03x04 - Episode 4

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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03x04 - Episode 4

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- Hey.
- Welcome home.

Hey. Long time.

- Long time.
- Yes.

Good to see you.

- Hello.
- Hello.

In summary, my recommendation
for the patient

is a follow-up appointment
after one year.

Correction.
After six months.

Correction.
After nine months.

Final answer.

Dad.

AJ?!

What is this?

I got an earlier train.

If they sent you down
from the University,

you must tell me
straight up.

We -- we --
we can deal with it.

I don't know quite how,
but most definitely --

Exam results.

End of term.

Are these yours?

What are you,
top of the class?

Second top.

There's this girl
called Dinesha who --

Wonderful!

This is wonderful.
My boy is a genius.

- Yes.
- And for years,

so well hidden!

So tell me,

what are your plans
for the holidays?

Well, I was hoping to kick back
at Greg's bar for a bit,

do a little bit of reading.

I met this beautiful girl
at Med school.

Absolutely no way.

Lydia!

- Lydia?
- Lydia!

Lydia?

Dad! Dad!

Hey?

Pranji?

You can't sleep here.

Get up.

Pranji, wake up.

Our Father
who art in heaven,

hallowed be thy name.

My God, your burning up!

Help!

Doctor! We need a doctor!

Help!

Father Gibson, come fast!

Come. Sit.

As you can see,
our prodigal has returned

from the bright lights
of Mumbai.

And it's lovely
to have you back.

Now, Dr. Nair Senior tells me

that you have absolutely
insisted on helping out here

during your holidays.

Wouldn't take no for an answer,
apparently?

That's correct.

Try and stop me.

Dr. Ray.

Hi, I'm AJ.

It's a pleasure to meet you.

It's funny.
I feel like I know you already.

Dr. Nair speaks of little else.

In fact, I understand
you are top of your year?

Second top.

There's this girl
called Dinesha.

Today is Jyoti's
skin-grafting procedure.

I shall be assisting Dr. Ray
in theater later this morning.

And I'd like Dr. Varma to help,
if that's okay with you?

Yeah.
I think I can spare him.

So Dr. Walker can take care of
the outstanding home visits.

- Again?
- I thought you enjoyed

scooting around the place
on your little motorbike?

- I do. It's just --
- Good.

I've had a call
from the mission at Amuroor.

Possible dengue.

They need a doctor to attend,

so you can add that
to your list.

Dr. Fonseca,

I'd like to assist
on theater, too?

It's the direction
I want to take,

so some extra experience
would be welcome.

Which is why
I'm assigning you

to the mother-and-baby clinic
with Sister Mari.

What better way to demonstrate

your commitment
to the profession

than a day spent dealing with
a hundred screaming babies?

Here here.

Invaluable.

It's okay.

Here you go.

What's wrong?

There you go.

I brought you these.

They were the only thing
that kept me sane.

Don't worry.
I've washed them.

Have fun.

Excuse me.

We're waiting for you.

Amuroor isn't far.

Have you been before?

Map. I'll find it.

Don't you have
some kind of operation

to be getting on with?

Assisting Aisha
wasn't my idea.

- Did I say it was?
- It's an important procedure.

Yeah, I know.

But you're still annoyed?

Not annoyed,
just running late.

There's, you know,
a big difference.

Okay.

I'll see you later, okay?.

Sure.

Good morning!

- Namaste.
- Your other man.

Should I be jealous?

Yeah, absolutely.

He's in very high demand,
you know.

So I see.

Ruby, my dear,

I don't quite know
how to say this.

But I have
some very bad news.

She's dead.

I'm so sorry.

It must have been quite a shock.

Or perhaps I was naive
not to anticipate it?

Life does not stand still,
Dr. Fonseca.

So that's why we're here.

The village Ted grew up in
is only a mile or so

from the mission at Amuroor
where I'm going.

So I thought, perhaps,
I could take him there today,

just to visit the place
where they first met.

A bit of
a walk down memory lane.

Which I insisted was a totally
inappropriate imposition

under the circumstances.

Yet, I imagine
she absolutely refused

to take no for an answer?

