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Practice English Speaking&Listening with: Shock of the New

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[ Doorbell rings ]

Oh, morning, Steph.

I just need a signature on this one.

-Oh. -It looks quite official.

[ Door closes ]

These are for you.

This one looks important.

I just had to sign for it. Open it first.

It could be Dr. Hedden's recommendation.

-Yes, it is. -Well?

-Oh, for... -What?

They want me to do three refresher courses,

starting with phlebotomy.

It's ridiculous.

I suppose that's good, to brush up on your skills.

I don't need to brush up my skills, thank you.

So have you set a date yet?

I need to let the family know. You must have some idea.

AL: Are you gonna help me or what?

I am helping you. Weddings take a lot of planning, boy.

AL: [ Sighs ]

Can we just change the subject, please, Dad?


Good to see you two working so hard.

Miles. What are you doing here?

I'm back. Obviously.

So, what happened to Spain?

Ah, you know, it's time for a fresh start.

I would've let you know, but it's all been

a bit of a whirlwind.

There's a woman involved, then.

Very sharp, Al.

Shirley. Met her online.

She's got a farm on the way to Truro.

I think she could be the one.

So, what is it you're after, then?

Oh, come on, now.

Can't your favorite cousin stop by and say hello?


We've been making goat's ice cream.

And I'm offering you an exclusive deal.

Sorry, did you say "goat's"?

Shirley's got a bunch of goats on her farm,

and I've been making ice cream from their milk.

It's all the rage in London.

So how many boxes can I do you for?

I'll pass.

Bert, this could be big.

And if anyone can sell it, it's you.

You know, I've always admired your genius.

That was a bit too much, wasn't it?

Way too much. What's this about, then?

Well, sales could always do with a boost,

and seeing as you're family,

um, well, I'd appreciate it.

Right, 15% discount,

trial run of 20 tubs, sale or return.

[ Exhales sharply ] You're killing me.

But, yeah, all right.

WOMAN: Miles.


This is my cousin Bert and his son, Al.

And they've agreed to sell our ice cream in their pub.

SHIRLEY: Oh, that is brilliant! Well done.

It was nothing, really.

It's another sale. You stop being so modest.

Oh, yes, I've always admired his genius.

Shouldn't we be getting to your appointment?

Oh! Oh. Lovely to meet you.

Well, I suppose we ought to try this.

Yeah, I suppose so.

[ Sniffs ] Ooh. you first.

[ Children shouting indistinctly ]

Hello there.

Oh! Bet you don't miss this.

Oh, I miss some of it.

-PIPPA: Oi! -No, but not that, no.

How's it going with the new head?

Lorna? She was here somewhere.

Oh, yeah. Over there.

She's from Delabole.

She's interesting. Got a lot of plans.

Fresh broom and all that.

Of course, if I'd been head,

I'd have kept things as they were.

But what we want and what we get

aren't the same things, now, are they?

-Luke! -Morning.


High five.

-BOY: Bye, Mummy! -WOMAN: Bye. See you later.

Go on in, then.

Go on. In you come.

LOUISA: Bye, James.

Mel, I was thinking it might be nice to arrange a play date

for James and some of his friends.

Him and his friends. Right, yes.

So is there anyone that he gets along with in particular or...?

No, not really.

So is it more a group of friends?

More that he doesn't really get along with anyone.

He's probably going through a socially awkward phase.

I'm sure it's nothing to worry about.

Come on, then.

[ Wheezing ]


Morwenna, we need to close the surgery on Thursday afternoon.

-How come? -I have to attend a course.

Ooh, snap. I went to one last night.

My first "first aid responder" session.

I actually had a few questions about CPR

and when you'd start it.

CPR is instigated when a victim of collapse

is neither breathing nor has a heartbeat.

First find the carotid pulse.

If you are unable to palpate the carotid pulse,

then find the apex beat and instantly start cardiac massage.

Honour Topp.

[ Sea gulls squawking ]

What's the topic?

It's oppositional defiant disorder.

It's a childhood behavioral problem.


You know, Mel was saying that

James is struggling a little to make friends.

Perhaps he's just being selective.

I am a bit concerned.

