Original subtitles

(coughing)

CATE: Dan. Yeah?

He's smoking!

Hey! You can't smoke in here, Gerald.

You'll blow us up!

Just a couple of quick puffs here, boy.

CHARLOTTE: C'mon Ricky, get those fluids up.

GABRIELLE: VF. SEAN: Charging 360.

Push those fluids through.

CATE: This time, Warwick. Come on.

Clear.

Resume compressions. I'll take over.

Nil output. Capillary refill is sluggish.

There's a photo of Warwick and a little baby here.

Von, Adrenaline 1mg, please. VON: I'm on it.

Jesus. He's only 28, guys.

Okay. Adrenaline in.

Atropine on stand by.

Can somebody contact his next of kin? Yeah. I'll do it.

Stop compressions.

Still VF.

ERICA: Why isn't he responding?

Come on, Warwick. We're not starting our day this way.

EVE: You'll be late for work.

Yes, I am, aren't I.

No, you're going to be really, really late,

and I've got things I need to do today, so...

I'm going to pull the pin.

Typical bloody woman.

Use a man up and then cast him aside.

Yeah, that's what that was.

That was me using you.

Oh!

Got to be quicker than that, Frankie.

You keep doing things like that, you'll give me another infarction.

Very funny.

Bugger it.

Yeah, yeah, yeah, yeah.

I might drop in for lunch today, if I get a chance.

Yeah, good, good.

Shall I bring something in or will we brave the canteen?

A European tour? When were you thinking of telling me?

Pupils are fixed and dilated.

CATE: Just ask for Cate.

Yeah, alright. We'll see you soon.

How long has he been down?

47 minutes.

He's so young.

I'm calling it.

Time of death, 0843 hours.

I spoke to his wife, she's on her way in.

SEAN: A cough, five-day history of flu-like symptoms,

collapses at a private X-ray centre and dies within the hour.

It doesn't make sense.

And it's not as if he wasn't being treated for the symptoms.

His GP must have referred him for that X-ray.

Bloody hell!

What are you two standing around with all this mess to clear up?

We were discussing a patient, Frank.

Well, it might be more useful

if you stopped yakking and did something about them.

Why are there trolleys parked all over the shop?

Why the bloody hell aren't we in Code Red?

Perhaps the sheep have already been dipped, Frank.

Speak English, woman.

The patients have been assessed and treated

and they're waiting for beds.

And we went to Code Red an hour ago.

Too bloody late, by the look of it. SHOUTING AND YELLING

What's wrong with that bloke? I'm guessing he's drunk.

Well, could you pull your finger out and deal with it?

Oh, Charlotte, Warwick Symonds' wife has just arrived.

Do you want me to tell her what happened?

No, thanks. I'll do it.

YELLING CONTINUTES

God bloody save us.

What the bloody hell's going on here?

These imbeciles are harassing me!

Gerald?

Francis!

Do you guys know each other?

I divorced him.

You were married?

(laughs) That's very funny, dear boy.

What are you doing here? Buggered if I know.

He was found collapsed in the street after coughing up blood clots,

and has continued to cough blood since he's been here.

He was uncooperative with the night staff.

You wouldn't let them examine you.

Objection, your honour. I was not uncooperative.

Nights are for partying and sleeping,

not for being poked and prodded... (coughs)

Objection overruled.

And since it's now daylight outside,

I hope you won't have any objections to us examining you.

Absolutely none. Good.

Come on. Let's get you settled.

If nobody's assessed him down here yet, what's Quade doing here?

I had a call for a consult.

Must have been from the registrar on last night.

Old notes?

Previous jaundice and acute hepatitis six months ago.

Multiple admissions over the last 10 years.

History of alcohol abuse. Point of order.

I do not abuse alcohol. It abuses me.

Shut up, Gerald.

Pain and guarding in the right hypochondrium and the epigastrium.

Generalised oedema and abdo swelling.

Frank, do you need a consult or not?