It would mean a lot to me
to see the place again.

Take the Sunbeam.

What?

A senior officer
needs a decent staff car,

and your motorbike
is a death trap.

- Are you sure?
- I must be mellowing.

Or the heat's
finally getting to me.

Thank you.
I'll look after here.

You better.

My God!

I haven't been in one of these
for years.

I remember dear old Si Crockett
totaling his on the A39.

Although,
he was a terrible driver.

What happened to him?

Became a t*nk Commander.

Allowed him to simply
go over things.

Let's go before Lydia
changes her mind.

This is very good of you.

No problem at all.

The two villages
are really close.

Well,
my one is easy to spot.

It has a big pink church
in the middle.

Look familiar?

I suppose these villages
can change a lot in 50 years?

There was a well
in the center,

and a tree where Dina
and I used to sit.

This one.

Maybe they cut it down?

Maybe I'm really losing
my damn marbles!

Bloody dr*gs they have me on.

You can't tell what's real
or a dream or --

Damn it!

Let's take a walk,
see if you recognize anything?

No. No. No.

I'm just wasting
your precious time.

You have a proper job
to be getting on with.

- I don't mind.
- Well, I mind.

It's ridiculous.

Can we leave, please?

So, today we will remove
the temporary covering

and complete the first
permanent split skin graft.

It'll take about 90 minutes.

We will take skin
from the fat around here

and graft it to the wound.

Dr. Varma and Dr. Fonseca
will assist me.

I understand.
Thank you.

I have made some sketches so
that things are clearer for you?

It's fine, really.

I trust you.

I wish all our patients had
such faith in our abilities.

I've seen what good doctors
can do.

Okay, well if you'd just
like to sign there,

and then Dr. Ray
can work her magic.

Okay, then we'll
get on with it.

Are you sure
there's nothing else

you wish to discuss
with Dr. Ray?

Recovery time
or complications?

- I just want my life back.
- Of course.

I understand.

Okay.

I'm sorry, Ted.

I should never have
dragged you there.

Just a quick house call,
and I'll take you home.

I would appreciate that.

Do you want to wait here?

- Ted?
- Doctor?

Hello. Father Gibson.

Hi. It's just this way.

One of our parishioners

found him in the church
this morning.

Pranji's been begging
in the village for years.

Most people give him
a rupee or two

when he comes to the orphanage
every Sunday for a proper meal.

Whosoever
is generous to the poor

lends to the Lord,

and he will repay him
for his deed.

Proverbs 19, Verse 17

Believe me,
I'm banking on it.

I hoped that he'd recover with
a little bit of food and water,

but he just seems
to be getting worse.

I can't tell without
doing some tests.

But he looks septic.

Tachycardic.

Would his be
of some use to you?

I may be
as old as Methuselah,

but I still have
some utility.

Never in doubt.

Check his temperature for me?

Yes, ma'am.

Okay.

All right.

Hey, come on.

They're certainly
full of energy.

Holy terrors all of them.

If I didn't love them,
I'd k*ll them.

Seriously.

I guess you and your husband
must have your hands full?

My husband Sachin

he runs off to work
every morning.

As if this isn't work?

It's all his fault.

Too damn fertile.

And it's not we're always
having hot sex.

Believe me, what you see here,

is almost a 100% hit rate.

No problems.
Perfect health.

So we can we leave?

I have an appointment
and I cannot be late.

Nearly there.

I just need to check
the height and weight.

Then hurry up.
They're getting bored.

Five more minutes,
and they'll really kick off.

Okay. Shh.

Is she always this
arrogant?

What? Lydia?

I think she would see it
as confidence.

And you just accept it?

Lydia is Lydia.

You either go with her,
or you leave.

So there's not even
a tiny battle?

What have you done
with the real Dr. Varma?

These days, I only fight
when I know I can win.

I think I preferred
the original version.

Passionate and committed.

And look where that got me.

The joys of
21st century travel.

Now for the price
of a one-way ticket,

you can stare at your phone
in every corner of the globe.

- And your point is?
- Look up.

Life's happening all around you.

Sun, sand, sea, sex...

