BBC Doctors Season 24 Episode 243 9-18-24 (18th September 2024)
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00:00Every time I worked out, my hair would be such a sweaty mess.
00:28Ten minutes of intervals, and the tangles are real.
00:34Ouch.
00:35But, get ready for the best hat.
00:38Apply a hair mask before you work out.
00:40Then it's got a protecting condition, and after you're done, blow dry, and you're finished.
00:46Another study period.
00:48Should ask the school for a discount.
00:50What on earth happened?
00:52Do you really need to ask?
00:54Where is she?
00:56We were having a nice chat. I said something, and she took offence.
01:00Went ballistic, like that.
01:04It doesn't seem to need stitches.
01:06Did she hit you?
01:08She played dodgeball with the cutlery.
01:10It was that close to my eye.
01:11I'll speak to her.
01:13She's under a lot of stress with the Oxford application.
01:15There's always an excuse.
01:17Exams, bullying, moving house.
01:19I'm done. I'm moving out. I'm going to my mate's.
01:21No!
01:22Your father and I are marrying in a month.
01:25Please.
01:27It won't happen again.
01:28No, that's it. I've had enough.
01:30I'm out of here.
01:35Tallulah, I know you're in there. Come out in a second.
01:39Tallulah, I said get out here now!
01:45Someone had a cheeky nail appointment this morning.
01:47All my own work.
01:49No way. Wish I could do mine like that.
01:51Actually, you're looking extra smart today.
01:53Have you got a date? Is that why you're not in this afternoon?
01:55Maybe I just want to look nice for me.
01:57Hmm, whatever.
01:59That's weird.
02:01Everything OK?
02:03These address labels have got Miss Elton printed on them,
02:05not Dr Elton.
02:07Oh, sorry about that. Maybe it's an IT thing.
02:09Can you have a look at it?
02:11Of course, Dr Elton.
02:15When Sandra gets back from Dubai,
02:17I now have to explain why Arie's in the hospital.
02:19And you should look ashamed.
02:21Planning a wedding is supposed to be fun.
02:23Can I not enjoy one nice thing?
02:25So it is true.
02:27What Arie said.
02:29You're not having guests because you're scared
02:31I'll kick off and ruin your day?
02:33Not exactly.
02:35And here come the waterworks.
02:37I don't do it on purpose.
02:39I don't know why I'm like this.
02:41Poor little Tallulah.
02:43On your socials, everybody thinks you're a big shot,
02:45but you're not.
02:47On your socials, everybody thinks you have the perfect life.
02:49If only they knew how awful it is for you.
02:51I need help.
02:53Holidays in five-star resorts,
02:55designer clothes,
02:57VIP tickets to Taylor Swift.
02:59Maybe I've given you too much.
03:01I've spoiled you.
03:03I'm grateful for all that.
03:05This behaviour can't go on.
03:07This has to be the last time.
03:09I will not let it happen again.
03:17The guy in the shop went for a hard sell
03:19on a gravel bike,
03:21but it's not like I'm going to be off-road every weekend.
03:23No, don't buy new. Go online, get it second-hand.
03:25You'll save yourself a fortune.
03:27Bear, have you got a moment?
03:29I was looking at the budgets
03:31and I noticed that our fixed-rate energy deal
03:33is up for renewal.
03:35Have you checked other options?
03:37Not yet, but it's on my to-do list.
03:39Never mind. Here's a rundown
03:41of the best fixed and variable rates
03:43currently on the market.
03:46That can save a considerable amount of money.
03:48Have a look and see what you think.
03:50I will do. Cheers.
03:52Someone's on their way to get themselves a gold star.
03:54Ah, while you're here,
03:56you didn't get back to me about that meeting with Zara.
03:58Meeting?
04:00I emailed you first thing.
04:02Nice of Release New Guidance
04:04on Antibiotic Stewardship.
04:06Zara just wants to make sure we're on top of it.
04:08Oh, yeah.
04:10I must have missed that.
04:12Maybe in future you can flag them.
04:14My emails are quite swamped
04:16first thing when I start.
04:18My bad.
04:20Will do.
04:22I'll get back to you.
04:24She's a bit...
04:26touchy.
04:28LAUGHTER
04:36Wait, Ari.
