
The Good Karma Hospital
Series 1: Episode 6
Season 1 Episode 6 | 45m 16sVideo has Closed Captions
Tensions run high between Lydia and Ruby leading Ruby to make a shock decision.
As the first monsoon rains arrive, tensions run high between Lydia and Ruby leading Ruby to make a shock decision. Meanwhile, Maggie’s health is rapidly declining, and with her daughter insisting on returning to the UK, will Maggie be granted her dying wish to stay in India?
The Good Karma Hospital is presented by your local public television station.
The Good Karma Hospital
Series 1: Episode 6
Season 1 Episode 6 | 45m 16sVideo has Closed Captions
As the first monsoon rains arrive, tensions run high between Lydia and Ruby leading Ruby to make a shock decision. Meanwhile, Maggie’s health is rapidly declining, and with her daughter insisting on returning to the UK, will Maggie be granted her dying wish to stay in India?
How to Watch The Good Karma Hospital
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Learn Moreabout PBS online sponsorship(rain falling) (rain pattering on the roof) (pans rattling) (Ruby giggles) - What do you do when you run out of pans?
- I have no idea.
I mean, it's never actually rained before.
Where are you going?
- Well, if we're gonna build an arc, I need to get started.
And you, you need to find what?
Two of each kind of animal meet me back here in 20 minutes.
- No, that, that's impossible.
- Well, all right, well then 30 no more, right?
Emergency.
It stopped.
- Thank you, captain Obvious.
I have to go to work.
You better get building, there's a monsoon coming.
- Wait.
- What?
- You know how you are always right about everything.
- Keep talking.
- You were right about us, about all this.
This is what we need.
We never had time for each other before.
- Which is my fault.
- No, no, we weren't broken.
We were just stuck, in a rut, but both of us.
And you had the balls to up and leave.
- I seem to remember you dumping me.
- No, because I'm an idiot.
- Yes.
- And I thought you might back down, not disappear to India.
- Sorry to disappoint you.
- No, I get it.
It is amazing here.
Let's take off, let's hit the road.
- And go where?
- Well, I don't know.
Let's get lost together - And then?
- Who knows?
Let's see.
- I have to go.
- Will you think about it?
- I'll think about it.
- Seriously?
- I'll think about it.
(theme music) - You can drop me here.
- Oh, I can take you to the front door.
It's no trouble.
Lydia, tell me again why we aren't doing this for real.
- I've got work to do.
(engine starts) (horn honks) (whistles) - What time do you call this?
- Oh, for God's sake.
Do you want to gimme a heart attack?
There's no inheritance if that's what you are thinking.
- You didn't come home last night, I was worried.
- Where I go at night is my own business.
Ms. Pradeep is very nice company, a most stimulating woman.
- What if she is just after your money?
- Oh, so it is about the inheritance.
Come on, look all around you.
Is this what you call Mumbai luxury?
There you are.
At my age, one never knows when the rain will come.
And by rain, I mean death.
- Okay, order service.
Dr. Varma minor ops list.
Dr. Nair has his follow-up clinic.
Dr. Walker will deal with casualty.
Any questions?
Then let's get on with it.
Dr. Walker, a moment of your time, please.
I called about our nun.
She's recovering very well.
- I'm glad.
She was lucky.
Is that all?
- Not quite.
I understand you have a guest staying with you.
- A friend from England.
He arrived unexpectedly.
- Oh, I see.
Hospital accommodation is for staff only, Dr. Walker.
- I was considering taking some leave.
- Okay, yeah, day or two is fine.
Just make sure your clinics are covered.
- Actually, we were planning on a couple of weeks, maybe more.
- You have a job here, a potential career.
I'd advise against wasting your time with a rucksack and a guidebook no matter who asks you.
- I think that's for me to decide don't you?
- Fine Dr. Walker if you wish to leave, just leave, today.
I need committed doctors, not dilettantes.
Like I think I told you, my patients are not dinner party stories.
- Ah!
(glass breaking) - Oh.
- Sorry.
- Going somewhere?
- Um.
- How's Maggie?
- Not good.
I mean, I didn't think it was gonna be this quick.
Sorry.
- Hey, tummy daft.
