Pulse (2017) s01e01 Episode Script

1 (HEARTBEAT POUNDS) I've got you, Frankie.
I've got you, Frankie.
You're losing a lot of protein.
Your GFR has plummeted.
Without medical intervention, you won't last six weeks.
(MACHINE BEEPS) Frankie! (FLATLINES) (ALARM BEEPS) If you weren't my enemy, what would be my alibi? When I call you late at night, cold and sweating, terrified Well, it's your turn to roll To see just where the dust will fall If you've ever kept a secret You'd know well that this is hell - (BRAKES SCREECH) - MAN: Can someone help?! It's my wife! Go to Emergency.
Get help! Run! Stay right here, okay? I'll be right back.
- You stay in the car.
- Can you hear me? Hello? Can you hear me? - Hey, what's your mother's name? - Mum.
Can you hear me? Hey.
We'll get your mum straight in to see the doctors.
Hey, I need you to respond.
Can you hear? (COUGHS AND WHEEZES) You're okay.
You're okay.
You're at the hospital.
You're getting help.
I got you.
(ELEVATOR BELL DINGS) MAN: Come on.
She was found not breathing.
- We'll take it from here.
- WOMAN: Bed 33.
Thank you.
Can you tell me your name? I need you to respond.
Squeeze my hand if you can respond.
Open my lungs Move your hands inside my chest Cut me deep beneath my skin I'm ready to fall out My body's caving in Hold me down so that I can feel the heat Cut me with the sharpest knife I'm ready for the pain Oh, oh, oh, oh-oh Oh, oh, oh, oh.
Frankie, I've got Cutter.
This is your chance.
Show her how good you are.
(WHIMPERS) - Did Tabb get in okay? - He was on the toilet all night.
- No, I wasn't.
- Yes, you were.
- No, I wasn't.
- Probably were.
Anyway, I've got cardio and my heart can't take it.
Frankie, do you have five minutes, please? Not a second, and neither do you.
But you'll be fine, Tabb.
Smash it, you guys.
No.
No, I just don't I don't really I'm sorry.
Who are you? I'm your new renal resident.
Oh, you can't be.
My resident's a level 8.
I'm Tanya Kalchuri.
- Hi.
I'm Frankie Bell.
- Welcome.
- Oh, phone.
- Oh, sorry, no, I'll turn it off.
Phone.
Thanks.
We have to cancel all electives.
Air con's down.
Not going back on today.
What about our heart valve? She won't survive without an operation.
It's 40 degrees! Well, it's a particularly tricky valve replacement.
Fixable? Well, we won't know until we get in there.
Dr Cutter Lou Tannis, surgical resident.
I emailed you last month.
Ah, yes, just what we need.
A vet who wants to become a surgeon.
You know, you should stick to poodles.
Surgery's a boys' club.
You made it in.
Rowan Mitri.
I understand and I'll do whatever it takes.
Okay.
Well, if you're going to do whatever it takes my advice is to buy some knee pads and learn how to suck cock.
So, this is an infectious patient.
You'll need to mask up.
And you'll all remain at the door.
No talking while the doctors are talking, okay? - TB.
- Hi there.
Zoe, huh? I am Professor Berger.
So, tell me, have you had any renal issues before, Zoe? No.
Because, looking at these blood tests, it looks like you're going into acute renal failure.
Now, it's probably a side-effect of whatever else is going on and totally reversible.
Okay.
Um Has the TB gone to the kidneys? We'll be checking for that.
But it wouldn't account for these results.
When did you last pass urine? Um - Oh, t two days? - Yeah.
Yeah, about two days.
I mean, tell him She keeps crashing about every two hours.
- The breath - Oh, the breathlessness.
Um, it started after I had the flu.
- Headache? - Killer.
Any LV dysfunction? Um Yes, there is.
Eli, good to see you back.
What's her oxygen saturation? Um Pulse oximeter.
So how are you travelling? Just keeping busy, boss.
You must come over to dinner soon.
- That would be great.
- Good.
Good.
It's 88%.
She needs a blood gas.
Follow me.
Hon This is the doctor that helped you.
You were wonderful.
Thank you.
