(gentle piano music) (gentle piano music continues) (pager beeping) (staff chattering) (gentle piano music) - What about the rest?

- I'll come back after work.

- Well, I, I'm on call for ... - I'll let myself in.

I'm sorry.

(gentle piano music) Okay.

(car door closing) (engine starting) (gentle piano music) (Ruby breathing shakily) (gentle piano music) (singer vocalizing) (vocalizing continues) (vocalizing continues) (gentle music) (door rattling) - [Sister] Doctor!

- I'm having a wee, for God sake!

- Please don't raise your voice to me.

- I'll be right out.

Cow.

- I heard that, and I'm writing an incident form.

(Ruby sniffing) (door opening) (door closing) - Oh, sod it!

(container rattling) (door opening and closing) (suspenseful music) (door rattling) - Doctor!

Doctor Walker!

(door rattling) Doctor.

(door rattling) (upbeat theme music) (singers vocalizing) (upbeat theme music) (upbeat theme music continues) (upbeat theme music continues) (engine roaring) (passengers chattering) (chattering continues) - Dr. Walker?

- Ruby.

Everyone calls me Ruby.

- I'm AJ, nice to meet you.

(horns beeping) (people chattering) Please, my car is over here.

(upbeat music) So it's your first time in India?

- I'm sorry?

- Well, most people get dragged back for a wedding or two.

You know, distant cousins they didn't even know.

- No cousins.

At least I don't think so.

I just, needed to get away.

From everything.

- [AJ] Well, you've come to the right place.

(upbeat music) (upbeat music continues) (horns honking) - Oh!

Does everyone drive like that?

- Not everyone.

Probably Hindus, we're fatalistic it's our day to die!

(horn blaring) (upbeat music) - Where are you taking me?

- [AJ] What?

- Where are we?

(upbeat music) I think there's been a mistake.

This is the wrong place.

- What do you mean?

(birds singing) - This is where I'm meant to be.

Doni Clinic.

- No, I was definitely told to bring you here.

- And where is here, exactly?

- Well, it's Dr. Fonseca's Good Karma Hospital.

(people chattering) (upbeat music) (singers vocalizing) (upbeat music) Come on.

- This Dr. Fonseca?

He's in charge?

- Officially, no.

Unofficially, definitely yes.

Oh, and he's a she.

- So maybe she can explain what's going on.

Where do I find her?

- Just follow the screaming.

(patient screaming) Excuse me.

Can I help you?

(patient screaming) - [Lydia] It's only a dislocated shoulder.

- Yeah, well, I'm in agony here.

- [Lydia] And I'm attempting to run a public hospital with no money, we all have problems.

- [Patient] What are you doing?

- [Lydia] Helping you.

- [Patient] Aren't you supposed to give me morphine or something?

- [Lydia] Girlfriend?

- Yeah, yeah, we're engaged.

- Do you think a woman like that wants to give her body to a man who screams like a baby because his shoulder joint is a few inches out of place?

- Are you calling me a wimp?

(bone cracking) - Remember, a real woman needs a man who can take a little pain and ride a moped.

(Ruby clearing throat) You're late.

- How did you do that?

- Birmingham technique.

Massaging the bicep muscle reduces the spasm and allows a dislocation to reduce spontaneously, no anesthetic required unless you're a total wimp.

Also, cheap, efficient and effective.

I'll teach you when the next idiot falls off his scooter.

Straight ahead.

In this hospital, we use knowledge and skill, not fancy tests and expensive drugs.

You'll have to learn that if you wanna work here.

- About that.

(Lydia shouting in foreign language) - I'll be honest with you, Dr. Walker.

The last thing my hospital needs is a lazy British doctor with no experience and an attitude problem.

- I don't have an atti-- - This is real life, not a gap year life experience.

My patients are not dinner party stories.

- Frankly, that's quite insulting.

And it's not why I'm here.

- Then why are you here?

- It's complicated.

- Naturally.

But is it original or interesting?

- No.

- Pity.

