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DISTANT MUSIC ON CAR RADIO
ROCK MUSIC PLAYS LOUDLY
GIRL SCREAMS
TYRES SCREECH
LOUD THUD
SHOCKING MUSIC
Ah, Jesus.
Can you hear me?
That's it. Open your eyes.
Just lie still, okay?
You're gonna be fine.
Yeah, I need an ambulance.
Stay with me.
FRANTIC MUSIC
Yeah, I need an ambulance.
I've run over a little girl.
DRAMATIC THEME MUSIC
SIREN WAILS
Alright, people, back up.
Let the ambos through.
SCOTT: What's the story?
Girl, approximately 12 years of age.
Blunt head and chest trauma.
Looks like fracture to left forearm.
Heart rate 120, resp rate at 12 per minute.
She was conscious for a minute, but...
You get the airway, I'll get the hard collar.
FRANTIC MUSIC
We're right, mate.
Careful.
No worries.
You were the driver?
Yeah, yeah.
I'll need you to do a breathalyser.
I'll get the spine board.
She might have broken ribs, too.
No worries.
Sir?
She just came out of nowhere.
When are these kids going to learn to put their bloody helmets on?
You alright?
(ragged breaths) Just take it easy.
You want to sit down?
A few deep breaths.
Female, approximately 12 years of age.
Car versus cyclist, unconscious at the scene.
Blunt head and chest trauma.
Possible fractures to the right ribs and fracture to the right forearm.
Splint applied and IV Hartmann's.
Can you hear me?
If you can hear me, open your eyes.
GCS 10, heart rate 132, BP's 100 on 60.
Have we got a name? Nuh.
Pupils are equal and reacting.
How is she?
No guarding or tenderness here.
We'll get a head and chest X-ray just to be sure.
She was conscious at first, but only for a minute.
Mr Forlano?
What is it?
Poor capillary return.
Right hand's not well perfused.
Get onto theatre - tell them I'm on my way.
She'll be alright?
If we don't get blood circulation to that hand, she'll lose it. Let's go.
Mr Curtis, we're gonna need that formal statement now.
Yeah, sure.
HEART MONITOR BEEPS
Okay, I need 15 minute circ obs for the next hour, then as per protocol.
What happened?
I had to pin and plate the fractured radius and ulna.
Circulation has improved marginally.
Head injury?
Mild brain trauma.
CT was clear.
Nelson, we're expecting her to wake up once the anaesthetic wears off,
but you know how these things are - we can't say anything for sure.
What'd the police say?
That it's unlikely any action will be taken against me.
That's good.
Yeah.
You should go home, mate.
TENSE MUSIC
TENSE MUSIC CONTINUES
BIRDS CHIRP
Hey?
Hey?
Some coffee.
What are you doing here?
I heard about what happened.
She woke up in the middle of the night.
They extubated her soon after that.
Her obs are stable.
Luke says she might be ready to be stepped down to high dependency.
I'm supposed to be at work.
Don't be silly. You're going home. What...
She'll be on Ward 17 later. Ring for an update.
It's looking optimistic.
Have they identified her yet?
The police matched the initials on her backpack
with a missing person's report that came in last night.
Her name's Isabel.
(sighs) I want to stay until she gets settled on the ward.
I don't think that's a good idea. Please?
Stay until she's settled,
but you have to drink all your coffee.
Denis, what are you doing?
Seeing as I'm the maintenance man,
do you think it might be something to do with - wait for it -
(drill whirrs) maintenance?
You look like crap. Thank you, Denis.
You could've picked a better time to replace the doors.
Not replacing the doors, just the push plates.
If you nurses and those bloody orderlies didn't bang wheelchairs
and beds into them 50 times a day... Thanks, Denis.
You're not thinking about working today?
He's not. So, we've all got to pick up the slack.
I'll just get cleaned up. Yeah.
Good idea, being here when she's brought up?
He wants to see her settled in.
Hi, I'm booked in here today for a procedure.
Tina McAllister.
Yep. I'm Sterlo. I'll look after you. Room one.
DRILL WHIZZES
Any valuables you want locked up?
Left my jewellery and all that at home.
Wise move.
Hello, I'm Dr Hughes.
I'm up first, I hope.
Ah, no, unfortunately, you're not. I'm sorry.
You're here for a reversal of a tubal ligation?
So, how long will it be before I go to theatre?
I don't know. I haven't checked my theatre list.
Then can you do that, please?
As soon as I've done the paperwork.
