All language subtitles for All.Saints.S10E23 - Bad Blood.en

Patient's name is Tony Zammit.

29 years old,
dislocated shoulder, broken nose.

And abrasions to the arm and face.

He's also got abdo bruising.

Dan, how quickly
can you get changed?

Give me a minute.

How are his obs?

BP's 100 on 60.
Pulse is 96. Resps are 26.

And his oxygen sats are at 95%.

He's been given five milligrams
of morphine IVI

and Hartmann's is running.

I've got sickle-cell.
You have sickle-cell disease?

I can't be in pain. Please.

It's OK. We understand.
Zoe.

Sorry. I don't...

Pain can send him
into a sickle-cell crisis.

It can be fatal.

(Groans in pain)

Let's get him started
on 7.5 milligrams of morphine.

10 milligrams of metoclopramide IVI.

Yep.

Do you get many episodes
per year, Tony?

One or two.

What have we got here?

We've got a dislocated shoulder,
broken nose,

possible internal injuries,
complicated by sickle-cell disease.

How's the pain now, mate.
It's pretty bad.

I'm a bloody idiot.

Tony was at a football match.

He got crunched
under a couple of the players.

I wouldn't have thought
contact sports were a good idea.

I wasn't playing.
I was taking photos.

You like to get
close to the action, eh?

(Grunts in pain) Two players
going for the ball, I just...

..I couldn't resist
going for the shot.

We'll get that pain under control.
It won't be long now.

Can I get fresh gauze under the nose?

GABRIELLE: Yep. Dan?

Dan, you OK?

Sorry. I need to get someone
to take over here.

OK. Make it fast.

Equal air entry. Heart rate is good.

Dan.
Hey, Von.

Test results back yet?

Today, probably.
Tomorrow at the latest.

They... they should be
all clear, though.

Yeah, the chance of contracting
hep C from a needle stick -

it's pretty small.

Yeah, so people keep telling me.

Sorry.
Yeah.

Have you seen Erica around?

So you started vomiting this morning?

Middle of a meeting.

Colleague called an ambulance
before I could stop him.

He did the right thing.

That depends on your point of view.

I don't hold
with your kind of medicine.

You into alternatives?

If by that you mean non-invasive
traditional healing methods, yeah.

Erica?

Can you show me
where you feel the pain?

Gabrielle needs you in Resus,
so I can take over here.

It's, ah, abdo pain?

Yeah. Some vomiting, no diarrhoea.

Mm-hm.
Why are we swapping?

Ah, dislocated shoulder,
just some minor injuries.

Some guy got crushed
by some football players.

Hi. I'm Dan.

You've had the pain
for a couple of days?

Bad take-away.
Must've been in the fridge too long.

Ooh! Oh! That hurts!

Rebound tenderness?

We're gonna need a urinalysis
and a full set of bloods.

Bloods. Yep.

Was that your idea
to transfer Dan out of here?

No. His doing.

I want to start him on antibiotics.

1g penicillin, 1g Claforan.

I'll get the medication.
Can you handle the clean up?

Ah! Ah!

Humeral head's palpable anteriorly.

What was that in English?

It means you've got
a dislocated shoulder.

You let me know if this hurts, OK?
Don't worry. I will.

Bilateral pulses are equal. We can
probably rule out vascular damage.

Great.

Can you touch your right shoulder
with your left hand for me, please?

That's alright.
Take it easy. Take it easy.

How long till I get my bloods back?

I'll hurry them up. Don't worry.

Sickle cell. That means your red
blood cells are in odd shapes, right?

Yeah. Some are shaped like new moons
if I'm in pain.

Too cold, too hot.

They can cut off oxygen
to my organs.

How bad does the pain have to be
before it sets off a crisis?

A stomped toe will do. Can you go
easy with that needle, please?

It's hereditary, isn't it?

Yeah - two parents
with the recessive gene...

..one offspring
with sickle-cell disease.

Have you had any
painful events recently?

Yeah. I sprained my wrist
about a year ago.

That wasn't too good.

I lost half a lung 'cause of it.

Nearly did me in.

From a sprained wrist?
Yeah. Fun, eh?

Why do you need to take my blood?

To check your liver functions.
See if there's any infection.

Typical invasive procedures.

You know a good acupuncturist
knows by checking pulses.

So I've heard. This is how we do it.

Thank you.

Um, how do I know
I won't catch anything?

How do I know
this equipment's sterile?

Well, because it is. It's sterile.

I'm supposed to
take your word for that?

Single use. All sealed.

Just like the needles
your acupuncturist uses.

OK, I'll get you another one.

