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Alana Cato, 37. Collapsed at a shopping mall.
Acute respiratory distress.
JACK: Okay. Into Resus.
Tachycardiac 124, resps 34, BP 136/92. Sats are 89%.
She's had salbutamol 5mg via nebuliser.
I'm assuming she's asthmatic? Can you slide across to the bed?
No puffer or medications in her possession.
Couldn't get confirmation from her.
We think you're having an asthma attack.
I'll listen to your chest. (Alana mumbles)
Should I set up for another neb of salbutamol?
Uh-huh, and set up for a 12-lead, and somebody do an ABG.
Oh, and prepare an airway trolley. Alright.
Alana, what I'm about to give you
is exactly what you had in the ambulance, okay?
It'll help you to breathe easier.
She's tachycardiac 120. Sats are 88.
Alana, look at me. Concentrate on your breathing, alright?
Slowly. Go in and out, in and out.
In and out. Good.
I know it's frightening, Alana. Just try to relax, okay?
I don't have asthma.
MACHINE BEEPS Neb started?
Right. I need you to answer some questions for me.
Don't speak. Just nod or shake your head.
Now, are you on any medication?
Mm-hm. And have you had attacks like this recently?
Better if you keep the mask on, Alana.
Okay, do you have any drug allergies?
Are you allergic to anything else? Peanuts? Shellfish?
Easy does it, easy does it. It's okay.
She's tiring. Rapid short breaths.
She's hypoxic. Alana! Open your eyes.
Sats are 90.
Somebody do that ABG now. CATE: I'll do it.
We need a chest X-ray. Alana, open your eyes.
Good morning.
That's a nice outfit.
Yeah, I like to blend with the crowd.
Mission accomplished.
I love seeing people exercise. It makes me feel alive.
Better get going.
Well, plenty of time before kick-off.
Join me for breakfast?
That's tempting,
but I really need to take a shower before I'm fit for polite company.
Well, I don't need to be polite.
They're good...
Thanks anyway.
So I'll see you at my presentation this morning?
Actually, I thought I might go to the orthopaedic lecture instead.
Yeah, good thought.
Bone-cracking and plaster techniques. Very sexy.
CATE: Alana, is there anyone I can contact for you?
(softly) Yeah.
In here?
Greg Cato? He's my husband.
Okay. I'll be right back.
Thanks.
So, what was it? What happened?
Well, it appears you've had a severe asthma attack.
You even stopped breathing for a little while.
I told you before, I'm not asthmatic.
Vitals are improving. Heart rate's 92. Sats are 97%.
Right. Are you a smoker?
No. Never?
We'll need some spirometry done and an urgent set of blood gases,
and I'll need to contact your GP.
See, the funny thing is,
nobody starts having episodes of acute asthma in adulthood
without good reason.
I'm looking for a trigger,
something you normally wouldn't come in contract with.
Let's go over this morning. You went for a walk?
Power walk. I go every morning.
Stopped for a coffee on my way home, just like I always do.
I'm just going to take some blood, Alana.
I need you to stay really still for me.
I've contacted your husband, Alana, he's coming in.
Ow! It's almost done.
When exactly did you start having trouble breathing?
I was walking along. My chest started feeling tight.
Tight? How?
Like I was having a heart attack or something.
It kept getting worse, even after I sat down.
Right.
She's going to need 100mg of IV hydrocortisone
and continuous sats while she's on oxygen.
Is that necessary? I'm feeling much better.
Yes, it is necessary. (sighs)
I've got a thousand things to do. I have a life, you know.
Okay.
Well, we do need to find out what's caused this, though, okay?
I put an 'Urgent' sticker on the pathology request.
We should have the results in 15 minutes.
Thanks. What do you reckon's going on?
It's hard to say.
No history of respiratory illness.
I don't even think she's been in hospital before.
It's possible she was admitted as a kid and can't remember.
Yeah, maybe.
Alright, I'll check the medical records. See what I find.
No, no, no. Alana Cato. C-a-t-o.
Yep, okay. Thank you.
You want something?
This Nurse Practitioner stuff you've been babbling about.
What about it? Might not be such a bad idea.
Excuse me?
Either that or it's a lousy idea and you've worn me down.
Do paperwork. I'll tick the relevant boxes.
What changed your mind? I'm a reasonable man.
