All language subtitles for All.Saints.S10E19 - The Pain of it All.en

TYRES SCREECH

FRANK: Charging to 360.

Clear.

MONITOR DRONES

AMBULANCE SIREN WAILS

For God's sake, do something!
Hang in there, it won't be long now.

Mia Schofield, 32,
acute oesophageal spasms.

Mia, I'm Dr West.
I need this pain to stop - please!

We'll get that under control
once we've looked at you.

No, I don't need you to look at me.
I need you to stop it hurting.

Mia, we will look after that.
We just need you to relax, OK?

Have you give her any pain relief?
Please, just do something!

No, she refused
the Penthrox inhaler.

Weird, I know, yeah, when she says
she's in this much pain.

Ah! Good timing, you guys.

Dan, I need you to cover triage.
Ricky, can you take the floor?

DAN: What's the problem?
We don't know yet.

Swap with me.
What?

I want to work in triage.
Why?

After Sean died, Bart told me
that he was in love with me.

Oh.

He didn't give me a chance
to say anything,

which is probably just as well,
because I had no idea what to say.

And I still don't.

Please, can someone help me?

Hi. Hi, I'm Erica.
What's the problem?

I need a doctor.
OK. Well, take a seat...

No, I haven't got time for that crap.
Take it easy, mate.

Look, I've got Ebola.

Ebola?
Yeah.

I've got a fever,
aches and pains, diarrhoea,

and I just got back from Africa.

OK, you've probably
just got the flu, mate.

What's it gonna take? I'll be
bleeding from my eyeballs soon.

I've got Ebola.
I could be dead in a few hours.

OK, OK. Come on through
and we'll take a look at you.

(Whimpers)

Your throat looks fine.
It always does.

I don't have dysphagia.

I have occasional bouts
of regurgitation

and non-cardiac chest pains.

You've seen
a couple of doctors, Mia.

Yeah, pretty much
everyone in Melbourne.

Is that where you're from?

Yeah, I was told the spasms

could've been triggered by something
environmental, so I moved up here.

And now this!
Shh.

OK, let me just have
a look at your belly.

Have long
have you had these attacks, Mia?

Um, whenever I eat.

Some foods are worse than others,
but they're pretty much all bad.

It's been like this
for about five years.

God, how do you cope?

Um... roses. Roses help.

I grow them and show them
and win medals.

They keep me distracted.

I grow them too. The hospital
has a lovely rose garden.

What's your scar? Gall bladder?

Yeah. It was... I had it removed
about a year ago.

Some bright spark's brilliant idea
to stop the problem.

It was a waste of time.

Regular bloods?
Yeah, can you hang a bag of saline?

Why'd you wait so long
before calling the ambulance?

Because I hate these bloody places.

You all think I'm mad,
that it's in my head.

Nobody's saying that.

No, when it gets too hard,
you write me off as a psych patient.

It's what happens every time.

Mia, we're just going to take this
one step at a time, OK?

I'm not making this up.

This is real, and it is
making my life not worth living.

Zoe.

Hi.

Didn't think
I'd see you in here today.

How are you doing?
Is this about a patient?

No, it's not.

Then I have a lot of work to get
through, and I need to do it now.

Right.
DAN: Zoe?

Uh, Erica's got a guy in triage
who's convinced he's got Ebola.

He's running a temperature...

And he's recently back from Africa?
Mm-hm.

Why is it that anyone
who arrives from Africa

feeling a little off-colour
thinks they have Ebola?

Maybe because no-one keeps you
waiting if you say you have it.

Yeah. Should I get Ricky
to bring him to a cubicle?

You can check him, clear him,
get him out?

Sounds like a plan.

Would you like me to take the case?

If that is what I wanted,
I would've asked you.

Through trial and error, she's
learned what she can and can't eat.

No vegetables, herbs,
spices, sauces.

So she can't even have basic carbs
without suffering an attack.

Well, she tried everything she can
to get on top of this,

including hypnosis and marijuana.

Right, and so today's acute attack,
what did she have for that?

Well, she regularly has
10mg of diazepam before meals,

so she's had a total of, um...

A total of what, Homer?

Diazepam.

30 mils... milligrams of diazepam.
Anything else?

Uh, well, the ambos haven't given
her any meds and neither have I.

Apparently her doctor
in Melbourne said

the only way to control her pain

was through
a regular regime of narcotics.

Right, so she lobs on our doorstep
in apparent agony,

to which you can find no cause,
and demands narcotics.

