After Santa and a few others mentioned the last scene in S6E3 where the camera recedes (a dolly-out shot) as M continues to treat the cut on the palm of his hand, I went back to look at it. Their comments had to do with the camera work accentuating M’s isolation, which I think they are right about. Then I started thinking about how that episode has always bothered me, beginning to end. I have been a staunch defender of Louisa, but if I were to find a time when I think Louisa is depicted as lacking sympathy or sufficient concern for M, it would be in this episode. I want to discuss that and then move on to another pet peeve of mine-whether DM is medically accurate.
The episode begins with loud knocking at the front door before 6:30 a.m. L is annoyed at being awakened so early and stays in bed while M goes downstairs to see who’s at the door. It isn’t long before her alarm rings and the baby starts crying. She didn’t get much more time in bed and I would have expected her to get up with M like she does in S5 when Morwenna shows up too early for work. (I think that time it was only 6 a.m.) When L comes down to see what’s going on, M asks her if she can identify the man who has been dropped off after being found unconscious on the beach. She has never seen the man before and is in a hurry to get James dressed. We can hear James crying upstairs. She, therefore, doesn’t want to get M water for the pt. The look he gives her makes her change her mind. I would have expected her to be willing to help with the water without objection. The next time we see her, she is ready to head out to school and finds many things to express concern about to Michael before she hands him James. Here we have a mother’s difficulty with leaving her baby, while she overlooks her husband’s needs. We know M has gone upstairs to get dressed, but we don’t know what, if anything, was discussed while they were both getting ready for the day.
By the time L is ready to walk out the door, M has confronted his blood phobia’s return. L notices something is up with M, but ignores it and leaves for work. (This may not be surprising since he looks like he’s deep in thought and he isn’t much for affectionate goodbyes.) They’re really both on edge, for different reasons.
As the day continues, L is distracted by mixed feelings about leaving JH and doesn’t read Becky’s article for the newspaper. The next day she gets angry with Becky over publishing it without her permission. She’s still bothered by leaving JH with Michael. Thus, work is stressful at the same time as L is stressed by her dual roles and M can only say “I told you so.” We should give her some space for dealing with so many stresses.
The following day begins with Ruth visiting and finding M rocking JH because they had a bad night. Of course, lack of sleep puts additional stress on both parents. The day turns out to be trying in many ways with L dealing with Bert’s anger over Becky’s article and M dealing with the recurrence of his hemophobia and then rescuing Ruth from her stalker and getting his hand cut.
By the last scene, L has learned of M’s scuffle with the stalker at R’s house and says, “what a day!” She sees him cleaning his wound, and asks how his hand is. She’s not satisfied and asks again if he’s all right. He covers up by asking her about her day and putting some gauze over his wound, keeping it covered from L. L tells him about how she’s handled the Becky matter. It would be a nice exchange between them if it weren’t for the hand issue. L tells him he looks pale, but reads Becky’s article about him anyway, asks if he’s really ok, then leaves him. Of course, he says he’s fine; he says that every time. But I had to wonder why L would read an article to him that criticizes him just when he’s dealing with a wound after a long, tedious day? They first agree that Becky has a right to free speech, but it’s rather harsh to read a critical article about M at that moment. If it’s meant to be funny, the joke falls flat, including L’s judgment that Becky’s only ten and has written this piece well.
Louisa at least has a mixture of concern and lack of concern. She always meets with his resistance to tell her very much, and that can’t be easy. So I give her a less than satisfactory assessment during this episode even though she can’t be faulted entirely.
Then I started thinking about all the times M has wounded a hand and how difficult that would be for a surgeon. Their hands are exceptionally important to them.
S2: Martin gets his wrist caught in a trap while looking for Mark in the woods
S4: falls and hurts hand on broken glass
S6: hurts wrist falling down a hill in E1
gets his palm sliced by large knife during scuffle in E3
Hand wounds are often quite painful and this last one should have been. I also think it should have been looked at in the ER and L should have insisted on taking him there. Most doctors think they can take care of their own medical problems only to find out they need help. (I know because I’m married to one of those! Don’t bother a colleague-it’s embarrassing.)
In the above episode there are several medical and logical instances that are not very accurately presented. Not only does Martin seem to have a clean gauze bandage handy in his pocket to wrap around his bleeding hand immediately after it is cut, the knife isn’t dripping from blood after the event. Martin seems to have a high pain threshold throughout the series, and in this case he would have to because palms of hands have a lot of nerve endings. Following the altercation, he offers to make Ruth a cup of tea to calm her, which means he must feel good enough to not deal with his hand immediately. We also have to assume the cut wasn’t very deep because he can move his fingers and the wound stops bleeding pretty fast. Also, Martin had to have held his hand so perfectly following the cut, and the cut must have been rather shallow, or the skin would not have been aligned as well as it looks in the final scene, nor would the edges have adhered to each other so well. Furthermore, all surgeons are very alarmed by any injury to their hands. Surgeons sometimes joke that they are all cerebellum, brainstem and hands. At the beginning of S6E4, Martin no longer has a bandage on his left hand and he can hold the baby without a problem. We don’t know exactly how much time has elapsed between these two episodes, but unless it’s at least a week later, it would be surprising for him to not have it bandaged anymore. In S4, his phobia kept him from even looking at his wound and he kept the bandage on for quite a while.
In addition, Ruth gives Robert an injection of either Largactil or Benzodiazepine. She suggests either to Martin, and we’re not sure which one he has in his bag. Both of these meds are used to treat all sorts of psychiatric disorders related to psychosis, anxiety, schizophrenia, etc. Neither would be likely to work so fast that the patient would collapse on the floor immediately following an intramuscular injection of it. It would be more likely to take a minimum of 5 minutes rather than 10 seconds to take effect. For the purposes of the show, the medicine has to work fast, but it’s not accurate.
There is always a spectrum of plausible to possible to likely in every medical condition. Naturally there are individual differences for everything too. But I think the accuracy of the medical cases in this show is very much along the lines of what Philippa says in one interview: they ask the medical consultant if something they’ve come up with is possible and if he says it is, they leave it in. The medical accuracy in this show is better than most yet still not really that stringent.
Originally posted 2014-05-22 17:23:25.