- The point is, I'm not supposed to be here.

This is the wrong hospital.

I applied for the Doni Clinic.

- As did everyone else, but the rules changed.

For some reason, all our new graduates prefer to stay on the teat rather than spread their tiny wings in the real world.

So now, all new doctors must spend a compulsory year at a public hospital.

No exceptions.

- So I'm stuck here?

For a year?

- You say that like it's a bad thing, Dr. Walker.

This way.

(upbeat music) - Good morning.

- Morning.

- This is Dr. Walker, another half-trained British doctor to practice on Indian people.

- Don't be racist, Lydia.

- Dr. Nair, our nominal chief, and the human rain cloud in the corner is Dr. Varma.

- [Ram] And I believe you already met my son AJ, our ambulance driver.

- You didn't have to.

- No problem at all.

- Milk, sugar or both?

- [Ruby] Both please.

- You'll soon come to the conclusion that I make the best tea and the wisest decisions around here.

I believe your previous post was pediatrics?

- Yes, that's right?

- I thought we were getting another surgeon.

What happened to Dr. Perdeep?

- Recruited elsewhere.

We get what we're given, Dr. Varma.

I'm sure Dr. Walker is a willing student.

You can teach her.

- I'm not really a surgeon.

- Simple butchery with a little light needlework thrown in.

Round here, we turn our hands to most things.

Right, housekeeping.

We're almost out of amoxicillin, so I catch anyone giving it for a viral throat, they'll need emergency surgery themselves.

They're still reporting cholera east of Meena.

15 new cases, so eyes open please.

I don't want it here.

And that's it.

Welcome to the Good Karma Hospital.

(upbeat music) (children laughing) - Yeah.

Well, can you just double check, because ... No, no, I understand that, but the point is that ... No, no no no, don't put me on ... That's all very well but can I at least just talk to her?

Because, because this isn't what I signed up for.

Hello?

(upbeat music) Sorry.

- Whatever it is, we deal with it.

Surgery, medical, dental.

- I'm not a dentist.

- It's easier than it looks.

Just ask Mari for the pliers.

(patients chattering) - Well, at least we're not too busy.

I suppose we've only just opened.

- What, this?

This isn't the waiting room.

This is just admissions.

Come.

(soft upbeat music) This is the waiting room.

(patients chattering) (upbeat music) (horn beeping) - Soon I shall be a man.

Then we can marry.

- What makes you think I'll say yes?

- I'm very charming.

And once I'm rich, you will no longer have to work in a terrible place like this.

Unless you're promised to another.

- No, right now I'm all yours.

Sorry.

Did that hurt?

- Of course not.

- Your friend?

- [Atul] Brother.

Sanjay, he's just a kid.

- [Ruby] You still haven't told me who did this to you.

- Jealous husband caught me making love to his wife, but now I've found you, I promise to never even look at another woman as long as I live.

- Just promise me you'll be more careful next time.

- Yes I will.

- Okay.

(upbeat music) - She's barely out of medical school.

- Beggars can't be choosers, Dr. Varma.

She seems clean enough.

- Well I can't supervise her.

Also, I'm on call today.

- I'm sure you'll manage.

Think of her as a childhood hamster you never had, fragile and easily crushed.

It'll be good for you.

- Our patients deserve better.

- I couldn't agree more.

But in life few of us get what we deserve.

Help her rise to the challenge, Dr. Varma.

(upbeat music) - You've had a serious head injury.

You shouldn't be alone tonight.

- I have Sanjay.

- I meant a responsible adult.

- Then I should stay at your place tonight.

- Nice try.

No.

- Dinner then?

- You never give up, do you?

- How can I?

I'm in love, until the day I die!

- Which might be sooner than you think.

- Come on, out.

Out.

Come on.

(patients chattering) - I could have handled him.

He's only a kid.

- A kid who'll sell drugs to anyone who will buy them.

Why do you think they beat him up?

- My wife requires your attention immediately.

- Straight ahead.

You can relax now.

Doctor.

