All language subtitles for Pulse (2017) - 01x07 - Episode 7.hdtv.x264-fqm.English.HI.C.orig.Addic7ed.com

You've gotta toughen
up. Can't save them all.

Why this hospital, Frankie?
Why my department?

Because you're the best,
and I want to learn from you.

I just want... happy.

ELI: Wish I could give you happy.

CUTTER: How did this girl die? I
mean, how is that even possible?

MITRI: Nothing went wrong.
The surgery was fine.

This is a SAC 1. It's
gonna be investigated.

How are you going with the RCA?

So, I've been thinking...

I can assure you, the
RCA is progressing well

and I am committed to seeing it through.

- There's a loose stitch.
- Check it.

Uh...

What's your call, resident?

Um... I must have been mistaken.

Right.

You told Mitri in the operation

and he did... he did what?

Frankie, I told you this in
confidence. You can't tell anyone.

Tell anyone what?

Just let it... just let
it all play out, please.

BERGER: The tumour's still
in the temporal front lobe.

Speech centre is clear.

Seems clear.

You're mixing words more.

My statement... for the RCA.

CHAN: With chemo and
radio, two years plus.

BERGER: And will I
still be able to talk?

CHAN: 15 to 20% chance you'll lose
some speech and/or cognition.

Jesus! Berger!

Berger! Berger! Help!

♪ Someone asked me yesterday ♪

♪ Tell me about your dad ♪

♪ The love, the happy memories ♪

♪ Deep down and dusty, that you had ♪

♪ I took some time to say something ♪

♪ Then I had all the words ♪

♪ But he and I ran out of time ♪

♪ I was seen and never heard ♪

♪ I'd leave home before the sun ♪

♪ And I'd come home in the dark ♪

♪ I'd fill my day with other things ♪

♪ Oh, I thought he had no love ♪

♪ But I'm older now ♪

♪ And I know ♪

♪ He was always watching me ♪

♪ I just wish my old father time ♪

♪ Would take us sailing on the sea. ♪

(FLATLINE BEEPS)

BERGER: I've got you, Frankie.

♪ Open my lungs ♪

♪ Move your hands inside my chest ♪

♪ Cut me deep beneath my skin ♪

♪ I'm ready to fall out ♪

♪ My body's caving in ♪

♪ Hold me down so that
I can feel the heat ♪

♪ Cut me with the sharpest knife ♪

♪ I'm ready for the pain ♪

♪ Oh, oh, oh, oh-oh, oh, oh, oh, oh. ♪

synced and corrected by susinz
*www.addic7ed.com*

(SIREN WAILS)

- Mm. So, how was it?
- What?

- Eli!
- It was good. It was great.

So much for your sage advice

about not having sex with colleagues.

- Did you tell him?
- I didn't need to.

He knows the scar when he sees it.

And what did he say?

- Nothing.
- Nothing?

- Well, he kissed it.
- Aww!

That's kind of gross. But sweet.

Um... so we're serious?

Oh... I don't know, Lou, but...

I definitely took a risk.

- I'll see you later.
- Hey. Where are you going?

Well, I've got a meeting. The RCA
findings are handed down tomorrow.

You put everything in your report?

I thought you said we
couldn't discuss it.

I'm just checking.

Yep.

(ELEVATOR DINGS)

Hey. Good news.

Damien Walsh has got a kidney.

- Well, that is good news.
- Yeah. Sounds like a cracker.

Zero mismatch, no DSAs.

- Will he and his family know that?
- Yeah.

Just trying to keep their
hopes under wraps.

Speaking of hope, how are you?

Fine.

Noticed you were a bit
unsteady on your feet.

- Ah, here she is.
- Team's coming together.

What have we got on the donor?

We have a 16-year-old male

who, uh... died in a car
accident just near Canberra.

I'll be doing the retrieval myself.

Brilliant. And, uh...

let me know the condition
as soon as you can, yeah?

Will do.

I'm just prepping him.
Do you want to come in?

Damien, exciting news!

- Do you like my socks?
- Uh, yes. They are nice and bright.

- He calls them his lucky socks.
- Won 100 bucks wearing these.

I'm not sure why he's so
convinced it's the socks.

I wasn't wearing anything else.

- It's a joke.
- (LAUGHS) Yeah.

Well, early signs are very good.

When will we know for sure?

Well, like I said, this is an anxious
time now because we're waiting,

but the retrieval is under way,

and as long as the kidney's
in good condition,

you should be having your
operation in a matter of... hours.

So, I'll be in touch, okay? Thanks.

- Fingers crossed.
- Yeah, he needs this kidney.

