Pulse (2017) s01e02 Episode Script
Episode 2
1 Can someone help? It's my wife.
Go to Emergency.
Get help! Hey, I need you to respond.
Can you hear (COUGHS AND GASPS) I've got you.
You're okay.
She was found not breathing.
Right, we'll take it from here.
- Bed 33.
- Thank you.
Squeeze my hand if you can respond.
BERGER: So you treated a TB patient? Use a mask? It was an emergency in the car park.
So that's a no.
You shouldn't be here.
Here, we're doctor and doctor, so you don't get to decide what I can and can't do.
Myocarditis is sudden heart failure caused by a virus.
A virus in my heart? Unfortunately, your heart is damaged.
I'm going to put you on a cardiac transplant list as urgent.
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.
How did you get to be so good at this? Practice, sleepless nights, more practice.
I have other skills.
You're sleeping with Mitri? 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.
(SIRENS WAIL) (ELEVATOR BELL DINGS) (PAGER BEEPS) (MOBILE VIBRATES) (MOBILE VIBRATES) Hello? Hey.
Yeah, someone's moved gynie.
Either that or I'm lost.
What are you doing in gynie? I'm looking for my heart patient.
(LAUGHS) That'll be where you're going wrong.
Ha, very funny.
There was no beds in cardio, so he got booted.
Oh, he's an outlier.
- Crap for him.
- Crap for me if I can't find gynie.
Oh, hang on a sec.
You found it? No, but I think I've solved the bed shortage.
Someone should tell the premier.
Tabb, got to go.
What's an outlier? It's someone who's been bumped to a different ward because of a lack of beds.
I'd be happy to swap for a bed in gynie.
Swap my disease while we're at it.
Something simple, like a urinary tract infection.
Course of antibiotics and back to work on Monday.
Do you have any questions about the pump? Does it come in another colour? Something a little less bionic? Oh, you don't want to rock this around the school canteen? You know what? It's going to get you there.
You're young, your numbers are good, so you are going to be fine.
- Dr Nader.
Hi.
- Mrs Mendosa.
Just thought I'd check up on you, see how you're doing before your big operation tomorrow.
Frankie's beaten you to the punch.
I can see that.
Is there anything else you need from me or has Dr Bell got you sorted? Nah, I'm good.
All right.
Well, we'll let you rest, eh? Bye.
You pass all your subjects at med school, Dr Bell? Uh, yes.
How about basic anatomy? 'Cause you're on renal rotation, right, and Zoe's cardio.
Let's see, renal, that's the kidneys.
Cardio, that's the heart, if I'm not mistaken.
You seem a little lost.
Zoe's my patient, and you're not under me.
No.
I don't have that honour.
Look, she's scared shitless about her surgery tomorrow.
I thought I'd try to calm her down a bit.
Word to the wise.
You can't afford to get too attached to your patients, or other doctors' patients.
I never got that.
If you can't relate to them on their level, how can you begin to know how to help them? We may as well be robots.
One day, you're going to have to tell someone there's nothing more you can do for them.
If you're too emotionally attached, you will not be able to.
Where do you plug yourself in? Right cheek, Dr Bell.
Dick.
(SIREN WAILS) 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.
You go first.
Hi.
Hey.
Tabb Patel.
You have my outlier? Come this way.
Bed 42.
Oh, we'll get there.
Hey.
I'm Tabb.
Hey, Tabb.
I'm Abe.
How are you doing? Better than you, I'm guessing.
Sorry about the bed situation, by the way.
It's just for tonight.
We'll get you a bed in cardio first thing tomorrow.
When are we going to get to see a doctor? My brother's been waiting a long time.
How's that? (CHUCKLES) The ED said you had an episode of cardiac syncope Uh, you fainted.
I mean, the jury's still out as to what caused it.
Could be a number of things.
Have you ever experienced anything like this before? Any moments of dizziness, light-headedness, or shortness of breath? - No.
- None of the "nesses", then? Oh, this is funny to you, is it? Don't mind him.
He was born on the wrong side of the bed.
Don't shit the man, Felipe.
He's okay.
You think everyone's okay, all right? You never stand up for yourself and that's why your black ass is being shoved here into gyno gyno Gynaecology.
Pussy ward, when you should be in cardio.
My brother look like a woman with reproductive issues? I don't know.
Do you want me to take a look? (CHUCKLES) What I want is for you to sort out what's wrong with my brother.
All right? Do your job.
That's what I want.
Can you hook up the ECG, please? It's never a good idea to have sex with your boss.
Oh, thanks for the tip.
Might seem like an advantage, but actually, it's career suicide.
Damn, because I was thinking of inviting Steele in for a three-way, unless you want in, and we can make it a dirty foursome.
Say what you like.
There's no denying that he only has eyes for you.
Who's the late admission? Kelly Reid.
I know she's your patient.
I thought you might like to take a look.
Kelly's been complaining of some mild graft tenderness, haematuria, some discomfort on urination, and her urine output is dropping off.
Creatinine? Creatinine and urea are both up.
Well, well, well.
Look what the cat dragged in.
Dr Berger.
Kelly Reid, my all-time favourite patient.
Like I believe that.
Well, you should.
Kelly had kidney failure, secondary to reflux nephropathy.
She was fortunate enough to receive a donor kidney from the list.
Tanya tells me you've got pain.
Can you show me? Just the graft site? Have you been taking your medication regularly? Of course.
It's just if you haven't, you need to tell us.
Kelly knows the score.
Don't you, Kel? How's the folks? They coming in? No.
Dad's become a dad again.
No way.
He's on a mission to populate the planet.
And Mum? How is she? - She around? - Parking the car.
Say hello from me, yeah? Well, she's lying about taking her meds.
Wouldn't be the first.
That's a big jump.
Common things occur commonly.
My money would be on a UTI.
Find out.
Organise a mid-stream urine test, and order in an ultrasound to make sure there's no obstruction or infection.
Keep an eye on her.
Either way, we can't afford to lose this kidney.
Well, as far as eye contact goes, I'd say that was a 70/30 split in your favour.
How'd you see it? Mr Valau.
I'm so sorry about this bed situation.
It's okay.
Plenty of lovely ladies on this floor.
- Yeah, right.
- Doc.
We were promised an upgrade.
Were you? Well, I mean, as soon as a bed becomes available, we will get your brother moved.
How long's this ECG been down? Well, it was working this morning.
- (MACHINE BEEPS) - Oh, there you go.
(SCOFFS) What kind of place are you people running here? Well, we do the best we can with what we have, all right? Mr Valau, the blackout, you have anything like that before? No.
Any dizziness? None of the "nesses".
Oh, you had to be there.
Right.
So, you been in hospital for any reason over the past 12 months? Mr Valau? Yeah, the big 40-plus day.
Doctors called it heatstroke.
Right, what happened? I was a bit dizzy on my feet.
You didn't tell me that.
He didn't tell me that.
Were you admitted to this hospital? Southern General.
Right.
Did they run an ECG? Yeah, they ran all sorts of tests.
Get those reports faxed over here ASAP.
Faxed? You guys are still using faxes here? (PAGER BEEPS) Oh, good God.
Pagers as well.
Hey, you know, we have reached the digital age.
Have we indeed? All right, well, I'll pass that along.
Now, Mr Valau, I have to go, but I'll leave you in the capable hands of Dr Patel here.
Quick word? When you run a patient history, you cast a wide net.
A wide net.
You get that? - Yes.
- What do you cast? Wide net.
