Original subtitles

What burns me is they don't have the decency to knock on the door

and tell us face to face.

Exactly. Being evicted.

At least send us a singing telegram.

It's alright for you. You're leaving, aren't you, Von?

(dryly) Oh, poor Nelson.

What do you keep looking at?

If this guy doesn't pass, I'll organise today's first customer.

You right, mate, hey?

Road-rage - you, Nelson?

Looks like our first customers have already been organised.

Registered nurses, mate. Over there, thanks.

MAN GROANS

CATE: Keep this on. It'll help you breathe more easily.

Oh, good timing.

Can you look after these guys over here?

No problem. We'll get some gear. SASHA: Copy that.

Another truck's on its way.

How is she?

BP's 110 on 85. I'm a bit worried about her airway, though.

Open up your mouth for me a little bit.

I'll get you to lie down, okay? Nana!

It's alright, sweetheart.

You're with me. Come on.

We're going to lie you flat. I'm going to hold your head.

Von, is that you?

It's Victoria, Victoria Carlton. Is my grand-daughter alright?

Moderate deformation to the vehicle.

No seatbelt. No passenger airbag fitted.

Straight through to Resus.

CATE: She had an LOC for about five minutes.

We had to sit her up because of the extensive facial trauma

and the bleeding occluding the airway.

FRANK: Suction en route?

Yep. Her GCS is 15, BP is 110 systolic.

We've got another incoming.

Got it.

SASHA: Toby Semple, 22 years old,

suspected fracture of the left femur and patella.

GCS 11 at scene, increased to 13 en route.

Where's Pru? Where's my sister?

I'll find out. First we've gotta get you sorted.

Terri. I've got this. VON: Terri?

Yeah, what is it?

VICTORIA: In the back. I need to see her.

It's okay, we are looking after your grand-daughter.

Is Lucy hurt? Fine, she's fine.

Who's Lucy?

Mitch Stevens's daughter. Great.

THEME MUSIC

FRANK: Good, she's pre-oxygenated.

A hundred of Sux.

Criocoid pressure, please, Hughes.

Less, I can't see what I'm doing.

Come on, you bloody...

Okay, I'm in.

Air entry?

Good bilateral.

Okay, inflate the cuff.

Prepare a morphine and midaz infusion.

We'll organise for the plastics team to come down and evaluate.

Chest X-ray to confirm tube placement?

When it's in.

That eye doesn't look too good.

Possible detached retina.

We're going to need a consult there, probably a dental one too.

Looks like she's lost a lot of teeth.

Standard for motor vehicle accidents that we take a blood alcohol level,

so we will give a sample to you and one to the police.

Great.

G'day, Toby. Hi.

I thought you were an ambo. At the accident you...

I just happened to be passing.

Lucky for me, hey?

I just need to get details of your next of kin.

Hasn't Pru given you that?

Yeah. I just need to get them from you, personally.

Okay, whatever.

Dad will kill me when he finds out I've written his precious car off.

There you go. That should make you a little more comfortable.

Is she alright?

She'll be fine.

Can you wiggle your toes and your fingers for me?

Good girl. Now, can you tell me your name?

Lucy Stevens.

That's right. Good girl.

We need to take a look at your head, but you know what?

I think Terri here might do that because she's got very gentle hands.

Okay.

Okay.

Thanks, Charlotte.

Where's my nana?

She's with the doctors and as soon as I can I'll take you to see her, okay?

Okay.

It's sore.

Yeah, I know.

But if you let me help you,

I'll show you how to make butterflies.

Butterflies?

Yeah. Really pretty ones.

Just need to make sure the lap sash hasn't caused any internal damage.

I'll check up on Lucy.

Thank you.

Nelson, Mrs Carlton's off for an abdo CT.

Terri - she okay, you reckon?

Well, it's Murphy's Law, isn't it?

Just when she seems to be getting on top of things, this happens.

Because if we don't make sure it's really clean

and there's nothing nasty in there, you could get sick.

Like my nana?

Yeah, but we're making her feel better, aren't we?

Now, listen, look at me.

This might hurt a little bit so I need you to be brave.

