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What have we got? Angelo here was run over repeatedly.
What? Work accident.
Driver claimed he didn't know what he hit.
He backed up and went over him again. Nice.
Significant damage to both legs, major bruising to the abdomen.
Coming through. Full bloods, group and cross-match.
OK. You want portable X-ray and ultrasound?
Get Radiology on standby. Angelo, are you with us?
You're at All Saints Emergency.
OK, on three - one, two, three.
Has he been conscious at any point? No.
Angelo, can you hear me? Angelo?
Pedal pulses are weak. Abdo's rigid.
Probably some free fluid. OK. I'm gonna get onto Radiology.
Hang another unit of packed cells until we can work out his blood type.
Heart rate's 120. Sats are 90 and BP's 100/60.
How'd the driver not see him? He was asleep on the job.
Tucked away behind some boxes.
I can think of a few better places for a nap.
Sluggish neuro responses as well. Injuries from head to toe.
Let's see if we can get at least one of these things under control.
Yeah, as soon as he's stable I'll send him up to theatre.
OK, thanks. Bye.
Shouldn't you be on your way to court?
Oh, yeah, I just had to finish up some paperwork.
If you want me to rearrange, go with you for some moral support...?
Thanks, but I just have to give a statement.
Hopefully it's a few hours in a courtroom
and Ian's out of my life forever.
Fingers crossed they throw the book at the bastard.
Yeah.
Hey, I hope I haven't left you short-staffed.
Ah, not me. Got it covered.
Am I late? No, not at all.
Oh, good. I hate to be late. I'm so excited! (LAUGHS)
Um, where do you want me? Hi, Bree.
Well, Adam could do with a hand.
Oh. I'll see you later.
Let me know how it goes. Dr Rossi, then?
Yep - over there.
This just gets better and better.
Here I am! Oh, sorry.
Claire said you might need some help.
I thought we were almost finished here.
We are. (CLEARS THROAT) You can open the curtain now.
If you need to do more tests, I can handle it.
OK, well, there is some rectal bleeding
so I would like to do an X-ray to see what we're dealing with.
Whatever you have to do. And I'll organise some pain relief.
Could you get Doug cannulated
and start him on two milligrams of morphine IV?
And I'd also like a round of obs every 15 minutes,
including when he's at Radiology.
Yeah, sure. But you know I'm only an EN?
I'll need someone to administer the morphine with me.
Yeah. Maybe a doctor like yourself?
Yeah, well, I'm sure one of the other nurses will give you a hand.
Yeah, of course.
So what's this guy's problem?
He has a... foreign object stuck in his rectum.
I thought I was desperate.
Go on. Tell me the bad news.
I'm not sure there is any. I haven't opened it yet.
Oh. I thought for sure that's why you called me.
I was hoping we could learn the good news together.
Are you sure? Yeah.
I've got it, don't I? The Huntington's gene?
I'm so sorry, Jo.
What have you got to be sorry about? You didn't give it to me.
(PAGER BEEPS)
(SIGHS) You'll need to see a specialist.
They'll want you to run some further tests.
Yep. I know how it works. I've gotta go. (SNIFFS)
Jo, it could be 10 years, maybe more, before you show any symptoms!
Or it could be tomorrow.
Hey. Thanks for joining us. What's the job?
An environmental protestor's got himself in trouble
out the back of Gray's Ridge.
Great. Some hippie's run out of mung beans.
You don't like environmental protestors?
Not when they put their lives and ours at risk to save a few trees, no.
(ENGINE REVS)
He has multiple fractures, both legs.
Mind if I take a look?
Excuse me.
Get another two units of O neg ready.
OK.
There's fractures in both right and left tib and fib.
He'll need an external fixation.
I'll call the orthopaedic surgeon, let him know what's going on.
Should we put him in traction? Not yet.
You know his right pupil's blown.
That would indicate a significant left-sided bleed.
More than likely.
So are you setting up for a burr hole procedure?
Not until we get a scan done to confirm the diagnosis.
He could be dead by then!
I have it under control.
You know, you don't always have the luxury of scans.
Sometimes you have to use your instinct.
