Original subtitles

JACK: You were making a point to Steve.

I think you need to be honest with yourself, work it out.

I was hoping I'd run into you before I left.

Where are you going? Home. To Melbourne.

But my flight doesn't leave for 12 hours.

SUZI: Female pedestrian versus car. Estimated speed - 40km/h.

Her head smashed onto the ground! The patient's daughter, Holly.

Hi, Holly. Help her. Please!

Her GCS is 14. What does that mean?

Give me that! I need to make that call.

You've been hit by a car, Mum. The call can wait.

Pupils equal and reactive.

Blood pressure's 140 over 90. Heart rate's 110.

Holly, give me that phone! No!

Let us examine you. Then you can make some calls, alright?

Are you going to listen to her?

Any loss of consciousness? Yes!

No. I haven't ascertained that yet.

We'll transfer you onto this bed. Just relax. Let us do all the work.

On my count. One, two, three.

I was calling out to her but she wouldn't answer.

She was out cold. Oh, I was a bit dazed.

No. She was totally out of it.

OK. I'm just going to take this BP cuff off.

How long was she out for? I wasn't.

Mum, shut up. Three minutes-ish.

That's ridiculous. You've taken quite a hit.

I'm fine. Holly's just being a drama queen.

I am not!

I thought she was dead. Believe me, not her!

Hey, hey. We believe you. And we're going to do everything we can, OK?

Thanks.

Ah, burns patient for you.

Aha!

Ricky, can help Bart in Sub-Acute, please?

Sure. Put Amy on that one.

I don't think she's had a burns patient yet.

Ricky's good. Yeah, yeah. Yeah, yeah, yeah.

But we'll let Amy take this one, eh? Sorry.

Did I miss the memo where my nursing assignment duties were taken away?

No need to be facetious.

Fine. Amy, could you please give Bart a hand in Sub-Acute?

Love to.

Should I be feeling paranoid? What? Why?

I've been replaced by Amy on Bart's cases all week.

No, it's not you. It's him!

I just think that they could learn from each other. That's all.

What could Bart possibly learn from a nurse in her first month on the job?

Alright. She could learn from him.

Don't you have other patients?

What?

For God's sake!

Gastro case for you.

What's the story there? I don't know!

I think Frank is trying to

push Amy and Bart into some kind of cosy relationship.

He should know better than that. The doctor/nurse thing never works.

AMY: My uncle and me tried fishing at Agatha Bay

and we didn't catch a thing!

You weren't doing it right! It's full of fish!

What's to do? You just stick... Amy.

Sorry.

You just stick a worm on a hook and dangle it in the water.

Now, that is sacrilege.

Mr Lowrie, you need to hold still.

It's just a piddly burn.

You're a diabetic, which means there's a longer healing process

and an increased risk of infection.

We need to know why you sustained this burn.

I passed out. So what? You fell onto a lit barbecue.

And according to your medical records,

it's not the first time you've had one of these blackouts.

Yeah, I figure it was just the diabetes playing up.

Why would you think that? What else could it be?

We'll run the tests and find out. Do a BSL. Organise a baseline ECG.

Cannula. No worries.

And we need to dress this too, please.

Sure.

So, how do you catch fish in Agatha Bay?

I'm not giving away my secrets.

You didn't get a single nibble, did you?

Amy!

Whoa! You're in trouble!

"Paging Dr Serious to the Anal Retentive wing."

(STIFLES LAUGH)

Yes, Dr West.

You do know that burns dressings are different from standard dressings...

I know.

He might not show it, but he'll be very uncomfortable.

Yeah. I know that too.

I'm not an idiot.

I'll be back in 10 minutes. I'd like everything done.

Yeah, I heard you the first time.

Look...

..why don't we hold off on the re-test, give him something to eat

and see if his blood-sugar levels sort themselves out?

Do what I ask, please.

(SCOFFS) Just thought I'd mention it.

For what it's worth.

Ah, Ricky. Can you do me a favour?

I need you to keep an eye on Amy. Why?

Because... she's inexperienced.

Well, if she needs help, I'm sure she'll ask.

No. I'm not sure she will.

Between you and me, I think she's out of her depth here.

What? With a Sub-Acute patient? With any patient.

That's a bit harsh.

