Original subtitles

WOMAN: My husband, I need to... my husband...

Keep pressure to the bridge of your nose.

This is Jennifer Palmer.

CHARLOTTE: What happened? She won't tell us.

She has multiple contusions

and bruising to the torso, face and limbs.

We're going to take care of you.

Tenderness in the left upper quadrant

and pain over the 12th rib on the left-hand side.

What about the epistaxis?

Approximately 200ml blood loss on site.

Where was the pick-up?

Private house. She called it in herself.

Where's Lewis?

SIREN WAILS

ERICA: We'll get this sorted, Jennifer.

Just try to keep your head forward, okay?

Sorry. Sorry.

It's okay, it's okay.

You've swallowed a lot of blood from your nose,

and that's why you feel sick.

I'll put in a second cannula

and take bloods for coags, FBC, UEC, group hold, and crossmatch.

Spit into the bowl, don't swallow.

We need to watch how much blood you're losing.

It hurts my ribs when I...

We know it hurts, but you need to keep your head forward.

We'll get this nosebleed under control as soon as we can.

Then we can do a proper assessment.

Epistaxis pack? When we have her settled.

And we'll need to do an ENT review. Okay.

Sorry, Jennifer, but this is going to sting a bit.

I don't care. Just make it stop.

Did you lose consciousness at all, Jennifer?

No.

Any history of nosebleeds or high blood pressure?

Are you taking anti-coagulant medication?

No.

Even aspirin?

Oh!

Alright, sweetheart, let's take a look.

BP's 130 over 80. Pulse, 100.

MAN: They are totally bloody incompetent!

Tristan...

What have we got here?

Tristan Meadows. Jumped off a ferris wheel.

He's got a brittle bone disease.

Osteogenesis imperfecta. It's not that hard to pronounce.

Just calm down, please, mate.

I don't even need to be in this stupid collar.

It's my leg that's broken.

They told you they had to stabilise you

in case you hurt your spine.

Well, it hurts now, doesn't it?

These gorillas drove into every pothole they could find

on the way here.

I want to make a complaint.

Let me sit up and I'll take it off myself.

DAN: That's not the way it works.

Deep breaths. Come on.

I can't lie on this bloody board. I need a pillow.

So, let me get this straight.

You've got a brittle bone disease,

you're on a carnival ride, and you decide to jump off it?

I was having fun. You know, F-U-N, fun?

If you were having so much fun, why did you jump off?

You must've known you were likely to break something,

if you have what you say you have.

Oh, he has it alright. You shut your mouth, Carlene.

Why don't you make yourself useful? Go home and get my wheelchair.

He's in a chair? When it suits him.

That's right.

Talk about the cripple like he's not in the room.

I'm sorry, he just... he does get frustrated.

I can see that. Is he your husband?

(sarcastically) Hello! Crippled, not deaf.

My brother.

What happened to you?

I jumped down after him. Right.

The wheel had stopped, it was only six feet up.

Tristan was being unpleasant.

With good reason.

So, I lost my temper, he jumped, and I jumped down after him.

You want to come with me? I'll look at it.

No, I'm fine. Just look after Tristan.

Come on.

What are you looking at?

It's not a great look, and a bit uncomfortable, I know,

but it will help.

Oh!

Okay, I'm sorry.

Sean, we need to get on to Radiology.

Are you okay? Pain relief should kick in soon.

I'm concerned you've fractured your ribs, Jennifer,

so I'm going to organise an X-ray

to rule out facial fractures as well,

then I'll get a surgical team to take a look at you.

I don't need surgery, do I?

It's just routine.

You have some abdominal tenderness,

and we need to make sure that's nothing serious, that's all.

It would help if you could explain how you got these injuries.

Would you like us to call the police, Jennifer?

If you need to report an assault,

they can come here and take a statement.

Is there anyone else we can call then? Friends, family?

Jennifer, what happened?

If you can tell the doctors, it will help them treat you.

I fell down the stairs.

Alright. It's alright.

TRISTAN: Ow! You're as bad as they were.

FRANK: I'm trying to examine you!

What's going on there?

DAN: Just one of those nice patients

reminding you why you started nursing in the first place.

Hey, it's good to have you back in the ED.

Yes, I missed you too.

No, Meadows.

As in beautiful green pastures with cows and daisies and stuff.