She hasn't demanded anything -
only our help.

Oh, come on - the woman knows
our jargon backwards,

can reel off all the right symptoms,
and apparently comes from interstate

so there are no old notes
for us to check.

I think, my young pup,
you may have been deceived.

You think she's after drugs.

Well, there's one sure way
of finding out.

Oh, my God. You think I'm a junkie?

I'm not making this up.

I'm not insane, and I don't want
your damn narcotics.

I am in pain
and I want to know why.

Is this too much to ask?

No, no, not at all.
No, look, forget it.

You don't...
you don't know what this is

any more than any other doctor
I've seen.

I won't waste
any more of your time.

Mia, please, stop. Listen.
No-one is accusing you of anything.

They're just trying to check your
symptoms are genuine. That's all.

No, you think
I want to be like this.

You think I'm having fun here?

Let us give you something
for the pain.

No morphine! (Sobs)

Tramadol 100mg IV. Bear with us, Mia.

You're in very good hands
with Dr West here.

I've got a meeting with Admin.
Keep me informed on this.

I'm just going to check your medical
record. I'll be back in two secs.

I'm not confident
I'll handle Mia's case well.

Last time
we had something like this,

we ended up dealing with a suicide.

Will you take over?
No, Homer, I won't.

I'm dealing with the same attitude
from this patient -

that life isn't worth living.

I really feel one of the other

more experienced doctors
should handle it.

When that woman came to us scratching

and thinking
she was covered by parasites,

she had a lot more problems
than just medical ones,

and you gave her her diagnosis.

Yeah. It didn't help,
though, did it?

They still ended up
declaring her dead in the ambo bay.

Yes, but Homer, we can't pick
and choose our patients.

Sometimes we don't succeed.

If that prevents you from working,
then you won't be much bloody use...

Are you listening to what I'm saying?

Mia was talking about roses. She
said it takes her mind off things.

You've got enough distractions
without worrying about horticulture.

Just focus on your patient.
Right.

You've been dropping the ball
all day. What's going on?

Nothing. I just don't know
what the next step is.

If Mia presented and you didn't have
all these worries,

what would you do?

I'd start from the beginning
and run her tests again.

Exactly. So go.

And keep me informed.

Nathan Whaley, 20,

partially severed femoral artery
trying to remove a full leg cast.

OK, let's get to Resus.

What did he use on it, a power saw?
No, a circular saw, actually.

Lost approximately 1 litre of blood
on site and tourniquet applied.

My God, I don't believe it.

I'm sorry, Von.

You know this one, Von?
(Exclaims painfully)

Yes, he was supposed to come in
early next week

to get this cast off.

I couldn't wait that long, Von.
I had a hot date, you know?

Alright, guys, on three.
One, two, three.

(Exclaims painfully)

OK, I'll get another cannula in.
Put these fluids up.

I'll get the monitors on him.
Anyone you want me to call, Nathan?

My girlfriend.
Of course.

Can we get four units
of O neg, please,

and can someone let the blood bank
know we'll need more on stand-by.

I'll do that for you.
Thank you.

Good luck with this one, guys.
Thank you.

Right, lines going in.
I'll get bloods.

Pedal pulses are weak.
Capillary refill is poor.

OK, I'm going to undo
and reapply the tourniquet.

Keep an eye on his BP, please.

(Exclaims painfully)

Run those lines through, please.
Got it.

Jesus, Nathan, you've done
a hell of a job on yourself, mate.

THERMOMETER BEEPS

Temp's 38.7.

You certainly have a fever,
but it could be a number of things.

I wish.

Where were you in Africa?

Uh, Sokoto, northern Nigeria.

Work? Holiday?

Holiday. But I have worked there
in the past.

I'm an archaeologist.
Really?

Don't think I've ever met
an archaeologist before.

Dying breed.
Mmm.

Were you travelling alone?

No, I was on my honeymoon.

Congratulations. Do you want me
to call your wife for you?

Tim, if you've been exposed
to the Ebola virus in Africa

then I think
your wife would be sick too.

She's dead.

I'm sorry.

I was driving her to the Rima River,
where we first met.

And I rolled the jeep.

I was the lucky one.
Didn't get a scratch.

Brittany never
regained consciousness.

I didn't even get to say goodbye.

How bloody unfair is that?

Let's get this done, shall we?
Yeah.

Not much success
with the tramadol, I'm afraid.

