Original subtitles

DAN: Got it. Yep.

Okay.

Cate, MRU callout.

Aye, aye, captain.

Do we know what kind of head injury?

Penetrating. Ooh.

Which one of those keys opens the MRU change room?

Here you go. Surely we've got more information.

Nope.

Just the location...

..which is Frazer Park

at the picnic area by the northern entrance.

Oh, yeah, yeah. I know it.

So, you fancy a bit of neurosurgery in the park, hey, Sean?

Not a lot.

Okay. It's only a reduced team, but I'll have the others on stand-by.

Don't worry. We'll tell you if we need back-up.

Who said you wouldn't cope as Nursing Unit Manager?

Yeah!

Who did say that?

Let me know if there's any change, will you?

Eugh! Sorry.

Christ!

What the hell do you think you're doing?

Make yourself useful - go to Triage, take in a patient load.

Really? Thanks.

Bloody idiot.

Hey, give me the keys. I'm driving! In your dreams.

Everleigh, where are you two going?

Out to play in the park with the big kids, Frank.

Goldman! What?

Why wasn't I told the MRU's been mobilised?

Where's the action plan I asked for?

No, the thing is, they said...

He's not improving. It's gotta be a bleed.

I took on this job as a favour...

Get Quade in here.

..and I don't like being growled at.

Just do it!

Who's waiting to be seen?

It's all in the computer.

Patients are listed according to their Triage category.

Hello, Professor. What brings you here?

Can't stay away, Vonnie.

Hello, Professor. You remember me?

Young Bart. I was hoping you'd still be here.

How are you getting on?

Fine, thanks. But what brings you back to the ED?

You haven't been sleeping in that place again, have you?

No, no, no. I've stayed well clear of it.

I wouldn't risk getting organosulphite poisoning

a second time.

Organophosphate poisoning.

(coughs) That's the one.

VON: Now, come on through.

Professor, come on.

Right. So, what are you doing back here?

Well, these last few days I've been tiring very easily.

I've been feeling weak and somewhat dizzy.

Might be nothing, of course.

Okay. Just up here.

The Professor has a history of congestive cardiac failure.

I know.

I'll take him into Sub-Acute, examine him straightaway.

Hold it, hold it.

You cannot pick and choose the patients you see, Bart.

Sorry, Professor, but you have to be triaged

so you're registered on the system.

Of course. I'm not a queue-jumper. You know that.

So, young Bart, you can go check the computer for your next patient

while I listen to the Professor's chest and do his obs.

You should listen to her, son. She knows her onions.

FRANK: Move it a bit to the left.

CHARLOTTE: Is that free fluid or is it encapsulated?

Looks like it's encapsulated.

Jack! Been looking for you all over.

Yeah. I was handling the floor down here.

You were hiding, you mean. Excuse me!

Come on, admit it.

I didn't know consultants did menial tasks.

Isn't that what your army of minions is for?

Better get us a Theatre, Jack. I'll take him straight up.

Looks like a splenic haematoma.

Just hang on a sec, Jack.

We've actually got this under control.

We're managing the bleed conservatively.

You're not managing the bleed

which is why, strangely, it's still bleeding.

Jack - theatre, now.

Arrogant, pig-headed...

It's Jack Quade in ED. We need a Theatre prepped.

It's for me. I want it now.

It's for Mike Vlasek. He wants it now.

I'll need a bag of Hartmann's for transport

and a medical nurse, please.

Frank?

Oh, just do it.

I'm not in the bad books, am I?

A loyal team. Impressive.

Yeah? Oh, that's great.

Right, Theatre's prepped. Okay. Let's rock'n'roll.

Jack, you may as well stay hiding here.

I'll go fix this guy up.

Well, he's...interesting.

Yeah.

CATE: What the...hell is this?

Medieval England. 12th century, I'd say.

LORRAINE: Hey, guys.

Hey. What have we got?

BREE: Oh, no. This one you need to see for yourself.

Sir Peregrine FitzSimons of Rockingham

invites his mate the Lord of Laughren and family

over to his table for a feast.

That's Percy and Les to you.

Mead, pig roasted on a spit - the works.

Then the Laird

challenges Sir Peregrine to a broadsword fight

on the table.

As you do.

The re-enactment gets a bit out of hand.