Sorry, no That guy's going to look after you in a bed you're not supposed to be in, right, with machines that don't work.
Oi.
Thanks.
You have a proper university degree? Yeah.
Two.
Fine arts and medicine.
Oh, really? Yes, thank you.
I'll hold.
Chill, brother.
The man has two degrees.
How many have you got? I'm not the one being let loose on sick people.
I like him.
I look into his eyes and I can see God.
Hey, you see God in everyone.
I do too.
I'm a lucky man.
Do you remember the name of the doctor you came in under? Zac? FRANKIE: He's here.
Hey, baby.
Okay, you're going to look after Daddy while the doctors look after Mum, yeah? Yeah.
Okay.
This train's about to leave the station.
Say your goodbyes.
I'll be here when you wake up, okay? Yeah.
See you, baby.
Hey.
She's in good hands.
Come on, mate.
Are you going to be doing the operation? I wish.
I'll be holding the retractor, but you can bet I'll retract like nobody's business.
LVAD, right.
Okay, we're set to go? Yep.
Okay, people.
Time is money.
We've got a full list today.
All right, so, Zoe, have a look at Dr Tannis for me, then I want you to count from one to 10 slowly.
One, two, three, four, five Kelly Reid's ultrasound results are out.
There is no obstruction, no perinephric stranding.
And her pain? Getting worse.
Any chance her mum's in? No, hasn't been in.
- Can you show me where it hurts? - Here.
- Same level as before? - Worse.
Can you give me something for the pain? Well, the paracetamol we had you on should've done the trick.
We've got your ultrasound results back and there's no sign of obstruction and no sign of infection, so if this is your kidney, we need to act now.
Is there anything that you forgot to tell Maybe it's something I ate.
What did you do over the weekend? It was a public holiday.
You do anything fun? No, just hung at home, watched TV.
And where's home? Are you with your mum or your dad? I was at a friend's place.
Can you give her five of Endone? That should help ease the pain.
Kelly's ultrasound came back clear, but she is worsening clinically, so I think we need an urgent biopsy.
Absolutely.
Prioritise that.
TABB: Dr Nader? I've been in touch with Southern General and there's nothing in the notes, but I'm looking at an ECG from back then and I think I've discovered some old pathological Q waves.
I mean, after four years of training, it's kind of hard to admit that they still look like a stack of squiggly lines, but I'm a little worried by that.
Yeah, you're right to be worried.
Possible prior MI.
They must have missed it.
So, go and find out what's going on and report back.
Mr Valau! Does my arse look big in this? Please get back in bed now, okay? Call me Abe.
I'm trying to figure out how you had a heart attack and no one even spotted it, not even you.
Talofa! I think my butt's scaring the ladies.
(CLEARS THROAT) If you don't tell your doctors what's going on, we can't help you, okay? I've got a plane to catch.
If I tell you that, you're going to say I can't go.
- Mr Valau, you are a very sick man.
- I feel fine.
You've had an abnormal rhythm in your heart.
Do you know what else is an abnormal rhythm? Asystole, flatlining, death.
So you may not get off that plane via the stairs and your return trip might just be in a cargo hold.
What is so important for you to risk your life for? My cousin's first communion.
You ever been to a mass? I don't just mean any old Christian, half comatose, Sunday obligatory ritual.
I'm talking mass Samoan style.
Me and my brother, Felipe, we lay down the bassline and my aunts and nieces and sisters-in-law, they're the altos.
Together, we're going to take the roof off that church.
And that little girl, she's going to carry that moment the whole of her life.
And anytime she's scared or fretting about something, or thinks there's no one there for her, she'll look back on that day and she will remember the sound of it.
She will remember that she is never alone.
That God is with her.
You know, the Jesuits had me stuck in their Biblical honey trap for a few years in primary school.
And I seem to recall something about God helping those who help themselves.
So it seems to me that these dizzy spells and chest pains that you're having are messages he wants you to hear.
Yet you keep choosing to look the other way.
Hm.
- (THUMPS MACHINE) - (MACHINE BEEPS) You.
Sex on toast.
Yes, you.
Over here.
So, what are we looking at? I'm sorry, what are you? - Take us through her anatomy, please.
- Oh.
Ascending aorta, left and right atria, right ventricle at the front, and pulmonary arteries.
So how are we looking? We're looking good.
- We're right to implant the LVAD, then? - Yes.
So what about this aneurysm here? Is that an issue? Uh, that wasn't present on the Well, it's present here, so is that an issue? Yes, that's one of the main contraindications.
So I guess we're not ready to implant, then? I'll call Steele, see what he wants to do.
Sew her up.
Now.
Ah, I see your plan.
So by the time you finish suturing the top half of the wound, the bottom half will have healed of its own accord.
That's clever.
You should become a GP.
Move to Byron Bay and make babies.
I don't want to be a GP.
Yeah, well, you're too soft for surgery.
You'll never make it.
Oh, what? You're going to cry now? Give me a break.
I'm doing you a favour.
Zoe Mendosa's LVAD's a no go.
There was an aneurysm on the ascending.
Bugger.
How big are we talking, Maggie? I don't know, 3 to 4 cm? Either way, I think our options are pretty much down to one.
Where is she on the transplant list? Well, she'll be higher now.
Thanks for letting me know.
Be there when she wakes up.
You better be gone when I get home 'Cause this has gone on way too long If you're still there it ain't my home So I don't give a damn Where you go No, I don't give a damn Where you go.
Some weekend you guys had.
Partied pretty hard.
Can you take those out, please? There's rules against cyberstalking.
Well, you don't look like someone who cares a whole lot about rules, Kelly.
- You drink alcohol? - I had one jelly shot.
- Take drugs? - No, I didn't take drugs.
What about the ones you were supposed to take? The immune suppression to keep your kidneys safe? What did spy cam tell you? I'm not sure you understand the seriousness of your situation.
No, I understand.
Believe me.
Well, your urine test suggests this is not a UTI, so if your kidney is going into rejection, I need to get on it.
Did you take your meds every single day? Mum was supposed to drop them round, but she never made it.
So, you missed more than one day's meds, because you were away the whole long weekend? I told you, Mum was supposed to drop them Stop blaming your mum.
It's your body.
- Blaming other people and lying - I want another doctor.
What don't you get? Someone gave up their kidney for you.
So many people don't get that chance and you may has well thrown it Get away from me! - Get the fuck away from me! - What is going on here? - Doctor? - Get her the fuck out! - Go away! - Don't speak like that, thank you.
It's Dr Bell again from City West Public.
It's about your daughter, Kelly.
If you could please return my call, it is urgent.
Happy birthday to you Happy birthday to you Happy birthday, dear Maria Happy birthday to you! (CHEERING) That looks good.
All these ladies in this floor must keep you on your toes, hey? - Not as much as you'd think.
- (LAUGHS) I never got your name.
Oh, Enrico.
Nice to meet you properly.
Hello? Hello? Are you a doctor? Mm-hm.
There's a guy in bed 42 looks like he's dead.
Abe! Abe! Abe! Come on! Hit the alarm.
Someone call the code team! Oh, shit.
Talk to me.
Abe, come on! Can you hear me? Oh, shit.
Talk to me.
Come on! (MACHINE BEEPS FLATLINE) I'm starting compressions.
ENRICO: One, two, three, four, five, six, seven, eight, nine, ten, eleven, twelve.
Okay, someone take over.
I need to get a cannula in.
I got it.
Where's the reg? Come on.
Quick, quick! Come on, Abe.