(doors creaking) Now, I assume you have delivered a baby before.

- Sure.

I mean, it's been a few years since I actually did it myself, and I was supervised obviously, but I think ... - She's only at three centimeters, so it will be a while yet.

Check every hour.

Call me when she's at 10.

- Doctor?

- Yes?

- Are you quite sure that everything is all right?

- Your wife is in perfect health.

Everything is pointing to a normal, uncomplicated delivery, yeah?

- So I'll call you when it's time and you'll come back?

Was that a yes or a ... (doors creaking) So, I'm Dr. Walker.

I'll be looking after you from now on.

- You're English?

- Fresh off the boat.

It's my first day.

But don't worry, not a problem.

We have babies in England too.

(children playing) So, have you got a name picked out, or is it wait and see?

- Raja, after his father.

Our first boy.

- Well I can't wait to meet him.

(patrons chattering) - How long have you known me?

I don't like surprises, and I have work to do.

This better be good.

- Trust me, Lydia.

I'm convinced that this could be the perfect answer for a long-standing challenge.

And I'm sure you will thank me later.

(waves crashing) (upbeat music) - Dr. Fonseca, your timing, like your bedside manner, is faultless.

- What are you up to?

- Your lack of trust hurts me, Lydia.

This way.

(upbeat music) (waves crashing) Under this humble tarpaulin is a groundbreaking example of medicine and business working together in perfect harmony.

- Just show me.

(bird calling) (tarp thudding) I am a doctor.

I run a hospital.

How can I advertise a bar, especially one owned by a petty criminal?

- I resent that slander and demand a retraction.

- You have used my face without permission.

That's slander.

- I'm sorry.

I should have listened to Ram.

He said you looked jowly, and I ignored him.

- Greg!

- You, I blame you for this.

- Wait.

Wait.

Greg has agreed to sponsor the ambulance.

The fuel, the repairs.

- Tires.

- Yes, the tires.

And in return all he requires is a little bit of publicity.

- People round here trust you.

You're a brand, Lydia.

No photo, no deal.

- No.

No.

1,000 times, no.

- And that's your final word?

- Believe me, neither of you wanna hear my final word.

(bird calling) - Well that went well.

(Nita moaning) - [Raja] Everything all right?

- The baby's about to crown.

We're progressing even quicker than I thought.

Mari, can you go and fetch Dr. Varma quickly?

- Doctor?

- Okay, Nita, just let me know when you're ready to push, okay?

(Nita screaming) That works.

(upbeat music) (engine rumbling) (upbeat music) - Do you have a reservation?

- I'm the doctor.

- Oh, yes, of course, please.

- [Debbie] Don't try and get up.

You're better lying down.

- And I'm telling you I'm fine.

- For God sake, Maggie, just lie down.

Look, there's the doctor.

- We were in the middle of the ceremony, and she just collapsed.

We called immediately.

- There's no hotel doctor?

- He's sick.

Food poisoning.

- It's fine.

You know, we were almost at the end anyway, and besides, we're in India.

Where's he gonna run off to?

(Maggie laughing) - Oh, before you say anything, I fainted.

We don't get heat like this in Sturbridge.

And now I'm being killed by a fuss.

- I am Dr. Varma.

I need to examine you.

I promise it won't take long.

- Good, we're paying for that bleeding elephant by the hour.

- Dad.

(Nita screaming) - Dr. Varma is out on call.

I can't find anyone.

- What do you mean?

There has to be someone.

- [Mari] No one.

- Okay.

Okay.

We're fine.

Really, really fine.

What are you doing?

- The baby's coming.

You need to be prepared.

- Okay, Nita.

You're going to feel a little contraction any second.

When it comes, I need you to push for me.

Okay?

Now.

Push, push!

(Nita screaming) Come on!

(Nita screaming) - What's the matter?

- Everything's fine.

- It concerns me that you keep saying everything's fine.

I think now is the time you need to fetch the real doctor, Dr. Varma.

- I'm a real doctor.

- With great respect, I would prefer someone else in charge.