Now, Ms McAllister, you are aware that the success rate
for a tubal ligation reversal is anywhere between 25% and 90%,
so there's no guarantee that you will fall pregnant.
Yeah, my doctor told me all that.
All I need to know is how soon I'll be done and how soon I can go home.
If all goes well, a day.
And most women find they can resume normal activity within a week or so.
You'll use the same incision marks as last time?
I won't have any extra scars or anything?
If you're anxious, I can make a note and the surgeon can...
Good. So, where do I sign?
Um, Ms McAllister...
Tina.
Tina, I need you to understand exactly what's going to happen to you
before you sign this form.
You'll open me up, reconnect the Fallopian tubes and all done.
Well, basically, yes, but... Look, just give me the consent form.
The sooner this is done, the sooner you can get on with it, right?
All done.
If you can just find out what time I'll be going to theatre...
Well, she's a pain in the bum.
She's about to undergo surgery.
It could be the anxiety talking.
Vincent, sorry, got caught up in Emergency.
This guy gets his foot caught in an escalator...
We've got a reversal of a tubal ligation in room one.
Tina McAllister. She's on the theatre list for today.
Is that it? No. Haemorrhoidectomy, room eight.
Shoulder dislocation, room six. Files are at the desk.
Is there a problem?
Just hoping for something more interesting.
Unwritten law.
Residents get all the jobs no-one else wants.
Hey, Nelson? Ha ha.
STAPLE GUN BANGS
(moans)
Oh!
Sterlo, get a trolley! Yep.
How the hell did he do this?
Hey, what's going on?
What happened?
Just lie still - we brought some of the door with us.
Hey?
Ahhh!
I bet you guys are gonna have a good chuckle about this one.
Feel me touching your fingers? Yeah!
(groans in pain)
My bloody tools better not go missing.
Just relax, mate.
Ow!
What about that? Feel that?
Yeah...I think so.
Alright, Denis, I think we need to get you off to theatre.
What?
We need to be sure there's no nerve damage when we remove that nail.
It's gone in close to the superficial branch of the ulnar nerves.
The super...ah...the what?
Ah, it's a nerve that affects the sensation of your little
and your ring finger.
So, we need to operate.
Hang on, hang on, I don't want any operation.
You'll be the only man
walking around with a lump of 4x2 hanging off his hand.
It's not 4x2, smarty pants. Okay, he's right to go.
Hang on.
I'm not gonna lose me hand, am I?
No, that's unlikely, mate.
You right with this now? Yeah. Thanks, Nelson.
You watch my tools, Curtis! I'm holding you responsible.
Denis, I will guard them with my life.
Yeah, hi. It's Nelson Curtis, Ward 17.
I was just wondering what the story was
with the girl brought in overnight.
Isabel.
Jennings. That's it.
Good. No, thanks, I'll see her there then.
DRAMATIC MUSIC
Isabel!
We're her parents.
Luke Forlano. I operated on your daughter.
The police didn't mention an operation.
They said just come straight here.
She had a fractured arm,
which we had to splint and plate to stabilise.
And anything else?
Ah, she sustained other injuries.
Fractured ribs and mild concussion from a head injury.
Oh, my God, a head injury?
How serious?
She's had a CT scan and she will be closely monitored.
But she's going to be alright?
There's not a lot more I can tell you now.
If you wait outside, we'll get her settled in.
Okay. Thanks.
MOTHER: I knew it would be something bad.
ANXIOUS MUSIC
I put the garbage out last night.
Wasn't too sure about the recycling routine, but...there you go.
What about our bloody neighbours, hey?
Renovating.
Sanders, drills, going all hours.
Shut up, Von.
Oh, dear.
I think someone should get their act together.
Stay out of it.
MUFFLED SOUND OF LUKE'S VOICE
...Isabel wasn't wearing a helmet.
So, essentially the impact caused her brain to hit the inside of her skull.
Is there likely to be any permanent damage?
We're hoping not, but the next 24 hours
will paint a clearer picture.
That's the man that helped me.
I just want to say...
It's great your daughter's okay.
VINCENT: Denis Poole.
Post-op. Removal of ramset fastener to the left hand.
Pre-op sensory loss to little finger, neuro vascular obs as charted.
Okay, he's mine. Room four.
If your blood sugar levels remain normal, we can get you out of here.
Oh, good.
Yes. Look.
That's good.
Denis. The operation went very well.
There doesn't seem to be any damage to your tendons or blood vessels.
So, I'll get full use of it back then?
Because I don't know, doc, it still feels dicky to me.