Stay with me, buddy.
Stay with me.
Come on.
What's going on here? Patient is a 38-year-old Samoan male, admitted yesterday.
An episode of cardiac syncope.
Um, he's got multiple Why the hell haven't you got access yet? Step away.
Give me that.
Step back.
All right, how long's he been down? How long's he been down? Uh, I'm not sure.
- Say you don't know.
- I don't know.
I don't know.
Could you do CPR, please? Thank you.
Yep, good.
Step back.
Step back.
We're doing a rhythm check.
Clear for a rhythm check.
Those pads on? Good.
Okay, let's see what we got here.
DEFIBRILLATOR: Start CPR.
No shockable rhythm.
One mil of adrenaline.
Get on CPR now.
Go, go.
Count it out.
Count it out.
ENRICO: 6, 7, 8, 9, 10, 11, 12, - 13, 14, 15, 16, 17 - Come on, come on! - Come on! - 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, - 29, 30.
- Stop.
Clear.
All right.
Clear for rhythm check.
DEFIBRILLATOR: Analysing now.
Stand clear.
Still nothing.
Another mil of adrenaline.
Start CPR.
Get out of the way.
Count it! One, two, three, four, five, six, seven, eight, nine, ten Come on! Come on! 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30.
Rhythm check.
(MACHINE BEEPS FLATLINE) Fuck.
(PANTS) Pack up, everyone.
No, no, no.
Just shock him, shock him.
Just shock him! Just shock him anyway! He's really nice! - Hey, always get access first.
- I was doing CPR! - Then delegate.
- I did delegate! It's not good enough.
Learn to have a more concise patient history.
You waffle.
You wanted a new ECG? He did.
You written a death certificate before? No.
I'll get the death box.
Fill it out as best you can.
If you get stuck, give me a hoy.
ZOE: Retractor girl.
Ah.
I feel like I've been body slammed by a sumo.
I guess that's a good thing.
This is where you tell me the operation was a complete success and you're going to live to 120.
Hey.
- Hey.
- You're awake.
What's going on? I don't know.
Um, Zoe had an aneurysm on the ascending aorta.
It never showed up on imaging.
- What does - What does that mean? Your aorta wasn't strong enough to support the LVAD, so we had to abort the procedure.
- What? - We couldn't we couldn't implant it.
I'm sorry.
It was too risky.
What do you mean too risky? You know, you are on priority listing for a heart transplant, and I know I know the surgeons have already been in consultation with a physician team, so you will be first cab off the rank this time.
I'm sorry.
I'm I'm sorry, Zoe.
I know this is not the news you wanted to hear.
Sorry.
Death box.
Hi, I'm chasing a biopsy on my renal patient, Kelly Reid.
He shouldn't have been in gynie, which isn't my fault.
And then the ECG didn't work, and then when the new one arrives, it's too late.
What? You think I could've done more or something? Oh, God, no.
No, Tabb.
This isn't your fault.
These things are going to happen.
Okay.
Thank you.
I ordered an urgent biopsy at 10:00 this morning and it still hasn't happened.
I think I have a kidney about to crash.
Nothing works in this place.
Kelly Reid's biopsy.
How come no one came to pick her up for it? She was given a heparin this morning.
Had to cancel the biopsy.
And I marked that as withheld.
Who gave her that? It's a new grad nurse.
I'll sort it out.
She's having the biopsy tomorrow.
Well, we might not have until tomorrow.
Zoe didn't get the LVAD.
Aneurysm on the ascending.
VOICEMAIL: Hi.
This is Professor Berger.
Please leave a message.
(MACHINE BEEPS) Dr Berger, it's Dr Bell.
I'm sorry to call you after hours.
It's regarding Kelly Reid.
Her situation is rapidly deteriorating.
(MACHINE BEEPS) RECORDING: Your message will now be sent as a text.
Yep.
Thanks.
Uh, anti-rejection therapy.
I need it to be administered.
You got authority for this? Yep, just now.
Kelly, your kidney is going into rejection, so I need to give you some medicine to save it.
We're going to set up an IV.
I need to get this cannula into your arm.
- Get her away from me.
- You need to give me access.
If you lose your kidney, the next step is we remove it.
After that, you are on dialysis.
Fuck off.
Forever.
This was your second chance.
You've shown that you can't be trusted, so there will not be another donor kidney.
Your file will be marked non-compliant and you will be on dialysis until you die, which will be as soon as you get an infection.
You don't have to like me.
You just have to let me do my job.
And the only thing that matters is that we save the graft.
There's still a chance, but I need to have you with me.
Okay? FELIPE: Hey.
Abe still awake? Um What? While you were gone, your brother had a cardiac arrest.
We tried to revive him, we did the best we could, but unfortunately, we were unsuccessful.
Um I don't understand.
Your brother's passed away.
Jesus.
(SOBS) (CONTINUES SOBBING) Frankie? Hi, Zoe.
I heard about your aneurysm.
I'm so sorry.
How long? If I don't get a donor.
How long have I got? No one can accurately answer that.
Two days? Two weeks? How long? You should talk to Steele.
I'm asking you.
- It's not for me to - Please.
If I'm not going to survive, I have to make plans.
You should make those plans.
Here's your tea.
You're looking heaps better.
Okay.
(PHONE BEEPS) Thanks.
Yes, Dr Patel speaking.
ENRICO: Your mate Felipe's making a lot of noise.
He stopped for a while, then he started up again.
I'm thinking maybe you need to come down and get him.
Well, he's lost his brother.
I mean, he should be allowed to grieve.
- Sure, but he's, well very loud.
- (FELIPE SOBS) He's starting to freak out the other patients.
So what would you like me to do? Get him to grieve a little quieter? (SIGHS) Okay, I'm coming.
Abe should've been in cardio ward.
He should've had a proper bed.
Instead, you stick him in here.
What kind of place are you running here? You can make an official complaint.
It won't bring him back.
I'm so sorry.
Visiting hours are over.
You have to tell them to leave.
No.
(PEOPLE SING IN SAMOAN) How did we go last night? Feeling better? That's odd.
You ordered drugs for a patient without first talking it over with me? Her kidney was packing it in.
Potentially life-threatening drugs.
- Well, I tried calling you first.
- Not good enough.
Did you at least clear it with Berger first? Have we got a problem here? Dr Bell prescribed steroids for a patient without first clearing it with me or a consultant.
Did you get authority for the drugs? I tried, but there was so little time that I had to act.
Did you get authority? Yes or no.
No.
I want her gone.
You can't always get what you want, Rupe.
Just ask my mother.
You're not hearing me.
Get your thumb out of your arse, mate, for God's sake.
Do you think Frankie didn't know the stakes? She knew her job was on the line.
But she went ahead anyway to save the kid.
We need more of that in this place, not less.
You're sleeping with her.
That's the rumour going around.
You know, I'd take a Frankie over any of the lifestylers or bean counters any day of the week.
It's doctors like her that will keep this dysfunctional ship afloat.
I'll take that as a yes, then.
- Get your mind out of the gutter.
- (MOBILE RINGS) Yes.
Okay, thanks for letting me know.
I'll be right down.
Got a donor transplant en route.
Lungs and heart.
Suspend her, at the very least.
How old did you say he was? 24, 25.
Bloody hell.
What happened? MVA? He was cycling up John Hunter Way.
Very sad.
Guess we should try and give his heart another 60 years, shouldn't we? Well, my patient wouldn't mind another 60 years herself.
I hear we have a heart.