(Breathes out) OK.

Nice, tight fist for me.

(Clears throat)

Well, get on with it, will you?
Before I change my mind.

This is going to hurt,
but just for a moment,

until the morphine kicks back in.

There's no chance of waiting
till my haemoglobin's high enough

to deal with it?

No, there's too much risk
of blood vessel and nerve damage

if we wait any longer.

Ah!

GABRIELLE: There we go.
There we are.

Oh.

I want a follow-up X-ray
to confirm that reduction.

Yep.

And then we'll strap it up
and immobilise it.

Alright?
Yeah.

Is that pain starting to settle?
I think so.

You OK?
I feel a little bit woozy.

I'll chase up those blood results.
See what's happening there.

Alright?

Yep, ASAP.

OK. Thanks.

Are those Tony's results?

Haemoglobin's 70.

Borderline.

X-rays are ordered.
Thanks.

Thinking transfusion?
Possibly.

What's going on?

Um, sickle-cell disease.

Listen, take those bloods again
in half an hour.

Maybe he'll have improved and
we won't need to do a transfusion.

OK.

You know that transfusion therapy's
not always the best option.

A sudden rise in haemoglobin
can lead to a physical crisis.

Yeah, I'm across that.
Thanks, Charlotte.

Just offering my opinion.
Just trying to help.

I know. I know.

Give me strength.

Hey.

Look, try not
to take this personally.

How else am I supposed to take that?
She's been through a lot.

Maybe this is her way
of trying to stay focused.

It's got nothing to do with
what she's been through.

She's treated me like that
since the day I got back.

Women in the workplace are under
fire from above and below anyway.

Sometimes we just need
to make allowances for each other.

You know what? I'm sick of
making allowances for her.

Hey! Hey, I'm a doctor. You OK?

Man, am I glad to see you guys.
What happened?

I might've blown a couple
of fingers off. You gotta help me.

How did this happen?
Fireworks.

At this time of day?

A while back now. A couple of hours.

What's your name?
Rusty. My name's Rusty.

So why'd it take you so long
to come in, Rusty?

We were drinking all night

and we waited till someone
was sober enough to drive.

Mate, you should've called
an ambulance.

Why didn't any of your mates
hang around to help you out?

Nothing they could do.

What's he done to himself?

Let off fireworks on campus.

Oh. Training to be an idiot, are we?

It was Gazza's 21st.
You got to celebrate.

Alright - Gabrielle,
get a litre of Hartmann's up

as soon as you've taken obs.

Let me know if you need a hand.
Will do, Frank.

So the bangs were bigger
than you expected?

Ah, yeah. Way bigger.

Started blowing out some windows

and they were going off
all over the place.

Alright. Five milligrams
of the morphine as soon as you can.

Rusty, I'm just gonna undo
these bandages.

It could hurt a little, alright?

So, where'd you get the crackers?
Ah, we made them.

Followed the directions
from an old Song Dynasty text.

What?
Must've overdone the sulphur.

Yeah, an otherwise perfect plan.

Next thing I know, I'm on fire
and the security guard's after us.

Real Indiana Jones, huh?
Yeah. I wish.

Charlotte.

Excuse me just a minute, Rusty.

Refer him onto the Burns Unit
as soon as you can.

He looks like
he'll need specialist care.

I haven't finished
my assessment yet.

Soon as you can, OK?
Yep.

So, do you want me
to organise a transfer?

No, he's my patient. I'll get him
transferred when he's ready.

Once your appendix
becomes enlarged, as yours has,

there's a chance
that it will rupture.

When that happens,
infection will set in.

There must be some other way.

Look, I'm sorry, but there isn't.

I've already arranged a surgeon
to talk this through with you.

This is the only way
to treat appendicitis, Georgia.

The human body has infinite capacity
for self-healing.

There's meditation,
natural remedies.

In some medical situations,
those things can work,

but not in this case.

You're putting yourself
at great risk.

Yeah, well, that's my decision.

The surgeon will explain everything.

He'll answer any questions
that you have.

I think I'm gonna be sick.

Georgia O'Reilly's file?
Yep.

Rebound tenderness.

Pain escalating two to three days.
Vomiting since this morning.

You got blood results?
White cells up.

Textbook appendicitis.

Making my job too easy for me, Bart.

Why don't you get that consent
signed, I'll call theatre,

get my list shuffled,
see if I can fit her in.

She wants a second opinion.

Happy to give her one.

The second opinion that she wants
is her acupuncturist.

(Chuckles) OK.

Well, why don't we explain to her

the complications
of a ruptured appendix?

That should do the trick.

