Pulse (2017) s01e04 Episode Script

1 You go first.
Hi.
- Let's take her off.
- Stop.
Do not unclamp.
- There's a loose stitch.
- What's your call, resident? - I must have been mistaken.
- Right.
- Ah, shit.
- (MACHINE BEEPS FLATLINE) What's happening? I was assessing a patient.
She's dropped her BP.
We need some help in here.
Zoe Mendosa has gone into arrest.
She's bleeding out.
How did this girl die? I mean, how is that even possible? Nothing went wrong.
The surgery was fine.
This is a SAC 1.
It's going to be investigated.
No one's passing judgement here.
I just need to get a handle on what happened.
We were unable to resuscitate her.
Your wife died.
We're really very sorry.
Have you been taking your medication regularly? - Of course.
- Kelly knows the score.
If you lose your kidney, the next step is we remove it and you'll be on dialysis until you die, which will be as soon as you get an infection.
This is for you to remind you to pack your meds.
BERGER: And I have some conditions too.
You never come to work again with a temperature higher than 38.
2.
Fine.
- The MRI confirms.
- Glioblastoma, grade 4.
So, that means I've got between six months and two years.
I am so sorry.
The only two people that know are you and the radiographer, and that's the way I want it.
(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 Carve me with the sharpest knife I'm ready for the pain Oh-oh oh-oh-oh, oh-oh-oh-oh.
MAN: I would recommend the full resection.
Full resection? And how much more time will that give me? With chemo and radio, two years plus.
And will I still be able to talk? 15% to 20% chance you'll lose some speech and/or cognition.
And what if we go for a partial resection? Uh, if we cut here, leaving this area here, I could save your speech, but there will be no real boost to your overall prognosis.
You'd get 9 to 12 months instead of a potential two years.
So, I would definitely recommend more resection.
(IN THE BACKGROUND) You'd have to give up working.
You shouldn't be anyway.
The sooner we get onto this, the better.
So, your usual safe limit is, what, less than 5% risk? And you want to chop into my skull with a good 20% chance I'll end up a courgette? Piss off.
You won't get better odds anywhere in this town.
I know, Arthur.
Thanks for your time.
Uh, if you change your mind, you know where to find me.
And I'm really sorry about this, mate.
Really, uh really shit news.
Yeah.
(SIGHS) Do you think maybe you should take more than a few seconds before making such an important decision? Quality or quality, Frankie.
I'm going for quality.
At least talk it over with your wife.
We've already agreed.
My life, my choice.
(ELEVATOR BELL DINGS) How's your Mandarin, by the way? (MAN GROANS) (SPEAKS MANDARIN) What about there? (SPEAKS MANDARIN) Grand Century to find.
Grand century? Grand Century.
That's what the politicians would have us believe, Mr Moon, but like your kidney, I'm starting to have my doubts.
- Tong.
Tong.
Tong.
- Yeah? Don't worry.
I've got you.
Yeah? (GROANS) Tong! Moon's creatinine levels.
- A bit of tenderness and palpitation.
- Mm-hm.
- Other than that, I think you're set.
- Mmm.
Kelly? Kidney has finally packed it in, the poor kid.
I had to give her the news that she'll likely die on dialysis.
What, did you tell her that or was Berger with you? You got a better way of delivering news like that? Just watch your back.
So, can you book Kelly in for dialysis, keep an eye on Moon's tacrolimus levels and just, if you can, find that translator? Yep.
You've been readmitted.
I'm really sorry.
You were right, hey? Never stop taking your meds.
No need to worry about that anymore.
Might as well have this back.
See you around.
(PAGER BEEPS) (SOBS) The doctor's coming.
Just wait.
Cardio patient Chrissy Ropolous, heart defibrillator keeps going off.
- Daughter's very upset.
- Thank you.
Hello.
This is Dr Bell.
WOMAN: I'm on the phone to the hospital, Mama! Hello? - What's the daughter's name? - Ketti.
- Does she have a file, or - Yes.
Um, Ketti? - (WOMAN SCREAMS IN FOREIGN LANGUAGE) - Oh, my God.
Um Ketti? What's actually going on? It's Mum.
It's this thing! It just keeps going off.
It won't stop.
Ketti? Eli Nader here.
Have you organised an ambulance? - No, I haven't.
