Christmas Special 2016 Call the Midwife


Christmas Special 2016

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JENNIFER: 'Why do we give presents at Christmas?

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'Because once upon a time

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'a child lay in a manger,

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'asking for nothing yet needing so much?

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'And because three kings

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'paid tribute in the only way they could?

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'Perhaps the reason does not matter.

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'The smiles of those we love mean more than any ribboned box,

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'whether it is offered or received.

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'And the most precious gifts cost nothing whatsoever.'

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Merry Christmas, Fred.

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Shh! Less of the "Fred". I'm Father Christmas's helper.

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You can come in as long as you don't ring that wretched bell.

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We've half a dozen newborns trying to get their beauty sleep,

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including Master Rutherford, who's just arrived by Caesarean section,

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and I assisted in his delivery.

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Oh-hoo, look at you, you little bruiser!

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Now, you been naughty or nice? Nice, I reckon.

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Merry Christmas!

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Merry Christmas.

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HUM OF LAUGHTER AND CONVERSATION

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Two fully assembled Christmas dinners plated up,

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in the oven and put on a low light -

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one for Nurse Franklin and one for Nurse Mount.

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To absent friends!

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ALL: Absent friends.

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Merry Christmas, everybody.

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PHONE RINGS

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That may be the Mother House calling early.

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Come with me, we'll take the call together.

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Here's Sister Monica Joan.

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Happy Christmas, Mother Jesu Emmanuel.

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I hope you've had the most blessed and peaceful day.

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Oh. I see.

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As you all doubtless know, our Order supports Hope Clinic,

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a tiny mission hospital in South Africa.

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For some years, there has been one doctor there

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and a handful of nuns under Mother Felicity.

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Mother Felicity has just died.

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May she rest in peace and rise in glory.

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The clinic is now so understaffed it may have to close altogether.

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That would be disastrous.

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Hope Clinic is the only medical facility for 100 miles.

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And that is why we have been asked to send

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a small working party out there...for four weeks.

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Four weeks in South Africa?

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We would be nursing and running an urgent polio vaccination programme.

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Meanwhile, a cleric of our choice would disburse a small

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but very welcome grant from a mission society,

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and assess the future viability of the clinic.

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I would like Mr Hereward to take on this role.

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If you would consider it?

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Of course.

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You would have to be scrupulously honest

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and yet the survival of Hope Clinic will depend on your findings.

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When were you planning on setting sail?

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In a fortnight.

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Nurse Mount is doing sterling work. Forceps won't be needed after all.

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Now, I've been researching some logistics.

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Most people spend their Christmas Day afternoon watching

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Billy Smart's Circus and eating Quality Street!

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How have we ended up discussing a mission to South Africa?

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Because God moves in a mysterious manner,

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even on major public holidays.

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I have work to do here, Shelagh, in Poplar.

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Patrick, London is full of locums

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and that vaccination programme needs a doctor.

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Our own son had polio once.

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Also, if we cut down our time away by flying instead of sailing...

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By flying?

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..then Granny Parker can mind the children.

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Well, she's been begging to have them and they adore her.

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You really want to go, don't you?

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I want us both to go, Patrick,

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because we need to be somewhere where we know the medicine

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we're giving out is doing good, not harm.

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Shelagh, you didn't prescribe thalidomide to anyone.

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What you did, I did. Where you go, I go.

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And I think we should go to South Africa.

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Don't you want me to stay here, keep an eye on things?

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What about Sister Monica Joan?

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Sister Mary Cynthia will take exemplary care of her

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and Nurse Mount will run Nonnatus very efficiently in my absence.

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But I haven't done sanitary engineering since

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El Alamein, Sister.

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Wouldn't you rather take an actual missionary?

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Fred, the Army Pioneer Corps has given you skills that

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no missionary could match -

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logistics, plumbing, mechanics...

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and drains.

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I'd hazard a guess there's not much in the way

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of drains where we're going.

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Quite.

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# Everybody's doing a brand-new dance now

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# Come on, baby, do the loco-motion

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# I know you'll get to like it if you give it a chance now

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# Come on, baby, do the loco-motion

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# My little baby sister can do it with me

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# It's easy as a line in your ABC

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# So come on, come on... #

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You next.

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Mr Hereward's waiting outside.

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I shall see to him.

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Oh, I can do his, too.

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You must observe boundaries whilst we're away -

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I think it's best you put them in place now.

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The parcel from my sister came.

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Oh, I'm so glad I didn't splash out on a new swimming costume!

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Hers will do me just fine.

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No-one's wearing ruched one-pieces

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with modesty panels anymore, Barbara.

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It's a good job I packed you an extra boned playsuit.

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And, last but not least, medical supplies box number seven.

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Containing 20 gross of sugar lumps for the administration

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of the oral vaccine.

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This contains more fruit than any commercial confectioner's item

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and furthermore it is steeped in such a richness of alcohol

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that it will not fester should you transfer it through the hemisphere.

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They can't give out Christmas cake in an African vaccination queue.

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The marzipan would take a tremendous amount of explaining.

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-Travel safe.

-Bye.

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-Bye.

-Bye.

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-Let us know when you get there safely. Bye.

-Bye.

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-Safe trip.

-Have a safe journey.

-Bye.

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Hey, look at that! Goats in the road!

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You wouldn't see that down Chrisp Street.

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Oh, look at you, Barbara. Brussel-sprout green all over again.

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I thought looking at my Xhosa phrase book might help

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me take my mind off it.

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You just have to suck on a barley sugar, like you did onboard ship.

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Are there any left?

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I've all manner of aids to wellbeing in my bag of tricks.

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I daren't ask if you've got anything to stop my mascara from running.

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I've some petroleum jelly you can take it off with.

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Why are we stopping?

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I'll deal with this.

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Passport and visa.

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How many are on the bus?

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Six more passengers and the driver.

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I'm not interested in the driver.

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Why've we stopped?

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Passports and visas, please.

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Sunglasses off, please.

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-Don't smile.

-Oh.

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Thank you very much. Welcome to South Africa.

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You are so very welcome, Sisters.

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I'm so sorry to have missed Mother Felicity.

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I do hope her passing was a peaceful one.

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Amoebic dysentery. Better ways to go, even in this country.

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But she died in harness, which I suspect would please her mightily.

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Dr Fitzsimmonds?

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It's a long time since anyone called me that.

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The locals can't seem to get their tongues round it.

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You can do as they do, call me Dr Myra.

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Did you bring the things we asked for?

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Everything from penicillin to rubber gloves.

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It shouldn't be easier to ship things from London than it is

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to get them out of one's Administrative Health Board,

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but that's another story, and we're grateful for what we can get.

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I can see the caption now...

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"English roses - African Skies, exclamation mark."

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My jaw's starting to ache, Phyllis.

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Well, this is a new camera.

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Well, all I can say is thank goodness the Dansette runs on

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batteries because I don't know what's worse - this or

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the fact that our complexions are

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going to turn to pudding in this climate.

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We're going to have to find a shop that sells cucumbers,

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so we can make ourselves a cooling masque.

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Food? As a beauty aid?

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It might be a bit tactless, Trixie. People here are really poor.

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Can anyone smell anything slightly musky?

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It isn't me, is it?

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You're not usually challenged in the personal daintiness department, Barbara.

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Well, circumstances are rather exceptional.

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You shall have to set to with the Lifebouy.

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But I was three feet away from Tom on the bus.

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Bad enough I got that bit of sick on his trousers in the Bay of Biscay.

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There are some memories even Lifebouy can't erase.

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Whichever soap you choose, I suggest you apply it with a bit of backbone.

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I'm sorry, lass, but you've had enough barley sugar and sympathy.

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It's time to pull yourself together.

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Meanwhile, I shall have to sneak some surgical spirit from supplies,

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or else blisters will beckon.

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-Argh!

-What?

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Spider.

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Argh!

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As big as a wireless knob

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and it looks to be heading this way at speed!

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Dead.

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Was it poisonous?

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I can't tell. But it's crushed to a pulp -

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I can tell that.

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I'd give your shoe a rinse.

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It may have some venom on it...

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or some backbone.

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FLIES BUZZ

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Let's rest it here.

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Yes.

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Instruments being sterilised by boiling.

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A perfectly efficient method. We all knew the facilities would be humble.

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I didn't expect an autoclave, but this is an oil stove.

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I don't actually think they've got any electricity.

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Is there no refrigerator?

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It's over there.

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It smells as though it's powered by paraffin.

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It's at times like this that I say to myself,

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"What would Sister Evangelina do?"

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Well, first of all, she'd mention the war

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and then she'd remind us we're here for our patients.

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Yes.

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Sinayo ibhedi kunye namayeza akho.

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Zizophela intlungu, kungekudala.

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Soon you will have no more pain.

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SHE GROANS

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Put her in the general ward,

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the end bed, so she can feel the sun coming in through the window.

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I suspect she has leukaemia.

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She presented four months ago with joint pain and exhaustion.