I'll let you know once I've finished my initial assessment.

Right.

Take bloods, organise a stool specimen and an MSU.

I'll do a PR.

No problem.

Pulse is 108. Sats are at 96%.

And I did a standing BP earlier, with a postural drop of 20.

What have you done to yourself, my old mate?

Ah, careful!

How'd you go? You know Admin.

Well, at least we got approval from the transitional care physician.

They'd be insane not to give it to you.

Better get on with it.

Is his wife there with him?

It was good of you to stick around,

but you should really go home, get some shut-eye.

Actually, I'd really like to follow Warwick through.

You sure? Mm-hm.

(woman sobs)

Gabrielle, This is Lydia McLaren. (Lydia coughs)

She has a two-day history of flu-like symptoms.

A GP put me on antibiotics but it hasn't helped.

Don't worry, Lydia. We'll get you sorted.

Sub-Acute 5? Yep.

(Lydia continues coughing)

SEAN: Diminished air entry, lower lobe.

Have you been around anyone who was sick lately?

No, not that I can recall.

Heart rate's 120. Sats are at 96% on room air.

Resps are at 32. Her temperature's 39.

That's new, the temperature.

I didn't have that when I went to the doctor.

Yeah, it's a bit high. It's okay. We can handle it.

Let's start her on 1g of paracetamol orally, see what that does.

Now. Listen, Lydia, I'm interested in that cough.

When did that start? Two days ago.

I heard the flu's going around, so I didn't worry too much.

Uh-huh.

And when exactly did you start to feel feverish?

Middle of the night. I woke up, I was soaked with sweat.

Do you want the usual bloods done?

Plus cultures.

I'll notify Radiology. We need an urgent chest X-ray.

I'd like her to have an escort.

This isn't just the flu, is it?

I'm not sure yet.

Listen, can you tell me where you've been in the last couple of days?

Okay. Just run the normal saline through to keep the vein open?

Has he been prepped for an endoscopy?

All set to go.

Hey. Need me yet?

It's too early for a surgical consult.

What bloods have you ordered?

All the usuals, plus cross-match, group and hold,

prothrombin time, hepatic serology and ABGs.

Meet with your approval, Quade?

Yeah. Just asking.

Frank, how far do you and Gerald go back?

Too bloody far - uni days.

Med students and law students didn't mix much when I was at uni.

Well, we were a little more ecumenical back in the dark ages,

particularly Gerald.

The lab knows those tests are urgent, Dan?

Yeah.

Have you ordered an endoscopy?

Er, good.

Give us a better idea what's going on down there.

If you want to make yourself useful, take those bloods to Pathology.

Now, Jack!

Can't breathe.

Lydia, you need to take slow, deep breaths for us, okay?

What's going on?

Temp's up to 40. She's starting to panic.

Give her 400mg of ibuprofen orally.

I'll also write her up for IV ceftriaxone, 2g.

Saline to rehydrate her?

Run it at 80ml an hour.

Slow, deep breaths, Lydia. That's it.

I can't...

Try to relax. That's the way.

We're going to give you more fluids,

do what we can to lower that temperature.

I need to call...my office.

I can do that for you.

Need to pitch... an advertising campaign...

this morning.

Sorry, but there's no way you'll be able to do that.

I'll explain everything to them, okay?

You need to concentrate on getting better.

Keep up the tepid sponging and get some fans in here.

We need to get her temperature down quickly.

What's wrong with me?

We'll have a clearer view of things when your test results come through.

But I'm sure we'll have you back on your feet in no time.

This is starting to look like our man in Rescus all over again.

Which means we're rapidly running out of time to control this.

FRANK: Just relax, old son.

Obs are stable.

The cavalry's here.

I don't recall sending out an SOS.

Well, someone hollered for a surgeon

and then told my colleague to go away, so...

I never holler, and if the night registrar did,

he did so in error.

Uh-huh.

But since you're here, why don't you have a look?

I thought you'd never ask.

Careful!