Thanks. Maybe she'll
listen to a surgeon.

She's gonna have to, mate.

Rubbing a ginseng root
is not gonna solve this one.

Georgia, this is Dr Quade.
He's here to do the surgical consult.

Get him out of here.

Georgia, you need your appendix out.
No.

Get him away from me.

What are you doing?
Get out of my way.

No, no, no.
I've got to get out of here.

Listen, it's a relatively
simple procedure.

There's nothing to be afraid of.

Don't you come near me.
Get him out of here.

Jack, just get out.

SIRENS WAIL

How is she?
She's settled down a bit.

Still won't consent to the surgery.

Did you tell her
that she doesn't have a choice?

Of course I did.
You sure you don't know her?

No, I've never seen her before.

It's just that she was
genuinely scared of you, Jack.

Yeah, I know.
That's why I checked her file.

She's had one prior
surgical procedure.

You were involved in that?
No.

It was in Hobart three years ago.

And there's no indication that
they had trouble getting the consent.

OK, so you don't know her
professionally.

Maybe you met her socially?

I think I might remember
that one, Bart.

Listen, do whatever you can
to get the consent.

She needs that appendicectomy
and she needs it now.

And I'm guessing she's not gonna
be listening to me.

I'll keep working on it.
Keep me posted.

Ah!
OK, the spleen's enlarged.

We'll send you for those scans
as soon as the pain's under control.

Not in any hurry
to go under that knife

with my red cells
as low as they are.

I know. Can I have the chart?

What's the problem with surgery?

Anaesthesia can also promote
the development of sickle cells.

And abdo surgery can lead
to acute chest syndrome.

There's no way I'm going there.

The last check I made,
my spleen was about 50% OK.

I know that might not
sound impressive to you,

but I'm quite attached to it.

How's the pain now?

(Sobs in pain)

I'll get onto Radiology
and make sure they're ready for you.

Just call first -
he'll probably still be in Emergency

but at least I would've had
the head CT done by then.

OK. Thanks.

Your burns patient.

Yeah.

Why hasn't he been
transferred already?

Because Rusty has extensive injuries.

He has burns and lacerations
to one eyelid.

Second and third degree burns
to his right hand, right arm

and right-hand side of his torso.

The Burns Unit is equipped
to deal with it.

So are we at this stage.

Yeah, but he left it a long time
before coming in.

Surgery for debridement
and skin grafts needs to happen soon

as to avoid too much scarring.

Mm. Thanks, Zoe. I'm onto it.

No, you're not,
or he wouldn't still be here.

Is this about my care of the patient

or is this just you
asserting your authority?

It is about me managing
an ED efficiently.

Really?

I'm not going to apologise
for being your boss, Charlotte.

Your patient should be in the
Burns Unit. I need the bed space.

So make it happen.

You will get your bed back when I
finish assessing and stabilising him.

And not a second before.

Problem?

Nothing I can't handle.

So, how long to go
on your studies, Rusty?

Another year, then some time in
the real world before I start my PhD.

Phew!

Well, that was the plan, anyway.

Won't be much of a geologist
without a hand.

Well, you could lose some dexterity

but I don't think
you'll lose full use of your hand.

Good. I don't want to be
stuck in a classroom, teaching.

Sorry.

It's gonna scar, right?

Skin grafts should
take care of most of it, though.

How's that pain?

Er, the gel you're putting on
is, like, helping a bit

but it still hurts like hell.

Alright. We'll give you
some more morphine.

I thought Mr Jones would rather
bite down on a bullet.

(Scoffs)

Hmm.

Whoever that is needs a splenectomy.

I know.

I'll get a theatre organised.
No! Not so fast.

The patient has sickle-cell disease
and his haemoglobin's down.

All the more reason to move quickly.

Half the spleen's non-viable, anyway.

Well, I think we should
transfuse first

and then reconsider
our other options.

Zoe, I'm amazed the spleen
has lasted as long as it has.

It's been doing overtime
half his life.

Where is this guy?
Resus.

Tony, this is Dr Vlasek.
He's the Head of our Surgical Unit.

Tony.
Oh, head honcho, hey?

You're not eyeing off my spleen
by any chance?

Well, there is a blood clot
showing up on your CT scan

and it's trapping red cells
on the surface of your spleen.

That puts you at risk
of acute splenic crisis.

So, um, you need to consider
having the spleen removed.

It's taken a fair beating over the
years and it still keeps ticking.

Now, we've got no other options?

Transfusion therapy.

But there are also risks
associated with that.

Tony, splenic crisis
is life-threatening.