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Did you consider sending her somewhere larger,

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perhaps for radium treatment?

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No, I did not.

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She hasn't the money to pay for it and, if she had,

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she'd run the risk of dying far from home.

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And who would take that final comfort from her, hmm?

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I see someone's made himself at home.

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You speak in jest, kind Reverend,

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but by performing my ablutions in our new abode,

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-I'm in fact marking my territory.

-I see.

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You see, wild animals, like wolves

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and those little spotty humpy black dog things, er...

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-Hyenas?

-That's the fellas.

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Wolves and hyenas mark their territory by leaving their scent.

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Soldiers and Englishmen have a shave and visit the khazi.

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I've just had a visit to the khazi.

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I thought you was looking a bit pale.

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I thought national service had prepared me for most things,

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but not long-drop loos over an open trench.

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I also thought that conducting worship

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would be my biggest contribution...

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..but these people have nothing.

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Tomorrow morning, say your prayers and write your report,

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and I will wage war on the long drops.

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In the meantime, have a shave.

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We'll have to arrange

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for deliveries of extra vaccine from Cape Town,

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with the only phone a mile away in the village Post Office.

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I actually shuddered when she said that.

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How does anyone run a hospital without access to telephone?

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What's all this?

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It's made of a new material called Bri-Nylon.

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You can rinse it through and just leave it to drip dry.

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Perfect for a colonial climate.

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Absolutely.

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Honestly, Trixie, I promise you,

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nobody will know you haven't been able to set your hair.

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That hat covers a multitude of sins.

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It's the first time I've ever wished I had a wimple.

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No-one who comes to Hope Clinic is ever refused our help

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and, if they can't get here, we will fetch them.

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And if they arrive at night, we rise and light the lamps.

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And if their only ailment is starvation,

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we'll ensure that they're fed.

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But the bedrock of it all is our open clinic,

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which we hold every morning of the week.

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And how do you organise your appointments systems, Doctor?

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I don't have one.

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I'd be delighted to introduce you to my Rolodexing systems.

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The people I take care of know when they're ill

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and I know that disease cannot be diarised.

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What about the maternity patients?

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Are they given regular checks?

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If they want them, they can have them, and many do.

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Other women choose to give birth at home, in their rondavels,

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with only their families around them...

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and the village witch doctor chanting just outside.

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Really?

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I've no objection on religious grounds.

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But too many of our mothers were malnourished as children,

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so we see a lot of very narrow pelvises

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and, in that case, the witch doctor can't save them...

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But we can.

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With forceps?

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Yeah, with forceps or a Caesarean.

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It's why I asked you to bring the lignocaine.

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But lignocaine is a local anaesthetic...

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Yes, we can't and don't do any operations that require a general.

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We have our own methods and we get good results

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for both mother and child.

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Babies are precious here.

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Well, babies are precious everywhere.

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Nevertheless, I expect half your patients come to you asking

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you to prevent conception.

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Since they licensed the pill, yes, although...

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Well, these women are poor and they are black,

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and they live in a society that is gradually stripping them of

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any dignities or freedoms that they ever had,

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so motherhood is everything. It's status, purpose, life itself

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and we have to help it to happen.

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It isn't always easy.

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No.

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But medicine's never about doing what's easy -

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it's about doing what's essential.

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That's why we came - to help.

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I'm grateful for your help with the vaccination programme.

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Everything else, you can leave to me.

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These people and I understand each other.

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GRINDING

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So this is the hospital truck.

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GRINDING CONTINUES

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Well, that doesn't sound too healthy, Fred.

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Well, it's working. I just don't know how it's working.

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I can see at least three component parts that come from other vehicles.

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How far are you planning to travel in this tomorrow?

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Well, the first village on tomorrow's list is called Elbaai -

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it's about 30 miles away.

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Right.

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I was working in the kitchen at home.

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It was just a cut, but now it hurts all the way up as far as my elbow.

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That is a nasty infection, but there's plenty we can do.

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-A healthy mother makes for a healthy baby.

-Yes.

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Nurse Franklin, could you spare a moment?

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I'll need to lance this hand, then you can dress it.

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Of course, Doctor.

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WOMAN CALLS OUT

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Please help.

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Ezikalini. Scales.

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Uyagula lomntana.

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Sick. Is sick.

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Oh.

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If Baby is sick, we will ask Doctor to look.

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Oh, molo!

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Is everything all right, Nurse Gilbert?

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I don't know.

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There we go. Sh, sh.

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Baby has a very high fever.

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102.

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ENGINE RASPS

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Doctor!

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Dr Myra! Dr Myra!

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What is it, Innocent?

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Running a marathon's never a good idea when you've got TB.

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Is it your wife?

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Undon. The baby's coming! And she has failed to walk.

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Where is she?

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Two to three miles away. She couldn't walk, so I ran.

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Did you leave her by the side of the road?

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He's fitting!

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Febrile convulsions!

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Baby aged five months, dehydrated, temperature of 102.

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You, come with me to the children's ward.

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And, you, get the truck, see to this man's wife.

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Come.

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-Hiya pha.

-You can't drive this, look, it's misfiring and it's got

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a really nasty hissing sound coming from the manifold.

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May I remind you

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that I am a member of the Institute of Advanced Motorists

0:21:010:21:03

and a young first-time mother has been left labouring in a ditch?

0:21:030:21:08

Her fear is greater than mine. Give me the keys.

0:21:080:21:11

No.

0:21:110:21:12

If the swelling's gone down tomorrow morning,

0:21:120:21:14

doctor will let you go home.

0:21:140:21:15

But this will need regular dressing changes.

0:21:150:21:18

Is there someone who can do that?

0:21:180:21:21

Oh, yes.

0:21:210:21:22

There's my mother, and my mother-in-law and my mother's mother

0:21:220:21:25

and my two younger sisters and all the aunties.

0:21:250:21:28

They'll take good care of me because we've waited many years

0:21:280:21:31

for this baby.

0:21:310:21:33

All of us.

0:21:330:21:34

But you most of all?

0:21:340:21:36

Ten years of marriage and ten years of prayer.

0:21:360:21:39

Well, I'm all for persistence in the face of adversity.

0:21:400:21:43

You look like a modern young woman.

0:21:430:21:45

You know, I used to work in Cape Town -

0:21:450:21:48

not as a servant but as a secretary.

0:21:480:21:50

I had a good education here at the Missionary School

0:21:500:21:53

and I got to work for a coloured lawyer.

0:21:530:21:55

Oh! It was the happiest two years of my life.

0:21:550:21:59

I always think it's terribly unfair when women have to give up

0:21:590:22:02

their jobs just because they're expecting.

0:22:020:22:04

I gave up work years ago.

0:22:040:22:07

They changed the law so that you had to carry

0:22:070:22:09

a pass to go to the city and to stay there and to work,

0:22:090:22:13

but I never got one.

0:22:130:22:14

Why not?

0:22:140:22:16

It's just the way things are.

0:22:160:22:17

But my mother always says we have to bloom where we are planted...

0:22:190:22:24

..and I'm blooming now.

0:22:250:22:26

Any landmarks spring to mind?

0:22:340:22:36

I left her under the shade of a tree.

0:22:360:22:38

Mm, that was thoughtful of you.

0:22:380:22:40

I recommend that you take deep breaths, Mr Muzungulu.

0:22:410:22:44

Ooh!

0:22:470:22:48

Shame you haven't got your new camera.

0:22:530:22:55

Let's keep our minds on our patient, shall we?

0:22:550:22:58

I take it any jokes about "zebra crossings" would fall on deaf ears?

0:22:580:23:01

GEARS GRIND

0:23:040:23:05

Your grandson has a gut infection and he's starving!

0:23:180:23:21

Ulambile! Umtyisa ntoni?

0:23:210:23:24

What have you been feeding him on?

0:23:240:23:26

Isidudu sikamili mili.

0:23:260:23:28

Oh, he's too young for mielie pop!

0:23:280:23:31

Andinayo eye into endinomnika yona.

0:23:310:23:34

If you have nothing else to give him, you can bring him here.

0:23:340:23:36

Doctor, she DID bring him here.

0:23:370:23:39

Ungabinaxhala. I'll take care of him.

0:23:420:23:46

This is the second time she's come here with

0:23:460:23:48

a desperately sick grandchild.

0:23:480:23:50

Her daughters are both in domestic service, miles away.

0:23:500:23:52

It's not just feeding them meal and water that does this -

0:23:520:23:55

it's the utter lack of hygiene.

0:23:550:23:57

Let ME take the baby.

0:23:570:23:59

He needs glucose and water.

0:24:060:24:08

Ndiyambona! I see her, I see her!

0:24:160:24:19

I see her over there!

0:24:190:24:20

SHE BREATHES HEAVILY

0:24:280:24:30

SHE MOANS

0:24:320:24:33

Good morning, Mrs Muzungulu!

0:24:350:24:37

Or perhaps I should say Molo!