Jack? Mm-hm.

Not a whole lot to consult about, is there?

Straightforward oesophageal varices.

Secondary to cirrhosis of the liver and portal hypertension.

So, if you doctors don't mind, I'll talk to you later, shall I?

Can I've a turn?

Don't worry, old son. We'll take care of you.

SEAN: Patient is Lydia McLaren. Came in about an hour ago.

Flu-like symptoms for a couple of days.

Bad cough. Really high fever.

Sound familiar? CHARLOTTE: White cells are way up.

LFTs show elevated hepatic enzymes and bilirubin.

Well, I can't work out why her liver function is so out of whack.

Warwick Symonds' white cell count was high too,

and his electrolytes and liver function were way off beam.

It's the same cluster of symptoms.

Are you thinking there's a link between the two?

Yes, I am.

Lydia's chest X-ray

showed up patchiness in the middle and lower right lobes.

I don't suppose you did a chest X-ray on Warwick this morning?

I had no time to do anything but simple bloods.

Dammit!

Oh, shit.

Hang on! A chest film came in with him.

He collapsed at the diagnostic centre, remember?

Didn't have a chance to have a look.

ERICA: This is Lydia's.

And this is Warwick's.

Same patchiness.

And effusion - they've both had pneumonia.

Couldn't this just be a coincidence?

Doubt it.

Not with the other symptoms they had in common.

Then what are we dealing with here?

Whatever it is, it's killing within 24 hours.

We better get to the bottom of it.

We've got another one.

Same cough. Same high temp.

This is Rowena Watson and her daughter, Tracey.

Can you help my baby? (coughs)

VON: This will be over soon.

CHARLOTTE: Do you have kittens at home, Rowena?

ROWENA: No. Why?

Tracey's symptoms - the sore throat, the cough, the raised lymph glands -

they're all consistent with cat-scratch fever.

Cat scratches can make you sick.

We live in the mountains. It's quite isolated.

There are some wild cats,

but I don't think I've ever seen any kittens around the place.

There you go. That wasn't too bad, was it?

SEAN: Let's start her on liquid paracetamol

and I'll organise a chest X-ray.

Tepid sponge? Mm-hm.

Do you know what caused this lump? She had a tick.

It was taken out yesterday by our doctor.

Could that have made her sick?

It's unlikely, but we won't rule out anything just yet.

You're a good girl, Tracey. I'll be back in a second.

Well, looks like it's just us.

What say we go find something fun to do?

She has crackles on her lungs.

Add that to the cough and fever...

We have three patients presenting with exactly the same symptoms.

What are we looking at? Some type of epidemic?

Hey, hey. Let's not get carried away here.

We don't know how infectious this thing is

or if it...

(whispers) if it's even airborne.

But we should isolate the patients.

Alright. I'll put standard universal procedures in place just in case.

You think gloves and gowns will be enough to stop this?

You both saw how quickly it killed Warwick Symons.

But it's all we can do for now.

Okay. I'll move these patients. I'll get on to the bed manager.

And call the other hospitals,

see if they've got any patients presenting with the same symptoms.

Will do.

Thank you for coming down, Vlasek, but I believe your work here is done.

On the contrary, I'd say it's only just beginning.

Now, let's talk about treatment.

Simple - we stop the bleeding.

Absolutely. I'll book him in for surgery this afternoon.

Which would be very commendable if the patient needed surgery.

Frank, come on. You know what the risk of bleeding is here.

Grade 2 and 3 varices.

From what I saw,

I'd say he's in urgent need of endoscopic sclerotherapy.

Before he goes to Theatre,

I'll need a contrast CT of chest and abdo, and portal venography.

Mm-hm. I'll make the arrangements. Just stop right there.

He has a family history of Wilson's disease,

he has portal hypertension and primary biliary cirrhosis.

Quite obviously,

conservative treatment would seem to be the safest approach.

He's had multiple admissions for alcohol abuse

over the last three years.

Review of oesophageal varices.