Les falls in the fire.

He's got a couple of scratches, minor burn to his backside.

Do you know they don't actually wear anything under those kilts?

Percy, however, was not so lucky.

Excuse me.

Thanks.

Beats me how, but he's awake and talking.

He's neurologically intact.

Nil LOC, GCS 15.

That spike's firmly embedded in his frontal skull.

He's cannulated. He's had some morphine.

Amazingly, he doesn't seem to be in much pain.

Hi.

Percy, is it? PERCY: Uh-huh.

My name's Sean. I'm a doctor.

Well, I could use one of those right now.

(laughs)

I'm Cate, Percy. Good to meet you.

How long until I get me out of here?

I'm not sure. It shouldn't be long.

LORRAINE: Rescue didn't want to do anything till you guys got here.

You in any pain at all? Not really.

Should I be?

Well, you're doing a lot better than the pig.

Just going to put this cuff around your arm, Percy,

to take your blood pressure.

Yep.

Can you tell me how it happened?

I fell...off the table.

Uh-huh. I'm gonna shine a torch in your eyes.

Uh-huh.

I'll check with Rescue, see what the status is.

Hold this? Hold it high. Thanks.

What I want, Alison,

is for you to give this Vlasek clown one of your little talks.

Like the ones you give me that set my teeth on edge.

No, I will not play ball.

Hey, you!

I don't even know what it means.

I tell you, if he throws his weight around here again,

I will crush him.

Do you understand that?

Yeah, you have a nice day too.

You got the rosters?

Will you chill out? They're in progress.

Put it on my desk by lunchtime or I'll chill you out.

Oh, God. Blah, blah, blah!

I heard that!

Hello, Professor.

Ricky. How are you?

I'm fine. What are you doing back here again?

Not too steady on my feet today.

I might have been overdoing it lately.

BART: Right, that's done.

I'm putting the Professor in Acute. Triage category 3.

Looks like I'll be seeing you after all, Professor.

Couldn't be in better hands.

Have you been taking your medication regularly?

History of heart failure.

Presented with increasing dyspnoea and lethargy.

I'll hook him straight up to the monitor then give him a wash.

It's alright. I'll keep an eye on both of them.

(chuckles)

The spike has to stay in situ? He won't fit in the ambulance.

It has to stay in situ. Removing it here would kill him.

No way he'll fit, sorry.

Look, I'll see if Rescue's got an MPV available.

Good.

MPV?

Oh, special trucks used for difficult transports.

We should try and lose some of these spectators.

Friends, lend me thy ears.

In truth, there be nought here on which to cast an eye,

so pray be on your travels

that we may nurse this fallen knight.

Yeah, no worries, doc. Righto. Better leave them to it.

What?

(laughs)

Hey, Percy. (murmurs)

Alright. I'm just going to check your blood pressure again, okay?

Can you tell me what day it is? St Swithin's Day.

The year of our Lord, 1199.

(laughs) It's Tuesday.

(laughs)

Okay.

BP's 130/90 and pulse is 98.

What are they doing?

They're trying to dig the spike out of the ground,

so we need you to stay as still as you can, alright?

(splutters)

What damage have I done to myself?

We won't be certain until we get you to hospital,

but you're awake and alert and your neuro obs are good,

so that's all positive.

Percy, hey, you with us?

Yeah, I was just thinking - this spit had a pig roasting on it.

That's bad, right?

I mean, all the fat and germs

and the stuff is... is getting into my head.

Tell me about your name. Sir Peregrine of Rockingham.

Yeah.

That's in Northamptonshire, isn't it?

Yeah.

Have you been to Rockingham? Did you see the castle?

Well, I played skittles in a pub in Rockingham once.

Yeah, I saw the castle. I climbed the rampart.

What about you? Have you ever been?

No. I've read about it.

I've... I've never been out of Australia.

(mumbles)

Percy, try to stay awake.

I just feel...I don't know...weird.

Guys, you might want to hurry that up a bit.

How are you going with the Professor?

Er, okay.

Can I run something by you?

Sure.

He has a history of ischaemic heart disease

and untreated hypertension.

He's medicated but he's fairly non-compliant.

Well, which is hardly surprising,

considering last time I treated him

he was living in a clothing bin at a netball court.