Dr. Varma-- - Isn't here.

So you've got me.

(suspenseful music) I can feel the cord.

The cord's prolapsing.

- What are you doing?

- The baby's head is putting pressure on the umbilical cord.

We need to support the head until the next contraction.

Otherwise, the baby will suffocate.

Another one.

Now listen to me.

This baby needs to come out this time.

Okay?

No more messing around.

- I understand.

- Ready?

Push, now!

Push!

Push!

Don't you dare stop!

Keep pushing!

Push, push!

(Nita screaming) (soft music) (baby crying) (baby crying) - Doctor?

- You have a girl.

You have a beautiful baby girl.

(baby crying) (soft dramatic music) (baby crying) (people chattering) (baby crying) (soft dramatic music) (baby crying) - You performed the ultrasound scan.

You told me my wife was carrying a son.

- Is that true?

You know the law as well as I do.

- There were medical concerns, fetal movements reduced.

- Even so.

- You lied!

You knew that if the baby had been a girl, we would have ... - You would have what?

- You understand me, Dr. Nair?

I already have three daughters.

All need to be married.

I'm not a rich man.

It is hard enough for me to provide for the children I have.

- It's a healthy baby, Mr. Mehta.

A gift from Krishna himself, surely.

(people chattering) - It's quite simple.

Nita Mehta was bleeding profusely and needed an ultrasound scan.

Her husband wanted to know the sex, and I refused.

And then he as good as told me that unless he found out they were going to have an abortion because he couldn't risk another girl.

- So you told him the sex.

- I was manipulated.

- Which is illegal.

- He thought he could see an appendage.

- And you didn't correct him?

- Do you know how small a penis is at 12 weeks?

- You put the hospital at risk.

Do you think we can afford legal action over this?

The government will close us down, and rightly so!

(soft music) (soft music continues) - Now, has this happened before?

- What, fainting?

Never.

Like I said, must be this heat.

- No, I, I don't think so.

Um.

I'm afraid I suspect you've had a seizure.

An epileptic fit.

Now if this is the first time it's happened, we'll have to take you to hospital to do some further tests.

- There's no need to.

And no time.

I have a brain tumor.

(soft sad music) - [Ruby] I can't believe he walked out on his baby like that.

- [Lydia] Family planning is a big deal around here.

- Any child is a blessing.

Back home, people try for years, pay thousands for IVF.

- And there's thousands of rupees worth of dowry playing over there.

Not to mention Raja runs his own business, taxi firm.

He works every hour God sends to provide for his family, no benefits, no help.

He needed a son.

Sometimes, good men get desperate.

Mari told me what happened.

You were left on your own, you saved that baby's life.

Well done.

But although I appreciate an independent spirit, Dr. Varma should have assisted you.

- I think he was called away.

- Important business, no doubt.

(waves crashing) (gentle music) (people chattering) - Our daughter's wedding.

It should be the proudest day of his life.

How could I tell him?

- Nobody knows?

(waves crashing) Anti-convulsants.

They should prevent any further seizures.

I'm sure you simply fainted.

The midday sun can be fierce.

Perhaps some kind of hat.

- Thank you.

- If I were your husband, I'd want to know.

- If you were my husband, we wouldn't be talking.

- [Ruby] So when do the shifts stop?

- They don't.

- So, when do I finish?

- You can leave whenever you like, as long as the board is empty.

- I don't get it.

- No one leaves until the board is empty, unless you don't think you're up to it.

(upbeat music) (upbeat music continues) (upbeat music continues) (upbeat music continues) (upbeat music continues) (both laughing) (upbeat music) (upbeat music continues) - Herr Muller?

Would you like to follow me?

(upbeat music) (upbeat music continues) (singers vocalizing) (baby crying) (crying continues) - Sh sh, sh sh.

She's so beautiful.

Then I suppose all babies are.

Even the ugly ones.

Not that your baby is ugly.

I mean, you know what I mean.

- All babies are born beautiful.

Not all are born equal.

(baby crying) - Hey.