Uh, it says here 60ml of Aricept.

- No, it doesn't. It's Aranesp.
- Well, that's not what it says here.

- It does say Aricept.
- Oh.

- Thank you.
- Frankie.

Weren't you on night shift?
Shouldn't you be sleeping?

- I am, only I'm vertical and moving.
- Oh. Impressive.

Do you want to grab a bite
later, before I go on shift?

- Yeah?
- Yeah. It's just food.

Well, you like Turkish?

I've been known to
devour the odd gozleme.

Great, well, a mate of mine opened
a Turkish place round the block.

- You want to join me there?
- Sure.

- Hi, Sam.
- Hi.

Thanks for joining me, mate.

Um... I've been
appointed family liaison.

- You right?
- Yeah.

Any news on the RCA yet?

Surely you've got some answers by now.

Yeah... not yet, mate. I'm sorry.

- I just want the truth.
- I know.

That's what the root
cause analysis is for.

A senior cardiac surgeon who's not
involved in either operation goes in

and looks at the autopsy results,
the statements, interviews,

and tries to figure out the cause.

I know what I saw that day.

I know what I felt,
something wasn't being said.

How is Zac?

He misses her.

He still wakes up every
morning, thinking she's alive.

We both do.

Mate, it's... it's gonna be...
it's gonna be tough, all right?

You need each other to get through this.

- Yeah.
- Yes.

Go on, just head in, grab a
coffee, and I'll be in a minute.

- Okay?
- Okay.

I don't know how I would explain
the loss of a parent to a child.

Yeah.

Well, the good news is you don't
have to. You don't have kids.

- Well... not yet, but I will.
- Really?

(CHUCKLES) Yeah. People do.

Yeah, but I mean...

a medical specialist with a
compromised immune system,

wouldn't that be impressive enough?

I mean, adding kids to the mix,

that's, uh... superhuman
territory, right?

Well, call me Wonder Woman.

(LAUGHS) Yeah, right.

Anyway, um...

south side of Glover
Street Park around midday.

I'll text you.

Is that everyone for the
initial transplant op?

Yes.

Where's the resident
surgeon's interview?

CAROL: Here.

- Let's check it again.
- Ooh, talk about pedantic.

- Just kidding.
- Nothing wrong with being thorough.

No, no. I like thorough.

Surgeon Dr Mitri,

anaesthetist Dr Lee,

physiologist Dr Ho.

- Scrub nurse...
- Chanteau Paul.

- Fetcher scout nurse.
- Belinda Tang.

Wasn't there a female resident?

Uh, yeah. Louise Tannis.

Is there a problem, Dr Bell?

You interviewed Louise Tannis, right?

Yep.

- How thorough was the interview?
- Thorough enough.

I think we can wrap this up
pretty quickly for tomorrow.

(PHONE BUZZES)

Hello. I was just trying to call you.

Oh, sorry. I got a call from Cutter.
I'm on the retrieval team...

I just read your interview for the RCA.

There's nothing in it about a loose
stitch or you calling a stop check.

Is there anything in anybody else's?

- No.
- So, what's the truth?

What you told me after Zoe died or
what you said in your RCA interview?

- I confided in you.
- I didn't ask you to, Lou.

If it happened, it happened, and
pretending that it didn't...

It's easy for you to say. It's
not your career on the line.

You didn't do anything wrong.
You just followed protocol.

It's not as simple as that.

Mitri didn't refuse to check it,

he was so confident he was
right, he asked me to do it.

He got you to check his work.

Everyone was waiting. I couldn't
see. I wasn't sure, so I let it go.

- This is my fault.
- No. This isn't on you.

The lead surgeon has to check.

As if that matters.

Look, if I speak up, it's
gonna be my word alone.

Dr Cutter, sorry...

Yeah, you better make this quick.

Um... there are a few unanswered
questions for tomorrow

about Zoe's first operation.

You mean like, "Was it a botched job?"

Well, whether all the checks
and procedures were followed,

- if there were any factors...
- Well, I wasn't there, as you know.

But I was wondering if there was any
indication in the second operation

or... just anything that
you may have heard.

It's a dangerous job, questioning
the efficacy of the divine.

So, what do you need?

- Someone to speak up.
- You have nothing?

Looks like the key person is
being intimidated into silence

and the rest are closing ranks.

What about the anaesthetist, Dr Lee?

Says she didn't hear a thing.

Well, several years ago,

Dr Lee claimed to have been
a victim of bullying herself.

She lodged a complaint,

but then withdrew it
before the case was heard.

I'd have another chat with her.

(PHONE BUZZES)

_

_

Look who managed to get
themselves a double-page spread.