Post-op pain is
no walk in the park either.

Sure.

Oh, look, alright...

..in the left corner,
we've got surgery.

It's a dangerous piece of work

and it's also known
to deliver the killer punch.

On the right we've got
transfusion therapy.

It's not as dangerous
but bloody painful

and it might not get anywhere.

So, we've got no other contenders?

No.

Alright, I think I'll tick box 'B'
and I'll go with Dr Gallagher.

It's nothing personal.
I've just got a thing for blondes.

Would you really rather die
than have surgery?

You're just trying to scare me.

Yeah, we are.
Burst appendix. Peritonitis.

Septicaemia.
That's potentially fatal.

According to your file,
you've been operated on before.

Umbilical hernia?

Can you tell me about it?

I was in a lot of pain.

It was only getting worse. I was
told surgery was the only option.

So you agreed to the operation?

Well, it... (Scoffs)
..sounded pretty straightforward.

The file said you had no
complications. Everything went well.

Except I woke up
10 minutes into the operation.

Are you sure?

Well, you might have been dreaming.

Oh, I was not dreaming!

I was awake
the whole way through it.

They have equipment to monitor
the level of consciousness, Georgia.

Maybe the surgeons were thinking
about their next round of golf

instead of looking at it.

It's OK, Georgia.
No. It is not bloody OK.

(Sighs)

Look, I wanted to scream

and tell them that I was awake

but I couldn't.

I couldn't move, it...

It was like being buried alive.

Can you imagine how that would feel?

So, why haven't you organised
a psych consult?

Because I know why she's
refusing the operation.

Georgia claims she woke up
during her last surgery.

(Chuckles)
What are you giggling about?

Why the hell
didn't we know this before now?

Because it didn't happen.

Look, I've been through
her records, Frank,

and there's nothing to indicate
that anything went wrong

during or after the operation.

She must be dreaming it.

And this observation is based on

your many years
of surgical experience, is it?

People say they wake up under
anaesthetic all the time, Frank.

But they'd all be wrong,
wouldn't they?

Because, of course,
surgeons are always right.

Last time I checked,

anaesthetics was the realm of
the anaesthetist, not the surgeon.

Meanwhile, Georgia's
continuing to deteriorate.

I just thought one of you could
talk through the experience...

Absolutely. I'll do it.

No, you won't. You've
terrorised her enough for one day.

Let Frank do it.
Tact and subtlety - his department.

Damn right! Where is she?

Buffoons!

Vomiting seems to have calmed down
a bit. The pain hasn't.

Hmm.

Hello there, Georgia.
I'm Frank Campion.

Head of Emergency Department.

Ganging up on me isn't
going to change anything.

No-one's ganging up on you.

Now, Dr West here tells me

that you had a bad experience
under an anaesthetic

and you're refusing an operation
because of it.

Do you want to talk me through that?

OK.

There was music.
Vivaldi - which I liked.

Me too.

Well, I can't even listen to it now,
it just reminds me of...

Do you remember anything else?

Um, they were talking about
muscle and fatty tissue -

like I was a slab of meat
on a chopping block.

So, there was talking
and there was music and...?

Then they started to cut.

I could feel them
pressing on my stomach.

There were hands
inside of me pulling and...

..pushing parts of me aside.

The whole time...

..Vivaldi was playing.

And they were just
talking to each other

like they were chatting
at a pub somewhere.

Did you have any
trauma counselling at the time?

Yeah, but no-one believed me.

Not even the shrink, you know?

Why... why the hell would I
make something like that up?

We're very sorry that
that happened, Georgia.

But one bad experience
isn't worth dying for.

Ever smelled burning flesh, Dr West?

What do you mean?

Well, I don't know
what they were doing to me

but I could smell my flesh burning.

It's not something you forget.

So, she has absolutely
no medical background?

None. I checked.

How would she know
those details, Dr Campion?

I don't know.
Hey. How'd you go with Georgia?

Diplomatic approach work?

Hmm.

Jack, what's the thing
you remember most

about your first time
in an operating theatre?

Pfft! I don't know, um...

Being scared to death
that I'd do something wrong.

No, come on, come on. Think about it.

What surprised you?

Er, the diathermy, I guess.

More information?

Well, you know how it smells, Frank.

Blood. Burning flesh.

Why? Why are we talking about it?

Well, it's part of what
Georgia described to us -

the smell of the diathermy on flesh.

Not the kind of detail
a non-medical person

would weave into a nightmare, is it?

OK.

So, she remembers
part of the operation.

Where does that get us?

Has she agreed to sign the consent?
No.