Look, I've got something scheduled next, but why don't you take over that and I'll do this? Actually, I'm good.
You've just done 14 hours of theatre.
Thanks for the offer, Maggie, but I've got this.
We don't know if I'm going to match up or anything.
Zoe, good news.
The heart looks great.
We're good to go.
The porters are here to take you to theatre.
Now? We'll need to be ready.
The donor heart's already in transit.
Okay.
- FRANKIE: Who's operating? - Mitri.
- Is he letting you scrub in? - Yes.
(BOTH CHUCKLE) (HELICOPTER WHIRRS) ZOE: I had a new fridge in transit once and it took two days to arrive.
Got rerouted via Adelaide.
So, yeah, maybe we should just not take out the old one just yet.
You're going to be okay.
Zoe, we're ready.
Where's Zac? Zac? - You see him? - No.
Zoe, we need to get you to theatre now.
This can't wait.
- Time is of the essence.
- I'm not going anywhere until I see my son.
I'll find him.
Zac? Zac? Where are you, buddy? Zac? We've lost Zac.
- I'll check upstairs again.
- Yep.
Zoe, the family have gifted a heart.
We have precious little time.
Don't you dare try and guilt trip me because I need to make sure my son is okay.
I understand your situation.
I have family, kids myself, so I get it.
But you have to be brave for them.
Please.
- Let us get on with our job.
- No! Not until I talk to him.
(MOBILE RINGS) Oh.
Frankie? - Hey, there he is.
- We've got him.
They found him.
He's safe.
Let me talk to him.
FRANKIE: Hey, Zac.
Hey, I've got your mum on the phone.
She just wants to have a little chat.
Zac? Zac, baby, can you hear me? Zac? What is it, buddy? - It's the operation? - Yeah.
You know, Mum's heart wasn't working so well.
That's why she was so sick.
But once the doctors put in a new one, she's going to be back to her old self again.
Not the same, is it, mate? This this new heart doesn't know you.
This new heart has never taken you to footy practice.
New heart's never tucked you in at night, has it? Right.
You know how people say that you love with your heart? Actually, that's not true, because really, we love with our heads.
Your mum still loves you very much.
It's just that her old heart, it's a pump.
It needs replacing.
This replacement's a pretty big job.
Your mum's a little scared.
She needs to talk to her strong little guy.
Let her know you love her.
Make her feel brave, okay? Mum? Zac.
Hey, baby.
You're okay? I want to go home.
Same here, baby.
Same here.
Zoe, please.
I love you.
Mummy has to go now, okay? (PHONE DISCONNECTS) You did great.
We're on.
Come over and help, please.
Thanks.
The enemy of language is insincerity As I'm laying in your bed Thinking of another man I'm not sure where I am And I know I've forgotten him But I've learnt remembering Is just as easy to assemble When history parallels and repeats Just just just Parallels and repeats Just just just You moved me to release all of When his body spoke When we were unguarded And I've started to forget why I chose to leave him alone Feels like a massive evasion Concrete patent Palisades are driving through this space I'm hiding from something Unsure which one of us I am lying to Feels like a massive evasion Concrete patent Palisades are driving through this space I'm hiding from something, unsure which one of us MITRI: Okay.
Blood vessels done? TANNIS: Yes.
All ready to move our pump.
Okay.
- Let's take her off.
- Stop.
Do not unclamp.
What's the issue? There's a loose stitch.
Check it.
Um What's your call, resident? Um I must have been mistaken.
Right.
Okay, unclamp.
Let's start her up.
Stand back.
Charging.
Clear.
(MACHINE BEEPS) Huh.
Good job.
All right.
Job done.
In there, that is my OT.
Not a stage for you to play whatever game it is you're playing.
I wasn't.
I thought I saw a loose stitch.
Seemed to me you were trying to make a point.
Give me a break.
You really think I'd be that unprofessional? I don't know you.
You still with the mother of your children? You're out of line.
Yeah, well, I guess we both crossed a line we shouldn't have.
But I want to get back on the right side of that line, and I know I can't keep seeing you, but I don't see why that should impact our working relationship.
There's no reason why it should.
(CLEARS THROAT) Your urine output's increased.
Creatinine levels are still dropping.
That's very good.
Looks like you're continuing to respond well.
Guess you're feeling pretty proud of yourself.
Your mum hasn't returned one of my calls.
- Why is that? - You'd have to ask her.
Well, she knows you're in hospital.
- What do you want? - To help you.
Maybe I don't want your help.
Do you want to live? You know that your donor kidney was your second chance, and today was your third.
There might not be another.
How you fare is up to you.
This is for you.
To remind you to pack your meds.
If you couldn't get through to Tanya, you should've contacted me.
I tried.
Then you keep on trying.
You don't just maverick off.
You do know Steele's her father, don't you? Tanya? What? That is nepotism.
I shouldn't go there, if I were you.
Well, what did the biopsies show? That her kidney was going into rejection, so I did save her life.
What if you were wrong? I know what that girl was going through.
I wasn't going to stand by.
Your kidney doesn't give you license to do whatever you like.
There is a system in place, and it's not just there to protect the patient.
What's the point of all the knowledge that I have if I can't use it? Steele wants you gone.
What do you want? I don't want you stuck in some outpost.
I know why you threw your financial career away.
I know what you've got invested here.
I know that you want to give something back, but you won't get to if you get thrown out.
I don't need to tell you how many people are waiting just to take your place, so don't fuck up.
I won't always be here to save you.
What would you say to a patient facing that? Go on.
It's a brain tumour.
Benign? There's no biopsy as yet, but just going off what you've got in front of you.
It's glioblastoma multiforme.
Prognosis? (SCOFFS) Six months, two years at the top end of the scale, but I don't really know.
That's the realm of a brain surgeon.
No, no, no.
Don't avoid.
Just say for argument's sake that it is a glioblastoma.
What would you say to the patient? (CHUCKLES WRYLY) Don't buy too many green bananas.
Who's the patient? Answer the question, Frankie.
Who's the patient? I would remind him that all any of us have is the moment in front of us.
This wine's 25 summers old.
My father gave it to me as I graduated.
He said, "Drink it when you make professor.
" Well, that day came and passed and I couldn't quite bring myself to.
I don't know what I've been waiting for.
It's probably corked.
Iechyd da.
Cheers.
No, no.
That's good.
Very good.
My old man was a beer drinker.
He did well.
Did you know there's a rumour going around that we're having an affair? Yes.
Yeah, I did hear that.
How was it for you? (LAUGHS) (LAUGHS) Cheeky bugger.
Smile, we're all dying Hey You've been lying To yourself again Smile, we're all dying Love, we're all trying Smile, we're all dying Hey I don't know who you are Life is delicate Not like the past Such perfect timing Oh, what a finding Smile, we're all fighting Hey Evil does not exist Good on the other hand Is at your fingertips Out into space Hey.
(TEARFULLY) I'm all right.
It's just a shit day.
You've been lying To yourself again Smile, we're all dying Hey.
Oh, hi, buddy.
I wasn't expecting you guys so soon.
- How's Zo? - She's doing great.
We're weaning her off the sedatives and we expect to be extubating her soon.
Hey.
Welcome back.
Eli.
Thanks.
I just wasn't ready, you know, but next Are you a doctor, or are you not? I get that, but BERGER: You are a mere resident.
You don't get to edit my patient list.
It's not your job.
You know that I'm a transplant recipient.
I can't lose this baby.
I bet Vet World's looking pretty good right now.