0:24:370:24:39

I'm Nurse Crane.

0:24:400:24:42

Baby... Baby coming...

0:24:420:24:44

Un-ga-bin-axhala. All is well.

0:24:440:24:48

We'll have some privacy for Mother, please, gentlemen.

0:24:500:24:53

Keep your distance until instructed to do otherwise.

0:24:530:24:56

You poor lass. You must be petrified, out here all alone.

0:24:580:25:01

You're not alone now.

0:25:010:25:03

Nurse Crane, I can see something moving in those bushes over there!

0:25:040:25:09

I don't know what it is, but it looks like it might charge...

0:25:090:25:12

..or pounce.

0:25:130:25:14

And do you have the means with which to defend

0:25:140:25:16

this labouring mother and myself?

0:25:160:25:18

-What? What do you mean? A rifle?

-Yes.

0:25:180:25:20

No.

0:25:200:25:21

Then I don't wish to hear any more about it.

0:25:210:25:24

That's it. Legs nice and wide apart.

0:25:250:25:28

Just bend your knees a little, if you can manage it.

0:25:300:25:33

There we go...there...

0:25:330:25:36

Hello.

0:25:460:25:47

Hello.

0:25:480:25:49

I'm just checking on the water situation in here.

0:25:490:25:52

There's a bucket in the corner.

0:25:520:25:54

It has a lid, which does seem to keep the flies out.

0:25:540:25:56

This the little chap that had the fit?

0:25:580:26:00

Yes. He's already picking up, thanks to the glucose solution.

0:26:000:26:04

Dr Myra thinks we should be able to avoid putting him on a drip.

0:26:040:26:07

Well, that's good, isn't it?

0:26:070:26:09

His grandmother went home in tears, Tom.

0:26:090:26:12

I didn't come here to make people feel ashamed.

0:26:120:26:15

I came here to make people feel better!

0:26:150:26:17

I thought it would be easy.

0:26:170:26:19

So did I.

0:26:190:26:21

In my mind, I'm kissing you very gently.

0:26:240:26:26

And I'm kissing you back.

0:26:270:26:29

FEZEKA CRIES OUT

0:26:370:26:39

Well done, lass. Well done... Fred?

0:26:420:26:46

Put the stretcher down and escort Mr Muzungulu back to the truck,

0:26:460:26:49

where he can wait till we're done.

0:26:490:26:52

Then come back here. I shall be requiring some assistance.

0:26:520:26:55

When my two were born, I went down the Hand And Shears.

0:26:580:27:01

And if there was a bar in sight, I'd recommend you do the same.

0:27:010:27:04

And I'll come with ya!

0:27:040:27:05

Fred!

0:27:050:27:07

You may not win many medals for sprinting, Fred,

0:27:100:27:13

but you've got two hands at the ends of your arms.

0:27:130:27:16

Get my bag, get the Dettol, and give them a good sluicing.

0:27:160:27:22

Then empty my instruments into the smaller of the two kidney

0:27:240:27:28

dishes and put them there, where I can reach them.

0:27:280:27:33

FEZEKA MOANS

0:27:330:27:35

It's all right, lass. It's all right.

0:27:350:27:38

Baby's well on the way...

0:27:380:27:40

..and the head is born.

0:27:430:27:45

You clever girl.

0:27:450:27:46

Not yet.

0:27:480:27:49

Now, Fezeka, can you give me a really big, strong push?

0:27:520:27:57

FEZEKA GROANS

0:27:570:27:59

Fezeka, baby needs a bit more room to get out.

0:28:050:28:08

We're going to have to get you kneeling down.

0:28:080:28:10

Kneel down?

0:28:100:28:12

And, Fred, I need your shirt.

0:28:120:28:14

It's all right.

0:28:180:28:20

That's the way. Now kneel down for me.

0:28:210:28:24

You grab hold of me, girl, that's it.

0:28:240:28:29

You see? Men can come in handy on occasion.

0:28:290:28:32

All right, Fezeka, push now! Push!

0:28:330:28:36

FEZEKA GROANS

0:28:360:28:38

I can't...

0:28:390:28:40

You CAN, Fezeka, you can!

0:28:400:28:43

Now, you listen to Nurse Crane and do what she says.

0:28:430:28:46

Take some of our strength.

0:28:460:28:48

That's it, girl, you use us. We've got plenty.

0:28:480:28:51

We're in this together.

0:28:510:28:53

Come on! That's it!

0:28:530:28:55

It's all right.

0:28:560:28:58

BABY CRIES

0:29:070:29:08

You clever, brave girl! You have a daughter.

0:29:140:29:18

FRED CHUCKLES

0:29:210:29:22

See?

0:29:220:29:24

I see her! I see her!

0:29:240:29:27

You can have your cuddle in a minute, Nurse Buckle.

0:29:350:29:38

What do you reckon they're going to do with this?

0:29:500:29:52

What, the afterbirth? Fezeka said her family wants it.

0:29:520:29:56

They carry out rituals, apparently.

0:29:560:29:58

What sort of rituals?

0:29:580:30:00

I didn't enquire.

0:30:000:30:01

They send them off to the allotments in Poplar -

0:30:020:30:05

I don't enquire about that either...

0:30:050:30:07

being vegetarian and fond of a tomato.

0:30:070:30:11

ENGINE GRINDS AND STALLS

0:30:120:30:14

Oh!

0:30:140:30:15

Come on!

0:30:170:30:19

Oh, hell's teeth.

0:30:190:30:22

Could it not have hung on for another quarter of a mile?

0:30:220:30:25

No, looks like we're walking.

0:30:270:30:29

MUSIC PLAYING

0:30:290:30:30

I have to say, basic facilities or not,

0:30:300:30:34

the way Dr Myra does a Caesarean is quite an education.

0:30:340:30:38

A much smaller incision and very little blood loss. I was amazed.

0:30:380:30:42

I've been bitten by an insect again.

0:30:420:30:44

Cigarette smoke's supposed to repel them. Do you want one?

0:30:440:30:47

I've never smoked, Trixie, you know that.

0:30:470:30:50

Well, I'm perfectly willing to teach you.

0:30:500:30:52

Phyllis, too, if you're in the mood.

0:30:520:30:54

No, thank you, Trixie.

0:30:540:30:56

They aren't good for you and the pair of you should know that.

0:30:560:30:59

Besides, even when I was young and ignorant,

0:30:590:31:01

I had a distaste for silky paper.

0:31:010:31:04

Hold it out, like this, taking care to extend the arm to create

0:31:040:31:08

a graceful line from the wrist to the shoulder.

0:31:080:31:11

You sound like you're teaching a keep fit class!

0:31:110:31:13

It's not a dissimilar approach.

0:31:130:31:15

Keep fit and smoking both require discipline and poise.

0:31:150:31:18

I'm awfully sorry. But has anybody got anything for sunburn?

0:31:180:31:22

I think my forehead's starting to blister.

0:31:220:31:24

Oh, surely it wasn't that hot?

0:31:240:31:25

No. But...underneath all of this, I'm...a redhead.

0:31:250:31:32

Your eyebrows had given rise to speculation.

0:31:320:31:36

I've got some Pond's Cold Cream.

0:31:360:31:38

In a minute, Barbara! Concentrate on your smoking for a moment.

0:31:380:31:42

I think you need to exhale through your nose before you open your mouth again.

0:31:480:31:51

Can't I just wave it around and frighten off

0:31:510:31:54

-the mosquitoes that way?

-Oh.

0:31:540:31:56

It seems we have company.

0:31:560:31:59

Hello, Rosa, come and join us.

0:31:590:32:02

The most pressing problem is the need to repair that truck.

0:32:050:32:08

Without it, we can't get out to the villages to start the vaccinations.

0:32:080:32:12

I'm worried about the sheer lack of records

0:32:120:32:15

and our inability to predict how many people will actually

0:32:150:32:17

turn up to be vaccinated.

0:32:170:32:19

I don't know how things here function as efficiently as they do.

0:32:190:32:23

I'm not sure they function efficiently at all.

0:32:230:32:25

The sisters do their best but, without electricity,

0:32:250:32:28

they're struggling to sterilise equipment

0:32:280:32:30

and keep their premature new-borns warm.

0:32:300:32:33

And the lamps aren't bright enough to work by after dark.

0:32:330:32:36

Would it help if they had a generator?

0:32:360:32:38

We made our decision about that long ago.

0:32:380:32:40

It was a choice between a generator and the truck.

0:32:400:32:44

We had other means of making heat and light,

0:32:440:32:47

but no other way of travelling.

0:32:470:32:50

I'm sorry, Doctor. We shouldn't have started without you.

0:32:500:32:53

I was with my leukaemia patient.

0:32:530:32:57

Is that tea?

0:32:570:32:58

Yes, Ty-phoo. We brought it with us.

0:32:580:33:01

I thought so.

0:33:010:33:02

I caught a faint scent of my mother's parlour from it.

0:33:020:33:06

Circa 1919.