- Sex?
- Yeah, over there.

German couple.
Really going at it.

That's funny.

You know, you've been
a right grumpy cow nowadays.

And Lydia's noticed,
you know that?

She get in your face?

I just think you should
treat people

with a little more respect.

Especially the ones

I'm in a committed
sexual partnership with.

- Okay, dad.
- Hey. We're you going?

I thought we were gonna
open up together?

Yeah I'm sick.
I wanna go back to bed.

Sorry.

His temperature's over 40,
so it's definitely an infection.

It could be dengue fever.

We'll have to admit him.

- I'll call the ambulance.
- Yeah, problem.

Despite our constant prayers
to a higher power,

the signal here
still remains very poor.

- There's a phone in my office.
- Thanks.

Poor chap.

You say that he's been here
for years?

Everybody knows Pranji.

Asks for little.

Everything he owns
is in his cart.

The simple life.

Perhaps it's something
he teach us all.

Perhaps so.

Though when your own roof
is leaking,

poverty tends
to lose its appeal.

Yet you still take him in?

This place may be
on its last legs,

but we can still provide
Christian charity.

You have a church too?

Yeah.

Built by the Portuguese,
would you believe?

One of dozens at the time.

But only the persistent remain.

We were supposed to be the
start of the great conversion.

Now we're just a --
a remnant.

Yet the work continues,

though our house is crumbling
about our ears.

I'm sorry, but I'm feeling
a little queasy.

I think I'll just take some air.

- If you'll excuse me?
- Of course.

Amuroor.

Hey, Les, Can you hear me?

I can see you too.
That's a dreadful old shirt.

In context,
it's totally fashion forward.

So is Tommy driving you
up the wall yet?

I assume that's why you're
calling me for the first time

- in God knows how long.
- Kinda. I don't know.

I'm a bit worried about her,
to be honest.

She told me she was just here
for a holiday,

but it seems
like more than that.

She won't talk to me.

Join the club.

What are you doing?

Multi-tasking.

So what's going on?

I mean, I'm assume
she's running from something?

Some bastard that
broke her heart?

Apart from her dad,
you mean?

No, she dumped
the current ex-bastard

about three months
after Ben was born.

Ben?

Don't tell me
you've forgotten

the name
of your own grandson?

Ben.

Yeah, of course.

I thought you said
something else.

Is she around?

Can you speak to her.

She's gotta get back here,
Ben needs his mum.

No, she's just stepped out.

Okay...

Look, um,
I'm losing signal here.

I'll have to call you back.
I'm sorry.

Greg!

Michelle?

Handle this, will you.

Quilting the graft

improves cosmoses
in sensitive areas.

So how do you decide
where to place the sutures?

You don't.
You just feel it.

I've always wanted to be
an artist.

My father insisted
I study medicine.

But a determined woman
will find a way

to get whatever
she wants, right?

Right.

This is the first
permanent graft.

Perfection is essential.

Well, it's either wrong
or it's right.

My ex-student is quoting me.

We all have our little clichés.

She's a little hypothermic.

35.

And we're done here.

You can start waking her up,
and we'll dress this.

Can you also check
hemoglobin too?

She'll have lost some blood.

Dina?

There you are.

Hey, the ambulance is here.

- Already?
- Are you ready?

Yes, of course,
of course,

but we must make a move.

- Are you okay?
- Yes, I'm fine.

Absolutely, yeah.

Come on.

I got better.

It's a miracle cure.

So were you ever gonna
even mention it?

- About?
- I called your mother.

Apparently,
I'm a bloody grandfather,

which is quite a thing
to deal with

on a Tuesday morning.

Why the hell
didn't you tell me?

It's all been very tricky.

It's been very complicated.

I knew if I told you it would
just be a really big thing.

Well, you're correct there.

I didn't think that
you would care.

For God's sake,
you're my daughter,

my family.

Of course, I'd care.

Look, the reason I came here

was to try and get away
from it all, okay?

Just me, just to try
and get my head around it,

I don't need
a million questions.

Jesus.
I don't believe this.

I knew you were irresponsible,
but Christ.

