Original subtitles

Previously on All Saints...

DANCE MUSIC

His name's Dan. I heard that cow he's with talking to him.

DANCE MUSIC CONTINUES

PLASTER CRACKS

Get off the balcony!

SCREAMING

WOMAN: Help us!

We're in here! We're in here!

Calm down.

Please! Help us, someone.

Tammy.

Mac! Oh, my God, Vincent, I've got him!

Cate.

Yeah.

He's fractured his vertebrae here at L2.

He's paralysed.

Kathleen?

WOMAN: You didn't see her fall?

No. I found her like that when I got home.

You'll need to put a line in.

Has she had any alcohol?

No, she doesn't drink.

Well, it was New Year's Eve.

She was here all night.

She had a sitter, or did, when I left about 1am.

Line's in.

I'll grab the trolley. Okay.

Could the sitter have given her something?

She's had a bloody fall. Just the basics.

The sooner she gets to hospital the better.

There are procedures we follow so let us get on with it.

She's my daughter and I want her at All Saints.

No can do. All Saints is in disaster mode.

The code red's lifted.

I'm sorry, but we haven't been notified of a change in status.

I couldn't give a rat's. She is going to All Saints.

Why don't you let us stabilise her

and then we'll worry about which hospital she's going to?

Okay, okay. Just...

..help her, okay?

THEME MUSIC

MACHINE BEEPS STEADILY

This should keep him settled.

I'll be back in a minute.

Gillian, I thought you might like this.

Thanks.

Pleasure.

You've been up half the night. You deserve this more than me.

I'll get one later.

Why did he have to stay in there?

He didn't have to do that.

He's an ambo, Gill. He did what he had to do.

Yeah, I know.

We were gonna be married soon.

Nothing says that can't still happen.

Why don't you take that outside and get some fresh air?

What if he wakes up?

I'll be here. He'll be fine.

Okay. I have to call my mum and let her know what's going on.

Good idea.

16-year-old female found on floor with decreased LOC.

Unknown cause, possible head injury, unwitnessed event.

She fell off a chair, hit her head.

I thought you went home, Frank?

GCS 9, BP 104/70, pulse is 110.

Oxygen applied and monitoring sinus rhythm.

Not another druggie.

That's my daughter you're talking about in there.

Frank. Just take it easy.

Can you tell Von we need her in Resus, please?

Sure.

Let's transfer on three.

One...

..two... three.

What's her name?

Kathleen. Her name's Kathleen.

Kathleen, I'm Dr Beaumont. You're at All Saints hospital.

Can you hear me?

I've done that. Just hook her up to the monitor.

She'll need an urgent head CT.

Frank, we're handling it, okay?

Okay. What's the problem?

Von, this is Frank's daughter, Kathleen.

She's possibly had a fall at home.

Pupils are equal and reactive. Nelson, full bloods. I'll do an ABG.

Frank, give Regina her details.

I'm not going anywhere.

Can you organise an urgent head CT? Yep.

Thanks. Don't forget an ECG.

Frank, it's under control.

Alright, she's vomiting. Let's log roll her.

On three. One, two, three.

Got it.

(vomits)

(gags and coughs)

Metoclopramide, 10mg.

Uh, there's, uh...

..pill fragments in the vomit.

That's impossible.

Insert a size 16 NG tube with a bag of activated charcoal.

Will do.

Frank, is Kathleen on any medication?

She's autistic. She...

The normal...

The maintenance medication - she takes it every morning.

I dispense it to her myself.

She hasn't had any since yesterday morning.

I lock it up.

Could someone else have given her something?

We had a sitter last night, but no, no, she wouldn't...

Would Kathleen have managed to get in to the drug cabinet?

Frank? We're working blind here. We need to know what she's taken.

I...

I'll need a plaster cast too.

Oh! What are you doing back here, Frank?

Good morning to you too, Frank.

Vincent, give me your keys.

What? I need your car keys.