Well, fortunately we do have that luxury.
Just keep those wounds padded until we get his BP stabilised
and they'll do what they need to up in surgery.
10 bucks she goes straight to Uncle Frank.
The patient in Resus, he needs a burr hole procedure.
The bloke who was run over? Yes.
I'm sure Beaumont's got it in hand.
She's wasting her time waiting to send him for a head CT!
Beaumont's very experienced. I trust her 100%.
And what about my experience?
There are procedures that need to be followed. Trust me.
I trust you but everybody else has made up their mind
that I'm not worth listening to!
That's because they're not used to having such an experienced intern.
I should be more patient, I know. Yeah.
Thank you, by the way, for dinner last night. I really enjoyed it.
So did I. Just give it time.
Then you'll be treated just like any other member.
(SIGHS)
Sure we've found the right place?
According to the call-out, yeah.
Practical joke, maybe?
(PANTING, GASPING)
Somebody's here.
Where are the bulldozers, chainsaws and the mung-bean-eating hippies?
Quickly! You have to help! What's happened?
You need climbing equipment. This way, hurry!
Is someone else hurt? My brother. I think he's dying!
Is everything OK with you? Yep.
This way!
Hold on, Wil! I've brought help!
Wil!
It shouldn't be too hard to get up there.
Getting him down might be another issue.
Yeah, especially if he's unconscious.
Wil!
Wil, talk to me, please! I know he can hear me.
When was the last time he made contact?
About two hours ago. I brought him his weekly supplies.
We had a pulley set up. Everything seemed to be going fine.
And then he sent down this.
It's his diary.
Why does this make you think he's dying?
He was diagnosed with hypertrophic cardiomyopathy 10 years ago.
Right. Is he receiving medical therapy?
But he's still symptomatic.
He'd never part with his diary.
Not unless he thought it was all over.
All set? Yeah. Let's do it.
I didn't wanna trouble you. I know you're busy.
But so's everyone else. No, it's fine.
Still in a bit of pain, I hear?
I don't mind. Bree's been looking after me.
Mm-hm. Is it time for obs again?
Er, just about. We'll get the cannula in first.
Sorry to interrupt. Debra's on the phone.
Shall I get her to call back? No, I'll take it.
Can you excuse me for a minute?
Bree needs some back-up while she gets Doug sorted with pain relief.
Thank you. Easy.
It shouldn't hurt.
I thought for a minute there everyone had forgotten about me.
Now I've got three of you. It won't take too long.
Bit understaffed today.
Ah, that's usually the way in most hospitals, isn't it?
Pretty much.
It always seems that way to me. Spent a bit of time in hospitals?
I guess.
I'm sure not for the same thing? No!
Oh, there's nothing to be embarrassed about.
They've seen it all in here. Right, Von?
Mm-hm. Right.
The things that people have done to themselves, you would be amazed.
You think I did this to myself?
Oh, I'm sorry, I just assumed...
I was raped.
Have you been to the police about this?
I tried to block it out, pretend it didn't happen.
I think the bastard used a bottle.
(SOBS)
I'm sorry. No, it's OK.
You're safe here. We'll look after you.
(WHISPERS) Thank you.
Mmm.
Left-sided sub-dural haematoma. Katerina was right.
Yeah. I want him intubated and put on the ventilator.
Let's set up for the burr hole procedure, please.
Pathology's back. APTT's over 120.
Well, that'll explain why that leg wound's not clotting. (SIGHS)
(MONITOR BEEPS) BP's dropping.
Hang another bag of O neg.
That's his sixth bag since he's got here.
Hold on. We can't give him any more with this head bleed. You know that.
I think it's a risk. But it's more dangerous not to.
Alright, how about we hang a bag of plasma,
except with one milligram of vitamin K?
Right. Good call. Alright.
Has his family been informed? Yeah, his wife's on her way in.
Let's hope she gets here in time.
(BIRDS CALL)
(GRUNTS, PANTS)
(SIGHS) OK, I'm up. Patient appears to be unconscious.
What's happening? Is he OK?
She'll let us know as soon as she's checked out the situation.