He's graduated to sleeping behind a science building

in the middle of toxic waste barrels.

Moving up in the world!

Anyway, he's got exertional, nocturnal dyspnoea, orthopnoea.

He's tachypnoeic. Oxygen saturations are 93%.

Bilateral pulmonary rales on auscultation,

and he's hypotensive.

Okay. Is there any chest pain?

Well, he says no.

I've ordered his medical records and a chest X-ray,

and I'm about to take bloods.

You want me to examine him?

Yes. Thank you.

My helmet. I need to find my helmet.

You're wearing it, mate.

Is it damaged?

No, it'll be okay.

Need to find...need to find...

Hey, Percy, you've got your helmet.

No.

Need the cloak... the cloak of invisibility.

You want to chase up that transport? Yeah, I'll check again.

Hey, Percy.

Why don't you tell me about that castle,

the one you guys were talking about before?

It was built by William the...

William the Conqueror, you're absolutely right.

Down the road's the only Anglo-Saxon church in England still in use.

Do you know what it's called?

He's losing consciousness.

Percy, do you know what it's called?

No response.

It's called All Saints,

and that's exactly where we're going now.

Lorraine, we need you.

Guys, can you two help? Okay. It's out.

Can you take his feet? Do it nice and gently.

Let's keep his head still.

Got it. That's it, guys.

Push the board right up underneath him.

I'll manage the C-spine. Lorraine, you've got that pole?

Okay. Everyone alright?

Is everyone set?

Onto the spine board on my count, after three.

One, two, three.

Nice and easy. Let's keep everything in alignment.

Keep that pole up, Lorraine.

Yep, got it.

Watch the pole.

Let's keep that head still.

Little bit further, that's it. Down.

Alright, hold it.

Whoa! Hang on, he's fitting. MACHINE TRILLS

Hold him still!

Diazepam, 5mg of IV.

You got this, Bree? Yep.

Let's keep his head still, okay? Yep.

Make it quick, Cate.

Yep, got it.

Pushing it through now.

Pupils equal and reactive.

What was the seizure all about?

Could be a bleed, cerebral oedema.

Might even have epilepsy, for all we know.

His friends couldn't give me any medical history.

So, has his GCS decreased because of the head trauma,

the drugs or the seizure?

I don't know. It's all guesswork until we get a head CT.

Nearest MPV's at least an hour away.

What? Yeah.

That's not good. We need to move him now.

Percy. Percy!

He's obtunded.

We need to secure his airway.

8.5 tube okay?

Yeah, great. Thanks. I'll do cricoid.

How the hell are we going to get him out of here?

Lacks a bit of style, but it should do the job.

Okay. Okay, I like it.

Let's get this show on the road.

Nice and easy, guys. Just follow our lead.

Alright. On my three.

One, two...three.

CATE: Keep it coming.

Cate, guide us in. Got it.

Nice and easy. Watch the poles.

That's good. Perfect.

Okay, Cate.

It's down to you to keep that stable. Yep.

He can't bounce around in the back of this.

Yeah, no worries.

Right.

You two ready?

As we'll ever be. We have to travel slowly.

No bumps and no sudden stops.

Rightio. Start her up.

This should be fun.

Okay. Let's go.

You okay?

These people are seriously weird.

(Cate laughs)

Five minutes ago you were chatting away with Percy

about some castle.

I was trying to keep him conscious.

SIREN BLARES

I don't know anything more than that, okay, Frank?

I'll get the Resus trolley. I'll meet you there.

What exactly did Everleigh say?

That they're bringing in the casualty

and they need Resus cleared, that's all.

Oh, and they need a Neuro team on stand-by -

which, Frank, I have done!

I'll kill him when he gets here. He should've kept us better informed.

So, what's the plan?

Er, ECG, cardiac echo, chest X-ray.

And bloods - ABG, LFT, BNP, troponin.

That's, ah...

Did you swallow the textbook whole

or did you stop to chew occasionally?

Okay. So we're clear on the tests that you're going to run.

What about his treatment?

Cannulate him, preload reducers, nitroglycerin, frusemide.

Good.

Increase his oxygen to four litres, insert an IDC

and start him on a strict fluid balance.

Thanks, Dr Beaumont.

It's Charlotte.

So, what's the verdict?

Tests. Lots of tests, I'm afraid.