What kind of parent
walks out on their own child?

You!

You did!

How old was I when you left?

Can you even remember, dad?

Was I 10?

Was I 11?

That's completely different.

I needed to get away.

And who wants to spend
their entire life

in the bloody Black Country?

People who give a sh*t
about their kids?

Come on!

You were practically
grown up!

I bought you makeup
for Christmas.

Okay. Sorry.

Well, then that's fine then.

That absolutely fine.

Here I am,
and I'm all grown up,

and I am absolutely fine
with it.

Perhaps you just taught me
a really good life lesson.

Look after number one.

Tommy!

sh*t.

Dr. Walker.

- This the dengue case?
- Suspected.

I've just sent urgent serology
to Kochi.

We won't know for sure
until tomorrow.

Okay.

Let's have a look here.

Here. Petechial rash.
Spreading.

- That's new.
- This is dengue.

So we need to inform
the local authority.

Sure.

And if this is shock syndrome,

then he's going to need ICU.

If his kidneys fail,
we can't support him here.

If he makes it that far.

I'll look into a transfer.
See what's available.

Good.

How did it go?

The graft?

Good yeah.

Beautiful in fact.

She certainly hasn't
lost her touch.

There you are.

I was just making up
the operation notes.

I need you to sign?

Of course.

I heard it was successful?

Jyoti's procedure?

I had a very skilled assistant.

We always made such a good team.

- Dr. Varma?
- Yes.

Yeah.

I'll call Kochi.

Okay.

Hello, my friend.

Of course, Dr. Ram.

When I was Professor Pandya's
house surgeon,

he worked me so hard,
I didn't eat for three days.

By the end of the appointment,
I was so malnourished

your grandmother
couldn't recognize me.

Sorry?

So, what have you learned?

Well, that I really, really
want to be a surgeon,

but I never ever want children.

I can't believe you made me
miss Dr. Ray's surgery for this.

Not all medicine is glamorous.

Now, come on, eat up,

or you'll be late
for your afternoon clinic.

What, there's more?

Dad, how many more children
are there?

Enough to keep you busy,
Dr. Nair.

How are you feeling,
honey?

Fine.

A little woozy

The procedure went well?

As well as can be expected.

So when can I look?

The dressing remains where it is
for at least three days.

And then we can expose
the graft to the air.

It's just that I'm,
really nervous.

I can't wait to see
what you've done.

It's a process, Jyoti.

There will be more procedures,

more healing to be done.

This is medicine,
not magic.

Isn't that right,
Dr. Fonseca?

Exactly.

We're still at the start
of a very long road.

Thank you.

For everything you've done.

Both of you.

Thanks to you,
I have a future again.

Thank you.

Can we get
some help here please?

And breathing.

BP is 70 over 45.

- What happened?
- Emergency ambulance admission.

Her family are following on.

I know her. Jaya.

She was in the clinic earlier.

She was in a rush
to get to an appointment.

- How is she?
- Is this your wife?

Tell me what happened please?

She got sterilized
this afternoon.


She told the doctor
she was in pain,

but he didn't listen.

And after we got back home,
she just collapsed.

- Hello. Can you hear me?
- She's unconscious.

Theater now, come on.

Quick. Quick. Quick.

Another swab please.

Thank you.

There.

The bleeding's coming from
a lacerated uterine artery.

Vicryl tie please, Sister.

These clinics,
they pay women to be sterilized.

The government's so-called
solution to overpopulation.

As you can see,
this is a rush job.

They've damaged the artery
in the process.

See, they get so busy

that there's
no proper aftercare.

Okay, another Vicryl, please.

Thank you.

Okay.

Do one more tie here.

Yes.

So what now, doctor?

Well, we check
for further damage...

- ...before we close her up?
- Exactly.

Dinesha better watch out.

- Another swab please, Sister.
- Yes, doctor.

None of the hospitals
in Kochi will help.

You think I'd have accepted
the way it works by now.

No money, no treatment.

We'll make him comfortable here.

Okay, well,
I'll sit with him.

It could be hours.

"What would Jesus do"

has become something of a joke,
Dr. Walker.