He's discharged himself against advice time and time again.

Same story. It's all in here, Frank.

I'll keep him here and insert a Sengsten-Blakemore tube.

Mike, Frank knows Gerald from uni.

Well, that's nice.

It doesn't affect what needs to be done.

Read his notes again. He's previously aspirated under general anaesthetic.

Because of an underlying liver condition.

Underlying? His liver's a bloody mess.

If you put him on an operating table, you'll kill him.

What do you think, Jack?

Yes, Jacky-boy. What do you think?

Frank, need you for a minute.

Well?

Now, Frank.

So, how do you want to handle this?

Quickly and calmly.

Can I have your attention, please?

As you probably know, we have a couple of patients with us today

who've presented with very high fevers.

So we are implementing standard universal precautions

in all our dealings with them.

That means gloves, masks and gowns. No moving between the patients.

And access to these cubicles

is to be restricted to essential visits only.

We'll need to put warning signs on the curtains.

Yeah, I'll do that.

I'll help set up the cubicles before I go.

Thanks. Any questions?

When will we know if the patients are infectious?

I wish I knew.

Right. What about Infection Control Unit?

I've briefed them.

They're liaising with the Health Department,

and they'll put out any of the official notifications.

Okay, that's it.

And keep an eye out for similar symptoms with all our other patients.

Thank God I've got Frank's drunk mate.

I heard that, Goldman.

How am I doing?

No change, I'm afraid.

We will find out what's causing this, Lydia.

Don't worry about the fancy dress - this is just a precaution.

Do what you have to do.

I wouldn't want anyone else feeling this bad.

I've spoken to your boss.

He's going to handle the presentation for you.

Oh, thank you.

All you need to do now

is just focus on getting yourself better, okay?

Can you do another tepid sponge?

Temperature's not dropping at all. Sure.

And run the last of those fluids through,

then hang a bag of Hartmann's.

I'll be back shortly.

How's the little girl?

She's not getting any better. Neither is Lydia.

There has to be something that links the three of them.

There's nothing obvious, that's for sure.

What about the tick bite?

Ricky?

Yeah. I need your help.

SEAN: Okay.

Can you take the right side, I'll take the left?

Sorry about this, Warwick.

But we need to check for a tick, or a tick bite.

Might help with some other patients. One of them's just a little girl.

We'll be as quick as we can.

Can you check through his hair?

So we're hoping you understand this intrusion.

JACK: The varices are very clear.

Obliteration of a large segment of the descending aorta.

No definitive mass shadow. Posterior mediastinal mass.

Likely intraparenchymal mass here.

And the liver is enlarged,

consistent with chronic liver failure.

All of which makes him a significant surgical risk.

He's going to have to have surgery sooner or later, Frank,

whether it's for the varices or the portal hypertension.

For Christ's sake, you'll kill him!

My anaesthetist will assess the risks.

He hasn't murdered anyone lately.

We can't muck around, Frank.

Despite what you butchers think, we don't muck around down here.

We treat the patient and often we save you a lot of work.

Gerald isn't a quick fix.

No. He's a clinical time-bomb. Ever seen one of these burst?

I am just sick to death of you lot

trying to whip patients out from under my nose

when I know that I can spare them surgical intervention.

I'm sick of having to rescue the situation

because the patient gets to the Theatre too late.

Well, here's a radical thought.

Why don't we ask the patient what he wants?

DAN: Gerald, come on, cut it out!

Dammit! Come on!

Hand it over now. Now!

Not a chance, dear boy.

Alright, alright. What's going on?

Ah, three older heads. Talk some sense into the lad, will you?

Snuck a bottle in with him.

Objection. "Snuck" implies deception. I have deceived no-one.

For God's sake, Gerald.

Hand it over.

Hand it over!

Well, you seem the have the magic touch, Francis.

You've got to stop drinking. It's killing you.

Save my wife the trouble of doing it.

She's divorcing me, you know.

Divorcing the divorce lawyer. Nice irony, don't you think?