0:33:060:33:07

What else have you put in your report?

0:33:100:33:12

I'm planning to mention that the water in your tank is at

0:33:120:33:14

a very low level and...

0:33:140:33:16

Yes, it's unfortunate, but we make the best of it.

0:33:160:33:19

There's a better source not far away,

0:33:190:33:23

but we would have had to lay pipes across somebody else's land

0:33:230:33:26

and "somebody else" wouldn't give us their permission.

0:33:260:33:29

I smoked when I worked in an office in Cape Town -

0:33:300:33:32

it's what you did.

0:33:320:33:34

It was like learning to type or use carbon paper -

0:33:340:33:37

it was part of being smart.

0:33:370:33:40

I worked in a bakery. It wasn't thought smart there.

0:33:400:33:45

Nobody wants to get ash on their bread or in it.

0:33:450:33:48

Where does your husband work?

0:33:500:33:52

In a coal mine in Witbank.

0:33:520:33:54

Mine also.

0:33:540:33:56

They all come home for two months every year,

0:33:560:33:58

to help with the ploughing and the sowing.

0:33:580:34:01

Three times now,

0:34:010:34:03

mine has ploughed and sowed a little bit more than maize and peppers.

0:34:030:34:07

But my first child and my second child both died.

0:34:110:34:15

One in my belly and one in my arms.

0:34:160:34:19

I'm sorry.

0:34:200:34:21

Why are you sorry?

0:34:210:34:23

Oh, i..it's something we say in England,

0:34:230:34:26

when someone says something bad has happened.

0:34:260:34:28

It is in the past now. This baby's in the future,

0:34:300:34:35

which is why you should never be sorry, just be glad.

0:34:350:34:38

MUSIC STARTS

0:34:440:34:45

# While I'm far away from you, my baby

0:34:470:34:52

# I know it's hard for you, my baby

0:34:540:34:58

# Because it's hard for me, my baby

0:35:000:35:05

# And the darkest hour... #

0:35:060:35:08

I ought to go and put my veil on - ready for compline.

0:35:080:35:11

Oh, don't dash off.

0:35:120:35:14

If you listen to the lyrics,

0:35:140:35:15

they mention the word "prayer" quite a few times.

0:35:150:35:17

# A little prayer for me, my baby... #

0:35:200:35:23

I suppose it is a bit like a hymn.

0:35:230:35:25

# And tell all the stars above

0:35:250:35:30

# This is dedicated to the one I love

0:35:300:35:35

# Life can never be

0:35:390:35:43

# Exactly like we want it to be

0:35:430:35:45

# I could be satisfied

0:35:450:35:48

# Knowing you love... #

0:35:480:35:50

Enough!

0:35:500:35:51

This is a prohibited gathering. We request that you disperse.

0:35:510:35:55

What do you mean, disperse? We're nurses and these are our patients.

0:35:550:36:00

You know the law, and you, even if they don't. You're Bantu.

0:36:000:36:04

They're white. You don't mix.

0:36:050:36:07

Get back to your beds, or your sleeping mats, wherever you belong.

0:36:070:36:10

We'll escort these ladies to their wards, thank you, Sergeant,

0:36:120:36:16

and leave you to get on with your business.

0:36:160:36:18

Your truck is abandoned in the lane.

0:36:210:36:24

It's obstructing traffic.

0:36:240:36:25

Really, Sergeant. It's half past ten at night -

0:36:250:36:29

there is no traffic.

0:36:290:36:30

There will be traffic after daybreak - it will obstruct it then.

0:36:300:36:34

Makes me just want to get it started so I can run him over.

0:36:420:36:45

I'm here on a missionary basis and therefore trying not to think

0:36:450:36:48

uncharitable thoughts.

0:36:480:36:50

I'm perfectly happy to think them for you.

0:36:500:36:53

That's my girl.

0:36:530:36:54

Ow!

0:37:000:37:01

Can I bring anything over to your quarters, Doctor?

0:37:030:37:06

No, thank you.

0:37:060:37:08

Tempting though your Ty-phoo is, I fear any more may keep me awake.

0:37:080:37:12

I was thinking perhaps some pain relief?

0:37:120:37:15

Sorry, I...didn't mean to pry.

0:37:180:37:20

I was in fine fettle until Sister Felicity shuffled off

0:37:230:37:27

this mortal coil.

0:37:270:37:29

But every institution has its crumbling old dear

0:37:290:37:33

and it would seem that, now she's gone, falls to me to fill the void.

0:37:330:37:37

I will keep you in my prayers.

0:37:380:37:40

Oh, I don't believe in any of that.

0:37:400:37:42

Not quite what you expect to hear in a mission hospital, is it?

0:37:420:37:46

I've been here so long I can hardly recall

0:37:470:37:50

my state of faith when I arrived.

0:37:500:37:52

I'm driven by people's need, now, not by my own beliefs.

0:37:530:37:56

Don't tell anyone.

0:37:580:37:59

THEY SING

0:38:040:38:05

SINGING CONTINUES

0:38:100:38:12

Good morning!

0:38:310:38:33

Good morning, Constance!

0:38:330:38:35

Good morning, Sister.

0:38:350:38:36

I'm just popping in to look you over before we set out for the day.

0:38:360:38:40

Oh! Where's Roza?

0:38:400:38:43

She has gone home. The man doctor said her hand was better.

0:38:430:38:46

Yes, but he asked me to see to her maternity checks before she left.

0:38:460:38:50

Her mother came for her, so she went.

0:38:500:38:53

Oh. Still, she seemed fit and well.

0:38:530:38:57

Mm.

0:38:570:38:58

Sister, you are an excellent dancer.

0:39:000:39:03

Shh!

0:39:030:39:04

RATTLING

0:39:070:39:08

ENGINE STARTS

0:39:100:39:11

ALL CHEER

0:39:110:39:13

MUSIC: Pata Pata by Miriam Makeba

0:39:190:39:20

MUSIC DROWNS SPEECH

0:39:550:39:56

MUSIC FADES

0:40:130:40:14

KNOCKING ECHOES

0:40:280:40:29

Fred, come and look at this.

0:40:300:40:32

I'd better stand upwind of you.

0:40:320:40:34

I've been digging trenches for them long drops.

0:40:340:40:37

Inch of maggots in the old ones.

0:40:370:40:39

The water's even lower than it was before.

0:40:390:40:41

Did that come out of the tank?

0:40:430:40:44

Looks like it's full of clay.

0:40:460:40:48

We need to put it right...

0:40:510:40:52

..but first we have to find the source.

0:40:530:40:55

Yeah.

0:41:000:41:02

These old pipes ain't too bad.

0:41:030:41:05

Here's the source.

0:41:130:41:15

I told ya! Clay. You can make dinner plates with that lot.

0:41:170:41:20

What you want is a new source, full stop.

0:41:220:41:25

Well, there's a potential one here

0:41:250:41:27

but it's not going to be straightforward.

0:41:270:41:29

If we can clean and re-lay these pipes,

0:41:290:41:32

then the SPG grant might just stretch to cover the labour.

0:41:320:41:36

But we'd be disconnecting what little supply there is.

0:41:360:41:38

Well, that's going to run out in days anyway without rain.

0:41:380:41:41

So, tomorrow, I'll go and get permission.

0:41:410:41:43

MUSIC: Pata Pata by Miriam Makeba

0:41:460:41:47

MUSIC DROWNS SPEECH

0:41:500:41:52

Look, through there.

0:41:580:41:59

# Hoo, every Friday and Saturday night

0:42:020:42:04

# It's Pata Pata time

0:42:040:42:07

# The dance keeps going all night long

0:42:100:42:13

# Till the morning sun begins to shine... #

0:42:130:42:16

Thank you, Mrs Nonesi. Next, please.

0:42:240:42:27

Good afternoon, boys!

0:42:270:42:28

My name is Abel. We've come for the polio vaccination.

0:42:280:42:31

I have money.

0:42:310:42:33

If I don't have enough for both,

0:42:330:42:34

I want my brother to have the injection.

0:42:340:42:36

There's no injection, Abel,

0:42:360:42:37

it's medicine you swallow on a sugar lump.

0:42:370:42:40

And there's no charge.

0:42:400:42:41

Although we do have to add you to our records,

0:42:410:42:43

if you aren't already on our list.

0:42:430:42:45

We are not from this place. I walk eight miles.

0:42:450:42:47

No wonder your brother's legs got tired.

0:42:470:42:49

Matthias cannot walk - he has had polio -

0:42:490:42:52

that's why I want HIM to have the vaccination.

0:42:520:42:54

How long ago did Matthias have polio, Abel?

0:42:590:43:02

Two years ago.

0:43:020:43:03

Did you learn to speak English at school?

0:43:060:43:08

We learn only handicrafts at school.

0:43:080:43:10

Our mother taught me before she died.

0:43:100:43:13

Can you feel that?

0:43:180:43:19

He feels but he can't move.

