All language subtitles for All.Saints.S10E29 - Persona Non Grata.en

You and Jack have
a good one last night?

Yeah, thanks, we did.

This is Matthew Holgrem. He's 35.

He's got a chainsaw injury
to the abdomen.

His BP's been really unstable
at 80 on 50, and it's tachy at 110.

Pain relief?
Yeah, five milligrams of morphine.

I did a scoop-and-run so we could
get him here as quickly as possible.

Good thinking. Hey, Matt. I'm Steve.
Don't you worry about anything, OK?

Let's get him inside.
How much bleeding?

Moderate blood loss
until the haemostasis kicked in.

I want the usual bloods -
type and crossmatch two units.

What did the damage?
Wrong side of a chainsaw.

There's a right side?

In safe hands.

You OK with this one, Taylor?
As rain, Frank.

Hang another bag of saline.
Yep.

And we'll need to whack in an IDC

and set up a bedside
pressure transducer.

OK. That's it?
A short black wouldn't go astray.

Feeling a little worse for wear,
Dr Taylor?

Maybe next time
you'll come home with me

instead of staying out drinking
all night with your new mate.

Once the bloods are done,
page for a surgical consult.

Done, Doctor.

Anyone seen Bart?

He's no longer with us.
What?

He's moved on

to his surgical rotation.

I thought you meant he wasn't
coming back at all.

He's not.

Ah. Welcome to the world of surgery.

Dr Vlasek.
Bart, call me Mike.

Mike.

I thought you should know that
surgery doesn't interest me per se.

Oh, yeah?

I just need it
to finish my rotation.

I see.

So what you're saying is
that basically you're just here

so you can tick off the boxes
on your paperwork, hmm?

Well, I'd hate to be the one

to drag you kicking and screaming
through my operating theatre,

so if that's the way you feel...

Well, I said, you know,
it's not where my interest lies.

I didn't say I wouldn't
give it 100%.

I'll do everything
you ask of me and more.

I just... I don't know
if I'll love it.

PAGER BEEPS

Well... there's a locker room
through there.

Dump your things. See you in the E.D.

FOOTSTEPS RETREAT

Next time they're handing out
the power tools,

try grabbing the leaf blower.

Leave the chainsaw
to some other mug.

(Groans) The chain got pinched
in the branch.

When I tried to pull it back out,
the saw came flying back at me.

Safety bar didn't kick in?
I don't know what happened.

Well, you were working with
approved equipment, weren't you?

Yeah, of course.

OK. Second bag of saline's gone up.

We're gonna need to take some blood.

It's gonna sting a bit.
Just relax for me, right?

I'm cold.
We'll get you some blankets.

Is there anyone you want us
to call for you? Girlfriend? Wife?

Oh, no. My wife doesn't need
to know about this.

She's gonna want to know, mate...

Er, look, she doesn't
need to know, alright?

I'll get the blankets.

Could it be a Radiology mix-up?
I doubt it.

Zoe?

This is Felicity O'Connor.

She's presenting with persistent
headache, nausea and vomiting.

Look, I know it's pathetic
coming in for just a headache

but it just won't go away.

No, you did the right thing.

Er, Subacute 6?
OK. Put in a cannula.

I'll be there as soon as I can.
I've just got a curly one here.

Don't worry about it.
I'll track down Charlotte.

Bart! Um...
I'm busy.

I'm here.

Oh.

22-year-old male presenting
with a four-day history

of vague periumbilical and
left lower quadrant abdominal pain.

GP diagnosed gastritis,

prescribed paracetamol
and a liquid diet,

told him to come back
if the pain persisted.

Which I'm guessing it did?
Much worse over night.

Appendicitis?
Hmm.

He's complaining of pain in the lower
left quadrant, not the right.

So... what's wrong with this picture?

Someone in Radiology made a mistake,

developed the X-ray
the wrong way round.

Or... situs inversus.

OK, Doctor, examine your patient.

Hmm.

Do you know Bart just found out

that there's no residency
position here for him?

You're kidding.
Frank wouldn't let that happen.

There's no money in the budget.

Well, that's a stuff-up.

Ugh!

Is the pain constant
or does it come and go?

Ugh! It comes and goes.

Right now, I'd be happy for you to
rip my guts out to make it stop.

Don't think that'll be necessary.

But we might just have a crack
at your appendix.

(Breathes loudly) My appendix?
Is that what it is?

Yeah, it looks like it.

How come my quack didn't pick it up?

I asked him if it could be
appendicitis.