Uh, Zoe, we are going to need to get a urine sample out of you somehow and test your urine for TB.
Okay.
Tanya, can you organise that? Frankie, with me.
So you treated a TB patient? Use a mask? It was an emergency in the car park.
So that's a no.
I did what I had to.
Yes, you did.
You shouldn't be here.
I didn't expect that from you.
Oh, don't get me wrong.
I think you'd make a fine doctor.
But your body doesn't have what it takes.
TB.
You're immune suppressed.
Extremely susceptible.
Why don't you don't try and protect me? Here, we are doctor and doctor, so you don't get to decide what I can and can't do.
I wish to God you'd stick to research.
You know I'm not going to be isolated in some research facility.
I want to be with patients.
The next few years are as hard as they come.
With your health issues, how are you going to manage? Watch me.
Contempt, five letters.
ROWAN: Sneer.
Clamp, please.
After this, I'm heading to the beach.
Yeah, enjoy the fantasy.
Theatre's closed, Monica.
Well, I heard from the head of Department there's an MBA that didn't make it upstairs.
There may be a potential donor.
Hmm.
The head of surgery's retiring, right? Guess they'll be looking for a replacement.
Guess they will.
Dr Tannis, do you have a specialty in mind? - Cardiothoracics.
- Hearts.
My kind of girl.
Right, that's two cannulas in.
Calcification goes right up to the aortic wall.
Don't do that.
Do not move.
Not if you want this patient to live.
Sean Lopez finally graces us with his presence.
Sean is in stage kidney disease secondary nephropathy.
He's missed his last dialysis session.
For some reason, he went AWOL on us.
Where are his labs? Sean's results, Frankie! I'll get them.
We've been trying to reach you.
I was up north with Mum on the farm.
Hey! It's the quick or the dead around here.
You should have kept in contact, Sean.
I know, I know.
But I lost my phone, it died.
Literally drowned.
I dropped it in the drink, you see? - We got flooded in - You missed three dialysis sessions.
That's about more than a dead phone, mate.
A donor kidney became available, Sean.
When we didn't hear from you, we had to pass.
You're kidding me, right? Every week for six years I've been coming through these doors.
I know how hard it is for you, Sean.
- Six fucking years.
- I know how hard it is.
There is an upside.
You must be near the top of the transplant list.
So stay close.
You are uraemic.
Tanya, get Sean into dialysis ASAP.
Dialysis is fully booked.
I don't care.
Bump someone if you have to.
I will check the admissions list.
No, it's okay.
I've got it.
I know you from somewhere.
I have one of those faces.
Could you give Tanya a hand clearing the decks? Hey, what you doing? Is she dead? - Zac, right? - Yep.
Sorry, buddy.
I can't say.
Because it's a secret.
Yep.
Zac your dad's looking for you.
Come on.
- You're Zoe's doctor? - Mm-hm.
Have you considered myocarditis? Have now.
You're a renal resi, right? What gives you the big cardio idea? Flu, fainting, headache, pressure on the chest and renal failure.
Has the virus gone to her heart? - Hey, Doc.
- Mr Lopez, what can I do for you? I've got like a 3-hour wait here so, I mean, I can hang around in germ central getting sneezed on or go back home for a couple of hours and rest up.
No, it's best you stay here.
I live a block away.
My dog needs feeding.
Come on.
It's easy for you.
I have to live this.
I'm not about to miss another session.
I know the drill.
Okay.
Just make sure you're back.
Three hours, no more.
Yeah, got it.
This is going to sound like a line, but did we ever, like, go out or something? I think I'd remember, or something.
Yeah, me too.
But we've met before.
Three hours, Mr Lopez.
There's a patient in love with you in cardio bed 6.
Okay, could you just lift your legs up a little bit higher for me, please? I'm Dr Patel, by the way.
Um, you can keep your feet together.
Oh, this is such a bad map.
Just pretend you're somewhere else, Dr Patel.
I am.
Hiya, Zoe.
How you feeling? Ah, just needed a friendly face.
This time, do not catheterise the clitoris, intern.
Apparently female anatomy's not my strong point.
My buddy Tabb here hasn't yet learned that female catheters are the nurses' job, and she's just bullying him.