- All right.
Well, as soon as we get off the phone, I want you to do that.
Your mum has to come into the hospital.
You understand? - Yes.
- All right.
Bring her to emergency.
We'll try to get her a bed in the ward, okay? - Okay.
- Bye.
Jesus.
Belinda, um, can you help me clear a bed in cardio? Dr Bell, I'm going to need you to do a patient review for me.
Body habitus patient, bed 4.
Now, please.
Hi, Mr Casey.
I'm Dr Bell.
What seems to be the problem? I'm getting so tired.
No energy, you know? Are you normally an active person? Yeah.
When I'm not mountain-bike riding, I run marathons.
Let's just get this out of the way.
- I'm fat.
I disgust you all.
- Mr Casey So, if we all just try and move past the elephant in the room that is me and get to what is actually wrong with me, I'd appreciate it.
I'm here to check you out.
Would you mind leaning forward so I can get to your chest? You're the doctor.
Poke and prod away.
You definitely have a skin infection, but we can treat that with some topical antiseptic solution.
Could you breathe in for me? And out.
And in.
If you could just stay still and quiet for a moment.
(HEART BEATS SOFTLY) Has anyone ever told you that you have a heart murmur? It's definitely there.
Thank you.
I'm just going to look at your ankles.
Are they larger than usual? I've never won best legs in show.
Okay.
Um, we're going to get you booked in for a cardiac echo, find out what's causing that murmur.
It may be a leaking mitral valve, but I wouldn't want to jump the gun.
The tests will tell us where we stand.
And in the meantime, I'll get you on a diuretic to help reduce the fluid build-up in your lungs.
So, 60mg of Lasix and let's get some leads on him.
Can I have a word? There is no bariatric toilet on this floor, and he's too big and immobile to get on a bedpan.
I wouldn't worry.
I haven't had to go to the toilet in days.
How long exactly have you been constipated? A week? Maybe two.
We're going to have to get you set up for a manual disimpaction.
All right, Mr Casey.
I just need you to relax.
I'm just going to wiggle about.
(STOMACH GURGLES) (MOANS) (GRUNTS) (FARTS LOUDLY) Bombs away! - (PAGER BEEPS, VIBRATES) - (FARTING) They're here.
Hello, Chrissy.
How you going? - (WEAKLY) Going.
Still going.
- Where's Dr Nader? He's with a patient at the moment.
I'm Dr Bell.
I'll get you settled in until he is available.
Mum, I have to go.
Go, bambino.
Go look after the children.
I'll be okay.
Yiasou.
(SPEAKS GREEK) Right this way.
Apologies.
I'm going to have to try another cannula.
Better for everyone if you just finish me off.
You have many, many drugs in this place.
Give me extra-strong something to see me out.
You do it for horses when they are too old to run.
- You can do it for me.
It's okay.
- Mrs Ropolous, you're only 80.
You have many good years left in you.
For what? Ah, how is my favourite frequent flyer? (CHUCKLES) Going.
Still going.
How you going over there? Chrissy has veins like tissue paper.
Hand it over.
Come on.
Yeah.
Right now.
Thank you.
All right.
It's been a little while since I've seen you.
Thank you.
Tell me, how are the grandkids? Beautiful.
Very clever, all of them.
(SPEAKS GREEK) It means "very handsome man".
- You agree? - Stop it, you.
(SPEAKS GREEK) I don't think I want the translation for that one.
No, I don't think you do.
All right.
There we go.
So, let's see if we cannot figure out what happened to you today.
You know what happened.
This vasano go 'pough' all of the time.
Synechia.
It's Chrissy's word for her defibrillator.
It means, uh what is it exactly? Pest? Torment? Something like that.
- It's devil and angel, both.
- Mmm.
Excuse me.
When Dr Steele put this thing in my heart, he no say it was going to be like this.
He no say how much pain.
He no say nothing.
If I could, I would have operation to take this thing out from my body.
You don't have to.
There's a much simpler way to do it.
The technician can stick a special magnet over your chest.
- Stops it working.
- Magnet? And no more vasano? No.
It won't go off anymore.
Although the next time you have VT, you likely won't survive.
Yeah.
That is true.
I'm going to check on those results for you.
Mm-hm.
Don't look at me like that.