Oh, that's about the
heart graft transplant

you guys did a couple of months back.

Yeah. You'd think, from this,

Astro Boy had pulled it
off single-handedly.

Taught him everything he knows.

But you watch who gets head of surgery.

Hope you're planning
to speak up tomorrow.

Oh, I don't think I should.

Well, it's your chance to knock
this dick swinger off his pedestal.

But what if it jeopardises

my chances of getting
on the surgical team?

Well, you did that when
you slept with him.

- Hey, how are you with helicopters?
- I've been once. I threw up.

Oh, great! Don't do that
on our way to Canberra.

Okay.

- (CLASSICAL VIOLIN MUSIC PLAYS)
- Looks like raised JVP on the right.

MAN: Listen! Listen to that violin.

Just gonna have a listen to your lungs.

This part here.

(MELANCHOLY VIOLIN MUSIC PLAYS)

- Ah, beautiful.
- Shh, shh, shh!

I can hear some crackles.

You've got fluid on your lungs.

Let me see your legs, okay?

I used to play this.

Oh. You play?

My dad is a doctor, but he was
very close to becoming a violinist.

Ah. Well, life is full
of these choices, huh?

My son... I thought my son
was going to be a musician,

but he studied law instead.

He was quite the advocate...
until he had his accident.

- Your legs are very swollen.
- Should be here by now.

A severe pitting oedema
to the knee as well.

Look, I'm finishing my shift soon,

but, um... I'll let the night
shift team know, okay?

He must be proud of you. Your father.

Doctor.

My dad is a very hard man to please.

I'll see you soon, okay?

Oi? Hey, didn't we have
a date or something?

I didn't think it was a date.

Two people, place, time,
that kind of date.

I got caught up with
RCA stuff. I'm sorry.

What's with the cold snap?
Okay, what have I done?

Eli, we slept together once. That's all.

(SIGHS) 'Compromised immune system',

that's probably three words
you don't want to hear, right?

Your assumptions about
what I can and can't do,

my health and my future,

none of your business!

I gave you my account.

Just checking that there's nothing
that you would like to elaborate on.

Haven't we done this before?

We need to do it again because
a resident is blaming herself

for something that is not her fault.

A patient died, we need to
investigate what happened and why.

Do you seriously think
that bringing Mitri down

- is gonna change the system?
- I'm not trying to bring anybody down.

I'm just trying to get to
the truth of what happened,

and right now, what is in
the way of that is fear.

Monica, you once made a complaint
about a surgeon yourself,

so surely you can understand
how hard it is to...

Okay. I... That complaint...

cost me my place in the
surgical training program.

Yeah?

Which is why I'm now an anaesthetist.

She won't speak up without support.

Well, it's not coming from me.

(SIGHS)

WOMAN ON P.A.: Paging Dr Bell. Dr Bell.

TANYA: Where's Dr Bell?

TABB: I think she had to
submit statements for the RCA.

Keep going. We need to
get through handover.

He's a 49-year-old male with
fever of unknown origin,

mild productive cough.

We need to exclude underlying HIV.

I'm sorry.

You just missed the
two sickest patients.

We'll have to bring you
up to speed afterwards.

But back to the priority cases, Tabb.

Okay, next is Gamal Aswany,

a diabetic male in his mid-70s
with a background of CCF.

He's actually a brilliant violinist.

Oh, thanks, Tabb. Can we stick
to the medicine, please?

Sorry. Uh... presents
with shortness of breath.

- (PAGER BEEPS)
- Bibasal crackles,

JVP is elevated by two centimetres.

Guys, I gotta go. I got a code blue.

He's definitely gonna need more
furosemide through the night.

- Okay? Thank you.
- I've got it.

- Night shift is fun.
- (CHUCKLES) Whoo-hoo.

See you.

(VIOLIN MUSIC PLAYS)

Mr Aswany, I'm Dr Bell. I'm just
checking in on you this evening.

I hear you're a bit short of breath.

Could you lean forward for me, please?

Did this come on suddenly or slowly?

Fairly quickly.

This is lovely music, but do
you mind if I turn it down?

Sorry.

My son insisted I bring
it along. It soothes me.

I can hear a heart murmur and
you have water on the lungs.

But your ECG looks okay.

Um... I'm gonna give you some medication

to help with your breathing.

He's been a long time.

Doctor, radiologist needs
to speak to you urgently.

Excuse me a moment.

Patient Debbie Campbell
from Neuro in bed 43.

Had a chest X-ray.
Could be an aortic tear.

What's your experience level?

I'm PGY2. I'm a year and a half out.