What's plan B, Dr West?

Well, I've got your medical history.

It seems like you've been reviewed
by so many doctors

and had such an array of tests

that maybe
we've all been missing something.

And that means what?

We go back to square one
and get to the bottom of this.

You really think that'll help?

Look, sometimes a fresh pair of eyes
is exactly what's needed.

So I'd like to do a chest X-ray
and collect some bloods for calcium,

magnesium, zinc
and phosphorus levels.

OK, I'll organise that X-ray and be
back to take the bloods in a second.

OK.

I don't want you to be in pain
during these investigations.

No, we're on the same team there,
doctor.

Good, because I'd like to give you
a small shot of morphine.

What part of "I don't want
any narcotics" don't you understand?

One shot of morphine's not
gonna make you an addict

or crazy or anything.

Look, we're going to get to
the bottom of this. I promise, Mia.

But you have to be pain-free
for these tests,

and that means morphine.

Do we have a deal?

OK.
OK.

Goldman,
how's our Ebola patient going?

You've heard about him, huh?
Too right I've heard about it.

What's the bloody story?
He's got a fever.

Dr Gallagher's, you know, dotting
the 'I's and crossing the 'T's.

But I think that he might be
suffering more from survivor guilt

than from some deadly virus.

What?

He just got back
from his honeymoon in Africa,

and his wife was killed in an MVA.

He was the driver.

Does Zoe know about this?
Yeah.

Dan. Frank.
What's up?

My patient is convinced
he's suffering from Ebola.

Yeah, so I've heard.

You know we've never
had a case of that.

Yeah, I know.
But please, just listen.

He has a fever, he has joint pain,
generalised weakness, diarrhoea.

But Zoe, that could be
one of a hundred things -

typhoid, malaria, dysentery...

I know. But his gums are bleeding.
His eyes are bloodshot.

He has traces of blood
in his faeces.

He has some kind
of haemorrhagic fever.

And considering where
he's just come from...

You can't be serious.

Are you?
There's every chance this is Ebola.

AMBULANCE SIREN WAILS

This is a very emotive disease,
so I don't want any scaremongering

amongst the patients
or their relatives.

Not to mention the staff.

I have been through
a scare like this before.

I'm not falling for it again.

Trust me, Frank.
It's the disease that cried wolf.

I think it's safe to assume

there'll be an initial outbreak
somewhere, sometime.

I've been in contact
with the Centre for Disease Control

and there are
very specific precautions

that need to be put in place.

Don't cut any corners.

Yeah, look. These are
just precautions, though, hey?

Because are we really expecting
an outbreak of Ebola?

At this moment, does it matter?

Only Zoe and Dan are to have
any contact with the ISO patient.

Everybody else
needs special clearance

before they go in
or out of the ISO room.

This is a list
of the protective clothing

that must be worn
when dealing with the patient.

There will be specially trained
laundry and cleaning staff

to deal with anything
in the isolation area.

Is that clear?

Goldman and Gallagher, you'll have
to have decontamination showers.

Who triaged the patient?
I did.

You'll need to decontaminate too.

Charlotte, can you cover for Zoe
while she's away?

Right.
If that's OK with you.

That's fine, Frank.

OK, we'll be liaising with Admin
and Infection Control.

They and the health department
will track down

everybody else
who was on Tim's flight,

and also all of his
outside contacts.

You sure we're not overreacting
just a little bit?

Most people who contract Ebola
die within the first two weeks.

A hell of a lot of them
are hospital workers.

I don't think we're overreacting.

Thanks. Hey, Zoe?

Hear you've got a bit of excitement
around here. An Ebola scare.

It's what the patient's claiming.

OK, you're angry with me.
I can accept that.

Were you afraid
I wouldn't handle it?

That I would fall to pieces?
Was that it?

How are you handling it?

I'm here. I'm doing my job.
That's all I was doing.

I don't know why
Sean wanted you kept in the dark,

but I won't apologise
for doing what he asked.

This is pointless.

In my position,
you'd have done the same.

You don't know that -
or anything about me.

So don't be so damn arrogant.

You can rage against me
all you like,

but I'm not the bad guy around here.

Look, whatever your reasons were
for keeping it from me,

it won't change anything now.

Zoe... I could be the best friend
you've got around here.

You know where to find me.

(Sobs)

Need another unit of blood up.

Those scrubs suit you.

Am I going to lose my leg?

Mate, we're gonna do
everything we can

to make sure that doesn't happen.