Wil, my name's Jo. I'm here to help.
Wil? Come on. Open your eyes for me, mate.
How about I take a look at those injuries of yours?
I tried to use the pulley to climb up to see him.
Got 10ft before the whole thing collapsed.
Did you actually hit your head? No, I don't think so.
Scratch from a branch, maybe?
Yeah, a dressing on that should do the trick.
It's not too serious. Not sure about this arm, though.
Does that hurt? Ow!
(MOANS) OK.
So you didn't have any climbing equipment with you?
That's the point.
Once he's up, everything's taken away so nobody can get near him.
That pulley was his lifeline.
OK, he's breathing but his resps are shallow and weak.
I've got him on oxygen.
Please be alright. Please.
BP's 90/60. You with us now? Pulse is 65 and thready.
STEVE: (ON RADIO) He needs to get to hospital.
Yeah, he sure does.
Wil, we're gonna get you down as soon as we can, OK?
Hey, Wil! Just stay calm for me, mate.
It's fine. (GASPS)
Jo, need me up there to move him?
Hang on, Steve. He's rousing, agitated.
Oh, God, Wil. Wil! Hey.
Wil!
You have to keep that on. Do you understand?
It's OK, I'm here to help you. I don't want to go.
There's nothing to be afraid of. I'm not afraid.
We're gonna get you down, we're gonna take you to hospital, alright?
No. Please. Go away and leave me alone.
I came up here to die.
I take it he knows how sick he is?
JO: (ON RADIO) What do you want me to do?
I don't understand. Why can't you just bring him down?
We can't move a patient who refuses transport.
It's crazy. He's not thinking straight.
You could try talking some sense into him.
Please, let me try. He'll listen to me.
Jo, Cathy wants to talk to her brother.
I don't think he's up to it right now.
OK, well, let me know if that changes.
Will do. I'm sorry.
You right to go? Yeah.
I want to come up as well.
Sorry, Cathy. It's too dangerous. Please. I know my brother.
I promise, I'll do everything in my power to keep him safe
and get him down alive.
OK?
Wow. No wonder he's in pain.
Yeah, it could be a bottle or part of one, anyway.
Can't be sure.
Whatever it is, it'll need to come out.
I'll organise a surgical consult.
You want me to get the rape kit as well?
I examined him earlier. There wasn't any sign of bruising or tearing.
You don't think he was raped?
Well, there was no indication of a violent struggle.
He wouldn't be the first patient to cover a sexual escapade gone wrong.
God, I know I'd be making up a story. (LAUGHS)
Not that I've ever... you know... had to cover... or been so stu...
Do you want the rape kit? Yeah, I could be wrong.
Yes, I'll pull out his records. If you could.
I just get the feeling I'm missing something with this guy.
So... things going well with Mum? Yeah, it's going great.
You know, like you said, I just needed to give her a chance.
Mmm.
We're even thinking of going on holiday this year.
Debra's always wanted a white Christmas
so I thought I'd take her to the Big Apple.
What, and she's happy with that?
Yeah, it'll give us some time together.
We're talking to travel agents this week.
Christmas is a long way away.
Anything could happen between now and then.
Like what?
Like... anything.
Let me know when those records are in?
Yes.
MIKE: So is Wil your older or younger brother?
Older by two minutes.
Oh. Twins, eh?
Yep.
And the hypertrophic cardiomyopathy - you've been tested?
Yes. And no, I don't have it.
Managed to dodge that particular bullet.
The two of you must be close.
As much as any siblings.
I don't know too many siblings who spend weekends together
on environmental protests.
I guess they haven't got a brother like Wil to inspire them.
This can't be it for him.
He can't die up there.
Talk to me, Steve. Everyone OK?
Yeah, we're cool. Assessing him now.
Hey, I didn't ask you up here. Leave me be!
Mate, you didn't ask us, but your sister did.
Right now she's down there, scared as hell she's gonna lose you.
I gave her my diary. She'll understand.
You thought she'd just walk away and leave you to die?
You don't think that's being a bit selfish?
Steve... I am dying.
There's nothing that can change that.
I want to do it out here... alone,
surrounded by all of this.