There's an explanation for that.
OK, Doctor, let's have it.

You have a condition
called situs inversus.

Situs what?

It's a congenital defect.

It means the organs
in your chest and abdomen

are in perfect mirror image
of their normal position.

No-one's ever mentioned that
condition to you before?

No. Should they have?

Were you a home birth, Ari?

Yeah.

(Laughs) Mum was the full hippy
chick. Wouldn't go near a hospital.

How'd you know that?

It's just that if you were born
in a hospital,

then the normal newborn tests
would have picked this condition up.

Way to go, Mum.

Does your mum know you're here?
(Exhales loudly)

Nah. She's dead.

So what happens now?

We book you into the theatre
for an appendicectomy...

Ugh! Ugh!
..and do it as a matter of urgency.

Bart?
I'll get it organised.

We're gonna need you
to sign a consent form, Ari.

Yeah, anything.
Mm-hm.

Just make it stop, please.

Sure.
Arggh!

Oh, must have fallen out of the bag.
Could be in my car.

Yep. Straightaway.

Pfft. What kind of a mother
forgets her baby's sunhat?

No idea. One who was in a rush
to get to work, maybe.

Er, we have a woman in Subacute 6

who's complaining of
recurring migraine headache

nausea and vomiting.

Let me deal with the hat tragedy.
I'll be with you in a minute.

Everything alright?

Er, yeah. I just didn't sleep much
last night. Zach's teething.

Why can't you get Spence
to fix the hat thing?

Just take me a minute.

OK?

Hi.
Oh!

Um, did you get my text?

Yeah. How did you get my number?

Well, the contact list.

Yep.

(Chuckles)

Hey.

Did you warm those blankets?
Mmm.

Look what the cat dragged in.

How's the patient?

I suspect his PaO2's down.
And his perfusion's shot.

The sooner we get him into
an operating theatre, the better.

Matthew, I'm just gonna have
a look at your stomach, OK?

Might hurt a bit.

No more than it already does.

Well, there's no evidence
of active bleeding

or peritoneal contamination.

Great. Let's get him up to theatre.
No need.

We'll do a temporary closure here
in Resus, then send him off to ICU.

OK, I'll set up to tube him, then.
OK.

No, we'll just do a spinal block.
What?

You widen the block by drawing up
8ml of ropivocaine and then...

I hope you know what
you're talking about.

Just get on with it, would you?

What's going on?

They went out last night and
they got completely plastered.

No, they didn't.

Will the doctor see me soon?

She shouldn't be too much longer.

Ah.

Hi. You must be... Felicity.

Dan tells me, um...

Sorry. That, um, you've been
having headaches?

Oh, yes. I've had them
on and off for about a month now.

(Sighs) OK. Can you describe
the pain?

It's like a dull throbbing
through the back of my head.

Like someone's got
one of those rubber mallets

and is just hitting me
with it constantly.

Did you see your GP?

I couldn't get an appointment
that didn't clash with work.

Felicity's also been complaining
about dizziness and vomiting.

I'm sure it's nothing serious.

I've been pretty busy lately.
It could just be stress.

And what do you do?

I'm the chief financial officer
for the St Anthony Padua Foundation.

I organise their funding drives.

They do a lot of work with
homeless kids, street kids, yeah?

Yes. They're a very good
organisation.

I gave them some money last year.
Good on you.

I'm just gonna look in your eyes.

Just look straight ahead
for me, please.

Can you remember anything that may
have triggered this headache?

Er, no.

No physical exercise that could have
resulted in a knock to the head?

I don't do any sport
or anything like that.

Right. I'm gonna need bloods
for, um...

(Sighs) Sorry. FBC, UEC,
and a head CT.

Don't worry.

It's just a precautionary test
to rule out anything serious.

It's OK, Daniel.

Whatever challenges God has set
before me I'll face head on...

..and with a little nip of scotch.

(Chuckles)

Stockbroker?

Bit of a jump to landscaping.

I hit my boss for a pay rise
he didn't want to give.

I walked on principle.

I went from 4 grand a week
down to 20 bucks an hour.

Try explaining that
career decision to your wife.

She doesn't know?
Do you need suction?

Sometimes it's better to lie
to the people you love.

For their sake.

OK, we're almost there, mate.

Resps are rapid and shallow
and his sats are down.

Any chance of backing off
on those towel clips there, sport?

Steve?

I can't tell her I walked out
on another job.

It's not the first time, eh?

I don't know what gets into me.