This is Dr Steele, head of cardiothoracics.
Mrs Mendoza, the biopsy reveals that you have giant cell myocarditis.
Oh, I don't have TB? No.
Myocarditis is sudden heart failure caused by a virus.
A virus in my heart? We will treat it with steroids and other medication and do everything we can to delay progression.
Progress, as in get worse? Unfortunately, your heart is damaged.
I'm going to put you on a cardiac transplant list as urgent.
Did that whirlwind just say transplant? Yes.
As in take my heart out and put in a new one? Why can't you just fix the one I have? What's happened is your heart has become inflamed.
It's too weak to pump the blood around.
I get a lousy virus and I need a new heart? I know it's come out of the blue.
Would you like Dr Nader to talk you through the process so that you can understand? No, it's okay.
I understand.
Zoe, people have done really well with heart transplants.
I'm sorry, Mrs Mendoza.
Can we just have a minute? Would you give her a moment? No, I was just He was so abrupt.
It is cardio's responsibility.
Oh, well, that's fine, but why don't you explain to her what's going to happen? She is not ready to understand right now.
Listen Listen.
Listen.
When a bomb goes off, it knocks your senses right out.
You can't see, you can't think straight, you sure as hell can't hear because the sound is deafening.
Now, Zoe in there has just been hit by a bomb.
She needs time.
So if you want to talk to her, wait until she can actually hear you.
And if you do do not give her any bullshit promises.
Okay.
We are nearly done.
Right.
Cut it.
No, not you.
The vet.
Quick.
No, that's too long.
That's too close.
Now, you should know exactly what length to cut when you walk into my theatre.
All right? Now, hold the light closer.
Good.
Stop moving it.
Jesus, are you completely useless? Can someone take over? I think I think I'm about to faint.
Now, get out of my OT now! Get out! I'm sorry, Dr Cutter.
I And stay out! (BREATHES HEAVILY) Re-scrub.
Go back in.
What? Against Cutter's orders? Right now you need to regain her respect.
Respect? She said if I wanted a place on SET, that I should learn how to suck cock.
- No.
- Yeah.
And buy knee pads.
So I guess that means multiple engagements.
You don't find that outrageous? You should ask her for tips on how to handle the line-up.
Look, she's testing you, so push back.
Why did you faint? Oh, good planning, no water, no pee.
I guess I didn't factor in no air con.
Drink up.
How is it working with Berger? Tricky.
I thought you would have been teacher's pet.
No, he doesn't think I'm fit to be amongst you.
I'm too fragile and I won't survive.
He said that? But he loves you.
Bastard.
Well thought he knew you were mind over matter.
Yeah, I told him, but now I have to show him.
And so do you.
You've got to pull it together.
Go back in and face the dragon.
No, no, no.
She humiliated me.
I'll just I'll just talk to her later.
No, people like Cutter don't talk.
Re-scrub Just apologise and take the room.
- Go! - Okay.
Go.
Run! This is war, babe.
Uh, Sean Lopez is due for dialysis.
Do you know if he's checked in yet? Do I look like a fucking concierge? Why is there an empty chair in dialysis? We might have a problem.
- He asked to go home.
- And you let him? Well, he just he lives close by, so I didn't see the harm.
It's not your call to make.
Sean, hi.
It's Tanya Kalchuri.
Please ring me back ASAP.
I need to know that you're okay.
You prick.
I'm not going to wear this.
Dr Cutter, my apologies.
I told you to get out.
I was dehydrated, never fainted before.
It won't happen again.
What do you think? I think she's eaten too much bacon and eggs.
I made a mistake, but this is a teaching hospital and I want to be taught.
Suction.
Sean? Sean? (DOG BARKS) Sean? Hey.
Hey.
Wake up.
Wake up.
Hey.
Wake up.
Do you know where you are? Tell me where you are.
Where are you, mate? Hi.
I need an ambulance, please.
12 Millington Road.
Hey, hey.
Can you understand me? Sean Sean, your blood is a bit toxic.
That's why you lost consciousness.
But it's going to be all right now.
Yeah, he's got uraemic encephalopathy.