Well, then, it doesn't
get us anywhere, does it?

It would if her surgeon was prepared
to find a way around her basic fear.

Being anaesthetised.

Do the procedure under epidural?
Mmm.

Well, there's still
the smell to contend with.

Not if you went in laparoscopically.

No way - that increases the risk
of bleeding and infection,

not to mention short-term paralysis.

And if her appendix ruptures?

What are her chances
of complications then?

If her appendix ruptures
halfway through the procedure,

we're gonna have to
put her under anyway, Frank.

Yeah, yeah.
She would have to know that.

(Sighs) We seem to be
going to a lot of trouble

to avoid a problem
that doesn't really exist.

Have you got a better idea?

Well, then?

Go on!
Right.

The hand is much more swollen
than it was before.

Rusty, how's that feeling?

Er, sort of numb. Tingling a bit.

So, sterile tray and drapes?
Please.

OK, Rusty, I'm going to need to
perform a surgical procedure here.

Er, hang on. What sort
of surgical procedure?

This sudden swelling and tightness

means there's fluid building up under
the skin, cutting off circulation.

So we need to relieve that pressure.
How?

I'll just make a few small cuts

through the fatty layer
underneath the skin.

Well, can't you
put me to sleep or something?

Sorry. We don't have time.
It needs to be done now.

But we will give you
some pain relief first, OK?

Are you sure this needs to be done?
Positive.

I'll be right back.

I suppose there was
always the chance

that he'd develop
compartment syndrome.

Yeah. I thought we'd have more time.

Have you done many escharotomies?
It's been a while.

So, you're going to need some help?
Er, yeah. I'll... I'll get Frank.

Hmm.

Yeah, I know you said tomorrow.

You also said the results
might come in today.

OK. OK. I just thought I'd call.

Bloody hell.
Still no word?

Yeah. No.

The, um...

It doesn't matter.

No?

(Sighs) I've put
1,000 cannulas in, Von.

I've worked in the ED
and in theatre for years.

I've never made a mistake like this.

Accidents happen.

They're not supposed to happen to me.
Oh.

Well, there's only a small chance
the tests will come back positive.

Isn't that what we said
this morning?

Yeah.

The waiting's killing you.
(Sighs)

I keep trying to say to myself,
you know, "It won't affect my work.

"It won't change the way
I deal with patients."

First day back, first sign of an
open wound and what do I do? I panic!

Oh, don't be so hard on yourself.
Why not?

If I saw anyone else doing that,
I'd be the first one to remind them,

"That's not how
you actually get hep C."

It's not like the virus can
jump off a patient and bite you.

Well... (Scoffs)

Yeah, you handled
the situation badly.

We've all done that.

I'm starting to think the universe
is trying to tell me something.

Wait for the results
before you get carried away.

Isn't that what we
tell the patients all the time?

Yes.
Yeah.

Why isn't he being seen
in the Burns Unit?

I asked them to consult down here
'cause he had other injuries

that I needed to take care of.

Hello, Rusty.

You know what we're about to do?

Er, isn't there another way?

I'm sorry. But if we don't do this,
you could lose the use of your hand.

I'm such a bloody idiot.
Hmm.

I swear to God,
if this ruins my career...

Deep breath.

(Winces)

I'm struggling at, er,
uni as it is.

Be lucky to get through.

Even if they don't kick me out.

Hey, Rusty, you know the old saying,

"When someone closes a door,
there is always the window."

So true. That's what we always say
around here. Don't we, Dr Beaumont?

There's always a window.

Hi, Georgia.

Can Dr Quade
talk to you for a minute?

No.

I'm not interested
in anything he has to say.

I think we might have found
a solution to your problem.

Not with a surgeon you haven't.

Please, just... hear him out.

Hi, Georgia.

I just want to talk to you about the
possibility of doing your operation

without putting you under
a general anaesthetic.

What rubbish.

It can be done.

But this option is only available
to you for a little while.

After that, you'll become too sick
for us to be able to attempt it.

So, how about you hear me out?

Well, anaesthetic would be
injected into your spine

and that would numb you completely
from the waist down.

You'd be sedated but not asleep.

And you wouldn't see anything
that's going on.

OK. What about the smell?

Well, there is no burning smell

when you do an operation
using a laparoscope.

So, other than antiseptic
and disinfectant,

there really isn't
anything to smell.

So, you do believe me, then -
that I woke up last time?

Well, you must or why would you
be going to all this trouble?

I believe that you believe it

and I also know that if you don't
have this operation, you could die.

Well, that's not
completely patronising.

That's something, I guess.

Your window of opportunity's
not big, Georgia.