She needs to be supervised.

OK. I'll watch her. Good.

Now, do you remember what happened?

I was taking Holly to school and I got hit by a car.

She was texting on her stupid phone

instead of looking at where she was going.

Hello. I'm Von. And you're Holly?

Thanks for coming in.

Would you mind coming into my office for a minute?

Mmm, I'm not going anywhere.

Well, you see, we need some details of your mum

and, well, you're the best one to do that.

Go on. Make yourself useful.

Come on. It will be a big help for Mum. And for us.

Don't think I don't know I've just been patronised.

She's all I've got. If anything happens to Mum, I'll be on my own.

It's just you and her?

Yeah.

There was blood all over her face.

It must have been very frightening.

In here.

But it seems like you handled the situation very well.

I didn't really do anything.

Somebody else called the ambulance. I was just freaking out.

Sit down.

Well...

..now we need to work out where we go from here.

What do you mean?

Well, Mum, she's going to be in the hospital for a few days.

So I have to organise someone who can look after you.

I'll be fine. I'll stay here with her.

Holly, I really must arrange

for someone to act as a guardian for you.

There's... there's no-one.

Can I ask about your father?

What do you want to know?

Well...

He did the dirty with some skanky bitch called Kelly

and we left the dumb-arse back in Brisbane.

Well, he may still want to know what has happened.

He may want to come...

No way!

He's out of our lives and... that's just fine by me.

JACK: And three.

Alright. There doesn't seem to be any obvious spinal damage.

OK. We'll roll her back. One, two, three.

I can almost hear the rustling of the discharge papers.

You've got to love the optimists. So, when can I go?

We won't make that call until we send you to Radiology.

(SIGHS) I'm having X-rays now?

Yes. We'll send you off for a head CT.

We'll take pictures of your neck and spine while we're there.

But you said I didn't have any spinal damage.

You said I was good.

If it's just precautions, I'll take the risk.

I need to get on with my day.

Well, you may have injuries that will only show up on scans.

Listen. I'm a single parent. Holly needs to know I can look after her.

I can't do that from a hospital bed.

It's all down to me. And I feel fine.

I understand what it means to be the sole carer of a child.

But today, you need to take care of you.

You're a single mum. Mm-hm.

So you know.

I have to work or we starve.

(SIGHS) I have to organise dinner.

I have to wash her sports uniform for tomorrow.

How's that headache?

It's practically gone.

Look, you need to let us

help you make sure that you're OK to get back on your feet.

So be honest. How's the headache?

It's pretty bad.

OK. Let's get you off to Radiology and see what's going on.

Will Holly be brought back here?

As soon as your scans are done she'll join you.

Can you please page Mike? Yeah.

(PAGER BEEPS)

(GROANS)

So, how soon can you operate?

Well, her midline shift is negligible.

It'd have to increase before I'd think about operating.

Well, I don't think we should tempt fate here.

Better safe than sorry, right?

If unnecessary brain surgery isn't tempting fate, I don't know what is.

What's the latest GCS?

14.

Uh-huh. C spine is clear.

Is your neck hurting at all? No.

OK, well, let's get the collar off and sit her up.

Oh, thank God for that.

Let me see. You sustained a subdural haematoma in the accident.

What's that?

Er, this is Holly - Phillipa's daughter.

Oh, hi. No, there's a bleed on your mother's brain.

Are you gonna fix it?

Well, it's too small for us to worry about right now.

It will probably repair itself anyway.

So I don't need surgery. At this stage, no.

It's still something we can't rule out.

We won't operate unless the bleed worsens.

And in the meantime, we'll keep an eye on it.

Any other questions?

Good.

No surgery. That's a relief!

I'll be back in a minute.

So, that's it?

At this stage, I'm not prepared to operate.

You're always prepared to operate.

Not today. Mike.

She was hit by a car.

The mechanism of the injury alone

warrants a little more attention than you gave her, don't you think?

I'm not touching her with a GCS of 14.

But can you just go back in there and look at her again now?

Forget the scans. Examine the patient.

Her name is Phillipa.

She's a stressed-out single mother who's playing this whole thing down.

Spare me the single mothers' club, for God's sake.

I beg your pardon? Be more emotionally detached.

Like you are, you mean?