Why three learned doctors? One sombre face would suffice.

We need to talk to you about your treatment options.

You've been told about the damage to your oesophagus?

I have. State your case.

Well, there's immediate surgery to repair the damage,

or there's less radical - and, in my view, less effective -

clinical measures.

That's it? Those are my only options?

The clinical measures are far less risky.

I see. Well, gentlemen, I propose a third option.

I'm going home.

ERICA: No tick bites on Warwick.

None on Lydia either. So no link there.

This is ridiculous. We're getting nowhere.

I take it you didn't find any tick bites?

Listen, I reckon we've been focusing too much on what we don't know

as opposed to looking at what we do.

Right? I made some calls.

According to Warwick's wife,

he used to work as the local janitor in the Ridley Hills Shopping Centre.

Right. So what's the connection?

Yeah, well, while Lydia lives in Sanderson,

she shops in the suburb next door.

Ridley Hills? Bingo.

That's not far from my place. I shop there too.

What's the little girl got to do with the shopping centre?

Yeah.

Rowena's never heard of Ridley Hills,

and she's certain Tracey's never been there.

Yeah, but it's worth exploring, right?

Maybe something in the mall will shed light on everything.

Yeah, it's worth a try.

I'll call the Health Department. I'll be with Tracey.

I'll check on Lydia.

FRANK: What happened to you, my old mate?

Abysmal marriage, a profession that bores me to tears.

Take your pick.

Life has been one big disappointment,

when I think about it.

Life's not over just because your wife packs her bag

or the bright sparks in your profession

look more like your kids than your colleagues.

Ah-ha!

You can make changes. Even I did that.

I don't want to, Francis. I don't want to.

To be disappointed once in life is a disappointment.

To be disappointed twice would be downright indulgent.

(chuckles) I can't talk you out of going?

Not a chance.

Till next time, Francis. Thanks for everything.

Take care.

Francis!

I need some help here!

Got ya.

Get a trolley!

PHONE RINGS

Charlotte Beaumont, ED.

Ricky?

You're at Ridley Hill Shopping Centre?

Yeah, I thought I'd call in and see if I could find clues.

Worth a try.

We're looking for anything

that'll confirm the source of the infection is there.

I know there's a medical centre here.

I'll call in and see what I can find.

Can you talk to the shopkeepers - see if any staff are off sick?

Be careful what you say. We do not want to induce a panic.

I will.

And Ricky, the only connection between our patients

that we know of

is two of them have been there.

If that's the case,

it's likely that others there have been exposed too.

LOUD COUGHING CATE: Charlotte, need you.

Charlotte...Hello?

Ricky? It's Gabrielle. Are you sure you're alright with all that?

Yeah, I'm fine. Just glad to help.

Okay, bye.

LOUD COUGHING

(coughs violently)

What's happening?

Sudden deterioration. She can't stop coughing.

Sats are dropping. 90, 88...

Turn the oxygen up all the way.

She's in acute respiratory distress. We need to intubate.

I'll get the crash trolley.

There's no time. We need to get her into Rescus.

How the hell does this thing hit so quickly?

Okay, let's move.

No luck with the medical centre or any of the shopkeepers so far.

I'm going to centre management. Looking for better luck there.

Erica.

I will.

Bart. What are you doing here? Groceries.

Do you want a coffee? My shout.

Actually, I'm working and in a real hurry.

Okay. I understand. I didn't mean to disturb you.

No...

..well, Sean and Charlotte have these three patients

with severe flu-like symptoms.

One of them's already died

and a couple of them have links to this place.

Ah. You're on a fact-finding mission.

Exactly.

So if you'd like to lose the groceries, I'd love some help.

Yeah, yeah. I'm all yours.

I meant dump them in your car. Oh. Yeah, of course.

Alright, meet me at Centre Management.

Alright.

FRANK: You are a bloody idiot, Gerald, but you're a lucky idiot.

The varices don't appear to have burst.