Beginning to impair function, but you are here now.
It's going to be all right.
Yeah? Come on.
That's it.
Don't worry, Sean.
We'll bring you back.
Why wasn't Sean booked in for dialysis? When I said ASAP, what do you think I meant? I booked him in, but there was a wait.
It's my fault.
He asked to go home and I let him.
Do you actually realise what is at stake here? What was I supposed to do? Tackle him to the ground? Yes! If that's what it takes.
What happens to a patient with uraemia? Toxins quickly build up.
Followed by? Death.
- I'm sorry.
- Not good enough.
And you, you're supposed to be her reg.
I hold you ultimately responsible.
You both want to work in nephrology.
You can't afford to make a mistake like this.
He needs 6 litres off if his blood pressure can take it and you will watch him constantly to make sure it does.
Well, go on! Get on with it.
(MAN COUGHS) Hangman.
The girl I confused you with? She was a dialysis patient like me.
We didn't talk much, but we used to play Hangman.
Crosswords.
Anything to kill the time.
Sometimes I'd bring my guitar and try and get her to sing.
She was high up in finance or something like that.
World Bank, I think.
One day she just stopped showing up.
Someone told me she died.
She didn't die.
She got a kidney.
It is you.
Wow.
Look at you.
A doctor now.
Wanting to pay back.
Something like that.
Why did you miss so many sessions? You know what it's like.
Day in, day out.
All the restrictions.
No freedom.
Just get to a point where you wonder If it's still worth it.
At least one of us made it.
You're going to make it, Sean.
WOMAN: Pedro, he's just in a coma.
- We can't do this.
- MAN: We have to honour his wishes.
Excuse me.
Where can we find the coordinator? - I'm sorry? - The coordinator.
My son was in an accident.
All the way here, I've been praying, please, God, save him.
Our son died this morning.
- He is not dead.
He is not dead.
- He ticked the organ donation box.
But he never talked about it with us.
What can we do? What can we do? What can we do? Uh, I can't advise you.
I'm a doctor here.
So I have patients that are waiting.
Yeah, but our baby boy, he's he's not dead.
He's still breathing.
He's not dead.
He's not dead.
He needs a ventilator.
It breathes for him and the drugs make his heart beat.
How can you be sure? There would be no neurological signal compatible with life.
Dorothea - our son is dead.
- No Shh And he ticked the box.
Shhh.
Do we have to agree to that, though? No.
We need to honour his wishes.
I don't I don't think I can.
No.
I don't think I can.
The the thought of his body being cut up, parts of him going into strangers I don't know who they are.
Who are these strangers? Strangers would be people like you and me, or your son.
I can only imagine how difficult this decision is for you, and you have to make it at the worst possible time.
It does have to feel right for the both of you.
I'm so sorry.
I'll find the coordinator for you.
I'm sorry.
I'm really sorry.
Thank you.
MAN: The donor is here, optimum conditions for the transplant.
She is a young mother, recently diagnosed with giant cell myocarditis.
She is on the list as urgent because it is urgent.
I appreciate it.
Thanks.
We have been allocated two organs.
A heart and right kidney.
Teams are on their way from Newcastle, Liverpool and Brisbane.
We cut through your sternum, exposing your heart, we remove your diseased heart and replace it with a new one.
I don't know.
I need more time to think about it.
Unfortunately, if we have to wait for another heart to become available, your health and your fitness will deteriorate to a point where a transplant may not be possible.
This has to be your choice.
But please understand, if you choose not to take this heart you will come to a point where your organs will simply shut down.
I'm sorry.
I'll give you a minute.
This is for real? They did the crossmatch? Yes.
As long as we can get you ready.
You're still uraemic, Sean.
Your creatinine levels are still high.
Does that affect the transplant? We can perform the procedure but it does present us with a higher risk.
So if the kidney doesn't stick, I go back to the bottom of the list? Another nine years of waiting.
(PHONE CHIMES) (SIGHS) Excuse me.
WOMAN OVER PA: Would Allan Richards report to ward clerk on 5A, please? Ward clerk on 5A.
You need this heart to survive.
Are you maybe clinging on to a hope that you will come good? No.
Okay.