Yeah. You have any more problems, give me a call.

I have a problem now. You're not giving my patient the attention...

Beaumont, let it go.

What the hell is his problem?

I don't know but I'll find out.

So, what's put you in this jolly mood?

Nothing. And I don't think I should have to justify my decisions.

I'm not saying you're wrong

but I've never known you to be conservative with your patients.

This isn't the kind of surgery you just rush into.

And yet Charlotte seems to think you're being overly cautious.

Yeah, well, when it comes to surgical experience,

I may just have the edge on her.

Now, see, we're getting into very strange territory for me

because normally I'm the one trying to slow you down.

Now I'm not rushing into anything, so you should be happy.

It's not that. It's the sudden change that's making me itchy.

Is there anything going on outside work?

No.

No, you don't want to talk about it or no, there's nothing going on?

Both. So, if you've finished...

I haven't. You've been a pain in the bum for days now.

So whatever it is, sort it out, will you, mate?

I told you. It's nothing. Yeah, so you said.

Sort it out anyway.

In the meantime, stop taking it out on my team. Understood?

Yes, Dad.

I mean it, Vlasek.

(PANTS)

Oh. Hey, hey. Excuse me.

Hi. Can I help you?

I need to see a doctor.

If you're looking for Outpatients, you're in the wrong place.

Around to the right. What?

For your arm. No, no. Not for this.

I need to see a doctor.

OK. If you take a seat, I'll be with you shortly.

No. I don't need to take a seat, OK?

I have... I have cancer.

OK? I'm going to die. OK.

I need help. Help. Alright. Deep breaths.

Help... (PANTS) OK. Deep breaths.

GABRIELLE: His name is Terry Twomey.

He suffered acute shortness of breath.

And he says he has cancer.

G'day, Terry. I'm Steve.

What type of cancer? It's a melanoma.

Who told you that was cancer?

My GP. She referred me to a dermatologist.

And the dermatologist diagnosed cancer.

Mmm. Well, no.

The appointment's not for two weeks.

But she wouldn't have referred me if it wasn't cancer, right?

It was probably more of a precaution than anything else.

This mole looks like nothing to worry about.

No, no, no, no. This is nasty.

Alright? And it's getting worse.

People die from melanoma all the time

while they're waiting for specialist appointments.

OK? That's what happened to Dad.

By the time they got to him it was all through his bones and everything.

Now my bones hurt. I ache all over.

All over?

Yeah. That's not a good sign, right?

How did you break your arm, Terry?

Oh, I clean shopping centres at night.

And I fell over a travel display. Ah.

How long ago did that happen? About four weeks ago.

It wasn't a bad fall or anything.

It broke because my arms are so full of cancer.

Oh, let's not jump the gun.

I always knew it would get me.

I just thought I had more time than this.

Terry, listen...

How long do you think I have?

Let's just give you a complete physical

before we have that discussion, OK?

OK. Thank you.

I-I'd rather know.

Fair enough.

Let's get Terry into a gown.

Yes, Doctor.

Just lean forward for me.

Great.

Let's up the obs to every 15 minutes.

Any change, I want Mike paged straightaway.

OK.

How are you feeling, Phillipa? Good.

You know, everybody calls me 'Pip'.

OK, then. Pip it is.

How's your head?

Better.

Any blurred vision, dizziness, pins and needles?

Mm-mm.

How you're feeling's the best indication of what's happening

so any change, no matter how small, you need to tell us.

I know. And I will. OK.

Why were you whispering out there?

Sorry? Is there something wrong?

No. Everything is under control.

You don't agree with that other doctor, do you?

Holly, stop worrying.

You should go to school. Be honest.

Well, Dr Vlasek's the head of surgery.

He's dealt with a lot of cases like your mother's.

See? He knows what he's talking about.

But you are entitled to a second opinion.

Because you think he's wrong?

No.

You know, you have rights.

And you won't be offending anyone by exercising those.

Go on, Mum. I didn't like him. Get a second opinion.

I don't want brain surgery.

Of course not. Any nobody wants to put you through that.

Dr Vlasek said I don't need an operation.

Why would I trade that?

Mr Lowrie, your results. Hey, check this out!

Just about to chuck her on the flames when I passed out.

Put that away, please. Take her home with you if you want.