Hey, we don't tell the patients what they're signing up for when they agree to this kind of intervention.
Just the benefits of a few more years.
Well, at least she gets those extra years.
Sure she does.
What do you see? Oh, my God.
She's had 20 runs of VT in three weeks.
Mm-hm.
Every time that thing goes off, it's like being kicked in the chest by a mule.
(PAGER BEEPS) - Welcome to the night shift.
- (SIGHS) Thanks.
Translator is still a no-show, and Mr Moon's creatinine levels are continuing to rise.
So, what are you thinking? All I can think is until we get the biopsy results is that we adjust his tacrolimus levels.
- Sounds like the go.
- Tanya, I've lost you.
Tanya, I need to know how much to prescribe.
- Do you have these in a 7? - Yeah.
I'm sorry, I'm having trouble hearing you.
- Did you say 7mg? - Frankie? - Frankie, actually 3.
- Okay, I've got it.
- Hi.
Are you okay? - Yeah.
I've just been upstairs trying to find some answers, but I You know, all they see is a legal suit coming and they slam the door in my face.
- Let me come around.
- It's Zoe's funeral tomorrow.
Everyone keeps asking what happened.
Zac.
I don't know what to say.
No one will tell me anything.
I'm so sorry.
I can only imagine how hard this is for you.
What do you know? I told you what I know.
- Don't close ranks.
- I'm not.
There's - There's a process.
- What happened to my wife? Someone screwed up, didn't they? - Who was it? - I can't say.
And I'm not I'm not closing ranks.
I just I don't know.
You're no better than the suits upstairs.
No, you're worse.
You see, them, they're paid to run interference.
But you? We trusted you.
If you weren't my enemy What would be my alibi? When I called you late at night Covered in sweat, terrified It's your turn to roll To see just where the dust will fall If you've ever kept a secret You know well that this is hell.
(DISHES CLATTER) (SIGHS) (BIRDS CHIRP OUTSIDE) How was your shift? Uh, it was crazy.
It went off in cardio.
Oh.
Sam Mendosa came in while I was on.
- What did he want? - Answers.
- What did you tell him? - What could I tell him? - How was the fish? - It was great.
- You used the steamer, yeah? - Yeah, of course.
You are such a liar.
Wait.
I'll ride with you.
(DOOR CLOSES) Mr Moon, we've had your biopsy results back and quite frankly, they're surprising.
(SPEAKS MANDARIN) It's good news.
Your kidney is perfect.
(SPEAKS MANDARIN) Oh! Xie xie.
Xie xie.
The really strange thing is your creatinine levels are still very high.
(SPEAKS MANDARIN) Oh.
Never actually been in this situation before.
It's a bit of a mystery.
(SPEAKS MANDARIN) So we'd like to keep you in a bit longer for observations, just to be on the safe side.
(SPEAKS MANDARIN) (SPEAKS MANDARIN) Yes, yes.
Do whatever you need to do.
All right.
One of my team will be back to take another urine sample shortly.
Xie xie.
Xie xie.
(SPEAKS MANDARIN) Can you tell me why he was prescribed 7mg of tacrolimus when I said 3? Uh, no, you said 7.
- No, I said 3.
- No, you didn't, Tanya.
That makes no sense.
I would never have said that.
Oh, for God's sake, sort it out! What's that smell? Burning rubber? So, I'm going to have trouble putting a tube down his throat, trouble with medications.
I mean, if I put an IV in and it ends up tissuing, then next we know, he's waking up on the table.
He needs this operation.
Yeah, well, he's a sitting duck on the table for a heart attack.
I mean, I'm not saying I won't do it, but you need to know what we're saying yes to.
Mack.
I didn't know you were coming in.
Last day, Scammer.
Here to hand over the reins to my next in line.
What have we here? Patient with a leaking mitral valve.
(SCOFFS) I don't know about any leaking mitral valve.
I can't see anything because of all these sausages.
(LAUGHS) I mean, check out his arteries.
See? See, there's your breakfast bangers, there's your English pork and there's your chorizo.
That'll kill you quick as anything.
I wouldn't take this guy on.
Don't let his numbers affect yours.
Drinks tonight, okay? And no running home to the wife.
Carol! So? Can I book him in for theatre now? It's your call.
Mr Casey, my team and I have reviewed your situation.