So what's happening then?

You've dislodged another clot, a large one this time.

That's not good, is it?

Obs aren't great. Heart rate's 102.

BP's 100/57, and sats are at 95% on oxygen.

Right. Push that bag of fluids through, then I'll reassess him.

Going home is no longer an option.

Objection overruled!

I will outline the facts of the case,

and then - and only then - you may prepare your defence.

Why these three people?

Why aren't there more cases, you mean?

Exactly - she's going the same way Warwick did,

and there's not a thing we can do about it.

We're doing everything we can, Charlotte.

We've stabilised her for now.

Yeah, but for how long, Sean?

Charlotte, got a minute?

What's happening to her? Please, Tracey.

Is she going to be alright?

She's had a seizure. It's probably due to the fever.

Children can't regulate their body temperatures as well as adults can.

Febrile convulsion? Yeah. Temp's still 39.2.

Right. Let's give her diazepam, 3mg IV.

Right. Phenytoin?

Loading dose of 180mg on stand-by in case that happens again.

Trace, baby....

Has Von had you sponging Tracey? Yeah.

Keep doing that, I'll check her over.

Just let her know that you're still here.

Is she going to be alright?

She might be a bit listless and drowsy for a while

because of the seizure, but that'll pass.

There's another patient here who has what Tracey's got, isn't there?

I heard people talking about it before.

It looks that way, yeah.

But right now we should concentrate on your little one.

We have a number of her results back that all confirm

that Tracey's body is trying to fight some kind of infection.

But you don't know what kind of infection, do you?

No, we don't.

Is Tracey normally an active girl?

Yes. She loves riding. She competes whenever she can.

She's got blue ribbons.

And what's the name of her horse? Tricky.

Tricky. Okay.

Diazepam 3mg in.

I'll write her up for a bolus of saline

and Hartmann's at 30ml per hour.

It's her birthday next week. We bought her a new horse.

I'm going to repeat bloods too, okay? Yeah.

Will you find out what's wrong with her?

We're doing the best we can.

Hey.

Please tell me you've found something.

No, but I got asked out - woman in the music store.

She's not my type. She has...

No time for that, Bart. The clock's ticking.

Sorry. I didn't find any unusual absenteeism.

A couple thought they were coming down with something

when I started outlining the symptoms, though.

Someone just told me the janitor went home sick yesterday,

which was really helpful.

Well, that's something.

Warwick Symonds, the man who died in Rescus this morning.

Look, meet you back here. Yeah, okay.

Ricky. Where'd you say that little girl came from?

In the mountains. Check this out.

It could be the source and the connection in one.

Check out the venues.

SEAN: This has to be our link.

The petting zoo's only got an answering machine on.

Doesn't matter.

Rowena said Tracey visited the zoo when it was in the mountains

and it was in Warwick's shopping centre before then.

It's a definite connection.

CHARLOTTE: So, it's an animal-borne disease, not air-borne.

That would explain why we haven't seen more cases.

Yeah, they'd have to have had specific contact

with the infected animal.

We can drop the universal precautions.

None of us are at risk.

We need to start antibiotic treatment.

Let's run with penicillin until we know exactly what we're up against.

Everyone, use gentomycin on Tracey. She is allergic to penicillin.

I'll get started.

I'll notify Infection Control and the Health Department.

You guys did a great job.

Let's just hope we're not too late.

VON: Here comes Dr Beaumont. Maybe she knows something new.

So, you've got some news?

Well, it's animal-borne, not air-borne,

so at least we can lose the masks and gowns.

Excellent.

You found out what's making Tracey so sick?

We think one of the petting zoo animals gave her something.

So I'd like to take some more bloods, do some more tests,

and in the meantime, I need a list of all the animals that were there.

Well, her temp is down - 38.7 - and looking a bit more alert.

Come on, let's ditch this rotten thing.

But she still looks so sick.

She still is, Rowena.

At least now we'll know exactly what's causing it.

Let's get started on that list of animals.