- I don't know what I'm gonna do.
Don't wish it away, eh, whatever you've got.
I just came to say thanks, you know, for, well, for everything.
It helped.
- I serve cold beer and bad cocktails.
- Exactly.
- Look after yourself.
- Unbelievable.
How many is that now?
Good doctors who left us because they couldn't stand your craziness.
I'll tell you, six, six.
- You're exaggerating.
- Shall I name them?
- When we find the right people, they stay.
Dr. Varma, for example.
- Dr. Varma, I don't know what's going on inside his head.
I admit he's a great physician, but self-imposed exile is not a retention strategy.
We need Dr. Walker.
Better apologize.
- No.
If she wants to leave, let's do it now.
Why waste energy on someone with no intention of staying?
- Lydia, I'm asking her to reconsider.
Dr. Walker is an excellent clinician, and you better damn well hope that I can make her change her mind.
- Ah, ah, ah, ah, ah.
This happens every year.
My joints sees as if they're filled with rust and it rains, better than a weatherman.
- Well, you certainly have some arthritis there.
I can prescribe a course of anti-inflammatory medic.
- No need, no need, doctor.
I just need my usual injection.
- Which is?
- Which is what Dr. dilettantes used to give me.
Today I'm an old man.
Next I can skip to Mumbai and back.
- Well, sometimes steroids can help, but there's nothing in your record about any... - Dr. Fonseca will know.
Just tell her Hitesh is here with both his needs.
- Dr. Walker, a moment.
- Hello, sir.
Hey, why don't you ask him?
- Just one second.
- You know, Lydia, she's impulsive.
She reacts, but at heart, she's a good person.
- But she sends you to apologize for her.
- I'm here because I want what is the best for this hospital.
Despite appearances, I'm still officially in charge.
- My friend, the one who's visiting me... - That shouldn't be a problem, whatever Lydia says.
Exceptions can always be made.
- No, it's, it's not that.
He's the reason why I came out here in the first place.
Not the whole reason.
We broke up.
Neither interesting nor original.
- Now he's here.
- Yeah.
- Where the heart leads the mind can but follow.
I hope you find what you're looking for.
- Thank you.
- Dr. Nair, my patient Hitesh, he says he always gets an injection for his knees, but I can't find anything in the notes.
- Salt water, normal saline.
She gives it to him every year.
Five mils in the right buttock, but make sure you hurt him a little.
You know that you're giving a placebo.
A little bit of pain goes a long way.
(people speaking indistinctly) - Hi ya.
- What are you doing here?
- I thought I'll come and have a look for myself.
This is just mad.
- Kinda makes sense.
Once you get used to it.
Hey, this is Gabriel.
Dr. Varma.
We've been working together.
- Hi, Marcus.
- Marcus is a friend of mine from England.
- Of course.
It's nice to meet you.
I've heard a lot about you.
- Excuse me, Dr. Varma, there's someone to see you about Mrs. Smart.
She's quite insistent.
- Excuse me.
- Don't think he likes me.
- I'm not sure he likes anyone.
- Maybe he just fancies you.
I would.
- Come on.
Actually I'm glad you're here.
I've thought about it, what you said.
- Okay.
And?
- And I wanna do it.
Leave this place and go see India with you.
- Seriously?
- Yeah.
(gentle music) - I am afraid your mother's condition has deteriorated quite significantly in the last few days.
- I see.
- Oh.
- And Mrs. Kamal is due a blood test tomorrow.
That's it.
- Don't worry.
I can take care of it.
He's very handsome.
Hmm?
- I think so.
- Hey, I'm gonna miss you.
- They're fools to let you go.
All of them.
No, not there, outpatients.
Come, come with me.
- You okay?
- Let's do this.
- Good.
- Right, everything's been arranged.
The emergency medical evacuation team are on their way.
They'll be here in a couple of hours.
All you need to do is continue to care for her until they arrive.
- Dr. Varma has done everything possible.
- Dad, I'm sure Dr. Varma has done his best, given the circumstances.
That's it.
Is everything clear?
- No, it's always been my understanding that your mother wanted to stay here.
- My mother might wanna dance the quick step with Fred Astaire, but what she needs is expert medical help.