Okay. Good girl.

Alright. Nearly there.

See, it wasn't too bad was it? Well done.

What about the butterflies?

The butterflies, okay.

I'll do one for you right now. What a good memory you have.

Good girl.

There you are, what does that look like?

(chuckles)

I know you, don't I?

There you go.

Okay, that's good.

Okay. We're done?

Yeah, thanks.

Is my sister okay?

We'll let you know when we have information.

Can't you tell me anything?

Well, they're still working on her, so...

Well, the good news for you is no spinal injury.

And the bad news?

I think you've broken your femur.

Your patella is definitely displaced.

So let's organise an orthopaedic review.

Sure.

Um...

..what about his drowsiness?

His GCS was 13 when he came in.

He was drowsy when he came in? And disorientated.

Toby, did you hit your head in the accident?

Um... I'm not sure.

Pupils are equal and reactive. No major head trauma.

It could be a mild concussion.

Order a head CT?

Yeah, and let's just keep him on hourly neuro obs.

Sure. Thanks.

Hey, I'd really like to see my sister, man.

I'll just get rid of the body armour and I'll see what they can tell me.

Thanks, man. Tell her I'm fine. I don't want her worrying.

Sure.

You see the Le Forte fracture?

At least her spine's intact. Hmm.

Hey, Frank. Frank, what can I tell her brother?

Tell him I want to see the Corn Flakes packet he got his licence in.

And...

And that his sister may just be unlucky enough to survive.

Get up. What are you doing?

You know, I dropped the admissions forms.

Why are you mucking around with admission forms?

Well? Haven't you got enough to do?

You know, for once I agree with you. I have.

Where's Terri? She's NUM. Let her take up the slack.

She's taking up some other slack. It's a difficult day for her.

It's a difficult day for everyone.

Terri? Hey, hey, no.

Terri! Leave it!

Alright, fine. Just don't complain to me about your workload.

You've left one. Come on, chop, chop!

You okay?

How's Lucy?

She's fine.

I've got paperwork I'll put on your desk to get sorted out today.

Yep. Sure.

I'll take over the floor if you like.

I don't think Frank would appreciate that.

No, I've already taken care of Frank, okay?

Victoria is asking for you.

(sighs)

ST elevation in the anterior leads.

Is this pain similar to your previous cardiac pain?

Worse.

Let's go with anginine and repeat ECG in 20 minutes.

Aspirin?

300mg.

Aspirin?

What good will that do?

Hi, Victoria.

How's Lucy?

She's got scratches but she's going to be fine.

Chest pain?

And he wants to give me aspirin.

I'm going with anginine under the tongue.

I'm concerned about a possible infarct.

Thank you for coming.

Seatbelt injury?

Tenderness and ecchymosis to the right-side clavicle, chest and abdo.

Oh, God!

It's alright. Try and relax.

What are you doing down here?

The ward closed down. I've been here quite a while.

Did Lucy recognise you?

She said she thought she knew me.

She's starting school this year. It's brought up a lot of questions.

I'm sure it has.

I don't know what to tell her.

Righto. Swallow this for me.

Place this under your tongue.

I suppose we'll have to talk about how we'll handle this.

Well, there may be nothing to handle.

You don't believe that.

You try and get some rest.

We need to inform next of kin. There's just the two of them.

I know this is hard.

Just do everything you can. Lucy's already lost her mum and dad.

Want me to ditch these? They're all cut up.

Yeah, and stink of piss.

I can't believe I wet myself.

If I realised I was going to drive into a pole,

I would've done the same.

How will I explain what happened to Dad when I don't know myself?

(sighs)

Oh, man. He's going to kill me, after last time.

You've had an accident before?

Yeah, yeah, about six months back.

I had a prang in a car park, broke a tail-light.

He went ballistic.

Well, parents need to let it out too once in a while.

Your old man's the same?

Um... no, he's pretty cool, actually.

Yeah. Well, my dad can't stand the sight of me.

JESS: What is that?

She inhaled them.

Oh, great. Teeth.

Organise a Bronchoscopy.

They'll have to come out, otherwise she'll get an infection.