Organise a CT aortogram
and get the patient to ICU.

Chances of survival are very low.

I hope you've got a light load,

because I think this'll
take most of your night.

Can you, um...? 40 of furosemide,
and I'll be there as soon as I can.

Of course.

Debbie Campbell? I'm Dr Bell.

- Are you in any pain?
- Uh... my back.

Could you lean forward for me?

And what sort of
pain? Is it dull, sharp?

- Uh, it's like a tearing.
- CAROL: BP's over.

Gotta get it down.

Uh, my husband, he sent me to Emergency,

and then the doctors they
sent me to Neurology,

and now they've sent me up here.

The doctors in Emergency thought
you might have had a mini-seizure,

so they sent you to Neuro.

Nothing showed up on the brain scans,

but something did show
up on the chest X-ray.

Debbie, we think this problem
is connected to your aorta,

which is the main artery pumping blood

from the heart to the rest of the body.

We need another test, but this
might require urgent surgery.

We'll call your husband and
get him to come back in.

Oh, when you say urgent, what do you...?

It's just that we've come back...
It's for my sister's wedding.

If this is what we think,
surgery would be immediate,

so I'm sorry, you won't be going
to your sister's wedding.

I'm supposed to be the maid of honour.

I know, it's a terrible disappointment,

but your health's the priority here.

I'm sure she'd understand.

Could you organise a bed in ICU,
and I'll get on to the aortogram?

Mm-hm.

I'll be back in a few
minutes to check on you.

Okay. Thank you.

- Great. Thank you.
- Husband's on his way.

Are we talking about
an aortic dissection?

Almost definitely. The
aortogram is done.

- Did you call ICU?
- Yep. No beds.

- Are you serious?
- Very.

Um, where's Tanya?

Dealing with an arrest in
Psych. That's two blocks away.

- Where are you going?
- Well, I need Debbie's report.

Patient in bed 5 is still in
serious pain, despite analgesia

and bed 13 had a fall trying to
get out of bed, hit his head.

- Well, any sign of a concussion?
- Not so far. But you need to review.

Well, I'm sorry. This takes priority.

Bed 14, new IVC. Bed 2,
rechart meds. Bed 62, new IVC.

And Bed 19, patient in pain.

- Thank you.
- (SIREN WAILS)

(SIGHS) Oh, shit.

(PHONE BUZZES)

Now, this had better be good

'cause I'm halfway through
a particularly fine pinot.

I have a patient with a
confirmed aortic dissection.

One kidney is already dead,
the bowel is on its way out.

Well, get her into ICU.

Yeah, there's no beds.

Who's the vascular surgeon?

Um, Leach, but he's in theatre already.

And Cutter's already
on retrieval, right?

Sounds like you've struck gold.

Yeah. What do I do?

Well, where's Tanya?

Uh, she's busy. It's just me.

Look, get her onto IV beta-blockers

and then get her out of there
and into the... jungle.

I'm sorry. What did you say?

Get her into surgery,
whatever way you can.

Okay, I will try. Thank you.

Uh, Carol, can you page the
reg on general surgery

and get that for me?

Pharmacist on call won't
come in for this.

Says you can't give IV
beta-blockers on ward, only in ICU.

Well, that's where she would
be, if there was a bed.

Fine. I'll call him.

Lazy bastard might want to
come in and save a life.

MAN: Look, when I left, they
thought she'd had a small seizure.

Now you're telling me it's her heart

and she's lost her kidney,
she could lose her bowel?

A tear like this means that blood
escapes into layers of the aorta

and it restricts blood
flow to the organs,

and they just stop functioning.

- Can you fix it?
- We need to get her into surgery.

But, Mr Campbell, you need to understand

that this is life-threatening.

Try not to move.

Stay, stay, stay, stay, stay.

The pharmacist did come in

and there are no IV
beta-blockers in store.

- What?! How does that happen?
- Oh, I don't know, it just does. Zilch.

Okay, we need GTN patches.
We don't have a choice.

And did you page the reg
on general surgery?

Yes, I did. There was no answer.

Well, I'll hunt him down myself.

Look, he's finishing up now,
but he's completely unqualified

to do an aortic dissection.

It'd be like asking you
to go in and fix it.

- We need to operate now.
- Yeah, well, who's on call?

- Duvenbeck, but he's not answering.
- Well, where's Cutter?

- She's on retrieval.
- Mitri?

Oh, right.

A resident waking up a
surgeon who's not on call.

Hmm! Yeah, well, good luck with that.

(OWL HOOTS)

CUTTER: Why did we have to
land in the middle of nowhere?

LOU: Mechanical problems. They
didn't tell me anything else.