You're human, you screwed up.
She'll understand.

Matthew? Matthew,
stay with me, mate.

Matthew?
He's losing consciousness.

OK, this is not working.
Set up to intubate.

Sux and thio.
Going in now.

Cricoid pressure, please.
Yep.

We're in. We're cooking with gas.

I'm going to get Mike.

(Grunts)

I have a patient with
major abdominal trauma...

Organs still intact?

Yeah, they are,
but they're eviscerated

and I'm finding it
almost impossible to get...

Patch him up, send him off to ICU.
I've got my hands full here, Jack.

Vlasek, you're not gonna
let Bart cut his teeth

on a case as complex
as this, are you?

Throw him in at the deep end. Soon
find out whether he can swim or not.

What about the bloody patient?
Who's worrying about him?

Is your concern for the patient

or that your young protege might
actually enjoy himself in theatre?

You've got Buckley's, pal.
He's a born physician.

So - in order, name
the layers to be dissected.

External and internal oblique
muscles, transversus abdominus,

transversalis fascia,

extraperitoneal fascia
and the peritoneum.

Hmm. And what vessels should we
be on the lookout for?

The iliacs.

Who won the FA Cup in 1971?

Ah, something you don't know!
There's a relief.

You have excellent recall.

But do you have the nerve?
That's what we're here to find out.

This isn't a lab rat, after all.

It's a real human being
you're going to be cutting into.

You want me to do the procedure?

I don't see anyone else, do you?

Now, because his anatomy's in
reverse, the table's been set out

the other way round
to what it normally would be.

Given that I've never
seen it the right way round,

shouldn't make a difference.

Mmm.

You won't have the benefit
of a CT scan to guide you.

You'll be operating blind.

Blind?
Mm-hm.

Alright.

All vibed up?
Sure.

Bart?

I'm OK.

Let's rock'n'roll.

HEART MONITOR BEEPS REGULARLY

You don't expect me to do it, do you?
No.

Right answer.

Let's go!

GABRIELLE: Peak ventilation pressure
is still rising.

STEVE: Increase the vent rate to 12
and the PEEP to 7.

Hope like hell
he doesn't blow a pneumothorax.

Let's start him on bicarb
and a dobutamine infusion.

Every time you pull on those clips,

he goes one step closer
to abdominal compartment syndrome.

So maybe you should try
a different closing technique.

Yeah, maybe you should stick
to what you know.

Look, you two, whatever happened
between the two of you last night,

can we just sort it out later?

We need to keep our heads here.
What are you talking about?

Well, you were out drinking
to all hours, weren't you?

No.
Jack was with me.

Oh, for...

Right.

Can I have a word with you outside?

I need you to take Rachel
out of Resus.

Why?

Because I'm officially requesting

a different nurse be assigned
to this patient.

I'm officially telling you
to take responsibility

for whatever actions you have taken,
and leave me the hell out of this.

The headache's still pretty vicious.
Can I give her some more pain relief?

Sure. I'll write it up for her.

Nothing. All clear.

You want me to set up
for lumbar puncture?

Yes, please.

You still in pain?
Mm. Oh!

Right, well, the good news is
the head CT shows no abnormalities.

Oh, but that doesn't explain

why my head feels like Krakatoa
on a bad day.

No, it doesn't.
I'd like to do a lumbar puncture.

More tests?
We just need to rule out meningitis.

It's an infection of the brain.
I know what it is.

I just... Look, I really
should be back at work.

I've got a very important funding
submission to send off today.

It might have to wait.
No, no, no, no, it can't wait.

So many people are depending on me
to get this report out.

It's a multimillion-dollar
funding deal.

Can't someone AT work do it for you?

Oh, um... I suppose so.

You OK there, Dan?
Yeah.

Yeah, that's a very good idea,
Daniel.

Can you call the Foundation?

Ask to speak to Father Hill -
he's my boss.

Father Hill, OK.

He'll have to go in
through my computer.

The report's under
'Submission B - September Version'.

He'll have to go in
through the common drive

and then it's under 'Reports'.

OK, just 'Submission... September B'.

And... and if it isn't there,

he'll have to go in
through the 'U' drive

and then 'My Documents'.

Have you got all that?

Yeah.
(Sighs)

Can...? Yeah.

HEART MONITOR BEEPS REGULARLY

This is not working.

Ugh! Right, there's
too much swelling.

That's it, I'm gonna get Frank.
No, no, no, wait.

Do you have another
closing technique in mind?