With your BP and your heart rate as it is,
you'll arrest sooner rather than later.
If you're lucky, you'll lose consciousness first.
Chances are you won't. I know what to expect.
If you think you've felt pain before, this'll be nothing like it.
It's not exactly the idyllic end you had in mind.
Look, at least let us give you some pain relief.
I'm a realist, not a masochist.
Thought you'd never offer.
We'll give you some morphine.
But I want to keep you monitored and on oxygen.
Fine.
What I'd really like to do is intubate.
What for? I'll never wake up from it.
No breathing tubes. Just the pain relief.
I don't want the police involved.
I know it's hard to deal with now.
But if you don't let us get the swab,
you'll have no physical evidence to go off if you do change your mind.
I won't. There's no need to violate me again.
We just want to help.
Then get me a surgical consult.
And a counsellor, and some blood tests
to make sure I haven't been given some disease by these animals.
I thought you said it was just one guy.
One, two... I don't know. I wasn't counting.
Of course not.
Do you think you could identify him or them?
No. That's why there's no reason to go to the police.
And you're sure it was a bottle you were penetrated with?
Yes.
But you couldn't see who was holding it?
That's what I said.
Why are you asking me all these questions?
Just trying to be thorough.
I just want you to give me the treatment I need, that's all.
That's exactly what I'm trying to do.
That's right. I'll give you his Medicare number...
Excuse me! Can you hold, please?
Can I help you? My husband, Angelo.
I got a phone call my husband was brought in.
I've got this, Von. Mrs Stratiotis? Yeah. Gina.
Is my husband OK? Come on through.
I came as quickly as I could. Is it serious?
Why don't I find you a place to sit down.
I'll get one of the doctors in to speak to you.
No, please, I need to know. Is my husband OK?
CHARLOTTE: Saline.
Suction.
Come on, Bart. Now. I'm there.
Maybe if you'd started the procedure a little earlier,
you wouldn't be under this pressure.
How are his obs? Resps are steady.
BP's still low.
It's a delicate procedure.
Yes, it is.
Requiring a steady hand. If you like, I'll do it.
I'm fine, thank you.
I've had a lot of experience.
OK.
I'd be happy if you'd leave now.
You're throwing me out because I'm offering to help?
You got it.
Charlotte, this is Angelo's... wife.
Gabrielle, now's not a good time. GINA: What are you doing to him?
We'll find you somewhere to sit down.
(GRUNTS)
Great.
We've given him morphine. It's taking effect.
But he insists he does not want our help.
You have to get him down. What's your plan?
We can keep trying to convince him,
but I'm thinking maybe a loading dose might be on the cards.
Hold on a sec.
I think you should talk to him. I didn't think I was able to.
Well, he can listen, at least.
Maybe you can get through to him.
Just push that button to talk.
Wil, can you hear me?
Go ahead, Cathy.
You have to let the doctors help you.
I know you don't feel like fighting right now
but you'll get through this.
Please.
For me?
Don't give up.
Do you hear me?
I don't think he's up to answering right now.
It's not over, Wil.
It's not over.
We'll get him down, Cathy.
We'll administer a loading dose of morphine,
just enough to knock him out.
Good. That's good.
I thought Cathy would understand.
You wanting to die?
Not wanting to die in a hospital,
with tubes and wires all over me.
Your condition is treatable.
I had surgery once. Yeah, I noticed the scar.
What, you had some of the excess heart muscle removed?
No picnic.
It didn't help anyway.
It gets harder every year -
harder to breathe, more pain.
Could always go on the transplant list.
I know my condition, I know the treatment...
..know what I want.
It's over.
Please, just leave me in peace.
His obs are stable.
I want you to leave it a few minutes.
When you get a chance, I want you to give him 7.5mg of morphine.
No. You can't.
What are you talking about? It's nothing, mate.
If you don't like it, feel free to leave. Nobody's stopping you.
FRANK: Ah, there it is. It's a boy.
Well, your boy is doing fine.
BP is 130 over 80. Heart rate is 95.
Must be because of the shock. Keep an eye on her.
And make sure she's got a foetal monitor, just in case.