Then why'd they take
off in the first place?

I guess they didn't know they had any.

Great. We're stuck in the
middle of BF nowhere.

Hey, did you call the team in Canberra?

- (PHONE RINGS)
- No, they're waiting, but...

they can't wait forever.

Shit!

Cutter speaking.

Dr Cutter, it's Frankie Bell here.

I'm sorry to have to call you, but I
have a patient with an aortic tear.

There's no beds in ICU and
no surgeon to do the job.

Then transfer the patient
to another hospital.

Their chances of survival
are low as it is.

You can't afford to waste any more time.

Look, call Pickering at Carlton.

He'll operate on anything with a pulse.

- Okay, should I...?
- (PHONE BEEPS)

WOMAN: Doctor?

The antibiotics for Debbie
Campbell, her cannula's tissued.

Well, give her them orally.

Shit. Such a headache.
Have you got anything?

Oh. Um...

Tampon?

Not this week.

Nah, I don't have any.
Should I ask those guys?

Well, they don't need a tampon.

(SIGHS) They're gonna have to
start the operation without us.

Which kidney are we getting?

Well, Berger wanted the left,
but they've got first dibs.

You know, we should be in there
now, because I can see that team,

they're gonna be circling
in there like vultures.

Well, maybe they could Skype us in
while they're examining the organs,

and then someone else can do the
transporting if the kidney's viable.

Good idea.

- Let's try that.
- Mm-hm.

(SIREN WAILS)

Dr Cutter suggested that
you might be able to help.

My sister should be here.

Uh, no, he's in theatre already,
which is why I'm calling you.

You can't always fix things
when they're broken.

I have no idea, I'm... I'm sorry,
but the patient is about to die.

- I need to get her into surgery.
- Sorry. I'm on the telephone.

I shouldn't have to wait.
You know, I've

been on anti-discrimination boards.

- I know quite a lot about it.
- Look, I'm sorry, sir.

Did you say you're
looking for your sister?

The patient in bed 26, he's
increasingly short of breath,

Coda, it's a musical
term, meaning 'the end'.

Saturating on two litres of nasal.

Okay, four more litres
of oxygen by mask.

I've got too many other patients to
deal with. I'll be there when I can.

- I'm broken from the accident.
- Okay.

Um, could you please look
after this young man?

Dr Kalchuri says she needs
your help upstairs.

- Yeah, I can't. I think maybe Neuro.
- My sister should be here.

- I'm not European.
- No, Vascular. Sorry, Vascular.

- I need the Vascular Reg.
- Sir, this is the Cardio Unit.

Are you sure you need to be here?

What about we take you up to Neuro?

How can I be European?
I was born in Auburn.

Oh, come on, come
on, come on, come on.

So, I...

- and then they bundled me in.
- Mm-hmm.

Just bundled me in.

Dr Kalchuri wants you to call
her, ASAP. She needs assistance.

Oh, well, so do I. Sorry.

Yes, hi. Is that Vascular?

Yes, hi. Um...

Oh, is this... is this the surgeon?

Yeah, I've spoken with Dr Pickering
in cardio. He's given his approval.

It's midnight. Why are you
calling me now about this?

Well, he told me that I need to get
approval from you for the transfer.

The initial CT scan was two hours ago.

No, I... I understand that.

But I can't get her into surgery
here, so I'm just trying...

Call in the morning, if you haven't
managed to get her into surgery,

we'll consider taking her.

She's lost the blood
flow to her left kidney.

Well, it's gone, then. We can't save it.

But if we don't get her into
surgery, she'll lose her bowel.

Right now, the patient's stable.

No... all signs are saying
that she won't last the night.

No, we're not accepting her.
Call in the morning. (HANGS UP)

DEBBIE: (WHISPERS) Kenny... if
anything... if anything happens to me...

Deb, don't. Don't, Deb.

- If I don't come back...
- Hey.

I want you to tell..

You're having this operation,
then you're coming home.

You're my angel, okay? You're
not going anywhere. Got it?

I'm sorry. Excuse me.

Debbie, I'm afraid that we have to
transfer you to another hospital.

Wait. You said that this was serious.

We don't have a surgeon here,
right now, to do the operation,

so you'll have to bear with
me while I get it organised.

(DEBBIE BREATHES RAPIDLY)

Hey...

Hey, hey, stay still.

I'm sorry.

Hey. Don't be sorry. Okay? This is...

Everything will work out.

I love you so much, Kenny.

- I love you.
- Just hang in there.

Keep calm and just stay relaxed.

(DEBBIE BREATHES RAPIDLY)

SURGEON: Left kidney's a little
enlarged, by the look of it.