Silastic closure.
No, I've only read about that.

It's not as tricky as it sounds.

Can you set me up a tray, please,
with a sterile fluid bag,

antibiotic-soaked combines
and adhesive dressings?

Have you done this before?
Yeah. Shark-attack victim.

Similar injuries to Matt here.
And it worked?

Kept the patient alive long enough
to be airlifted to Brisbane.

What choice do we have?

OK.

Let's do it your way.

OK, Father, I'll be sure
to let her know.

OK. Thank you.

How's the head?
Oh, same old, same old.

Oh. Now, I spoke to Father Hill.

He sends his love. He says everyone
is praying for a speedy recovery.

And the report, did he find it OK?

Apparently, he needs your password.

Oh, dear Lord.

Oh, don't tell me
you've forgotten it.

Oh, I only wish I had.

No.

I-I can't. I just can't.

It's... it's too personal.

Is the password inappropriate?

It's deeply inappropriate.

(Sighs) Oh, stupid, stupid woman.

Well, I'm sure you'll survive
a little bit of embarrassment.

Father Hill
isn't that understanding.

Well, no-one will even remember
a silly little password

once you've got the funding,
will they?

(Half-laughs)

(Sighs) Oh...

It's the numeral '3'...
Yeah.

..followed by the letters...

..S-O-M-E.

'3SOME'?

Threesome?

That's... OK. I'll pass that on.

So you cut the bag to approximate
the shape of the wound.

Nurse, is this sterile?
Do you think I am a complete idiot?

I've never seen anything like this.

It's a simple procedure -

cover the wound with a bag,
secure it with staples,

and seal it off with
adhesive dressings

until the swelling subsides.

If you can hold the skin edges
together, I'll put the dressing on.

(Staples dressing)

So, what did Frank say exactly?

Well, just that
Bart's not coming back.

You don't think
that's because of us?

Do you?
I hope not.

Maybe we should've told him earlier.

No, it's a coincidence,
it's gotta be.

Von, do you know
why Bart's leaving?

Another brilliant Admin decision.

Apparently, the budget won't stretch
to keep him on.

Poor Bart.

I thought that there was
some extra cash floating around.

Oh, what gave you that idea?

Well, they managed to find cash

for a new deputy head
of the E.D., didn't they?

(Whispers) This is no-one's fault.

Still sucks.

Yeah.

Frank?

FRANK: Later.
Frank?

Later, Gallagher, I've gotta
take care of something upstairs.

No, I need to talk to you.

HEART MONITOR BEATS REGULARLY

That looks nice and clean.

How about music? Won't bother you?
No, that's fine.

Nurse?

Now, we'll need a purse-string suture
to tie it off.

Uh, can I have
a 2-0 Vicryl, please?

And remember to invert the appendix
before you tie it off.

ROCK MUSIC PLAYS ON STEREO
And why do we do that?

To prevent reformation
or the potential obstruction

of the appendicular base.

Hm.

You like this music?

My parents used to love this stuff.

Early '80s?
Late '80s.

Oh, alright, early '80s.

How are you going in here?
(Felicity gasps and groans)

Felicity...

(Whimpers)

Oh, make it stop, please!

We'll sort you out, I promise.

Oh, God!

(Cries in pain)

Felicity O'Connor's headache
seems to be getting worse,

and she threw up on me.

So I see.
Mm.

Go get changed
then give her 5mg of morphine

and some Maxolon for the nausea

and I'll see about getting her
a bed on the ward.

She hasn't even been diagnosed.

Lumbar puncture results just came
back - her spinal fluid is clear.

So all we can do is watch her

and wait for her blood cultures,
and they can do that on the ward.

We're giving up, aren't we?
No, Dan.

There's every chance
it's just a headache.

Is this a migraine patient?

Yes, every test I've run
is inconclusive,

so I'm sending her to the ward
while I wait on blood cultures.

Well, you might wanna wait a little
longer before you send her off.

Is that the only shirt you've got?
No, I've got...

Well, what are you waiting for?
Yeah, I know...

What's up?
I'm just frustrated, that's all.

Diagnoses, like life,
don't run to a schedule.

Well, you know, they should.

Maybe you should think about getting
a neuro consult bef...

If her diag...

Frank, good. You're back.

Mmm.

I need to talk to you.

Good. I need to talk to you too.

Right. You understand these things
better than me. You have a look.

Yeah, I can. And we've been
over this before, Frank.

There is no fat in the budget.

If fact, we're over budget -
that's the whole problem.