Well, he doesn't have oppositional defiant disorder.

No, I'm not suggesting he does.

But I can't help feeling that something's not quite right.

You know, you're studying child development.

Perhaps you're starting to see patterns where none exist.

-Are you saying I'm wrong? -No.

No, I'm saying that's very common,

certainly amongst medical students,

for them to start diagnosing themselves and all around them

with every illness and ailment under the sun.

A little learning can be --


[ Gasps ] Are you okay?

Can we keep that dog out of here?

I was just about to take him for a walk.

I could do with a break.

I have some medical supplies at Mrs. Tishell.

-Could you pick them up, please? -Yeah, no problem.

-Come on, Buddy. -[ Dog barks ]

Thank you. And, Louisa, James is gonna be fine.

[ Clears throat ]

-Yeah. Come on. -[ Dog barks ]

[ Indistinct conversations ]

Missing the old place?

No, I'm just walking Buddy.

Must be tough.

Not being a teacher anymore after all those years.

Well, you know, I've got new things going on in my life,

so it's actually quite exciting.

Sure, sure, it's just if ever they took my uniform away,

I don't know what I'd do.

I'd be totally lost.

Huge identity crisis.

In fact, you'd probably find me

hanging around outside the police station.

Yeah, well, I'm not you, Joe.

No. You're just walking the dog.

I understand.


DOC MARTIN: How long has it been like this?

SHIRLEY: About a week.

Do you work with animals?

Goats. [ Chuckles ]

We make ice cream from their milk.

They're amazing animals.

They're far smarter than people think.

There's this one goat, Phillip, I swear he's got it in for me.

He's just a little jealous, silly.

Do you wear gloves when you're working with the goat's milk?

No. I wash my hands thoroughly before and after, though.

Do you dry them properly?

If they're damp, then that can allow bacteria to breed.

This is a whitlow.

It's an infection of the nail fold

caused by staphylococcus bacteria.

I'll write you a prescription for a course of antibiotics.

But in the meantime wear gloves to protect your hand

and keep it dry.

We'll pick up some gloves on the way back, then.

Sit down. Stop scratching.

You've got a rash.

Yeah, I know. It's been there a few days.

Sycosis vulgaris. It's an infection of the beard area.

Sorry, his -- his beard is infected?

Is that even possible?

No, it's not the beard. It's the skin underneath.

It's a deep infection of the hair follicle,

often by the staphylococcus aureus bacteria.

There's a chance that you've been infecting one another,

and the swab results will confirm.

Is there much physical contact in your relationship?

Oh, yes.

He's worse than a goat, this one is.


Get some antiseptic cream from the pharmacy

and shave your beard off.

If I shave my beard, though,

everyone will see the rash all over my face.

It's not very nice.

You look run-down. How is your diet?

How much sleep are you getting?

I eat when I can, sleep about five hours a night.

There's a lot of work to do on the farm.

You should take more care of yourself.

Come back in the morning for the results of your swab test.

WOMAN: Uh-huh.

Ah, well, that's very well.

-Hello! Excuse me. Hi. -I mean, yes, obviously I...

Yes, of course, 'cause I just, um...

Yes, I'm just gonna --

I'm gonna call you back, just one sec, yep.

Sorry, can I help you?

You're the new head, aren't you?

Lorna Argyll, yes. Sorry, you are...?

Louisa Ellingham. Your predecessor.

-[ Laughs ] Hello. -Oh, right!

Yes, hello!

I've -- I've heard a lot about you, obviously.

I thought maybe we could grab a coffee sometime,

do a proper handover.

Yes! Yes, we should definitely do that. Yeah, yeah.

-[ Cellphone rings ] -That's -- That's a great idea.

Sorry, busy, busy. Yep?

Oh, God, no, that certainly needs to change.

Absolutely. I mean, you're not --

The thing is, I need you to listen to me about this.

So maybe sometime this week, then?

-Yeah? Maybe? -I just -- honestly!

Well, if you can't do it yourself, then I will do it.


Oh, Louisa.

Morning, Ruth.

Isn't it college day?

Yeah. But how would you know that?

Well, you probably mentioned it before.

