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FRANK: Can I have your attention?
I would like to propose a toast to Kerry and Nelson.
ALL: Kerry and Nelson!
Nelson, you look fantastic.
Thank you, Jess.
Are you sure you're ready for this, Curtis?
Never been more ready in my life, Campion.
Kerry?
Stab wounds to chest, abdo.
Oh, Jesus. Does Nelson know?
JACK: This doesn't look good.
Still working on her.
How bad is she? Bad.
I don't know what else to try.
You did your best, Vincent.
Promise you won't let her put me on a ventilator.
No-one's saying anything about a ventilator.
We want to put you on oxygen.
I know. But promise me. No ventilator, no matter what.
I promise.
Damian Trelawny, 28-year-old male,
severe chemical burns to both eyes sustained from industrial explosion.
Left eye worse than right.
I'll be a dad today, but I won't be there to see it.
Man, I am so sorry.
I'm still in love with you.
I told Kerry that I would not let Colin hurt her.
Where does he live?
Listen to me.
Mate, where are you going?
Get out of my way!
Nelson!
If this happened to you and you knew who'd done it, what'd you do?
I'd kill him.
LOUD POUNDING
COLIN: Go away.
POUNDING CONTINUES
I said piss off!
Remember me?
I didn't do it.
Didn't do what?
Get out of here!
I'll tell the police, okay? I'll tell them everything.
It's too late.
Can I have your attention, everyone?
I need an update on the patients we have here from the factory explosion.
You're not on duty. I'm on duty when I say so.
Is anyone looking for Nelson?
Yes, they are. Damian Trelawny. Who's he?
He's mine. Sub-Acute 2. Ocular burns. Suspected head injuries.
We've had trouble controlling his pain.
We're waiting on the opthalmologist and the neuro consult.
Anyone else?
We're looking after one of the firies in Sub-Acute 4.
Smoke inhalation. Charlotte's dealing with him.
Right. Is there anything else I should know about?
Only one fatality so far, a teenager.
His mate's post-op with a liver laceration.
Should make a full recovery.
Then the police find out why he started the fire.
Frank...how's Von?
Her niece has just been stabbed to death, Jack.
How do you think she is?
Let's just try and get through today as best we can, shall we?
Von. The police need to examine her.
Come on. They've got their job to do.
All this attention just for me? I'm flattered.
Just try and keep still, Michael.
I saw that look.
Okay. I think we should stop fooling around here.
Don't tell me we've been fooling around and I missed it.
Your breathing's getting worse and you know it.
Your lungs are filling with fluid.
The smoke you inhaled this morning, plus the previous...
I got it. It's buggered me up big time, I know. I got it.
Michael, I'm worried
you're developing acute respiratory distress syndrome.
And if I am?
Could be fatal.
Whack me on a ventilator, bump me to ICU and forget I existed? No, thanks.
Wherever you're getting your information, it won't be like that.
Run whatever tests, but you're not putting a tube down my throat
or putting me on a breathing machine.
You promised me, Cate, remember?
Can I have a word?
What was all that about?
Earlier he made me promise we wouldn't, ventilate him and I did.
You had no right, Cate.
I was trying to settle him down.
We weren't even discussing ventilators at that stage.
It doesn't change the fact
that you shouldn't have promised him anything.
I know.
Repeat the blood gases, start him on IV Frusemide.
See if we can shift some fluid from his lungs.
I'll call the respiratory unit
and see if THEY can talk some sense into him.
Keep trying to get that mask on.
Those nasal prongs will soon be completely useless.
They probably already are, truth be told.
I'll chase up his old records.
I heard every word, you know.
You might save us the trouble
by telling us why you don't want to be ventilated.
I told you. I've seen what it does to people.
Detective.
MAN: Dr Campion.
Your blokes found anything?
To be honest,
any evidence we get off the body's likely contaminated.
Hey? We bagged the wedding dress.
I saw that, same deal - contaminated evidence.
The ambos and you lot handled it.
Oh.
I need to take statements from her aunt, her fiance.
DAN: Hey, Charlotte.
I know you're busy, but Damian's still in pain.
I'll be there soon.
Want me to do it? Not a surgical.