0:43:210:43:24

That is why we want him to have the vaccination,

0:43:240:43:26

to cure the polio, like it says on the posters.

0:43:260:43:29

You can have the vaccination, Abel,

0:43:310:43:34

and there's no harm in giving Matthias one, too.

0:43:340:43:38

But there is something that you need to understand.

0:43:390:43:42

I'm going to tell it to you, man to man.

0:43:420:43:45

And neither I, nor anyone else, is going to take a penny of your money.

0:43:460:43:50

Thank you, Doctor, sir.

0:43:500:43:51

Abel, vaccination is to prevent polio, to stop it from happening.

0:43:520:43:59

It is good medicine.

0:43:590:44:01

All medicine is good...

0:44:010:44:02

..usually.

0:44:040:44:05

But vaccination can't make you better when you've already

0:44:060:44:10

had the disease.

0:44:100:44:12

Can't it help him to walk?

0:44:120:44:14

He was a good walker before he had polio.

0:44:140:44:16

No.

0:44:170:44:18

They were kids, the pair of them,

0:44:250:44:29

and I had to take away the only thing they had -

0:44:290:44:32

the belief that somehow things might get better.

0:44:320:44:35

At least Abel's been vaccinated.

0:44:370:44:39

Well, that's no comfort to either of us, Shelagh, and you know it...

0:44:390:44:42

and even less comfort to them.

0:44:420:44:44

-Look! Oh, wait.

-Please, Sister Gertrude!

0:44:550:44:58

Please! Please come! Doctor Myra's very, very sick.

0:45:000:45:02

I don't need you to examine me.

0:45:110:45:13

I'm not playing that game.

0:45:130:45:14

When you've been the only doctor within a 30-mile radius

0:45:160:45:19

for 27 years, you develop an impressive diagnostic prowess.

0:45:190:45:24

I don't doubt that and I don't doubt you.

0:45:240:45:28

Oh, yes, you do.

0:45:280:45:29

Won't you even let me look at you, just to be sure?

0:45:290:45:33

I have jaundice, nausea, weight loss.

0:45:330:45:36

Upper right quadrant pain referring through to the upper back.

0:45:360:45:40

Liver cancer's a sordid business, I know what I'm in for.

0:45:420:45:45

Do you think it's primary or metastatic?

0:45:470:45:50

The former. End of story.

0:45:500:45:54

I don't know what's worse, hope, like those little boys had,

0:45:560:46:00

or no hope at all.

0:46:000:46:02

There's never no hope at all, Patrick. It's 1962!

0:46:040:46:08

Oh, disgusting!

0:46:230:46:25

I've just changed Doctor Myra's sheets.

0:46:290:46:30

Apart from being helped to drink a little fluid,

0:46:300:46:33

it's the only attention she'll accept.

0:46:330:46:35

Put them in the basket over there.

0:46:350:46:38

The lady from the village who helps with the washing went home

0:46:380:46:41

sick yesterday and hasn't been seen since.

0:46:410:46:43

Sister Edith says two of the patients in general ward have

0:46:430:46:45

developed vomiting and diarrhoea.

0:46:450:46:47

Well, I wish I was surprised.

0:46:470:46:50

Excuse me. Is this the Starke farmhouse?

0:46:550:46:58

Yes, sir.

0:46:580:46:59

Every five years, I have to mount these all over again.

0:47:020:47:08

The glue disintegrates and, when I open the album,

0:47:110:47:17

all the photographs fall out like a deck of cards.

0:47:170:47:21

I'm afraid I've called at an inconvenient time, Mr Starke.

0:47:210:47:25

If you're thinking about running a water pipeline across my land, from

0:47:250:47:32

the spring to that hospital, there will never be a convenient time.

0:47:320:47:38

The new stream isn't on your land and there is just

0:47:390:47:42

no other route to the hospital.

0:47:420:47:44

Then work it out.

0:47:440:47:45

Find another spring or find another way.

0:47:470:47:50

Mr Starke, our tank is almost empty. There is no other way.

0:47:510:47:54

Our water's running out.

0:47:540:47:56

GOATS BLEAT

0:48:010:48:03

Nice goat....nice goat...

0:48:070:48:09

GOAT BLEAT

0:48:170:48:18

You're connected.

0:48:250:48:26

Hello?

0:48:270:48:29

This is Nonnatus House.

0:48:290:48:31

'Sister Monica Joan?'

0:48:310:48:33

It's Shelagh. I'm calling from South Africa.

0:48:330:48:37

'I left a key at Nonnatus House before we came away,

0:48:370:48:41

'so someone could go to our flat and water the plants.'

0:48:410:48:44

The parlour palm thrives.

0:48:440:48:47

Honesty dictates a poor report on the begonias.

0:48:470:48:52

'I'm not worried about the begonias.'

0:48:520:48:55

I need your help.

0:48:550:48:56

'Could someone go to the flat and look in one of the cupboards for me?'

0:48:560:49:00

MUSIC: Rubber Ball by Bobby Vee

0:49:000:49:02

# Bouncy bouncy

0:49:060:49:08

# Bouncy bouncy

0:49:080:49:10

# Bouncy bouncy

0:49:100:49:11

# Ee-ee-ee... #

0:49:110:49:15

Yonke into ihamba kakuhle. Perfect.

0:49:160:49:19

With your increasing command of Xhosa and my unerring ability

0:49:200:49:24

to draw a crowd through the deployment of popular music,

0:49:240:49:27

we're becoming an indispensable double act.

0:49:270:49:29

-Please! Please come very fast.

-Is somebody ill?

0:49:300:49:33

Yes, my daughter's baby's coming.

0:49:330:49:34

It's been three days since she had pains.

0:49:340:49:36

-Three days?

-Yes, please come, please.

0:49:360:49:39

Sibiza izinyanya zakwa uMthimkulu, uMthimkulu kwakona, umPafane,

0:49:410:49:44

uGabatha, nezinyanya zakwa Gadebe...

0:49:440:49:46

Has your daughter seen the doctor?

0:49:470:49:49

No, not for the labour, only for the bad cut in her head.

0:49:490:49:52

Midwives calling.

0:49:570:49:59

Hello, Roza. Remember me?

0:50:010:50:04

I want to do this the old way,

0:50:070:50:10

in my home.

0:50:100:50:11

There's no reason to suppose you can't.

0:50:110:50:13

Let's see if we can get you onto the bed, sweetie.

0:50:130:50:16

I'm tired of waiting and sick with bearing down.

0:50:210:50:26

First, we'll take a look at you

0:50:260:50:28

and then we'll get you a cup of sweet tea.

0:50:280:50:30

And how often are the pains?

0:50:400:50:42

Yesterday, four or five times an hour.

0:50:430:50:46

And now, just two or three.

0:50:470:50:49

You'll be able to have that cup of tea in a minute.

0:50:540:50:56

I just want to give you an internal examination, Roza.

0:50:560:51:00

I know you won't have had one before,

0:51:000:51:02

but it shouldn't be too un-comfy.

0:51:020:51:04

Heels up to your bottom and knees nice and wide apart.

0:51:040:51:07

That's it.

0:51:090:51:10

SHE GROANS

0:51:230:51:24

Is that a pain?

0:51:260:51:28

It's all right, sweetie.

0:51:310:51:33

I'm just popping outside for a moment.

0:51:370:51:40

Here.

0:51:540:51:55

There's no heartbeat, is there?

0:52:000:52:03

It's worse than that, Barbara.

0:52:030:52:06

There's no baby.

0:52:060:52:07

What?

0:52:070:52:09

The cervix is hard, the uterus isn't palpable

0:52:100:52:15

and, despite her waves of pain, she isn't even contracting.

0:52:150:52:17

Do you think it's a phantom pregnancy?

0:52:190:52:20

I know it is.

0:52:220:52:23

I've only seen one once before, years ago, but you don't forget it.

0:52:240:52:29

Trixie.

0:52:290:52:30

Don't you see why this has happened?

0:52:300:52:32

It's because she's been forced into a wretched, filthy, narrow life,

0:52:330:52:37

where her only worth comes from what she can grow in her womb.

0:52:370:52:41

She wanted that baby so badly that her body started lying to her

0:52:430:52:46

and she believed it.

0:52:460:52:48

The baby may be imaginary but her pains are real.

0:52:500:52:53

And now she has to be told the truth.

0:52:560:52:58

I know.

0:52:580:52:59

I'll do it.

0:53:030:53:04

ROZA SOBS

0:53:060:53:07

I'm sorry, Roza. I'm so sorry.

0:53:070:53:11

Words aren't enough,

0:53:110:53:13

I know they aren't enough,

0:53:130:53:15

but they're all I have, and I can't just sit here and offer you nothing.

0:53:150:53:18

You speak of "nothing".

0:53:220:53:25

-I

-am nothing.

0:53:260:53:29

I am hollow because I am empty!