Now, look, I don't blame you or this hospital for what's happened.
You know, she's been hiding it from all of us for such a long time.
- I've been fully aware of Maggie's diagnosis.
She told me at the wedding reception.
- Excuse me?
You are telling me that you knew about this?
Dad?
- Yes, immediately.
I'm short staffed as it is.
Fine, fine, just let me know the minute someone becomes available.
- Is it you who's in charge here?
- Apparently.
- Good.
Then perhaps you can explain to me exactly what's been going on.
(gentle music) (door slams shut) (music tempo increases) - So, where exactly are we going?
- That way.
(horn honks) - At least you've got a plan.
Hey, Dr. Ruby (speaking foreign language) (speaking foreign language) - A friend of yours?
- Vijay, one of my patients.
We go back a long way.
(people speaking foreign language) - You're joking.
We'll get the next one.
We're on holiday, remember?
- I should have been told.
- And my patient has a right to confidentiality.
- Your patient is my mother.
- Okay, okay.
I have only recently been made aware of this situation.
- Well then maybe you need to supervise your staff.
- And while the circumstances are unusual, it's clear to me that your mother expressed a wish to remain here.
Now, if that has changed Dr. Varma, then we must respect that choice too.
- She's too sick to make this choice, but her previous wishes were made clear to remain here to the end.
- It's my mother lying there.
She's critically ill. She needs help.
- And she has it.
- In a real hospital, not someplace in the back of beyond being treated by a doctor who's clearly got a God complex.
- Mrs. Smart has a severe chest infection.
She is not fit to be transferred, let alone to fly.
- I think I should be the judge of that.
Take a deep breath for me if you can.
- Deep breath, love.
- Thank you.
- I don't think it'll be long now.
- I know.
- Do you wanna go home?
- Please.
- Just where is that these days?
- Tell me, how long have you lived here?
- Long enough to know where I belong.
- Snap.
- Maggie has pneumonia.
Her oxygen levels are low, so a flight now would be extremely dangerous.
- But not impossible.
- Your mother is dying, Debbie.
As doctors, we can help her do it with grace and dignity, or we can make her suffer right through to the end.
I know which I would prefer.
- Well, it is not your decision.
We're her family.
It's down to us.
- I'm afraid you're wrong.
My duty is to act in my patient's best interests.
So I'm sorry, but I won't release her.
Not like this.
She's made her wishes perfectly clear.
- And yet her daughter informs me that Mrs. Smart has already agreed to medical evacuation.
And these things are possible with proper critical care.
- But brutal and undignified.
- Exactly.
We have a duty to her, not to her family.
- And I have a duty to the hospital.
We can't afford lawyers.
Each complaint costs us money we don't have.
- I've already made my decision.
- And I'm going to overrule it, for once.
She goes back to England.
I'll send the forms myself if necessary.
(bright music) - What's up?
(people chattering indistinctly) (speaking foreign language) She's a doctor from the Good Karma.
(people talking indistinctly) - Stop, enough.
- Has anyone called for help?
- Yes.
Yes.
- Good.
I need to see everyone who's injured one at a time.
Everyone will be helped, okay?
Good.
(phone rings) - Yes?
- There's been a crash.
The bus to Kochi is on its side.
- There are at least three other vehicles involved.
Multiple casualties.
The bulk will come here.
- Get theater ready, make sure research is fully equipped.
Then we need casualty cleared completely.
- The same goes for the wards.
Anyone who can leaves now.
Dr. Varma will lead the field team.
- Dr. Fonseca, I thought you should know.
I spoke to Dr. Walker before she left.
Ruby was headed to Kochi.
- Have we heard from her?
- No.
- Dr. Varma, whatever the situation, strict triage applies.
The sickest come first, no exceptions.
- Can you tell me where it hurts?
(speaking foreign language) Give me your scarf.
(speaking foreign language) This is only gonna hurt for a second, okay?
- Ah!
- Ruby.
- I need something to use as a splint and something to secure it with.
I need some traction.
- Go ahead, I got it.
Go.
- Where's Vijay?
- I don't know.
He was with me.
Vijay.
- I will find him, all right?
You stay here, okay?
Vijay.