I'm afraid you're too much of a risk for surgery.
It's not just the complications surrounding anaesthesia, but I'm concerned about your recovery period and the ability of your body to heal itself.
I'm too fat for you to operate? Quit the smokes, cut back on the junk food, speak to a nutritionist about weight-loss programs, and then we can talk again about fixing this leaking valve, all right? (CLEARS THROAT) Hey, got a second? What was that in there? - Mack can be a bit of an arse.
- Or arsehole, more like.
- He's an excellent surgeon.
- He'd want to be.
Speaking of arses, Zoe Mendosa's transplant op? I'd been on my feet for 14 hours plus.
If I'd been able to wind back six hours of that, I might have been able to treat people with more respect.
That's your apology? I'm sorry for how I treated you in the OT, Lou.
It wasn't cool.
There has to be a way to get Kelly back on the donor list.
So, we what? Bump someone to make way for the train-smash kid who's proven she can't be trusted? She knows she screwed up.
She won't do it again.
Frankie, this is why we don't get to make the call.
What, do you think I haven't already gone in to bat for Kelly? Well, what about altruistic donors? Yeah, we were there the first time.
Mum, siblings, no one's a match.
Dad? He's the one with the train-smash genes.
Well, was he tested the first time round? - No.
- Why not? He's never in town long enough to unpack his bags.
Right.
So, technically, he is an option if he was in town.
- Well, follow that up.
- I intend to.
What about some more coffee, Tanya? George Gershwin.
He could smell burning rubber too.
He died on the table.
Only 37.
No, it was 38.
Berger.
RUPERT: Any improvements? Does it look like it? I'm in the coffee queue again.
Well, we all have to pay our dues.
Not all of us, apparently.
My chances of specialising in renal are evaporating.
Well, get off your arse and fight for it.
You can't rely on me.
Yeah.
That's what Mum always said.
So, we just have to strap a magnet to your mum's chest.
It's pretty simple.
- No more vasano? - No.
No more devil.
But no more angel either.
Even when the bloody thing doesn't go off, Mum is always worried it's about to.
I understand.
I want you to live, Mama, but I can't bear to see you suffer like this.
- (SOBS) - (WHISPERS) (SPEAKS GREEK) Don't cry.
You'll make me cry too.
It's your decision, Mama.
And whatever you decide I'll support it.
(PAGER VIBRATES) How can I choose? There's no rush.
Just take your time.
Talk it over with the rest of your family.
We can speak again tomorrow.
- I might bring the boss.
- Thank you, doctor.
Of course.
You asked to see me? Yeah.
Dr Bell, I have a project for you.
I want you to oversee the root cause analysis into Zoe Mendosa's death.
Surely there's someone more qualified.
No one that I can spare.
I can't do it.
The whole idea of an RCA is to create an independent, impartial review.
Precisely.
I knew Zoe.
I know the people involved in the operation.
And the fact that you're concerned confirms you're the right person for the job.
One of them is my best friend.
Well, you'll have to limit your interactions with her over the period of the RCA.
We share a house.
And if I don't accept? Well, I can't make you.
- So, how long has she got? - That all depends.
What do I do? Just talk to your daughter, Mr Reid.
Hey.
Look at you.
What are you doing here? Did you call him? Kels, I really need to talk to you.
Visiting hours are over.
Hey, listen to me for a moment, Kels.
I know I haven't been the best dad.
Did she tell you I'm dying? Is that why you're here? Is that how hard it is for you? Did you tell your mates at the pub and get some sympathy from them, maybe a round or two of beers? I want to help you, Kels.
I wasn't here the first time around, but I'm here now.
Just leave.
I can't deal with this right now.
You can have my kidney.
You can have them both, mate, if it does the trick.
Now I get it.
This is your chance to be the big hero.
Do you think you can just walk through those doors and everything will be all right between us? 10 years, Dad.
10 years and not much more than the odd phone call.
If you want to help, just go.
Go on.
There's the door.
You know what to do.
I think we're getting ahead of ourselves.
Why don't we just first see if your dad is a match, just so we know what we're all dealing with before making a snap decision? Yeah.
Sounds okay to me, hmm? May as well see if I've got something to offer first, hey, Kels? (PIANO JAZZ PLAYS) BERGER: Come on, then.
You're the sous-chef.