How's the pain, Nathan?
Yeah, it's pretty bad.

I'll give you
some morphine for that.

Did you get onto my girlfriend?

Sorry, I haven't heard yet.

She'll be spewing.

I'm gonna need
the haemostat forceps.

I've gotta do something
to stop this bleeding.

I was taking her out on the weekend.
There was a big concert.

I think you're gonna
hold off on those plans, mate.

No. What? No.

Well, I'm sure she'll be happy
that you're in one piece.

I can't let her down.
It's her favourite band.

Is that why you tried
to take your cast off yourself?

Because you wanted to go
and see the band?

She wouldn't go with me
if I had a plaster on.

So I had to get it off.
I'd do anything for her.

Mate, just try and relax for me.

If I'm too out of it
when she gets here, just...

..just tell her...

Tell her...?
I love her.

Don't pussyfoot around.
Scrub the bloody thing!

It's not often we see
the waiting room closed.

Better safe than sorry.

Yeah. Three of our people
have already treated this guy.

If it is Ebola, the numbers say

one won't make it
past the next fortnight.

I am sure Dan,
Zoe and Erica will be fine.

We have a few advantages
over your average Nigerian hospital.

What've you got there?
Uh, Mia's initial blood work.

She's malnourished,
which isn't surprising.

Every time she eats something,
she's in complete agony.

What are you doing for her?
I've got her on nil by mouth.

I wanted to get
a barium swallow done.

Mm-hm. Have you thought
of an endoscopy?

Of course.
Which one first?

The endoscopy -
otherwise the barium residue

will make it difficult
to see anything.

Good. Set it up
and I'll be in to supervise it.

You think I've got it, don't you?

All the gear, the precautions -
you wouldn't do that unless...

We just don't take any chances,
that's all.

You don't have to protect me.
I know what's coming.

If we can't be sure,
I don't see how you can be.

Alright?
We'll know some more soon, OK?

All set?
Yeah.

Dan's on his way too. How's Tim?

He's scared,
but I've cannulated him.

Taken all the usual bloods,
an IgM ELISA,

PCR and a virus isolation,

so there are extra samples there
if you need them.

Thanks for covering.

You sure you don't want me
to stay on this?

I'm already kitted up
and I don't mind.

I've got it. Thanks.

How are we travelling in here?

BP's low - 88 on 56 -
and his pulse is 125.

Mm-hm.
Could use a hand.

Mm-hm.

He's losing quite a bit
of blood there.

This clever lad has just
sliced through his femoral artery

with a circular saw.

So I see.

We're stabilising him
prior to theatre, eh?

We're trying to.
Another unit of O neg going up.

Push it through
with a rapid infuser, please.

Will do.

How long's the tourniquet been on?

12.5 minutes.

Right. I'm gonna need
a central line in.

Want me to take care of that for you?

Yeah.

BPs are stable.
Oxygen sats are good at 97.

Midazolam's kicked in.
We're ready to go.

OK. Inserting the probe.

Mia, this'll be exactly the same

as all the other endoscopies
you've had,

so just try and relax for us,
will you?

I know it feels like you're choking,
Mia, but you're not.

OK, I'm pumping in some air to get
a better view of the tract.

GI tract looks fine.

No inflammation or ulceration.

Take a biopsy anyway.

You might feel a little bit
of pressure, Mia.

You're doing great.

OK. Travelling down towards
the oesophageal sphincter.

No masses.

It's stuck, Dr Campion.

Mia, your throat has clamped down
around the tube.

What we need you to do is
try and relax, if you can.

Midazolam 5mg IV and Buscopan 5mg.

Yep.

Mia, I'm going to give you something

that will try and help the muscles
in your throat relax.

Midaz going in.

And Buscopan.

Did I do something wrong?

No, no. Nothing. Just let it go.

There we go. It's releasing now.

It'll all be over
in a couple of seconds, Mia.

If I didn't do anything wrong,
why did the probe get stuck?

I don't know.
I've never seen that before.

If her oesophagus can spasm
when she takes a sip of water,

it's hardly surprising, is it?

She can't even tolerate water?

She didn't mention that to me.

Remind me never to swap
with you again.

How was I to know what patients
were going to come through the door?

I was joking.
Sorry.

You still haven't spoken to him yet,
have you?

He's had a crush on you
since you started here, Ricky.

What?

Why didn't you tell me?

I thought you knew.

Well, it...
Anyway, it doesn't matter now.

