Breaking the Cycle Doctors

-What the hell are you doing?

-50K ride.

-Over my dead body!

-No, I'd need a mountain bike for that.

It's not funny, Dave. You're supposed to be helping me today.

I can't believe you're actually jealous of a bike!

It is rather sexy, after all.

-Daniel.

-Got a house call next-door. Must have set you back a bit.

Sshh!

You said it was on special offer!

Couldn't resist. Carbon frame, seat post, bars...

She's as light as a feather.

-Eats the open road, this one.

-I bet she does.

-Just don't get it nicked.

-No way. It's got a built-in tracker.

-What?

What did that cost?

You download an app, monitor on your phone or whatever.

-Well, that's cool.

-Been out much?

-Er, no. I've had a terrible puncture.

-Poor excuse.

Maybe Dr Granger likes to spend time at home with his wife.

Not just endlessly pedalling along a road.

-Oof.

-You all right?

-Fine.

-Is it your heart again?

I'm fine.

-He's had fluttering in his chest.

-Really?

I told him he shouldn't be cycling.

THEY CHUCKLE

-Aw, the happy couple!

-Hey!

-Indeed. Well, at least, I hope so.

-Yeah, they dropped the charges.

-That is good news.

-One big misunderstanding.

-Yeah.

You didn't carry her over the threshold.

I wanted to carry him, but he said no.

So, how is married life?

-Thrilling.

-Well, I have something for you both in my office.

I will show you later.

Ayesha, it's Emma again. Please will you give me a call?

Oh, I'm sorry. Did everything go all right in the end?

-Absolutely.

-Great. I'm so happy for you both.

Thank you.

-OK, so it is a little irregular. You want to drop into the Mill?

-Really?

Well, before you go on a long ride, perhaps.

Told you!

-Whose side are you on?

-It's not about taking sides, Dave. Grow up.

It's ridiculous.

He's got a week off work

and he can't get out of the house fast enough.

Lucky you're here. He'll listen to you.

How's your new medication?

-Felt a bit sick the first couple of weeks, actually.

-Any rashes?

-Irritation?

-No. Still got pain in my hip though.

Yeah. Look, I know it's tough,

but I think the idea is not to let it control you.

-OK? Get up and out as often as you can.

-Must try harder!

-Yeah.

-Right, let's get you inside, get you an appointment.

Right, no mixed martial arts for a month, OK?

A month, but after that, we are absolutely on!

-Hi.

-Hey.

Listen, er... I've been trying to get hold of Ayesha.

Is she OK?

-Yeah, she's...eating, she's drinking.

-Not too much, I hope.

-No.

Thing is, Emma, to be honest with you, she's... She's angry.

-Don't I know it!

-No, it's more than that. She's angry with herself.

She wishes she'd done more when she had the chance and it'll soon

pass, but she's doing remarkably well, under the circumstances.

-I'd like to pop round. What do you think?

-Nah. No, I wouldn't.

I don't think she's quite ready for that.

For visitors in general, or just...?

I think she's just going to hunker down for a bit.

You know, give her a bit of space to get her head round things.

Sure. Well, look, will you let me know when you think it's OK?

-Absolutely, I will.

-Thanks.

-OK.

-Going up to the Lake District in three weeks.

-Without me!

-Test the bike out on some of the climbs.

-He knows I'm struggling.

Driving the car hurts, just pushing the clutch in,

carrying heavy bags from the supermarket.

It's probably aggravating the arthritis, but does he care?

It's about time you realised I'm really not well.

I do.

You did mention it.

Excuse me.

OK, let's have a look.

-How did we do?

-There are definitely some irregularity there.

I told him to take it easy. How many times?

-It's like talking to a brick wall.

-How bad?

Difficult to say. It could be nothing.

I think I will refer you to a specialist.

Really? I feel basically fine.

Just to be on the safe side.

You love it, don't you?

I love that someone's taking your health seriously.