No. Wait...

I think what we have here

is a horseshoe kidney, that is usable.

Of course it is. We'll have it.

MAN: Well, technically, you'd have
to say this is the left kidney.

Why?

Before we descend into
complete anarchy here,

I should point out that
there's a high risk of trauma

with this kind of injury.

Let's see what we have here.

That's one damaged kidney.

I'm afraid both teams have
drawn the short straw.

(SIGHS) Shit.

Nothing like coming home empty-handed.

LOU: I can't believe it. It
looked fine on the surface.

Yeah, they often do.

- (PHONE RINGS)
- I'll call the team.

That poor kid there, waiting in pre-op.

Oh, it's your mate again.

- How'd you go?
- Uh, they won't take her.

Cardio said yes, but
the vascular refused.

Well, we'll have to make them take her.

- Okay.
- Look, leave it with me.

Uh, we didn't get to
Canberra. It's a long story.

We're driving back to Sydney now.

But it's a no-go with the
kidney for Damien, I'm afraid.

Thank you.

I'm so sorry. The kidney was damaged.

It wasn't good enough
for you. We can do better.

It's disappointing, I know.

It sucks.

Look, there is a program. It's
called the Paired Kidney Exchange.

You're not compatible with Damien,

but you would be paired with
someone who is a match.

You would donate a kidney,
Damien would get a kidney,

just not to and from each other.

If you're interested, I
can look into it for you.

(PAGER BEEPS)

Okay.

For now, just go home and rest

and we can talk about it another time.

I'm so sorry.

We'll get through this.

Doctor...

the patient in bed 26 is
struggling to breathe.

Descending to, um, 82%

and he also complained
about chest pains.

- How bad is the pain?
- 3 out of 10.

Give him some GTN,
another 80 of furosemide

and increase oxygen to six litres.

I will be there as soon as I can.

- BP's still over 200.
- (PHONE BUZZES)

Dr Cutter...

- Carlton Hospital is accepting care.
- Really?

I've organised an Intensive
Care ambulance. Tell Carol.

Yes, I will. Absolutely.
Thank you so much!

Thank you very much!

Where have you been?

I've had five MET calls
going, all of them unstable.

I have a patient here
with aortic dissection.

Well, then, she needs to
be in surgery right now.

There is no surgeon available here.
I've organised a transfer to Carlton.

But I can't get her BP down.
When I arrived, it was 220/110.

- What is it now?
- 200/95.

Mr and Mrs Campbell, this
is Dr Tanya Kalchuri.

What's the story with those patches?

There's no IV beta-blockers.

She's got rebound tachycardia.

You know that the
treatment for that is...

- Excuse me, Doctor?
- IV beta-blockers.

We don't have any, so I'm
trying to get her BP...

- Don't use patches.
- If there's no IV?

Use oral, oral and more oral.

Nurse, can we get some
oral beta-blockers?

- Doctor, what's going on?
- Just one moment, please.

Excuse me, Doctor?!

Not me, Joe. You see, they're
all racing this way, that way,

and this way and that way...

Ah, Patient Care here
to transfer to Carlton.

And there's trouble. The apple pie...

No, no, no. We organised
Intensive Care paramedics.

We're just your run-of-the-mill
variety. Dr Bell?

Yeah, that's right. This...

It took me two hours to
sort out this transfer.

- Bloody morons.
- That's because of my brain.

- It's broken from the accident.
- Not you, mate. Not you.

Doctor, what's going on?
Why aren't they taking her?

They're the wrong paramedics, but
don't worry I'm sorting this out.

The apple pie is in the
bed. You know, my sister...

- Who is this guy?
- I don't know!

I thought he was from Neuro.

He's not from Neuro.
You said you'd sort it!

Sir, we really do need
to know your name.

- Not me, Joe. My sister.
- What about your sister?

- What's her name?
- Where is your sister?

Rookwood Cemetery.

(BEEPING)

- 200ml, please.
- Yeah, sure.

- There's not enough time.
- What about Mitri?

Not on call.

What's worse, waking up a
surgeon who's not on call

or sitting at a coroner's court

because a patient died
and it's on your head?

(PHONE BUZZES)

(SIGHS)

Yep.

Um, this is Dr Bell.
I'm sorry to wake you.

But I'm afraid that I have no choice.

- I'm not on duty.
- I know.

But I have a patient with an
aortic dissection and no surgeon.

Okay, so, who's on call?

Duvenbeck. He's not answering.

Cutter's on retrieval, and I've tried

to get her transfer to Carlton, but
they sent the wrong paramedics.