If your appendix bursts, there's
no way we can do the epidural.

(Sighs)

Look, I need some time
to think about this.

Well, you really don't have time.

You've gained
a few brownie points, Doctor.

Don't lose them by trying
to bully me now.

PAPER RUSTLES

Leave it with me.

So, what was he doing
in the middle of a scrum, anyway?

Oh, it wasn't a scrum.
It was an AFL game.

And, uh, he was taking photos.

Hasn't he ever heard of a long lens?

They were invented

so you didn't have to
get that close for a photograph.

He says the boundary line's
the only place to be.

Any further away -
you might as well not be there.

We're talking about a guy
with sickle-cell disease?

He should've been more careful.

But would you be content
with life on the sidelines?

Watching the action
from the comfort of your lounge room?

Well, when you know there's a risk,
it's just smart to take precautions.

Life's a gamble, Dan.

Whatever you reckon.

You feeling alright?

Er, my skin's crawling.

It feels like I've knocked back
a dozen short blacks.

That's the transfusion.

You let me know
if that gets too uncomfortable.

No, I can handle it. It's alright.

Can you pass my camera case, please?

I wanna make sure
the shot was worth it

while I'm hanging
around doing nothing.

Did I tell you I was Maltese?

No.
Yeah.

I come from a long line
of red-blooded men, you know?

Fast cars, gorgeous women. Sport.

I must be a disappointment
to everyone.

Oh, look, I'm pretty sure
your parents wouldn't think that.

They're probably just worried
about you getting hurt.

Well, they wanted
to wrap me up in cotton wool

and lock me in my room, you know?

Drove me mental.

If it wasn't for my photography,
I'd be in a straightjacket by now.

There's one thing
I don't understand about AFL,

how come they've got
nicer bodies than...?

ALARMS BEEP
Tony?

I need some help in here!

OK, we need to get him
onto his right side

so he doesn't re-injure
this shoulder.

How was he feeling
before the seizure?

He was a bit shaky from
the transfusion but he seemed OK.

Could be a stroke complication
from the transfusion.

More likely the result
of high doses of morphine.

Either way, we need
an urgent head CT.

Yeah, well, he's not going anywhere
until we've dealt with the seizure.

Zoe.
He's not going anywhere, Mike.

TONY: Oh, what happened?

It's OK, mate.
You've been for another CT scan.

I need to get these to Zoe.

You be right to look after him?
Yeah.

Oh, thank you.

It's normal.
So, he didn't have a stroke?

How are his bloods?

Haemoglobin's falling,
despite transfusion.

Then he's headed for splenic crisis.
Mmm.

Tony's going to need a splenectomy.

Can you arrange consent forms
and get him organised for theatre?

Just hope we haven't
left it too long, that's all.

Mmm, well, you can't blame him
for wanting to keep his spleen.

Having the last word's
important to you, isn't it?

No more important
than it is to you.

There you go again.

Explain to me why we were
doing an escharotomy in the ED

that should've been done
in the Burns Unit.

Well, I thought I had it covered.

His condition deteriorated
very suddenly.

As happens with a lot
of burn victims, as you well know.

Yes.
So?

So, even with the sudden onset
of compartment syndrome,

we dealt with the swelling
and the situation was handled.

Wasn't it lucky I was available?

It was! He got the best doctor
in the house to treat him.

Ha ha. Bugger off.

Thanks for your help, Frank.

Zoe had told her
to transfer the patient.

Charlotte knows what she's doing.

You've got two doctors out there

who are ready to
throttle each other, Frank.

Oh, look, they're
strong personalities

working under
a great deal of pressure.

There's bound to be some friction.
It'll blow over.

(Scoffs) No. No, it won't. I think
you need to do something about this.

Why do I have to do something?
I'm not their father.

They're not teenagers.
No, but you are their boss.

And I know Zoe's doing it tough
but she's taking it out on Charlotte

and Charlotte is fighting back
tooth and nail.

Oh, for God's sake,
if I'd known the 2IC position

was gonna cause me this much grief,
I would never have instituted it.

You were right to institute it.
Now you have to make it work.

Stop telling me how to do my job!

Oh, you've told me
how to do mine often enough!

If you don't intervene,
there will be blood on the walls.

And my patients and my nurses
will be caught in the middle of it.

So, what caused the seizure?

Oh, it could've been the morphine.
Dr Gallagher's lowered the dose.

Oh, all this and I didn't even
get the bloody shot!

The 'shot'?
The photo.

What caused all this
in the first place.

I only just got it up on preview
when I blacked out.

It's just a blur of arms and legs
coming down on me.