What for? Now. I need them.

What the hell's the matter?

I need to borrow your car now, please?

Thanks.

The steering's a bit loose and there's not much petrol.

And take it easy, okay?

By the way, thanks for the warning on that one, guys.

Look, none of us knew it was Frank's daughter, Nelson.

I did.

I didn't say anything because he's pretty touchy.

Yeah, I noticed that.

Alright. Let's get her ready for CT.

LOUD CHATTER AND NOISE

(sighs) How are you holding up?

What do you think?

I'm so sorry, Gill.

(softly) Yeah.

Look, um, I have to call my family, and Nigel's.

What do I say to them?

What if they ask if he'll ever walk again?

Just tell them what the doctor said to you,

that Mac has a confirmed fractured vertebrae

and that it's too early for a prognosis.

Do you think he'll ever walk again?

I don't know.

God, those people out there just... don't know what's going on, do they?

How's he doing?

Hanging in there.

Hi there. Hey.

You alright?

Yeah, I'm fine.

It should be me in that bed, Mac.

I don't think there's room.

I'm so sorry.

I should've got out of there when you said to.

No, you were right. Those people needed our help.

I think I'm stuffed, Cate.

Don't say that.

We don't know anything yet, the doctors are saying...

Ah, doctors know bugger all, and you know that.

Cate. That should do. He needs his rest.

I'll come back later, okay?

PHONE RINGS Hang on, hang on.

RINGING CONTINUES

PHONE STOPS RINGING

Come on, come on.

Charlotte, did you just try to ring me?

Yeah, I um... Has something happened?

No. She's down having the head CT. Have you found anything?

No, the drug cabinet's locked. She can't have got in there.

What was Kathleen doing when she fell?

Good thinking.

She was trying to get some cereal down. That's all there is here.

When are you going to get the blood screen back?

Jess is trying to hurry it up now.

Frank, there must've been something else in the house,

something you didn't think to lock up?

There isn't. There's...

Oh, Jesus.

What? What's wrong?

Frank?

What is it?

It's tricyclics She's taken tricyclics.

Are you sure?

Yes, of course I'm bloody sure.

How long has she been on antidepressants?

She wasn't. She...

I was.

How many has she taken?

Frank?

Uh, seven. Seven of thirty.

I'm not sure how many I took.

So Kathleen could have taken as many as 15 to 20.

Yes.

Okay.

At least now we know what we're up against.

DIALS PHONE

(gasps in pain)

Typical.

I just thought you'd like to know that your daughter's in the ED.

She's overdosed on medication. It was an accident.

Why am I talking to you for?

You couldn't give a damn about Kathleen.

You couldn't give a damn about anyone but yourself.

Hey. How you holding up?

Hanging in there. I could've done without this, though.

Difficult case? Difficult father.

It's Frank's daughter.

I didn't even know he had a daughter.

None of us did.

Possible head injury, accidental OD. Thanks, Jess.

What did she ingest?

Tricyclic antidepressants, probably 20 capsules,

and we don't know how long ago.

Where did she get them from?

Uh, it's, um, not important. We've given her charcoal, but...

Seeing as you don't know how long ago she took them,

might not be effective.

Exactly.

There's a very real chance this kid may not make it.

Last time I checked on you two, you were snoring your head off.

No way.

Must have been this one, then. How's she?

I'm fine. And I don't snore.

Where do you get the energy to keep working from?

Lots of practice. (Yawns)

How's the pain? Yeah, it's not too bad.

Cool. We should be able to discharge you soon, then.

MOBILE PHONE RINGS

Has anyone called your parents?

Um, Mum's gonna freak, you know.

We told her we stayed at a friend's place last night.

When she finds out we were at a nightclub...

She'll be happy you're both okay.

No, she's going to kill us. She's going to kill us.

Does she have to know?

How are you going to hide a broken wrist, Tammy?

Yeah, I suppose.