Vijay, hey.
Vijay!
Vijay.
Oh God, Vijay no, no, no, no, no.
(speaking foreign language) Vijay.
- Cover him up.
You okay?
- Yeah.
Yeah, yeah, go, go.
- How many on the bus?
- I don't know, too many.
- Dr. Walker?
Ruby.
- Yeah, she's fine, in the bus.
- He's trapped, it's serious, tachycardia.
Likely severe chest injury, possible abdominal trauma.
Gimme your stethoscope.
Okay.
Come on Vijay.
- (indistinct) - No air on the left, blood or a tension.
- Decompress it.
(indistinct) - Yeah?
If it's a hemothorax, he'll bleed out and die.
- If it's a tension, he'll arrest.
We have no choice.
Sweep with the finger, make sure it stays open.
- Sorry, Vijay.
(speaking foreign language) (Vijay screams) He's trapped.
We need to get him to hospital.
It's critical.
- (speaking foreign language) Vijay, Vijay.
- The theater's ready.
- Anything?
- Not yet.
- What now?
- We wait.
(speaking foreign language) (speaking foreign language) - Okay, pull him when I tell you, right?
- Yeah.
- Pull, try now.
- No good.
- Right, now.
Don't stop, keep pulling.
- Okay, okay.
- Pull him.
(melancholic music) - Vijay Kholi, seven years old, (indistinct) with chest and significant abdominal trauma.
Left side of thoracostomy at the scene for a tension pneumothorax, clinically unstable, likely internal hemorrhage.
- Let's get him to theater.
- I can assist.
- Not like this.
Steady hands and cool heads are what this child needs.
There are patients on the way who need your help Dr. Walker.
- How's he doing?
- Stable enough.
It's a splenic injury.
A moment (indistinct) he would've died in there.
- I agree, too far gone.
Total splenectomy.
- I heard she pulled him out of the wreck.
- You are gonna tell me to apologize to her, aren't you?
- They say it is the hardest word, but then you always did love a challenge.
- All right, they need the bed Dad, come on.
It's time to go.
Flight's at 8:30 PM.
All we have to do is check in separately.
And then we just board the flight a few minutes earlier.
- No.
- What?
- No, she's not going.
- Come on dad, don't be ridiculous.
It's all been arranged.
- We're going home.
- Yes, dad, that's what I'm talking about.
Taking my mom home.
- No, it's here.
She wants to stay here.
It's what she wanted from the start.
- Dad, you do realize that if we can get my mom back to England, it can help her.
I've already spoken to the specialist.
- No.
- That's it, is it?
Just no.
You bugger off to the other side of the world and I get a phone call, a bloody phone call dad, saying, "Hello, how are you?
The weather's nice, people are friendly.
And by the way, your mom's got an incurable brain tumor."
- Because she knew what would happen, that the world and his wife would descend, and there'd be more doctors and tests and yet more tests for God knows what reason.
Because she knew she was dying and she wanted to live.
Even if it was just for a month or two.
She just wanted to live.
- So you decided it was better to just shut me out.
But she didn't know.
Then you spring it on me, on all of us.
And I'm just supposed to be all right with am I?.
- That wasn't my idea, that was your mother's choice.
She loves you, okay?
- But (indistinct) dad, I mean, I'm her daughter.
There isn't supposed to a but.
- She just didn't want this.
- Or me.
- No.
Wait.
- When will they tell me?
- As soon as they know.
He's in good hands, I promise.
Now sit still.
- As I suspected it's fractured in two places.
But we can fix it.
- Thank you.
- I'll arrange a transfer as soon as possible.
Excuse me, Dr. Fonseca.
- Ruptured spleen, rib fractures, lung contusion, all treatable.
He should do very well.
- Thank you.
- It's us who should be thanking you.
How are the others doing?
- Fine, under control.
- I'd expect nothing less.
Well?
- Well what?
- I thought you were going.
- Oh.
- I can't imagine anyone wanting to walk away from all this.
Not if they love it like I do.
Not if you feel it here.
Why don't you ask him to stay, on your terms.
See what he says, then come and find me.
- They've gone.
He's taking her to the beach.
I just came back to get this.
- Do you want me to take you there?