Would it have been worth all this
if you got the photo you were after?

I don't know. Maybe.

Really?

Well, look, I made a decision
a long time ago

that this stupid disease
wasn't going to take over my life.

Yeah, well, that's easier
said than done, isn't it?

Well, of course it is.

I didn't choose this, mate.

I've just gotta
make the best of it, right?

Thanks, Dan.
Yeah.

Hey, Tony. Remember me?

(Chuckles) Surgical head honcho.

I bet you're here
about option number two.

Is it bad?

You know, Georgia,
you're the only one

with the power to make this go away.

I can't do it.
Even with an epidural?

Maybe if they could guarantee
that everything would go to plan.

They can't, can't they?

No, they can't.

Then I can't take that risk.

Tell me something...

..how many guarantees did you have
in your life before the operation?

I know that there hasn't been too
many in mine. There never has been.

And, er, spending all your time
worrying about what might happen...

..just stops you doing anything.

Right?

I guess so.

But, er... but what if
it's already happened -

if experience is telling you
it's a bad idea?

Well, then...

..you have to weigh up the risks
and try again.

Right?

So, you know what's going to happen
if you don't have the operation.

And if you do,
maybe it'll be bad again.

But maybe it won't.

So, you think that, um,
if I have this operation,

I'll wake up tomorrow wondering
what all the fuss was about.

I think there's a pretty good chance
of that happening. Yeah.

But either way,
you still get to wake up tomorrow.

That's got to count
for something, right?

You don't give up, do you?
No!

No, I don't.

Maybe we should try
talking to her again.

Well, there's really no point.

Our window of opportunity's
slamming shut as we speak.

Georgia's signed the consent.
How'd you get her to do that?

Well!
It doesn't matter now.

Let's just get her prepped for
theatre before she changes her mind.

Get on to the anaesthetist.

Tell them we're gonna
go with the epidural.

DAN: Hey, you're leaving us already?

Mmm. I've gotta run, you know?

Haven't nearly done enough today.

You know, got up,
caught a training session,

got the crap beat out of me...

Thought I'd have
my spleen ripped out too.

Something to write in the diary.
(Laughs) Good luck with it, mate.

Yeah, cheers. And listen, thank you
very much for what you've done.

It's a pleasure. Good luck.

Thanks.

How do you rate his chances?

Risk of developing acute chest
syndrome under anaesthesia is high,

so you would have to say
the statistics are against him.

Still, he's already proven
how unreliable statistics can be.

Yeah. They're just numbers.
Mmm.

Gallagher, walk with me.

OK, what have I done?

You tell me.

Nothing, as far as I'm aware.

So, a little more information
wouldn't go astray.

(Sighs) Zoe...

..have you had any counselling?

Why would I need counselling?

So, you're working through this
all by yourself.

Yes, I am.

Because if you need any time off...

Frank, what is this about?

Well, it's just that people
talk about the stages of grief

as though it's a perfectly
logical progression

but in my experience,

it's very easy to get stuck
between anger and denial.

Mmm.

Is this a convoluted way
of saying you don't think I'm OK?

I'm fine.

Really. I wouldn't be here
if I wasn't.

Good.

Good. So, you don't need
my help in any way?

No. But thank you.
I'm absolutely fine.

Good.

Now, you might be able
to help me with something.

OK.

Um, there's a member of our team
who isn't very happy

and that reflects badly
on both of us.

Charlotte.

Well, that's been a problem
since you announced my promotion

and trust me, I've tried
to smooth it over with her

but every time I say something,
she twists it into an insult.

Does she?

You know, she asked me to help with
a burns patient today, did you know?

Is he still in the ED?
Oh, yeah.

I told her to bump him
upstairs hours ago.

Well, so I hear.

Yeah, well, leave it with me.
I'll sort it out.

Good.

Are you OK?
I'm terrified.

You'll be fine, Georgia.

I do appreciate what you've done.

I know I've been a pain in the bum.
That's OK. I understand.

Took a while, mind you, but...

Hey. You coming too?

Um, yeah, why not? Doesn't hurt
to have someone holding your hand.

Is that your appendicitis patient?
Yeah.

Charlotte, I need to talk to you.

Is she gonna be OK?
Yeah, I think so.

Outside. Now.

Can we make this short?
I'd like to get home to my family.

What the hell is your
problem with me?

God, that would take hours
to answer, Zoe,

and like I said -
I've got a family to get home to.

Then why don't we start with
why you ignored my direct order

to transfer your patient
to the Burns Unit?

Well, because I don't take 'orders'
and he's my patient.