You don't listen to a word I say, but you can't ignore the doctor.

OK, if we pop through to my room, I'll make a referral.

Yes, absolutely.

Of course, I understand.

I'll see you at three o'clock, then.

OK. Bye-bye.

-Everything all right?

-Oh, yes. The, um...

-The IPCC want to see me this afternoon.

-Really?

Yeah.

Well, they want to, you know, dot all the i's, cross all the t's,

with something like this. Normal procedure.

-How's Rob?

-Um, restless.

He's cleaned the car out,

he's tidied the garage, he's been fiddling with the hoover.

I mean, I'd almost rather he went fishing.

Karen, do you think he's dealing with it OK?

He's been very quiet.

Um, it's a death in custody. It's his worst nightmare.

It's something they all dread, isn't it?

-So, basically, he's OK.

-And was he all right before it happened?

Yeah... Um, yeah.

-He was fine. Why?

-Well, it's just...

-Emma, is everything all right?

-Sorry, yes. Yes, of course it is.

OK, so avoid alcohol, caffeine, and get plenty of rest, all right?

-Cycling?

-That's probably what caused it.

-Can't be good for you, pushing yourself like that.

-Yeah, right!

Breaking news, exercise is bad!

Well, it's all a bit anecdotal, but there is some evidence linking

intensive exercise, like endurance cycling, to atrial fibrillation.

It can start with short bursts of irregular heartbeats.

Better cancel the Lake District.

Well, let's wait and see what the specialist says, shall we?

-Now, on that note...

-Ooh, new design.

It is all my own work.

Very nice.

Go a little further back. That is the most important bit.

You changed Ruhma to Sister Carter!

-That's very thoughtful of you.

-Well, you are most welcome.

Have you gone barking mad?

At no point did he say don't get back on your bike.

We're out of milk, bread,

the house is a complete state, but instead of sorting it out,

you'd rather go pedal off, even though

you might have something seriously wrong with your heart?

-What's the matter with you?

-Probably nothing!

There you go again. Treating the whole thing, treating me as a joke!

Get the shopping delivered.

And I've not taken a week off to tidy the house!

How stupid are you?

I've had that flutter for months. It comes, it goes.

I'll see the specialist. In the meantime, I'm going for a ride.

Deal with it!

Fine!

-I'm worried about you, that's all!

-It's only a bike ride, Alana.

Dave!

So, is there any particular reason for them pulling you in?

Checking the detail, I suppose.

-It's OK, isn't it?

-Yeah, I think so.

There is one thing.

Was I right not to check Bren over when they first brought her in?

-Do you want to go through it?

-Do you mind?

-No.

Right.

So, obviously, there was no request from Rob, fit for interview,

-anything like that?

-No.

-No drugs or alcohol on the day?

-No, nothing like that.

But I mean, what about a mental health assessment,

given her history?

Well, if there no odd behaviour, then no, I don't think so.

-You didn't find any injuries after she'd died?

-Nothing visible, no.

Sounds like a tragic case of bad timing to me.

If you played everything by the book,

then it's probably just a box-ticking exercise by the IPCC.

Yeah. Yeah, you're probably right.

Listen, do you think Rob's OK?

Why do you ask that?

Don't know. Oh, it's just that on the night, he seemed disorientated.

He couldn't remember whether he'd checked on Bren or not.

-Shock, maybe.

-Mm.

-Although...

-What?

Do you remember the really bad RTC a few weeks ago?

-Driver was decapitated.

-Yeah.

-Rob attended.

-And?

-He walked off the job.

-Really?

-Mm.

So, obviously, that would have got to him.

I mean, I take it that he did check Bren?

Yeah, according to the CCTV, bang on schedule.

KNOCK AT DOOR Hello? Come in.

I'll leave you to it.

Thanks, Jimmi.

Mrs Naylor. You want to grab a seat?

Thank you.