Which is where I'd rather be right about now.

I've got a patient in there with terminal chips on both shoulders.

Want to swap?

Woman in Acute's covered in bruises

and claims she got her injuries falling down stairs.

Yes.

Meadows, Tristan. Thank you.

Why? You're not buying her story?

Really not buying it.

She's obviously a victim of domestic violence.

I don't know why we're not calling the police.

Probably because we shouldn't be jumping to conclusions.

There's a huge bruise on her side, Dan.

I swear it's a boot mark.

She could have been mugged.

Well, if she was mugged, she'd just say so.

TRISTAN: Get your bloody hands off me, you fat bastard!

And with that, I've gotta chase up some medical records.

ERICA: This shouldn't take long.

Then we'll see about getting rid of this thing from your nose.

VINCENT: So the left upper quadrant view examines the splenorenal space.

Place the transducer on the mid to posterior axillary line

over the lower left costal margin.

Right, that's good.

Any blood would show up as an anechoic stripe, right?

That's right.

Well, there's no blood.

The four standard views are negative.

That's good news, Mrs Palmer. It is?

It means there's no internal bleeding.

But you appear to have some abdominal tenderness,

so I'm going to organise a CT just to get a more detailed view.

Why do I need that?

Your X-rays show that you have a small fracture

to one of your ribs.

We need to make sure that you have no underlying damage to your spleen.

Okay, Erica. Keep her on strict half-hourly obs.

Let me know if there's any change. I'll organise a CT.

You okay to pack up the FAST for me?

Are your arms painted on?

Spending too much time with Von.

We really should contact someone for you.

My husband, Lewis.

Are you sure?

Okay. What's the best number to call him on?

I don't exactly know where he is at the moment.

I'll give you his mobile number.

Waste of your time, you know.

A bit of spit on a tissue would have done the job.

This is prettier though.

Nelson, have you got a sec?

Won't be long. I'll get a dressing on that in a minute.

Jennifer Palmer wants us to get her husband in here.

And?

It worries me, given what we think about the cause of her injuries.

What do we think about the cause of her injuries?

Someone's beaten the crap out of her,

so when the husband comes in, antenna up, okay?

Bit of an assumption, isn't it, Charlotte?

It was her husband? It could've been the father, the ex-lover...

I know that. I'm just asking you to suss it out for me, please.

I'll see what I can do.

Type 1 osteogenesis imperfecta - the commonest, the mildest.

You want me to explain it to you?

No, I seem to remember someone mentioning it

when I was in medical school.

Bones predisposed to fracture, most fractures occurring before puberty.

Normal or near-normal stature,

loose joints and muscle weakness,

and the whites of the eyes

have a blue, purple or greyish tinge.

Did I leave anything out? 10 out of 10.

I broke a rib once just from sneezing.

I've had more X-rays than Schapelle's boogie board bag.

It's a wonder I haven't got radiation poisoning.

Well, I don't think they actually X-rayed the boogie board bag.

So, what's the verdict?

And don't patronise me.

I know all the proper names of bones,

seeing as how I've broken most of them.

Really?

And don't bother with the sympathy and the bedside manner either.

I've had a gutful of doctors and nurses.

He hates everybody that tries to help him, especially me.

"Hate" is a pretty strong word.

Okay. Well, maybe he doesn't hate me, but he certainly resents me.

I'm pushing the wheelchair, he's the one in it.

Full-time?

Yeah. Well, generally when it involves walking.

He feels safer in it.

He tripped over once and broke both his wrists.

That was fun.

You ever had your sister hold your dick for you while you take a piss?

What about being spoon-fed like a baby

and going six weeks without a wank?

You look after him by yourself?

Mum died a few years ago, and Dad left when we were kids.

Just couldn't stand having a cripple for a son, I guess.

Listen, how about we focus less on your attitude

and more on how we're going to take care of this present situation?

That way, we may actually get somewhere.

Okay. I'll adopt a more positive attitude.

I'm positive my leg's broken.

I'm positive I'm going to sue those ambulance idiots,

and I'm positive you're a pain in the arse.

Listen, sunshine, if you take risks like you did today,

you're bound to come a cropper.

The world does not owe you anything

just because you've got a medical condition.

He was yelling at me about abandoning him,

saying I didn't love him anymore.