Yeah, well,

better safe than sorry, as you so elegantly proved last week.

(chuckles) Where do you want to start?

We need to increase his oxygen and then...

And then how about I take the ECG while you take the ABG?

Yeah. Thanks. (chuckles)

DAN: Oh, man! That's gotta hurt.

SEAN: Somebody page Oscar Wu. Yep. It's already done.

Well, Everleigh, you've certainly found yourself a head injury.

Can you believe that he was awake when we found him?

And cracking jokes?

On three. One, two, three.

(Dan groans)

Get that bloody trolley out of the way.

Come on, move it. Move it!

SEAN: Careful, careful.

You right, Dan? Yep.

Oh, my God!

That just about sums it up.

How'd he do this? FRANK: Long story and it can wait.

Ring Radiology and make sure there's a Theatre on stand-by.

He'll need ADT, antibiotics and prophylactic phenytoin.

Sean, Oscar Wu wants to have a word.

Oz. He's been impaled unilaterally...

Whoa. Clearly he's going straight to Theatre.

Clearly to be dealt with by a neurosurgeon.

Get some bloods, Jack, as soon as you can.

Charlotte, do you have time

to look over the Professor's test results with me, please?

Of course.

Severe cardiomegaly.

Combined systolic and diastolic left ventricular dysfunction.

He's hypoxic, his PCO2 is up to 70, and his ejection fraction...is down.

Should I page the Cardiology consultant for a review?

He is in end-stage heart failure.

He has marked symptoms at rest, despite medical therapy.

He's dying, isn't he?

Yeah, he is.

You want me to take over?

No, he's my patient. Just tell me what I need to do.

He needs to know his prognosis,

and you need to determine his wishes

in regard to life-sustaining measures and resuscitation attempts.

Are you sure you want to do this?

(softly) Yep.

Alright.

I'll be there if you need me.

CATE: Sean, the BP's still 130/90. Pulse is 98.

DAN: Theatre's ready.

MIKE: He's as stable as we'll get him.

Looks like kick-off time.

Everleigh, what did Dr Wu say?

Well...

The patient has a rather large metal spike

through a fairly important part of his brain.

We'll have to wait and see. Ready?

Hardly expect him to say anything else, would you?

Jack, ask Dr Wu if you can observe this procedure. Beg if you have to.

You don't want me to help with our list?

Want, yes. Need, no.

If you're serious about surgery,

you don't want to miss an opportunity like this.

Okay. Thanks, Mike.

I'd like to know how he ended up with the spike...

There was a pig!

Can I have a word, Vlasek?

Yeah, sure. What can I do for you?

You can stop throwing your weight around

in my Emergency Department for starters.

You may be king of the castle up there,

but down here, I'm the boss.

Of course you are - with medical patients.

But as soon as you call for a surgical consult,

you've handed the baton to me and my team.

I told you, Frank - life's too short.

Take is easy.

Spit it out, son.

I'm afraid your test results aren't good, Professor.

The cardiac echo and bloods show that your heart's failing.

How long have I got?

We can't say, not for certain,

but it's likely that you'll continue to deteriorate,

so there's things we need to discuss.

I know you two will look after me.

Of course we will.

But it's likely that you'll become too sick to make clear decisions,

so I need to know what you want us to do if that happens.

If your heart stops, do you want us to actively resuscitate you?

What would that involve?

We'd do everything we could to bring you back -

CPR, defibrillation.

And you need to know

your breathing's going to worsen over the next few hours.

When that happens, do you want us to put you

on a breathing machine to help you?

No, son, I don't.

(breathes heavily)

In fact, I don't want you to do anything.

We can arrange a counsellor for you to talk to,

or a chaplain if that's...

I don't need a counsellor.

I just need to see the stars.

And the sunset.

I don't want to spend my last hours tied to a machine.

Professor, if that's your decision,

then there's some paperwork - a form you need to sign

to say that you don't want any more treatment.

Then get me...that...paperwork.

Everyone's number comes up, Bart.

That's the way of it.

FRANK: What?!

Oh, Evie. Sorry. Bad timing. (laughs)

Interesting filing system.

I know what's in every pile.

Oh, yeah, look, I believe you. Thousands wouldn't.

Are you ready? What?

You promised you'd take a lunch break today.