For all I know, he's lying there in the ditch alone, dying in agony.

-How awful!

-And it's all his own stupid fault!

-Dr Granger.

-Alana.

-I'm so sorry to bother you, but I need help.

-It's Dave's tracker. I downloaded the app.

-Right.

He totally ignored your advice and went out on his bike.

And now he's not moving.

He's been stopped at the side of the cycle path for 20 minutes.

He's probably got a puncture or some such.

Maybe he's having a heart attack.

-Yeah. Have you phoned him?

-There's no answer.

I tried to stop him, but when does he ever listen to me?

I don't know what to do.

-Should I call an ambulance?

-No, don't do that. He's probably fine.

What if he's not and we do nothing?

OK, erm, let me get my bag.

And I never thanked you for everything that you did.

-Keeping the police at bay. Very heroic!

-You're welcome.

Some things are worth fighting for. And you got there in the end.

-Well, you say that, but you know, we didn't sign the register.

-Really?

Mm-hm. So I don't even know if we're technically even married.

I just checked, everything's fine.

-Oh, phew!

-As long as we sign the register within 28 days.

-Can we get a slot?

-I'm doing it now.

Registry Office.

Marriage.

No, not deaths.

Oh, yes. Hello.

Um, I got married recently, there was a slight mishap,

no need to go into detail, but...

No, two months is too long.

Well, I'm sure you'll get a cancellation.

It's all right, I'm a doctor. I know you'll get a cancellation.

Yeah, I'll hold. It's going to be fine.

Hello?

Hello?! SHE SIGHS

PANTING

Dave! Oh, my God!

What are you doing here?

How many shades of stupid are you? I knew this would happen!

-What are your symptoms?

-More of the same. Fluttering. But worse.

OK.

How did you know where I was?

Your tracker.

What?

I logged on with my tablet.

There really is no escape, is there?

That's the thanks I get for saving you?

Anyway, what's so bad about tracking you?

You've got nothing to hide. What's the big deal anyway?

Dave?

OK, call 999. Ask for an ambulance.

Tell them it's a suspected heart attack.

OK, calm your breathing down for me. That's it.

Nice deep breaths. Good.

If you could, that would be enormously kind.

Yeah, I can't thank you enough. Bye-bye.

-Is everything all right?

-It is.

Ruhma and I didn't actually sign the register,

but I've got us another slot.

Would you mind being a witness?

-I would be delighted! When?

-Three o'clock this afternoon.

No, that is out of the question. I cannot possibly drop everything...

Mrs Tembe, please! We're in touching distance of actually being married.

It would mean an awful lot to me.

Please?

Well, we'd better get going, then.

If I weren't a married man, I'd kiss you!

-Sounds like we arrived just at the right time.

-Booked us in.

-Oh, well done, you.

-Three o'clock this afternoon.

-What? We're never going to make that.

-Well, if the worst comes to the worst, you could just do

the whole thing all over again, without the Keystone Cops bit this time.

No, we've got plenty of time. We need another witness.

-Valerie, would you do the honours?

-Yes!

-We had better go.

-There is no time to lose.

-I'll just get my bag.

-What about my bike?

-Oh, will you forget about your wretched

bike for once in your sorry little life?

I'll take it.

-What are you doing?

-I'm coming too. What do you think I'm doing?

-Afternoon, Doctor.

-Oh, good afternoon.

-Everything all right?

Yes, fine.

Shall we?

If I hadn't downloaded that tracker, you'd be stone dead.

And with your last breath, you'd be thinking,

"I should have listened to my wife."

Give me a break!

You owe me big time for getting the doctor out.

Like it or not, no more cycling after this.

Things are changing.

-I keep telling you, go home, I need to rest.

-No.

I'm staying to look after you. Get used to having me around.

But I might go and get a coffee. You can't have one, so don't ask.

You're not allowed caffeine.

Babes, got your text.

Hope you get this. Don't come into the hospital. I'm fine.