I should have stopped him.

She should have stopped me.

Don't blame your sister.

You're the one that got on the ride and you're the one that jumped off.

She was guilt-tripping me.

You don't know what she's like.

He can be so bloody cruel.

This is not your fault, Carlene.

Yes, it was.

And now he's hurt again.

So, go on. Give me the good news. What have I done to myself this time?

You've broken your thigh bone, you've broken two ribs

and both bones in your right forearm.

That's a first. Five in one go.

The femur break's going to need surgery.

The degenerative changes in your spine make it difficult to assess,

but there was some tenderness when we examined you.

Your neuro obs are good,

but I want to get a CT for further assessment

and have the Ortho team review you.

Brilliant. I'm stuffed.

Thanks for that.

I'll be with you in a second.

I don't mean to be a pain, but I'm here to see Jennifer Palmer.

She's having a CT scan right now. I'm not sure how long she'll be.

Is she okay?

Are you a relative or...

Yeah, I'm her husband.

If you want to take a seat, I'll call you as soon as she's back.

Why are you still here?

I told you to get my wheelchair.

You don't need it right now. DAN: Tristan, don't do that.

Look, why don't you... Stop. Don't move.

CT's ready for you now, Tristan.

Orderly's on his way. He won't be long.

Just settle down.

Go to hell!

Aren't we already there?

If you don't behave, I'll tape your head to the bed.

Be careful with all that crap.

Just let them do their job. You can go to hell too!

What difference does it make anyway?

I'm already a crip. My life is crap.

(sings) # Crip-crap, I've hurt my back! #

For God's sake, where's the tape?

Tristan, calm down.

Are you okay?

I...I can't...breathe properly.

Talk to me. What's going on?

I don't know.

Just lie still, mate.

Don't get sucked in. He's bunging it on.

He's becoming tachycardic. 120.

Resps are up to 32. SATs are down to 92%.

Increase the oxygen. Mask on eight litres.

Don't fall for it.

Why don't you piss off back to your scabby boyfriend?

Yeah, don't worry, I'm going.

What's going on?

I'm not sure.

Tristan. Tristan, open your eyes.

Tristan, talk to me. Tristan!

There's damage to the spleen,

which is probably from the rib injury.

It's like a bubble that could burst,

so we need to admit her and monitor her closely.

It's dangerous, then?

If it bleeds, she could need a transfusion and surgery,

so what she needs right now is bed rest,

and she needs to stay calm, okay?

Charlotte asked me to suss this guy out.

Can you tell her that he's got scarring to his right knuckles,

looks maybe five, six months old?

The kind of scarring you get from punching something, someone?

Yeah.

Thanks, Nelson.

Mr Palmer, you need to understand

that your wife is quite badly injured.

Yes, I understand.

Oh, God, sweetheart.

I'm okay. I'm so...

Ssh. I know.

I don't know what... I know.

You don't know what you'd do if you lost me.

I'm going to be fine.

I told the doctors how I fell down the stairs when you were out.

I worried you'd come home and not know where I was.

That's why I didn't call.

It's going to be okay.

Okay.

FRANK: He's going into acute respiratory distress.

Okay. I'll do the ECG.

DAN: X-rays.

Is he tensioning?

No distention, no tracheal shift.

No pneumothorax.

But there are diffuse alveolar infiltrates.

SATs have dropped to 88%. His pulse is 143.

Dammit.

There are emboli in his retinas. He's got a fat embolus.

Pa02 is only 54% on the ABG.

Tristan! Tristan! Can you hear me?

Talk to me. Open your eyes. Tristan!

Let's set up for an intubation.

I'll do drugs.

Frank, if his bones are really that brittle...

Well, don't break his neck.

What do you think? Honestly?

The falling-down-the-stairs crap is classic battered wife syndrome.

She's protecting him.

Either that, or he's got her too terrified to admit anything.

She seemed more scared for him than for herself, though, Charlotte.

All the more reason to call Social Work.

Wait. I'm not sure this is as straightforward as it appears.

It's never straightforward.

That's not what I mean.

Look, I know she's your patient,

but can you hold off on involving anyone else for a little while?

Why?

I need to check a few things out. Give me an hour.

If I've got nothing to tell you by then,

I'll call the social worker myself.

Alright, an hour.