Sh.

- Doctor?

- [Ruby] Has she been feeding okay?

She's a little pale.

(baby crying) - There's a VSD.

Pulmonary valve is severely stenosed.

She has Fallot's tetralogy.

- Your baby has a severe congenital heart defect.

The attacks come and go.

She'll need specialist help soon.

- And if not?

- Then your baby will die.

(soft sad music) - Perhaps if that's God's will then.

I have to speak to my husband.

He will know what to do.

(soft music) - [Lydia] I know it's a tragedy but if they refuse permission, then there's little else we can do.

- [Ruby] But if it was a boy.

- Either way, cost'll ruin them.

You did your best.

Sometimes that's all any of us can manage.

- We can't just accept it.

- Believe me, Dr. Walker, I'm a huge fan of conflict.

But a wise general only fights when she's sure to win the day.

We wait for our opportunity.

The really trick is to know it when you see it.

Come on then.

Or are you gonna sleep here all night?

(gentle piano music) Right, here we are.

This is the hospital accommodation.

I know, quite disgusting.

I can only apologize.

(gentle piano music) (birds calling) (gentle piano music) There's a fridge in the kitchen.

It's been stocked with the bare essentials.

- Thanks.

- You travel light, Dr. Walker.

- Nobody else wanted to come with me.

- Awful them.

You haven't thought about him all day, have you?

- How did you know?

- There's always a man, in my experience.

Neither interesting nor original.

(gentle music) (gentle music continues) (gentle music continues) (singers humming) (cow mooing) (gentle piano music) (singers humming) (gentle music) (group applauding) (gentle piano music) - I've got something to tell you.

(Maggie sighing) (gentle piano music) (people chattering) (gentle piano music) (gentle piano music continues) (gentle piano music continues) (parents chattering) (gentle piano music) (insects chirping) (bed creaking) - At last.

I thought you were never coming home.

- Yeah well, my patients needed me.

- Dr. Fonseca, you are truly indispensable.

- I've decided I want my key back.

- We're not gonna let a silly little sponsored ambulance come between us, are we?

- Firstly, there is no us.

This is merely a mutually beneficial arrangement, which I am currently reconsidering, so shoo.

- Okay.

What do you want?

- Dignity.

- Trumped by hard cash every time.

- No picture.

There is literally no amount of money you can pay me to make me change my mind.

- I need my brand.

- And I will need my be back, immediately.

- So, if I agree, our mutually beneficial arrangement?

- Can be renegotiated in good faith.

- Immediately?

- I don't see why not.

- In that case, Dr. Fonseca, you've got yourself a deal.

(both laughing) (waves rolling) (gentle music) (group chattering) (group panicking) - Let me through.

I'm a doctor, let me through!

Atul, can you hear me?

Come on.

Atul.

Sanjay.

Okay, just hold it down.

Hold it down over his cut.

Come on.

Come on.

Come on.

Someone call an ambulance now!

What are you waiting for?

(train bell dinging) (siren blaring) - Sanjay.

- He's okay.

- I told you I'd see you again.

(siren blaring) (dramatic music) - They're both unstable.

They need theater now.

- We only have one operating theater.

Which one?

Who goes first?

- I don't know.

- What do you want to do, Doctor?

Come on!

(dramatic music) - Sanjay.

Take Sanjay first.

His wounds are more severe.

(Mari speaking foreign language) (dramatic music) - He's been attacked.

Stab wounds to the abdomen.

- Oh, God, please help us.

- And the other one?

- His brother Atul.

Multiple stab wounds to the abdomen.

He's holding at a BP of 80.

- Dr. Varma's on his way.

Make the boy as stable as you can.

- Okay.

More IV.

(dramatic music) (monitor beeping) (dramatic music) He's too shut down.

I need another.

(dramatic music) I can't find the vein.

16-year-old male, stab wound to abdomen.

Completely shut down.

- Cutdown set now.

If you can't get access, you go cutdown.

IO.

Large bore catheter.