But He got a lot right,
in my humble opinion.

Nobody needs to be alone.

Thank you.

It was all Jaya's idea.

We couldn't afford
any more children.

It seemed like the best option.

The fee was enough
for a scooter.

That way I could
come back home earlier

and help out with the kids.

Will she be okay?

We'll know more
in the morning.

It's best
if you take them home.

Get some rest.

Hey, I'm looking for
Dr. Kumar?

Hey, are you
one of the surgeons here?

- Dr. Kumar?
- Yes.

If your wife wants
an appointment,

she needs to book in
after 9:00.

I'm not a patient.
My name's AJ Nair.

I work at
the Good Karma Hospital.

Good Karma Hospital.

Masochist?

But we are fully staffed.
Maybe next year?

I've just had to treat
one of your patients.

Her name is Jaya?

Sorry.
I see a lot of patients.

Hey!

Hey! Hey!
I need to talk to you.

What the hell is this?

She was bleeding
when she left here.

She told you she was in pain,
and you ignored it.

I have work to do,
if you'll allow me.

So that's it?

No apology, nothing?

She has children,
a family rely on her.

Listen, doctor, I do my job.

These women are well paid.

The government encourage it.

So thank you for your help,
but I'm a busy man.

This isn't medicine.

You should be ashamed
of yourself.

What kind of doctor
ignores his own patients?

You're a butcher, not a surgeon.

And you, Dr. Nair,
how dare you!

Before you start,
I don't need a lecture.

Good, because I don't
intend to giving one.

I would like to talk to you,
though.

Please?

Do you mind my asking
where the father is?

'Cause these things
usually take two?

He left.

Or rather
I chucked him out.

Another great move on my part.

Well, fathers can be optional,

but bringing up a baby alone
is tough.

Most couples find it hard.

I've seen it so many times.

During a pregnancy,

there's excitement
and anticipation

and then reality hits.

It's just you
and this little thing

that screams and cries

and totally refuses
to even think about sleeping.

Or it sleeps all day
when you're wide awake.

So let me take
a little guess.

It's the middle of the night,
and you haven't slept in days.

He won't sleep or feed.

And you're so tired
you can't even think straight.

And then a small part of you,
just wishes it would end,

that this problem, this baby,

this thing
that's driving you insane,

would go away.

And you start to think
terrible, terrible thoughts,

about how you might
make that happen.

And so you do the one thing
that you think you can do.

Run far, far, away
where you can't hurt anyone.

I love him.

I do.

I love him.

I know you do,
darling.

- I love my baby.
- I know you do. I know.

Well?

Well, she's a very confused
and scared young woman.

- Should I...
- No. No.

Talk to her tomorrow morning.

And if she wants to,
she'll tell you all about it.

Thank you so much.

We make a great team,
don't we?

Honestly, I see you more
as my assistant,

especially in emotional matters.

Happy to help.

Well...

Wow.

Grandad McConnell.

- Suppose that makes you --
- Don't even go there.

When I got to India,
it changed me.

Not all at once, obviously.

But it just seeps
into your soul.

I think this place
makes you a better person.

It certainly changes you.

If you're about to
start chanting,

I'm out of here.

What I'm trying to say is that

that bloke who ran off here,

left you and your mum
on your own,

he's gone.

Dead and buried.
Don't even know him.

But the shitty thing is,

I still have to be responsible
for the crap he pulled.

So this is me apologizing
on his behalf,

but also asking you
not to punish me,

because, not that
I don't deserve it,

but because all it's doing

is making two people
who ought to love each other

bloody unhappy.

Mah-wah.

Piss off.

I think I should go home.

AJ.

Get in here.

Is it true?

You insulted this doctor
in his own surgery?

You called him a -- a...

- A butcher.
- ...A butcher.

- Is that right?
- Yes.

Sir, my son
is an impetuous boy.

Always the rebel, always defying
his parents' wishes.

I've raised him --
I've raised him

to know the difference
between right and wrong.

And what you do, sir, is wrong.

Those women are your patients.

What you have done is
a disgrace to our profession.

Now leave my hospital.