04:38I'm sorry.
04:40I just...
04:42I'm sorry.
04:44I knew you'd react like that
04:46when I told you about the wedding.
04:48I was annoyed because...
04:52I think my dad wants a big celebration.
04:54But it was out of order
04:56to make a dig like that.
04:58No, I get it.
05:00I don't blame you.
05:04I heard what your mum said.
05:06For what it's worth,
05:08I don't agree.
05:11I think it's a good idea
05:13to see a doctor if you want to.
05:15You're 17.
05:17You don't need her permission.
05:19Tulula, how can I help?
05:21I'm probably wasting your time.
05:23We'll figure that out as we go.
05:25Are you unwell?
05:27Oh, it's hard to explain.
05:29OK, so what's brought you here?
05:31Oh, it's nothing.
05:33It's just...
05:35It's just...
05:37It's just...
05:39It's just...
05:41It's just...
05:43It's just...
05:45It's just...
05:47OK, so what's brought you to the mill today?
05:49I got angry with someone.
05:51OK.
05:53Anger is an emotion
05:55we feel from time to time,
05:57which is completely normal,
05:59unless you felt it was out of proportion.
06:01So anger,
06:03it usually has an underlying cause.
06:05And that can be something we can explore.
06:07You know what? Ignore me.
06:09I'm a drama queen.
06:11I've spoken to a doctor once before
06:13and he told my mother there was nothing to worry about.
06:15You can only do that if you talk to me.
06:19Then you'll know how horrible I am.
06:21Well, if you were, you wouldn't be here
06:23because you wouldn't care.
06:25Look, this is a safe space. There's no judgement.
06:35Take your time.
06:37Um...
06:41Sometimes
06:44if it's so angry, it's like fire.
06:46I can't control it
06:48and I can't calm down until it's all burnt out.
06:54And sometimes
06:56it makes me hurt people.
07:00Yes, you'll get a text.
07:02Right.
07:04Room two, please.
07:06Excuse me. Yes.
07:08Kirsty Miller, I'm here for an interview.
07:10Oh, hi. Oh, sorry. I'm Jill.
07:12God, it's one of those days. Could do with an extra pair of hands.
07:14Is that the time already?
07:16Oh, if it's a bad time, I can come back later.
07:18No, no, no, we're all good.
07:20Take a seat through there.
07:22We'll be with you as soon as.
07:24Hello. Sally Road Surgery.
07:28When I was little, my father nicknamed me Tornado Tallulah.
07:32I was the child kicking and screaming in department stores.
07:36At school, I made friends quickly
07:38but I'd lose them
07:40as soon as they'd see me explode.
07:44So I withdrew.
07:46I focused on my studies
07:48because I didn't want anyone to see the monster inside me.
07:50Did your parents ever take you anywhere
07:52to look into whether you might have an underlying problem?
07:56I had an appointment once before
07:58with Dr Granger, I think.
08:00Yes.
08:02He didn't seem to think there was anything to worry about
08:04but I went from throwing dolls
08:06to throwing plates.
08:09I don't know why I do it.
08:11I just... I can't stop myself.
08:13And do you ever feel any other strong emotions?
08:17I get down.
08:19I usually lock myself away until it passes.
08:21How long does that last for?
08:23Days? Weeks?
08:25Oh, no, hours.
08:27I could be in the depths of despair one minute
08:29and then happy the next as if nothing's happened.
08:31It's like a switch flicks.
08:33Just can't control it.
08:35I'm exhausted.
08:39And I'm scared
08:41that one day I might seriously harm someone.
08:43Well, first and most importantly,
08:45thank you for sharing that with me.
08:47You've made a really important first step
08:49and that takes courage.
08:51And for the record, I don't think you're horrible at all.
08:53OK?
08:55So what I'm going to do, Talula,
08:57I'm going to refer you to a psychiatrist.
08:59Really?
09:01Don't worry, it's nothing to be scared of.
09:03I just can't diagnose you here
09:05but once you've had an assessment with an expert
09:07they'll be able to give you the help you need.
09:09So you do think there's something wrong with me?
09:11I can only hypothesise but from what you've told me
09:13it does sound like a condition
09:15called borderline personality disorder.