(LAUGHS) Hang on, hang on.

You want me to come in
there and save your arse?

No, not mine.

The patient's. I'm... I don't
think she'll last the night.

She's lost one kidney. She's
about to lose another.

I know how serious an
aortic dissection is, Dr Bell.

It's a high-risk operation...

as was the other.

If I come in there, you need to accept
that the outcome is what it is.

Got it?

Yes.

Is he coming?

Well done.

LOU: Oh, God. I'm so tired.

CUTTER: Oh! You... There is
literally nowhere else in the world

I'd rather be right now
than with my pillow.

I don't think mine would recognise me.

Where are you going?

It's the middle of the night.
I've got a date with my pillow.

No, you have a date with me
in an aortic dissection.

What? I thought the patient
had been transferred!

I need you in theatre.

Mitri, I am seriously struggling
to stay vertical right now.

Then do it lying down.
Please. We need a team.

Well, are you happy with
Dr Tannis assisting?

- Sure. I'll see you in there.
- All right, then.

Tighten your lower
sphincter and refocus.

KENNY: Just hang in there.

Mrs Campbell?

I'm the surgeon who's
gonna operate on you.

We've assembled the best possible
surgical team for this, okay?

So, you can be assured,
you're in excellent hands.

Bless you, Doctor. Thank you.

Dr Bell will do her best
to keep you informed.

In the meantime, try and get some rest.

You make sure you come back.

And tell those angels you
belong here, with me.

I'll have to. I couldn't
stand looking down

and seeing you with someone else.

The apple pie is on
the bed! That's a coda.

- I'm sorry.
- It means 'the end'.

I think his name is Adam Aswany.

Coda's a musical term,
it means 'the end'.

- Aswa... Oh, Aswany! Yes, Gamal Aswany.
- It's the end.

(QUIETLY) His end... His end...

You're his son.

- His end.
- "Hizend"?

His... end! His end!

Room 26!

He's gone.

The apple pie's on the bed.

Coda.

The end.

There will be too many flowers.

People crying.

All those wet tissues.

(MEDICAL EQUIPMENT BEEPS)

MITRI: Can't see. Suction.

- (SUCTION GURGLES)
- (YAWNS)

(YAWNS)

Am I boring you two?

Mm. Clamp on.

Hand me the suture.

Whoops.

Damn.

Steady now. We'll start again.

Come on, you.

Behave.

Got it.

That's it.

Good result.

Yeah.

And another notch in your surgical belt.

It's not every day a surgical
resident gets a shot

in an aortic dissection.

(WATER RUNS)

- You did well.
- (P.A. BEEPS)

Thanks.

WOMAN ON P.A.: Please report
to Dr Ford in his office.

Urgently, please.

Nurse Bonbridge, Dr Ford's office.

(BEEPING)

You told me he was short of breath!

I said he needed to be reviewed

and that he would need more furosemide.

That is a long way from
bi-ventricular heart failure.

He has a history of CCF.

It was in the notes, Frankie.

I am not a mind-reader. He should
have been listed as high-priority.

He had a heart murmur
that you didn't pick up.

That is the point of handover, Tabb.

- It is your job to keep me informed!
- Uh, you were distracted.

Your head was in the bloody
RCA. Do you remember?

Were you even listening to me?

How the fuck am I meant to listen to
something that's not being said?!

Aaagh!

It's lovely music, but do
you mind if I turn it down?

Did this come on suddenly or slowly?

Fairly quickly.

(SIGHS)

Coda. That's a musical term.

The apple pie is in the bed.

The apple pie is on
the bed. That's a coda.

Aah!

Ohhh!

(WEEPS)

Ohh!

Mr Campbell?

Yes.

Your wife is now stable.

The torn section of the aortic valve

has been repaired using a Dacron graft.

Bless you, Doctor. Bless you.

Unfortunately, decreased
blood supply to the organs

meant she lost one of her kidneys.

But I'm fairly certain
she'll make a full recovery,

as long as we keep her blood
pressure under control.

Thank you, D... Thank you, Doctor.

I can't thank you enough.

Maybe if I... I kiss your feet?

That might be a little unhygienic

and, uh, possibly not in the best
interests of the patient, huh?

(CHUCKLES)

- Thank you, Doctor.
- Oh...

Thank you so much.

Thank you again.

(SIGHS)

LOU: Hey.

Hear the good news, right?
About the aortic tear?

She's gonna be okay.

Yeah.

I heard. But, um...

I lost someone else.

I spent all night trying to get a
surgeon to operate on that tear

and there was all these MET calls

and there were no other doctors around.

Well, then, the tear takes priority.