Your son is in the wrong --

What the hell
are you doing here still?

What a piece of work?

Don't push it.

But actually, with your idealism
and my good looks,

I think we make a fine team.

Do you know
where Jyoti is?

I wanted to change
her dressing.

Look! Look!

- What have you done?
- Jyoti.

This is not
what you promised!

You promised it had gone well!

- Listen to me, Jyoti...
- Where is she?

- Where is she?
- Jyoti, just calm down.

- Where is she?
- Let me redress that for you.

You liar!

Look what you've done
to my face!

- Jyoti. Jyoti.
- You ruined my face.

- Look at me.
- Listen.

You calm down
and then we'll talk.

- No! No! She's a liar!
- Calm down!

She ruined my face!

Jyoti, come on.

You ruined my face!

Come on.

Calm down. Calm down.

You ruined my face!

15 milligrams
of diazepam, please.

Thank you very much.

It's okay. It's okay.
I'm here.

I warned you.

I warned you,
and you ignored me.

You let her think
that I could transform her.

The brilliant surgeon
from Mumbai,

the miracle worker.

That's not true,
and you know it.

Isn't it?

It was you who begged me
to stay here.

How could I be so selfish
to go home and leave poor Jyoti?

And now she sees me
as the villain.

This is all your ego,
isn't it?

The woman
who can fix anything

running her little hospital
with her rod of iron.

You needed her
to be grateful to you,

'cause it's the only damn thing
that feeds you.

Finished?

Because I've certainly
heard enough.

We both know exactly
why you came here.

You may think I'm stupid,
but I'm not blind.

I've seen the little looks,
between you and Dr. Varma --

the fluttering eyelashes
across the table.

Jyoti was just
a convenient excuse.

So don't you dare get
on your high horse with me.

I did what you told me.

I took your advice.

What?

I told Deepak that I didn't want
to marry him,

that I didn't love him.

So you see,
I followed my heart,

and look where it got me.

A ruined face.

A ruined woman.

Jyoti,
I -- I didn't say that.

Thank you, Sister.

Thank you from the bottom
of my heart.

Thank you.

This dengue business,
it's serious?

I'm going there later
with a temporary clinic.

We need to check the people
who've been exposed,

and then they'll spray
the entire village

to k*ll the mosquitoes.

Would you mind if I tag along,
lend a hand?

50 paces, right flank rear.

I'm your man in a crisis,
very level headed --

invaluable even.

Firstly, it's not necessary.

Secondly and most importantly,
Dr. Fonseca would k*ll me.

If I'm prepared
to take the risk,

isn't that's my business?

Are you always this stubborn?

I prefer intrepid,
Dr. Walker.

I know how much
this means to you.

But if there's dengue there,
I can't let you risk going back.

Not yet, at least.

Now I need to go
and send this, okay?

Pranji.

"Whosoever is generous
to the poor

lends to the Lord,

and he shall repay them
for the deed."

- Seriously?
- Yeah.

Thousands of rupees
just piled up in there.

Interesting.

It's called Diogenes syndrome.

It's the hoarding disease.

You could even write it up
as a case study.

I don't think you have

a romantic bone in your body,
do you?

My clavicle is romantic,
but the rest of me not so much.

By the look in your eyes,

it looks like
there's something else?

I know what you said,

and maybe you want
to believe it,

but I don't think
you're over her.

You see,
I'm -- I'm selfish.

I kind of need to have you
all to myself.

You know I didn't want her
to come back here, right?

Yeah.

And yet here she is.

So why don't you j--

Why don't you just figure it out
and get back to me?

Okay.

Okay.

Okay, good talk.

I need to go.

So,
when you coming back?

Well, I don't really know.

How do you want to do this?

I'm not very good
at these things.

Yeah, yeah.
Come here.

Look after yourself.

Phone me, text me, Snapchat,

whatever they do these days.

I really want to be
part of your life.

We're family.

Bye, lovey.

And remember when you get back,
you can always call me.

Doesn't matter what time.

You just pick up the phone,
and I'll be here.

I promise.

Thank you.

Bye, dad.

Bye.

Come here. Come here.
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