Hey! Not a second more.

Thanks.

There you are.

Look, I know your brother's been giving you a hard time today, but...

It's not just today. It's every day.

Well, he needs you, Carlene.

Why is it always about what HE needs?

You know what I was supposed to be doing today?

What?

I was going on a date with my new boyfriend.

And this morning Tristan can't get out of bed,

and he says that his back is in agony and that he needs me.

And so I cancel my date again.

And half an hour later, he makes this miraculous recovery

and says he wants to go to a carnival.

And I fall for this stupid bloody act every time.

That wasn't an act in there.

We had to put a breathing tube in so he could get air.

Great.

So, now I'm the bad guy again?

No-one's saying that.

No, but you were thinking it, and everyone does.

Is it just the two of you?

Yeah, that must be hard. You think?

I'm sorry. I really shouldn't be taking it out on you.

That's okay.

Do you have brothers and sisters?

Yep, one of each.

And I bet, when you were kids, you fought like mad

and, you know, played tricks on each other and that kind of thing, right?

Sure.

Well, in my house, it was, "Don't hurt him, Carly.

"Don't get him agitated

"because he might fall over and fracture his skull

"and he could die."

But he's still alive, and I am still looking after him,

and I'm still putting up with this power game

and his whining and his temper.

And I spent half my childhood scared to death that he would hurt himself

and the other half wishing that he would.

Well, no-one here's judging you, Carlene.

Is it serious?

Yes, it's very serious.

So do you want to come back inside?

ERICA: Doctor's on the way. How are you feeling, Jennifer?

She's in pain. Could you do something, please?

It hurts here.

What's happening?

We'll need to reassess Mrs Palmer. She has left shoulder tip pain.

It's okay, sweetheart. I'm right here. I'm right here.

Is the pain constant or stabbing?

Constant. It's getting worse.

Oh!

Could you not hurt her, please?

I'm sorry, it's... She's...

Obs?

BP's dropped slightly. 98/52. Pulse 101.

What is going on here?

We're not sure yet.

Let's give her 2.5mg morphine, another litre of normal saline,

strict five-minute obs.

I'll call Vincent and Jack and get them down here.

It's okay.

And she's mildly hypotensive and tachycardic.

Okay. Well, could be a bleed.

Kehr's sign?

What's happening?

If you wouldn't mind stepping out, Mr Palmer,

we just need to examine your wife.

We're going to need the FAST again, Jack.

Can you come with me, Lewis?

No, no. I'll stay.

Just let them do what they have to do, okay?

Come on. How about we grab some fresh air?

Can you please explain to me what the hell is going on in there?

It's possible Jennifer's started bleeding internally.

Please tell me she's not going to die.

Don't worry. They'll find out what's wrong.

Can I ask what happened to your hand, Lewis? The scars?

Why?

Doctor's curiosity, that's all. Occupational hazard.

I cut it breaking into my car, if you must know,

so whatever you're suggesting, you can forget it.

I wasn't suggesting anything.

Have you got a headache?

I need to get back to Jennifer.

Yeah, but you said she didn't need surgery.

I said she wouldn't unless she deteriorated, which she has.

She's started haemorrhaging from the spleen.

We need to take her to Theatre urgently

and locate the source of the bleeding and try to repair it.

"Try"? Can you fix it or not?

This is your fault! You said she'd be okay!

Hey, hey, hey, that's enough! Calm down.

Is Dr Hughes still with Jennifer?

Yeah.

He's getting her consent for the surgery.

See? It's all taken care of.

So she'll be okay, then?

Once we get the bleeding under control, yes.

I'm sorry, I didn't mean to...

Your time's running out, Sean.

One more outburst,

I'll bypass Social Work and go straight to the police.

I don't know what you're doing, mate, but that guy is a time bomb.

Okay, guys, let's go.

Tris? That's not your brother, Carlene.

Just in here.

LEWIS: I'm sorry, sweetheart. I'm so sorry.

I'll be fine. Stay calm.

Don't worry. We'll take care of her.

We have a room where you can wait if you want?

Lewis?

Warn them about Lewis.

They have to watch him. He's dangerous.

He's dangerous.

He really can't breathe by himself?

No. His condition's serious, Carlene.

DAN: VT.

NELSON: I've got the airway.

