Dia De Los Muertos Doctors


Dia De Los Muertos

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HUM OF TRAFFIC

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CAR ENGINE APPROACHES

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-Of all the days for Heston to be off sick!

-How come you're here so early?

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I'm trying to prove to Howard that we don't need recalibration

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-or rebooting or whatever it is.

-Reaccreditation.

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Well, it's very impressive. But for it to count, you need to be here at this time every day.

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We're highly experienced professionals. It's demeaning.

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He's got it in his head that I'm not on message, that I'm the enemy.

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I'm sure you've got the wrong end of the stick.

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Anyway, when he sees that you're here at this time he'll see your commitment is shining through.

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-What are you all doing here?

-Howard asked us in early.

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-He didn't ask us.

-Wish he didn't ask me.

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I'm only here to make sure my husband keeps his job.

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-Your husband can hear you.

-Ah, good, everybody's here. And early too. Excellent.

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-The trouble is, you can't tell if he's being sarcastic or not.

-Team!

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I'd like to say a few words. Today is a new beginning.

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A new beginning, not just for me,

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who is privileged to lead this team,

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but a new beginning for the Mill.

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A glorious new beginning.

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-Very Churchill.

-Winston or the dog?

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-But that glory has to be earned.

-The dog.

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It's going to be hard, and we all have to bring our A games.

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But I have faith in every one of you. Thank you.

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Ready to bring your A game?

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I'm sorry, I don't speak imbecile.

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Don't rock the boat. Not today.

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Can we have a quick chat in my office?

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I have a special task for you.

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He is insufferable. What were you thinking of?

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Look, I know he's... Yeah, look, just...

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it's nerves, over the reaccreditation.

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After today, things'll settle down.

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I've reviewed my plans for today...

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Your plans?

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I've spotted a gap in our presentation.

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We don't seem to cover the interconnect between counselling services and the Mill.

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-Perhaps if you'd consulted me sooner we could have avoided this.

-Yes, well, better late than never.

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Counselling's never had its due from this practice.

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-Sometimes there's just a little too much testosterone.

-I agree.

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That's why I think you'd be the best point man, as it were.

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Could you say a few words to the responsible officer?

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I know it's short notice - it's important,

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and it's very much a buzz word these days.

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And I think you would give the board of reaccreditation a warm glow.

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You see? He's not that bad.

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And you may just have an ally. Come on, admit it - you were wrong about him.

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Elaine, Howard's emailed a revised schedule of the day. You're in it.

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Well, let's see.

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1600 to 1610 - Mrs Tembe's got some ideas on toilet facilities for the clients.

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1610 to 1615 - you.

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1615 to 1625 - Cherry on proposed new colour schemes for the waiting area

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and their impact on client wellbeing.

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My opening 20 minutes on new technologies and client care's intact. Welcome aboard.

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Five minutes - stuck between Mrs Tembe's loo brushes and Cherry's colour swatches.

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Yeah, like he's going to spend a penny on that those. That's what he really thinks about counselling.

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Zara at home today, mate?

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Yes. Joe was up all night with a cough.

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I would've stayed with him, but she insisted.

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Perhaps it's for the best.

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I mean, Zara not being here.

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No offence, mate, but you know Zara's style,

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she's likely to make Howard blow a vein.

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Do us a favour today, keep an eye on Elaine.

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I think she's feeling a little bit isolated by Howard.

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He's here. Shoulders back.

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He is irritatingly enthusiastic.

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Everybody ready?

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I think so, Mr Bellamy.

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-So, Howard, do we curtsey?

-A handshake's more than enough.

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I wonder if there's anything else we can do to modernise the place.

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I'm surprised you didn't knock down the walls to all the con rooms

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-and make it one lovely big open plan surgery.

-Don't tempt me.

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-I'll look into it.

-If this is a success, he'll be unbearable.

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And if it's not a success?

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ELAINE SIGHS He's a child.