I said I'd come in for it.

Oh. Sorry. Um, can't.

A few things have come up.

You have to eat regular healthy meals.

Yes, yes, yes, yes.

I'll get a sandwich, okay - a healthy one, full of rabbit food.

You have to take time to sit down, eat and relax.

Well, I can't today.

Have you spoken to Alison?

Briefly.

And?

Not about Kathleen, if that's what you're asking.

So you haven't made a decision then?

What - letting my daughter go off to God knows where

with her mother is...

A big decision, I know.

So you're going to be home late?

Do you want me to make some dinner?

Shall I just run around here naked?

Yeah, sure, sure.

Frank...

What?!

We have a problem.

Of course we bloody do.

Oh, bloody terrific. Did you lose much, Cate?

I didn't have much cash in my wallet,

but looks like my cards are gone, so I'll have to cancel them.

You better go now.

TV's gone too.

How the hell can someone just walk in, take the TV

and God knows what else from the lockers,

and walk out without being noticed?

Anyone - anyone can pretend to be a maintenance man or a cleaner or...

How did they break into the lockers without forcing the locks?

Hey?

How did they do that?

Um...

..they had the master keys.

They what?

Look, I'm not used to holding onto them, Frank,

and when I opened up the change room to the MRU this morning,

I must have left them in the lock.

I'm really, really sorry.

But I found them, and-and-and I didn't touch them,

so the police can dust them for prints.

You're damn lucky they only got into the lockers

and not into the drug room, aren't you?

Call Security!

Beaumont. Mm-hm.

What's going on over there?

The Professor's terminal. CCF. His medication isn't touching it.

And you let the intern handle that by himself?

Frank, he wanted to.

I was there. And you know what, he was really good.

Homer.

Walk with me.

Come on, come on.

They can manage without us for a couple of minutes.

I wish there was something more I could do.

Alright. Let's look at the facts.

The Professor's going into heart failure,

his condition is terminal, and he doesn't want us to resuscitate him.

Correct so far?

Won't even let us put him on a ventilator.

Right, so let's say he arrests in the next 10 minutes

and we make every possible effort to resuscitate him.

We intubate him and we ventilate him and defib.

What would happen next?

Come on. What would happen next?

The cycle would most likely repeat itself.

That's if we ever got him off the ventilator anyway.

Exactly.

We'd be prolonging his life, but in a vegetative state, wouldn't we?

Quality of life.

Quality of life.

Still feels like we're doing nothing.

Oh, no, we're doing something.

We're keeping him comfortable,

we're managing his symptoms without invasive treatment

and, most importantly, we're respecting his wishes.

I'll have to write up

a Not for Resuscitation Order, won't I?

Yes, and put it with his patient notes

where everyone can see it,

so everybody knows what he wants.

(reads) "In the event of cardiorespiratory arrest,

"this patient is not for active resuscitation, CPR, intubation,

"invasive life-prolonging measures or defibrillation."

And you need to add "at patient's request".

And that's it.

CURTAIN CLOSES

Do you remember your first NFR order?

A 28-year-old with cystic fibrosis.

A lovely little old lady with Hodgkin's lymphoma.

(Professor breathes heavily)

Is young Bart alright?

He's just spent six years learning how to save lives.

Now he's discovering there's more to being a doctor than that.

It's hard for him.

And you?

Doesn't get any easier.

I'm sorry.

Oh, no, no, no. I didn't mean it like that.

It's a privilege to be here with you.

Hey, can I ask you something?

How come you come here so often?

I mean, I know you've been sick,

but why here and not some other hospital?

You just answered your own question.

This is the only place...

(rasps)

..I get treated...like I'm somebody.

(sighs)

And if me dying gives the lad the willies...

..what'll happen when he hears

I'm donating my body to science?

(laughs hoarsely)

(splutters)

You right?

(coughs)

Thanks, Ricky.

I'm glad it's you the lad's got looking after him.

MACHINE BEEPS

Heidi Mathieson, 24 years old,

fell from a horse onto a fence post at high speed.

Mid to left-sided chest trauma with possible rib fractures.

CHARLOTTE: Heidi, can you hear me?

Was she unconscious when you arrived?

Nope, she was sitting up, crying, asking if her horse was alright.

Ready to transfer on three.