Now that he's said something
you just...

..can't keep avoiding him, can you?

Well, look, if it was anybody else
who had shown interest in you,

you'd just say... what?

What would you say?

It isn't anybody else. It's Bart.

And after all he's been through
this year,

you really think I want to hurt him?

God, Ricky, he's not a kid.

Just tell the guy the truth.
Put him out of his misery.

Say what exactly?

"I really like you,
but just as friends"?

No, no. That's a killer.

Then I guess "I think of you more
as a brother" isn't right either?

No, that's worse.

See? It's not easy, is it?

(Sighs)

Mia's electrolytes
are all over the place.

Yeah, magnesium, calcium
and phosphorous levels

are seriously depleted.

Get onto Pharmacy. Tell them I have
a patient who needs TPN.

And tell them I want her to start
as soon as possible.

I've already done that and I've
organised a barium swallow too.

Right. And we'll need a plan
of management for her pain as well.

What about finding out
the cause of her spasms?

Let's just fix what we can.

I promised Mia I'd get to
the bottom of her problem.

Then you should learn
when to keep your mouth shut.

Don't want to give up on her.
Nobody's giving up on her.

I just think it might be nice

if we started actually treating
some of her symptoms, don't you?

Course.

Ooh. Sorry.
Sorry.

It's my fault.
No, it's OK. Sorry.

MONITOR BEEPS FRANTICALLY
Crashing!

He's lost too much blood.
We can't get enough into him.

Hang another unit
in the rapid transfuser.

Push some Hartmann's through.
Onto it.

He's in VT.

No output.
Commencing CPR.

I'll take his airway.
He's now in VF.

Charging to 360.

Adrenalin 1mg going in.

I don't like the look of this.
Shut up, Vincent.

Another unit of blood now.
Clear!

MONITOR DRONES
Charging again. 360.

MIKE: Need to make a scalpel cut.

FRANK: Clear!

Nil output.
Resuming compressions.

300mg amiodarone going in.

How dare you not tell me
what was wrong!

Fourth unit of O neg going up.

FRANK: Charging again. 360.

Come on, Nathan.

Work with us on this one,
for God's sake!

FRANK: Clear!

Got a pulse.

Sinus rhythm. I'll intubate.

That was close.

Sux and thio.

When's that tourniquet
due to be released?

Nine minutes.

Sux and thio... in.

Cricoid pressure.

You alright?

I'm in.
Vlasek?

Just doing my job.

So everything's alright, is it?
Good as gold.

Now, let's get this boy to theatre.

If we don't stop that bleeding,
we're gonna lose him again.

Alright. Come on, guys. Move it.

I didn't know you two could play
so nicely together.

Evolve or perish, Frank.

Off to theatre?

We finally managed to stabilise him.

And, uh, how is he?

He's lost a lot of blood,
but you know what?

I think they'll pull him through.

Did you get onto his girlfriend?
Yep.

And is she on her way in?
Nup.

What? He cut that cast off for her
and she's not coming in.

What sort of a relationship is that?

According to her
there isn't a relationship.

Well, that's not
what Nathan's saying.

No, no, no, no.
Nathan's not too bright.

Apparently she's been trying
to give him a hint for weeks.

Oh. Poor guy.

"Poor guy"?

Look, if that girl had just told him
the bloody truth,

that "poor guy"
wouldn't have ended up in here.

Oh...

It's probably not as impressive
as the ones you grow,

but... well, there's a rose garden
here at the hospital.

No, it's very impressive.

You're very thoughtful.

Well, as long as it helps you relax.

Your barium swallow showed no
changes from the previous screen

except a minor narrowing
of the oesophagus.

And we still can't find any reason

for what happened
during your endoscopy.

Oh, sounds a little bit familiar.
Nothing showed up. Nothing's changed.

We're going to start you on TPN,
which stands for...

Transparenteral nutrition.
Yeah, I've had it before. Thanks.

When I couldn't eat anything
for weeks.

Well, that's good.
So you know how it all works.

But none of this sounds like
you're any closer to a diagnosis.

No, not yet.

We've gone through
all your physical symptoms.

But pain management is still
something we need to discuss.

Spit it out, doctor.

Sorry?

I know what comes next.

You think it's in my mind
and you'd like me to see a shrink.

Hmm?

I told you I'd get handballed
sooner or later.

Mia, you've had this condition
for years.

Nobody's been able to find a cause.