That's the least of her worries. Is ICU ready for us yet?

Still waiting on the call. Right.

Frank, Prudence's father's here.

Take him to the Quiet Room. I'll get there in a second.

Come with me.

Frank.

Yep?

Patient in Sub-Acute - shortness of breath and central chest pain.

I think she may be having an anterior infarct.

You think? Not like you to be unsure, Jacky-boy.

She came in from the MVA but has a history of coronary heart disease.

How's the chest?

Seatbelt injuries to the chest and abdo.

Right collarbone is definitely broken.

I've done an abdo CT and chest X-ray.

And?

Still waiting on the pictures.

Did she present with chest pain?

No, they started here. Why?

Just wondering if her heart attack caused the accident.

I don't know if she's infarcting -

I'll come after I've dealt with this other situation.

I don't wanna wait. Or talk. I just wanna see my daughter.

I just wanna see her!

Mr Semple, please, don't...

That's not my daughter in there. It can't be.

Please take a seat, Mr Semple.

Pru's a beautiful girl. I don't know who that is.

I know it can be hard to take in, but she's alive

and we're doing everything we can to make sure she stays that way.

What can you do? Did you see her face?

We're getting a bed in Intensive Care for her,

and we've got a plastic surgeon to come and assess her injuries.

Please, take a seat.

How did it happen?

Apparently she wasn't wearing a seatbelt.

We're treating your son too.

He has a broken leg but otherwise he's in good shape.

What, Toby's in here? In emergency?

Yep. Would you like to see him?

Mr Semple?

Uh... yeah, I suppose I should.

Toby, your father's here, mate.

Dad. I'm sorry, mate. Look, I don't know what happened, I swear.

I'm really sorry.

Your sister's a mess.

She'll be okay, though, right?

What were you on?

Hey! Hey!

Hey, mate, calm down!

I swear, I wasn't on anything!

Should've been you.

Are you okay? I'm fine.

Dad!

Take me back to my daughter.

Tell him I wasn't on anything! Dad!

Get that line back in.

So your nana wasn't sick?

She didn't complain about having any pain or anything?

We were just driving along and then there was this big bang.

Okay.

Hey, what are these?

Butterflies. Right.

They're pretty cool, aren't they?

My daddy was a doctor.

Yes, I know.

He was a really good doctor.

Yeah, I heard that too. They said he was very special.

He was.

You decided against calling Security, did you?

Well, it's his daughter, Frank.

And that's his son.

Well, he's calmed down now, so...

You're developing quite a talent

for dealing with hysterical fathers, aren't you?

They'll be taking her up to ICU shortly

and there she'll be assessed for facial surgery.

Those X-rays arrived back on Victoria Carlton.

You might want to take a look. Mm-hm.

Fractured sternum. I'm thinking myocardial contusion.

What's your plan?

Monitored bed for 48 hours, watch for arhythmias, serial ECGs

and Troponin levels.

And organise chest physio.

She's going to be alright?

Looks like it.

Why don't we tell her the good news?

It wasn't a heart attack? Thank God for that.

I'll need you to do some deep breathing exercises,

even though it'll hurt, otherwise you'll risk developing pneumonia.

Whatever it takes.

Once you get on to physiotherapy, make sure you keep it up.

I know what I'm doing.

My daughter was a physio, or...

..have you forgotten?

No, of course not.

I'm glad you had good news, Victoria.

So am I. How's Lucy?

She's asleep, but I'll bring her in when she wakes up.

Would that be okay?

I remember you said she might be frightened the night Mitch...

Well, all the monitors and things.

I'll let you get some rest.

Terri?

Let her go.

Here you go. Victoria's happy snaps.

How's her abdo CT?

Didn't know those scans were back. I got carried away with the chest.

I'm a leg man, myself. Huh.

Damn.

Mr Semple.

I'm sorry, I need to ask you questions about your son.

Why are you so convinced that Toby was under the influence of drugs?

If there are things that you know or things you've noticed,

we need to know about them too.

This is your son, Mr Semple.

If he has an addiction, don't you want us to help him deal with it?

According to Toby, there's no problem, but I know what I see.