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He makes Kevin look like Vince Cable.

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Everybody, this is Dr Jason Weaver from the board of reaccreditation.

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-I'll let Jason explain.

-Hi, I'm Jason.

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Well, this is very much a process at the beta stage.

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Licensed doctors will now need to maintain a portfolio

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of supporting information drawn from their practice

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which demonstrates how they are continuing to meet the principles and values

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as set out in Good Medical Practice Framework.

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I'm specifically here to assess that.

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We will make a recommendation to the board

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about each doctor's fitness to practice.

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This is based on our observations of you at work

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and the outcomes of your annual appraisals over five years,

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combined with information drawn from the clinical governance system

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of the organisation in which the licensed doctor works.

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Any questions?

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Does that mean you get to decide whether or not we stay on as doctors?

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I'm sure you've all heard about the Shenton Walker practice.

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But we really must put that out of our minds.

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I'm not here to cull doctors.

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Promise.

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Shenton Walker?

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Two doctors didn't get reaccredited.

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He's here to cull doctors.

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Come on. Let's go.

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I...I can't remember getting a good night's sleep.

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Every little bump I hear... I think that's Billy.

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I panic about what he'll do if he gets in.

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The locks are changed?

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And you don't feel the need to... to harm yourself any more?

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Um... I do, but sometimes I can fight it.

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Good. That's progress.

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You mustn't let your ex ruin your life.

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He's the problem, not you.

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I'm going to refer you to a counsellor.

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-A stranger?

-She's very good, very insightful, very sympathetic.

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I don't know.

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I can understand why you're not sure,

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but I'd like you to meet her before you make a decision.

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I really think she can take the progress you've made

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and move it forward. KNOCK ON DOOR

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Sorry, running late. Could we sit in, as agreed?

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Sorry, doctors only.

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I am a doctor.

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Absolutely not. Not mid-session.

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Sorry.

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Where's Howard?

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In Dr Granger's room with Dr Weaver.

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I'm sorry about that, it really it wasn't the right thing with that patient.

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You've undermined me from the beginning, Elaine.

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-Where does this end?

-Sorry? If anything, you've...

-You need to know something.

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Dr Weaver has gathered patient feedback into his preliminary assessment.

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You have room for improvement.

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-What?

-Mr Reese and Mrs Cotteril ring any bells?

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Well, that's not fair. George Reese is a frequent flyer.

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He's here all the time - there's never anything wrong with him.

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And Angela Cotteril? She is addicted to painkillers.

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Dr Cassidy has tried to get her help.

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She gets a little... Well, deranged if she does not get her own way.

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We take patient feedback very seriously.

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And we don't consider it the venting of deranged clients.

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Dr Weaver has suggested a programme of targets be put into place for doctors

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-failing to score highly enough on patient feedback.

-Failing?

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Gentlemen. Dr Clay awaits. This way, please.

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PHONE RINGS

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Howard's under a lot of pressure here. You should go easy on him.

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He has to be given the chance to do things his way. Right?

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Julia's gone and if you can't handle that then...

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..then maybe this isn't the right practice for you, any more.

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Nurse Clay, I have a patient who needs an emergency visit...

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-Thanks, thanks, Kevin.

-I'm just saying.

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I shall assess your input and...

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My 11:30 has cancelled.

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Tell Cherry I'll do the home visit, if she's happy.

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-Howard won't be.

-Tough!

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DOORBELL

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Hi, I'm Dr Cassidy, I'm here to see Tony.

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I'm so glad you're here. Come in.

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Thank you.

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Dad's dozing in the living room.

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He needs help with his oxygen and his pain levels.

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MOBILE RINGS

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Excuse me, I better take this.

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'Hi, Daniel.'

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Howard is very unhappy.

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I suggest you get back here as soon as you can and smooth things over.

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God, the man is obsessed with rules and volume and red tape.

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'He acts like we're making coat hangers.'