That's perfectly normal after surgery, Denis.
Just give it some time. Ow! Ah!
Ah!
Ow!
Hurts like a bastard.
We'll get you some pain relief.
Try not to move it around.
That'll help with the pain and recovery time,
if you keep it as still as possible.
I've written him up for a morphine PCA - give it to him now.
Sorry.
I can't lose my job.
If my hand doesn't...
Let's not worry about that just yet, okay?
Okay.
Handyman, huh?
Don't be mean.
What sort of a delay?!
A few hours, maybe - it happens with elective surgery.
It's frustrating, but emergencies happen and they come first.
But it will be today, won't it? We'll do our best.
And if I get done later, will that mean I go home later?
Like I said, we'll do our best.
I have to go home today.
Do you understand?
Is there something you need to organise?
We can sort it out.
Is there anyone we can call, like family?
No, I just have to go home today. That's all.
Sorry. Am I interrupting?
No. Not at all.
It's Jack, by the way.
Hi. I'm Terri Sullivan.
Um, Tina McAllister in room one.
Something's not quite right.
I think maybe we need a female perspective on things.
Would you like me to talk to her? That'd be great.
I'll do that when I have a minute.
Great. Appreciate it.
NELSON'S VOICE: Hi, you've called Nelson
and Von's answering machine.
We can't get to the phone right now, so leave a message.
LONG BEEP
TERRI: Nelson, it's Terri. Hi.
I just wanted to see how you were.
LOUD RUNNING WATER, MUFFLED VOICE OF TERRI PLAYS
No. Sterlo, she left a message.
I'm calling back to see if everyone was alright.
Okay, then I need to speak to Paula.
Hey. How's Isabel?
And her obs?
(deep sigh)
Yeah, good. Thanks.
Yeah, I'm okay.
Just checking up on her, that's all.
Okay.
Yep.
BUILDING RENOVATIONS SOUND NEXT DOOR
(turns on tv)
(increases volume)
MUSIC BLARES
Shut up!
BUILDING WORKS CONTINUE
EERIE MUSIC
TYRES SCREECH, CHILD SCREAMS
Thanks for this.
He needs breakthrough pain relief and Vincent's in theatre.
Okay.
(moans)
What's happening, Denis?
Oh, it's bad, doc.
I don't think I'm gonna make it.
Dr Beaumont will organise some more pain relief for you.
Where exactly is the pain?
Oh, the whole hand's killing me.
We just gave you a bolus of morphine.
Didn't seem to help.
It shouldn't hurt like this, right?
Something's wrong.
Can you describe the pain to me?
Yeah, it bloody hurts!
Stabbing? Throbbing? Burning?
Yeah, all of the above.
I can't lose my hand.
No-one said anything about you losing your hand.
I'm sorry. I'm a big baby.
No, you're not. Everyone reacts to pain differently.
It's just, well...I mean...
You probably haven't noticed, but I'm no Einstein.
If I lose my job, I'm...
Hey, don't think like that.
We have to be positive.
That's the most important part of getting well.
Alright, I'm going to write him up for some Ketrolac, 20 mg IMI.
I'll be straight back.
Just two minutes, okay?
Okay? Okay.
(deep sigh)
You'll be changing his nappy next, you know.
He's my patient. I'll give him all the sympathy he needs.
Keep that up and he'll stick his tongue in your ear.
He's in pain and he's scared.
Yeah, but he's not losing his hand
and no-one has suggested that he might.
He's just made that up.
He's worried about his job.
He defines himself by what he does.
He's not that complicated.
Oh, give him a break.
He just wants to shag you. He does not.
He does, too.
MOTHER: What if she wakes up again and we're not there?
FATHER: You heard, she just needs 10 minutes.
I should've let her go to that party.
Emily? You can't blame yourself.
Excuse me.
I was wondering where you got to.
I wanted to thank you for helping Bel last night.
I was the one who hit her.
TURBULENT MUSIC
I'm sorry. I...
If you've got a minute, I'd really like to talk to you.
(scoffs)
She just came out of nowhere.
I hit the brakes, but...
..I couldn't stop.
I'm sorry.
I've been asking myself over and over again
if I could've done anything differently.
I wasn't speeding.
And I did not get distracted by anything.
She just appeared in front of the car...
If there is anything that I can do...
I think you should just leave us alone now.
MELANCHOLY MUSIC
I just thought you should know.
I'll talk to your surgeon about re-scheduling your procedure.
That way you're not lying around getting yourself in a state.
No! It has to be today!
Why?