09:21Sorry.
09:23It's been a mad one.
09:25Receptionist called in sick.
09:27Right.
09:29Let's start again. Hello.
09:31The partner who was going to join us
09:33has tied up just now
09:35so it's just me.
09:37Fair enough.
09:39Thank you for inviting me to interview.
09:41Oh, I'm delighted someone of your calibre
09:43has agreed to come in.
09:45You are exactly what this practice needs.
09:47As you can see,
09:49we're in a transitional period.
09:51There have been problems in the past
09:53but after a change of management
09:55we're focused on making this practice
09:57the best it can be.
10:00Is there an assistant practice manager
10:02who can help us do that?
10:04Right.
10:06First off, I must apologise.
10:08I'm not as prepared as I would have liked to have been
10:10and I just wasn't expecting
10:12an interview quite so quickly.
10:14We have some common acquaintances
10:16who speak very highly of you.
10:18So when I saw your CV on the database
10:20I knew I had to call before someone else
10:22snagged you up.
10:24I'm playing catch-up myself, to be honest.
10:26You're an admin manager
10:28at the mill, is that right?
10:30Oh, no, I'm a receptionist.
10:32Really?
10:34Oh.
10:36Have we got crossed wires?
10:38I do know this job is a step up.
10:40I'm just surprised they're not making better use of you.
10:42With your track record
10:44it's a waste of talent.
10:46But that's not for me to say.
10:48Anyway, let's get cracking, shall we?
10:52To the icon.
10:54Feel free to come with.
10:56It's a bit strange, but you can go.
10:58You don't have to stay here with me.
11:00No, I got up early to make a butty
11:02and have a grudge waist, innit?
11:04Or losing out on your delightful company.
11:06Fair enough. Who else can we round up?
11:08Where's Graham?
11:10I doubt she'd be interested.
11:12Yeah, she's far too important to grab for lunch.
11:14She?
11:16Yeah, what's a pronoun between friends, eh?
11:18Dr Elton doesn't think it's a big deal to misgender a patient
11:20so she shouldn't mind if it's the other way around.
11:22We're just having a bit of a laugh.
11:25We've got to move with the times.
11:27Language evolves. There's nothing to be upset about.
11:29Exactly.
11:31Oh, there he is. Must be learning.
11:33Care to share the joke of the room?
11:35Jimmy and I are off to the icon.
11:37We're not cool enough for these cats.
11:39Do you care to join?
11:41I know you're the kind of chap who enjoys a malty beverage,
11:43a healthy debate about who recorded the best version of Wings of a Dove.
11:45Tammy.
11:47I can't even listen to that.
11:49You're a Dolly Parton fan, aren't you?
11:51I enjoy a couple of her big hits.
11:53Oh, hey.
11:55I know assistant is in the title
11:57but this is definitely a managerial role.
11:59We serve a large catchment area.
12:01Patients suffering social deprivation
12:03with complicated care needs.
12:05I don't need someone to support me.
12:07I need someone who can take responsibility.
12:09Think outside the box.
12:11Who I can trust to get on with it.
12:13Does that appeal to you?
12:15Absolutely.
12:17I do find it a little bit frustrating
12:19that I have so little input.
12:21I've worked in the sector for a really long time.
12:23I've got ideas about the way things should run.
12:25I'd love to hear them.
12:27Well, I've always thought
12:29that a holistic approach is key.
12:31A GP surgery shouldn't just be about treating illness
12:33but about the health of the whole community.
12:35More of a proactive approach,
12:37not just reactive.
12:39Ideally, yes,
12:41but with limited funds
12:43we have to make tough decisions.
12:45Think of it this way.
12:47Convince a third party
12:49Convince a 30-year-old
12:51to change their diet
12:53and they won't turn into a 50-year-old
12:55that needs heart surgery.
12:57How much money would that save?
12:59I think a lot of managers
13:01are just glorified accountants.
13:03You know,
13:05they think that success
13:07is doing everything on the cheap.
13:09Short-term thinking might balance the books
13:11but there's always a price
13:13to pay further down the line.
13:15No, I think
13:18the healthcare needs of our patients
13:20need to be at the core of all of our decision-making.
13:24Otherwise, what's the point?
13:26I like your passion.