I'm going straight home. I'll call you later.

Sorry, the registrar is running late.

Oh! After all that!

-Well, I could use a breather.

-I'm sure it will not be long.

-OK, watch the birdie.

-What are you doing?

-I'm, just capturing the magic.

-SHUTTER CLICKS

So, here we are at the end of a slightly rocky road.

Rocky?

Well, I mean it in a positive sense, of course.

Brought my own fountain pen. Especially.

Have you practised writing your signature?

That's what people do, isn't it, when they're getting married?

Do you know,

when I was just a teenager,

I had an almighty crush on a boy in the year above me

and I would fantasise about our wedding

and I would practise writing my signature over all my school books.

Unfortunately, I didn't know his actual real name,

so I just used to practise writing Valerie Spud.

That's what people called him.

Spud.

I don't know why.

Shouldn't be long now, Mrs Carter.

SHUTTER CLICKS

Thanks for coming in today.

-Apologies if we cover some old ground.

-No problem.

But as you know, this is about as serious as it gets.

We need to understand how someone in a police cell,

regularly monitored, with an FME on call, ended up dead.

I'd like to begin by asking why you didn't examine Ms Lee

when she was first brought into custody.

Well, er, as you know, we don't examine everybody.

There's a set of criteria.

The first point at which the custody sergeant would involve

the FME is if a detainee shows signs of either physical or mental

illness, or if they've sustained a physical injury.

Both the arresting officer

and the custody sergeant concluded that Ms Lee showed no such symptoms.

And were they right to conclude that?

In your opinion?

-Can I help you?

-Can I get a latte, please?

-Of course, madam.

I don't know if I can afford a coffee now,

with the price of the parking.

I'm lucky. I came by ambulance.

It wasn't for me. It was for my husband.

But I know what you mean.

I have to come here for my rheumatoid arthritis

and it costs me a fortune.

I followed an ambulance in too.

I've been driving around the side streets,

trying to find somewhere for free, but it's rammed.

That'll be £2, thank you.

-An Americano and a bottle of water, please.

-One moment, please.

Probably all the doctors grab the free spots.

They're bound to, aren't they? All that money and too tight to pay!

That'll be £4.20.

-Teviot Ward, they said on the desk?

-Thank you.

-I'm going that way too. Um...

-Thanks.

MOBILE RINGS

Why isn't she answering?

No wonder you had a heart attack.

Will you help me? Get Alana to go home before she turns up.

No, this is your mess, Dave.

Fair enough. Judge me. But it's been so difficult with Alana.

-You've got to believe me.

-I'm not saying I don't.

-Please!

I think it might be a little bit late for that now.

-So, I hope your other half is OK.

-You too.

-This is me.

-No, my Dave's in here.

Your Dave?

Janice, I can explain.

-What it was...

-I don't want to hear it, you two-timing rat!

He told me he was single!

I should have known!

Sneaking out of work for lunch round the corner,

but never for dinner, was it?

Always coming over on your bike, for a sweaty fumble!

-Oh, yeah. I booked us a holiday in the Lake District!

-What?

As if that was ever going to happen!

Janice, I'm sorry.

I'm sorry too.

For you... I don't even know your name.

Alana.

I'm sorry, Alana.

Sorry to be leaving you with him.

Um...

I...

Did you know about this?

No.

How could he do it?

What am I supposed to do now?

This is a nightmare.

Yeah, I know.

Who's going to look after me?

Sorry?

If I throw him out.

So, is that your main concern, losing a carer?

Surely he's your husband first.

And he's been having an affair.

What kind of husband does that?

Look, I'm not condoning what he's done,

and I know it's been difficult for you with your diagnosis,

but it's like you've been driving him away.

-How does that help?

-It's all his fault!

I'm not condoning what he's done, again,

but I think you have to have a look at yourself.

He would rather risk a heart attack than spend time with you.