I got nothing else to do. Thanks, Jack.
Your hands are full here.
You can say that again.
Use my office for interviews. I'll let the staff know.
Thanks. Oh, Detective.
I gave your mob her ex's name, Colin Fenely.
Have they chased that up?
I'm sure the uniforms will.
Come on, mate, get up. On your feet.
Get up!
Please...no more.
Is that what Kerry said, Colin?
Did she already have the wedding dress on?
Or was that your idea?
Did she? I made her do it.
You sick bastard.
It doesn't matter what you do...
..because I win.
I win.
He's been on strict half-hourly neuro obs for three hours,
we've been unable to look at his pupils.
What about pain relief?
His pain's pretty hard to control.
He was found unconscious by the ambos,
so we've been pretty conservative with the morphine so far.
Can you give me something, please? Anything.
I don't care if it puts me into a coma.
How's his GCS been?
15. That's normal.
And his head CT was clear.
Okay. We'll start him on a morphine infusion, 2mg every hour.
I'll write up a PRN dose, 1mg every five minutes.
We'll get that pain under control. Hang in there.
Thanks.
Increase neuro obs to every 15 minutes, to be on the safe side.
Damian, just going to look at your eyes.
You'll get those patches off pretty soon, right?
We're working fast as we can, Damian.
Oh!
I'll be right back, okay?
Listen, Dan,
has he been this agitated since the admission?
He, uh, missed out on seeing his son born today,
and I think he's starting to understand
he might never see the baby at all.
FRANK: You know, you don't always have to be the strong one.
It's not expected.
I expect it.
You can grieve, Von.
What, Frank? What will it do? Bring my niece back?
Nelson's got the right idea. Just kill the bloody mongrel.
You winning, mate? You winning?
You had enough?
I need an ambulance.
Colin Fenely, in his 30s. Traumatic head injury.
He was unconscious and asystolic at the scene.
Chest compressions had already been commenced when we arrived.
Nelson was at the house.
And the cops? Right behind us.
Grade 2 intubation on site, size 8 ETT.
I've already paged the neuro reg.
You're with me, sunshine.
Alright. On three. One, two, three.
VINCENT: Colin, can you hear me?
Probably rib fracture left side, abdo bruising evident.
Spinal precautions maintained.
Where's the neuro reg?
On their way. Did Nelson do all this?
Jessica, let's concentrate on the job.
Sorry, I can't.
It's hard, but we need you here, and Nelson needs us to do this.
What've we got? Ooh. A bloody mess by the look of it.
Someone said it was assault?
VINCENT: Yeah.
What's his down time?
Couldn't find out how long, but 15 minutes since we got to him.
Someone beat him to death? That's nice.
Jess, check for an output for me.
Okay, I've got a pulse.
He's bradycardic at 30.
Deanna, Atropine IV 1mg.
Left pupil's blown. Size 6, unreactive. Right's size 3.
Slight reaction, but nothing to write home about.
I need head CT and full trauma series.
Sean Everleigh here.
I need a theatre on standby for a likely cerebral bleed.
We're travelling CT now. Thanks.
You'll need a skull X-ray, multiple views. Make a fist.
Ah, you know how to do that, don't you?
You are a bloody idiot, Curtis. This place is swarming with cops.
I don't care.
I'm going to get you a lawyer.
You're not talking to the cops without representation.
You think Kerry would be pleased about this?
Leave it, Frank.
You up on an assault charge, or worse? Hey?
I don't give a damn what happens to me.
CATE: Try taking deep breaths for me, Michael.
In through your nose, out through your mouth.
That's the way.
Sats are at 89%. Start him on a non-rebreather.
What are you doing?
We've got to get more oxygen into you, Michael.
Just take some deep breaths.
That's it. Good man.
Sats are coming up. 90%.
Oh, that sucked.
Michael, we need to discuss our options.
I've spoken to the respiratory team, and...
No! Hey. Listen to me.
I want to try something called a Bi-Pap.
It's a machine that uses pressure to assist you with each breath,
so that your oxygen intake improves,
and hopefully some of that fluid in your lungs will start shifting.
And how does it do that?
Via a mask, not a tube.
