
- Dr Varma!

I don't know what's going on
inside his head.

I admit he's a great physician,

but self-imposed exile
is not a retention strategy!

We need Dr Walker.
Better apologise.

No! If she wants to leave,
best do it now.

Why waste energy on someone
with no intention of staying?

Lydia, I'm asking her
to reconsider.

Dr Walker
is an excellent clinician

and you better damn well hope
I can make her change her mind.

Aargh-argh!
Aargh-aargh-aargh.

This happens every year. Argh!

My joints seize
as if they're filled with rust.

And it rains.
Better than a weatherman.

Well, you certainly have
some arthritis there.

I can prescribe
anti-inflammatory medication.

No need. No need, Doctor.
I just need my usual injection.

Which is?

Which is, what Dr Fonseca
used to give me.

Today I am an old man,

the next I can skip
to Mumbai and back.

Sometimes steroids can help,

but there's nothing in your
record about an injection.

Dr Fonseca will know.

Just tell her Hitesh is here
with both his knees.

Dr Walker. A moment?

Hello, sir.
Hey, why don't you ask him?

Just one second.

You know Lydia.

She's impulsive. She reacts.

But at heart
she's a good person.

But she sends you
to apologise for her?

I'm here because I want

what is the best
for this hospital.

Despite appearances
I'm still officially in charge.

My friend,
the one who's visiting me...

That shouldn't be a problem,
whatever Lydia says.

- Exceptions can always be made.
- No, er... No, it's erm...

It's not that.

He's the reason why I came
out here in the first place.

Not the whole reason.

We broke up.

Neither interesting
nor original.

And now he is here.

Yeah.

Where the heart leads...
the mind can but follow.

I hope you find
what you're looking for.

Thank you.

Dr Nair?

My erm...my patient - Hitesh.

He says he always gets
an injection for his knees?

But I can't find anything
in the notes.

Salt water. Normal saline.

She gives it to him every year.
5 mils in the right buttock.

But make sure
you hurt him a little.

You know,
when you're giving a placebo

a little bit of pain
goes a long way.

Christ.

- Hiya.
- What are you doing here?

Thought I'd come
and have a look for myself.

This is just mad.

It kind of makes sense.
Once you get used to it.

Hey. This is Gabriel.

Dr Varma. We've been
working together.

Hi. Marcus.

Marcus is a friend of mine.
From England.

Of course.
It's nice to meet you.

- I've heard a lot about you.
- Excuse me.

Er...Dr Varma.
There's someone to see you.

About Mrs Smart?
She's quite insistent.

Excuse me.

- Don't think he likes me.
- I'm not sure he likes anyone.

Maybe he just fancies you.
I would.

Come on.

Actually, I'm...
I'm glad you're here.

I've thought about it.
What you said.

OK.

And?

And I wanna do it.

Leave this place.
And then see India.

- With you.
- Seriously?

Yeah.

It's OK.

I am afraid your mother's
condition has deteriorated

quite significantly
in the last few days.

I see.

And Mrs Kamal is due
her blood test tomorrow.

- That's it.
- Don't worry.

I can take care of it.

He's very handsome.?

I think so.

Hey, I'm gonna miss you.

They are fools to let you go.
All of them.

No! Not there.

Outpatients! Come!

Come with me.

- You OK?
- Yeah. Let's do this.

Good.

Right,
everything's been arranged.

The emergency evacuation team
are on their way.

They'll be here
in a couple of hours.

All you need to do is to
care for her until they arrive.

Dr Varma has done everything...

- Dad!
...possible.

I'm sure Dr Varma's doing his
best given the circumstances.

That's it. Is everything clear?

No. It's always been
my understanding

that your mother
wanted to stay here.

My mother might want to dance to
quickstep with Fred Astaire,

but what she needs
is expert medical help.

Now, look, I don't blame you.

Or this hospital
for what's happened.

She's been hiding it from
all of us for such a long time.