Charge to 200. CRACKING SOUND

Oh, God. I think I've cracked a rib.

Clear.

Still in VT.

Charge again to 200.

Don't hurt him, please.

Why don't you wait outside till we've got him stabilised, hey?

Clear.

Tristan!

VT.

Charge to 360.

Tristan, I'm sorry.

I shouldn't have said all those things.

It's best if you wait in the Quiet Room

and we'll come and get you once this is sorted out, okay?

Clear!

Come on...

Sinus.

NELSON: You got him.

Okay. You right here?

Yep.

You come with me. Come on.

That was close.

Dangerous? That's what she said.

I think we should call the police, Charlotte.

I'll do it.

Sean, you really need to stop doing that.

I need to call the police.

I think I know what's going on with Lewis Palmer.

So do I. Do you mind?

I've been watching him.

He's got a whole host of symptoms that could explain his behaviour.

I don't see how that changes what I need to do.

Cognitive deterioration, headaches, neck pain,

blurred vision or double-vision, I'm not sure which,

unsteady mobility.

And with those symptoms,

uncontrolled aggression isn't a big clinical leap to make.

You're telling me he beat his wife because he couldn't help it?

Do you know how many abusive spouses use that as an excuse?

I do, but she's not behaving like a battered wife.

Her attitude towards him is almost compassionate.

I agree, but she just told Erica that we need to be careful

because he is dangerous.

I think Lewis has a neurological condition.

How sure are you?

I'm not. But I will be, Charlotte. Please trust me on this.

I did, Sean, for longer than I should have.

I'm sorry.

You do what you have to do, but I need to make a phone call.

Okay?

DAN: Stable sinus rhythm.

We'll need that CT and a repeat series of X-rays.

Markedly decreased breath sounds on the right side.

Which would explain why his SATs are at 93.

Airway pressure's pretty high, too.

No distention, no tracheal deviation. He's not tensioning.

Yet.

Do you think I gave him a pneumothorax?

Looks like it. Yep.

Get on to Radiology. Set up for a chest tube.

Is he alright?

He's stable. We'll let you know if there's any change.

It's okay. You can wait in the Quiet Room.

It's not exactly quiet. There's a lunatic in there.

Control. Control!

(sighs) Yeah... Control.

I'm so sorry. I'm so sorry.

Lewis?

I just need to be left alone.

You're wearing a hole in the carpet, mate.

Sit down. I want to talk to you about something.

Did you hear what I said?

Yes, I did.

I've been watching you...

Why? I don't like people watching me. Do you get that?

Just leave me alone.

You seem to be experiencing some unusual symptoms.

Have you got a headache?

I'm stressed out, that's all!

You've been feeling stressed out for a while, haven't you?

It's not just today.

Look, whatever it is you think you're doing

or whatever it is you think you know, I am not interested.

Just leave me the hell alone.

Let's calm down. Let's just take a breath, alright?

There should be windows in here.

How are you supposed to breathe without windows?

It's air-conditioned.

There is no air! I have to go.

Hey, hey, hey!

Lewis...

Wait.

What are you doing?

Stay away from me.

Call Security.

Get back! Stay away!

Lewis, why don't you give that to me?

Get back! Don't come near me.

Come on. This is silly, mate.

Don't come near me. Get back!

Security are on their way.

It won't make any difference. You're gonna let me out of here.

No, I'm not.

Yes, you are! Open those bloody doors and let me out!

Lewis, the police are on their way to talk to you about your wife.

(breathes heavily) You told them?

Lewis...

You've got no right.

See? I'm serious, okay? Now, open the doors.

Just let her go.

Open the doors or I'll kill her.

No-one's trying to stop you leaving, Lewis.

We just want to make sure you're okay.

Open the doors.

Lewis?

I'm sorry, okay? I'm sorry. But I didn't mean to hurt her.

Lewis, wait!

Lewis!

I want to die. I want to die! You're okay, Lewis.

It's alright.

It's okay.

That's gonna need a couple of stitches.

Pity it's not broken. Then you could shoot me like a bloody horse, huh?

Let's just get him inside.

You don't get it, do you?

I'm an animal. I'm dangerous to be around.

How long have you tried to keep the lid screwed down, Lewis?

Who cares?

We care, mate.

Too long. I don't know.

Listen, Lewis, come back inside with us.