We've only been working for a couple
of hours. Give us a chance.

We're not giving up.
You shouldn't either.

It's easier said than done.

This all started at Britt's funeral.

I was aching all over.

Sweating, feeling totally crap.

I just thought
this was how people feel

when they lose someone they love.

'Cause I've never lost anyone
that close to me before.

Oh! I need to pee!

It's OK. We'll get your bottle.

Oh! Oh, God!

I'm sorry. It's too late.

Oh. We'll get you cleaned up,
alright?

Zoe.
What's wrong?

Oh! I'm pissing blood!

No, no, no, no!
Tim, you need to stay on the bed.

I'm screwed! I'm totally screwed!
No, you're not.

There are a dozen reasons
why you could be passing blood.

One is Ebola! You bleed from one
place then it oozes out everywhere!

Settle down.
This doesn't mean you have Ebola.

I said I wanted to be with her.
I prayed for her.

I'm getting my wish now, aren't I?

Diazepam?
Yep. 5mg IV.

Tim, Tim. There are a lot of
diseases that present like this.

And most of them pass
within a week or so.

Tim?
I don't want to die.

You are not going to die.

I don't want to be the last
in a long line of physicians

who haven't been able to help her.

Come on.
This is an emergency department.

We treat her pain then
we send her off to a specialist.

We have to do better than that.

I don't want to send her away
with nothing.

Too many doctors
have done that before.

I'm not suggesting
we just cut her...

Ah. Here's the man
who might be able to help.

Vlasek, Dr West here has a patient
that might interest you.

Oh? What is it?

A young woman - she's got
a five-year history of acute pain

from oesophageal spasms.

She presented with an acute attack...

Blah, blah, blah, blah.
Can you just spit it out?

She's had every non-surgical
investigation known to man

and nobody's been able to shed the
least bit of light on her condition,

diagnostically speaking.

So, could you review her for me?

Yeah, sure.

Even without a diagnosis there are
a number of surgical procedures

that could reduce
or even eliminate her pain.

We thought about
an endoscopic injection of Botox

and a balloon dilatation.

I was thinking more along the lines
of a myotomy.

That doesn't always work
and there's the risk of dysphagia.

I mean, the last thing she wants
is not being able to swallow at all.

How about an oesophagotomy?
Would that help, do you think?

That's pretty radical, Dr Vlasek.

If you cut the oesophageal sphincter,

aren't you a candidate
for chronic reflux?

Yeah, possibly.

Given her history, I'm afraid
she doesn't have many options.

Ever thought of a career
in surgery, Bart?

No, he hasn't!

Oh.
So, could you help me?

Yeah, sure.

When are we expecting Mia back?
Back?

You've sent her
for every test in the book.

I assume she's in Radiology.

No, she should be in her...

..bed.

Bart, I need to talk to you.
Yeah, I can't right now.

Yeah, well, it's important.
Oh, thank God.

Mia, you need to... Oh, no!

What is it?

It's alright. It's alright.
It's alright.

OK. I'll get help.

I've got you. I've got you.
I've got you. I've got you.

No! No!
OK. OK.

You don't know what it's like.

Every day in pain.

It was nice there.
It was a nice place to die.

There's no way
you should be thinking like that.

You don't know what this is any more
than any other doctor I've seen.

You've only been here a couple
of hours. Please, give us a chance.

This thing has taken
my job, my... savings.

That's no good. We'll have to see
what we can do about that.

This is Mike Vlasek.
He's head of Surgery.

Hello, Mia.

A surgeon. I was expecting
a psychiatrist.

Now that I'm officially
a danger to myself.

We will have to arrange one for you.
It's hospital policy.

Nothing to do with your condition.

Mia, Dr West has asked me
to review your case,

so once we've fixed up those wounds

perhaps I can run you through
some possible options.

I've been down the surgery road
before, thanks.

Has anyone ever suggested a myotomy
as a possible procedure?

Having the muscles
in my oesophagus cut?

Yeah, there's a lot of risks
of complications,

from what I understand.

Well, there are some, but there
are also some significant benefits.

Yeah, the last operation I had
did nothing.

Right. The gall bladder.

I don't know, doctor.

It seems to me that I get cut up
and it might or might not help

and I could end up with
a whole new set of problems.

It's worth discussing.

What Dr Vlasek's talking about
might help.

And you could get on with your life.

I just need some time
to think about it.

Sure.

As soon as you're ready
to make some decisions,

just let Dr West know, OK?