- Get the bowls, get them ready.
- Hello.
- Aha! Just in the nick of time.
- Welcome to Jonestown.
- What is this? - Don't know.
The bugger won't give me a straight answer.
- Prof? - This, Tanya, is dinner.
GIRL: Dad is behind the stove.
- Come on.
- Be afraid.
Be very afraid.
- Enough.
- Um, I ate dinner at the office.
I'm afraid this is compulsory, Tanya.
- Why? - It's an experiment.
Humour me.
Indulge him.
It's easier if you do.
Here we go.
- What do you think? - It's, uh, it's good.
It's it's a little rich.
- That'll be the bone marrow.
- Mm-hm.
Don't give up your day job, boss.
I don't intend to.
That's enough.
- (LAUGHS) - Thanks.
It's beautiful.
I don't know what you're all going on about.
(GERSHWIN TUNE PLAYS IN BACKGROUND) Again? Really, Chad? - He has it on high rotation.
- No dissing the Gersh.
500 operas, a squillion musicals.
He checked out at 38.
- Bloody genius.
- See, that's the thing.
When you got to go, you got to go.
It should be a rule.
No hospital care after 70, eh? - Seconded.
- Thank you.
Careful, Dad.
You're nudging 70.
(OTHERS LAUGH) I am in my 50s, young lady, and that is the new 30, so I'm going to be around for a long time.
When you feel the urge, Frankie, could you pee in the bottle? Just pee in the bottle.
Come on.
Come on.
Oh, no.
Dancing? Uhh! Eugh! (COUGHS) (COUGHS) Hiya.
Didn't hear you come in.
You okay? Steele has put me in charge of the root cause analysis into Zoe Mendosa's death.
What? I didn't have any say in the matter.
Well, you could've said no.
He made it pretty clear that I could kiss goodbye any chance of a future.
So, this is about your career? Lou, even this I'm not supposed to discuss.
I told you about that operation in confidence.
When we're in this house, we just can't talk about the operation or anything to do with the investigation.
You know, I walk in the door, I'm just Frankie.
And if or when I have to interview you, it will be the hospital talking, not me.
Okay? Okay.
Should we see if Tabb has left us any food? Oh, yeah, he will have.
Make the perfect husband.
One of us should marry him.
Ahh! (LAUGHS) ELI: So, with regards to Daniel Casey, Mitri rejected him on the grounds he's a surgical risk? Now, his condition is worsening.
Diuretics alone aren't going to help him.
He needs surgery to fix this valve.
Well, speak with Mitri again.
Impress upon him the urgency of the situation.
- Yes, sir.
- Is that it? I'm teeing off in 45 minutes.
You remember Chrissy Ropolous? She's had 17 bouts of V in the past fortnight.
Now, she and I had a little chat yesterday about the possibility of having her defibrillator deactivated.
Who put that idea in her head? I did.
Listen, Rupe.
Her overall health is deteriorating.
She's highly distressed.
Her quality of life is shit.
- She's alive.
- Er, I know.
She's one of your first AIDC patients.
She was a big success story for the hospital and for you personally.
That was 10 years ago, Rupe.
She's not the woman she once was.
(PHONE RINGS) - Chrissy? - Oh.
I heard you were in.
Thought I'd come and say hello.
- How are you? - I'm going.
I'm still going.
Eli told me that you weren't very well.
I'm sorry to hear that.
That's no good.
You know, I remember the first time that you came and saw me.
How long ago was that now? 10 years.
10 years? How time has flown.
You were in bad shape back then.
Do you remember? Your family were all worried you weren't going to make it.
Then we stuck that bloody thing in (CHUCKLES) and look at you now.
How many grandkids do you have now, Chrissy? - Six.
- Six? Not all mine, thank God.
(LAUGHS) Well, you must be so proud.
It must be wonderful watching them all grow up.
Do you still bake that festive bread? What was it called? - Tsoureki.
- Tsoureki.
- I bake the best.
- You do.
Your family are very lucky to have you.
Hang in there.
You're doing very well.
Thank you, Doctor.
(SPEAKS GREEK) Dad's results came through.
You all right to tell them? Yep.
Thanks.
Pam came up with it.
We call her Tors for short.
- She looks a bit like you, hmm? - Yeah.
Jim.