Well, actually we're doing it over Skype today, so...

I don't know what that is.

Um, well, it's sort of a -- It's a phone call but on video.

Oh! Oh, I see, right.

Oh, I thought you were doing a proper college course.

I'd just like to pick up Martin's medical supplies,

please, Mrs. Tishell.

Any word yet?

Uh, a letter arrived today.

Um, they want Martin to do some training courses.

RUTH: I imagine that went down well.

-[ Laughing ] -[ Imitates goat bleating ]

Hello, Sally.

Ohh! You're the Large cousin. Been in Spain.

Very good. Miles Green.

See you've still got the neck...

Yeah, you should see the doc about that.

How can I help you?

Prescription for me, antiseptic cream for Miles.

Thank you.

Nothing like a warm welcome home.

[ Chuckles ]

Well, obviously, he's not happy about it.

I don't blame him.

He is going to comply, though, isn't he?

He says he is.

I'm sure everything'll be fine.

Yes, it's just training courses.

He just needs to grit his teeth and get on with it.

Yeah, no problem.

Maybe I should have a word with him.

-Just in case. -Good idea.

You had an appointment two days ago.

-Why didn't you come? -It's been a busy time.

The school want me to have a preemployment medical.

It's just formality, really.

Mm. I know.

Well, your blood pressure's fine.

Oh. Great. You can sign off on the insurance certificate, then.

[ Grunts ]

Your pulse rate's high. 170.

Oh! Sorry, what are you doing?

I'm checking your thyroid to see why your pulse rate's so high.

I'll need to do a blood test.

-That's not part of the medical. -Yes, it is.

I think there's been some sort of misunderstanding.

I don't want an actual full-blown checkup.

Just check the eyes, the ears, pat on the head, and off you go.

I need to rule out any thyroid concerns.

Come back tomorrow for your blood results.

I'm very busy.

Nevertheless, I won't sign off on your insurance certificate

unless you come back for your blood results tomorrow.

[ Snorts ]

MAN: The reported figures for oppositional defiant disorder

are between 1% and 16% of children

in the general population.

Sorry, where do you stand

on the whole "nature versus nurture" debate?

Uh [Chuckles] that's a fairly broad topic.

Okay, well, um, say there's a child,

and one of his or her parents

is, um, outgoing and empathetic and things,

and the other has

less clearly defined social skills.

If that child takes after one parent --

say the less socially skilled one --

do you think that's a genetic code that's hardwired into him,

or her, or could the right behavioral adjustments

create a more compassionate child -- sorry, subject?

Uh, that's -- that's quite a question. [ Chuckles ]

So if you, say, forced the child

to have some play dates with other children,

it might just teach him how to socialize better?

Sorry, Louisa, is this in reference

to oppositional defiant disorder?

Yeah. Mm-hmm.

Uh, pfff...

It's an interesting angle. I suppose yes.

But the question is whether it would have

a positive or negative effect.

So you're saying that could make him worse?

Yes, look, why don't we come back to this

in Truro next week,

and if we could focus back on the topic at hand...

Yeah, yeah, of course.

It can wait. It's just a query, that's all.



[ Knock on door ]

Hello, Martin. Have you got a moment?

Is anything wrong?

It's a social visit.

Oh, I see. Right. Hello.

Also I heard that you'd got your instructions from the GMC.

Oh, I see. So you're checking up on me.

More or less.

What are they asking you to do?

Oh, they want me to attend three courses.

I have to assist at a surgical procedure,

run a mock surgery,

and attend a phlebotomy course.

That's on Thursday at Truro.

You are going to attend, aren't you?

They haven't given me much choice.

You'll be drawing blood in front of a room full of people.

Have you thought about how you're going to deal

with your hemophobia?

Yes, of course I have.

There are desensitization exercises, you know?

I'd be happy to run through them with you.

Why are you washing your hands again?

Uh, um, I'm not.

Anyway, thank you for your concern,

but it's really not necessary.

If you'll forgive me, I have patients to see.


I'll have the steak and kidney pie.

There's a special on desserts.

I wouldn't say no. What you got?

Goat ice cream. It's very popular.


Oi! Nobody wants it.