OK.

Head of Surgery, huh?

He knows what he's talking about.

I suppose anything's better
than living on fizzy drinks

and dying slowly of malnutrition.

Fizzy drinks?

I thought you said
you couldn't even tolerate water?

No, I can't.

There has to be a connection
between the carbonation process

and controlling the spasms.

Hmm.

That's an interesting theory, Homer.

Why don't you make some calls
and see what you can find out?

Yep, I'll hold.

Gabrielle, can you organise a psych
consult for Mia for me, please?

Yeah, course I can.

Looks like you've got to this one
just in time.

Only just, with a little bit
of luck.

Never underestimate
the value of luck.

Or your own determination.

Thank you.

Frank.
Yeah?

The World Health Organisation have
no record of a recent Ebola outbreak

but says it doesn't mean
this isn't the start of one.

Oh, bloody marvellous.

They're screening all the passengers
on Tim's flight

and they'll let us know ASAP
if anything comes up.

Any press turned up yet?

Ah, no.
Good.

The last thing we need is a
journalist nosing around the joint.

Frank, is Zoe OK?

As well as can be expected. Why?

You don't think she's back at work
just a little too soon?

If she wasn't coping, she'd be
the first to say so, Charlotte.

OK.

So I'm going to get you admitted
to a ward.

So I'm staying in hospital?

This is good news, Mia.

As soon as we isolate what it is
in the fizzy drinks

that prevents the spasms,

we can use that to try
and stop anything else doing it.

You really think this is the answer?

I'm very confident. Yes.

But this'll all take time, right?

You'll be in the ward
for a couple of days,

but I've spoken to

the pain management specialist
I told you about,

and they've suggested we try you
on slow-release fentanyl patches.

OK.

And we'll try and make this happen
as soon as we can.

We've got the CSIRO helping us

and I'm also gonna ring around
the unis.

I suppose I can't ask for
anything more than that.

Well, you could try
the surgical option.

It's completely valid
and it should help ease the pain.

Let's just see how it pans out.

I don't want to make things worse
with surgery if I don't have to.

If you really think
this is the answer, then...

I really do.

Then I am sticking with you,
Dr West.

Well, you hang in there, Mia.
OK.

That's a nasty fracture.

Yeah, one for the orthopaedics,
I think.

How'd you go in theatre?

Well, he's gonna have
a whopping great scar

but we managed to repair
the femoral artery.

Jack's just settling him into ICU
as we speak.

Removing a plaster cast
with a circular saw.

Who does that?

Hey, listen,
Spencer's away at a conference

and I don't feel like eating alone.

Why don't you come over
and have dinner with me and Zach?

I'd love to, but...
Great.

..I'm not sure that
that's such a good idea.

Why not?

It's been a long day at work
and I think I'll get an early night.

Raincheck.
Yeah.

Frank, we'll have to review
what we store in the ISO room.

If this ever happens again,

I would rather we didn't have to
keep coming in and out

for drugs and equipment.

It takes an eon to get
in and out of this gear.

Right. Good point.
We'll fix it later.

What are we talking about?
Ebola. You know anything about it?

Enough to avoid it like the plague.

(Laughs derisively)

When I was in Africa
I did a locum gig

for a couple of doctors
who contracted it.

They died?
One of them did, yeah.

Did they find out
what started the outbreak?

Carcass of an infected chimp.

Seizure in the ISO room
and he's coughing up blood.

Shit.

He just started seizing.

There was no change in
his neuro stats beforehand.

Beaumont, get the crash cart.

There's blood on the bed!
Yeah, I'll be right there, Dan.

Get properly kitted up
before you go in.

Gloves won't cut it
and you damn well know it.

A little help in here, huh?

Look, move, Frank! He is my patient.

Vlasek!

I've got him.

Bloody idiot.

Open up his IV line.

Midazolam, 10mg.

He's losing a lot of blood.
We need some O neg.

I'll get it.
I'll get Pathology.

There we go. All done.

How you feeling?

Stuffed.

Just leave me.
I don't want you getting it too.

Don't worry about that.

How is he, Dan?

BP's low, 85 on 55. Pulse is 120.

Open that line up. Get the bloods up
as soon as it arrives.

And can you do another FBC?

I'm not scared of dying.

Brittany and I promised
we'd be together forever.

Tim lost his wife in an MVA while
they were honeymooning in Africa.

I'm sorry to hear that.
I don't have a life without her.