0:53:300:53:35

You are not empty, Roza. You are full of love,

0:53:350:53:40

for the man you never see, for the mother you try to please,

0:53:400:53:44

for the child some idiot law of biology won't allow you to

0:53:440:53:48

conceive, that your soul spilled over and your body told you lies.

0:53:480:53:54

Biology might be the idiot, but I, I am the fool.

0:53:570:54:05

No. No, Roza.

0:54:060:54:08

It takes a lot of wisdom to love as much as you do...

0:54:080:54:11

..and that's why I know you'll find a reason to go on.

0:54:120:54:16

It just won't be today.

0:54:180:54:20

Would anyone like to try some of this local sausage?

0:54:420:54:45

It smells quite spicy, but the kitchen ladies were so kind

0:54:450:54:49

and I don't want to hurt their feelings.

0:54:490:54:50

Hand it over. It'll fill a hole.

0:54:500:54:52

I might walk back up that lane, to that little shop we saw,

0:54:520:54:55

see if I can buy us all an ice cream.

0:54:550:54:57

Whoo!

0:54:570:54:58

We are on holiday, after all.

0:54:580:55:00

Well, we're on holiday for an hour or two.

0:55:000:55:02

We're here to do mission work, Tom,

0:55:020:55:05

and I'm not sure it's possible, or right, to take a holiday from that.

0:55:050:55:09

Barbara, the work here is hard cos our patients' lives are hard.

0:55:090:55:12

We'll all do it better if we can just put it out of our minds for a little while!

0:55:120:55:15

We can put it out of our minds for good when we go home

0:55:150:55:19

and we may well want to,

0:55:190:55:21

because I'm not sure we'll leave anything worth remembering behind

0:55:210:55:24

or take anything away beyond insect bites and a few photos.

0:55:240:55:28

Listen, lass.

0:55:280:55:29

If that clinic closes,

0:55:290:55:30

it won't be for the want of us putting the effort in -

0:55:300:55:33

it'll because there's no running water

0:55:330:55:35

and no doctor left at the helm.

0:55:350:55:38

I'm working on that, but it isn't looking hopeful.

0:55:390:55:44

I want to believe that Doctor Myra's diagnosis is wrong.

0:55:440:55:47

I've learned a great deal over the past couple of years, Tom,

0:55:520:55:55

mostly by going to my AA meetings.

0:55:550:55:57

One was never to judge a book by its cover.

0:55:580:56:01

Barbara seemed so squeaky clean when she first arrived.

0:56:030:56:06

She still does, if you just look at her on the surface.

0:56:060:56:10

I don't just look at her on the surface.

0:56:100:56:13

I know.

0:56:130:56:14

Perhaps we should all be as wise as you or Barbara.

0:56:150:56:18

She is wise, isn't she?

0:56:200:56:22

She's angry and she's not afraid to say so.

0:56:220:56:26

In fact, Barbara's afraid of much less than you'd think.

0:56:270:56:31

But you don't expect it from her, so you just don't see it.

0:56:320:56:35

I see it.

0:56:350:56:37

And that's why Barbara's the person you should spend

0:56:370:56:40

your whole life with.

0:56:400:56:41

She's funny, she's strong and she's clever.

0:56:410:56:44

We simply have to overlook her incompetence at racquet sports.

0:56:450:56:49

"Whole life", Trixie?

0:56:520:56:54

I've known it for a long time, possibly longer than you.

0:56:540:56:58

But promise me one thing.

0:57:000:57:02

If you propose to her, or even when,

0:57:020:57:06

don't give her that ring that you once gave me.

0:57:060:57:09

That ring was your granny's before it was mine

0:57:090:57:12

and Barbara's had so many second-hand things over the years...

0:57:120:57:16

..that atrocious swimsuit being merely the tip of a very dismal iceberg.

0:57:170:57:21

I think she looks lovely in it.

0:57:220:57:25

Be that as it may, no hand-me-down rings, Tom.

0:57:250:57:29

Get her something brand-new - she deserves it.

0:57:290:57:33

Hello, you.

0:57:440:57:45

Hello, you. I'm sorry I lost my temper.

0:57:450:57:49

I'm sorry you felt the only way to make your voice heard was to shout.

0:57:490:57:52

Did I shout?

0:57:520:57:54

-Not really.

-Oh.

0:57:540:57:56

I was too easily defeated by the landowner,

0:57:580:58:02

too dependent on him giving his permission.

0:58:020:58:04

I'm going to strip out, repair, and move the whole pipeline,

0:58:040:58:07

round Starke's land if I have to.

0:58:070:58:09

In the meantime, we can fetch water from the new spring in barrels.

0:58:090:58:13

If the old spring's drying up, we're going to have to do that anyway.

0:58:130:58:16

We're going to have to see what faith can do.

0:58:160:58:18

Sister Edith has gone down with vomiting and diarrhoea.

0:58:220:58:26

Her, too?

0:58:260:58:27

And I've quarantined Sister Gertrude,

0:58:280:58:31

so that she's only working on the affected ward.

0:58:310:58:34

I'd say it's going to be all hands to the pump,

0:58:340:58:38

but under the circumstances that's just a really tactless pun.

0:58:380:58:42

We'll have to ration the amount of water that's used on laundry

0:58:420:58:45

and, with enteric fever going round, that's going to be difficult.

0:58:450:58:49

The best thing we could leave behind is something that goes on

0:58:490:58:53

working after we're gone

0:58:530:58:55

and that means Hope Clinic, which means Doctor Myra.

0:58:550:58:59

I might have found a different diagnosis.

0:59:010:59:03

If I'm right, she's in with a chance.

0:59:030:59:06

A good chance?

0:59:060:59:07

A slim one.

0:59:070:59:08

But if she won't let me near her, it means no chance at all.

0:59:100:59:13

Oh, I've witnessed several phantom pregnancies.

0:59:250:59:28

The women become deranged by the simple yearning to conceive

0:59:300:59:34

and bear a child.

0:59:340:59:36

I knew that yearning once.

0:59:360:59:37

I was lucky because it left me when we adopted our daughter.

0:59:380:59:42

But more than once, I clung to the slightest signs and convinced

0:59:420:59:46

myself I was carrying a child.

0:59:460:59:48

Our bodies aren't very reliable witnesses,

0:59:520:59:55

even when we're in the medical profession.

0:59:550:59:57

I'm not imagining I have liver cancer.

0:59:570:59:59

You're not imagining you have liver disease - that's different.

0:59:591:00:03

Why?

1:00:051:00:06

Because some liver diseases are curable -

1:00:061:00:08

if you would just let Dr Turner examine you.

1:00:081:00:11

You think I'm arrogant, don't you?

1:00:121:00:15

No. But I think you're scared.

1:00:151:00:18

And you've been so brave for so long, and so alone for so long,

1:00:201:00:25

that it's going to take a lot of courage to admit that.

1:00:251:00:28

Right, we'll be starting by dismantling the current water pipe

1:00:361:00:40

and clearing the tubes of any clay residue,

1:00:401:00:43

then we'll relay the pipes all the way from the new,

1:00:431:00:45

clean spring to the Hope Clinic.

1:00:451:00:48

Everyone working will be paid a daily wage.

1:00:481:00:50

If you have any difficulties, you're to come to me, Mr Buckle,

1:00:501:00:55

or Mr Muzungulu, who's been appointed foreman.

1:00:551:00:57

Right!

1:00:571:00:59

If you're feeling unwell, or if your cough plays up, you let me know.

1:01:011:01:04

MUSIC: Pata Pata by Miriam Makeba

1:01:041:01:06

And out.

1:01:151:01:16

SHE GASPS

1:01:171:01:19

I don't think it's a tumour.

1:01:301:01:32

I think it's a hepatic abscess,

1:01:321:01:35

but it's sizeable.

1:01:351:01:37

We need to get you to the general hospital in Port Elizabeth.

1:01:381:01:41

No. Not three hours in an un-sprung truck.

1:01:411:01:47

If it bursts, I won't survive the journey.

1:01:471:01:49

I may be stubborn, but I'm not a fool.

1:01:491:01:52

And you're a doctor,

1:01:521:01:54

which means I'm listening to what you have to say.

1:01:541:01:57

Likewise.

1:01:571:01:59

Medicine is never about doing what's easy -

1:02:011:02:04

it's about doing what's essential.

1:02:041:02:06

So what do we do next?

1:02:071:02:09

With your permission, I'll drain the abscess and give you emetine

1:02:091:02:14

to tackle the infection.

1:02:141:02:16

Very well.

1:02:171:02:18

A bit of local anaesthetic, it'll be drained before you know it.

1:02:181:02:21

No. No anaesthetic.

1:02:211:02:24

We've only got what you brought

1:02:241:02:26

and I'm saving that for my Caesarean ladies.

1:02:261:02:29

Those are my terms, Doctor.

1:02:291:02:32

Patients first

1:02:331:02:35

and, in this case, I mean mine, not yours.

1:02:351:02:38

May the Lord bless you and keep you.