Can you help us, too?

Good.

Well, there were all the usual - ponies, ducks, bunnies, guinea pigs.

Lambs.

Lambs?

Two lambs.

Oh. Right.

Well, it wouldn't be a petting zoo without the lambs, would it?

DAN: Here comes trouble.

Any reason I wasn't informed

about the change in Mr Bingham's medical status?

You obviously were informed, otherwise you wouldn't be here now.

I've scheduled Gerald in for surgery this afternoon.

Then unschedule him.

He'll last a hell of a lot longer down here

than he will on the operating table.

Is it really the patient you're concerned about,

or is it impossible for you to admit that mine is the only way?

That isn't the only way, you know it.

Okay, listen. I have an idea.

Transjugular intrahepatic portosystemic shunt.

Yeah. TIPS procedure. That way you can work together.

MIKE: Just about there.

FRANK: Yep.

You're in the inferior vena cava.

Good.

Thank you.

Alright. You getting that?

Yes, that's good. The dye's getting through.

Uh-huh.

How's the balloon catheter?

Just back it up a bit.

Yep, that's got it.

I can see dilation of the parenchymal tract.

And how are we doing?

Spot on.

Great.

Okay. Introducing the stent.

Was this is great idea of mine, or what?

What this is is proof

that open discussion between colleagues is a good thing.

Agreed.

Hello, you were not having an open discussion.

You were too busy trumping one another.

If I didn't have this idea, you'd both...

Bugger off, Jack.

Yeah, bugger off, Jack. We can handle this.

Go make yourself useful somewhere else, hmm?

You know, I like you both better when you're fighting.

Good lad, that Jack.

After two years with me, what do you expect?

And despite that, he managed to come up with the perfect compromise.

Agreed.

Yeah, hi. It's Charlotte Beaumont in the ED.

I've sent down urgent bloods on Lydia McLaren and Tracey Watson,

and a list of all the animals they've been in contact with.

Will you call me ASAP? Thank you.

Charlotte.

Charlotte.

Delivery for you.

Is there something you want to tell us?

Spence, you nut!

DAN: Are you pregnant?

Yes, I am.

Yay, Charlotte!

Congratulations.

Thanks, Jack.

Hang about.

Had nothing to do with me.

Is there something I'm missing here?

Does this mean you're having twins?

No, it doesn't. It's a boy and a girl!

Charlotte, we have a problem.

GABRIELLE: We'll look after this for you.

Better put that in the Common Room. Yep.

Give us a yell if you need a hand, Charlotte.

Dan, can you cover Triage for me?

(knocks)

Homer, what are you doing here?

Good news, Dr Campion.

Really? Always in the market for good news.

How are they treating you up in the Psych unit?

Good, great.

But it's just not the same as the ED, which is why I've...

Well, it can't be that much different.

Most of the people up there came via the ED in the first place.

Yeah, I know that.

The staff are really nice and everything.

It's just that, well, I haven't really screwed up once.

And that's a bad thing?

No. Actually...yeah.

I haven't screwed up

because I'm not doing anything, and that's why I've...

Never mind.

The rotation will be over soon

and then you can make mistakes in Gastroenterology or Post-op.

What's the good news?

I took your advice, Dr Campion.

What advice would that be?

To come back when my training wheels were off.

I'm sorry? What are you talking about?

Admin said I could take shifts in the ED whenever I can,

and if you're short-staffed -

which you could be, with Charlotte pregnant -

then I can fill in.

Beaumont's pregnant? Yeah. Isn't that great?

Peachy.

Well, I better get going, so I'll see you later, huh?

God save us.

CATE: Penicillin's in.

Temp's still high.

Can you continue strict half-hourly obs?

Yeah.

There's been 35ml drained into her IDC in the last hour.

She's getting worse, not better.

Hopefully this penicillin will kick in soon.

Pathology's rushing through the bloods.

Maybe that'll give us something to work with.

Hopefully.

Lydia?