Yeah, sure.
How many weeks are you, Gina?
36.
That's why Angelo was working so hard -
so he could take time off when the baby was born.
Listen, Gina, you've got to try and stay calm,
as much for your baby's sake as your own.
I begged him to slow down, not take on so many shifts,
but he kept telling me he was OK.
This morning he should have been in bed at home.
I'll go check how they're doing in Resus.
We should be able to get you back in to see him soon.
No!
I don't want to go back in there.
Well, we'll wait until the procedure is over.
Will he be able to talk to me then?
Could be some time before that's possible.
How long?
There's really no way of saying at the moment.
Gina, there's also a chance that he may never regain consciousness.
You're telling me he's gonna die?
His injuries are very severe.
(SOBS) No!
Please, go and see him.
(SNIFFLES) I can't!
Surgical consult has you next on the list,
so as soon as a theatre becomes available
we'll be able to transfer you.
What about the counsellor? Surgery is your first priority.
If that bottle neck shifts, it could perforate your bowel.
I react badly to anaesthetic. Takes me hours to come out of it.
I should be put in ICU,
not just some ward where a nurse comes round twice a day
to check my temperature.
I'll note it all on your chart. Thank you.
Maybe it is just a sexual experiment gone wrong.
You know, he wanted to break out, try something new.
Right age for a midlife crisis.
There's a right age, is there?
What, you think he was raped?
Well, one thing you can say -
our Doug is very accident-prone.
He sliced open his hand with a kitchen knife,
jammed the other one in a car door,
and burnt himself on the stove.
Those all could be self-inflicted.
Think he could be a frequent flier?
It says here he has failed to show up
for any appointments following discharge.
Frequent fliers don't cop out of appointments.
But if there is some sort of pattern to this attention-seeking,
why hasn't someone picked up on it yet?
Because he only gets his buzz from the initial treatment.
You are a genius. Yeah, so I've been told.
Hey, can we catch up later? Yeah. Why, what's up?
No, it can wait.
Alright. Later.
OK, that's it. He's out to it. Let's move.
Jo?
He doesn't want us to take him.
If that's what he really wanted, he should've told his sister.
He was trying to protect her.
So she could come back and find his rotting corpse next week?
Well, we could've tried harder to talk him out of it.
Jo, nothing's gonna change his mind. Let's go.
Then we should've stayed here.
We should've let him go more comfortably. It was his decision.
As the doctor, it's my decision to do whatever I can to treat him.
As the doctor?
Yeah. Those initials after my name mean I'm in charge here.
This is wrong and you know it.
Nobody's asking you to like it, Jo. Let's move!
Keep them coming, Jo! That's it.
All the way. Got him?
Yep, I got him.
Clear!
How have his oxygen levels been?
Holding steady at 90. Want me to intubate?
No, we'll just leave the mask on him for a moment.
We'll never get an ambulance in here.
Gonna have to transport him ourselves.
CATHY: You're gonna be OK. We've been here before.
You'll be back on your feet again in no time, right?
Hey, Jo, can you drive in with Cathy?
Sure. Come on, Cathy.
They'll take him now. We'll be right behind them.
How's he doing? BP's still low.
But I'm hesitant to push more fluids
until the swelling in his brain eases.
MRU's on their way in. Any chance of moving him?
There's not much more I can do here.
I'll see if ICU has got a bed.
Hang on. Hold off on that call, will you?
Check Acute. Bump people if you have to.
I want him to be near his wife.
Yeah, but she doesn't want to see him.
Well, now she hasn't got much choice, has she?
OK. Let's go.
Just thought I'd check your blood pressure, Gina.
Have you thought of any names yet?
We got about a dozen. Can't make up our minds.
(CHUCKLES)
Why did they move him? Does that mean he's getting better?
The Resus team have done everything they can.
From now on, it's a waiting game.
The next couple of hours will be crucial.
Your blood pressure seems to be stabilising,
but I'd like to keep you in here for a couple of hours for observation.
I don't remember him ever going to a doctor for anything.
You know, you can go over there and talk to him.
I'm sorry, Gina. We've done everything we can.