It's kind of like a pilot's mask.
It's not a fashion statement by any stretch,
but I'm sure you'll make it look good.
Just as long as this doctor doesn't talk about the bloody ventilator,
I'm...happy.
Michael, you need to understand
that it's only a short-term alternative to intubation.
If it doesn't work, then we're back to talking about the ventilator.
I'll get it set up.
I need you to help me, Michael.
I'm just trying to get you through this, okay?
Thanks. I'll let him know.
Right turn, guys. Theatre's waiting.
What's the story? Not good.
Large left-sided fronto temporal intra-cerebral bleed.
Are you going down with them?
No. It's a neurosurgical case now.
Besides, I've had enough of this guy for one day.
If Colin dies, then Nelson's going to...
Vincent, if you're following your patient through, move it.
No, I'm not.
Mate, I'm really sorry.
Hold the doors.
Sorry about this, Damian, but it's eye-drop time again.
Now, I just spoke to your wife's nurse.
Lisa's feeding the baby, but as soon as she's done,
they'll get her to give you a call.
You haven't told her about my eyes, have you?
No, mate. No. She doesn't need to know.
No. Sorry.
What am I supposed to tell her? That I might be blind?
We don't know that yet. It's too soon to tell.
I'll talk to her when I know I'm okay.
She's going to have to find out sooner or later.
Well, it'll have to be later, then, isn't it?
Okay. Here we go. Quick.
So, this son of yours. Has he got a name?
Lisa wants Christopher. I'd prefer Matthew.
Christopher Matthew - best of both worlds.
What am I going to do, Dan? I can't work like this.
We haven't got any savings to keep us going.
How am I...
..going to support a wife...
..and a child?
CHARLOTTE: We'll keep this on for an hour, and then we'll reassess things.
Hang on, Michael.
I can't!
No, you've gotta keep it on.
It's going to help you to breathe more easily.
Can you sit forward for me, Michael?
I'm sorry. Feels like I'm suffocating with that.
Come on,
it's not that much different to the masks you firies wear.
Oh, believe me, it's different enough.
You can lie back now.
Didn't help.
You didn't have it on long enough to make any difference.
I'm sorry, but this is getting worse, not better.
Let us give you sedation and put you on a ventilator.
How many times do I have to say no?
I won't put my family through this.
If I'm gonna die, then let it be fast.
Put this thing back on. I'll make it work.
Here we go.
That's the way.
I really wanted to marry her, Von.
I guess Colin was right about one thing...
..he wins.
He does not win.
She loved you. You know that.
Is he improving at all?
His sats drop every time I try take him off the Bi-Pap.
His lungs sound terrible.
Bi-basal creps, inspiratory and expiratory wheezing.
His last blood gases indicate increasing respiratory acidosis.
We're running out of time here, Cate.
Pretty soon he won't be able to breathe at all.
I know.
Look, I think I've worked out what his problem is with the ventilator.
Well, I checked his medical history
to see if he had experience with ventilators, he hadn't.
No, this isn't his medical history
and he wasn't the one on the ventilator.
The day that Michael was admitted with smoke inhalation,
the day of the bushfires, another firie was also brought in.
He was admitted about half an hour after Michael.
Also suffering smoke inhalation.
According to the medical history,
they attempted to take him off the ventilator six times.
Every attempt failed. He ended up back on the machine.
He died in ICU eight weeks later.
"If I'm going to die, let it be fast."
Isn't that what he said?
Well, that's exactly what's going to happen
if we can't talk him into treatment.
He's going to suffocate.
We know why you're doing this, Michael.
You don't know anything about me.
We know you weren't the only one admitted to hospital
after the bushfires.
We know your colleague died eight weeks later.
He wasn't my colleague...
..he was my best friend.
I'm sorry.
But, Michael, how does killing yourself change that?
I never said it would.
You need to be intubated, Michael,
otherwise you'll go into respiratory arrest.
No!
I don't want my family standing around my bed for weeks,
waiting for me to die.
It's not going to be like that.
Oh, you can guarantee that, Doc, can you?
There's no reason to think that will happen to you.
I was there...
..with his family.
I watched my mate pissing into a tube and being fed by another.