Dan. Mm-hm?

Thanks...

..for last night.

I know I totally flipped out on you, but if you hadn't been there...

Hey, if you hadn't, I would've. So...

EQUIPMENT BEEPS FRANTICALLY

CHARLOTTE: IV Diazepam, 2.5 increments.

I need to get her on her side.

What were her CT results?

Head CT was clear. She had CNS toxicity.

Do another blood gas.

Get some sodium bicarbonate on stand-by. Do another ECG.

Phenobarbitone IV, 15mg per kilo.

VON: Yep.

What the hell is her pH?

What about the tricyclic? What did they tell us?

They're not back and they're not helpful in aiding acute management.

Get a medical toxicologist down here. Frank!

It's still my department. Come on, Frank, wait outside.

EQUIPMENT BEEPS FRANTICALLY

She's obtunded. We need to intubate now.

Thiopentone and suxamethonium. Set up a size seven tube, please.

Frank, you're not our boss today, you're a relative,

and you'd ask me to leave if I was in the same position.

I need to stay.

VINCENT: How are his obs?

DAN: Stable, BP is 110/70, pulse is 96.

Gill can come back in now.

Well, so far so good. Abdo's soft.

GILL: What does that mean?

Mac's sustained some damage to his spleen.

It's called an encapsulated haematoma.

It's a collection of blood that's been contained.

So, what do we do?

We just continue to monitor him for any sign of deterioration.

And if it does start to bleed?

We'll be forced to operate.

But can you? Operate, I mean?

Isn't he supposed to stay completely still?

Well, Gill, the spinal fracture is stable,

and if it is a bleed then we won't have any choice anyway.

Oh.

Try not to worry, okay?

Easy for you to say "don't worry",

but our whole future is on the line here.

I'm sorry.

Dan, can you call me if there's any sign of change?

Sure.

Don't.

(sobs) Please.

This is hard enough without you falling apart on me.

I'm sorry.

Oh... Hi.

Hello.

I wondered where you'd got to.

I'm sorry. It's really busy out there at the moment.

How are you feeling?

Oh, just maybe a little bit better.

The nurse has just given me something for the pain.

I could get used to it, whatever it is.

(laughs) Ouch!

Listen, I should be able to get you into a ward pretty soon.

I'm really sorry it's taken so long.

Like I said, it's just crazy out there.

Yeah.

I've never been so scared as I was last night.

You know, to me it's all a bit of a blur.

People were climbing over the top of me.

They were stepping on me.

I couldn't breathe, I couldn't...

It's alright, okay? It's alright.

It was only after you stretched out your hand

that I actually started to believe that I might get out of there alive.

So...

..thank you.

Listen, we both made it out.

That's the main thing, hey? I'd better get back to work.

Vincent, Mac's BP's down to 95/50,

and he's complaining of some shoulder tip pain.

Can't that be a sign of... Referred pain from the spleen.

Well done. Has he had any blood.

No, but he's crossmatched for four units.

Run a bag of Gel through.

I'll prepare for a FAST. Sure.

How's it looking?

There's some free blood in the left abdomen.

Possibly a ruptured subcapsular haematoma.

Mac, I need to get you off to theatre for an urgent exploratory laparotomy,

and the possibility of doing a splenectomy.

If that's what you have to do.

I'll start prepping him for theatre.

Dan, can you start him on the packed cells, please?

I'll make the arrangements. Yep.

Mac?

He's going to theatre for a laparotomy.

Is it the spleen?

Probably. He's bleeding from his abdomen.

Might be an idea if you go find Gill.

It's okay.

Oh, great. That's all we need.

What's she doing here? It's a public holiday.

Dr Newell, Happy New Year. What can we do...?

Where's Frank? He's in Resus.

She doesn't look happy. Dr Newell, wait.

What is it?

I don't know what you're here for, but now's not a good time.

Frank has been up all night and...

He's with a patient, isn't he? He is.