Alright, then, it's time to pull
a rabbit out of the hat, Gallagher.

Siegfried and Roy couldn't pull
a rabbit out of this one.

You watch me. Pick something
at random and then we'll query it.

(Sighs)

That's my salary.

Oh...
Look, if you wanna rethink...

No, no, no, no, no, no, no, no.
I'll ring Admin.

You know, screaming abuse at Admin
won't help change their minds.

It'll make me feel better.

Face it, Frank.
We've played all our cards.

Shit!

Bugger it - I might have
one card left to play.

How are his vitals?

Systolic blood pressure's
holding at 90, O2 sats 92,

ventilation pressure is good.

Well, he's going to make it.

Yeah.

Nice job.
Nice work all round, guys.

Mmm. Rachel?

Yes, Jack?

You want to get onto ICU, let them
know the patient's ready to travel?

Of course.

Hey.

What exactly is going on
between you and Jack?

Oh, I have no idea.

Well, he's asked me
to replace you in there.

He said you weren't
working well together, or...

Did he?

Do you want me to find someone
to swap with you?

Well, there's no problem my end.

OK, good.

I have to call ICU.
Alright.

Gabby, just please
give me a chance to explain.

Worked on your story have you?
Hope it's better than the last one.

Nothing happened last night.

Certainly nothing you need
to worry about anyway.

(Laughs cynically)
You can go to hell.

Gabby, wait.

You said you were out with Jack.

Yeah.
Yeah.

Now I find out that's not true
and I'm not supposed to worry?

No.
No! (Laughs cynically)

Well, Jack went home with Rachel -
that much is patently obvious.

Who did you find to keep you company?

No-one. I swear it.

What did you do - just twiddle
your thumbs from dusk till dawn?

That's how long it took me
to get home.

I was so drunk I couldn't even
get a taxi.

You can do better than that.

I wish I could,
but that's what happened.

Look, I'm not proud of it,
but I'm not lying to you.

You hurt me once
like I have never been hurt before.

And I swore I would not
let it happen again.

I made the same pact. I lost you
once, I know how that feels.

I don't ever want to lose you again,
either.

You walked home?

Yeah.

It's 10 k's.

Longer if you get lost in
one of those retirement villages.

Built like a maze.
(Laughs)

Why didn't you call?
Next time I will. I promise.

Hey, there better not be a next time.

Come here.

(Inhales deeply)

I don't suppose
you've heard from Father Hill?

No.
Oh!

He'll be deeply disappointed in me.

He's probably busy
trying to get your reports off.

(Sighs) Maybe.

Look, I might need you to make
a few calls for me.

Fine.

I was supposed to be doing
a Meals on Wheels run this afternoon

and a Rotary meeting tonight.

You know, illness can sometimes be a
sign that we're taking on too much.

We've only got the one life, Daniel.

Yeah, but there's no point
cutting your life short

because you're running yourself
into the ground.

The third person I want you to call
is my panel beater.

He's had my car for over a week now

and the man needs
a good... toe up the behind.

Have you been in an accident?

It was nothing serious.
The car just needs a few new panels.

And you?
Oh, no, I just had some whiplash.

It was nothing, really.
Have you told Dr Beaumont this?

No.

Why? Is it relevant?

Just spoke to our patient's wife.
She's cool about everything.

She was actually relieved
when I told her he'd lost his job.

She thought he was having an affair.

Good.

How's he doing?
He's doing well.

Silastic closure was a... good call.

Yeah, there's always
that element of doubt

when you're trying a technique
for the first time.

First time?
For both of us.

You've never done it before?

No, but the patient would be dead.

Mate, that's no excuse to lie to me.

I just helped the truth a little bit.

You ended up making
the right decision.

Yeah, right. Seems like
you're pretty good at that.

"Helping the truth".

(Half-laughs)

Listen, next time you want to
use me as your alibi...

..don't.

Have you got a minute?
What's up?

You know Jack pretty well, right?
Yeah.

Has he said anything to you about me?

I haven't actually
spoken to him today.

Why?

Does he go out with many women?

No. Why?

I'm just trying to work out why he's
been so awful to me this morning.

He has been through a lot lately.

Yeah, so I keep telling myself.

(Laughs) "Don't be sensitive.
His friend died."

Bound to be a bit weird
this morning, right?

Working together and everything.

Well, 'weird' I could handle -
hey, I almost expected it.

But there's weird
and then there's being a total prick.

I'm sorry, I have no idea
what's going on.

He's normally such a great guy.