He's a patient in an ED
that I help run.

Point?

I'm sick of you
undermining me, Charlotte.

You've been doing it since day one.

Well, you should remember
that 'day one' for me

was years before anyone in there
even knew your name.

Yeah, everyone except Frank -
who had enough respect

to offer me the 2IC position
in the first place.

I've sweated blood here, Zoe.

I worked while I was pregnant.

I continued my fellowship studies.
Yeah, and no-one is disputing that.

Say you know how hard "nappy land" is
and I'll knock you out, I swear it.

I earned my place here, Zoe.

And I will be damned if you're
gonna tell me how to be a doctor.

Are we clear on that?

Like it or not, I'm doing the job
I was hired to do.

So when I deem a patient
ready to be moved from the ED,

I don't want an argument over it.

Hang on, you've got to
assess a patient first...

And I don't expect to get
my backside kicked by Frank

just because you won't accept
I've been promoted over you.

There it is -
my problem with you in a nutshell.

Now, I'm not here to keep your
reputation sweet with Frank Campion.

So, if that's what
you're worried about,

we're going to continue
to have this problem, aren't we?

No. No, we won't
have a problem at all.

What the hell does that mean?

If this keeps up, one of us is gonna
have to leave and it won't be me.

Are we clear on that?

Hey, your mum just called. She's
catching a plane down to see you.

Oh, man. She's gonna kill me.

Well, there's some good news, Rusty.

The damage to your eye
will require no further treatment.

Oh, man, that's great!

You're still in
for the long haul, though.

Skin graft operations
and a lot of discomfort.

But I won't be blind. Still be
able to see Mum's backhander coming.

I'm sure she'll be happy
that you're alive and doing well.

I'm in for a wicked butt-kicking
when she gets here.

And God knows
what the university's gonna do.

Hey, they might not press charges.

A couple of windows
is not exactly a hanging offence.

And you could always offer
to replace them.

Not sure the Dean's gonna buy that.

Well, look, if that fails,
a bit of grovelling maybe?

A slice of humble pie
rarely goes astray.

I don't know why I keep doing
the stupid things that I do.

I keep telling myself
to pull my head in

but then another completely brilliant
idea presents itself

and next thing you know,
I'm making fireworks from a book.

Well, then, maybe
it's time to get serious.

Show 'em what you can really do.

KNOCK AT DOOR

Can I talk to you?
Make it fast.

Zoe told me to transfer
the burns patient and I didn't.

Why not?

Because Zoe told me to.

I see.

If I'd told you to transfer the
patient because we needed the bed?

I would've argued with you too

because I hadn't finished
my assessment...

That's not important, Frank.

I didn't want you to think Zoe

wasn't staying across
what was happening in the ED.

That's all.

Now, look. The most important
thing is patient care.

I know that, Frank.

So this little feud
you two are having

won't impact on that
in any way, will it?

Absolutely not.

Good. Got a home to go to?
Yep.

Frank, how would you feel
if I resigned?

What?

What? What did you say?

Spence wants to go back
to Doctors Without Borders

and he wants Zac and I
to go with him.

And you're considering it?

Maybe. He's not happy here,
so we go with him or he goes alone.

That's not much of a choice, is it?

No.

Charlotte, I'm buggered
if I want you to go, but...

..I suppose you've gotta
do whatever makes you happy.

You've only got one family so you
don't wanna stuff it up, do you?

Yeah.

That's what I keep telling myself.

Thanks, Frank.

(Exhales)

One splenectomy done and dusted.
Thought you might like to know.

Thanks.

How's he doing now?
A lot better than I expected.

Well, he has a good attitude.
That always helps.

Yeah.
I'll see you tomorrow.

Yep.

Who's a clever boy, then?

Georgia's having
her appendix out as we speak.

Oh, give the clever boy a medal.

He has just done the job
he's paid to do.

Yes, that's exactly right, Von.

I did my job and, with that,
I'm going home.

Do you want to do something
tonight? Go to the movies, maybe.

Uh, I don't know.

Go to the movies.

Goodnight.

Come on! I'll buy you popcorn.

And a choc top?
Mmm. With nuts.

OK. You sold me.

Dan, your results
just came through.

Do you want me
to go through them with you?

Um...

No, thanks. I think
I might wait until I get home.

I might give the movies a miss,
though, if that's OK.

Sure.

Hey.
Hey.

I thought you were leaving
that until you got home.

Yeah, it was kind of burning
a hole in my pocket.

You're positive?

Yeah.

I am so sorry.

It's OK.

Really, I'm...

..I'm Dan the man.

I'll be fine.