As soon as you put the word "goat" with "ice cream,"

it's a no sale.

I told you not to go into business with Miles.

He was always meant to be

the most successful one in the family.

Yeah, now his "successes" are taking up room in our freezer

that we can't afford.

Don't worry. Your barmaid's arrived.

Hey, I put up a new ad today for the job.

-Fingers crossed someone bites. -Right.

So if we're not doing May, when are you thinking, then?

For what? The wedding.

Oh, uh, ooh, I don't know.

I haven't really thought about it.

Of course not.

Well, but maybe, um, I could help you

with that CPR thing, you know?

Training. I could test you or whatever.

It's quite a commitment.

Are you sure you'll have the time?

Oh, come on, Morwenna.

Shall we have that discussion?

What discussion, Joe?

About the best-man position.

Officially confirming me in the role.

Well, I hadn't really thought about it, mate.

Oh. That's a surprise.

Al, this isn't like the proposal.

You've got to think about these things.

What do you mean by that?


It's just...

Al's proposal was...

Al's proposal was what?

Well, it's nothing.

It didn't sound like nothing.

It's just -- It's just Joe being Joe.

That's right. It's just me being me.


Good old Joe being Joe.

You did mean it, right? The proposal?

Morwenna, why would you say that?

Well, it's just...

It seemed to come as a bit of a surprise to you as well.

If you've made a mistake, now is the time to back out.

Before it all goes too far.

No. No, of course I meant it.


Maybe we could organize a play date?

How about with Colin Towns?

You like him, don't you?

No, thank you.

Yes, you do.

What about with Miles?

No, thank you.

Tell you what, why don't you pick someone

and tell me who you'd like to have a play date with?

No, thank you.


Now that it's school time, we should be going in now.

Come on.

-Here we go. -Bye-bye.


-Morning. -Morning.

-You missing us yet? -Well, of course.

But not on sailing days. I don't miss that.

Oh, that's all stopped.

-Really? Why's that? -Ah, Lorna got rid of it.

She can't just get rid of it. It's a key part of their week.

No one hated it more than me, but I still had to do it.

She's changed your office and schedules.

-She's done her own timetable. -What?

-Well, can I see the new one? -Oh, no, that's classified.

We're not allowed to share it with parents.

-Pippa. -WOMAN: Pippa, you got a minute.


No. Out of my hands.

Well, you'll be pleased to learn

that we can rule out thyrotoxicosis.

Thyrotoxicosis is...?

An excess of thyroid hormone.

You were displaying symptoms of someone

with an overactive thyroid.

-But the test is negative. -Well, that's good, then.

Well, as far as thyrotoxicosis goes.

But your pulse rate is still high.

Have you lost any weight recently?

A little, yes.

I've been in training for a half marathon.

-I'd like to run an ECG. -An ECG?

I just need you to sign off on the insurance certificate.

Yes, I'm aware of that,

but you have an abnormally high heart rate

and I have to take that seriously because I'm a doctor.

What do you mean, "seriously"?

What do you mean, "what do you mean"?

You are a seemingly fit, healthy young woman,

with an abnormally high heart rate.

An ECG may well indicate what's causing that.

But until I've investigated it,

I'm not gonna sign off on anything.

Look, no, I need to get back to meetings today.

Right, make another appointment.

Next patient!

I need an appointment for tomorrow afternoon.

Oh, we're closed tomorrow afternoon.

I can give you, um, Friday at 9:00?

If that's the best you can do, yes.

Oh. Hello again.

Louisa. Ellingham.

Oh, of course, yeah.

Good to see you again.

Um, sorry, i-it's just I hear you've been making

lots of changes at the school,

and I'd love to be able to schedule

that handover meeting we discussed.


Yes, we should definitely do that, yeah.

Sorry, I-I've got to dash. Back to work.

-You know how it is. -Mm-hmm.

-Miles! -Bert.

This ice cream might be all the rage in London,

but my customers just aren't going for it.

It's only been a day.

It's already a running joke in the pub.

They're calling the place the "Goat and Lobster."

I'm sorry, Miles,

but small villages, small palates.

Here, what's this on your face?

Oh, cream. I've got a rash.