You went to so much trouble to get her from the car.

I couldn't.

Your blood sugar is 7.2. Good-o.

And your ECG's normal. Yeah, see?

I told you. Nothing bad ever happens to me.

Except you keep passing out for no apparent reason.

Yeah, but in the scheme of things, I'm still pretty lucky.

I'll say! Catching that thing in Agatha Bay is a miracle.

(BOTH LAUGH)

Could you find somewhere else for that fish?

The common room, maybe?

Don't forget to wash your hands.

I haven't got her into trouble, have I?

No. It's fine.

Can you remember exactly what happened when you passed out?

I was bending over to put the fish on. I had some nuts.

I had a drink. Alcohol?

Water.

You take any drugs? Prescription or otherwise?

No, just insulin.

I'd like to do a blood test, see what shows up.

Fine. Don't believe me.

It's routine. I'll get it organised.

(MOUTHS WORDS)

Where have you been? Amy had a fish in there.

What?!

It was the patient's. She was waving it around.

A fish! OK. Unusual but harmless.

Can you arrange bloods and a tox screen and a BAC for him?

OK.

Thanks for doing the dressing.

It's a good job.

Amy did them. She did all the tests you asked for.

Everyone's overwhelmed when they first start in the E.D.

Just cut her some slack.

So apart from the aches and pains have you had any other symptoms?

Er, I'm tired all the time.

That's probably due to your high blood pressure.

Which could be due to the cancer?

Which could also be due to your anxiety about having the cancer.

Well, you'd be anxious too if you were in my shoes. (GROANS)

Have you hurt that arm too? No, no, no.

Not this time. That was last time.

Wait, no. No, sorry. That was the one bef...

The leg was last time. It was the one before that.

Yeah, I cracked a rib as well. How many fractures have you had?

Er, since Dad died, about seven.

Let's get Terry a bone density scan.

Yep. I will just get these bloods off to Pathology.

I know it. I know it. They're gonna say...

Hey, come on, we agreed.

Until we get all the results back,

neither of us really know anything for sure, OK?

Yeah. You're right. I'm gonna be OK. (LAUGHS)

(INHALES SHARPLY) Hang in there. Back soon.

Hey, how much of a priority do you reckon this bone scan is?

He could have osteoporosis.

Yeah, he could also need a psych consult.

Come on. You don't think he's over the top with this self-diagnosis?

Yeah, yeah, I do.

But I think that there's probably a medical issue here.

Like what?

I'm not sure yet.

He's still obviously upset about losing his father.

I think this is unresolved grief.

He's pale, prone to hypertension, apparently with brittle bones.

Yeah. He had a panic attack in the waiting room.

I'll bet you 20 bucks that there's a medical diagnosis here.

I'm not going to bet on the treatment of a patient.

'Cause you know I'm probably right.

Because it is completely unethical, Dr Taylor.

Ooh, fine. Alright. 20 bucks says psychological, not physical.

First thing, bone scan.

Do you ever feel dizzy when you first get up in the morning?

Or if you stand up too quickly? No, no, no.

How many more of these stupid questions have you got for me?

Just a few more.

Have you been overseas in the last three...?

(GASPS)

Why are you faking a heart attack?

Just trying to get a rise out of you.

(TUTS)

You know, I thought it'd be like working in a candy store here.

I'm sorry? Yeah.

Surrounded by all these good-looking nurses.

Don't you have a sweet tooth? This is a hospital.

It's not a singles bar.

80% of all relationships start in the workplace.

How's your circulation? You got any numbness in your feet?

What about Amy? She's pretty hot.

Look, I-I'm going to explain this to you very slowly.

The fact that you are having repeat episodes where you black out

is serious.

What's even more worrying is that I, your doctor,

have absolutely no idea what's causing it.

So why don't we focus on sorting you out?

Yeah, OK. Whatever you say.

Thank you.

But she's hot, right?

Can you organise a sitting/standing BP?

For Craig? Uh-huh.

Can't Amy do it?

Are you too busy? No.

But he is her patient and she's perfectly capable.

I'd really rather you did it.

Why does she get to you so much? Hi.

All clean. Mmm.

Look, I was thinking about Craig Lowrie.

We should organise a sitting/standing BP.

That's a great idea.