What was that all about?
Frank being reasonable.
Hey, has Kerry said anything to you about anything?
Yes. We've decided I'll cook dinner.
Sorry.
Casserole?
If you mean you two moving to the Northern Territory,
she mentioned it.
Have you said anything to Frank?
Sorry.
It's just he has announced
that he will sign off on my Nurse Practitioner accreditation.
That's a good thing. You've wanted that for years.
Yeah, it's great, but, you know...
Timing?
Yeah, as if things aren't complicated enough right now.
Big decision.
I know.
JESS: Okay, let me take a look at that.
So Richie here swings a punch, but he's still got his glass in his hand.
Smashes it into the wall - bam!
Vodka and blood everywhere!
You should've warned me, Phil.
Richie, are you in much pain?
No. I am a bit thirsty, though.
Okay. Let's have a look at that.
Whoa, not until the wedding night!
Don't be a dropkick. Let her have a look.
Phil!
I was going to be a doctor once,
but my girlfriend - she wouldn't play nurse.
(chuckles)
Apologies for my mate.
Richie's kind of under-reconstructed.
Whereas me, I'm a feminist.
Feminist?
Rebuilt, recycled, and ready to dance...
Come on, Phil. Show her how it's done!
Here we go. Okay. Oh, Von.
Thank you.
This is Richard Weller, 22.
He has a laceration to the right hand.
Not sure how bad because he won't let me see it.
A little bit merry.
It probably needs surgery, at least.
It's just a scratch.
Ooh, you better come with me.
Where are we going?
We're going to see a nice doctor. Come on.
No, no, no, no. Sorry. Walking wounded only in the Consult Room.
You'll have to wait out there.
I'm wounded - Jessica won't go out with me.
Oh, dear.
I'll come and get you when I know what's happening.
CLANG! Oi!
Okay. Come on, Phil. Come through.
Put that away, and I'll pretend I didn't see it.
St Angela's Private. It was a while ago, though.
Right. Nothing respiratory?
Nope. Suspected ovarian cyst. Investigative laparoscopy.
Keep checking. If she didn't mention that, there might be others.
I was trying to tell her. I'm, like, bleeding to death here.
Okay, quiet! It's hanging on by a thread.
I'd be stuffed if I lost my hand. How'd I pick my beer up?
What's this, the drunk tank? We're going to a consult room.
Make sure you do, and lock the door.
I mean, a man's gotta be ambi... amphidoxtrous
when it comes to his drinking hands, doesn't he?
Certainly.
Would you call Vincent, please? Sure.
Who put that there? I love you.
Sooner rather than later? Could you?
What do you reckon, Von?
How long would it take a bloke
to learn to use his feet to hold a glass?
What's that thing saying?
That you're doing much better than you were a little while ago.
I could've told you that.
Alana, why did you tell us you hadn't been in hospital before?
Because I haven't.
St Angela's for a laparoscopy.
That was years ago. It didn't seem relevant.
I mean, I wasn't even sick, for God's sake.
It was nothing more than a test, really.
Honestly, this is such a fuss over nothing.
Well, it might feel like that now,
but it didn't at the time, when you couldn't breathe.
Not at the time, no.
We take asthma really seriously around here,
we need to find out what's caused it.
You're the bloody doctor. Why can't you work it out?
How hard can it be?
You're not making it easy by hiding things.
You think a laparoscopy six years ago caused an asthma attack today?
No, I don't, but...
Well, then this must be some kind of freak one-off thing, right?
Look, I'm busy.
In fact, that's probably it - doing too much. I'm over-tired.
I just need a couple of days off. That's all.
Are there any problems in your life, unusual stresses?
No, my life is great.
Alana, your husband's here.
Sorry I took so long. What's going on?
Oh, nothing to worry about.
I just got a bit breathless, that's all.
Just relax, love. I'm here now.
SPENCE: Good to see a few of you back from yesterday.
I applaud your stamina. Suckers for punishment, huh?
Now, neonatal resuscitation skills -
vital for anyone involved in
the business of delivering little human beings.
The transition from foetus to newborn only requires such intervention -
any idea how often?
10%.
Only 10% of the time, correct. Give that man a jellybean.
Which means we get rusty.
We have to brush up on techniques,
especially when these techniques are constantly being refined.