Well, are you afraid? Because that would be pretty bloody normal.
It's just It's just the speed.
It's just the speed of it of it all.
Last week I thought I had the flu.
(CHUCKLES) And then I thought it was TB, which freaked me out, but that pales because now my heart's going to be taken out and a new one put in.
It's a huge shock.
I bet you wish you could I can't think.
I can't think, and while I can't think, I'm just I'm not in a place to decide.
I'm just I'm just so exhausted.
The best thing is to just hang on to what I have.
But is it? Will you Are you holding on to what you know? Your heart it is failing.
My son he needs me.
I have to be there for him.
I can't leave him here.
And if you don't take this chance Breathe, Zoe.
Just breathe.
You're in good hands.
Donna was a 20-year-old student, MVA, non-smoker, 80 kilos, no known health issues.
Heart's in great shape.
I'm Dr Lee, your anaesthetist, Zoe.
I'll be looking after you during the op.
She's very good.
You'll go to sleep, you'll wake up with a new heart.
And whose kind heart am I to receive? Well, I can tell you this, it's a young, healthy heart.
You need to give the nurse your jewellery.
I'd like to keep my wedding ring on, if that's okay.
I'm sorry, Zoe.
You're going to have to take it off.
But we'll take good care of it and I'll make sure it's back on when you wake up, okay? - Okay.
Let's rock and roll.
- Start the prep.
You didn't get the heart.
I'm very sorry.
What? What happened? - I'll find out.
- Whoa, Frankie! - Don't, don't, don't! Frankie! - No, that was unacceptable.
I know.
Just count to 10, count to 10! 1 2 Steele, so let's get Zoe the medication, and reorganise the dialysis.
I'll talk to Mitri.
Need to get a know about putting a heart ASAP Dr Steele, you may think that this is presumptuous, but don't you think that Zoe deserves an explanation? She's already scared, and then, bam!, just "You didn't get the heart"? If you think there's an easier way to let someone know, go right ahead.
If you could tell me why she didn't get it, then I will.
It's the rule of three.
Each hospital gets three urgents.
Zoe was our fourth.
Melbourne challenged successfully.
They're en route.
The heart is theirs.
Giving her the heart and then taking it away is not fair.
Dr Bell, you are a new breed, second-career doctor.
Now, you may have been a high flyer in your last incarnation, but here, you're a lowly resident with a lot to learn.
We got a kidney.
That's something to be grateful for.
PILOT: Permission to land at City West Public.
Arrival of Melbourne transplant team.
Collecting heart.
ROWAN: A moment of silence for the donor.
Incision.
CUTTER: His heart looks perfect.
It's a good heart.
You ready? Inside the chest.
Work with utmost delicacy.
One misstep wreck the heart.
I'm clamping the aorta.
Assist.
- Dr Tannis.
- Watch it, she'll collapse on you.
Hold the heart.
- Hold it steady while I cut.
- Mm-hm.
- Just cup it with your hand.
- Yep.
And now we extract.
Just glide with me.
And we have it.
Heart's out.
- Who gets the heart? - 68-year-old male.
He's one lucky fella.
Right kidney.
Contusions present.
Look, I've got to consult with the renal specialist.
Contusion is there.
How bad is the bruising? Well, it's hard to tell.
What do you want me to do? Do you want it? Well, what's your call, Mags? Hey, look, I'm just a mechanic.
I cut, I sew.
Tanya? Well, you take it and it fails, he goes back to the bottom of the list.
You reject it and he stays on top.
With the uraemia and the contusion, I'd advise caution and reject it.
Dr Bell? I don't know how many more dialysis sessions Sean has left in him, so I say we go ahead.
CUTTER: Berger, what's your call? We'll take it.
Hey.
How you feeling? Someone had to die for this to happen.
Remember, he gifted it when he was alive.
He? Or she.
And they would want you to live a full life and be happy.
Well, music and big family one day.
Not a big life.
Sounds good to me.
What are they whispering about over there? - What are you worrying about? - Air hunger.
Didn't you dialyse him? We didn't get him as long as Minnie did.
Well, he's anaemic.
Should we transfuse him? Not unless his life depends upon it.