Just to rule out postural hypotension.

It wouldn't hurt to do that

before we start looking for neurological causes.

Oh, good.

Are you coming? I'm assuming Dr West wants me supervised.

Have you spoken to Mike yet? Yep.

Well, he hasn't been back to see Phillipa.

No, I didn't ask him to. What?

He's chosen a conservative approach for whatever reason.

It's not my place to tell him how to do his job.

Since when?

Look, what is so wrong with his decision?

He didn't spend any time with her, Frank.

Honestly, it's like he didn't care.

It is possible you are somewhat overinvested in this case.

What makes you say that?

She's a single mother. It's natural you would empathise with her.

The only reason that's relevant is that

I know she's playing the symptoms down 'cause she's determined to cope.

You could be reading that into it. I don't think so.

I can see what's going on.

OK, fine.

Well, the patient is stable, you've got Mike on tap,

you've got the caring part under control...

Things change, even by a fraction... I'm gonna make some noise.

And I'm sure Mike will hear you...

..if things change.

AMY: Well, sometimes a change in position

causes a reduction of blood and oxygen to the brain.

Oh, I can think of a couple of positions

that'd take that right off the scale.

(LAUGHS) Yeah, sorry. Can't help myself.

I don't know how you expect a bloke's blood pressure

to stay normal with you two fussing over me.

(LAUGHS) Well, it is. Come on. Back to bed.

I'm going to leave you to it. You've got things under control.

Pop back any time.

Hey! Hey, no need to get jealous!

You know you're my favourite. (LAUGHS) How are you feeling?

Dry as. Can I have a glass of water? Yeah.

So what now?

Well, the doctor will be in to discuss the results.

Mmm, bedside service. I could get used to this.

(BOTH LAUGH)

Craig? Craig?

Open your eyes.

(MONITOR BEEPS RAPIDLY) He's bradycardic.

Grab the atropine minijet.

Mr Lowrie? What's going on?

Good. Happened again in front of you. So you can fix me.

No observations were taken.

So we are none the wiser as to what's going on.

And now everything is back to normal.

Just like all the other times.

Do you remember how you felt?

What you were doing just before you passed out?

Nothin'.

Erica? I wasn't here.

I don't know what happened. OK.

Do a 12-lead ECG then serial ECGs.

Amy is his nurse. Please...

And a chest X-ray and a full set of bloods.

It's important this is done right.

(SIGHS)

Sorry. Don't. It's not your fault.

Dr West, why are you undermining me in front of my patient?

Because I need someone I can rely on looking after him.

Excuse me?!

If you had've charted his obs when he collapsed,

if you hadn't have panicked and left him unattended,

we might have a diagnosis.

OK, so I should've stayed with him. Yes, you should've.

I have had a thought about a possible diagnosis.

Why don't you get the nursing part down first

before you jump into diagnostics?

You should teach your doctors to treat their nurses with respect!

I give it when it's due.

You two still butting heads, are you?

Would've been simpler if Erica was on this case from the start.

Ah, well, simpler ain't always better.

Heart rate and BP's slightly elevated.

Holly, could you give us a minute? Why?

Do as she says, Hol. Is something bad gonna happen?

No, nothing serious, just personal.

Holly, why don't you go to school? That assignment's due in today.

I'm not going anywhere. OK.

Er, I've been speaking to your GP... Is this about the sleeping tablets?

Because I already know about them. What?

Tell her not to take them. They'll make her sick. She listens to you.

Not everything I do concerns you, Hol.

Look, those medications have been prescribed for a good reason.

And I'm not here to tell you to stop taking them.

Good.

But it does suggest that you're pushing yourself too hard.

What work do you do? Real estate.

I work between 10 and 16 hours a day.

I do try and keep Sundays free, though.

Well, that's something. She never does, though.

You should go to school. That assignment's due in today.

You already said that. Did I?

Pip, do you know what day it is? Yeah, of course I do.

Yesterday was hockey practice so today must be Monday.

Mum, it's Tuesday.

I'll page Mike.

Everything we tested for has come back negative.

Oh, so I guess you think I'm some sort of hypochondriac,

that I've gone nuts because my dad died when I was a teenager.

Nobody's saying that to you, mate. No. Not at all.