Hey, how'd you go with Doug's medical records? Did you find anything?
Yeah, maybe. I just gotta make a few calls.
Then I'll be in to speak to him.
If I ever get sick, I hope I get a doctor like you.
You know, dedicated.
MIKE: 25-year-old male.
10-year history of hypertrophic cardiomyopathy.
Possibility of heart failure.
Where'd you find him? Up a very tall tree.
Excuse me?
Protestor. He was tree-sitting.
In his condition? Surely... Let's just get him inside.
He's bradycardic.
Last reading of his BP was 60 palp. Rapid deterioration en route.
We need the Resus trolley and external pacing on stand-by.
Yep, onto it. Why hasn't he been intubated?
Had to bring him in in the four-wheel drive.
Couldn't get an ambulance out there. He's lucky he's here at all.
(MACHINE BEEPS RAPIDLY) He's in VT.
He's already had adrenaline.
Give him more.
Wil? (DEFIBRILLATOR CHARGES)
Adrenaline going in. Charged. 360.
Come on. Clear.
AMY: Still in VT. Charge again.
Charged. 360. Clear.
Back in sinus rhythm. Let's get him intubated.
Hey, hang on. Whoa, whoa!
OK, mate. You're in hospital. You need to let us treat you.
Wil, it's me, Cathy.
You're gonna be OK. You'll see.
No. Why?
AMY: Sats are dropping. Down to 80%.
Another cannula going here.
FRANK: Where's that sux and thio? It's coming.
WIL: Why?
Why?
Sux and thio going in. I'll need a size 7.
No. Stop.
He doesn't want this.
Is there a DNR on this patient? No, not officially.
Get her out of here. Have someone look at her arm.
Give me a size 7.
Come on, Cathy. No. Don't do this.
Cricoid pressure.
Well, that's not what this says.
Your medical records show you have a history of injuries
which are increasing in frequency.
They were accidents. A lot of accidents.
I was raped. That's not exactly my fault.
Have you ever heard of an illness called Munchausen syndrome?
It's where someone pretends they're sick to get attention.
I'm not pretending. I have a broken bottle inside me!
There are also cases of it presenting as self-harm.
Now, I've run your case past the psychiatrist.
As soon as you're out of theatre, they'll be around to assess you.
Fine. You won't help me, I'll find someone who will!
No, Doug, that's not a good idea!
You'll get the surgery you need. Where's that other nurse gone?
I wanna speak to her! She knew what she was talking about!
Lie back. Come on!
(MACHINE BEEPS RAPIDLY) Doug? Come on, mate. Stay with us.
He's tachycardic at 120.
What's happened? Abdo's rigid and distended.
The bottle must have perforated his bowel.
BP's 70 on 40. O2 sats are down to 88.
He's scheduled for surgery? Just waiting on a theatre.
He should have been up in Pre-op. Need some help in here.
Trying to talk to him, get him to face his problem.
Munchausen syndrome.
Should've marked his file "Follow-up from Psych" and sent him to surgery.
Let him slip through the net again? Better than him dying.
GABRIELLA: Another deep breath. No more.
OK, if that arm gives you any more trouble, you let me know.
I'm going to see how Radiology's placed.
Are you alright to stay here? Yeah.
Thanks.
How is he?
They've intubated him. He's stable for now.
He really wanted to die out there.
But I couldn't see it.
I shouldn't have called you.
You can't beat yourself up over what you did.
He may live to thank you for it.
But if he doesn't?
I've taken away his last wish.
How do I forgive myself for that?
(MACHINE BEEPS STEADILY)
AMY: BP's too low to get an accurate trace.
Heart sounds are muffled. OK, let's do a cardiac echo.
That takes too long. We need to find out what's happening now.
What are you suggesting? A Swan's-Ganz catheter.
A what?
It's a catheter with a balloon attached
inserted into the jugular,
threaded through the atrium, the right ventricle
and into the pulmonary artery.
The balloon's inflated and gives a pressure reading.
Give the boy a cigar.
Let's get set up for it.
Listen, his sister's in here with a broken arm.
Can you take care of her for me?