Isn't that right, Dr Johnson? That's why we're here.
Exactly.
But before we look at the more recent refinements,
the first essential here is... what?
Unusually shy and retiring group.
Dr Beaumont.
Shy and retiring, or bold and forthcoming?
This has got something to do with diagnosis, right?
Rapid diagnosis of any delay
in the transition from intra- to extra-uterine physiology.
Your mental acuity
is testimony to the benefits of early morning jogging.
Yes.
Rapid identification of a problem, coupled with state-of-the-art skills,
can decrease the instance of neonatal death substantially.
Bonus points for anyone who can make one of these by day's end.
Somebody grab the lights...
..and turn your mobiles off.
David Begg, 34.
Traumatic amputation of right hand with a machete.
Straight through to Resus. Hughes!
Amputation just proximal to right wrist.
Hand bagged on ice for transport. BP 120. Heart rate 128. Sats 98.
Estimated blood loss?
1,500ml.
Tourniquet applied 12 minutes ago.
10ml morphine IV and three units of 0-neg, thanks, Jess.
Take it easy, mate. Bitch cut off my hand!
Hey, stop him! Curtis! Curtis, stop him!
VINCENT: I got it. Trauma combine.
Come on, come on. Get the tourniquet back on.
For God's sake! I've got it.
He's unconscious. Open your eyes!
What the hell's wrong with you?
David?
Tell me what that was about?
You're trying to convince me you're a supernurse,
and you start bumbling around like a bloody virgin
while the patient's bleeding to death.
The patient's on his way up now.
Cheers.
Uh, I am sorry about that.
That was a bad time to go missing, you know?
Yeah, I know.
(clears throat) Ah, yes.
Nurse McMasters, you paged me?
Yes. You're very prompt, Dr Hughes.
Well, sometimes. It just depends who's calling.
Nice. I must be very important.
It only took you 2.5 hours.
Alright. Where's the patient?
In with Von. There's a hand lac to review.
Are you free for lunch? Depends on who's asking.
Oh! (chuckles)
What was her name? Was it Janet?
Janice.
Janice! Mammoth Janice!
She was big.
How did you get in here?
Apparently vodka makes him invisible.
(dryly) If only.
Don't throw me out. My mate's a big girl's blouse.
He needs me to hold his hand.
Shush. Go and sit down and keep the noise down.
You won't even know I'm here.
Joking, aren't you? I gotta hold your hand.
Serious?
Alright. Tell me how you did this?
It's a long story. Buggered if I can remember what it was, though.
Okay. Wiggle your fingers for me?
Alright. Can you look that way?
Feel me touching your fingertips? Ooh. Yep.
Look, that all seems to be pretty fine.
I don't reckon you've done any major damage.
Sure? I need my hands for work, mate.
I know what you need them for.
(chuckles)
I think it's fine, Von.
Reckon he needs a couple of sutures.
I think he's pretty well anaesthetised as it is.
That's funny - 'anaesthetised'. (stutters) An-anaesthetised.
An-anaesth...
He'll just need a tet tox and an Outpatients appointment for him.
Write him up for antibiotics.
Watch out below! (Farts loudly) Oh, that's wrong, mate.
That's my cue to leave.
Sorry. Say you're sorry.
Sorry.
Putrid. Oh! Now, let's get you ready for stitches.
Sorry, Von.
That's the vindaloo talking.
You should've been there, Von.
Babes to die for.
Don't know how many blues broke out. Oh, heaps.
Total carnage.
Guess I should've taken Richie home before he got into trouble,
but you know how it is when you're having that much fun.
Just don't want it to stop. No.
Never. It's like - I don't know, magic.
Oh, no, no. That's it, that's it, that's it. No!
Don't you touch a thing. Get out. Get out.
You're no fun at all, you know that?
I'm not pissed enough. Now get out.
Go!
Go!
Right. Now let's get you done and get rid of you.
This is ridiculous. I can walk. There's nothing wrong with my legs.
It's part of the service. Let them help you, love.
JACK: Thanks, mate.
Mr Cato, she'll be back soon. Don't worry.
I still don't understand what happened to her.
Well, when your wife was brought in this morning,
she could hardly breathe,
and we need to figure that out.
It doesn't make sense.
She's never had asthma - not in the time I've known her.
How long's that been? 10 years. Been married for six.