Dr Newell, look, um...

(sighs)

It's not an ordinary patient, okay.

Um, it's Frank's daughter, and he's really wound up right now.

Is his daughter going to be alright?

Well, she's critical.

Thank you, Nelson.

CHARLOTTE: She's acidotic.

(clears throat)

How is she?

Wait outside.

She's critical.

We don't know how many tablets she's taken or what dose she's absorbed.

Her bloods are abnormal.

What tablets were they?

I've called in a toxicologist.

Well, I'll get Patterson in. I'll get her straight into ICU.

Alison, it's New Year's Day. There's nothing you can do.

But you called me. Why?

I don't know. I don't know. Maybe it was a mistake.

Just go home, we don't need you.

I've got a perfectly competent team, they can pull Kathleen through this.

I'm not going to go home.

I need to know exactly what's going on.

You haven't needed to know anything for the past decade.

So what difference does it make now?

She's very, very sick because I stuffed up.

I'm a lousy father, okay? What more do you need to know?

EQUIPMENT BEEPS FRANTICALLY

Broad complex tachycardia, prolonged QRS, QT intervals and axis deviation.

And she's having ventricular arrhythmias.

She's cardiotoxic. Hyperventilate her.

Keep the PCO2 about 30. Give her another dose of sodium bicarbonate.

We're already doing that, Frank.

Um, check her serum potassium levels and biochemistry again.

I'm about to do it.

BEEPING STABILISES

(sighs)

Alright. You'll have to put in a central line to monitor her CVC.

Okay.

Are you guys okay here for a minute?

Let's get you into a Consult. I'm okay, I'm okay.

Your pulse is racing.

Describe the pain in your chest. I haven't got a pain in my chest.

I've got one in the backside - you.

Do I need to list the symptoms you're displaying?

I can't leave her.

Frank, you know those people in there.

They're good at what they do. Just let them do it.

I know, I know.

Okay.

Isn't this the bit where you say she'll be alright?

DAN: Alright. Let's roll.

Theatre been notified? Already done.

Okay, let's go.

Wait. Wait, wait.

Sorry, Gill. We have to move.

Try not to worry. Vincent's a great surgeon.

Oh, come on, Nelson. This is a waste of time.

Maybe. Having a heart attack's not going to help Kathleen, is it?

Do you have a history of cardiac disease?

There's nothing wrong with my heart. It's just worry.

Was that a no?

No history of cardiac disease or anything else.

Your BP's elevated.

Gee, that's a surprise, isn't it?

We'll do an ECG. Don't be stupid.

Frank. If anything happens in Resus, we'll hear about it.

Did you get beaten up a lot at school?

No more than you would have.

Lie down.

She is going to be okay, Frank.

Contact the Bed Manager and organise a bed for her in ICU

and I'll let the Medical Registrar and the Intensivist know.

What do you think her prognosis is?

It's still too early to tell.

It's not good, is it?

I'll organise the bed.

Hey?

Time you took a break.

Dr Quade, I'm fine. Thank you.

You've been up for 24 hours. You need to look after yourself.

When was the last time you ate?

Go.

Kathleen's not stabilised.

Yeah, look, I'll look after her till you get back.

It'll be covered. I promise.

I won't be long, okay? Thank you.

Normal sinus rhythm, no ischaemic changes.

I told you this was a waste of time.

You know chest pain protocol, Frank.

By rights you should have been triaged, examined,

bloods taken, chest X-rayed.

Don't push your luck, Curtis.

Why haven't you ever mentioned having a daughter?

Why, you want to send her a birthday card.

It's just when you work with someone

you usually know some things about them.

I like to keep my private life private.

So do I.

If I had a 16-year-old daughter,

I'm sure I would've mentioned her at some point,

something she did at school...

How many times she counted the tiles in the bathroom?

Or why she screamed the house down

because the mat in the kitchen was crumpled?

Must be tough.

Cue the violins.