Uh, we got your results.
You're not compatible.
What do you mean, not compatible? I'm her dad.
I'm really sorry.
I know it's not the news that you wanted to hear.
Guess you're off the hook.
(SOBS) Well, where is she, then? It just doesn't make any sense.
Her bed is Frankie! Frankie! I need your help.
I've got a missing patient.
Of course you do.
What's their name? Chrissy Ropolous.
She's a cardio patient.
I know her.
Did you check the bathroom? - Yeah, yeah, of course.
- Okay.
Well, call security.
Wait, wait.
What's going on? Chrissy's done a runner.
Have you checked the fire stairs? Sometimes elderly patients get disoriented.
It's worth a look.
Hello? - Chrissy? - Shh, shh, shh.
(MOANS SOFTLY) Chrissy? Chrissy! (MUMBLES WEAKLY) Pulse is slow.
Hey, hey.
Hey, you're not in VT.
Listen, Chrissy.
You're not in VT.
It's just it's just a panic attack.
You understand? Oh, hey, hey.
Hey, come here.
Come here.
I've got you.
It's okay.
Are you okay? (WEAKLY) I'm okay.
Why didn't you tell Dr Steele you wanted your defibrillator switched off? He's nice man.
Good doctor.
He keep me alive for 10 years.
- He's very proud for this.
- Yep.
I cannot be ungrateful.
But it's your body, Chrissy.
Your decision.
I don't want to die but I don't want this thing to go off anymore.
Thank you.
Thank you.
(ELEVATOR BELL DINGS) Hey! You used me as a guinea pig.
Technically, you agreed to the experiment when you accepted the specimen jar.
No, no, no.
I didn't.
Well, I didn't know it would affect my kidney.
You've got to stay away from bone soup, Frankie.
Marrow causes an unwanted spike in creatinine levels - Yeah.
- We now know.
But only in transplant patients.
Normal kidney, nothing.
Tanya and Eli's results were fine.
Mr Moon, our Chinese patient, had consumed several large bowls of longevity soup at Grand Century restaurant.
Very heavy on the marrow, the old longevity soup.
You had no right to mess with my body.
I didn't know what I was proving until I'd proven it.
Hey, don't worry.
It's perfectly harmless.
Your creatinine levels will be back to normal within 24 hours.
Whoa.
You should be pleased.
This is a world first.
No one has ever made the connection between marrow and creatinine levels before.
I just got those patient results you asked for earlier.
Uh, yeah.
Thanks, Eli.
Put them on the desk, will you? Oh, and, Eli, could you do me a favour? You see the bottle of wine in Dr Bell's hand? Could you tell me what the label says? Sure.
- It says Merlot, boss.
- That's okay.
If it was the pinot, I'd be worried.
Thanks, Eli.
Good luck.
(CHUCKLES) You think this is funny? You'd have laughed at this a month ago.
What's happened to your sense of humour? You lied to me.
You told me that your family knew.
Yes, I did and they don't.
Because if they did know, then they'd behave like you.
I want my kids to groan when I tell dad jokes, not laugh because I'm Mr Sick Guy.
(PAGER BEEPS) (PAGER BEEPS) (PAGER BEEPS) Okay, you bloody pest! (SIGHS) Yes? You paged me and you said it was important.
It is.
This is the best Margherita pizza outside of Naples.
Come on.
Have you even eaten today? No.
So, eat.
Come on.
Sometimes we need to take a minute for ourselves just to stay sane in this place.
It's not for everybody.
What are we doing here? We save the ones that we shouldn't and we can't save the ones that we should.
Simple answer? I guess you're just not a very good doctor.
(PAGER BEEPS) Hey, hey.
I'll get it.
You stay.
Eat.
(EXHALES) So, what did Lee say? Well, she thought it'd be risky, but she didn't stop it.
- There's no way.
I mean, he's too fat.
- Yeah.
I mean, even if he does survive the operation, the chances of the wound healing are I'm afraid he's a dead man walking.
Or not walking, as the case may be.
Hey, I'm here.
I can hear you.
Quit the fat jokes.
Whatever.
Mitri had the same reaction, so What, Mitri refused to operate? - Yeah.
- That pussy.
There's no way that we can keyhole this 'cause there's too much fat to get through, but I think what we could do is go through the sternum The patient with the DSAs to his wife.