I've been fully aware of
Maggie's diagnosis.

She told me
at the wedding reception.

Excuse me?

You're telling me
that you knew about this?

Dad?

Yes, immediately.
I'm short-staffed as it is.

Fine. Fine.

Just let me know the minute
someone becomes available.

Is it you who's in charge here?

Apparently.

Good!

Perhaps you can explain to me
exactly what's been going on.

So, um...
where exactly are we going?

Er...that way.

At least you've got a plan.

Doctor!

Dr Ruby!

- Is that a friend of yours?
- Vijay.

He's one of my patients.
We go back a long way.

Erm... You're joking,
we'll get the next one.

We're on holiday, remember?

I should have been told.

My patient has a right
to confidentiality.

- Your patient is my mother.
- OK, OK.

I have only recently been made
aware of this situation.

Then maybe you need
to supervise your staff.

And while the circumstances
are unusual,

it's clear your mother expressed
a wish to remain here.

Now, if that has changed,
Dr Varma,

then we must respect
that choice too.

She's too sick
to make this choice.

But her previous wishes were
to remain here to the end.

It's my mother lying there.
She's critically ill.

She needs help.

And she has it.

In a real hospital.

Not some place
in the back of beyond,

being treated by a doctor
who clearly has a God complex!

Mrs Smart has
a severe chest infection.

She is not fit to be
transferred, let alone to fly.

I think I should be
the judge of that.

Take a deep breath for me,
if you can.

Deep breath, love.

Thank you.

I don't think it'll be long now.

I know.

Do you want to go home?

Please.

Just where is that these days?

Tell me.

How long have you lived here?

Long enough to know
where I belong.

Snap.

Maggie has pneumonia.
Her oxygen levels are low.

So a flight now would be
extremely dangerous.

But not impossible?

Your mother is dying, Debbie.

As doctors, we can help her
do it with grace and dignity

or we can make her suffer
right through to the end.

I know which I would prefer.

Well, it's not your decision.

We're her family.
It's down to us.

I'm afraid you're wrong.

My duty is to act in
my patient's best interests.

So I'm sorry,
but I won't release her.

Not like this.

She's made her wishes
perfectly clear.

And yet her daughter informs me
that Mrs Smart

has already agreed
to medical evacuation?

And these things are possible
with proper critical care.

But brutal and undignified.

Exactly! We have a duty to her,
not to her family.

And I have a duty
to the hospital.

We can't afford lawyers.

Each complaint costs us
money we don't have.

I've already made my decision.

And I'm going to overrule it,
for once.

She goes back to England.

I'll sign the form myself,
if necessary.

What's up?

Christ.

She's a doctor from
the Good Karma.

Stop! Enough!

- Has anyone called for help?
- Yes, yes.

Good. I need to see
everyone who's injured.

One at a time.
Everyone will be helped.

OK?

Good.

Yes?

There's been a crash.

The bus to Kochi is on its side.

There are at least
three other vehicles involved.

Multiple casualties.
The bulk will come here.

Get theatre ready. Make sure
resus is fully equipped.

Then we need casualty cleared
completely.

The same goes for the wards.
Anyone who can leaves now.

Dr Varma
will lead the field team.

Dr Fonseca,
I thought you should know.

I spoke to Dr Walker
before she left.

Ruby was heading to Kochi.

- Have we heard from her?
- No.

Dr Varma?

Whatever the situation,
strict triage applies.

The sickest come first,
no exceptions.

Can you tell me where it hurts?

I need your scarf.

This is only gonna hurt
for a second, OK?

- Argh!
- Ruby?

I need something to use as
a splint and to secure it with.

I need some traction.

Come on.

It's all right, I've got it.
Go on.

Hey. Here.

- Where's Vijay?
- I don't know.

He was with me. Vijay!

I'm gonna find him, all right?
Just stay here, OK?

Vijay?

Vijay?