13:28Well,
13:30sorry, I didn't mean to go on a bit.
13:32No, no, I want staff who care,
13:34who've got ideas.
13:36Full disclosure,
13:38not 100% certain
13:40I'm ready to change roles just yet.
13:42The mill's established,
13:44well run,
13:46we're building something here.
13:48You wouldn't be a cog in a wheel,
13:50you would have an input.
13:52This is a place where someone talented,
13:54like yourself, could thrive.
13:56When do you think you might make a decision?
13:58Well, hopefully the next day or so.
14:00As you can see, we need the help.
14:02Of course.
14:04It's been really nice to meet you.
14:06You too.
14:08Sandra, it's not as bad as it sounds.
14:10Tallulah's going to apologise to Harry.
14:16She won't kick off again.
14:18She's really sorry.
14:20She knows she went too far.
14:22OK.
14:24Bye.
14:26Love you.
14:30You know Sandra thinks
14:32the world of Harry.
14:34In his eyes, he's the purest soul,
14:36wouldn't hurt a fly.
14:38And you hurt him.
14:40And drove him away.
14:42Must be nice to be loved like that.
14:44It's your fault.
14:46You need to take some responsibility.
14:48I have covered for you time and again.
14:50I have defended you.
14:52I have made excuses for you.
14:54I've bribed the school with donations
14:56to stop them from throwing you out.
14:58There are restaurants I can't set foot in ever again.
15:00And I finally meet a lovely, patient man.
15:02And even then...
15:04Shut up!
15:06PHONE RINGS
15:08Aren't you going to get that?
15:14Tallulah's phone. Her mother's speaking.
15:16Oh, er, hi.
15:18Is Tallulah available?
15:20It's Dr Bulsara from the mill.
15:22What's it concerning?
15:24Oh, it's confidential, so I would need to speak to Tallulah.
15:26But I can call later, if that's OK.
15:28I'm her mother. She's still under my care.
15:30You can tell mum...
15:32Oh, take that!
15:34Hi. It's Tallulah.
15:37Sorry, I was away from my phone.
15:39No worries. I'm just calling to just say
15:41that there's this BPD support group
15:43that meets once a month in the library.
15:45And you don't actually need a diagnosis to join,
15:47so I thought, you know,
15:49it might be helpful.
15:51Cool. Thank you.
15:53Are you OK, Tallulah?
15:55Yeah. Fine.
15:57I need to go, though. Thanks again.
16:03Why does GP call you?
16:05It's something serious.
16:07I'll be the judge of that.
16:09I need to go study. I've hardly done anything.
16:11Tallulah!
16:13Is it the mole on your back?
16:15If it's malignant...
16:17No!
16:19If you must know, I...
16:21I swear I'm about my mental health.
16:23He...
16:25He thinks I might have
16:27borderline personality disorder.
16:29OK.
16:31It was a shock at first,
16:33when he started explaining the symptoms,
16:35so much about my past started to make sense,
16:37like why I struggle with my emotions
16:39and why I keep musing friends.
16:41I mean... That's nonsense.
16:43You're going to Oxford.
16:45You're one of the brightest girls in your school.
16:47Intelligent people
16:49can be mentally ill, Mum.
16:51Do not, I repeat,
16:53do not tell a soul about this.
16:55Why? You do not have a mental health condition.
16:57And people talk.
16:59It'll be round the school in no time.
17:02And now it's on your medical records
17:04for the rest of your life.
17:06No.
17:08No, I will not have your future derailed
17:10by some half-wit GP.
17:12Come on.
17:14I mean, the icon is nice,
17:16but you can't beat egg mayo on stale bread.
17:18You are so right.
17:20The staleness gives it that umami flavour.
17:22Anyway,
17:24no rest for the fabulous.
17:26Oh.
17:28So it got to you then,
17:30even with the different pronouns?
17:32I guess you're right.
17:34Maybe it doesn't make a difference after all.
17:36You think you're so funny, don't you?
17:38How did it make you feel?
17:40Undermined? Undervalued?
17:42Like your identity's irrelevant?
17:44You've been making slide digs at me all day.
17:46Don't think I haven't noticed.
17:48No, I'm glad you've noticed.