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Look, he's a few days into a new job,

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he's been landed with the process whereby any of us - you, me - might lose the right to practice medicine.

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Once things get back to normal...

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'Daniel, this is it.'

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This is now normal. Julia's gone.

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'This nonsense is demeaning.'

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It'll just lead to more rules getting in the way of the patients.

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'Maybe it's time some of us made a stand?'

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Rules are there for a reason, otherwise there's anarchy.

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Oh, stuff the rules.

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'Don't be a martyr, Elaine.'

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OK? Let's just get through today.

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'I'm with the patient now.'

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I won't be long.

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Go.

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Just go.

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No. Here's the doctor.

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So, Tony, you're...

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you're suffering from mesothelioma?

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The pain...can't bear it.

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-What pain relief have you been given?

-Morphine.

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He has a pump, but it doesn't seem to give him enough.

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OK. I can up the infusion on that. That should help.

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-Go.

-Sorry?

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He's talking to me. Dad, save your energy.

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You are going.

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She has a job interview.

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-Ah.

-So go.

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-What's the job?

-Air stewardess.

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She worked in first class. Travelled the world.

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I quit to look after Mum and him.

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-Now Mum has gone and I'm as good as...

-There's no way I can take a job away from home. Not now.

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Stupidity. Opportunity won't come again.

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I've got one opportunity now. Can I nip to the shops? Ten minutes.

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Course.

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LABOURED BREATHING

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My projection is that if we can use Skype for consultations

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-instead of home visits we could save up to...

-When can I see Dr Cassidy?

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I can't reaccredit her unless...

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The time saved in travelling alone

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could save up to 500 man hours per annum.

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Not to mention the time saved in getting in, small talk, etc.

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-She's on a home visit. She'll be back soon.

-Interesting.

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-It would help to get some feedback from a more chronic patient.

-Mmm.

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Oh. Er...

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What do you mean, you won't help me?

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I can't lie to a relative. It's against all the rules.

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Weren't a fan of the rules a minute ago.

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I might be dead...a few weeks. Yes?

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Quite the optimist, aren't you?

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HE WHEEZES

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Sorry.

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Yes, yes, you might.

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Then...not really a lie.

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If...if you tell her I'll be dead soon,

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she'll take the job.

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Or she might decide it's more important to stay here.

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If she thinks I'll be gone by then, she'll take the job.

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I'll make her.

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It's still a lie.

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Even if she did take the job and go,

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she might be away when...

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when you die. It'll devastate her.

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She's made her choice. She wants to be here for the rest of your life.

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When I'm gone...what does she do...

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do with the rest of hers?

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-Is she back yet?

-No.

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-Can you call Elaine? She might listen to you.

-I already have.

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She needs to know if Dr Weaver doesn't reaccredit her we might not be able to employ her any more.

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-I'm sure it won't come to that.

-It came to that at Shenton Walker.

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As Dr Weaver put it to me himself - there's nothing like a body count to focus the mind.

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-She is good, isn't she?

-Absolutely.

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Then we don't want to lose a good doctor.

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'What are you doing?'

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Lock...lock the door.

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You won't make it to the door.

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LABOURED BREATHING

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Then...lock it for me.

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I can't do that.

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-Damn house.

-You're making yourself worse.

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Locked out, she'll go to the interview.

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No, she'll just stand there worried until you let her in.

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Is there anyone else I can call, any family?

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Sons in London won't come.

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Only Amy...and it...

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HE GASPS FOR AIR

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..hurts her so much seeing me like this.

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Going to save her from pain and from ruining her future.

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-What about palliative care? That might let her...

-She won't have it.

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Won't have a stranger, not even a private nurse.

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-Lock the door. Please.

-You're not thinking this through.

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Even if she got the job, she wouldn't take it,

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she wouldn't leave,

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not while you're alive.

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She takes commitments seriously. If she commits...

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It's not just...

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not just a job.

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It's that job. She loved it.

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Her eyes sparkled when she talked about the places she'd been.