He was a proud man...
..and he was shitting in his bed.
So don't tell me what might happen.
Come on, let me put this on you.
Your friend was badly affected by the smoke and he had previous scarring.
Like the scarrings on my lungs,
like the ones you picked up on my X-rays, right?
I'll admit that does complicate the situation,
but you're 20 years younger.
You're fit. There's no history of asthma.
They tried to take him off the ventilator five, six times, maybe...
..and every time, his family's hopes went up...
..and when it failed and he went back on the machine...
..I watched his family die a little.
I will not torture the people I love like that, no way.
No way, Cate.
No way. No way.
Listen to me.
Michael, it's okay.
We won't make you do anything that you don't want to do.
Damian, what have you done? I can't stand it, Dan.
I just want to be able to see my wife and my son.
Okay. Okay, come on.
Why can't someone tell me if that's ever going to happen?
Listen to me. Listen.
You need to stay in bed and you need to stay still
and you need to stay calm.
Do you understand?
What does it matter?
It matters because we have to protect your eyes.
You keep this up, you could do more damage.
This will need re-suturing.
Can you do that?
I just need an answer, Dan. That's all I'm asking.
And I'm going to get you one.
Okay. Let's get you back up on the bed. Come on. Legs up.
I know what the Registrar said.
Can you give me a break?
Yeah, well,
he's not watching this poor guy trying to rip his eyeballs out,
is he?
Listen to me.
You either send someone down now or I'm taking him up there.
You have five minutes.
So are they coming down?
(sighs) Yeah.
Hey.
How did Colin's surgery go?
It's still going.
They evacuated the haematoma. There's a lot of oedema. Um...
It's going to be a tough recovery, if he recovers at all.
It's likely he's got a hypoxic brain injury.
Are you gonna tell the police who did it?
You were the attending doctor, so by law...
Look, Jess, I just treated an assault victim, okay?
It's not my problem how he got here.
We all know how he got here, Vincent.
No, no, no. We assume we know, and that's quite different to knowing.
A lot of assumption going on here today.
Well, Nelson assumed Colin was the murderer.
Yeah, with good reason.
But no proof. What if he was wrong?
The coroner's come to take Kerry. Close those curtains.
I love you.
Go and get cleaned up, mate.
Come on, come on. Back to work.
CHARLOTTE: Okay. Thanks.
Did you get onto the respiratory team?
Unless Michael agreed to be intubated,
all we can do is continue the non-invasive therapy.
Well, we should document his wishes, then.
No.
Sorry?
No.
Charlotte, he couldn't have been more clear
about what he will and won't consent to.
And he is basing that decision
on something that may not even be relevant to him.
Well, get a psych consult.
MACHINE BEEPS Shit.
I'll get the arrest trolley.
Sats are at 84%.
Michael, you've got to let us intubate, please.
Michael? Michael?
Michael?
Michael, come on. Talk to me.
I'm intubating. Size 8 tube.
You can't.
Sux and thio, Cate.
It's against his wishes and you know it, Charlotte.
Keep him on the Bi-Pap. We can increase his IV diuretics.
Either help or get out!
Charlotte, you cannot do this.
What's going on?
Dr Beaumont is intubating against the patient's wishes.
Get me the documentation on that and I'll step back.
Otherwise, I need a laryngoscope now, Deanna.
Is she right? Did the patient refuse this treatment?
Of course he bloody did.
He didn't know what he was saying.
What the hell do you think you're doing?
Saving a patient's life. Against his wishes.
I did what I needed to, Frank.
I want an incident report in my hand in 10 minutes.
Charlotte, I'm sorry, but...
Dr Campion, I got conflicting stories when I stepped in to help.
Has ICU been informed?
I've just let them know. What else needs to be done?
Nothing much we can do, now that he's been intubated.
The next move will be up to his family.
Where's Beaumont?
I'm not sure.
Find her and bring her to my office. Both of you too, now.
The detectives are in there.
Common Room. Five minutes.
You can't blame Charlotte.
I mean, how can we justify keeping Colin alive
and not trying to save this guy?
Explain yourself.
There was no documentation saying he'd refused intubation.