Look, I'm a different person now than I was before he died.

But that's normal, you know?

I've seen what the sun can do now. I've seen those ads on TV.

I'd be stupid if I wasn't careful.

Couldn't agree more with you.

There's no crime in being cautious when it comes to sun exposure.

As long as that caution doesn't make you overly anxious.

Listen, how about this, Terry?

I can remove that mole right now,

have it tested, might put your mind at ease a bit.

Sound good? Yeah, yeah. That'd be great.

OK.

She repeated herself and she didn't know what day it was.

Doesn't make her amnesic. Could be down to her insomnia.

Her BP and heart rate are also elevated

and we think the headache's getting worse.

It is or isn't?

She plays it down for her daughter's sake.

Get rid of the kid, get a GCS. Get back to me.

Mike...

I want evidence the midline shift's increased

before I bore into her brain.

By the time we get that CT scan... She could've stabilised.

You come to tell me I'm wrong? Not at all.

I was drawn by the intoxicating joy and goodwill you're spreading.

I want your support. I'm going to get a second opinion on this.

Just get a scan. Are...

Are you saying you're not going to back me?

I'm saying it'll take less time to get the bloody scan. So get it.

(MONITOR BEEPS RAPIDLY)

He's bradycardic. Atropine.

No, wait. Amy...

Look! Look.

Did I do it again? You sure did.

Cold water is the trigger for his blackouts.

You suspected this?

I think you have a condition

where cold water affects the way that your heart regulates itself.

Ah, what do YOU think? Sound like she's on the money?

I need to have a word with Amy. I'll be right back.

I will get a full set of obs done.

So do you want me to get onto Cardiology

or do you want to thank me for the diagnosis first?

You deliberately sent that man into cardiac arrhythmia.

How else was I supposed to prove my diagnosis?

You wouldn't listen to me. I don't believe this.

Am I wrong? Is it not swallow syncope?

Yes, it probably is, but that's not the point.

Then what exactly is your point? What if he arrested?

He didn't. He was only out for a few seconds.

What you did in there was an irresponsible stunt.

Bart...

Jack, don't stick up for me. It's alright.

Maybe I made a mistake

but you've got to take some of the responsibility.

What for? You wouldn't listen to me.

I'm gonna kill her.

Yeah. It's pretty clear you guys have some serious personal issues.

Yeah. You can say that again. Mmm.

What?

What do you mean by 'personal'?

She gets under your skin. Because she's infuriating.

OK.

Oh, you are so far off the mark. OK.

I've got a patient to see.

Do I really need another scan? No harm in being extra careful.

It won't take long. Does Holly know where I'm going?

She's with Von. You don't have to worry.

(LAUGHS) If I end up having to stay in here, she's gonna need her f...

Phillipa?

Her father. She... she will need her...

Phillipa, can you hear me? Pip?

Pip? Pupil's blown.

The brain bleed's extended. Size 6 ET tube.

I'll apply cricoid pressure.

I told Mike this was gonna happen.

DAN: Her pupil blew. She's unresponsive.

GCS dropped to 3. Theatre's prepped and ready.

It shouldn't have come to this. I'll take it from here.

Are you alright? Yeah.

Just need to figure how I'm going to explain this to Holly.

You told her there was a chance the bleed might get worse.

You explained that, didn't you? Yes.

But she also knew we decided to put off the surgery.

With good reason!

I knew in my gut this would go bad

and I let Mike have his pissing contest.

I let you talk me out of pursuing it.

Charlotte, no-one knew which way this would go.

She's going to think we waited too long before we did anything.

OK, well, if you don't feel up to talking with her, I will.

No, that's OK.

I got it.

How did it happen? I thought you were watching her.

It was very sudden.

I want to go up there. But you can't.

But she's my mum!

Shh. It's OK.

I promise - as soon as she's out of surgery,

I will take you to see her myself.

I'm not leaving her. Not for one second.

I can stay here, can't I?

You can visit as often as you like.

But no, you can't stay here.

Why not?

Holly...

..you can't deal with this on your own.

Holly...

..before your mum went to surgery, she mentioned your dad.

No way.

She wants you to get in contact with him.

She would never say that. We hate him.

Don't lie to me!

It's a relief to see that go on.