Hmm? What was his name? Something Scandinavian.
- Harold Rasmussen.
- Yes! How could I forget a name like that? Don't just stand there.
Get his file.
So I reckon Here.
He was AB, pretty sure.
B to the B.
You see? Yes.
Boom.
All I need now is the O+ to go with the AB.
We won't have Os.
Would have used them.
Then ring around.
Find one.
Berger, what are you doing? Frankie, just do it.
Ring Melbourne, bloody Brisbane, Darwin.
Just get me that O+.
As you know, your dad isn't a good match for you, Kelly.
But there is someone in the same situation as you who well, for whom he is a potential match.
So, you're asking me to donate my kidney to some stranger? Frankie? This is Kelly.
And she needs a kidney and she has a donor.
But you're not a match because of your blood type.
Here's another patient, we'll call them Patient X, and they're in the same situation.
They have a donor, but are not a match.
But donor X is a potential match for another patient that we have.
We'll call them Patient Y, and And Donor Y is a match for Kelly.
And Jim is a potential match for Patient X.
So, that's the Dummies version, the bare idea.
There's a whole long process of screening and testing and a discussion that needs to happen first, but in theory, everyone walks home happy.
What if someone pulls out, hmm? Let's say I give them my kidney and then they don't stick to their end of the deal.
What happens then? This is an exercise in trust, Jim.
Sometimes you just have to believe in people.
Okay.
It's okay.
This is a bloody massive exercise in logistics.
Between this and the RCA, your feet aren't going to touch the ground.
But that's probably music to your ears.
You really think that we can do this? You just watch me.
I've seen a lot of people die in this place, Frankie, and, um, I've been with them in their final moments.
And they all, without fail talk not about what they did in their life.
They talk about who they did it with.
I'm just so glad that it's you by my side.
Yeah? Uh, we need the bigger cuff.
Um, that's it.
Prep an arterial.
Daniel, we're going to put an arterial line in to measure your blood pressure, okay? We just don't have the right size cuff for you.
- Nothing here fits.
- Try shopping for clothes.
(BOTH CHUCKLE) Am I going to be covered up? Yeah, of course.
You're going to be fine.
You never say that, yeah? You don't know that.
(DOOR CLOSES) What are you doing here? Last look around.
Little souvenir.
I'm going to miss you, Maggie.
Well, enjoy your retirement.
Don't choke on any golf balls, will you? You know you haven't got it.
(SCOFFS) Choke on a golf ball? (LAUGHS) Hey, boss.
You up? I want everyone on their toes today.
No slip-ups or I'll cut your legs off.
Right.
Princess, you're ringside.
Gown, now! All right, take off the aortic clamp.
- How are the numbers, Lee? - Acceptable.
All right.
Let's decannulate.
- So, you do the venous.
- Mm-hm? I'll do the aortic.
That's it.
Go.
- Go off-bypass.
- Okay.
Off-bypass.
Transfuse whatever's left in the venous reservoir.
All right.
Now, do you want to decannulate the aorta? Well, yes or no? Would you like to decannulate? - Yes, I would.
- Okay.
So, pick that up.
Gently remove.
That's it.
Remove that tube while we gently pull on the sutures.
Great.
That's it.
- He's tachycardic.
- What? Why? - He's waking up.
- Well, how did that happen? Well, I'm dosing him based on his lean weight.
I mean, how am I supposed to figure out You're here to keep him asleep.
That's what you're here to do.
- Okay.
Just give me a second.
- You don't have a second.
- How about now? - 94 over 58.
Heart rate is up a bit.
104.
Hurry up, Lee! Come on, come on.
- Lee? - 95 over 51.
Heart rate is 112, so that's 97%.
Is it fixed yet? He's holding.
(MONITOR BEEPS STEADILY) (SIGHS) Okay.
Oh, shit.
(HEARTBEAT POUNDS) (VOICE ECHOES) Hey, boss? I think we're good.
Right to close (VOICE DISTORTS) (VOICE ECHOES) Boss? It's good.
It's resolved.
(CLEARLY) Boss? - Jesus Christ.
- Dr Cutter? Okay.
Let's close the fat man.
He's lucky I'm so good at my job.
Operation is a success.
Buy you a beer? Oh, maybe we should go somewhere else.