Don't play semantics with me, Beaumont.
There's a big difference between ethical and legal,
you damn well know it.
What about you?
Why weren't the patient's wishes documented?
Look, Frank, it was a complicated situation.
Because I didn't document them.
Cate wanted to, but I thought I could talk him into giving consent.
Did anybody organise a psych consult?
No, we didn't get a chance to.
Is that correct?
We were in the process of discussing one when he crashed.
Get out. You too.
Close the door behind you.
Charlotte, you know what really disappoints me about this,
is that you used not one but two nurses for your little stunt.
Michael had the wrong idea.
If I'd had time, I could've convinced him to give consent.
You didn't have time, did you?
What you had was a patient who was refusing treatment.
I know.
Do you have any idea how ugly this could get?
It wasn't pretty to begin with, Frank.
And I will take full responsibility.
Damn right you will.
Whether you like it or not, a patient may refuse treatment.
I know.
I-I screwed up, okay? I know.
His family's on the way in.
I suggest you get your act together
and decide what the hell you're going to tell them.
MAN: What time did you hear these noises from your niece's room?
I don't know. It was early.
What was on the radio when you turned it on?
The news. The explosion about the paint factory.
And then what did you do?
Um...I got up, showered.
You didn't think to check on her?
Well, obviously not, or we wouldn't be here, would we?
I thought it was her fiance in there.
Nelson Curtis?
How do you know it wasn't?
What are you suggesting?
I'm not suggesting anything. I'm asking.
How do you know it wasn't him this morning?
Because Kerry's dead, and there's no way he's responsible for it.
So you got up, showered and then what?
I, uh, went to pick up the flowers for the wedding.
I, um, called out to Kerry I'd meet her at the hairdressers.
Did she answer you on that occasion?
No.
Alright, Ms Ryan, you said before
that you believe Colin Fenely is responsible for your niece's death.
Why do you think that?
He wanted her back.
Hardly cause for murder.
There was a history of abuse in the relationship.
Given all this, why didn't you check on her
when she didn't answer your call
and when you heard noises from her room?
I'll be asking myself that for the rest of my life, Detective.
I'm so sorry, Charlotte.
Forget it.
I can't forget it. I know I made a mistake.
Damn right you did.
By making him that promise,
you sent the message it was okay for him to refuse the ventilator.
No, I didn't.
And you stopped any hope I had of changing his mind.
Dr Beaumont, if you have a problem with one of my nurses,
then please speak to me about it.
I've said all I need to.
Look, Deanna, I really appreciate you sticking up for me, but...
..I had that under control, really.
I want to get back to work.
My turn to talk, yours to listen.
I know we're all under a lot of pressure here, Cate,
but I will not have one of my nurses forgetting their place here.
What place would that be?
We are here to support the patients and to back up the doctors -
nothing more, nothing less.
In what century?
Look, whether you like it or not,
I'll be in charge here the next couple of weeks,
maybe even longer, seeing what's happening with Nelson at the moment.
So I will not have you or any member of my nursing staff
making me look bad.
You walk away from me,
you may as well keep on walking right out of the department,
right out of your job.
Let's just get one thing straight here, boss.
I'll support the doctors to the best of my ability
because they're good doctors, not because they're my superiors,
and I'll do whatever it takes to help a patient.
But I'm not employed to make you look good.
Cate. A word of advice.
Don't screw with me.
Whatever.
That hurts. Almost done.
There. Pressure's normal in both eyes.
Okay. Lie back.
So it's good news? I'll be able to see out of my right one.
The opthalmologist explained all this, Damian.
There's no guarantee you'll regain full sight in that eye either.
There is a chance you'll regain some vision, though.
How come it still hurts?
There's probably some tissue damage.
Now, we'll continue with the morphine
and I'll write him up for the non-steroidal anti-inflammatory.
When will we know, for sure?
We can't give you an exact time frame.
I wish we could.
Okay, so what we'll do is re-suture this head wound
and I'll admit you to the ward.
Hey. I've been waiting all day.
Take a guess, lie to me if you want to. It doesn't bother me.
It's not like I can tell by looking at you.
Well, I don't lie to people.