-Nasty. -It'll be fine.

This is what you swapped Spain for?

Oh, it's better than it looks.

So, what actually happened over there?

I heard you were setting up a gardening business.

Yeah. Didn't quite work out.

Tried a lot of things out there,

but just couldn't get a break.

Oh! I know the feeling with that one.

I thought my luck was never gonna change.

Till I met Shirley.

And, uh, well, maybe I exaggerated

how successful I was in business.

Ah, come on. Better get this back in the freezers.


[ Goat bleating ]

No. No, Phillip, you've already fed.

No. Back off!

It's her prize goat.

Swear he's got it in for me. No, Phillip.


Phillip! Phillip!

He's jealous of our happiness.

Aren't you? Bad goat.

BERT: Here.

[ Panting ]

Here, Miles, are you all right?

No, I'm not.

I'm out of shape, face like a pizza.

I love Shirley. I don't want to lose her.

Let's get you inside. Come on.

Mi-- Miles? Are you okay?

It's that bloody goat again.

[ Laughing ] He's just jealous.

He knows what we get up to.

We are very compatible physically.

I didn't really need to know that.

Oh, uh...

Well, y-you're returning the ice cream?

It wasn't for us. I-I'm sorry.

But I'm sure there'll be lots of people that like it.

No, no, t-they already do.

Go on, tell him, Miles.


Well, I've rung 'round a few people,

and we've definitely got some orders,

I just didn't want your expectations to get too high.

-So how many orders have we got? -Don't worry about it.

-Well, I am a little worried now.

It's an acquired taste.

You said you'd contacted people.

I did. They just didn't want it.

So how many orders have we got?



But d-don't worry. I-I'll turn this around.

When were you planning on telling me this?

I was protecting you.

No, you do not put that on me! You were protecting yourself.

You lied to me. How could you?

I'm sure she didn't mean it.

Miles, you got to take it easy.

You're no help, Bert!

One bloody case! That's all I asked.

Go on!

Where's James?

Up in his room, playing on his own.

He's actually on one side,

and all his teddy bears are on the other.

There's an article in here

I think you might find interesting.

Child Psychology Now.

Yes, it's a well-known journal.

Mm. I've never heard of it.

They've spelled "projectile" wrong.

Yes, it's a misprint.

Maybe you could just focus on the content

rather than the form.

It's about only child syndrome.

Well, it's opinion. It's not an actual clinical diagnosis.

Well, it states that in the majority of cases,

those with brothers or sisters

assimilate better with their peers than those without.

From a very small study group. It's not conclusive.

You know, I see James in the playground.

All the other children, they're playing together,

and James, he's always on the outside.

He's always isolated.

And, yes, he might be a little bit shy,

but this does seem to fit.

You were an only child.

Well, yeah.

Does this diagnosis fit

with how you see your childhood?


Didn't you used to feel a little bit lonely as a child?

-I know I did. -No.

I used to have imaginary friends.

Big Sue and Sarah.


-Didn't you have any? -No.

I should check on James.

[ Dog barks ]

[ Toaster clunks ]

[ Door opens ]


You okay?

You've been really quiet since yesterday.

-Have I? -Yeah.

Look, why don't we have a nice dinner tonight or something?

I'll cook.

And we can talk about the wedding,

and I can help you with the, you know, CPR training.

You don't have to. Not if you don't want to.

No, I do.

Besides, I know how this goes.

We make plans, and then you say how you're busy with work.

-Well, I won't be. -Have you found new staff?

Not yet.

So how are you gonna take the evening off?

-I'll find someone. -By tonight?

Morwenna, I will.

All right.

See you later.

Has your friend shaved his beard off?

No, of course not.

No, that would mean doing something the smart way.

No, instead he's just, you know, put cream all over it.

The cream won't be effective unless he shaves.

I got your test results back, and as I suspected,

you both have a staphylococcal infection.

You are infecting him every time you touch him with your finger.

And he, in turn, is reinfecting you with his beard.

So, what, we both have that streptococcal bacterial thing,

but only he's got the, um...

Sycosis vulgaris, yes.

You are constantly reinfecting one another

with a bacterial infection, and that has got to stop.