Hmm, that's what I thought too.

ICU can't take our resus patient
for another half hour.

There is a bed shortage
in the general ward.

And they wonder why we can't turn
patients round fast enough.

Jaeger, I'm going out
for a couple of hours.

Got a meeting with Owen Ferguson.
Oh, yeah.

Short notice!
Yeah.

I'm gonna take him to Rafael's.

Oh, treating the CEO to
a posh lunch. Transparent!

You're not going like that,
though, are you?

Well?
Yeah, let me know what happens.

No, no, you're coming with me.
I need backup.

And who'll run the E.D.

while the director and 2IC
are wining and dining?

We'll only be gone an hour or so.
Sorry, Frank.

You're always the one telling us

to leave our personal agendas
at the door.

And she didn't think to mention it?
She says she forgot.

Who forgets
they've been in a car accident?

Go easy, OK? It was weeks ago.

She doesn't connect it
to her headaches.

Just...

You want to tell me about
this accident you had?

Oh, I feel so stupid
not mentioning it before.

It's OK - we all have busy lives

and it's easy for us
to forget things, OK?

Do you remember feeling any pain
after the crash?

Um, some neck pain,
just around here.

Did you see a doctor?

Uh, I just treated it myself
with hot packs.

It went after a few days.

How's the neck now? Any stiffness?
No, it's fine.

And how soon after
did the headaches come on?

Um, two or three weeks, maybe.

Any other symptoms?
Facial numbness? Blurry vision?

Nup.

Alright, I want to do
a duplex scan of your neck.

It's just a special ultrasound.

Looks specifically
at the blood vessels

to make sure nothing's been damaged.

And do you think this might be
the cause of the headaches?

Well, we'll soon know, won't we?

Dan, organise a Doppler.
Yeah.

Third time lucky, huh?
(Sighs)

(Both chuckle)

So how do you feel
about your first operation?

Yeah, it was excellent. I'm really
grateful for the experience.

'Excellent'? 'Grateful'?

Come on, Bart, where's the buzz?

It's just a totally
different experience.

I'm used to dealing with
patients who are awake.

Mmm - one of the perks of the job.

Zoe.

How'd you go with
the mirror organ patient?

Like clockwork.

And your first time in theatre?

It was a buzz.
Yeah?

Hmm. I'm gonna take some lunch.
Do you wanna join me? I'll shout you.

Oh, no, that's OK.
I'll take a raincheck.

Thanks.

Sure.

Well, I learned something today,
even if he didn't.

The kid is freakishly talented.

Yeah, he is.

The way this administration spends
their budget is totally ludicrous.

Like appointing
a new deputy head of Emergency?

I didn't... That's not what I meant.

You know, no-one's blaming you
for Bart having to leave.

Frank offered you that promotion.
You didn't ask for it.

Everybody knows that.

Do you think he stands a chance
with Ferguson today?

Oh, there's always a chance.

As long as he doesn't let the fact
that it's Bart he's fighting for

get in the way.

He's going to lose his temper,
isn't he?

Yep.

Frank.
Ah! Owen.

Sorry I'm late.

You're looking fit. Still doing
that ocean swimming bit, are you?

Uh, yeah. Just finished a 5km race
on the weekend, as a matter of fact.

Good for you! I prefer
to float with style.

(Laughs politely)
Want some of this? It's '86.

Uh, no, thank you very much.

Look, this is my third
department lunch this week,

so can we just skip
the pleasantries?

What do you want?

I want a new residency position
in the E.D.

Bartholomew West?
Mmm.

Look, you've made no friends
in Admin over this.

I'm not here to make friends
with Admin,

I'm here to run an E.D.,
and I need Bart on my team.

Out of the question.

You've already had
one new staff member

and you're still not meeting
your KPIs.

That's it, isn't it? That's all you
care about - balancing your budgets.

You don't care about patient safety.
That's not true.

Well, what am I gonna do?

I get rid of Bart, I've gotta replace
him with someone less experienced.

I'll end up with some green kid
who'll faint at the sight of blood

or some dodgy doctor whose ticket
comes out of a cornflakes packet.

Frank, don't be so melodramatic.

You do not care about
the patients' health!

You've said enough.
I haven't even started.

Alright, you wanna know why
Admin won't budge on this?

You, Frank. Your attitude.

Now who's being melodramatic?
Think it might be time I left.

Zoe Gallagher. I'm Frank's 2IC.

I'm so sorry I'm late.

Oh, I... I hope you weren't leaving.