I'll send the results of the biopsy through to your GP.

What? You can't send them straight to me?

It's just better if your GP discusses the results with you.

Oh... OK.

This is just routine. This is nothing to worry about.

No. It's just it's a little hard for me to get to my GP, that's all.

I thought you worked nights.

Yeah.

I know hard it is when you're stuck on night shifts.

It's easy to sleep the days away.

But this is a priority, Terry.

Yeah, but...

But what?

I don't go out during the day.

Never.

You're here now.

Yeah, but I... I arrived before dawn.

And I'll leave again after dusk.

You never go out in the sun.

I know you think I'm... I'm crazy...

..but I'm not gonna let the sun get me the way it got my dad.

OK. Right.

Do you mind if we take another blood test, please?

What for?

I think I know why you might be feeling so crook

and why your bones keep breaking.

BART: When you take a cold drink,

the vagus nerve in your throat

sends a signal to your heart to slow right down.

And then I pass out. Yeah.

The sudden drop in heart rate reduces blood flow to the brain.

A very rare condition.

Yeah, well, I wouldn't want a common condition, would I?

Yeah, OK, so, how do we fix this Las Vegas thing?

We can't fix the nerve.

You have to get a pacemaker inserted.

Into my heart? As soon as possible.

It's a pretty simple operation, Craig.

Yeah, but any operation can go wrong. I know that.

The cardiac surgeon will be down to discuss all the details.

Oh, that's something to look forward to.

Your pacemaker really is your best option.

Keep your heart at a regular rhythm.

Yeah, but is it really necessary?

I always come back from the passing-out thing.

You've been lucky so far.

What are you saying? That one of these days I mightn't come back?

Well, can I just avoid cold drinks, then?

There may be other triggers that we don't know about.

Come on, mate. Stop sooking. You'll be right.

It's bloody easy for you to say!

What Amy is trying to say

is that once this is behind you,

you'll be able to live a normal life.

You'll never have to worry about passing out ever again.

Yeah.

I thought I was helping and...

..the patient just snapped at me.

We all put our foot in it from time to time.

What I did earlier was stupid too.

I...

..I should have made Bart listen to me

instead of going off on my own like that.

Well, getting doctors to listen, that's half the job sometimes.

Bart, he's usually pretty receptive.

Maybe you two just got off on the wrong foot.

(SCOFFS) He's decided I'm hopeless.

And he might be right.

No, you're not hopeless.

It gets tense here.

You need to learn not to take it all to heart.

I honestly thought this would be easy.

I blitzed my way through college.

Well, maybe... you underestimated nursing.

No 'maybe' about it.

Was it this hard when you first started?

Yeah. It's hard on everyone.

Then why did you stick to it?

Well, because I love it.

Everything about it?

Oh, well, I could do without having to pull double shifts.

But it's different every day.

And I like the people I work with.

And most - most! - Of the patients.

You really think you're going to be a nurse forever.

Yeah. I do.

But maybe that's what you're struggling with.

You know, you have to decide what you want to be.

I really want to be a nurse.

I really do.

Yes, Bart. Can I talk to you for a second?

Sure. What is it?

I know it's difficult to get up to speed

when you first come to the E.D.,

and I know you've been hoping

that I might be able to help Amy find her feet

because I can relate to what she's going through.

Well, I did suspect you may be kindred spirits.

You've got the wrong man for the job.

Really? Yes.

So I'd appreciate if you'd stop forcing us to work together.

Now, why exactly would you be saying that?

Because...

Oh, come on. Spit it out.

Whatever your feelings are for her, they're perfectly natural.

You're both young and single.

Me and Amy? Mmm.

Is that what this is all about?

You're trying to matchmake me and your niece!

Oh, forget she's my niece. She's a long way from home.

And I think it's very nice she's made a new friend.

We're not friends!

Keep telling yourself that, mate. No, you've got this all wrong.

I can't stand her!

Ooh. Awkward moment.

Outside. Now.

You don't know her well enough to dislike her.

That's not really the issue here. Then what is?

It's her nursing.

What about it?

She doesn't belong in the E.D. (SCOFFS) Says you!

Who's been working with her every single shift for a week.

Look, right from day one she's had trouble following instructions.

She'd rather socialise with the patients...

Listen, this is my niece you're talking about!