What about her health? How's that been?
That's really good. She looks after herself.
She exercises, she eats well.
She's going to be alright, isn't she?
Lady in her late-30s
presents with what looks like a classic case of severe asthma,
but she isn't asthmatic, has no known allergies,
and her husband says she's in perfect health.
Okay. She's not an asthmatic. You've done a drugs screen?
Uh-huh. Nothing there.
Did she do anything out of the ordinary when the attack occurred?
No.
What about her family situation? Work stress?
I thought there might be home problems,
but they seemed pretty tight.
So you're missing something, Jack.
Uh... distress would have been a factor after the attack started.
Always is. What else?
Something environmental.
Uh-huh.
Uh-huh.
That means others might be affected too.
Bingo.
Jack, I've called other EDs in the area where Alana was found,
see if they've had any unexplained asthma attacks.
I thought something toxic
might be floating around the coffee shop or shopping centre.
And? Nothing.
You're obviously still missing something.
So go back to the beginning, check everything, and keep me posted.
(Von dryly) Oh, charming.
I'm so sorry.
You suck, man. I thought I could make it outside.
I'll get a cleaner. My mess. I'll take care of it.
No, no, no, Phil, it's fine. I'll get a cleaner.
It's fine.
Vincent wanted you to have this Outpatients appointment...
Pub's open, mate.
Nah. No, I need to sleep.
Plenty of time to sleep when you're dead.
Hair of the dog's what we need.
No.
No, no. You are going to catch a cab and you will go straight home.
I will, I promise.
Hey, um...
..for looking after us.
Cheers.
Oh, thank you.
That's alright. How about you, mate? You wanna get in on that?
I don't think so. Alright. Your loss.
Come on, Rich.
How are we going here? Um... all set to go.
Decided to pike out of sexy orthopaedics, did you?
You've heard one bone crunch, you've heard them all.
Okay.
Universal precautions.
Maintain sterility of equipment, a new ET tube for each attempt.
If the infant's been fed recently,
aspirate stomach contents prior to the procedure.
Off you go, then.
Okay.
Placing the infant's head in the 'sniffing' position like so.
Hmm. No, like so.
A common error in infant ET intubation
is over-extension of the upper airway.
Other than that, almost perfect, Dr Beaumont.
So where to from here?
Visualise the vocal cords.
I'll leave you to it.
ALANA: I really don't wanna talk about it.
I know, maybe we should.
Maybe we're under too much pressure. Rubbish.
I mean it. We should start thinking about what's really important.
Now, your X-rays are clear.
Your blood tests and spirometry don't really reveal a lot either.
Well, that's good news, then. I can go home.
No. We need to get to the bottom of it.
I've read that stress can cause asthma. Is that right?
Anxiety can certainly exacerbate things.
It's highly unlikely it's caused it.
Well, I'd be feeling a lot calmer at home.
Well, it's not as simple as that, Mrs Cato.
We need to keep you here under observation.
Well, that's not possible.
The respiratory team are on their way for a consult.
You're not listening to me. I'm not staying.
You should listen to him, love.
I hate hospitals. I want to be in my bed, in my house.
Alana, we don't know what has caused this attack.
We don't know if it's going to happen again.
Now, another attack could be fatal.
I need you to understand
that if you didn't get help as quickly as you did,
it could have killed you.
Alright?
Now, what I'll do is organise a bed for the night...
No. I'm going home.
So, tonight.
Yeah, tonight. What are your thoughts?
I was wondering what you're doing.
It's funny you ask. I was thinking of taking you out.
Oh, really? Yeah.
Well, I've got a party to go to.
A party? You can always go to a party!
Yeah, I know, but... I have to go to this one.
It's Stuart's farewell, Vincent,
and I've got to go and show my face at least.
Why don't you come?
No. No, no, look, that's not really my thing.
Not even for one drink? No, I'm sorry. I just...
Come on.
Would it hurt to stay in hospital overnight?
I can't stay, you know that.
I'm beginning to wonder if it's worth it.
It's what we want! This is getting ridiculous!
You can't see the forest for the trees! You're obsessed.
I'm sorry. I didn't mean that.
I'm not... obsessed. I'm...
Alana?
Help!
She was admitted earlier with respiratory distress.
Cate, get a wheelchair. Help!