One, two, three.

She didn't want us to help her.

She was much more worried about the horse.

She collapsed trying to get back on it.

She went into respiratory distress.

We've intubated but sats are still only 90%.

BP's 115/72 and pulse is 108.

Is Mike not here? No. Disappointing, isn't it?

Diminished breath sounds on the left.

Haemothorax? Yeah. Looks like it.

Can I have a chest X-ray and C-spine, please?

Jack, how's our medieval friend doing?

Still in Theatre, but so far so good.

MIKE: Round three of the old Resus shuffle, hey, Frank?

On the contrary. She's all yours.

I knew I'd wear him down.

BP's 101/63. Sats are at 88%.

She's going to need a thoracostomy.

Scrub up, Jack.

Yeah. That's got it.

BP's improving.

It'll start dropping again shortly. How can you know that?

Trust me.

What does the report say?

Widened mediastinum, obscured aortic knob

and probable great vessel damage.

Get onto Theatre, tell them to get ready for a sternotomy.

Maybe you should confirm your diagnosis

through angio or CT

before you crack her sternum?

I'd love to, but I haven't got time. We've got a rupture looming.

BP has dropped. It's 95/50.

Jack, if you're game, let's go play in Theatre.

Well, you've got to admit, Frank, he knows what he's talking about.

Do I now?

Wicked.

There you are. Oh, God!

Look, I've called Security and they've said

no-one's to go into the Common Room until the police arrive.

And... Oh, man.

I've looked for that Quality Action Plan thing everywhere,

but I can't find it.

I threw it out.

Why are you making me look for it?

Because the previous NUM fished it out of the bin

and filed it somewhere.

So your mission is to find out where.

That's my sandwich. You want it back?

No.

What's so important about this Quality Action thing anyway?

The hospital's due for another review.

Newell wants to know if we've

implemented any of the recommendations from the last one.

And have we?

I wouldn't have a bloody clue. I never read the bloody things.

That's why I need you to find it.

What the hell have you put in this sandwich?

Tomato, lettuce, ham, alfalfa...

No wonder it smells like grass cuttings.

I'll keep looking for the report, okay.

Can I just have my lunch in peace, please?

Actually, I need you to find...

What?

I want to know about Mike Vlasek.

See what you can find out about him, background, experience...

Why can't you do it?

Because if I did it,

then everyone would know I cared too much.

(laughs)

See, I don't think that sounds like my job description, Frank.

See, as the Nursing Unit Manager, I have many responsibilities -

the rosters,

I have to find the Quality Action Plan,

I have to write an incident report up on the theft,

there are the inventories...

Alright, alright, alright. I'll help you with the rosters.

(chuckles)

You don't have to do the incident report.

Deal.

But I want that bloody action plan today.

You're the boss.

Damn right I am.

ROCK MUSIC PLAYS LOUDLY

Do you like the music?

(yells) What?

The music. Do you like it?

Yeah. It's great.

But?

I guess I'm just not used to having it in the Operating Theatre.

Can't stand a quiet Theatre.

It makes me feel like I'm working in a bloody library.

So what's with the bandanna?

Lucky cap. Been to the States with me.

Sponge.

Europe, Asia.

Right angle.

Uh-huh.

There we have it.

Full thickness tear to the proximal descending aorta.

I'll cross-cramp it.

You're going to do it without bypass?

Yep.

Gauze.

But if you cross-clamp without it,

you'll only have 25 minutes to repair the tear

before you risk tissue damage.

Should have it done in about 20.

(yells) Mike, we need... MUSIC FINISHES

(normal voice) ..we need the vascular team.

I mean, it is their specialty.

Yeah, you're right.

We should give them a call, see how they're going, say g'day.

But in the meantime,

since we're dealing with the body's largest artery

and if it blows, she's bleed out in about 15 second flat,

I might just make a start on fixing her up.

Keep an eye on the time for me, will you?

Can someone change that CD?

It'll be quieter in here, Professor, and a bit more private.

You can come in if you want to.

How is he?

He's peaceful.

It's alright.

He'd like you to be here - if you want to, that is.

Is he asleep?

He's drifting.

How many times have you done this?

Well, I worked in Palliative Care for a while.

It's important for the patient to know there's someone here for them.

I hadn't thought about it that way.