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Don't sparkle any more.

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-And so, to conclude, if you look at the...

-DOOR OPENS

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..man hour figures

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and compare them to the costings, you'll see that...

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She's on her way back.

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As I was saying, you'll see that using Skype for home visits

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will save us a substantial amount of money in the long run.

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MOBILE CHIMES

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When I was in palliative care...

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..this nurse asked me about what regrets I had...

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..wisdom to pass on.

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Like you're only wise when you're dying.

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Did it help, talking about your regrets?

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Kind of.

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Hard truths, regrets, things not done.

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I wish I'd had the courage to be true to myself.

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I'm sure that's not true.

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If you don't help, I'll turn on her.

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Please don't make me.

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ELAINE SIGHS

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I'm only a doctor. Please don't put that on me. It's not fair.

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Oh, rules!

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They're just there to make us bend to other people.

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They're not there to make us happy.

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That's down to us.

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The rules.

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HE GASPS FOR AIR

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You need some rest.

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FRONT DOOR OPENS AND SHUTS

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Make a dying man happy.

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How has he been?

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Oh, you know, not great.

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In pain. Exhausted.

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Have you been OK?

0:16:560:16:58

I'm tired. It's been...

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It's not easy watching him waste away. I...

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I cry a lot.

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It doesn't show.

0:17:070:17:09

Thanks. It's an old hang up from my flying days.

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Sometimes I had to be ready to be on a plane in 15 minutes.

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I always took pride in being ready for anything.

0:17:170:17:19

When's your interview?

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Just over an hour. Look, I know what you're thinking.

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It's my old boss. She's working for a new airline.

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She's pestered me to come in for the interview and I...

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I just should never have told Dad.

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It must be nice having a boss who values you.

0:17:330:17:35

I guess you've seen the world.

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A lot of it. I've had some great times.

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-Especially in Mexico.

-Oh, I love Mexico.

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Mmm. It's my favourite place.

0:17:430:17:45

I always arranged to be out for the start of November.

0:17:450:17:48

-My old boss, she was always good about that.

-Why November?

0:17:480:17:52

Day Of The Dead.

0:17:520:17:54

I always went down to Xochimilco or out to Patzcuaro.

0:17:540:17:58

It's amazing. Their old, their dead,

0:17:580:18:01

they aren't an embarrassment to them.

0:18:010:18:05

They're still part of their lives, their families.

0:18:050:18:07

It's like they're not even gone.

0:18:070:18:09

Maybe next year I'll head out on my own,

0:18:100:18:13

with a picture of him.

0:18:130:18:14

I better be going.

0:18:200:18:22

Pathetic.

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-What is?

-You.

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Wasting your life.

0:18:300:18:32

What kind of person wants to be with a sick old man

0:18:320:18:36

-when she could be out living?

-A daughter.

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Can pay for a nurse. Don't need you here.

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Don't want you here.

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You're hiding. Blaming me.

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Dad wants me to do the very thing he hated doing -

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work when I should be with my family.

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With two big differences. You love your job, right?

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And you don't have any kids.

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No, I have a dying father.

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Who wants something to drink?

0:19:030:19:05

'Well, how are we doing so far?'

0:19:130:19:15

-Howard.

-How many of these reaccreditations have you done?

0:19:150:19:18

This is my second.

0:19:180:19:20

-Really? Where was your first?

-Shenton Walker.

0:19:200:19:24

Actually, this is the second in the country.

0:19:240:19:28

The eyes of the medical community are on us.

0:19:280:19:30

How exciting.

0:19:300:19:32

Though I thought you would have done quite a few by now.

0:19:320:19:35

They found it trickier than they thought to get ROs.

0:19:350:19:38

The conflict of interest is a minefield.

0:19:390:19:42

No-one wants to be the doctor who puts the kibosh on a practice that's competing with theirs.

0:19:420:19:46

-Yeah, they'd have you in court before you could say, "What a load of old..."