Alright.
What's her name? Alana.
Just try and take nice, steady breaths for me.
What's happening?
Good girl. Please, don't let her die.
Good air entry.
You can see why I wanted you to stay.
I think she gets that, Jack. Atrovent, 500mics in.
100mg hydrocortisone IV. Where's Greg?
I just need you to keep the nebuliser on, Alana.
We'll get him as soon as you're stabilised, okay?
You right here, Jack? Yeah. Thanks, Vincent.
What have we got?
Alana Cato's had another asthma attack.
Why do they need a surgeon?
They don't. She had it outside.
What was she doing outside?
I don't know. I'm not her doctor.
Alana and her husband were having a barney when she had the attack.
What was the diagnosis for Alana Cato?
Asthma. Unknown aetiology.
If you didn't know what caused it, why did you discharge her?
I didn't discharge her, Frank.
They tell me she collapsed in the grounds.
She signed herself out.
Before you ask, yes,
I made it very clear what could happen if she left.
Vincent said she and her husband were bluing. What's that about?
I don't know. I'm about to find out. Good.
Look, whatever allergen is causing these attacks
is still in her system, and it's likely triggered by anxiety.
What are you saying, I caused this?
Not you as such, but the stress of the argument.
That's probably the trigger
that activated whatever it is her body's reacting to.
Uh... have you guys been fighting a lot recently?
Alana's been getting more and more wound up over the last few months.
I've noticed. She hasn't.
She wouldn't even think about counselling or support groups.
That's it. Time to call it quits.
I'm sorry to hear that. What hope have I got?
Her parents keep saying, "Stick with it. Next one could be it."
Sorry, I'm not quite with you, Mr Cato.
I'm just a sperm manufacturer, really, aren't I?
You and your wife are on the IVF program?
What did you think I was talking about?
DAN: Hold it as long as you can.
Alana, this is Dr Campion. He's in charge of the ED.
Dr Quade tells me you're on the IVF program.
How many cycles have you done?
This is the fourth. Maybe the last.
O'ocyte retrieval's in a few days time,
and it looks like we've got three viable eggs, which is good,
because we've only ever had two before.
Okay.
Why didn't you mention this when I asked if you took any drugs?
Because I'm not. Hormones aren't drugs.
They're naturally occurring substances.
Anything artificially introduced into your body is a drug.
I think you're splitting hairs.
Anyway, I've been taking them for nearly a year now without a problem.
Doesn't mean we can discount them.
Actually, I don't think this is any of your business.
Interesting you should say that,
because withholding this information from us nearly cost you your life.
Oh, right. No, thanks for that. I'll get back to you.
Just as I thought.
He increased her FSH levels on her last cycle.
Doh! I would never have got that.
Reactions to FSH are not common, but they do happen.
What is FSH?
Follicle stimulating hormone, my lad.
So Alana's reacting badly to the hormones she's been given?
Yep, and the asthma attacks have been triggered
by the strain of repeated cycles.
Are the cycles that stressful? (scoffs) Oh, come on!
You can go through worse things medically
than trying to get pregnant.
I wouldn't underestimate the emotional stress, Dan.
Not to mention the effect of sky-high hormone levels,
daily bloods,
o'ocyte retrieval under general anaesthetic.
How would you like someone fiddling around with your insides
for months on end?
Why'd you put yourself through it daily?
Goldman, you occasionally present as a bright kid.
This is not one of those occasions.
What?
She wants a baby.
I understand that. I'm not a complete idiot.
Jack, what are the odds of her getting pregnant?
It's about an 80% chance that the pregnancy won't occur.
And even if she does, there's a high risk of spontaneous abortion.
That's not the point.
You don't know what they're thinking, how much they want this.
That's exactly the point.
Alana Cato's in there because the stress of this almost killed her.
Have you seen her husband? He's more stressed than she is.
In nine months, when they maybe have a baby in their arms,
do you think they'll be worried about it?
Probably not. Exactly.
You heard what Jack said. I wouldn't put my partner through it.
Easy for you to say. You don't have a partner.
Nice.
That's enough.
You're young and single.
The issue of having kids hasn't come up for you yet.
We're in no position to judge them, okay?
I think that is enough.
(softly) Maybe they should be asking themselves
if this is still about having a child,
or if it's turned into some bizarre challenge they don't want to fail.