If it's just a fracture, can't someone else do it?
I'd like to observe the Swan's-Ganz procedure.
There's nobody else available, I'm sorry.
Couldn't, er, Dr West take care of it?
Katerina, I asked you to do it.
But... Just do it.
Thank you. Of course.
Where is the Resus patient's sister?
Cathy? She went to Radiology, I think.
I want her X-rays when they're back.
OK, I'll have to run it by the attending doctor.
That will be me.
OK.
Is there some kind of problem?
You're an intern. Don't worry. I'll talk to Frank about it.
He's the one who asked me to look after her.
She's a piece of work. (GROANS)
(ALARM BEEPS)
I can help with the fluids. That's OK. I'll do that.
GINA: What's that alarm for? Don't worry. It's normal.
It just means that Angelo needs another bag of fluids connected.
So, there's no change, then?
No. Not yet.
You can come closer if you want to.
Please, Angelo...
..for our baby.
I thought we were close.
But the things he's written in here...
I had no idea what he was going through.
He was scared.
And he felt so alone.
How could I not know that?
I think Wil was trying to be brave to protect you.
Yep.
That's him.
He should have been able to trust me.
Why him?
Why did he have to get such a stuffed-up disease?
It's just not fair.
No, it's not.
(MACHINE BEEPS STEADILY)
And there we have it.
Quick and accurate. That's incredible.
Since you know your stuff, next time I'll let you do the honours.
Great.
Let's get a cardiac index
and prep him for transfer to ICU as soon as possible.
(ALARMS BEEP) Sats are dropping.
We lost his BP again. Going into VT.
Jesus Christ.
Give me the paddles. OK.
Charge to 360. Charging.
Clear.
The wait for you to say "I told you so" is absolutely killing me.
I don't want to talk about it, Steve.
I do.
The call I made today
was the only one I could've made under the circumstances.
Do you wanna tell me what the hell's going on with you?
Hey.
It's OK.
He's kicking.
Can you feel that, my love?
Big strong kicks.
Hey, I was just about to page you.
His BP's up to 120/70
and his pulse is 80 and his sats are at 95%.
Good heavens.
Is that good news?
Yes, Gina. That is very good news.
You hear that?
You're going to be OK.
Well, it's going to be a very long road
but Angelo's shown he's a real fighter.
Yeah.
He is.
You were right.
The surgeon extracted a bottle head from Doug's rectum
stuffed with paper.
To avoid the glass shattering.
Mmm. Which confirms your theory that it was self-inflicted.
Well, he's not the first case of Munchausen's
to present as foreign-body insertion.
I've organised a Psych consult for him.
OK, well, you've done all you can.
Hey, I didn't know you had nursing qualifications.
Yeah.
I did the enrolled nurses course
while I was waiting to get into the ambo service.
Well, you did well today.
Thanks.
I reckon we make a pretty good team.
Yeah. All things considered.
Oh, yeah, there were a few moments.
My doing. Overzealous doctor strikes again.
Oh, that's alright. You can make up for it tonight.
Tonight?
Yeah, it's an ambo tradition,
taking your partner out for a drink after their first shift.
I'll have to take a raincheck, sorry.
Oh, OK.
Dinner with my mum. Otherwise I'd love to.
Thanks. For everything.
You look after yourself. You've still got a month to go with bubba.
I will. Bye.
Ah! One for Frank!
I'm not sure that was quite the outcome he was expecting.
Are you suggesting that Frank Campion
doesn't believe in the healing power of love?
Maybe it just wasn't Angelo's time. Mmm.
You think people have a set time when they're meant to die?
Cathy's X-rays.
She'll need her arm splinted for six weeks.
I've written up some pain relief for her.
And after that, she's OK for discharge.
Did she just discharge a patient?
Yeah, she did.
On whose authority? Frank's, I believe.
What in the hell are you thinking,
telling an intern to discharge a patient?
I did no such bloody thing. Not according to Katerina.
The Resus patient's sister.
No, no, no, no. I just asked her to look at the X-rays.
She did that, then told Gabrielle to back slab and discharge,
all without laying an eye on that patient.