Because my husband is away. That's why!
And he doesn't know I'm here.
He doesn't know about the ligation reversal?
No.
Why haven't you told him?
I haven't found the right time.
Oh.
Are you planning on telling him?
I'll just tell him that it happens, you know.
When I get pregnant.
You don't think you should discuss the idea of having a baby
before it happens?
I've thought it all through, I promise you.
Jimmy'll come around to the idea.
Tina, what if he doesn't?
He will.
You wait and see.
SCOTT: Hey, Nelson!
Hey.
You alright?
Yeah, just tired, I guess. It's been a long night.
How's the kid doing?
Better.
I don't know a thing about 12 year old girls.
I guess they're too old for teddy bears
and too young for flowers, right?
Never too young for flowers, mate.
Listen, about yesterday.
I'm sorry. We didn't mean to cut you out of the mix or anything.
You know, you were...
WOMAN: Ten dollars.
Nelson, are you... What?
Nothing.
I'm glad she's doing better. Yeah. Me, too.
There, all done.
Oh, you must hate my guts.
Why would I do that?
I'm a pain in the arse. No, you're not.
Yes, I am.
Just ask my ex.
You were married?
Yeah. For about a minute and a half.
She shot through with my brother.
Left a note.
Said she hoped I drowned.
That's horrible.
The better man.
More money.
Two testicles.
(deep sigh)
I had a rugby accident when I was a teenager.
I...lost the left one.
You want to have a look?
Oh, no, that won't be necessary, Denis.
Ah, the Ketrolac seems to be kicking in. (laughs)
Would you leave a man because he was one nut short?
I really have to get on with my work now, Denis.
I'm glad the pain relief is working.
You wouldn't. I know.
You're not that kind of girl.
How'd it go with Tina?
She thinks she's doing the right thing,
but she hasn't told her husband.
Bad call.
What do you think?
I don't know, just point out her options
and hope she makes the right decision.
Sorry. Can you excuse me for a minute?
Hey.
I thought you were at home. Yeah, I was.
But then it struck me that we're concentrating on the head injury
and the fractures, and I was... Okay, listen.
We'll just have a chat. Come in here.
I...I started walking and thinking...
..and...the next thing I knew, I was here.
Well, you shouldn't be here.
Do you want me to organise someone for you to talk to? Yeah?
I did. I talked to her parents.
Why would you do that?
I don't know, Terri.
Isabel recognised me and they thought I was some kind of hero
for helping her...
I had to set the record straight.
They deserve to know.
They deserved to know, or you needed to tell them?
You're making me worried... Don't...
I don't want you feeling sorry for me.
Alright.
ALARM MONITOR BUZZES
FATHER: What's going on? PAULA: Can you wait outside, please?
Just wait outside. What's happening?
She's had a small run of self-limiting VT.
Pulse 120, BP 105 over 75.
Another line of VT.
Okay, get the arrest trolley. We need to defibrillator.
LUKE: Defibrillate now.
ALARM BLARES
How much does she weigh? 38 kilograms.
So, charge to 115 joules.
Still in VT.
STERLO: Okay, charge to 115.
Stand clear.
FRANTIC MUSIC
MONITOR BEEPS Sinus rhythm.
Okay. Von, can you get onto the cardiologist?
We need an urgent cardio echo as soon as possible.
FRANTIC MUSIC CONTINUES
(sobs)
Mr Jennings...
DRAMATIC MUSIC
Okay. I've got you.
I've got you. Come on.
You should get an X-ray.
Do you want me to see if I can find Charlotte?
Just leave it, okay? It's fine.
She's going to be okay, you know.
No. I don't know that, okay?
Cardiac tamponade.
(sighs) We knew there was a blunt chest trauma,
we should've looked for it.
Paula hasn't left her side since she's come in.
That's why it was picked up quickly. I wasn't implying...
You need to get some perspective on this.
Tell me what I can do to help you.
I have to go. Tell me what I can do.
I've just got to get the hell out of here.
EDGY MUSIC
We need to take Isabel back to theatre.
Another operation?
She has what's called a tamponade, Mr Jennings.
It's where a blood vessel bleeds into the chest near the heart.
We need to repair it quickly.
If it's not dealt with...
You're talking about heart surgery?
Yes, I am. If the bleeding continues it could cause compression
and stop the heart working altogether.
It needs to be done now.
So, I need your permission to proceed.
Yeah, just...just fix her.
Try not to worry.
MAN: Tina McAllister?
Yeah, she's in room one.
But hang on, who...