Oh, God. You know, Frank's right.
You can say some really stupid things sometimes.
Speaking of hormones... Just shut up, Dan.
What?
Thank you, sir. Any time.
Don't forget the freebies.
If this is meant to impress the teacher, mission accomplished.
Sorry.
It's okay.
Have you got an interest in paediatrics?
I'm interested in a lot of things. What got you into paediatrics?
The hugs.
A little boy called Oliver. Five years old. Ewing's sarcoma.
I looked after him for three months.
No matter how bad it got, how much pain he was in,
he never stopped smiling.
You did the slightest thing for him
and he'd be straight... round your neck for a hug.
Never knew when he was beaten.
Would you have dinner with me? Just dinner, one night.
We can pretend we're not two sad bastards wedded to our work.
Look, Spence, the thing is... um, I'm...
Not interested.
Hey, it's cool. I won't hassle you.
Dinner would be great.
Good.
It was the "two sad bastards" bit that got you?
(laughs) Yep.
We will need to do some tests,
but if we do find that you have a sensitivity to the hormone treatment
it's likely you'll need to discontinue it.
This is ridiculous.
Some people have asthma their whole lives.
And they die from it.
I won't have the tests. This is not an option.
We need to make sure you're okay.
No, we don't, because it's nearly over.
I will get pregnant this cycle or the next one.
It's just a matter of time.
I don't think I'm making myself clear.
If you are allergic to FSH, no clinic's going to give it to you.
But if I'm prepared to take that risk...
You can't.
Your gynaecologist won't let you.
Well, then I will find one that will, one who understands. A woman.
A female doctor will say the same thing.
I am not giving up. I just won't.
You don't know what it's like...
..to want to have a baby so much.
And it hurts.
You can't even come close to understanding.
Hey, mate. You alright?
Leave me alone. I need to think.
Has something happened with your wife?
Has she had another asthma attack?
What is it? What's going on?
That's the million-dollar question, isn't it.
What the hell's going on?
Mate, you look like you're about to explode...
Mate, are you married? No, I'm not.
Then you wouldn't understand.
Mate, I'm not the enemy here.
If there's a problem between you and your wife we should know about...
We're trying to have a baby. Okay, and...?
And that's it. And nothing, nothing else matters.
She wants me to make a choice between her health and our marriage
and the possibility that, maybe, somewhere down the track,
we'll have a kid to show for it.
Would you play with those odds?
No.
But I guess it isn't always about what we want, is it?
FRANK: What have you got?
Phil Rigg, 21.
Pedestrian versus car. Went into asystole 10 minutes ago.
Into Resus. CPR commenced.
Contusion to right side of head. Probable fracture left tib and fib.
Bleeding from mouth, nose and ear.
Alright. When you're ready. On three. One, two, three.
That's Phil - Richie's mate. What happened?
Jess, get Hughes.
Walked straight out of a pub into a car - bounced off the bonnet.
VON: Frank?
Von, I'll need another bag of gel. Adrenaline 1mg.
He was in here earlier. Had a mate with a lacerated hand.
Hughes, we need another line in.
What the hell happened? Ran into a car.
What about his mate? Did he get hit?
No idea. Said he was going straight home.
That's what an 18-hour bender will do to you.
He won't be doing that again in a hurry. If ever.
VINCENT: Check for pulse.
VF. No output.
Charging to 200.
Clear.
Fine VF. VON: Giving adrenaline, 1ml.
Charging to 200 again.
Clear. RICHIE: I wanna see my mate!
JESS: I know it's hard, there's nothing you can do.
Do you need me? No. Go.
FRANK: Fine VF.
What's going on? Is he alright? No, no.
Come on, mate. Come with me. Easy. Just calm down.
The ambos said he wasn't breathing.
I'd had enough, you know? I just wanted to go home.
Phil went outside to hail a cab and...
Listen, Richie. Does he have any family?
Uh... yeah.
His mum.
Is he going to die?
He's critically injured.
They're doing everything they can for him.
Where's Greg?
Okay.
Well, we've got the results back from the tests.
And unfortunately it is what we expected.
That's that, then.
Look, I've got a lot of time for the IVF program,
and it has changed a lot of people's lives...
But not mine, apparently.
You do realise there's natural cycle therapy?