Scalpel.
Let's get funky, people.
Go to Emergency.
Get help! Hey, I need you to respond.
Can you hear (COUGHS AND GASPS) I've got you.
You're okay.
She was found not breathing.
Right, we'll take it from here.
- Bed 33.
- Thank you.
Squeeze my hand if you can respond.
BERGER: So you treated a TB patient? Use a mask? It was an emergency in the car park.
So that's a no.
You shouldn't be here.
Here, we're doctor and doctor, so you don't get to decide what I can and can't do.
Myocarditis is sudden heart failure caused by a virus.
A virus in my heart? Unfortunately, your heart is damaged.
I'm going to put you on a cardiac transplant list as urgent.
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.
How did you get to be so good at this? Practice, sleepless nights, more practice.
I have other skills.
You're sleeping with Mitri? 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.
(SIRENS WAIL) (ELEVATOR BELL DINGS) (PAGER BEEPS) (MOBILE VIBRATES) (MOBILE VIBRATES) Hello? Hey.
Yeah, someone's moved gynie.
Either that or I'm lost.
What are you doing in gynie? I'm looking for my heart patient.
(LAUGHS) That'll be where you're going wrong.
Ha, very funny.
There was no beds in cardio, so he got booted.
Oh, he's an outlier.
- Crap for him.
- Crap for me if I can't find gynie.
Oh, hang on a sec.
You found it? No, but I think I've solved the bed shortage.
Someone should tell the premier.
Tabb, got to go.
What's an outlier? It's someone who's been bumped to a different ward because of a lack of beds.
I'd be happy to swap for a bed in gynie.
Swap my disease while we're at it.
Something simple, like a urinary tract infection.
Course of antibiotics and back to work on Monday.
Do you have any questions about the pump? Does it come in another colour? Something a little less bionic? Oh, you don't want to rock this around the school canteen? You know what? It's going to get you there.
You're young, your numbers are good, so you are going to be fine.
- Dr Nader.
Hi.
- Mrs Mendosa.
Just thought I'd check up on you, see how you're doing before your big operation tomorrow.
Frankie's beaten you to the punch.
I can see that.
Is there anything else you need from me or has Dr Bell got you sorted? Nah, I'm good.
All right.
Well, we'll let you rest, eh? Bye.
You pass all your subjects at med school, Dr Bell? Uh, yes.
How about basic anatomy? 'Cause you're on renal rotation, right, and Zoe's cardio.
Let's see, renal, that's the kidneys.
Cardio, that's the heart, if I'm not mistaken.
You seem a little lost.
Zoe's my patient, and you're not under me.
No.
I don't have that honour.
Look, she's scared shitless about her surgery tomorrow.
I thought I'd try to calm her down a bit.
Word to the wise.
You can't afford to get too attached to your patients, or other doctors' patients.
I never got that.
If you can't relate to them on their level, how can you begin to know how to help them? We may as well be robots.
One day, you're going to have to tell someone there's nothing more you can do for them.
If you're too emotionally attached, you will not be able to.
Where do you plug yourself in? Right cheek, Dr Bell.
Dick.
(SIREN WAILS) 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.
You go first.
Hi.
Hey.
Tabb Patel.
You have my outlier? Come this way.
Bed 42.
Oh, we'll get there.
Hey.
I'm Tabb.
Hey, Tabb.
I'm Abe.
How are you doing? Better than you, I'm guessing.
Sorry about the bed situation, by the way.
It's just for tonight.
We'll get you a bed in cardio first thing tomorrow.
When are we going to get to see a doctor? My brother's been waiting a long time.
How's that? (CHUCKLES) The ED said you had an episode of cardiac syncope Uh, you fainted.
I mean, the jury's still out as to what caused it.
Could be a number of things.
Have you ever experienced anything like this before? Any moments of dizziness, light-headedness, or shortness of breath? - No.
- None of the "nesses", then? Oh, this is funny to you, is it? Don't mind him.
He was born on the wrong side of the bed.
Don't shit the man, Felipe.
He's okay.
You think everyone's okay, all right? You never stand up for yourself and that's why your black ass is being shoved here into gyno gyno Gynaecology.
Pussy ward, when you should be in cardio.
My brother look like a woman with reproductive issues? I don't know.
Do you want me to take a look? (CHUCKLES) What I want is for you to sort out what's wrong with my brother.
All right? Do your job.
That's what I want.
Can you hook up the ECG, please? It's never a good idea to have sex with your boss.
Oh, thanks for the tip.
Might seem like an advantage, but actually, it's career suicide.
Damn, because I was thinking of inviting Steele in for a three-way, unless you want in, and we can make it a dirty foursome.
Say what you like.
There's no denying that he only has eyes for you.
Who's the late admission? Kelly Reid.
I know she's your patient.
I thought you might like to take a look.
Kelly's been complaining of some mild graft tenderness, haematuria, some discomfort on urination, and her urine output is dropping off.
Creatinine? Creatinine and urea are both up.
Well, well, well.
Look what the cat dragged in.
Dr Berger.
Kelly Reid, my all-time favourite patient.
Like I believe that.
Well, you should.
Kelly had kidney failure, secondary to reflux nephropathy.
She was fortunate enough to receive a donor kidney from the list.
Tanya tells me you've got pain.
Can you show me? Just the graft site? Have you been taking your medication regularly? Of course.
It's just if you haven't, you need to tell us.
Kelly knows the score.
Don't you, Kel? How's the folks? They coming in? No.
Dad's become a dad again.
No way.
He's on a mission to populate the planet.
And Mum? How is she? - She around? - Parking the car.
Say hello from me, yeah? Well, she's lying about taking her meds.
Wouldn't be the first.
That's a big jump.
Common things occur commonly.
My money would be on a UTI.
Find out.
Organise a mid-stream urine test, and order in an ultrasound to make sure there's no obstruction or infection.
Keep an eye on her.
Either way, we can't afford to lose this kidney.
Well, as far as eye contact goes, I'd say that was a 70/30 split in your favour.
How'd you see it? Mr Valau.
I'm so sorry about this bed situation.
It's okay.
Plenty of lovely ladies on this floor.
- Yeah, right.
- Doc.
We were promised an upgrade.
Were you? Well, I mean, as soon as a bed becomes available, we will get your brother moved.
How long's this ECG been down? Well, it was working this morning.
- (MACHINE BEEPS) - Oh, there you go.
(SCOFFS) What kind of place are you people running here? Well, we do the best we can with what we have, all right? Mr Valau, the blackout, you have anything like that before? No.
Any dizziness? None of the "nesses".
Oh, you had to be there.
Right.
So, you been in hospital for any reason over the past 12 months? Mr Valau? Yeah, the big 40-plus day.
Doctors called it heatstroke.
Right, what happened? I was a bit dizzy on my feet.
You didn't tell me that.
He didn't tell me that.
Were you admitted to this hospital? Southern General.
Right.
Did they run an ECG? Yeah, they ran all sorts of tests.
Get those reports faxed over here ASAP.
Faxed? You guys are still using faxes here? (PAGER BEEPS) Oh, good God.
Pagers as well.
Hey, you know, we have reached the digital age.
Have we indeed? All right, well, I'll pass that along.
Now, Mr Valau, I have to go, but I'll leave you in the capable hands of Dr Patel here.
Quick word? When you run a patient history, you cast a wide net.
A wide net.
You get that? - Yes.
- What do you cast? Wide net.
Sorry, no That guy's going to look after you in a bed you're not supposed to be in, right, with machines that don't work.