Don't flatter yourself, mate.

You reckon you're the only person in this world with problems?

Ask anyone out there - they've all got stuff to deal with.

And maybe if you opened up a bit more, you could see that.

Stranger things have happened.

Who the hell can understand me and Kathleen?

Have you ever given anyone a chance to?

You know, you're a bigger buffoon than I thought you were.

Can I have that in writing?

Dan?

It's the noise, right? Fix it!

Her serum potassium levels need to be closely monitored.

They are being.

Has she had activated charcoal. Yes, of course.

What's her latest blood gas reading?

Um...

It shows metabolic acidosis, pH 7.29.

What do you think you're doing?

Can I have a word in my office, Dr Newell?

What was all that about? Oh, to be a fly on the wall.

Reckon there's gonna be blood on that wall

if that look was anything to go by.

Why she's doing this today of all days?

What's she doing here? It's New Year's Day.

She's probably trying to catch us out.

No, she might have had her champagne lunch cancelled.

I don't want you interfering. I don't want you here at all.

Too bad, I'm staying. I want to...

What? You want to help? It's too late.

I needed help last night

when I was here and the sitter pissed off.

It's too late to waltz in with your bleeding heart

and pretend you care.

It's almost impossible to look after an autistic child on your own.

Did you know that, Alison?

I didn't know what... I couldn't cope, alright?

You couldn't cope because you were so bloody selfish.

You felt so sorry for yourself

you dropped your bundle and you buggered off.

You can bugger off now with my blessing.

Dropped my bundle?

Only you could put it like that, Frank.

Just go. Go.

Go!

(screams) Will you stop ordering me about?!

It's always been the same with you, Frank. You're a control freak.

You think you've made this massive sacrifice for Kathleen!

Well, it's not a sacrifice, alright?

It's exactly what you wanted. You took over and you shut me out.

You walked out because Kathleen didn't fit in

to your nice, safe, clean, North Shore yuppie lifestyle.

She was too bloody messy for you. And that's the truth!

It wasn't Kathleen I walked out on, Frank.

It was you.

(all sing) ♪ Here we go, here we go... ♪

Don't make me go back out there.

We've been hand-picked for this. This is what we trained for.

I think I was sick that day. Reg, you can do this.

Okay. Final checks.

Paperwork?

Weapons?

That'll do. Now remember - stick together.

Okay, we need to keep the noise down, everybody!

There's some very sick people inside.

Cut that out.

Sit down.

Everybody!

Hello!

(whistles)

(angrily) Sit down!

(people quieten)

Whoa.

(woman coughs)

Who the hell is in charge of this dump?

Let me guess. You must be Tammy and Jade's mother?

What if I am?

I left you in charge of your little sister

and you take her to a nightclub, drinking?

Is this the kind of child I've raised?

Mrs Prentice... Shut it, you.

I should've known better than to trust you.

All I wanted was a night to myself,

just one night to kick back and have a few drinks.

Excuse me. Are these your kids? What of it?

What are you yelling at them for? Because they screwed up big-time.

That's what kids do. Deal with it. Look at them.

They're young and healthy.

Why don't you stop yelling at them

and thank your lucky stars you've got them at all.

Who the hell are you?

I'll tell you who I am...

I'm a parent...

..who's just trying to give some friendly advice to another parent.

JESS: Excuse me, Frank.

Frank, Charlotte wants to speak to you.

How's she going?

See for yourself.

She seems to be stabilising.

Looks promising.

Mmm. How are her gases?

Acidosis has responded to the sodium bicarbonate

and her serum pH is now 7.46.

This is looking good, Frank. Thanks.

Better.

Much better.

Good girl, Kathleen.

Let's not celebrate just yet, but I think the worst is over.

How did I know I'd find you here?

Because I'm a pathetic creature of habit.

How's Mac?

He's good. Operation went well.

That's one problem down. 4,000 to go.

He wouldn't be in this mess if it wasn't for me.