We can help sort this out.

I didn't mean to hurt her.

JACK: Husband did a lot of damage.

VINCENT: Suction.

You'll need to hurry this up, guys. BP's not holding.

Traumatic rupture of the spleen. No wonder she's losing so much blood.

Retract further.

Sponge.

Right, I need to get rid of some of this blood. I can't see a thing here.

Clock's really ticking, Vincent.

She's losing a lot of blood.

Nup, I still can't see it. I'm gonna have to clamp the pedicle.

Get the defib on stand-by.

MONITOR BEEPS She's arresting.

VF.

Charging to 200.

Clear.

Come on, Jennifer.

Charging again.

Sats have improved.

Good.

What the hell was going on out there?

That domestic violence patient. Her husband just flipped out.

Is everyone okay?

Yeah, I think so.

Good. I want to get him down to CT while he's stable enough to move.

Where's his sister?

Outside.

She was pretty cut up before, Frank. She obviously cares about Tristan.

Yes, I worked that out for myself.

So get down to Radiology. I wanna know what I'm telling her.

What if the resuscitation did him more damage?

We didn't have a choice.

He would have died if we hadn't done it.

He had a fat embolism.

That's where tiny droplets of fat can stick together

and lodge in the small veins of the body.

His problem was in his lung.

How did that happen?

It sometimes happens after severe trauma, particularly bad fractures.

Um, and you can fix it, right?

We've got it under control, but he's still on a ventilator,

so we have to wait.

(sighs) Story of my life.

How long before we know it's going to be okay?

That depends.

We've given him some more scans and X-rays,

but his CT shows he's definitely broken a vertebra,

and there may be some spinal cord damage.

Do you understand what that means?

Yep. Spinal injury.

Trust me, I know as much about bones as my brother does.

I'm sorry I can't be any more specific than that.

He's not going to die, right?

His condition is serious.

Is there someone I can call for you?

Maybe it'd be good for you to have some support.

No, there's no-one.

Can I see him? Yes, of course.

Hello.

Hey. Come in.

(sighs) Can I touch him?

Of course.

Hey, Tris, I'm here.

MACHINE BEEPS That's nothing. That's nothing.

It's just, um...it's just a change in the air pressure.

Did Dr Campion find you?

So he explained everything?

He's unstable, with some compression of the spinal cord.

Yep.

So I guess we'll be needing that wheelchair after all.

If he's paralysed, I mean.

I'm really sorry.

You saved his life, Dan.

I know he can be a bastard.

But every now and then,

usually when I'm sitting in an emergency department somewhere,

I get why.

If I had to live his life, I would probably be a pain in the arse too.

We'll get through it, won't we, mate?

We always do.

Sounds like you've had an interesting shift.

That's one way of putting it.

Are you alright?

How is he?

I'd like to admit him, run some tests, get a neuro consult.

On one condition.

The police stay at his bedside the entire time, okay?

He wasn't trying to hurt anyone, Charlotte.

He was just trying to get away before he lost control.

Tell that to his wife.

So, you feel like explaining this to me?

That was bloody stupid, Sean.

I was aiming at heroic.

VINCENT: Check for output.

Nothing.

Asystole.

JACK: Vincent...

We've done all we can.

No, we haven't.

Draw up 1mg adrenaline on a long 18 gauge needle.

What?

I'm going to try ICI.

Vincent, no-one ever does that anymore.

Just get the needle and the drugs.

I don't want any part of this.

Fine. I'll do it myself.

Do you realise the possible complications of this procedure?

You can't just shove a needle in her heart, Vincent.

You don't need to be a part of this, Jack.

I'm already part of it.

Look, she's dead. We can't make it any worse, alright?

So you're either with me or you step aside.

Somebody get me betadine.

Just look straight ahead for me.

So what exactly are you talking about here?

Some sort of infection in my brain?

Possibly.

Like a tumour or...

Well, it's too soon to say,

but your symptoms definitely suggest something neurological's going on.

A brain tumour. That'd be great.

That's a novel attitude.

No, I didn't mean it that way.

But it would be an explanation for what's been happening, at least.

I thought I was going insane.

I want to do a head CT and an MRI.

Squeeze for me as hard as you can.

And after that, we'll do a lumbar puncture, check your spinal fluids.