Oi.
Thanks.
You have a proper university degree? Yeah.
Two.
Fine arts and medicine.
Oh, really? Yes, thank you.
I'll hold.
Chill, brother.
The man has two degrees.
How many have you got? I'm not the one being let loose on sick people.
I like him.
I look into his eyes and I can see God.
Hey, you see God in everyone.
I do too.
I'm a lucky man.
Do you remember the name of the doctor you came in under? Zac? FRANKIE: He's here.
Hey, baby.
Okay, you're going to look after Daddy while the doctors look after Mum, yeah? Yeah.
Okay.
This train's about to leave the station.
Say your goodbyes.
I'll be here when you wake up, okay? Yeah.
See you, baby.
Hey.
She's in good hands.
Come on, mate.
Are you going to be doing the operation? I wish.
I'll be holding the retractor, but you can bet I'll retract like nobody's business.
LVAD, right.
Okay, we're set to go? Yep.
Okay, people.
Time is money.
We've got a full list today.
All right, so, Zoe, have a look at Dr Tannis for me, then I want you to count from one to 10 slowly.
One, two, three, four, five Kelly Reid's ultrasound results are out.
There is no obstruction, no perinephric stranding.
And her pain? Getting worse.
Any chance her mum's in? No, hasn't been in.
- Can you show me where it hurts? - Here.
- Same level as before? - Worse.
Can you give me something for the pain? Well, the paracetamol we had you on should've done the trick.
We've got your ultrasound results back and there's no sign of obstruction and no sign of infection, so if this is your kidney, we need to act now.
Is there anything that you forgot to tell Maybe it's something I ate.
What did you do over the weekend? It was a public holiday.
You do anything fun? No, just hung at home, watched TV.
And where's home? Are you with your mum or your dad? I was at a friend's place.
Can you give her five of Endone? That should help ease the pain.
Kelly's ultrasound came back clear, but she is worsening clinically, so I think we need an urgent biopsy.
Absolutely.
Prioritise that.
TABB: Dr Nader? I've been in touch with Southern General and there's nothing in the notes, but I'm looking at an ECG from back then and I think I've discovered some old pathological Q waves.
I mean, after four years of training, it's kind of hard to admit that they still look like a stack of squiggly lines, but I'm a little worried by that.
Yeah, you're right to be worried.
Possible prior MI.
They must have missed it.
So, go and find out what's going on and report back.
Mr Valau! Does my arse look big in this? Please get back in bed now, okay? Call me Abe.
I'm trying to figure out how you had a heart attack and no one even spotted it, not even you.
Talofa! I think my butt's scaring the ladies.
(CLEARS THROAT) If you don't tell your doctors what's going on, we can't help you, okay? I've got a plane to catch.
If I tell you that, you're going to say I can't go.
- Mr Valau, you are a very sick man.
- I feel fine.
You've had an abnormal rhythm in your heart.
Do you know what else is an abnormal rhythm? Asystole, flatlining, death.
So you may not get off that plane via the stairs and your return trip might just be in a cargo hold.
What is so important for you to risk your life for? My cousin's first communion.
You ever been to a mass? I don't just mean any old Christian, half comatose, Sunday obligatory ritual.
I'm talking mass Samoan style.
Me and my brother, Felipe, we lay down the bassline and my aunts and nieces and sisters-in-law, they're the altos.
Together, we're going to take the roof off that church.
And that little girl, she's going to carry that moment the whole of her life.
And anytime she's scared or fretting about something, or thinks there's no one there for her, she'll look back on that day and she will remember the sound of it.
She will remember that she is never alone.
That God is with her.
You know, the Jesuits had me stuck in their Biblical honey trap for a few years in primary school.
And I seem to recall something about God helping those who help themselves.
So it seems to me that these dizzy spells and chest pains that you're having are messages he wants you to hear.
Yet you keep choosing to look the other way.
Hm.
- (THUMPS MACHINE) - (MACHINE BEEPS) You.
Sex on toast.
Yes, you.
Over here.
So, what are we looking at? I'm sorry, what are you? - Take us through her anatomy, please.
- Oh.
Ascending aorta, left and right atria, right ventricle at the front, and pulmonary arteries.
So how are we looking? We're looking good.
- We're right to implant the LVAD, then? - Yes.
So what about this aneurysm here? Is that an issue? Uh, that wasn't present on the Well, it's present here, so is that an issue? Yes, that's one of the main contraindications.
So I guess we're not ready to implant, then? I'll call Steele, see what he wants to do.
Sew her up.
Now.
Ah, I see your plan.
So by the time you finish suturing the top half of the wound, the bottom half will have healed of its own accord.
That's clever.
You should become a GP.
Move to Byron Bay and make babies.
I don't want to be a GP.
Yeah, well, you're too soft for surgery.
You'll never make it.
Oh, what? You're going to cry now? Give me a break.
I'm doing you a favour.
Zoe Mendosa's LVAD's a no go.
There was an aneurysm on the ascending.
Bugger.
How big are we talking, Maggie? I don't know, 3 to 4 cm? Either way, I think our options are pretty much down to one.
Where is she on the transplant list? Well, she'll be higher now.
Thanks for letting me know.
Be there when she wakes up.
You better be gone when I get home 'Cause this has gone on way too long If you're still there it ain't my home So I don't give a damn Where you go No, I don't give a damn Where you go.
Some weekend you guys had.
Partied pretty hard.
Can you take those out, please? There's rules against cyberstalking.
Well, you don't look like someone who cares a whole lot about rules, Kelly.
- You drink alcohol? - I had one jelly shot.
- Take drugs? - No, I didn't take drugs.
What about the ones you were supposed to take? The immune suppression to keep your kidneys safe? What did spy cam tell you? I'm not sure you understand the seriousness of your situation.
No, I understand.
Believe me.
Well, your urine test suggests this is not a UTI, so if your kidney is going into rejection, I need to get on it.
Did you take your meds every single day? Mum was supposed to drop them round, but she never made it.
So, you missed more than one day's meds, because you were away the whole long weekend? I told you, Mum was supposed to drop them Stop blaming your mum.
It's your body.
- Blaming other people and lying - I want another doctor.
What don't you get? Someone gave up their kidney for you.
So many people don't get that chance and you may has well thrown it Get away from me! - Get the fuck away from me! - What is going on here? - Doctor? - Get her the fuck out! - Go away! - Don't speak like that, thank you.
It's Dr Bell again from City West Public.
It's about your daughter, Kelly.
If you could please return my call, it is urgent.
Happy birthday to you Happy birthday to you Happy birthday, dear Maria Happy birthday to you! (CHEERING) That looks good.
All these ladies in this floor must keep you on your toes, hey? - Not as much as you'd think.
- (LAUGHS) I never got your name.
Oh, Enrico.
Nice to meet you properly.
Hello? Hello? Are you a doctor? Mm-hm.
There's a guy in bed 42 looks like he's dead.
Abe! Abe! Abe! Come on! Hit the alarm.
Someone call the code team! Oh, shit.
Talk to me.
Abe, come on! Can you hear me? Oh, shit.
Talk to me.
Come on! (MACHINE BEEPS FLATLINE) I'm starting compressions.
ENRICO: One, two, three, four, five, six, seven, eight, nine, ten, eleven, twelve.
Okay, someone take over.
I need to get a cannula in.
I got it.
Where's the reg? Come on.
Quick, quick! Come on, Abe.
Stay with me, buddy.
Stay with me.