Hey, come on. Do you think she'd
wanna hear you talking like that?

You can't feel guilty
because you're alive and she's not.

He's right, Tim. You have
your whole life ahead of you.

And Brittany
would want you to live it.

Wouldn't she?

You know she would.

OK, thank you.

The World Health Organisation
has confirmed

there are absolutely
no reported outbreaks of Ebola

anywhere in Africa.

That means it's not it, then, right?
It would appear so.

What the hell is it, then?
Good question.

Dan, you go home. You too, Beaumont.

I'll call you when
I know the answer.

Mike's still in the ISO room.
He's been exposed to something.

I will take care of it.

No-one asked him
to go in there, Dan.

Well, the patient was dying.

Mike knew the risks,
he chose to ignore them.

Frank's right, he's a cowboy.

Go! I will take care of it.

Go, go.

Zoe's definitely ready to be
back at work, isn't she, Frank?

Erica!

I'm sorry about before.

Oh. How's your patient?

Better.

Well, not completely better,
but... she's in better spirits.

I... I need to talk...
Bart, about the...

..to you.

I'm sorry.

What I said to you before was
unprofessional and inappropriate.

And if I could take it back, I would.

You don't need to apologise.
Yeah, I do.

Sean had just died

and I just wanted to be honest
with the people I care about.

I didn't mean to put you
in a bad position.

The last thing I wanna do is make you
feel uncomfortable around me.

I didn't handle it very well either.

It's just... It's not that
I don't care about you, because...

I mean, I do. It's just...
I know.

You don't feel the same way.

I just had to say it.

Are we going to be OK?

I mean, it's not like
we can't be friends.

Oh, God no.

Well, friends it is.
Good.

OK.

See ya.

I'll be here tomorrow.

You OK?

Of course I am.

I am good.

Wanna go grab a beer?

That'd be great.

Come on.

SIREN WAILS

KNOCKS ON WALL

Uh... precautions, Frank.
Precautions.

I'm taking all the precautions
I need.

So there's news, then?

Good and bad.

The lab has a preliminary diagnosis
of Rift Valley Fever.

Oh, well I'd take that any day.

It's much less likely
to kill him... or me.

Mmm.

Unfortunately, they tell me
that you will have to remain here

until you're cleared of infection.

It may not be Ebola,
but we don't want it getting out.

Mmm. No, we don't want that, do we?

You know, after your actions in
Resus and this latest little stunt,

it occurs to me that you might
have something on your mind.

(Scoffs) I told you, Frank, I...

You're as good as gold, right?
Yeah.

So, why did you run in here
without taking precautions?

He's not even your patient.

Well, if I hadn't, Zoe would have.

And in the event of things
not turning out quite as planned,

I figured you might miss her
a lot more than you'd miss me.

Hmm.

Hey!

Hey.

Ah.
All alone?

No, Bart's in the little boys' room.

I thought you were getting home early

so you could get ready
for court tomorrow?

Oh, yeah, the hearing's
been postponed again.

What? Why?

Oh, same old crap. Patrick Wesley
is too stressed to testify.

Man, I can't believe this guy's
getting away with this.

He's been charged with
child sexual assault, I mean...

Mind you, if he wasn't stressed
I'd be worried about it, so...

Yeah, that thought
had occurred to me too.

Hmm.

Oh, mate, I just want this whole
thing to go away. I've had enough.

I want my life back.

I would also like a drink.
Yeah.

Hey, Jack. Good to see you.

Ooh.
TOILET FLUSHES

Is he pissed?
A bit.

Just go easy on him, OK?
He's had his heart broken today.

Erica?
Erica.

Jack, good to see you.

How's the chainsaw massacre kid?

Circular saw massacre kid.
The things you do for love, eh?

Yeah, the things you do.

Hey, why don't you crash on
the couch? We'll save you a cab fare.

I've still gotta beat you
in the... thing.

You want a beer?

I'll get it. You'll probably fall
over before making it to the fridge.

I can take a fall.

People don't know that about me,

but I can.

I am tough.

Yes, you are.

I love her.
Yeah, we know, mate. We know.

But she doesn't love me.
Yeah, she doesn't.

I was in love with this girl
in high school, Tara.

She was the most beautiful thing
ever, but she didn't love me either.

They can be cruel...

..girls.

Mm-hm.
Yeah, I guess so.

This is good, isn't it?

Us together,
playing a bit of... foosball.

Yep.

Women...

..who needs 'em?