17:50Because now you know how offensive it is
17:52to be misgendered.
17:54Maybe you won't do it again.
17:56I've had enough of this.
17:58Well,
18:00I've definitely rattled her cage.
18:02Do you think we went a bit too far?
18:04No way. He's the one in the wrong.
18:11I gave my professional opinion
18:13based on what your daughter told me.
18:15You tarred her with a mental health condition
18:17based on one conversation.
18:19You've never met her before.
18:21What happened to Dr Granger?
18:23He's no longer at the practice.
18:25Probably went into private practice.
18:27Do you think it was too good for here?
18:29Well, the GPs at the mill
18:31are of a very high standard.
18:33And they're all experienced.
18:35I referred Tallulah to psychiatric services
18:37for a further assessment.
18:39And after which, a full diagnosis will be made.
18:41No. I don't trust the NHS.
18:43They dish out pills for anything these days.
18:45Everybody's got AD this or bipolar that.
18:47I'll take her to a private clinic.
18:49Well, that's your choice.
18:51But I'm sure they'll reach the same conclusion.
18:53We'll see.
18:56She has a borderline personality disorder
18:58removed from her records.
19:00Right. That's not something we normally do.
19:02You will now.
19:04My daughter's got a bright future.
19:06She can be anything she wants to be.
19:08One day she could have an opportunity taken away
19:10if she has to declare this erroneous diagnosis.
19:12It will...
19:14Being treated will benefit her much more
19:16than any stigma she might face.
19:18I know my daughter.
19:20And we have rights over what information
19:22is collected about us.
19:24Remove it, or you'll hear from my lawyers.
19:26Zulula, is that what you want?
19:28I'm still her mother.
19:30Yes.
19:32OK.
19:34I, um...
19:36I can redact any mentions of BPD
19:38with a view to reinstate my hypothesis
19:40after she's been formally assessed.
19:42There'll be no need.
19:44And I'd like a copy once it's done.
19:46OK.
19:48I'm going to miss my meeting.
19:50I have to reschedule.
19:52I have to reschedule.
20:00I'm all for jokes in the workplace,
20:02but this has gone too far.
20:04I think he has a real problem with me.
20:06So I had no choice
20:08but to come forward with a formal complaint.
20:10I'm sorry you feel this way.
20:12I'll set up a meeting
20:14with yourself and Luca.
20:16We have to resolve this
20:18before it escalates any further.
20:21Exactly.
20:26Right. There you go.
20:32Oh. Wasn't so hard.
20:34So, the notes from today's consult
20:36have been withdrawn.
20:38And could I just check,
20:40would you also like me to do the same
20:42for Dr Granger's notes in May 2020?
20:44A psychiatric referral
20:46was recommended then, too.
20:48It's my record.
20:50Referral cancelled
20:52by parent?
20:56I remember this appointment.
20:58It was after the Twelfth Night auditions
21:00where I threw a creme brulee at Serena Lee
21:02because she got Viola ahead of me.
21:04Her dad's the drama teacher.
21:06I don't recall any cancelled referral.
21:08But you sent me out to talk to Dr Granger alone.
21:10You never mentioned mental health
21:12being brought up.
21:14You said it was hormones.
21:16It was wrong then. It's wrong now.
21:18It made me feel like it was my fault
21:20that I was overly sensitive, weak.
21:22I could have got help years ago.
21:24You did that on purpose.
21:26No, no, no. I just wanted to check.
21:28You said to recount all mentions
21:30of mental health issues.
21:37PHONE VIBRATES
21:41Hello?
21:43It's Jill. Glad I caught you.
21:45Quick question.
21:47How much notice do you need to give your current employer?
21:49I'm not sure why.
21:51I know I said it might take a while
21:53but it's a no-brainer.
21:55We'd like to offer you the role.
21:57Oh.
21:59I wasn't expecting a decision today.
22:01As you saw, we're struggling.
22:03We need to get the best person in
22:05as soon as possible.
22:07We'd love that to be you.
22:11When do you need an answer?
22:13End of play tomorrow?
22:16Oh, right.
22:18That's really quick.
22:20It's a lot to think about.
22:22Sorry to put you under pressure
22:24but I do think this could be
22:26a great move for you.
22:28All right.