We think we're on our way to nailing this, but we need you to help.

You've got to hang in there, okay? Keep fighting.

Why would Tracey be improving and not Lydia?

Charlotte?

Pathology. Said it's urgent.

Charlotte Beaumont.

Right. Okay. Thank you.

I need 500mg of streptomycin for Lydia McLaren.

Sure. It's tularaemia.

CATE: What's that? Rabbit fever.

You get it from direct contact with infected animals or ticks.

First time it's been detected in Australia.

No wonder we were having such a problem identifying it.

Dammit, we've had Lydia on the wrong antibiotic.

Penicillin won't touch tularaemia.

The only reason I didn't give Tracey penicillin

was that she was allergic to it.

By pure chance, we gave her the right drug.

Lydia, we know now what we're dealing with.

We will get you through this.

Mummy?

I'm right here, sweetie.

Did you see that, Von? She's awake. She's really awake.

I did.

Are you starting to feel better?

Von.

I just got a call from Admin. Made their decision?

They have.

Congratulations.

You are now officially the transitional care nurse

for this emergency department.

Oh.

Pleased you're pleased, you know.

When I go looking for a new office. Extra funding.

I will send you straight to Frank to discuss it.

How did it get to this, Francis?

I lose days, can't remember entire weekends.

When did I go from being a drinker to a drunk?

I don't know, my old mate, but you have got to stop.

I've been trying to.

You know what it's like -

one drink's too many, a thousand's not enough.

For you, one drink could be fatal.

Knowing what should be done and doing it

are often two different things, Francis.

Yes, I know, I know. That's why you need help.

I can put you in touch with some good people who will help you.

You always were a hopeless optimist, Campion.

Well, you ring me any time, day or night.

Now, I've booked an abdo ultrasound for the morning.

That's to check on the effectiveness of the TIPS procedure

we did earlier today.

And I've also arranged a couple of outpatient appointments for you.

I will endeavour to be there for them.

You had better, or otherwise you can kiss the rest of your life goodbye.

Well, I don't want to die, Francis.

I don't want to die.

Gerald Bingham? I haven't seen him since uni.

Well, you wouldn't recognise him now.

I'll get us another drink, yeah?

Sounds great.

Is he going to be alright?

He went home with the ball at his feet

and his fate in his hands.

Hopefully he doesn't kick an own goal then.

I haven't confirmed the tour. It was just a proposal, that's all.

Yes, but you're going... to go, I mean.

Well, if you could look me in the eye

and tell me that you love me and you don't want me to go...

Eve...

Okay.

Hey, where are you going?

To Europe.

Don't say it.

Say what?

That I'm an idiot and you wouldn't have let her go.

How is she?

Much improved, which is great.

Right.

The Ministry for Agriculture and Fisheries

have tracked down the petting zoo.

Apparently they were operating without a licence,

which means the animals could have had anything.

They're going to quarantine them, obviously.

And back-track them, I hope.

And the Health Department's going to put out an alert.

Glad I'm not working tomorrow.

Everyone with a hint of the flu

is going to think they've got tularaemia.

Which reminds me - St Angela's called.

They think their ED's got a case.

Not surprising, there is bound to be others.

At least they'll know what they're dealing with.

I'll tell you what, we owe Bart and Ricky a big bottle of bubby each.

Cate, go home, you should've have been home hours ago.

We all should have.

(sighs) Goodnight, guys.

Goodnight, Cate.

I forgot. Night.

Night, Gabs.

Hey, I didn't get a chance to say congratulations before.

Congratulations.

Thank you.

You going to head home?

No. I'll stay and look after Lydia and young Tracey.

Will you walk me out?

Sure.

So, is Spence coming back?

I'm not sure.

Well, if you need anything...

..even if it's a shoulder to cry on when those hormones kick in,

you know where to find me.

Thank you.

You know, if three patients hadn't all presented to the same hospital

within an hour of each other,

there would have been no-one to look for links.

You realise that, don't you?