He saved me, and look at him. He might not ever walk again.

Cate, come on. Don't say that.

There's no sense loading yourself up with stuff that may not happen.

That all sounds good in theory.

This may be none of my business, but...

No, there's nothing going on between Mac and I.

Nothing going on, or nothing acted on?

I see.

How does he feel about it?

What does it matter now.

Sometimes that's all that matters.

I owe him my life. How do you thank someone for that?

How do I stop feeling so guilty

for coming out of this totally unscathed?

(exhales) Ooh.

You know, I asked myself the same questions when Grace died -

why her and not me.

Did you come up with any answers?

Nope. Because, basically, there aren't any answers.

It was just something that happened.

And if I was lucky enough to survive,

then maybe I just should get out there and enjoy my life.

And however this turns out for Mac,

I reckon that's exactly what he would want for you too.

We're still waiting on a bed in ICU. Shouldn't be much longer.

Frank?

You need to keep your strength up. Thanks.

Thanks.

Righto, Frank. I'm just outside if you need me.

Oh, sweetheart.

I'm sorry.

I'm so sorry.

Gill. (sobs)

What are you doing out here?

Just thinking.

I spoke to Vincent. He said the operation went really well.

Yeah... I know.

(cries) I don't think I can do this.

I know it's not going to be easy,

but you've got to try and hold it together for Mac's sake.

Easy for you to say.

You're not facing life married to a cripple.

(cries)

God, I can't believe I just said that.

I've gotta get out of here.

Gill, wait. Wait.

Gill!

Hi, squirt. Hey.

I just bumped into Gill outside. She was really upset.

What did you say to her?

Um...

..I told her if she was going to bugger off,

then she'd be better off doing it now.

Look, I don't think either of you are in any condition

to be making those sorts of decisions now, do you?

Oh, I can't handle it, Cate. I...

I can't handle Gill.

She just keeps going over and over everything.

She's looking for assurances...

..and I've got none to give.

I'm just trying to hang on, myself.

Hey, it's okay. It's all going to work itself out.

(voice breaks) Oh, yeah. No, it will.

You just hang in there, okay.

You concentrate on getting yourself better.

That's all you need to do.

Can you do that?

Yeah.

Good.

She loves lipstick.

She doesn't use it, she just lines it up according to the colours.

I just can't see you at the cosmetics counter, Frank.

Well, you'd be surprised.

(groans in exhaustion)

Why don't you get some rest? There's nothing more you can do here.

No, no. I'm okay.

Besides, if she wakes up and I'm not here...

That's what must've happened this morning.

She would've woken up, I wasn't there, she waited for me,

then tried to get her medication,

because that's what she does every morning.

Wherever you're going with that, don't.

It was an accident.

A stupid accident that could've been avoided

if I wasn't so, bloody...

Nobody said you were perfect.

She thinks I am.

(cringes) She doesn't have to work with you.

(laughs half-heartedly)

Very pretty girl.

Mmm.

She gets her looks from her mother.

And her temper from me.

Thank you.

Why don't you look as bad as I feel?

Youth.

And the fact that I'm not pregnant.

And is there a particular reason that you dragged me out here?

Well, yes.

You know, as I said before Christmas, I don't expect anything from you.

Well, we both have to take responsibility for the baby.

And I want to help... any way that I can.

Really?

Yes.

So, if you need me to cover a shift or anything, just ask.

What?

I don't know.

Just when you said you wanted to help,

I didn't think that you meant covering my shifts.

I'm not very good at this, am I?

(laughs) No, you're not.

Oh, Jack, I have been awake for an eternity

and I'm not thinking straight, I'm sorry.

It's okay.

We can work the rest out later.

We have heaps of time.

Hello. Um...

..I'd like to know the status of Kathleen Campion, please.

Yes, yes, I'll wait.

She's stable.

Good.

Thank you.

MACHINE BEEPS STEADILY