What do you see?

He was a good kid.

We thought he'd do great things, you know, but...

..one thing led to another.

Stuffed up his HSC. Couldn't hold down a job.

Doesn't have to mean drugs.

A couple of months ago...

..found him on his bedroom floor, passed out.

Come in late from a party the night before, pissed.

He was so out of it, he wet himself.

Of course, afterwards he denied everything.

She'd only got the braces off her teeth three weeks ago.

Look what he's done to her.

I tried talking to him about it.

All I do is drink with my mates. You know, it's pretty standard stuff.

It's not like I drink and drive, take drugs, anything like that.

Once Dad's got an idea in his head, that's it.

Yeah, right. Give me a minute.

Charlotte, Toby's GCS was 13 on arrival, yeah?

Yep.

That could warrant a full drug screen, couldn't it?

Why, just in case? Yeah.

Well, who knows what will show up?

You know, Frank's not going to wear any unnecessary tests.

You could sweet-talk him, though?

If there's anything there it'll show. We'll know once and for all.

Yes, and we will make damn sure the father knows too, won't we?

I know it's an expense, but we should be thorough.

We should.

Besides, if I knew nothing about it, how could I possibly complain?

JACK: I was thinking laparotomy. Yep.

She's got free blood and air in the abdominal cavity.

She'll need to be prepped for theatre.

Take bloods, send them for group and cross-match.

Yes, I know.

I was just after a confirmation, Vincent, not training.

Want a surgical consult or not? Yeah, I do.

Sorry, mate. I'm just not firing on all cylinders today.

I can see that. You look like.. Crap. Thank you. I've been told.

Victoria? This is Dr Hughes, our surgical registrar.

I've asked him to look at you, if that's okay?

Why? What's the problem?

I need to look at your abdomen, if that's okay?

Thank you.

Ow!

Some tenderness.

Mm.

What does that mean?

You may have some internal bleeding.

Probably a tear in the bowel,

so we need to do an exploratory laparotomy to locate and repair it.

I need an operation?

Yes. It's a fairly straightforward procedure.

I'll just organise the consent forms.

I'm not consenting to anything!

Victoria, this is not an option.

I'm not signing anything until I talk to Terri Sullivan.

I've seen the abdominal CT. You need this operation.

It's not a matter of being stubborn.

I don't want to consent to surgery until we've talked, that's all.

Well, talked about what?

If I go under the knife, I'll be here a while

I have to sort out what'll happen to Lucy.

Well, I can organise a social worker...

Oh, don't pretend you don't know what I'm asking, Terri.

I know we haven't always seen eye to eye,

but you care about Lucy and you would look after her.

I have no right to ask,

but I can't let her go into care after what she's been through.

Victoria, this is a fairly standard exploratory procedure.

I am that little girl's world, Doctor, do you understand that?

Promise me you'll look after her.

Of course I will.

Thank you.

Right, let's get you prepped.

Right. There are the consent forms?

I need to know what to tell her. She's been asking questions.

Yes, and I think she deserves to know the truth, don't you?

You tell her what you think is appropriate.

Would you like to see her? Oh, yes, please.

I don't know what I'd do if my old man was like that.

What is your old man like?

Big Kev Goldman? He's okay.

Seriously? Yeah.

We get together, have a few beers, pay out on the women -

you know, quality father/son stuff.

Why doesn't that surprise me?

What's your old man like? I bet you're his princess.

'Pumpkin' is as bad as it gets, and then only after a few wines.

What about you, Jack? Get along with your old man?

No. Okay.

Jess, where's Hughes?

Crushed foot. Sub Four. Good.

Get an ortho consult. We should be able to save it.

Vincent, as much as I love you - go home.

No, I've got laparotomy heading for theatre.

Bob Croker just had a bouncing 9lb baby boy.

I don't know why he uses imperial measures. Quaint, isn't it?

He's coming in to do the laparotomy. Off you go.

Dead man walking. Go on, go. Go home.

You haven't seen my home. It's a shambles. I had an unruly guest.

Then... rule her.

I'm going to be a little while getting better,

so Terri here says she'll look after you.