1:02:491:02:51

I appreciate the sentiment.

1:02:511:02:54

Now, back to bed, all of you.

1:02:541:02:57

Can't keep my doctor waiting.

1:02:591:03:00

Aspirating.

1:03:241:03:25

Dish.

1:03:331:03:34

How much water do we have left?

1:04:151:04:18

If you really want to be a good patient,

1:04:181:04:20

you'll leave all of that to us.

1:04:201:04:21

Do you know why Mr Starke won't let the pipe pass over his land?

1:04:231:04:26

I assumed it was...because...

1:04:261:04:29

Because he hates blacks?

1:04:301:04:31

-Yes.

-No. It's because he loved his wife.

1:04:311:04:35

She was younger than him

1:04:371:04:39

and you never saw a girl look so pretty on her pedestal.

1:04:391:04:43

And when their first-born came along, she went into labour early

1:04:441:04:48

and they had no time for a transfer to a private nursing home,

1:04:481:04:52

so they sent for me.

1:04:521:04:53

I delivered her of a four-pound boy that lived for six days.

1:04:531:04:59

She was too ill to realise what she'd lost, but Mr Starke wasn't.

1:05:001:05:05

And she survived only 24 hours more - puerperal fever.

1:05:061:05:10

Has Mr Starke held a grudge against Hope Clinic all this time?

1:05:101:05:15

In his eyes, I...

1:05:151:05:17

I transmitted the disease from my patients to his wife.

1:05:171:05:22

When people have no love to live for,

1:05:231:05:27

it's so very easy to fill that void with hate.

1:05:271:05:32

Yes.

1:05:341:05:36

Water is now officially on the ration.

1:05:441:05:47

No more washing, it's for consumption and sterilisation only.

1:05:481:05:51

All right.

1:05:511:05:53

HE SIGHS

1:05:531:05:54

Is that the aspirate from Doctor Myra's abscess?

1:05:551:05:59

It's definitely amoebic

1:05:591:06:01

and that means the drugs we're using should be working,

1:06:011:06:04

but she's getting worse.

1:06:041:06:06

Could you be bold and try a different treatment?

1:06:061:06:09

I'm not sure there is one and I've been bold already.

1:06:091:06:13

I stuck my neck out draining the abscess and look where we ended up.

1:06:131:06:17

We haven't ended up anywhere yet, Patrick.

1:06:171:06:21

There's a time and a place for caution,

1:06:211:06:23

but not here and not now.

1:06:231:06:25

And I'm not going to say anything else,

1:06:261:06:28

because I'm afraid I might speak sharply

1:06:281:06:30

and, no matter how high the stakes, you don't deserve that.

1:06:301:06:33

Good morning, ladies.

1:06:371:06:38

Good morning!

1:06:381:06:40

And the Hotel Hope Clinic is once again open for business.

1:06:401:06:43

All right, Constance?

1:06:451:06:47

I think maybe yes...maybe no?

1:06:491:06:54

Today I think something might happen.

1:06:541:06:56

Well, if it does, you're in the right place.

1:06:571:07:00

Sustenance for the workers,

1:07:081:07:10

after which we're collecting water from the stream to take back

1:07:101:07:13

to the hospital.

1:07:131:07:14

Why didn't you bring the truck?

1:07:141:07:16

Nurse Crane said we shouldn't waste fuel.

1:07:161:07:18

We won't have to do it for long,

1:07:181:07:19

just until the new pipeline's connected.

1:07:191:07:21

That's it, Constance, that's it.

1:07:281:07:31

How much longer? One hour?

1:07:311:07:34

Or two?

1:07:341:07:35

A few.

1:07:351:07:36

Come on. Think how long you've waited for this baby.

1:07:361:07:40

Oh, no.

1:07:441:07:45

Excuse me!

1:07:511:07:52

You were right, Shelagh.

1:07:551:07:56

If we act now, there's one last thing that we can try.

1:07:561:07:58

Oh, Patrick, I hope so.

1:07:581:08:00

She's coming round.

1:08:021:08:03

It's all right, Myra. We're going to help you.

1:08:051:08:07

I promise.

1:08:071:08:09

I came as quickly as I could.

1:08:091:08:10

We need to get her to a hospital, preferably in Port Elizabeth,

1:08:101:08:13

and persuade them to give her a drug called metronidazole.

1:08:131:08:17

It's new. It's still experimental,

1:08:171:08:19

but I've read reports on it and I'm prepared to beg.

1:08:191:08:22

She deserves better than this.

1:08:331:08:35

Don't worry. She'll get the very best that we can give her.

1:08:351:08:38

Not long now, Constance.

1:09:091:09:11

Mr Hereward?

1:09:161:09:19

The situation at the clinic is becoming desperate.

1:09:191:09:22

We're working as fast as we can, Sister.

1:09:221:09:24

When will the pipeline be connected to the tank?

1:09:241:09:27

It could take as long as two months.

1:09:271:09:29

Two months? We've barely enough water for two days.

1:09:291:09:33

Without Mr Starke's permission to put the pipe across his land,

1:09:331:09:37

we have to lay it around his boundary - which runs for miles.

1:09:371:09:41

And he won't give you that permission?

1:09:411:09:43

No. He just refuses.

1:09:431:09:45

Well done, Constance.

1:10:001:10:02

Now let's see if we can get you a bit more comfortable.

1:10:021:10:04

How are we getting on?

1:10:041:10:06

She's still not fully dilated.

1:10:061:10:08

The cervix is oedematous and the head's very high.

1:10:081:10:10

Narrow pelvis?

1:10:101:10:12

Very. And she's lost two babies before.

1:10:121:10:15

SHE MOANS

1:10:151:10:16

It's all right, sweetie. It's all right.

1:10:191:10:22

I will fetch Mr Starke.

1:10:271:10:29

Oh...

1:10:491:10:50

Thought you were Mother Felicity.

1:10:521:10:54

If you had been, would've thrown you straight out.

1:10:541:10:58

Mother Felicity has died, Mr Starke, of dysentery.

1:10:581:11:02

-She lived to a considerable age, but...

-Lucky her.

1:11:021:11:06

I have spoken with Dr Myra and I do understand why your feelings

1:11:091:11:13

towards Hope Clinic are...less than warm.

1:11:131:11:17

Good. Then leave my house and leave me alone.

1:11:171:11:21

I have generally been quite a fortunate woman, Mr Starke.

1:11:241:11:27

I've experienced little in the way of loss,

1:11:271:11:31

but I know what it is to have nothing but

1:11:311:11:33

a photograph or two to look at and to love.

1:11:331:11:36

They fade...

1:11:381:11:40

..people don't tell you that.

1:11:411:11:43

The photographs fade and the glue disintegrates.

1:11:431:11:47

Now, I never took any photographs of Celeste in her last days...

1:11:491:11:54

..because her face was so swollen and discoloured.

1:11:561:12:00

I can imagine.

1:12:001:12:02

And I never took any photographs of the child at all.

1:12:021:12:07

I can't answer for what happened then.

1:12:101:12:12

But will you let me say I am sorry?

1:12:141:12:16

Why? Why should you feel guilt? Hmm?

1:12:161:12:19

I don't, but I feel so much sorrow.

1:12:201:12:24

I feel it every time a child is lost, every time a mother is lost.

1:12:251:12:29

I feel it every time I see somebody weeping,

1:12:291:12:32

even if they don't allow the tears to fall.

1:12:321:12:34

# Each night before you go to bed, my baby

1:12:411:12:46

# Spare a little...

1:12:461:12:49

ROZA JOINS IN: # ..prayer for me, my baby...

1:12:491:12:52

# And tell all the stars above

1:12:521:12:57

# This is dedicated to the one I love... #

1:12:591:13:03

I think now we should send for a doctor.

1:13:051:13:08

She doesn't need a doctor, does she, Nurse Franklin?

1:13:081:13:11

Of course not. She's got us.

1:13:111:13:13

ROZA GROANS

1:13:131:13:14

That's it.

1:13:151:13:16

Mr Starke,

1:13:171:13:19

if your wife did die because of bacterial infection,

1:13:191:13:22

you could help prevent that happening to any other mother.

1:13:221:13:24

All you have to do is to stop blaming Doctor Myra

1:13:241:13:28

and her black patients for the death of your wife and baby.

1:13:281:13:32

You ask a great deal of a man who has nothing.

1:13:321:13:36

You have land, Mr Starke, land that could be traversed with

1:13:361:13:39

a water pipeline in a matter of just a few days.

1:13:391:13:42

Believe me, a clean water supply to the hospital would be

1:13:421:13:46

a better memorial to your wife than any photograph,

1:13:461:13:50

even if the smiling faces are not her face

1:13:501:13:53

and the children saved are not your child.

1:13:531:13:56

I have asked a great deal, Mr Starke, I know.

1:14:061:14:09

But I will not ask your permission to pray for you,

1:14:091:14:12

I will do that anyway,

1:14:121:14:13

because I cannot bear the thought of leaving you alone in such pain.