Do whatever you have to. I wanna get this sorted.

I'm chase up Radiology, okay?

Okay. Thanks.

How's that doctor? I didn't hurt her, did I?

No, you didn't.

And Jennifer?

No news yet.

She's been in surgery a long time.

We'll sort this out, Lewis.

I hope so... because I can't live like this.

Stop CPR.

Wait for the lungs to deflate.

Resume CPR and ventilation.

Check for output.

Come on, come on.

VT.

Okay. We can work with that.

Charging to 200.

Clear.

I've got a pulse.

She's in sinus rhythm.

Unbelievable, Vincent.

Okay, let's re-scrub and get that spleen sorted out.

SEAN: Test results.

That was quick.

Oh, Lewis, you have to lie flat after the lumbar puncture, okay?

So, is it a brain tumour?

No, it's not.

But it's something, right?

Please tell me there's a reason for all this.

Yes, there is.

You have a condition called hydrocephalus.

What, that explains everything, all the changes in my behaviour?

Yes, it does.

It's caused by an abnormal accumulation of fluid on the brain,

and that results in increased pressure.

But how does pressure on my brain make me freak out like that?

In this case, it showed up as personality and behavioural changes,

blurred vision.

It also explains you being so unsteady on your feet.

The temper?

Oh, yeah. That too.

I've got the neurosurgeon coming down to see you,

and he'll talk about putting in a shunt to relieve the pressure.

And that'll fix it?

It will.

Lewis...this is good news.

Yeah, but being able to explain why you did something

doesn't stop the fact that you did it.

I just don't know if I can trust myself around her anymore.

I could have killed her.

All his things are in here.

Thank you.

Carlene, how you doing?

Okay.

I spoke to the orthopaedic surgeon,

and they're going to operate on Tristan when he's more stable,

and set his leg then too.

Did they say anything about spinal damage, motor loss?

"Wait and see."

Not much help, those doctors, sometimes, hey?

Just ask Tristan.

Thank you.

I don't know how she does it. Hmm.

It'd be hard enough if the person you were caring for was grateful.

It just makes a difficult job that little bit harder.

Hey, Frank,

I know the likelihood of us causing spinal damage to Tristan is, like,

a million to one, but...

Dan, don't think about it.

It's a question we'll never have an answer to,

and you'll just drive yourself insane if you dwell on it.

Yeah, I guess so.

And now that we have you back in the Emergency,

will we be seeing you tomorrow?

That depends entirely on whether I ever get out of here this afternoon.

Welcome back, Von. (groans)

Huh.

Hey, either join in, or drop the ball and back away slowly.

You made a good call today.

Now stop playing with yourself, Everleigh.

Chuck us the ball.

Sure you can take the pace?

(scoffs) You've gotta do so much better than that.

Yes!

You busy?

I was wondering if you were going to show your face

before you buggered off to Canada.

Well, here it is.

You've kept it very quiet, haven't you?

Come on, Frank. I'll be back in four months.

That's if the skiing and snow bunnies don't tempt you too much.

I don't think I'm going to have much time for skiing.

Snow bunnies are a different story.

Look, Frank, it's a surgical exchange program. It's hardly a holiday.

Well, that's your story. Does Quade know?

Yeah, I just told him.

Wasn't great timing, but what are you going to do?

He's alright with it?

Yeah, he's fine. He's gonna make a good surgeon, you know?

Sadly, I think you're right.

What do you mean, "sadly"?

Well, he would have made a good physician. I'm sorry to lose him.

Well, maybe you should try telling him that.

(scoffs) Never hear the end of it if I did.

What's with you, Frank? How long are you gonna keep him in the doghouse?

He dealt with the whole Deanna Richardson thing,

she's dropped the sexual harassment charges and you got your apology.

What more do you want? Don't you have some packing to do?

I'll see you when I get back.

Hey, listen, Frank, will you do me a favour?

Will you keep on eye on Charlotte while I'm gone?

You think she needs supervision?

If I knew what Charlotte needed, I don't think I'd be going to Canada.

Just the man I want to see.

Why are you still here?

Well, I was thinking you and I should have a drink.

Really?

Unless you've got a better offer.

No, I don't.

I understand Hughes has abandoned you?

Yeah, looks that way.

I'm sure I can handle it myself, though.

Of that I have no doubt.