What does that say?

So, you had no specific reason to examine Ms Lee?

I think you've laid that out very clearly. Thank you.

You've highlighted the extent to which the custody sergeant is key.

He's the one looking for injuries or signs of intoxication.

Yes, the decision as to whether the FME gets involved

is always down to the custody sergeant.

-In this case, Sergeant Hollins?

-Yes.

So it's important that you have confidence in his judgment?

Absolutely.

I've worked with Sergeant Hollins for several years,

we've been through a lot together.

And I can honestly say that he has never been anything other

-than utterly dependable.

-That's good to know.

So, the next thing I'd like to look at is the exact

-sequence of events after you were called to the cell.

-Of course.

-I have some notes, if that helps.

-The more detail, the better.

Right, um, OK.

My first entry notes that the alarm sounded at 18:11.

I made my way to the cell, where Sergeant Hollins told me

that he had found Ms Lee to be unresponsive, not breathing.

And then?

I established that there was no pulse,

Sergeant Hollins was performing CPR,

so I went to get the defibrillator and deliver the first shock.

Any response?

No.

From the moment I attended, there was no sign of life.

Why, Dave?

You want the truth?

You've been a nightmare.

An absolute nightmare.

When you got diagnosed, you said, "I'm not going to let this change me,

"I'm going to fight it," but you've just given up.

You've used it as an excuse to stop doing anything.

I feel like I'm being blackmailed to stay in all the time. It's not fair.

I want some fun.

To go out, to do the things we used to do.

Me too!

But maybe I can't any more.

Stupid.

Thinking you'd actually want to change too.

To be with me.

That was my big mistake.

Trying to make you. Instead, you went pedalling off to someone else.

-That's over.

-Yeah, cos you got caught.

Still, you're not going to need that bike any more, are you?

With your health. Things are a bit different now.

Don't tell me. It's not going to change you.

You're going to fight it, yeah?

And then you'll find out what it's really like.

And you'll wish you had someone at home who really cared about you.

I'm going.

Alana...

I'll stay at my sister's for now.

Till I get myself sorted.

You're on your own now, Dave. See how you like it.

Just sign here. OK.

Thank you.

Thank you.

OK? Just sign here.

SHUTTER CLICKS

Well, congratulations, Dr and Sister Carter!

VALERIE SQUEALS

SHUTTER CLICKS

Ruhma Carter.

-Is everything all right, Sister Carter?

-It just...

It just doesn't sound right, somehow.

Well, you never said anything about wanting to keep your name before.

No, I know. It just doesn't... It doesn't sound like me.

It's like I'm just losing a little part of me.

I'm sure it's going to be fine. I'm just not sure.

SHUTTER CLICKS

So, in your opinion, was Ms Lee already dead

-when you began resuscitation?

-Yes.

And could you estimate how long she'd been dead for?

-For example, did you check the body temperature?

-No. No, I didn't.

It was clearly very recent.

The body loses 1.5 degrees centigrade per hour.

And she wasn't noticeably cold.

Also, there were no signs of rigor mortis,

which typically sets in two hours after death.

-And the custody sergeant had made regular checks. So...

-Ah, yeah.

-Did you ask him about that?

-Of course.

And what did he say...

exactly?

-We can't just give up on her.

-Rob!

-No.

-Rob!

-No!

-Well?

-That he had made regular checks on her, as per schedule.

And is there anything else I should know?

'How could this have happened in custody?'

-You checked on her regularly, didn't you?

-I don't know.

I don't remember.

Well?

No.

Oh! Mr Canbray! Can you move?

-What?

-I brought you some...crumpets.

You shouldn't be on your own.

-Do you work with a Mr Canbray?

-Eddie! Is he enjoying his birthday?

He's had a bad fall.

-Lost in married bliss?

-Not quite.

-Why?

-It's complicated.

They're really doing their best.

Yes, but nothing happens quickly unless you complain.