Yeah, well, that won't be a problem.

Good. Leave the dressing off, let the air get to it,

wear gloves for protection,

and finish the course of antibiotics.

And tell, um, what's-his-name to come into the surgery

and pick up a prescription.

Next patient.

[ Whirring ]

BERT: Morning.

-What? -You're bright and cheery.

[ Whirring stops ]

Um, Dad, can you look after the pub tonight?

-Not on my own, no. -Oh, please.

I need to fix things with Morwenna.

Why? What have you done now?

-Well, it's complicated. -[ Door closes ]

I hear there's a position available.

AL: What, you want to work here?

I do, yes.

I'm at a bit of a loose end in the evenings.

Maybe you should join a club or a society.

I mean, the book group's very popular.

Oh, for my sins I find work is the best kind of relaxation.

Here is my C.V., with numerous references.

A lot of them are from napkin companies,

due to me having stakes in the serviette industry.


Well, I'll need to think about it.

I've thought about it. You're hired.

-Can you start tonight? -Of course!

Oh! Won't this be great, Bert?

The two of us working together side by side again!


That was your last patient. You're all good to go to Truro.

[ Clears throat ]

Oh, before you go, am I meant to practice CPR

on a dummy or a real person?

Either will do. It doesn't matter.

[ Telephone rings ]

Portwenn Surgery.

Uh, yeah. Okay. Slow down.

Doc, it's Mrs. Knott. It sounds urgent.

-Yes? -[ Crying ] Doc?

Doc, I just -- I just come home, and I found Miles.

He's -- He's just lying here. He's struggling for breath.

I can't even get him to stand up.

Any other symptoms?

Yeah, he -- he said he had a-a tingling in his legs,

I think he's getting worse.

What's their address?

Pendennick farm. It's on your way to the hospital.

All right. I'll be about 20 minutes.

-What's her name? -Shirley.


-Good luck with the course. -Yes.

Okay. Yeah, he's on his way.

-Where is he? -He's this way.

-Quick, now. -[ Goat bleating ]

Oh, no. God, careful.

That's Phillip. He's a bit territorial.

-Well, keep it away from me. -Go on, off with you. Go on!

[ Bleating continues ]


Mister, uh...

[ Wheezing softly ]

His pulse is racing.

You said that he was complaining

of a tingling sensation in his legs.

-Pins and needles, yeah. -Hmm.

What is wrong with him?

DOC MARTIN: The swab test confirmed the sycosis vulgaris,

but I'm worried with the pins and needles

and the tightness of breath

that it's progressed to Guillain-Barré polyneuropathy.

-Guillain...? -Barré.

It's very rare. Very serious nerve condition.

Course, he wouldn't be in this position

if he'd taken my advice and shaved his beard off.

Oh, God. [ Sobs ]

Well, there isn't time to get an ambulance.

I'll drive him to the hospital.

Help me get him up.

SHIRLEY: [ Grunts ]

Is this all my fault?

No, the follicle infection acted as a trigger.

It depends on an individual's metabolism.

Normally the immune system attacks

any germ that gets into the body.

But with people with Guillain-Barré,

it mistakenly attacks and damages nerves.

I don't -- I don't really understand any of that.

Doesn't matter. Lie him flat.

-Right, lay flat. -Okay.

You ride in the back here with him.

Keep him still and hold that on his face.

-SHIRLEY: Okay. -Okay.

Pull the strap over his head.

Put the strap -- Put the strap around his head.

Keep his airway unblocked.

-[ Goat bleats ] -Oh!

[ Siren wailing ]

Patient needs ventilating.

Right. Have you got him?




I'm here, Miles. I'm not going anywhere.

-MILES: I'm sorry. -What?

I'm sorry.

It doesn't matter about that now.

-MILES: Uh! -Stop talking.

So the course will take approximately three hours,

and we'll cover all aspects of the...

Dr. Ellingham.

Obviously not a believer in punctuality.

I had an emergency with a patient.

Take a seat.

Right, we can begin.

Now, while you are all very well qualified people,

you have nevertheless all been selected, for varying reasons,

to go through this refresher course.