We'll have a much better idea about your long-term situation
within 48 hours.
Thank you. That's all I need.
Hey, Dan. Yeah, I'm here.
Do you think I could speak with my wife now?
Absolutely.
Hey, I think we can do better than that.
How the hell am I going to explain this to my daughter?
Damian up for a visitor?
Sure.
Where the hell did you get to? Speak to my wife?
Yeah, well, I thought I'd bring you a surprise first.
You're making me nervous. What are you up to?
You ready?
I thought you might like to meet your son.
Is everything okay?
Yeah, he's perfect. He looks just like you.
Oh, he's so tiny.
How did you manage to get him here?
I taught him to walk. And I have exceptional people skills.
Oh, you mighty little thing.
Oh, you beautiful little thing.
Any idea when Colin Fenely's likely to regain consciousness?
He has serious head injuries.
He'll be unconscious for at least the next 72 hours.
The swelling around his brain has to subside.
So I'm unlikely to be able to interview him for days?
I would say weeks, Detective.
Is there anything else I can help you with?
No. Oh, there is one more thing.
Any information you can give us
on who might be responsible for the assault on Fenely?
I'm responsible.
JESS: What happened with Nelson? He's being processed.
Can we organise bail or whatever we need to do to get him out?
No, Jess.
We can't just leave him there.
It's what he wants.
Right.
Is Von okay?
She will be.
I'll get us another drink.
I'll clear these.
So why wouldn't Nelson want to be bailed out?
He's probably scared he'll start drinking again.
Nelson's got a drinking problem?
What did you do? Nothing.
I know that face. You've put your foot in it somehow.
Just drop it, Dan.
DAN: Oh, God.
We should be at the reception.
Yep.
So how did you go with your fireman's family?
They're upset, as you'd imagine,
but they're grateful he's got a chance on the ventilator.
I don't think Michael's going to be quite so grateful.
Strange to be feeling bad about saving someone's life.
I know, but I do.
Medically, you made the right call.
Ethically, I didn't.
Vincent, about what you said today...
You know, I just wanted to be honest with you, that's all.
I didn't ask for anything, I didn't expect anything.
Actually, that's not entirely true.
I guess I expected some answers from you.
Don't do this.
You just keep changing the rules.
Rules? What rules?
The rules you set when you asked me for a divorce.
"I'm gay," you said. "We don't have a marriage anymore."
Remember saying that? For Christ's sake!
Charlotte, I kept my mouth shut through the whole Jack business,
and when Spence turned up, it was...
You've no right to ask this, you know that?
After all this time, I've got a right to know why you walked out.
Fine. You want to know?
I needed more from you than you could give.
I needed intimacy.
We had intimacy. No. We had sex.
So I found someone who could give me what I wanted in a relationship,
and that someone happened to be a woman.
Our marriage was killing me, Vincent, and you couldn't see it.
FRANK: Everyone. DAN: Hey, Sean.
What are we celebrating?
Uh, we lost a friend today.
Oh. Sorry to hear that.
As the Irish say, don't mourn the death - celebrate the life.
So, it's my shout.
Get something expensive. He can afford it.
CATE: What do you reckon? DAN: Tequila shots?
# Hey, does it ever make you wonder what's on my mind?
# I was only ever running back to your side
# I never cry
# I just watched my life go by
# It's just a pack of lies
# 'Cause you're leaving me behind
# Why, after this long is there nothing I'll keep?
# Oh, I can share
# You'll pretend you're falling asleep
# I never lie, yeah, believing that you're mine
# It's just a waste of time
# 'Cause you're leaving me behind
# Hey
# There's not a cloud in the sky
# It's as blue as your goodbye
# And I thought that it would rain
# On a day like today
# Hey
# There's not a cloud in sight
# It's as blue as your blue goodbye
# And I thought that it would rain
# The day you went away #
On three. On three.
DAN: One, two, three.
Oh, nice.
Okay. Here we go.
Another round.
CATE: Oh, no, you can't do this. DAN: Another round?
Oh, my God. Here we go.
Game on.
Oh, I'm so going to be feeling this tomorrow!
Oh, Jess!
We're never going to be allowed back here again.
Can't believe you just spewed!
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