(Professor stirs)

You alright?

Not in any pain?

Nothing to be done about it now.

This time next week, I'll be all over the world.

Shhh. Just rest, Professor. Don't try to talk.

That's the way of it.

Won't be long now, right?

No. Not long.

It's okay, Professor. You can go if you need to.

THUMPING ROCK MUSIC

Mike, we're at 20 minutes.

Mike...

Yeah, I got you.

Blood pressure's gone up. 133/89.

Cool it with the fluids.

We need to keep the afterload down. Tell me why, Jack.

To avoid cardiac failure.

Keep the systolic below what?

100. Mike, we're running out of time.

To avoid the risk of rupture.

You're getting it, Jack. Not as dumb as you look.

Here we go.

Want to do the honour and release the clamp?

It's not a brown snake, Jack. It won't bite you.

Hey, the vascular guys are here. It's time for them to have a play.

Come on in, guys.

We'd love to hear what you think about this little baby.

DAN: Mission accomplished.

Fan-bloody-tastic. You got the whole thing.

How the hell did you manage that?

Well, there's this little lady up in Personnel

that I've been meaning to ask out for a drink for a while and...

You don't want to know about any of that.

No, I don't really want to know.

A simple thankyou would suffice, Frank.

I'm not after a parade or anything. Good.

How'd you go in Theatre?

Aortic tear. Mike was right.

Good for him.

Plus, he did it without bypass. In 20 minutes.

What about a graft?

No graft. Just one continuous suture.

You're kidding me.

It was like he was tying shoelaces or something. It was that easy.

Surely the Vascular team could take some of the credit.

No Vascular team, Frank. Mike didn't want to wait.

Bloody cowboy.

Jealous, Frank, huh?

Find that Action Plan or find a new job.

Sorry, buddy. I got ward rounds.

I hate this job.

Professor, can you hear me?

Professor?

His pattern of respiration will slowly wind down, Bart.

Hold his hand. Let him know we're here.

I think he's gone.

Mmm.

Would you like me to pronounce him for you?

No. Can you talk me through it?

Sure.

First of all, check his ID bracelet.

Check his pupils for location and response to light.

Fixed and non-reactive.

Response to tactile stimuli.

No response.

Check for spontaneous respiration.

Nothing.

Um...heart sounds and pulses.

No heart or lung sounds. No radial or carotid pulse.

And no femoral pulse.

So note down the time.

Time of death...

..3:57pm.

We'll do the death certificate when you're up to it.

DAN: Okay.

I've searched through every drawer and folder in the entire department,

and the stupid report doesn't exist.

Frank can't expect you to pluck it from thin air -

he's the one that threw it out in the first place.

Right, I'll just tell him that, shall I, and he'll understand,

because he's so reasonable and fair-minded.

What are you talking about now?

Oh, some Quality Action Plan review.

Crap.

I've got one. What?!

Why?

I asked for one when it came out.

I wanted to see what recommendations they were making for the nurses.

Why?!

None of your business.

Do you want it or don't you?

Will you marry me?

Oh, God, Dan, yes.

SEAN: Rightio. Thanks, Oz. Yeah, catch you soon.

Well?

Sir Peregrine is in ICU, minus the spike.

He's still intubated, but Oscar's cautiously optimistic.

And?

Instead of penetrating the brain, the spike merely pushed it aside.

We won't know the full outcome until he's awake,

but there's every chance

that he'll walk away from this with minimal neuro deficit.

Sean.

Forsooth and verily, we do rock.

Oh, Evie.

Evie.

(kisses)

You brought work home again.

Just a little bit of reading. It won't take a minute.

Ha!

Oh, God, sorry. Lunch. Sorry.

It's okay. I went to see my agent instead.

There's a three-day gig next week. I said I'd go.

Yeah, you should. Yeah.

Yeah, I wasn't asking your permission.

No.

A bit of time apart would do us both the world of good.

You've got some big decisions to make about your daughter...

..and, well, to be honest...

..I'm feeling a little bit taken for granted.

I'm sorry.

Where are we going with this, Evie? What are we doing?

Do you want to help?

Yeah.

I didn't get to say goodbye.

I almost did, then it was too late.

Hey, it's never too late.

He looks peaceful, doesn't he?

Yeah, he does.