-Quite.

0:19:460:19:50

No problem for you?

0:19:500:19:52

Me? No. Never been a GP.

0:19:520:19:54

-What?

-Oh, don't worry, I am a qualified doctor.

0:19:540:19:59

General medicine at Hull,

0:19:590:20:01

then a spell in public health before the board of reaccreditation.

0:20:010:20:04

Well, it's reassuring to know there's no conflict of interest.

0:20:040:20:08

Correct?

0:20:080:20:09

I'm having a nurse sent over to monitor your dad's oxygen

0:20:180:20:21

and top up his morphine.

0:20:210:20:23

-He doesn't need anyone keeping an eye on...

-I can drop you off at your interview on my way back.

0:20:230:20:27

I don't need...

0:20:270:20:28

I think it'll help your dad if you do the interview.

0:20:280:20:31

It's not as if you're committing yourself to anything,

0:20:310:20:34

and it'll give us a chance to discuss his prospects.

0:20:340:20:37

If he wasn't ill, would you still think twice about going for the interview?

0:20:450:20:49

See the world, see Mexico again? In a heartbeat.

0:20:490:20:52

How long does he have? Really?

0:20:550:20:56

It's impossible to say.

0:20:560:20:58

I could say a matter of weeks but occasionally people surprise us.

0:20:590:21:04

Occasionally or often?

0:21:040:21:06

Occasionally.

0:21:060:21:08

Let me do some more research into his specific case and I'll get back to you.

0:21:090:21:13

In the meantime, there's no harm in going for the interview,

0:21:130:21:16

keep your options open.

0:21:160:21:17

-Mmm.

-Good luck.

0:21:170:21:20

Thanks.

0:21:200:21:21

Where have you been?

0:21:300:21:31

-With a patient.

-You ignored calls and messages!

0:21:320:21:35

I don't like being harassed when I'm with patients.

0:21:350:21:37

Your irresponsible and maverick behaviour could cost yourself and this practice dear.

0:21:370:21:41

-Elaine's not a maverick, Howard.

-Mr Bellamy, I was wondering if I could change places with Dr Cassidy.

0:21:410:21:47

-I have so much to do.

-Sure.

0:21:470:21:50

-Oh, right.

-Your notes and PowerPoint presentation ready?

0:21:500:21:53

I know my subject inside out. I speak from the heart.

0:21:530:21:56

Got a problem with that?

0:21:560:21:58

No. Let's do it.

0:21:580:22:00

The thing is to be totally truthful with your patients at all times.

0:22:020:22:06

You achieve nothing otherwise.

0:22:060:22:08

You have to believe they're being totally honest with you,

0:22:080:22:11

and they can only do that if they believe that you're being totally honest with them.

0:22:110:22:15

The skill is to be truthful but non-judgemental.

0:22:170:22:21

SHE SIGHS

0:22:270:22:28

Thank you.

0:22:300:22:31

I'm not sure if they liked it.

0:22:310:22:33

I don't know if I made any sense at all.

0:22:330:22:35

I'm sure you did a great job.

0:22:350:22:37

-Dr Cassidy.

-Amy.

0:22:380:22:40

They texted as soon as I left.

0:22:400:22:42

Apparently I wowed them.

0:22:420:22:44

They want me on the London-New York route in a month.

0:22:440:22:47

It'd mean being away for nearly a week at a time.

0:22:470:22:50

You've seen him. What do you think? If you had to make a decision

0:22:500:22:54

I can't answer that. I'm sorry. Surely they'll understand.

0:22:540:22:58

They'll negotiate a delay to you starting the job.

0:22:580:23:00

Not six months.

0:23:000:23:02

I can help with respite care, but..

0:23:030:23:05

..I can't guarantee he'll be alive when you get back.

0:23:060:23:10

But I think if you took the job,

0:23:100:23:11

it would take time he has left much happier.

0:23:110:23:14

KNOCK ON DOOR

0:23:140:23:16

Come in.