1:14:131:14:18

SHE GROANS

1:14:291:14:30

GROANS CONTINUE

1:14:331:14:34

She's making no progress.

1:14:381:14:40

She can't pass urine

1:14:401:14:41

and there's a ridge in the muscle in the lower part of the uterus.

1:14:411:14:44

Would you examine her, Sister?

1:14:451:14:47

This?

1:14:501:14:51

You're right, Nurse Franklin.

1:15:001:15:01

If we don't intervene, the uterus will rupture.

1:15:011:15:04

The heartbeat's still slow.

1:15:061:15:08

Sister?

1:15:211:15:22

Constance needs a Caesarean section -

1:15:231:15:25

without one, neither she nor the child can survive -

1:15:251:15:28

and there's no-one here that can do that for her.

1:15:281:15:31

Then we have no choice - we have to operate ourselves.

1:15:311:15:34

We're midwives, Nurse Franklin.

1:15:341:15:38

I don't normally wish we were doctors, too, but I do today.

1:15:381:15:42

Sister, I've seen so many Caesareans at close quarters,

1:15:441:15:49

I've even assisted in stitching.

1:15:491:15:51

We have the instruments we need,

1:15:511:15:53

we're skilled enough and desperate enough.

1:15:531:15:56

Please don't plead with me.

1:15:571:15:59

I'm not pleading. I'm saying again that we have no choice

1:15:591:16:03

and I want that to be a powerful thing,

1:16:031:16:06

a thing that makes survival possible.

1:16:061:16:09

Not a miserable, grinding version of "no choice",

1:16:091:16:12

which means we'll have two bodies to bury in one coffin in the morning!

1:16:121:16:15

That may be the situation anyway, Nurse Franklin,

1:16:151:16:18

even if we do as you suggest.

1:16:181:16:21

But at least we will have tried.

1:16:221:16:24

Trixie's already scrubbing up.

1:16:311:16:33

Nurse Crane sent me to collect the instruments and the drugs.

1:16:331:16:35

It's all in hand, including a strong sedative and plenty of lignocaine.

1:16:351:16:39

Sister Gertrude says Nurse Franklin will need to inject it into

1:16:391:16:42

each layer of muscle as she proceeds.

1:16:421:16:44

Are the instruments ready?

1:16:441:16:45

Erm, they need another 50 seconds.

1:16:471:16:50

ROZA'S GROANS CONTINUE

1:17:041:17:05

Extra Tilley lamp.

1:17:121:17:13

Thank you, Fred.

1:17:131:17:15

Can I do anything else?

1:17:151:17:17

Not this time.

1:17:171:17:18

Has the anaesthesia taken?

1:17:381:17:40

Scalpel.

1:17:431:17:45

That's it, Constance, that's it.

1:17:541:17:56

She needs more gas.

1:18:131:18:14

Uterus exposed.

1:18:201:18:22

I'm going to pull the baby out now.

1:18:441:18:46

Ready to receive.

1:18:461:18:47

It's stuck, I can't move it.

1:18:531:18:55

I need...I need someone to put their hand into the birth canal

1:18:571:19:01

and push the baby back upwards.

1:19:011:19:03

Barbara, will you do it?

1:19:051:19:07

Yes.

1:19:081:19:10

Applying pressure.

1:19:181:19:19

Barbara!

1:19:261:19:27

Again, Barbara!

1:19:301:19:32

BABY CRIES

1:19:441:19:47

Come on, come on, open your eyes, Mummy!

1:19:471:19:50

Well done, Trixie. I couldn't be more proud of you.

1:20:211:20:26

Well done.

1:20:271:20:29

Well done.

1:20:291:20:31

I can't really think of anything else to say,

1:20:341:20:37

except I'm so glad you taught me to smoke

1:20:371:20:39

because right now there's nothing I want more than a cigarette.

1:20:391:20:42

THEY BOTH CHUCKLE

1:20:421:20:44

I've come to speak to you, Sister.

1:21:141:21:17

I'm afraid I can't oblige you now, Mr Starke.

1:21:171:21:19

This baby's mother required surgery and I need to get back to her.

1:21:191:21:24

Don't you bath a baby when it's just been born?

1:21:251:21:28

Mother Felicity bathed my little girl when she was born,

1:21:281:21:32

I remember it clearly.

1:21:321:21:33

We don't have sufficient water, Mr Starke

1:21:351:21:37

and, as I said, I can't oblige you now.

1:21:371:21:42

I'm sorry.

1:21:471:21:48

Truly sorry.

1:21:491:21:50

And I want to make amends.

1:21:571:21:58

CHATTER AND LAUGHTER

1:22:271:22:29

They're back.

1:22:441:22:45

What news of Dr Myra?

1:22:471:22:49

She's been admitted to hospital in Port Elizabeth.

1:22:491:22:52

Dr Turner persuaded them to try metronidazole.

1:22:521:22:54

It remains to be seen if it will work.

1:22:541:22:57

Meanwhile, we stopped off at the airport and collected this,

1:22:571:23:00

fresh from Nonnatus House.

1:23:001:23:02

Oh!

1:23:021:23:03

Then...we stopped off in a certain village and picked up these.

1:23:031:23:08

Molo.

1:23:131:23:14

Come on, lads. We've got work to do.

1:23:171:23:19

What is this cake?

1:23:231:23:24

It's Christmas cake.

1:23:241:23:25

It's a bit late.

1:23:251:23:27

No. It's a bit early.

1:23:271:23:28

Ah. Ooh.

1:23:341:23:35

Phyllis seems to have got her camera working.

1:23:451:23:47

I thought that, when the water comes through, we could get a picture.

1:23:471:23:51

That way we'll have proof we left something behind.

1:23:511:23:54

We don't need proof. We'll always know it's here.

1:23:541:23:57

In the meantime, tuck into this.

1:23:571:24:00

I don't fancy looking at it in the Bay of Biscay.

1:24:001:24:02

Barbara.

1:24:081:24:10

I want you to have this.

1:24:121:24:14

No-one's hand ever touched it but mine

1:24:141:24:16

and it's as though it was just growing here,

1:24:161:24:19

waiting for this moment.

1:24:191:24:21

Oh, Tom.

1:24:211:24:23

There'll be a gold ring, there'll be a diamond if you want one,

1:24:231:24:26

but...for now - you beautiful girl -

1:24:261:24:30

will you just let me love you

1:24:301:24:33

and accept this blade of grass?

1:24:331:24:35

Yes, I will.

1:24:361:24:37

Barbara Gilbert, will you marry me?

1:24:371:24:41

Doesn't your boy need these anymore?

1:24:501:24:52

No.

1:24:521:24:53

Our boy - Timothy - got stronger.

1:24:551:24:57

These are yours now.

1:24:571:24:59

Yeah.

1:24:591:25:00

HUM OF CHATTER

1:25:021:25:04

Thank you all for coming.

1:25:091:25:10

CHATTER SUBSIDES

1:25:101:25:11

Now it's time to see if the new spring works.

1:25:131:25:15

There you go, chap.

1:25:201:25:21

Oh, bless him.

1:25:251:25:26

Three, two, one...

1:25:311:25:32

JENNIFER: 'Not all gifts come tied in ribbons

1:25:401:25:43

'or at a special time of year.

1:25:431:25:45

'Some blessings surprise us, arriving unlabelled,

1:25:451:25:49

'and we embrace them in a blaze of joy.'

1:25:491:25:52

Good afternoon, Nurse Gilbert. Mrs Turner.

1:25:551:25:59

Roza. You look so smart.

1:25:591:26:00

Once a secretary, always a secretary.

1:26:011:26:05

'Roza Mphaphane was appointed clinic administrator, which gave her

1:26:051:26:10

'dignity and purpose, and the hospital the chance to thrive.

1:26:101:26:14

'Clean water and renewed and increased funding from

1:26:141:26:17

'the mission made Hope Clinic viable again.

1:26:171:26:21

'It could at last look to the future with the woman who served it

1:26:211:26:25

'for so many years restored to her place as its beating heart.'

1:26:251:26:30

I hope you're going to behave yourself

1:26:301:26:33

because, until you're fully recovered, Dr Myra, I'm in charge.

1:26:331:26:37

Ooh.

1:26:371:26:38

Go on, off you go, go on...

1:26:441:26:46

Right.

1:26:471:26:49

Oh, that's nice. Now just get a bit closer.

1:26:501:26:53

Smile!

1:26:531:26:54

'The once frail hospital flourished long after the visitors from

1:27:011:27:07

'Nonnatus said goodbye.

1:27:071:27:10

'But though they had given their labour and their love,

1:27:101:27:13

'they also took and they learned...

1:27:131:27:16

'and they went home wiser, enriched,

1:27:161:27:20

'in ways that they could not count.'

1:27:201:27:22

Ready!

1:27:221:27:24

CAMERA WHIRS

1:27:261:27:27

Cheese!

1:27:311:27:33

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