So, however irritating or basic you might find this,

I would like you to pay close attention to what we're doing.

Any questions?

In that case, let's crack on.

Now, what do we mean by phlebotomy?

Uh, the drawing of blood by means of a venipuncture.

Very good.

Dr. Ellingham, why don't you go first?

[ Clears throat ]

What are you doing?

I'm going to prepare the needle and the syringe.

No, no. You're not the doctor, you're the patient.

It's a role play.

Is that really necessary?

It is important to understand both sides of the coin.

Dr. Khan, you seem to know what you're doing.

Why don't you come up here and work through the process

of taking Dr. Ellingham's blood.

Sit down.

WOMAN: Hi. Hi, Louisa.

[ Indistinct conversations ]

LORNA: Get rid of those windows. Knock them out, actually.


Go ahead.

Uh, right, can you make sure your, um, sleeve is up?


-You've forgotten the details. -Sorry?

Dr. Martin Ellingham,

22 Manor Road, Portwenn, Cornwall.


Wait, you're the Dr. Martin Ellingham?

From Imperial?

-The surgeon, right? -Yes.

You're a legend.

I'm down from there on placement.

I can't wait to tell them.

How come you're doing a phlebotomy course?

Dr. Khan.

Yes. Uh...

[ Exhales sharply ] Okay.

Whew! Um, I'm going to place this tourniquet on you.

The sleeve isn't above the elbow.

-I've got it. -Excellent.

Um, I'm going to place this tourniquet on you

and see if I can find a vein.

I have had a few issues with that,

hence why I'm here.

Once I have located a suitable vein,

I will insert the needle and take the blood.

-Hopefully. -Okay, stop.

Before you do any of this, you have to calm the patient.

-I'm fine. -DR. KHAN: He's fine.

Calm the patient.

Do you feel calm?

-Yes, of course I do. -Right.

Um, excellent.

I think we need to talk it through, Pippa.

[ Indistinct conversation ]

[ Water sloshes ]

I think there's been too much focus on pastoral

and maybe not enough on academic.

Is there such a thing as too much focus on pastoral?

I'll make us a cup of tea.

This is a small village school.

Children don't have the same behavioral problems

as they do in the city.

Why is there water all over my desk?

Mrs. Ellingham always believed

that schooling should be rounded,

instead of aimed entirely at SATs results.

Well, isn't that exactly why the school

isn't performing as well as it should.

Where is my timetable?

I left it right here.

Oh, never mind.

I've got some spares in the cupboard.

[ Gasps ]

-PIPPA: Louisa? -It's not what it looks like.

Right, let's see.

The vein. Now, where are you?

Where are you?

Two millimeters down.

Here we go.

[ Cellphone rings ]

-One moment. -Dr. Ellingham.


Are you sure?

Right. I'm on my way.

-On your way? -I have an emergency.

You're in the middle of a course.

I'm a doctor.

-Dr. Ellingham! -[ Door opens ]


Martin's on his way.

Why were you hiding in her office?

Hmm? What? No, I-I wasn't.

I was -- well, I-I came to say hello, nobody was here, so --

Pippa, do we really have to talk about this right now?

Can you move your knee? Okay.

Should you be doing that? You already made her faint once.


I'm here.

What are you doing?

-I'm trying to help. -It's, uh...

Her heart's beating. She's breathing.

It's a cardiac event, not a cardiac arrest.

Get some cold water.


Oh! What are you doing?!

Isn't that what you wanted?

-No! -Oh.

I need to stimulate the vagus nerve

to try and get her heartbeat back to normal.

Her pulse is raging.

She may have had

a supraventricular tachycardia episode.

So does that mean she's got a heart condition?

DOC MARTIN: Yeah, her heart starts to race

and then very abruptly slows down or stops.

But she's too busy

and too annoying to let me give her an ECG.


You've had a superelectrical attack.

Can you hear me, Linda?

Lorna. Yes.

You were hiding in my cupboard.

No. No, I-I just popped by to say hello.

Oh! Oh, Doctor I wanted to say to you...

Stop talking. Put the mask back on.

Make sure she keeps it on in the ambulance.

-Is she gonna be okay? -Mm? Ah, yes, she should be.