I knew he had breathing difficulties.

And I think that his son was trying
to tell me that he was in trouble,

but he's brain-injured and...

I didn't know he was and I couldn't...

I didn't get there in time and he died.

And he had a history of CCF.

I missed it.

But even... even if
you'd picked it, you...

But his son has lost his
carer. He's got no one.

You know, and I've been pushing you

to speak out at the
RCA over Zoe's death,

so the truth will come out,

and here, I have lost a patient myself.

So, who am I to judge?

Your patient died because you
couldn't be in two places at once.

You couldn't.

But it's possible Zoe died because...

(SIGHS) a surgeon took offence
at his work being questioned

by a junior surgeon.

That's arrogance.

And you're right.

It's dangerous.

You did everything you could.

You always do.

The social worker's seen
him and organised care.

Don't worry.

He'll be right.

No wet tissues.

No flowers.

What was his favourite song?

('CELLO CONCERTO IN A
MINOR' BY VIVALDI PLAYS)

(ADAM CRIES SOFTLY)

('CELLO CONCERTO IN A MINOR'
BY VIVALDI CONTINUES)

MACK: The autopsy has revealed the bleed

was most likely the result
of a missing stitch,

the possible causes of
which have been outlined.

A sudden spike in blood pressure,

causing the existing stitch to burst.

Friable hard tissue,
incapable of holding the stitch.

Or... a problem with the
initial stitching itself.

The committee is satisfied that
hospital protocol was followed

and no single cause can be identified.

This in no way diminishes the...

the trauma suffered by the
family, and the staff involved.

A formal apology has been made
to the patient's husband,

and counselling made available to all...

Sorry, Dr Mack.

I want to suggest that while
there may be protocol in place,

it's not always adhered to,

and that... that may
have been the cause.

Well, there's nothing in your
report about it. At what point?

Before we took the patient off the
cardiopulmonary machine, uh...

Dr Mitri was about to declamp.

I thought I saw a loose stitch.

And?

And I said, "Stop. Do not unclamp."

Dr Mitri, do you recall this?

Uh... she may have
said something, but...

I'd been working for 14
hours straight and I was...

focused on the operation.

But, no. No, no. I... I don't recall it.

Did anyone hear Dr
Tannis raise a concern?

Sir, can I just say that the
culture of bullying in this hospital

means that people are
afraid to speak up.

Well, you can say whatever you like,

but without any evidence to
substantiate such a claim...

I don't have any evidence.

But the fear amongst staff is so strong

that they won't say anything for
fear of personal repercussions.

Now, Louise Tannis is
telling you the truth.

But she's been cornered and bullied.

That's... that's enough.

Dr Bell, would you please let me
chair this meeting as I see fit.

Dr Tannis, you mentioned nothing
about this in your interview

and, yet, you have just now alleged

you thought you saw a slipped stitch.

How certain were you?

- Certain enough to call it.
- Did you call it a second time?

No.

Dr Mitri heard me.

He told me to check it.

And did you?

Yes.

She should never have been asked
to check it in the first place.

But I... I couldn't see anything.
I was under pressure.

How did you proceed, Dr Tannis?

I let it go.

And I shouldn't have.

Dr Tannis?

You did the right thing.

You're very brave.

(TRAIN RATTLES)

It was a whitewash. Lou was crucified.

She's been made to do a graded
assertiveness training course.

Nothing for Mitri,

who's "an exemplary surgeon

"and valuable member
of the surgical team."

I'm sure they're very reluctant
to shatter the confidence

of someone like Mitri.

He's a top-rate surgeon
and saves lots of lives.

It doesn't make it right.

It just makes it... complex.

You're fighting the good fight, Frankie.

We just lost.

You lost the battle but not the war.

That debated incident is now on record

and serves as a deterrent...

to any surgeon...

who's tempted to ignore the
advice of a team member.

Well, too late for Zoe
Mendosa and her family.

The two things birds need to survive...

Context and perspective.

But...

they need to leave the
ground in order to get it.

synced and corrected by susinz
*www.addic7ed.com*

It's a teaching hospital,
so why don't you teach me?

No, look. You're jumping
the gun, Frankie.

No, look, don't patronise me!

Right? Now, this is how it's gonna play.

And I'm sorry I don't have testicles.

- CAROL: Your boss is not okay.
- Has something happened?

I don't know what's going on, but we
were about to do this kidney biopsy

and he just... froze.

BERGER: I'm not having the operation.

Not until I've seen the Paired
Kidney Exchange through.

Well done, Sherlock.

What can we do to stop this
whole thing from falling over?

His judgement is impaired

and if something happens,
you're both done for.