(dramatic music) (dramatic music continues) No, no!

O negative.

He needs blood, not saline, quick.

(dramatic music) Come on, Dr. Walker.

(dramatic music) (Gabriel sighing) (dramatic music) (monitor beeping) - He's clotting up rather more easily now.

(monitor flatlining) - Still asystole.

(hands smacking) (soft dramatic music) (monitor flatlining) Doctor?

Dr. Walker.

(monitor flatlining) (door opening) (door closing) (monitor flatlining) (monitor flatlining) (insects chirring) (door opening) (door closing) (no audio) (no audio) (door opening) (door closing) - Um, adequate IV access, rapid volume replacement and high-flow oxygen.

- I'm sorry.

- There should have been O negative running immediately.

- He was too shut down.

- Which is something a real surgeon knows how to deal with.

A cutdown, IO access.

These are all basic-- - That's enough.

- You told me to teach her.

- I said, that's enough.

- You know, just have your holiday if you want.

Just don't get in the way of the real doctors.

Okay?

(soft sad music) (singers vocalizing) (vocalizing continues) (vocalizing continues) (soft sad music) (soft sad music continues) (soft sad music continues) (waves crashing) (men chattering) (bus whooshing) (birds singing) - I've just checked Sanjay Nadar.

Drains are running clear already.

He should do well.

The police have been informed, and his brother's body has been released to the coroner.

We did the best we could in a very difficult situation.

All of us.

Right, I think that's enough.

You all know what you have to do.

(people chattering) (birds calling) (monkey grunting) (monkey screeching) - Horrible beasts.

Do you know how many pathogens there are in a single monkey hair?

- Um, no.

- Tens of millions.

Probably.

So, what?

- Sorry.

- You're sitting here alone.

Your bag is packed.

There must be a so.

- So, I don't think I can do this.

- And what is this exactly?

- Leaving England, thinking I could work here and just the whole being a doctor thing.

- Ooh, I see.

Then that is a problem.

Would it help to throw a stone at a monkey?

- You're laughing at me.

- Suit yourself.

(hands patting) A young boy lost his life, and we couldn't save him.

We, not you.

- Dr. Varma-- - His injuries were too severe.

There was nothing you, Dr. Varma or Ganesh himself could have done.

- Then why didn't it feel that way?

- Because you, unlike Dr. Varma, are still a fully functioning human being.

Now when you lose that feeling, then it really is time to go home.

(birds calling) People come to India to find themselves, Dr. Walker.

Truth is, most of them are simply idiots.

But you, you do look a little lost.

But something tells me there's someone in there worth discovering.

And as for being a good doctor, you might not be the best but you're the best I've got, so I'm not letting you leave.

- I'm not sure resigning works that way.

- Sometimes we all just overcomplicate things, especially when we're too emotional.

- I don't think Dr. Varma wants me back.

- Ha!

Oh, believe me, he needs you much more than you need him.

Now, get back to work.

Ooh, and if you ever miss morning report again, consider yourself fired.

(soft music) (birds singing) (singers vocalizing) (people chattering) (singers vocalizing) (vocalizing continues) (vocalizing continues) (soft music) (soft music continues) (people chattering) (baby crying) (crying continues) - And if we don't have the operation?

- Then your child will remain very sick.

- Things could only get worse.

She needs this surgery.

OF course, the choice is yours.

- Dr. Walker?

(people chattering) (soft music) (soft music continues) (soft music continues) (lips smacking) (soft music) (soft music continues) - The wisdom of Solomon, Dr. Walker.

I'm impressed.

- Sometimes, old stories are the best.

- Thank you.

- She has a name now.

Ruby.

I asked Dr. Fonseca.

- Don't get too cocky.

There are 17 Lydias from here to Kochi.

And four of them are boys.

(ambulance door closing) Come along, Dr. Walker.

We have work to do.

(engine starting) (upbeat music) (upbeat music continues) (singer vocalizing) (upbeat music) (singer vocalizing) (upbeat music) (upbeat music continues) (upbeat music continues)