Hey, Vijay?

Vijay?

God.

Vijay, no. No, no, no.

Hey.

Vijay?

Mummy!

Cover him up.

You OK?

Yeah. Yeah. Go, go.

- How many on the bus?
- I don't know, too many.

Dr Walker?

Ruby?

Yeah, she's fine. In the bus.

He's trapped.

It's serious. Tachycardia,
likely severe chest injury.

Possible abdominal trauma.
Give me your stethoscope.

OK.

Come on, Vijay.

- Well?
- No air on the left.

- Blood or a tension.
- Decompress it.

- Field thoracotomy.
- Here?

If it's a haemothorax,
he'll bleed out and die.

If it's a tension, he'll arrest.
We have no choice.

Deeper. Sweep with a finger.

Make sure it stays open.

- Aargh!
- He's trapped.

We need to get him to hospital -
it's critical.

Vijay! Vijay!

The theatre's ready.
Anything?

Not yet.

What now?

We wait.

OK, pull him when I tell you,
right?

Yeah.

Pull. Try now.

No, no good.

Right, now.

Go on. Don't stop.
Keep pulling.

Come on.

OK. OK, I've got him.


OK. OK.

Vijay Kholi, seven years old.

Roll over RTC with chest
and abdominal trauma.

Left sided thoracotomy for
a tension pneumothorax.

Unstable, likely internal
haemorrhage.

- Let's get him to theatre.
- I can assist.

Not like this. He needs steady
hands and cool heads.

There are patients on the way
who need your help, Dr Walker.

How's he doing?

Stable enough.

A splenic injury. A moment's
delay and he would have d*ed.

I agree. Too far gone.

Total splenectomy.

I heard she pulled him
out of the wreck.

You're going to tell me
to apologise to her.

They say it is the hardest word.

But then you always did
love a challenge.

They need the bed, Dad.
Come on, it's time to go.

Flight's at 8:30pm.

All we have to do is
check in separately

and then we just board the
flight a few minutes earlier.

No.

What?

No. She's not going.

Come on, Dad, don't be
ridiculous. It's all arranged.

We're going home.

Yes, that's what I'm talking
about, taking my mum home.

No, it's here.
She wants to stay here.

It's what she wanted
from the start.

If we can get Mum back to
England, they can help her!

- I spoke to the specialist.
- No!

That's it, is it? Just no?

You bugger off to the other side
of the world

and I get a phone call,
a bloody phone call, Dad!

Saying, "Hello, how are you?
The weather's nice.

People are friendly. Your mum's
got an incurable brain tumour!"

Because she knew
what would happen.

That the world and his wife
would descend

and there'd be
more doctors and tests

and yet more tests
for God knows what reason.

Because she knew she was dying
and she wanted to live.

Even if it was
just for a month or two.

She just wanted to live.

So you decided it was better
to just shut me out?

Best she doesn't know?

You spring it on all of us

and I'm just supposed to be
all right with that?

That wasn't my idea.
That was your mother's choice.

- She loves you, but...
- But what, Dad?

I mean... I'm her daughter.

There isn't supposed
to be a "but".

She just didn't want this.

Or me.

No.

Wait!

- When will they tell me?
- As soon as they know.

He's in good hands, I promise.

Now sit still.

As I suspected,
it's fractured in two places.

But we can fix it. I'll arrange
a transfer as soon as possible.

Excuse me. Dr Fonseca?

Ruptured spleen,
rib fractures, lung contusion.

All treatable.
He should do very well.

Thank you.

It's us who should be
thanking you.

- How are the others doing?
- Fine. Under control.

I'd expect nothing less.

Well?

- Well, what?
- I thought you were going?

I can't imagine anyone wanting
to walk away from all this.

Not if they love it like I do.

Not if you feel it here.

Why don't you ask him to stay -
on your terms?

See what he says,
then come and find me.

They've gone.

He's taken her to the beach.