You told me to ignore that.

If you're going to date her, not if you're assassinating her character!

I'm telling you this for the patients' sake.

Well, if that's true,

how come nobody's brought it to my attention before now?

I don't know. Maybe they didn't think that they could.

Go back to work.

I'm sorry.

Well, I was right. A vitamin-D deficiency.

It explains his fractures, the hypertension, depression.

I still think we're dealing with

a fundamentally psychological issue here.

There's no doubt the guy could use a little counselling.

But he won't step outside his door during daylight hours to get it.

Well, so we get him a psych consult here.

Or we see if we can help him take the first step.

No, I can't. I can't.

I'm a doctor. I wouldn't put you in any danger.

Surely you can trust me.

Even a few minutes out there can do permanent damage.

A few minutes will do you a world of good.

You've deprived yourself of daylight for so long

that you've developed a vitamin-D deficiency.

Isn't that better than cancer, though?

If you don't get outside for at least 10 minutes a day,

you're susceptible to 17 types of cancer.

And you have an increased risk of stroke,

heart disease, diabetes -

a hundred things.

It's already given you osteoporosis. So come on.

Let's take a walk.

Can't I just take vitamin D pills?

Don't you want to get outside?

I mean, you know, get a life?

I can't get a life.

Do you reckon your old man would like how you're living now?

That what happened to him years ago has caused all of this now with you?

I'm scared. Everybody is scared, mate.

But hanging onto something that is over

is clearly doing you no favours at all.

So, what do you say?

Are we walking?

Good man.

10 minutes of exposure a day, even 20.

No sunscreen, no nothing.

OK. (CHUCKLES)

Do you know where I'm going to go tomorrow?

For my 10 minutes of sunshine? Where's that, mate?

The cemetery.

I haven't seen my dad's grave since the funeral.

That's a great place to start.

Very nice work, Dr Taylor.

You owe me 20 bucks. Pay up.

I do not!

That clearly stems from a psychological issue!

I made a diagnosis, didn't I?

Yeah. And behavioural changes are the cure.

You are such a welcher! I'd pay if I had been proven wrong.

(LAUGHS) OK. Forget it.

Good! Gladly!

I don't know how you talked me into this stupid bet in the first place.

I guess I know how to get under your skin. Years of practice.

Steve...

No, it doesn't matter. I'm sorry. What's that?

Do you think there might still be a chance?

Of what?

I just think that...

..it's clear there's something really special between us.

As hard as we try to sabotage it, it's there.

I don't want to go to my grave

thinking, "Maybe we should've given this another chance."

I really think that we've missed the boat on that one.

Don't you?

Yes. I do. I do.

I don't even know why it popped into my head.

You know how much I care about you. Yeah. Me too.

It's... you know, what's over is over.

I've just got to accepting that.

Good. I'm glad.

That's great.

I'm glad we got this sorted out.

You promised me you'd look after her. Why didn't you?

I know this is confronting. How could you let this happen?

Maybe I can help you understand what's going on.

You're the one that operated on her?

Yeah. And it went very well.

If you'd operated on her when you first saw her,

would things be this bad now?

No. Probably not.

So, then, it's your fault.

Holly, we had no way of knowing which way things would go

and Dr Vlasek had good reason not to operate any sooner.

She looks so sick.

She is.

That's why we need someone to look after you while Mum recovers.

I'm not calling my father. It's not happening!

This is all his fault.

What was it like at home before Mum and Dad split up?

It was OK, I guess.

Just 'OK'?

Were you and Dad close?

Yeah. Really close.

Well, don't you think he'd want to be here with you?

Holly, it's OK to be a little bit selfish here.

You just think about what you want.

He texts me all the time.

Says he loves me.

And that he's sorry.

And all that crap.

And...

..I miss him.

Well, why don't we give him a call?

Tell him everything that's happened.

Let's just speak to him on the phone and see how that goes.

OK.

Juliet? Hi.

It's Mike.

Yeah. Yeah, good.

How was your flight back home?

Good.

Oh, er, not a lot, really.

Well, actually...

..you've been on my mind all day.

Look, I've got tomorrow off.

I was thinking of maybe grabbing a flight down to see you.

Yeah.

Yeah, yeah. That sounds great.