They'll monitor her for 24 hours,

and she'll be off work for a few weeks.

Were you really in her cupboard?


I just wanted to see the school was in good hands.

By going in her cupboard?

This is all my fault, isn't it?

This? No, this would have happened sooner or later.

It's better that it happened sooner,

when there were people around.

But I still don't understand why you were in her cupboard.

Well, I was just in her office, and then I heard her coming.

It just seemed like the best course of action at the time.

-[ Gasps ] -I see.

-James! -James.

LOUISA: James. Whoo!

How's your day been?

Here. So...

How we gonna do this?

Before we start, you need to answer a question.

And you need to be honest.


Did you mean to propose to me?

Oh, ho ho, Morwenna...

Yes or no?


Um, no.


But I'm -- I'm glad I did.

It's the best thing I've ever done.

But you didn't mean to do it.


I've -- I've wanted to for ages, but...

Then why are you acting like you don't want any part of it?

I'm not, Morwenna. I'm...

Am I?

It's just that, um,

anything that's ever meant something to me,

you know, I've -- I've ruined it.

You know, once, I went abroad to find my fortune

and I ended up working in a bottle factory.

I ran a B&B right into the ground.

And -- And then there's you.

And, you know, you're...

You're super.

I'm super?

I'm terrible at this, ain't I?

It just said it, and -- and it came out,

and you said yes, and it was brilliant.

But then I was like, okay,

so when am I gonna mess this up?

Oh, Al.

A May wedding would be lovely.

You know, we'd get the sunshine.

I love you.

You know that?

All right. You can be quiet and pretend to die now.

Okay, so -- so we're -- we're good?

Well, you're dying, and I am gonna save you.

So, what do you think?

-I don't -- I don't know. -Right.

Uh, okay, so interlock fingers, knuckles up.

Um, push down five or six centimeters.


-One! -Oh, God.

-Two! -Morwenna! That's quiet hard.

Three! Can you be quiet, please.

I'm trying to concentrate.

-Sorry. -"Keep a steady rhythm."

One! Two!

-[ Groans ] -Oh, God. Al?

Ow. Ow.

Al? You all right?

-Ow! [ Gasping ] -Oh. Oh, God.

You could've cracked a rib.

There's nothing I can do for you.

If the pain gets unbearable, take 400 milligrams

of your favorite anti-inflammatory twice a day.

I was just doing what it said in the book.

Well, it's probably my fault. Weak ribs.

No. I screwed up.

You have to look at the collapsed person

and assess the correct weight to use --

that, and remember the rhythm of that song.

What song?

"Stayin' Alive" by the Bee Gees.

I didn't know you were a fan, Doc.

-[ Water runs ] -I'm not.

-Should I sing it out loud? -No, thank you. Not now.

Well, I suppose we've got our wedding song, then.

-Sorry. -What song?

How's Al?

-Cracked rib. -Ohh.

I didn't get to ask before --

How did the phlebotomy course go?

Um, I don't know. I didn't really finish it.

Why not?

Because you were hiding in a cupboard.

Oh. Sorry about that.

That's all right. I wasn't really enjoying it.

You know, I've been thinking about what we discussed,

about now being the best time to have a baby.

Well, if we wanted one.

Is this because of only child syndrome?

Well, I thought it was,

but the more I thought about it,

I realized I just think it's a good idea.

For us and for James.

[ Doorbell rings ]

Excuse me.

So I just wanted to say thank you.

You were right about Miles.

He had that, um, uh, "Gillian-Barry" poly thing.

And they said that if it hadn't been for you,

then he'd have been a goner.


Uh, I-I have some ice cream.

My way of saying thank you.

It's really not necessary. Thank you. Good night.



Another child.

"Yes" as in "we should discuss it more" or...?

No. "Yes" as in "yes."

May I interest you in signing

Dr. Ellingham's birthday card?

Most of these say, "Happy birthday, tosser."

If left untreated, it can be fatal.

-I need to sit down. -You are sitting down.

What's in your pocket?

-[ Tweeting ] -It's a finch.

You planning an early night, then?

No. You're not ovulating.

The Description of Shock of the New