Um...

No.
Great!

Because we have a lot to talk about.

Well, there's some abnormal flow

suggesting possible
vertebral dissection.

Think of, like,
a kink in a garden hose.

That's what's happening
to the artery in your neck.

And the kink is slowing down
the flow of blood, causing a clot.

And this is all
because of the car accident?

In your case, yes.

The neck pain you experienced
was a sign of the initial damage

and the clot itself
is causing the headaches.

Is it serious?

Left untreated,
it could lead to a stroke.

But you can treat it, can't you?

I want to put you
on a heparin infusion.

That's a blood-thinning medication.
Then will the headaches disappear?

Not overnight.

The heparin is aimed at stopping the
existing clot from getting any bigger

and preventing
any new clots from forming.

But it doesn't actually
break up the clot itself.

And surgery's not an option?

For a clot this size,
it's not really worth the risk.

PHONE RINGS

I need to get this.
I won't be a moment.

Eventually the clot
will just break down by itself

and your headaches
should disappear along with it.

OK.

Hey, stranger.
Hi.

Um, your patient, Ari,
his mum called.

His mum? He said she was dead.

Well, she's not. She wants
to speak to him when he can.

She sounds pretty worried.

I'll pass it on.

Look at you, hey? Surgeon's Lounge.

How's it going?
The work's interesting.

I just... miss people...

..dealing with people in the E.D.

About that...

Ricky, you don't
have to say anything.

I do.

I'm sorry if we upset you.

It hurt me
you and Dan didn't trust me,

but I could have handled things
better, a lot better.

We all could have. (Chuckles)

Well, maybe we'll get a chance
to hang out before I have to leave.

Come on, Frank won't let that happen
without a fight, and you know it.

Dr Campion
always gets what he wants.

I guess he didn't
want me to stay that badly.

Thank you.

Bart's a conscientious doctor

who's excelled
in every one of his rotations.

Not to mention taking a bullet

because there was
no security guard rostered on

because of budget cuts.

Ow!

He would've been
well within his rights to sue,

but he never complained once.

All he wanted to do
was get back to his patients.

In fact, Bart should never
have been able to walk again,

but he persevered
with endless hours of physio,

fast-tracking his recovery
so he could get back to work.

Mmm. Yes. It's a remarkable story.

It's a good-news story
for the hospital.

Offer him a full-time job and it is
a publicity coup for All Saints.

Mmm. The publicity angle is, um...
Yes, you might be right.

Yeah, well, he's young,
he's good-looking.

He could be the face of All Saints.

And on top of that,
his training has been expensive.

Very.

So he's almost completed it

and we've given him
the benefit of our expertise.

Why would we want
another hospital to snap him up?

It just doesn't make economic sense.
(Scoffs)

Ari, how are we doing?

I was only kidding
when I said to rip all my guts out.

Do you mind if Dr West
checks you over?

Go for it.

Your appendix ruptured,

which caused a release
of toxins into your bloodstream.

We did our best to clean that up,

but there's a good chance that
some of the poison was absorbed.

Trying to cover your backside
in case I sue?

No, we're just
telling you the truth.

Now, we've got you
on a course of antibiotics,

but you'll have to stay in hospital

just until we're certain
the infection's clear.

That ought to be a blast.

Everything else
seem to be in order, Dr West?

Er, he's haemodynamically stable.

We've got him on low-dose Dobutamine
for persistent hypertension

and the wound dressing's intact.

Good. We'll be back to see you
in a little while, then.

Oh, your mother called.

Right.

Seems pretty worried about you.

Bye-bye, Dr West.
This is none of your business.

Enjoy that bit of face-to-face
patient contact, did we?

He lied about his mother being dead.

Aren't you curious as to why?

Well, what do you expect?
His heart's in the wrong place.

Oh, Dan, you shouldn't have.
I didn't. They're not for you.

Yeah? Maybe one day, hey?
That's a hint, by the way.

They're shipping me out!
You better take these with you.

Oh, they're beautiful!

Oh, they're from Father Hill
thanking me for a wonderful report.

See, you didn't get
excommunicated after all.

"P.S. Love your password. Very funny
play on the Holy Trinity."

Well, I had to explain the '3SOME'
thing somehow, didn't I?

You might have just
saved my career. Thank you.

No problem.
And can you thank Dr Beaumont too?

Though I don't think
she likes me very much.

I... don't think that's got
anything to do with you, somehow.

Come on, let's get this bus moving.
Daniel's a busy man.