Come on.
What's going on here? Patient is a 38-year-old Samoan male, admitted yesterday.
An episode of cardiac syncope.
Um, he's got multiple Why the hell haven't you got access yet? Step away.
Give me that.
Step back.
All right, how long's he been down? How long's he been down? Uh, I'm not sure.
- Say you don't know.
- I don't know.
I don't know.
Could you do CPR, please? Thank you.
Yep, good.
Step back.
Step back.
We're doing a rhythm check.
Clear for a rhythm check.
Those pads on? Good.
Okay, let's see what we got here.
DEFIBRILLATOR: Start CPR.
No shockable rhythm.
One mil of adrenaline.
Get on CPR now.
Go, go.
Count it out.
Count it out.
ENRICO: 6, 7, 8, 9, 10, 11, 12, - 13, 14, 15, 16, 17 - Come on, come on! - Come on! - 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, - 29, 30.
- Stop.
Clear.
All right.
Clear for rhythm check.
DEFIBRILLATOR: Analysing now.
Stand clear.
Still nothing.
Another mil of adrenaline.
Start CPR.
Get out of the way.
Count it! One, two, three, four, five, six, seven, eight, nine, ten Come on! Come on! 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30.
Rhythm check.
(MACHINE BEEPS FLATLINE) Fuck.
(PANTS) Pack up, everyone.
No, no, no.
Just shock him, shock him.
Just shock him! Just shock him anyway! He's really nice! - Hey, always get access first.
- I was doing CPR! - Then delegate.
- I did delegate! It's not good enough.
Learn to have a more concise patient history.
You waffle.
You wanted a new ECG? He did.
You written a death certificate before? No.
I'll get the death box.
Fill it out as best you can.
If you get stuck, give me a hoy.
ZOE: Retractor girl.
Ah.
I feel like I've been body slammed by a sumo.
I guess that's a good thing.
This is where you tell me the operation was a complete success and you're going to live to 120.
Hey.
- Hey.
- You're awake.
What's going on? I don't know.
Um, Zoe had an aneurysm on the ascending aorta.
It never showed up on imaging.
- What does - What does that mean? Your aorta wasn't strong enough to support the LVAD, so we had to abort the procedure.
- What? - We couldn't we couldn't implant it.
I'm sorry.
It was too risky.
What do you mean too risky? You know, you are on priority listing for a heart transplant, and I know I know the surgeons have already been in consultation with a physician team, so you will be first cab off the rank this time.
I'm sorry.
I'm I'm sorry, Zoe.
I know this is not the news you wanted to hear.
Sorry.
Death box.
Hi, I'm chasing a biopsy on my renal patient, Kelly Reid.
He shouldn't have been in gynie, which isn't my fault.
And then the ECG didn't work, and then when the new one arrives, it's too late.
What? You think I could've done more or something? Oh, God, no.
No, Tabb.
This isn't your fault.
These things are going to happen.
Okay.
Thank you.
I ordered an urgent biopsy at 10:00 this morning and it still hasn't happened.
I think I have a kidney about to crash.
Nothing works in this place.
Kelly Reid's biopsy.
How come no one came to pick her up for it? She was given a heparin this morning.
Had to cancel the biopsy.
And I marked that as withheld.
Who gave her that? It's a new grad nurse.
I'll sort it out.
She's having the biopsy tomorrow.
Well, we might not have until tomorrow.
Zoe didn't get the LVAD.
Aneurysm on the ascending.
VOICEMAIL: Hi.
This is Professor Berger.
Please leave a message.
(MACHINE BEEPS) Dr Berger, it's Dr Bell.
I'm sorry to call you after hours.
It's regarding Kelly Reid.
Her situation is rapidly deteriorating.
(MACHINE BEEPS) RECORDING: Your message will now be sent as a text.
Yep.
Thanks.
Uh, anti-rejection therapy.
I need it to be administered.
You got authority for this? Yep, just now.
Kelly, your kidney is going into rejection, so I need to give you some medicine to save it.
We're going to set up an IV.
I need to get this cannula into your arm.
- Get her away from me.
- You need to give me access.
If you lose your kidney, the next step is we remove it.
After that, you are on dialysis.
Fuck off.
Forever.
This was your second chance.
You've shown that you can't be trusted, so there will not be another donor kidney.
Your file will be marked non-compliant and you will be on dialysis until you die, which will be as soon as you get an infection.
You don't have to like me.
You just have to let me do my job.
And the only thing that matters is that we save the graft.
There's still a chance, but I need to have you with me.
Okay? FELIPE: Hey.
Abe still awake? Um What? While you were gone, your brother had a cardiac arrest.
We tried to revive him, we did the best we could, but unfortunately, we were unsuccessful.
Um I don't understand.
Your brother's passed away.
Jesus.
(SOBS) (CONTINUES SOBBING) Frankie? Hi, Zoe.
I heard about your aneurysm.
I'm so sorry.
How long? If I don't get a donor.
How long have I got? No one can accurately answer that.
Two days? Two weeks? How long? You should talk to Steele.
I'm asking you.
- It's not for me to - Please.
If I'm not going to survive, I have to make plans.
You should make those plans.
Here's your tea.
You're looking heaps better.
Okay.
(PHONE BEEPS) Thanks.
Yes, Dr Patel speaking.
ENRICO: Your mate Felipe's making a lot of noise.
He stopped for a while, then he started up again.
I'm thinking maybe you need to come down and get him.
Well, he's lost his brother.
I mean, he should be allowed to grieve.
- Sure, but he's, well very loud.
- (FELIPE SOBS) He's starting to freak out the other patients.
So what would you like me to do? Get him to grieve a little quieter? (SIGHS) Okay, I'm coming.
Abe should've been in cardio ward.
He should've had a proper bed.
Instead, you stick him in here.
What kind of place are you running here? You can make an official complaint.
It won't bring him back.
I'm so sorry.
Visiting hours are over.
You have to tell them to leave.
No.
(PEOPLE SING IN SAMOAN) How did we go last night? Feeling better? That's odd.
You ordered drugs for a patient without first talking it over with me? Her kidney was packing it in.
Potentially life-threatening drugs.
- Well, I tried calling you first.
- Not good enough.
Did you at least clear it with Berger first? Have we got a problem here? Dr Bell prescribed steroids for a patient without first clearing it with me or a consultant.
Did you get authority for the drugs? I tried, but there was so little time that I had to act.
Did you get authority? Yes or no.
No.
I want her gone.
You can't always get what you want, Rupe.
Just ask my mother.
You're not hearing me.
Get your thumb out of your arse, mate, for God's sake.
Do you think Frankie didn't know the stakes? She knew her job was on the line.
But she went ahead anyway to save the kid.
We need more of that in this place, not less.
You're sleeping with her.
That's the rumour going around.
You know, I'd take a Frankie over any of the lifestylers or bean counters any day of the week.
It's doctors like her that will keep this dysfunctional ship afloat.
I'll take that as a yes, then.
- Get your mind out of the gutter.
- (MOBILE RINGS) Yes.
Okay, thanks for letting me know.
I'll be right down.
Got a donor transplant en route.
Lungs and heart.
Suspend her, at the very least.
How old did you say he was? 24, 25.
Bloody hell.
What happened? MVA? He was cycling up John Hunter Way.
Very sad.
Guess we should try and give his heart another 60 years, shouldn't we? Well, my patient wouldn't mind another 60 years herself.
I hear we have a heart.