And it's not just that.
She's been telling everybody how to do their jobs all day -
me included.
I know what happened in Resus
but I know that when the situation was explained to her, she understood.
You're just not used to having such an experienced intern.
I know that. She finds it hard to step back.
So would you.
You try starting from scratch... Stop making excuses for her!
I'm not. But you're the 2IC.
If you've got a bloody problem, then fix it.
I would!
But for some reason, Katerina seems to think
she's above the normal chain of command.
Now, why is that, Frank? I wouldn't know.
You'll have to ask her.
You think she's a special case because of post-traumatic stress
but she is taking advantage of you!
I won't put up with you blowing at me like some demented fishwife!
She's affecting your judgement! Get out. The conversation's over.
No! You do something before it gets out of hand.
You get out! Out! Out!
(MACHINE BEEPS STEADILY)
Wil's heart stopped beating again.
We worked on him for 45 minutes
but we weren't able to get a steady rhythm.
But it's beating now, right?
He's alive.
His brain's been starved of oxygen for too long.
He can't function without the ventilator.
I'm sorry.
Cathy, we can keep the ventilator going
until your parents get here.
I don't want them to see him like this.
He didn't want any of us to see him like this.
It's very difficult -
even if you think you're prepared.
But I wasn't.
Why?
Why didn't you tell me?
(SOBS) I'm so sorry.
So sorry.
Anything I can help you with? What?
Oh, no. It's just the never-ending nightmare of administration.
(CHUCKLES) You wanted to see me?
Yes.
Take a seat for a minute, will you?
Is anything wrong?
Um, I'm just wondering how you thought you went today.
Fine!
I was right about that Resus patient.
He did need a burr hole.
Luckily he survived.
Right.
You know, one of the toughest things about working in an ED, I find,
is managing one's own strong personality -
especially when there are so many others in the place.
And yet, it's such a crucial thing
for a successful working relationship.
I totally agree.
Glad to hear it.
Why am I getting this speech, Frank?
Well, I've had just a wee bit of feedback
about your, um... (CLEARS THROAT) ..attitude.
And I just think maybe you'd like to have a rethink
about how you'd like to approach the rest of your time here.
Are you telling me to change my attitude?
Just while you're an intern. Yep.
You know why I'm an intern. I mean, it's a technicality.
Yes, but I can't change the rules for you or anyone.
Otherwise, before you know it,
I'd have interns running all over the shop,
thinking they know more than they really do.
But I do know more than most.
I mean, isn't that what you told me at dinner last night?
Yes, well, maybe going to dinner wasn't such a great idea after all.
Why not?
I can hardly read the riot act to you at work
and then ask you out to spaghetti afterwards, can I?
It puts me in a compromising position.
So, don't read me the riot act, then we'll be fine.
Hey, now, look...
..if you're trying to gain leverage in this department
through friendship with me,
you are seriously wasting your time.
I was trying to find company with someone I respect and admire.
I'm sorry you see it differently.
And...
..I won't make that mistake again.
Yep.
Hey. Sorry. Did I keep you waiting? That's alright.
How'd it go? Guilty.
Oh! Yay!
Oh! That is so good!
So, what happens now? Well, Ian's in remand.
Yeah. Sentencing is in a few weeks.
I'm not going to that. I don't even need to see him again.
How long do they think he'll get?
They told me there's no way he's getting out in less than six years.
I wouldn't complain if they locked him up for 60 years.
Thanks again. For what?
Well, for giving me time off. For everything.
Oh, don't be ridiculous.
How about the pub? Shandy? Mmm!
Or two.
I've discovered Pimms and lemonade. Yeah, shandies are for grannies.
You know using dinner with mum as an excuse won't last long with Bree.
Who says it was an excuse?
Anyhow, that's not what I want to talk to you about.
No, I didn't think so. So, come on. Spit it out.
It's to do with Debra.
She's not being honest with you.
What are you talking about?
Has she told you anything about her health?
What about it?
Your mother has breast cancer.
Stage four.
It's already in the lymph nodes.
How long have you known?
A couple of weeks.
She made me promise not to tell you.
Adam, wait.
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