0:23:160:23:17

Your next patient has arrived, and...

0:23:180:23:22

Dr Weaver would like to sit in.

0:23:220:23:24

CLASSICAL MUSIC PLAYS

0:23:280:23:31

Well?

0:23:350:23:36

PHONE RINGS

0:23:390:23:42

The Mill Health Ce...

0:23:420:23:44

-Oh. It is Mr Burns for you.

-Oh.

0:23:450:23:49

Hi, Dr Cassidy.

0:23:500:23:52

'She's taking it.'

0:23:520:23:53

Whatever you told her worked.

0:23:530:23:55

You give me too much credit. But I'm happy for both of you.

0:23:550:23:59

She said something about extra...extra help.

0:23:590:24:02

Well, I can get things moving from this end.

0:24:020:24:04

I want a word with that manager bloke.

0:24:040:24:08

Mr Bellamy.

0:24:080:24:10

Howard, a client would like a word.

0:24:110:24:15

Howard Bellamy.

0:24:180:24:19

Well, I'm very glad you're happy with our care.

0:24:210:24:24

The best doctor you've ever had?

0:24:260:24:27

Well, that's...that's praise indeed for the Mill.

0:24:270:24:30

And for Dr Cassidy, obviously.

0:24:300:24:34

Oh. I wonder if you would be happy to repeat those kind comments to somebody else.

0:24:340:24:39

Dr Weaver, one of Dr Cassidy's patients.

0:24:390:24:43

The one she visited today.

0:24:430:24:45

Dr Weaver.

0:24:490:24:50

I'm sure you're all keen to hear my initial findings.

0:24:580:25:02

Sorry! Sorry, sorry, sorry, sorry.

0:25:020:25:04

Sorry.

0:25:050:25:06

Well...

0:25:060:25:07

HE SIGHS ..significant issues need to be resolved.

0:25:070:25:10

But I'm reassured that with the new managerial systems being rolled out

0:25:130:25:19

and Howard's progressive thinking these issues will be ironed out.

0:25:190:25:24

So we get to carry on being doctors?

0:25:240:25:26

You're all fit for purpose, I'd say. Congratulations, Howard.

0:25:260:25:29

-You've got the makings of an excellent practice here.

-Thank you.

0:25:290:25:33

Well done.

0:25:330:25:34

-Thank goodness that's over and done with. Well done.

-I think we all need to go and celebrate.

0:25:360:25:40

-Not for me, got to go.

-Icon?

-Why not?

0:25:400:25:43

Well done. I'm glad you're finally in tune with the new regime.

0:25:430:25:48

I can live with Howard's rules,

0:25:480:25:49

but when it's for the patients' benefit, I'm happy breaking them.

0:25:490:25:52

Just as it should be. Right, Kevin?

0:25:520:25:55

MOBILE RINGS

0:26:060:26:09

Hi!

0:26:150:26:16

Yeah, yeah, no, it's just really chaotic here.

0:26:180:26:21

No, no, I haven't been struck off. We all passed.

0:26:220:26:25

Look, I'm afraid I've got loads more work to do yet. Um...

0:26:250:26:28

Yeah. Yeah, I'm going to be late.

0:26:280:26:31

OK. All right. See you, then. Bye-bye.

0:26:310:26:34

CAR ENGINE STARTS

0:26:390:26:41

-WHISTLE BLOWS

-What's going on here?

0:26:500:26:53

-Well, he's just thrown me off the bus!

-He naked on bus!

0:26:530:26:55

-Come in.

-No, thanks.

-Have a look.

0:26:550:26:59

Oi, teddy!

0:26:590:27:00

I'm compromised for space. I'm sat in this pokey back room office

0:27:020:27:06

that you wouldn't want to swing a cat in, never mind work.

0:27:060:27:09

Get away from her. I said, keep away!

0:27:090:27:12

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

0:27:120:27:14

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0:27:350:27:38

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