I just came back to get this.

Do you want me
to take you there?

They've made their decision.

My flight leaves in an hour.

Wait, please.

Don't leave.

Not like this.

I tried to do
what I thought was right.

Clearly, it wasn't.
I know when I'm not wanted.

I think you're making a mistake.
Your mother loves it here.

And a good life
deserves a good death.

That's all she wants.

And I just...
I tried to help her.

- Hey.
- Hey.

I've never really seen you work.

Even after
all these years together, I...

..I never really got it.

Snap.

We make one hell of a team.

Don't we.

I...

I don't want to leave this.

Being a doctor.

Real people, a real job...

I was right all along.

This is all I ever wanted.

Sure.

It's great experience.
I mean, it's six months, a year.

That's not
what I'm talking about.

I don't want to go home.

Not now.

Maybe not ever.

OK.

But we could stay.

Both of us.

In India?

I love you.

Then stay. Here.

With me.
This could be our life.

It's not that easy.

But it should be.

Don't you see?

If it isn't, then what the hell
are we both doing?

Hello.

Are you alone?

Putting the kettle on.

I never did
get to see my turtle.

You know they come back here
every year?

Lay their eggs on this beach.

Nowhere else will do.

I've seen them.

Stubborn little buggers,
they are.

When they decide
the time is right...

..there's nothing on earth
will change their mind.

Thank you, Dr Varma.

Thank you
for everything you've done.

Please...just call me Gabriel.

Goodbye, Gabriel.

Namaste, Maggie.

Namaste...Gabriel.

Look.

And another.

They're home.

They're all going home.

Well?

You were right.

I'm sorry.

Are you?

"A man you don't love's like a
sticking plaster you don't need.

Just rip it off."

Thing is...I did love him.

Past tense?

I don't think it's that simple.

These things rarely are.

You were right about that girl.
The nun.

I was wrong.

If she'd d*ed,
I'd never have forgiven myself.

I am sorry.

Thank you.

You're a good doctor, Ruby.

I can make you into
an excellent one.

If that's what you want.

- You called me Ruby.
- A moment of weakness.

Well?

I think it is.

- Ladies?
- Pina Colada?

- You're learning.
- Two, please.

Your wish is my command.

- Today was a nasty one.
- Cheers.

- Cheers.
- Yeah.

One can never say
when the rains will come.

You do understand that,
don't you?

Come join us.

Don't make me insist.

Come.

Hi.

Hi.

Sorry, but that is disgusting.

You see, the clue is in
this little umbrella.

Beer, please.

So, is your...
Is your friend er...joining us?

He's going home.

And you?

I think I'm already there.

- Can I ask you something?
- You just did.

Why do you stay with me?

I mean, there must be loads of
available women out there

for a handsome devil like you,
so why me?

- No comment.
- I'm serious. Why?

Because, Dr Fonseca...
nothing compares.

You are my one and only.

I was born to love you.

Are you quoting song titles?

Possibly.

I'm not ashamed of you.

I think you are.

In fact,
shame is my secret w*apon.

I'm sexual chocolate.

Every woman's guilty pleasure.

The love that dare not
speak its name.

That name is Greg.

OK. Cut the music.

- Why?
- Just do it.

Excuse me, everybody!

Excuse me!

I've got an announcement
to make!

Right...

I just want everyone to know...

..that I am in a relationship
with this man.

In fact, we have been sleeping
together for nearly three years.

And he is, objectively...

..the best I've ever had...

..although his personal hygiene
leaves a lot to be desired.

That's it.

Thank you.

Happy now?

Surprised.

In a good way.

So what happens now?

Nothing at all.

In a good way.

You're amazing.

I think that was brave.

Even if you and Greg are
the worst-kept secret in Barco.

I just realised.

I never really said thank you.

For what?

For not letting me leave.

Me?

Had nothing to do with me.

You were always meant
to be here.

Karma, right?

Something like that.
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