Oh, no.
Screw them.
I didn't mean that literally.
What can I get you? Hi.
Can we have, uh, two scotches? Double.
No ice.
(COUGHS) (COUGHS) (SIGHS) (THERMOMETER BEEPS) (SIGHS) I think he's a bit young for you.
I'd hope so.
He's my son.
Oh, my I didn't know you had a No, it wasn't a turkey baster and, yes, I have a husband.
- Well, we all thought that - What? I was a surgical nun? You said you can't be a surgeon and have kids, - and now I find out that you - I never said that.
Yes.
Yes, you did.
You said, "Forget surgery.
Move to Byron and have babies.
" - You said that.
- I didn't mean that you can't.
But you have to be really, really sure you want it.
That's all.
I mean, look.
Your life has to be calibrated like a Swiss watch, all right? You need a good partner, family around you.
Because if you don't, well, something's got to give and then the only time you ever get to see them - is when you stalk their posts.
- (LAUGHS) So are you going to come clean? - I'm sorry? - You know what I mean.
In theatre.
I know something happened.
Hmm? I know you're holding out on me.
- Cheers.
- Cheers.
Do you know what they're celebrating over there? Mitri is being promoted, head of surgery.
Yep.
That's right.
So, it's time for you to decide just what side you're on, princess.
Hmm? Maggie, I think you'll find you've come in through the wrong door.
I've had the promise of that job hanging over my head for the last decade.
Hmm? And then the old fart retires and you give it to Mitri.
Now, that job was mine.
I deserve it.
I agree.
- I'm the better surgeon.
- Everything you say is true.
Then what the fuck? You're a loose cannon, Maggie, and you're volatile.
If the board is having second thoughts, that would be why.
So, Mitri screws up and you promote him because I'm the loose cannon? The decision has not been made yet.
Mitri might think he's got it, Mack might think he's passing it on, but it is not Mack's call.
And I still have an RCA that needs to run its course first.
Look, head of surgery is largely administration.
It's going to take you away from the table.
Stick you in an office.
You'll hate it.
Who are you to choose what I can and can't do? You're just a cock in a suit.
Get you into my golf club next, hey? Huh, Scammer? - Boss.
- Don't think I won't.
Thanks for always looking after me, hey? You're my eyes and ears in that place now, son.
Congratulations.
You da man.
(LAUGHS) - You're drunk.
- Well, a little.
Why don't you sit down? - Um, no.
I'm gonna I'm gonna go.
- I'll give you a lift.
No, that's fine.
Thank you.
- Oh.
- Oh.
- Come on.
I'll take you home.
- (SIGHS) Thanks.
Why 'Scammer'? I'm the Nigerian scammer.
It's just his dumb-arse sense of humour.
Oh, God.
He calls Maya the Pakistani terrorist.
- Doesn't mean anything.
- Yeah, it does.
Look, Mack's my boss, and he's pushing me for the head of surgery, so So, you're expected to take all his shit? Hey.
Lou, Lou, we need to talk.
It's about Frankie Bell.
Oh, you've heard about the RCA.
How well do you know her? You know Frankie and I are friends.
Ah, that's what this is about.
You're trying to fucking screw me into silence? - No, no.
You're reading me all wrong.
- Am I? I'm not that guy.
Admit it.
You're trying to protect your arse.
I don't need to.
- I didn't miss a stitch.
- How would you know? If I start second-guessing every move I make, how can I ever operate.
- (SIGHS) - You want to be a surgeon? You want to cut people open? Take parts of their body out? You have to believe in yourself.
I feel sick.
I didn't miss a stitch.
I didn't miss a stitch.
You're hurting me.
You're hurting Hey, hey.
LOU: You want me to do a needle decompression? I haven't done one.
Then it's time you did.
Get the trapped air out ASAP.
Jesus, Lou.
Did he do that? - His eyes are so cold.
- Report him.
That would be an act of career suicide.
I won't help you go after Mitri.
- RCAs don't target individuals.
- You are naive.
You're going to be presenting to the biggest names in nephrology.
PCP is a life-threatening lung infection.
And transplant recipients are the most vulnerable.
- I'm calling Berger.
- No.
My sputum came back negative.
I just need a flu tablet.
At 42 degrees, your organs will suffer damage that may well be irreparable.