Good luck.
Oh. And don't forget to donate.

Ah.

Hey.

What, are you stalking me?

You were a bit
all over the shop today.

Sorry.
That's alright.

You know, you're a full-time doctor,

you're a mother, you're studying
for your fellowship.

Honestly, Charlotte,
I don't know how you do it.

Well, that's just it. I can't do it.

You know, I... I don't
wanna give my fellowship up.

I've come too far to throw it away,

but... I don't think
I have much of a choice.

No-one's saying that you
should throw away anything.

Shouldn't you lean on Spence
a bit more for all this stuff?

Get him to do the child-care thing.

He's supposed to be
the househusband.

(Whispers) Spence has gone.

What do you mean?

He's gone back to Somalia.

I have to go and get Zach. (Sniffs)

I've gotta go. Thank you
very much for lunch.

It's certainly been illuminating.
And thanks for the ideas.

You were right to snap Zoe up, Frank.

What about Bart?
Am I right to snap him up?

Didn't I make myself clear?

Everything you've said
makes absolutely perfect sense.

So he's got a permanent position?
Certainly.

As you said, we really
should do everything we can

to stop a talent like Bart
from slipping through our fingers.

And what about Admin?

Don't worry about Admin.
Bunch of whingers.

I like the PR angle.

I'll have a chat with media liaison

and I'll get them to contact
one of the local newspapers.

So, Frank, once you've decided who
you're gonna let go, give me a call.

Wait a minute. Let go?

Yeah, to make way for our pin-up boy.

You'll have to fire someone, Frank.

Yes, Owen. Yep, I enjoyed lunch too.

Well, as a matter of fact,

Zoe and I are giving
that some thought as we speak.

No, I'll call you. 'Bye.

Dickhead.

I hope a bloody great rip sucks him
all the way to Invercargill.

What are we gonna do?

Well, I'm not sacking anybody,
if that's what you're thinking.

Maybe we could
just stop taking in patients.

That'd save money.
Mmm. It'd solve the bed crisis.

Yep. Everything's sorted.

Am I some species of monkey
to you, Frank?

What?

You come peering in like
it's feeding time at the zoo.

You know I could have you banned.
Yeah, yeah, yeah. Don't worry.

I won't make a habit of it.

Is that it?

Well, I was hoping to get a bit more
of a bite out of you, but...

(Scoffs)

I hear you're letting
Bartholomew West go.

Mmm.

You do realise that boy's a star?
Probably the best intern we've had.

He'll be a big loss,
both for us and the hospital.

So, what are you doing about it?

Nothing I can do.

Right.

Well, go ahead
and make yourself comfortable.

Sorry.

No, no, I mean it.

While you're on this rotation,
you're one of us.

This is your domain.
Do whatever you like.

OK.

You did OK today. That was
a tricky one first up. Well done.

Thank you.

And actually enjoying it
will come with time, trust me.

Sigmund Freud was a doctor
who didn't enjoy surgery.

There you go - psychiatrist.
Barking mad, the lot of them.

(Chuckles)

Have you given any thought
to what you might actually do

when you've finished
your internship?

(Sighs)

Because there's a place coming up
on my surgical team.

It's not the E.D.,

but at least it would save you

having to go around
looking for another hospital.

Are you offering me a job?

Yep.

I don't know what to say.
Have a think about it.

Let me know what you decide, eh?

You got my message.

What do you want?

Um, I just thought we should talk.

It's a bit late, isn't it?

I didn't know
what to say to you before.

'Hello' would've been nice.

"How are you?"
A tiny bit of respect.

(Sighs) This is not
how I wanted this to happen.

How did you want this to happen,
Jack? What did you think?

We sleep together,
you don't talk to me,

you humiliate me
in front of my manager...

Listen, Rachel, you're a great
person. I didn't mean to hurt you.

Don't flatter yourself.

You're not the first
gutless wonder I've met.

Rachel, wait. That...

Why did you sleep with me?

Do you even know?

'Cause I get the feeling
I just happened to be there.

Listen, last night wasn't a one-way
thing. You wanted me too, remember?

Oh! Well, you have certainly
cured me of that, Dr Quade.

You know what? You're being juvenile.

What happened
to me being a great person?

(Sighs)

God, this is such a cliche!

I can't believe I'm stupid enough
to fall for the big surgeon routine.

Well, we have to work together,

so we might as well
figure out a way to do that.

(Scoffs) How about this?

You don't talk to me
and I won't talk to you.

Easy.