Would you like that?

She made me butterflies. And they're lovely.

Now, I want you to promise me to be very good for Terri

and make me very proud.

That's my princess.

Okay. Okay. Come on.

Alright. I want you to say goodbye to Nana.

I'll see you soon. Yeah, see you soon.

Nana's going away for a little while

but the doctors will take care of her, okay?

Is she going to heaven? That's where my mummy and daddy are.

No, sweetie, she's not going to heaven.

Well, Miss Lucy, don't you look thirsty.

How about some juice?

Now, what would your favourite be? Orange?

Apple.

Oh, apple! Come on, then.

Okay. Off you go with Von. See you in a mini.

What about something else to eat?

INTENSE MUSIC

Lucy's teaching Von to draw in your office.

It's all about crayons, apparently. Thanks.

Toby Semple's drug tox screen.

Ah...

No alcohol, no drugs.

Just like the man said.

Well, why is the father so convinced?

He told me about finding Toby passed out on the floor, he'd wet himself...

He'd wet himself today too, and he was drowsy.

That sounds like a history of symptoms to me.

And we're thinking the same thing, aren't we?

I think I'll speak to his GP.

Your doctor said you fell down the stairs a couple of years ago

but you had no ongoing problems?

No, no. I had memory loss for a few days, that's it.

You must have had a head CT then. Yeah. It was clear.

Toby, your dad told me about the time he found you passed out.

Look, it was over a year ago and I wasn't stoned then either, okay?

What do you remember about that?

Nothing.

Only his reaction.

Waking up on the floor,

going down the stairs and... him giving me an earful.

"What are you on now, son? Where's your stash?

"If I find it, I'll flush it."

Thanks a lot, Dad.

Thanks for nothing.

We ran a drug screen on Toby.

It came back negative.

Paul, did you hear what I said?

Toby wasn't on drugs when the accident happened.

He wasn't even drinking.

Plastic surgeon's reckon they can put Pru's face back together

with minimal scarring.

Didn't tell me what they meant by that, though, 'minimal scarring'.

Mr Semple, it looks as though Toby may have had a seizure.

What?

Is there a history of epilepsy in your family?

No. That doesn't make sense.

He's never had a fit, not that I've seen.

You know, the vague-outs at school may have been mild seizures,

and you may have seen Toby after a major seizure -

in his bedroom that time.

But there's no history of it in my family, or his mother's.

His fall down the stairs two years ago.

That may have been the result of a seizure.

TOBY: Epilepsy?

We're not sure yet.

We need to get you off to theatre to get that femur pinned.

Once that's over, I'll refer you to a neurologist.

So I had a seizure? Yeah.

I don't remember anything about that at all.

I just...

I just remember them pulling me out of the wreck and...

(cries) Oh, God. Pru!

It's okay, Toby.

I remember blood, lots of blood. It was hers, wasn't it?

Toby, we need you to calm down.

Her blood was all over me. I couldn't even get out.

Toby, calm down.

It was my fault. Is she dead? Your sister is not dead.

Dad was right. It should have been me.

It shouldn't even be her. She didn't even...

Jess!

Roll left. Watch his leg.

Diazepam. 5mg.

You going to do the bottom part of the skirt?

I think I'll do that...

Back in a sec.

Victoria's in recovery. Everything went okay.

That's all I know.

Do you want to tell her?

Are you sure? Yeah.

Hello, Lucy. Hello.

Your grandma had her operation and she's okay.

Oh, it's okay.

You must be a good doctor too. Oh, well...

No, you're right, Lucy. He's a very good doctor.

Can I give you two ladies a lift home?

It's alright. We've ordered a cab. Thanks anyway.

Okay. Alright. Come on, sweetie.

We'll come and see Nana tomorrow but pack up so we can go home.

Good girl. Oh. Want to take these home with us?

Yeah.

Fresh air and a smoke.

Toby's going to be okay.

I've sent him for an EEG and referred him to the neurology team.

And his leg?

It needs pinning.

Your son needs you, Paul.

Is that right?

He's been covering for me for years.

He lied to protect me back then.

