Friday 21 November 2008

Holby Shitty


Usually, I don’t watch hospital dramas on TV. Shows like Casualty and ER actually annoy me because of the ludicrous events and people they portray. It’s made even worse by the fact that these shows generally make doctors out to be almost universally arrogant, incompetent morons whereas nurses are level-headed, sorted people who always seem to know exactly what’s going on. The last time I actually watched one of these shows the whole way through, I was treated to the sight of a consultant cardio-thoracic surgeon clerking in a patient with vague chest pain in A&E! Apparently, the newer shows like House and Grey’s Anatomy are better, but to be honest, watching these things is a bit like a busman’s holiday for me and I’d much rather spend my precious free time doing just about anything else. The exception to this rule is Scrubs, which is consistently brilliant, but I’d hardly describe Scrubs as a “hospital drama.”

The reason hospital dramas have come to my attention again is the latest episode of Holby City which in which the plot has reached such a ridiculous low that people were actually talking about it in the theatre coffee room yesterday.

As far as I can make out the plot goes like this. The anaesthetist, who everyone hates, is acting like a total tosser in theatre. He then starts dicking around with the (charged) defibrillation pads for no reason whatsoever. This being TV, he manages to give himself an electric shock with them. Cut to scene where he’s now being given “life support” by one of the surgeons and an ODP. When I say “life support” I mean it in the vaguest possible way. He’s given random shocks and oxygen but there’s no cardiac arrest team, no CPR (as in - not one single chest compression!), no IV access, and no drugs given. Surgeon 1 turns to surgeon 2 (who I presume is the consultant), who is doing a great job of ignoring all this and is carrying on with the operation regardless, and says “it’s not working” (no shit, Sherlock!). Guess what the consultant’s response is? “Put out the cardiac arrest call?” “Get some more help?” “Do some basic life support?” Nope. He responds by declaring the anaesthetist dead! To top it all off, the monitor still shows ventricular fibrillation. Unbelievable.

The plot rumbles on. No one in theatres or on the ward mentions what’s just happened (like this is an every day event or a “risk of the job”) and we cut back to another scene featuring surgeon 1. Remember that one of this man’s colleagues has just died and surgeon 1 is partly responsible due to his overwhelming, unbelievable incompetence in an emergency situation. A St Johns Ambulance volunteer on their first day would be embarrassed by surgeon 1’s behaviour, never mind a supposed senior hospital doctor. Now a bereaved and grieving family will have to bury their son/dad/husband/brother. Is there any remorse shown by surgeon 1? Is there any guilt that his failure to act resulted in the death of a work colleague? Nope, of course not. He’s shown laughing about the whole thing in the bar with one of the nurses!

I thought that people were taking the piss when they described what happened on the show, but thanks to BBC iPlayer, I got to see the sorry saga for myself. If you want, you can catch it here, the episode is called “Cutting the Cord” and, if you understandably can’t bear to sit through the whole thing, the fun starts at about 41 to 42 minutes.

It begs the question, have the people who write the scripts for these shows even been to a real hospital or ever spoken to real NHS workers? Judging by what I’ve seen the answer is obviously not.

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