It will introduce antibodies.
Are you worried about Sean? I want good outcomes for all my patients.
I made a big mistake.
- It won't happen again.
- I know that.
But you did bring Sean back.
That was good.
Taking on the head of medicine, maybe not so much.
That was very you, but was that wise? It might be something that I regret.
So the heart's going to a 68-year-old man? The system is as fair as it can be.
Zoe might die because three people were assigned as urgent before her.
How is that fair to her? That limit exists so that doctors can't use their preferred status to push their own patients ahead.
I know that, but Zoe's a young mum.
We don't get to choose.
Thank God.
Because if we did, we might be choosing between our own patients.
You've got to toughen up.
You can't save them all.
Why this hospital, Frankie? Why my department? Because you're the best, and I want to learn from you.
Maybe.
Or is it just patient attachment 101? Thank you.
- Monica, get the music, will you? - Uh-huh.
It's that trance track I like.
Ah.
You got a problem with that, Lou? Well, the vet doesn't have a problem with it because she's here to learn and be humble, unlike most Gen Y doctors in training who feel a sense of entitlement.
Okay, Lou, so we've attached the vein to the vein here and the artery to the artery.
And now the ureter to the bladder.
And now all we have to do is wait for the urine to come.
Peach cheeks, cut the knot, will you? You, just cut the knot.
Kidney looks grey.
Maybe the contusion was worse than we thought.
Could the artery be key hooked? That's one to the vet.
Sew him up, will you? I had the best day, Dr Mitri.
Call me Rowan.
That beating heart was so strong yet so fragile.
How'd you get to be so good at this? Practice, sleepless nights, more practice and Cutter.
She bullied me into perfection.
I have other skills.
If it involves knee pads, no thanks.
(PHONE VIBRATES) There should be more urine.
Seems like we're looking at delayed graft function.
The CK's pretty high.
We might be looking at a bit of rhabdomyolysis.
We'll hit it with high levels of prednisone and just keep an eye on the urine output.
We should have turned it down.
(SIREN BLARES) LOU: Oh, my God.
I have a secret that I can't not share.
You're sleeping with Mitri.
What? How did you know? Sexy, charismatic, someone that you shouldn't.
Just your type.
Frankie, I think I'm falling for him.
Well, Lou, with your history, I would advise against that.
Or is it too late? He's a brilliant surgeon, he's helping me, - and the sex is it's very good.
- Too late.
I mean, he spent years studying the body.
He knows I'm not going to go into it, but I don't want it to stop.
Just be careful, babe, he's your boss.
Oh, you're the prettiest pooch.
How long does the Come here! How long is the favour for? - Can we keep her? - No, I doubt it.
I don't even think it's Sean's dog.
He's just doing a favour for someone else.
Oh.
Don't get attached! Ohh I love you, Frankie.
And hide her from Tabb.
TABB: All right.
Oh, my (GASPS) - Chicken tagine? - Mmm.
How did you find the energy? I had to bury the despair and trauma somewhere.
- Where's the spoon? - Remember how we were in first year? Comatose.
There's nothing as bad as your first day.
Except maybe your last.
BOTH: Hey! It might be too hot to eat.
- Sorry.
- I'll have some.
- (PUPPY WHIMPERS) - What's that noise? I can't can't hear anything.
What is it? What's that noise? What's that noise? - What noise? - I can definitely hear something.
- What is that noise? - What noise? Lou.
Oh, my God! I've told you before, we can't have dogs in the house! - No, it's my fault.
- The lease says "No dogs"! It's my fault.
It's a patient's.
And it's either here or the pound.
No! We can't keep this dog.
You'll love her when you touch her.
Look at her.
(COUGHS INCESSANTLY) Tell Sean we'll keep her forever if he wants.
No, we won't.
How am I going? I'm hoping red's the new yellow.
What are you doing back here? Well can't get rid of me that easily.
How about a game of Hangman? Yeah.
Okay.
It's still low, but it's on the up.
(COUGHS) - How long have you had that? - What? - That cough.
- No, it's nothing.
Come on.
It's never nothing for you.
- But my labs are perfect.
- Hop up on the table.