- They've made their decision.
My flight leaves in an hour.
- Wait, please, don't leave, not like this.
- I tried to do what I thought was right.
Clearly it wasn't.
I know when I'm not wanted.
- I think you're making a mistake.
Your mother loves it here.
And a good life deserves a good death.
That's all she wants.
And I just, I tried to help her.
(melancholic music) (birds chirping) - Hey.
- Hey.
I've never really seen you work.
Even after all these years together I never really got it.
- Snap.
We make one hell of a team.
- Don't we.
- I don't wanna leave this.
Being a doctor, real people, a real job.
I was right all along.
This is all I ever wanted.
- Sure.
It's great experience.
I mean, it's six months, a year.
- That's not what I'm talking about.
I don't want to go home.
Not now.
Maybe not ever.
- Okay.
- But we could stay, with us.
- In India?
I love you.
- Then stay here with me.
This could be our life.
- It's not that easy.
- But it should be.
Don't you see?
If it isn't, then what the hell are we both doing?
(gentle music) - Hello?
Are you alone?
- Putting the kettle on.
- Ah.
- I never did get to see my turtle.
You know they come back here every year, lay their eggs on this beach.
Nowhere else will do.
- I've seen them.
- Stubborn little buggers they are.
When they decide the time is right, there's nothing on earth will change their mind.
Thank you Dr. Varma.
Thank you for everything you've done.
- Please, just call me Gabriel.
- Goodbye Gabriel.
- Namaste, Maggie.
- Namaste, Gabriel.
(melancholic music) (melancholic music continues) (waves crashing) (music continues) (melancholic music continues) - Look.
I didn't know that.
(melancholic music continues) (music tempo increases) Their home, they're all going home.
(melancholic music continues) (music slows down) - Well?
- You were right.
- I'm sorry.
- Are you?
A man you don't love is like a sticking plaster you don't need.
Just rip it off.
Thing is, I did love him.
- Past tense.
- I don't think it's that simple.
- These things rarely are.
You were right about that girl, the nun.
I was wrong.
If she died I'd never forgive myself.
I am sorry.
- Thank you.
- You're a good doctor, Ruby.
I can make you into an excellent one if that's what you want.
- You call me Ruby.
- Moment of weakness.
Well?
- I think it is.
(mellow music) (waves crashing) - Ladies.
- Pina Colada?
- You're learning.
- [Greg] Your wish is my command.
You enjoying that, ladies?
- Today was a nasty one.
- Cheers.
- Cheers.
- Yeah.
- One can never say when the rains will come.
You do understand that, don't you?
Come, join us.
Don't make me insist.
Come.
- Hi.
- Hi.
- Oh, sorry, but that is disgusting.
- You see the clue is in this little umbrella.
Beer please.
So is your, is your friend joining us?
- He's going home.
- Ah.
And you?
- I think I'm already there.
- Can I ask you something?
- You just did.
- Why'd you stay with me?
I mean, there must be loads of available women out there for a handsome devil like you, so why me?
- No comment.
- I'm serious.
Why?
- Because Dr. Fonseca nothing compares.
You are my one and only.
I was born to love you.
- Are you quoting song titles?
- Possibly.
(laughs) - I'm not ashamed of you.
- Ah, I think you are.
In fact, shame is my secret weapon.
I'm sexual chocolate, every woman's guilty pleasure.
The love that dare not speak its name.
That name is Greg.
- Okay, cut the music.
- Why?
- Just do it.
Excuse me, everybody.
Excuse me.
I've got an announcement to make.
Right, I just want everyone to know that I am in a relationship with this man.
We have been sleeping together for nearly three years and he is objectively the best I've ever had.
Although his personal hygiene leaves a lot to be desired.
That's it.
Thank you.
Happy now?
- Surprised, in a good way.
So what happens now?
- Nothing at all in a good way.
- Oh, aw.
- I think that was brave.
Even if you and Greg are the worst kept secret in Barco.
I just realized, I never really said thank you.
- For what?
- For not letting me leave.
- Me?
It had nothing to do with me.
You were always meant to be here.
- Karma, right?
- Something like that.
(bright music)
The Good Karma Hospital is presented by your local public television station.