That's IVF without the FSH.
Yeah, we looked into that.
And GIFT.
They said it wouldn't work for us. This was my only option.
I waited too long. I got caught up in career and travel.
By the time we wanted a baby...
You just assume it will happen, right?
It's so hard.
I see my future as Greg and me...
..and our children.
I mean, that's what family is, right?
You know what? Family is - it's what you make it.
And you know what?
They're doing a whole bunch of research
into the technology of stem cells with regard to IVF.
Yeah, by the time that's available,
I'll be old enough to be a grandmother.
That's not true.
I think it might be a...
..an option worth discussing with your gynaecologist, though.
I'm going to get Greg for you, okay?
You were right.
You told us to go home and sleep it off.
I shouldn't have talked him into it.
I didn't think. I just... I didn't think.
No, it was his choice.
He's responsible for his own actions.
You are responsible for yours.
Stop compression.
Nil output.
Asystole.
Resume compressions.
How long's he been down?
52 minutes.
Stop, Cate.
He's had enough.
Time of death - 15:07.
Maybe Dr Quade's right.
You put so much pressure on yourself, Alana.
Remember the role stress played in all of this?
It's good you're back. Come here.
Dr Quade was in before, and he reminded me of all the alternatives.
I realised just how blinkered I'd become.
Don't do this. We've explored the alternatives.
I'd forgotten about natural cycles.
But they said that wouldn't work for us.
No, they said success was highly unlikely,
which is not the same thing as "wouldn't work".
No. We've gotta try.
No. We need a break.
Maybe after a few months of doing the things we enjoy doing.
We don't need a break. I do!
I really do.
We haven't got time for a break. I'm not getting any younger.
If this is going to happen, it has to happen soon.
This is for both of us. It's what we both want.
We've come too far to give up now.
Come on. We have to keep trying.
Jack, Alana was talking about an IVF natural cycle?
Yeah, right.
That's where they harvest whatever eggs the woman produces naturally,
so no hormone shots.
What are the chances of success on that program?
For her? About the same as winning the lottery.
Might be an idea to let her know that.
She's steamrolled her husband into trying it.
They know. It might work.
You just said it's like winning the lottery.
People win the lottery every week. I'm gonna buy you a beer.
What? You've done good work.
Hey, Curtis. Where's my paperwork? Nurse Practitioner accreditation.
Have you forgotten?
No, Frank, I haven't. Good.
ED's getting a Nurse Practitioner? Oh, yeah.
At last, when I'm going on my surgical rotation...
..we get a Nurse Practitioner.
Oh, yes. Your surgical rotation. Next week, isn't it?
Well, that calls for two beers. Yours is the first shout.
I don't want to go to the Northern Territory.
Okay.
But if you need me, then I'll be there with you.
I'm sorry if that makes your decision harder.
I know how much being with Kahlia means to you...
It's not that.
You've changed your mind about me coming with you?
No.
God no.
I've just changed my mind about going at all.
Kahlia's happy where she is,
and that's all I've ever wanted.
And I'm happy here, which is probably more than I deserve.
So...
..if it is alright with you, I think the decision is made.
Hi, Cate.
Oh, not you two.
Hi. I know, I know.
Spent so much time in All Saints today, it's like we work there.
What happened to that guy who lost his hand?
You must've done a good job. They're hopeful he'll get full use back.
Woo-hoo! Yay us!
Alright. No shop talk. Love your timing.
Cheers.
Hey.
I'll swap you. Cheers.
I didn't think this was your thing.
Well, you know. I decided there was some attraction here for me.
I'm glad you came.
You did say one drink? And one dance.
Hey.
Hey, Dan, if this music was any quieter, it would be off.
Sure. Right.
Hang on. I don't dance. Well, you do now. Come on.
Hey. Hey.
So... Are you sure about going away?
Yeah, I am.
DAN: Hey, Jess. Let's dance?
So, Somalia?
I got a few weeks off, and then, yeah, Somalia.
So you're kind of like a doctor without borders.
I'm a doctor without a lot of things.
This is, um... this is my room.
Yeah, I guessed that.
Thank you for dinner. It was great.
The food...
The food was, um, fantastic.
I barely noticed.
Well, I guess this is goodbye.
I guess it is.
I'll send you a postcard.
That'd be really nice.
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