Can we just talk about it? Frankie, Frankie, get up on the table.
Okay.
Shirt off.
This is my emergency date night bra.
Yeah, very nice.
Cough.
How long? A couple of months.
And it comes and goes.
Along with a temperature? Barely.
And you didn't think to share this with me? (THERMOMETER BEEPS) It's normal.
You see, you asked for renal rotation, but you didn't stop to think what position it puts me in.
I have a duty to report any colleague who is impaired.
Impaired? Well, I'm not impaired.
You're immunosuppressed.
You're susceptible to any virus that's knocking about.
Right, I'm very careful.
And if you're sick, that jeopardises other transplant recipients like Sean.
I'm not sick.
We don't know what that cough means.
Look, I'm confident that it's from the pneumonia that I had last year.
It's not contagious.
It's not TB.
So you can just relax.
Everything you know about me I'm your patient, it's confidential.
You see my dilemma.
You stayed up last night keeping a patient company.
Maybe I should call you St Francis, but, frankly, with your health, that was an act of insanity.
I'm putting you on broad-spectrum antibiotics.
And perhaps you should be under the care of another nephrologist.
I've spoken to Dr Lisa Fabian and I've referred you on.
What? Dr Fabian has agreed to take you on as a new patient.
Did you mention my name? Because you know how careful I have been in keeping this a secret.
I can count the people who know on one hand.
I said medical colleague.
And now that we're working together I'm a resident on rotation, so I will be in another department in 12 weeks.
Yes, but you plan a career in renal I'm not going to another nephrologist.
- Frankie - No, I don't trust anyone else.
Frankie, listen to me.
Frankie It has to be you.
Why? Why? Hey, Tanya What's your friend's connection to the professor? Are they? If they were, it wouldn't be any of our business.
I don't agree.
You may think it gives you a leg-up, but affairs with bosses never end well.
Apparently, you and Berger are on together.
What? Well, Sydney West is rife with affairs.
- What's one more matter? - He could be deregistered.
What, for a rumour? Wouldn't it be easier if everyone just knew you had a transplant? Lou, I love you, but you don't have a strategic bone in your body.
At the end of this year, we're interviewing for specialty training and they will only take the strongest and the best.
Well, you are the best, Frankie.
No matter how hard I work, I'm never going to be the strongest.
Liquid gold.
Good work.
- You can go home in a day.
- Thanks.
Congratulations.
There's a piece in the paper about a uni student who got killed on a motorbike.
Is he my donor? I can't tell you that.
- What can you tell me? - Uh, nothing.
Well, I wrote a letter.
They said I could write to the family.
Can you read this? Have I said everything? "Dear family, When I first heard the news I was to receive a kidney, I cried, not because I was being given new life, but because it meant someone had lost theirs.
The words 'Thank you' don't seem big enough to express the enormity of what I feel.
I'm a 33-year-old music teacher.
My promise to you is to live well and try to honour this gift.
Although I will never meet you, I will always remember you.
With love, grateful recipient.
" - You're awake.
- Mm.
The air con is back on.
I listen to every noise and I wonder what's what's the last sound you hear before you die? Silence.
Will this pump thing keep me going? Yes.
Long enough to see my son grow up? It's a bridge that's all.
(SOBS) You want me to stay with you a bit? Yeah.
So, is this like an exclusive party, or am I invited as well? - Yeah, you can come.
- Move over.
It'll take us 20 years to learn everything we have to.
We'll have to fast-track it, I don't know if I've got 20 years.
(SCOFFS) Who does? (GLASSES CLINK) When are we going to get to see a doctor, all right? My brother's been waiting a long time.
How's that? I'm trying to figure out how you had a heart attack and no one even spotted it, not even you.
If I don't get a donor, how long have I got? Word to the wise, you can't afford to get too attached to your patients, or other doctors' patients.
Kelly's been complaining of mild graft tenderness and her urine output's dropping off.
Have you been taking your medication regularly? Kelly knows the score.
Kelly, your kidney is going into rejection, so I need to give you some medicine to save it.
Did you get authority for the drugs? No.
Your kidney doesn't give you licence to do whatever you like.
Steele wants you gone.
What do you want?