He's always tried to be a good son to me ever since and...

..all I've ever given back is grief.

So now I get what I deserve and little Pru pays the price.

I'm sorry, I don't understand.

Toby didn't fall down the stairs that time.

I knocked him down.

And now he's chucking fits.

You knocked him down the stairs?

Oh, mate.

I was so out of it - uppers, downers, you name it, I popped it.

Knocking him down the stairs is what got me clean, made me wake up.

I put myself through detox, got myself back on track.

And Toby lied about what happened.

Yeah, he said he tripped or something.

So when Toby started losing the plot,

you thought he was following in your footsteps?

Mr Semple, it's highly unlikely that fall caused this, okay?

It's entirely possible that these seizures would have started anyway,

for some other reason.

We look for cause and effect, and it's not always there.

Oh, yes, it is.

Eventually you pay the price, for everything.

Okay.

I'll be back in a few moments with your X-rays for theatre,

then we'll finally get that leg patched up for you.

It wasn't your fault, Toby. You had a seizure.

That's why you can't remember the accident.

Toby, theatre's ready for you.

You'll be on crutches for about a month

with a knee immobiliser and a cast, but you should make a full recovery.

They can cut my leg off, for all I care.

That's a stupid thing to say.

Pru would give you a fair kick if she heard you talking like that.

Your sister's going to pull through, mate. Isn't she?

Yep, she is.

So she's going to need our support.

So you and me, we're going to have to get our act together.

Problem?

Highly individual system. Can't really face it today.

I thought you had an early mark.

Yeah, I did. I've got a few files to go through.

Customer.

Nelson. Kerry?

Is Von around? I really need to speak to her.

Right.

If you take a seat, I'll see how long she'll be.

You know, it's too busy. No, no. She shouldn't be too long.

It's okay. Kerry.

Kerry!

Hey, Kerry, hang on.

I'm sorry, I shouldn't have come.

Whoa, whoa, whoa. Of course you should have.

Hey.

Besides, Von wouldn't want you running around the place in tears.

I had to get out of there, but I've got nowhere to go.

I'm so sorry, this is such a mess.

Hey, hey, hey. We'll go get a cup of coffee.

Von will be off shift soon. You can talk to her then, okay?

Okay. Thank you. Okay.

Beth?

Beth!

For months I've been thinking something was going on between them

but then I convinced myself that I was just imagining it.

I didn't want to believe it was happening.

I thought I'd been through enough after Mum's death.

It hasn't been an easy time for you.

I'm so sorry, Nelson. You don't want to hear this.

You don't even know me. Kerry, I don't mind.

Besides, Von would have my hide if she knew that I'd left you alone.

You know what the worst thing about this is?

It's such a cliche.

I found them in our bed - my boyfriend and my best friend.

You'd think they could have been a little more imaginative.

I suppose they could have.

Well, hello. Von.

What are you doing here?

It's Colin.

He's not who I thought he was.

Oh, dear. That sounds ominous.

I just had to get out of there, Von.

Uh... well, do you want to talk about it? Ah...

Look, Kerry, you know, there's no point trying to sort this out here.

Why don't you come back to our place and you could sit down and talk.

Is that okay?

Of course.

Beth? Vincent, what are you doing here?

How did you get in? I'm sorry?

How did you get in my house?

Sorry, I don't... You were there. You took my keys.

You're talking nonsense. I think you better leave.

Stay the hell away from me, alright?

I don't know what you're talking about.

I'm warning you. Leave me alone! Is that a threat?

If you threaten me again, I'll call the police.

I won't stay long. I wanted to check you're okay.

I probably should have phoned. Oh, no. I'm glad you came.

I checked on Victoria. No post-op problems.

Oh, good. Mmm.

Thanks for being there today.

Feeling any better?

I can't believe Lucy's actually here. I never thought I'd see her again.

I keep going in there to check I haven't imagined it.

(chuckles)

It's silly.

It's a lot to take in. Yeah, it is.

Are you going to be okay? Yeah.

Yeah.

Anyway, I should head off, let you get some sleep.

No. Stay for coffee at least.

Okay. One cup.