Look, I've got something scheduled next, but why don't you take over that and I'll do this? Actually, I'm good.
You've just done 14 hours of theatre.
Thanks for the offer, Maggie, but I've got this.
We don't know if I'm going to match up or anything.
Zoe, good news.
The heart looks great.
We're good to go.
The porters are here to take you to theatre.
Now? We'll need to be ready.
The donor heart's already in transit.
Okay.
- FRANKIE: Who's operating? - Mitri.
- Is he letting you scrub in? - Yes.
(BOTH CHUCKLE) (HELICOPTER WHIRRS) ZOE: I had a new fridge in transit once and it took two days to arrive.
Got rerouted via Adelaide.
So, yeah, maybe we should just not take out the old one just yet.
You're going to be okay.
Zoe, we're ready.
Where's Zac? Zac? - You see him? - No.
Zoe, we need to get you to theatre now.
This can't wait.
- Time is of the essence.
- I'm not going anywhere until I see my son.
I'll find him.
Zac? Zac? Where are you, buddy? Zac? We've lost Zac.
- I'll check upstairs again.
- Yep.
Zoe, the family have gifted a heart.
We have precious little time.
Don't you dare try and guilt trip me because I need to make sure my son is okay.
I understand your situation.
I have family, kids myself, so I get it.
But you have to be brave for them.
Please.
- Let us get on with our job.
- No! Not until I talk to him.
(MOBILE RINGS) Oh.
Frankie? - Hey, there he is.
- We've got him.
They found him.
He's safe.
Let me talk to him.
FRANKIE: Hey, Zac.
Hey, I've got your mum on the phone.
She just wants to have a little chat.
Zac? Zac, baby, can you hear me? Zac? What is it, buddy? - It's the operation? - Yeah.
You know, Mum's heart wasn't working so well.
That's why she was so sick.
But once the doctors put in a new one, she's going to be back to her old self again.
Not the same, is it, mate? This this new heart doesn't know you.
This new heart has never taken you to footy practice.
New heart's never tucked you in at night, has it? Right.
You know how people say that you love with your heart? Actually, that's not true, because really, we love with our heads.
Your mum still loves you very much.
It's just that her old heart, it's a pump.
It needs replacing.
This replacement's a pretty big job.
Your mum's a little scared.
She needs to talk to her strong little guy.
Let her know you love her.
Make her feel brave, okay? Mum? Zac.
Hey, baby.
You're okay? I want to go home.
Same here, baby.
Same here.
Zoe, please.
I love you.
Mummy has to go now, okay? (PHONE DISCONNECTS) You did great.
We're on.
Come over and help, please.
Thanks.
The enemy of language is insincerity As I'm laying in your bed Thinking of another man I'm not sure where I am And I know I've forgotten him But I've learnt remembering Is just as easy to assemble When history parallels and repeats Just just just Parallels and repeats Just just just You moved me to release all of When his body spoke When we were unguarded And I've started to forget why I chose to leave him alone Feels like a massive evasion Concrete patent Palisades are driving through this space I'm hiding from something Unsure which one of us I am lying to Feels like a massive evasion Concrete patent Palisades are driving through this space I'm hiding from something, unsure which one of us MITRI: Okay.
Blood vessels done? TANNIS: Yes.
All ready to move our pump.
Okay.
- Let's take her off.
- Stop.
Do not unclamp.
What's the issue? There's a loose stitch.
Check it.
Um What's your call, resident? Um I must have been mistaken.
Right.
Okay, unclamp.
Let's start her up.
Stand back.
Charging.
Clear.
(MACHINE BEEPS) Huh.
Good job.
All right.
Job done.
In there, that is my OT.
Not a stage for you to play whatever game it is you're playing.
I wasn't.
I thought I saw a loose stitch.
Seemed to me you were trying to make a point.
Give me a break.
You really think I'd be that unprofessional? I don't know you.
You still with the mother of your children? You're out of line.
Yeah, well, I guess we both crossed a line we shouldn't have.
But I want to get back on the right side of that line, and I know I can't keep seeing you, but I don't see why that should impact our working relationship.
There's no reason why it should.
(CLEARS THROAT) Your urine output's increased.
Creatinine levels are still dropping.
That's very good.
Looks like you're continuing to respond well.
Guess you're feeling pretty proud of yourself.
Your mum hasn't returned one of my calls.
- Why is that? - You'd have to ask her.
Well, she knows you're in hospital.
- What do you want? - To help you.
Maybe I don't want your help.
Do you want to live? You know that your donor kidney was your second chance, and today was your third.
There might not be another.
How you fare is up to you.
This is for you.
To remind you to pack your meds.
If you couldn't get through to Tanya, you should've contacted me.
I tried.
Then you keep on trying.
You don't just maverick off.
You do know Steele's her father, don't you? Tanya? What? That is nepotism.
I shouldn't go there, if I were you.
Well, what did the biopsies show? That her kidney was going into rejection, so I did save her life.
What if you were wrong? I know what that girl was going through.
I wasn't going to stand by.
Your kidney doesn't give you license to do whatever you like.
There is a system in place, and it's not just there to protect the patient.
What's the point of all the knowledge that I have if I can't use it? Steele wants you gone.
What do you want? I don't want you stuck in some outpost.
I know why you threw your financial career away.
I know what you've got invested here.
I know that you want to give something back, but you won't get to if you get thrown out.
I don't need to tell you how many people are waiting just to take your place, so don't fuck up.
I won't always be here to save you.
What would you say to a patient facing that? Go on.
It's a brain tumour.
Benign? There's no biopsy as yet, but just going off what you've got in front of you.
It's glioblastoma multiforme.
Prognosis? (SCOFFS) Six months, two years at the top end of the scale, but I don't really know.
That's the realm of a brain surgeon.
No, no, no.
Don't avoid.
Just say for argument's sake that it is a glioblastoma.
What would you say to the patient? (CHUCKLES WRYLY) Don't buy too many green bananas.
Who's the patient? Answer the question, Frankie.
Who's the patient? I would remind him that all any of us have is the moment in front of us.
This wine's 25 summers old.
My father gave it to me as I graduated.
He said, "Drink it when you make professor.
" Well, that day came and passed and I couldn't quite bring myself to.
I don't know what I've been waiting for.
It's probably corked.
Iechyd da.
Cheers.
No, no.
That's good.
Very good.
My old man was a beer drinker.
He did well.
Did you know there's a rumour going around that we're having an affair? Yes.
Yeah, I did hear that.
How was it for you? (LAUGHS) (LAUGHS) Cheeky bugger.
Smile, we're all dying Hey You've been lying To yourself again Smile, we're all dying Love, we're all trying Smile, we're all dying Hey I don't know who you are Life is delicate Not like the past Such perfect timing Oh, what a finding Smile, we're all fighting Hey Evil does not exist Good on the other hand Is at your fingertips Out into space Hey.
(TEARFULLY) I'm all right.
It's just a shit day.
You've been lying To yourself again Smile, we're all dying Hey.
Oh, hi, buddy.
I wasn't expecting you guys so soon.
- How's Zo? - She's doing great.
We're weaning her off the sedatives and we expect to be extubating her soon.
Hey.
Welcome back.
Eli.
Thanks.
I just wasn't ready, you know, but next Are you a doctor, or are you not? I get that, but BERGER: You are a mere resident.
You don't get to edit my patient list.
It's not your job.
You know that I'm a transplant recipient.
I can't lose this baby.
I bet Vet World's looking pretty good right now.
Scalpel.
Let's get funky, people.