22:30I'll let you know one way or the other.
22:32Keeping everything crossed.
22:34Speak soon.
22:36Thanks.
22:46That looked sore.
22:48It's not bad.
22:50I can make up a cool story.
22:52Like I stopped a mugger
22:54or fell off a trapeze.
22:56I don't deserve it.
22:58What?
23:00You. Being nice.
23:02You should hate me. I'm horrible.
23:04I know you're not a bad person.
23:06I don't hate you
23:08but I need some space.
23:10Don't blame me.
23:12Whatever you're going through,
23:14I saw your mum a minute ago.
23:16Oh, we're not talking.
23:18She's mad because I went to the doctor.
23:20What did the doctor say?
23:24Well, you promised to not tell anyone.
23:26Not even your dad.
23:30He thinks I might have a personality disorder.
23:32It's why I'm such a mess.
23:34Isn't that good?
23:36It means you can get help.
23:38You don't think I'm a freak?
23:40What? Why? It's an illness.
23:42Mum's scared I'll be a pariah
23:44branded for life and having a mental condition
23:46will hold me back.
23:48What do you think?
23:50I've always thought there was something different about me.
23:52Like there's this angry child
23:54inside me that just takes over.
23:56Like Hunk.
23:58And he's a superhero.
24:00He channels his rage into fighting evil villains
24:02and saving the world.
24:04Which is pretty cool.
24:06You're such a geek.
24:08What your mum thinks says more about her
24:11It's your condition.
24:13If you own it
24:15people might surprise you.
24:19Thanks.
24:27I come on here every day
24:29and I project this image that everything is perfect.
24:31Getting compliments
24:33and likes and shares
24:35feels good because
24:37in real life
24:39I've been feeling for a long time.
24:45I've hurt people I care about
24:47and I've been horrible
24:49to strangers who have done little wrong.
24:53I hate that part of myself.
24:55I've tried to keep it buried
24:57but the more I push it down
24:59the more it comes back up.
25:03And today I found out why.
25:05I may have a mental health condition
25:07called Borderline Personality Disorder.
25:11I was terrified
25:13when I first heard those words.
25:15But now I'm glad I know.
25:19Because maybe I'm not
25:21this vile person.
25:23I have an illness.
25:25And I can try
25:27to get better.
25:29And I don't have to hide anymore.
25:31I am
25:33Tornado Tallulah.
25:45Thank you both
25:47for agreeing to this.
25:49Luca,
25:51take a seat.
25:53No, I'm fine right here, thank you.
25:55I don't really know why I'm being pulled up on this.
25:57The way you spoke about a patient was completely out of order.
26:00No, you didn't.
26:02You said it was woke nonsense.
26:04It clearly stated on their notes
26:06their preferences were their them.
26:08I said that treatment is the important thing.
26:10Guys.
26:12Every patient who walks through those doors
26:14I treat with the utmost respect.
26:16And then you slag them off behind their backs.
26:18Guys, guys, let's just
26:20bring it down.
26:22Luca,
26:24I know how strongly you feel about this
26:26but you can't take matters into your own hands.
26:28Just ignore it and keep quiet.
26:30No.
26:32But Graham told me that you tampered with his mail
26:34and misgendered him in front of other members of staff.
26:36Is that true?
26:38That's just not on.
26:40If anything like this
26:42happens again in the future, please just
26:44come to me.
26:46Fine.
26:48I'm not here
26:50to make enemies.
26:52I'm man enough to say I'm sorry
26:54I got it wrong.
26:58We done?
27:00One more thing.
27:02I've signed you up for an LGBTQIA plus
27:04awareness course.
27:06What?
27:08Everyone has to do it.
27:10It's a refresher, if you will.
27:12Nothing you don't already know
27:14but I think it would be good to keep you up to speed.
27:20In this episode
27:22we take a look at a baffling
27:24medical mystery.
27:26No, no.
27:28Fine.
27:30Mum, I don't know what's happening to me.
27:32Did you drink when you were pregnant?
27:34No, no, I wouldn't.
27:36I just, I can't explain it.
27:38A time bomb was ticking
27:40and about to explode.
27:56You
27:58You
28:00You
28:02You
28:04You
28:06You
28:08You
28:10You