Who are you, mate? Excuse me?
You told Felicity, but you couldn't tell me.
I rang her looking for you.
She thought I knew! I can explain.
Mr McAllister...
You didn't have the guts to tell me. Mr McAllister...
(yells) What?!
Keep it down or you'll have to leave.
Just stay out of it! I love you, Jimmy.
Bullshit!
You don't have a bloody clue!
Jimmy, just calm down. Piss off!
Hey, what's going on?
My wife's a bloody liar.
That's what.
Jimmy, wait. I can explain!
Calm down.
He never used to talk to me like that.
He's upset. Just give him a chance to calm down.
JACK: Jimmy?
None of your business - stay out of my face!
Just try and calm down.
I don't want to calm down. I want to smash something!
Alright. Take a hit at the wall.
Give it your best shot. The big Sunday punch!
Why did she do it?
I mean, why wouldn't she just tell me?
Well, maybe she didn't know how.
I didn't force her to have her tubes tied in the first place.
It just seemed like a good idea, instead of taking the Pill.
She agreed with me.
Instead she has to go behind my back.
I mean, what does that make me?
Hey, Jimmy?
Why don't you go for a walk?
(sobs) How could I be so bloody stupid?
(sniffles) I was trying to fix things, not make it worse.
I thought a baby would bring us closer together.
Tina, I don't think a baby ever really does that.
What did he say? Is he coming back?
I don't know, Tina.
(distressed moan)
I've stuffed things right up, haven't I?
Look, this is easy to say with 20/20 hindsight,
but I think you should've spoken to him before today.
We haven't been getting on.
So, what's the problem?
It's not him. It's me.
I'm the one who's not happy.
We had a bargain.
Jimmy already had kids.
He didn't want any more.
So, I had my tubes tied and at the time, it was fine.
And now you've changed your mind?
I never thought this would happen.
Never was big on kids.
Only now it's all I can think of.
I really want to have a baby.
That's a decision you have to make.
But if you want to go through with it,
we'll get you into theatre in a couple of hours.
And what if I lose Jimmy?
You're gonna have to follow your heart on that one.
Seem to be feeling better.
I am.
You're not in any pain?
Oh, a bit touchy, but nothing I can't handle.
That's good.
Sorry about the, um, testicle thing before.
I was...I think I was a bit upset. It's fine.
The hand seems to be looking good.
Circulation's back to normal.
So, is there anything I can get you?
A book, maybe?
I know it can be pretty boring in here. So...
Do you have a boyfriend?
Another pillow maybe?
'Cause you know I do a bit of line dancing, right?
And in a couple of weeks, we've got a tournament coming up.
New routines.
And I was wondering if you might like to...
Oh, I really couldn't, Denis.
It's not like a date or anything.
It's more... I need the moral support.
What do you say? Hey?
Be a nice weekend away.
Oh, look, I know.
I'm not exactly an oil painting or anything, but...
I know how to have a good time.
Let me hair down.
(nervous giggle)
I just reckon you'd be a really great person to do that with.
I'm really flattered, but it's just not appropriate.
It's not like you're running off with some patient
you don't even know.
I work here, remember?
I'll pay for everything.
It's not the money, Denis. No. No. Good. Good.
We'll go halves in everything - travel, accommodation, food.
Just so you know there's no strings attached.
Know what I mean?
Don't answer now.
Have a little think about it
and get back to me.
Look...
I'd really, really like you to come.
I don't want to say I told you so.
He tried to say it wasn't a date.
Oh, God!
Line dancing. I'd rather chew my foot off.
It was really sweet, actually.
That poor bastard.
He was feeling vulnerable
and he latched onto the first person that showed him some comfort.
Every nurse has had that happen to them.
Well, they have.
You've been in there nursing your ass off all day.
Fluffing pillows, holding hands, and for what?
For a dosey-doe and a round your partner.
That's square dancing.
Soph, you do what you have to, okay?
Whoa! Sorry.
Do I want to know what that was about?
No.
How's Isabel?
Small puncture wound in the left ventricle.
Easy enough to repair.
Is she in ICU?
For the next 36 hours - she's stable and the bleeding's stopped.
Sterlo, I'm taking an early mark.
I'm on my mobile if you need me. Okay.
Hey, what decision did Tina make?
Decided to have the op.
What about her husband?
She'll talk with him.
She should've been honest to begin with.
I thought you handled it really well. Oh, really?
Do I get an elephant stamp?
Do you think you deserve one?
All I did was ask questions.
Then again, questions can be dangerous.
Only if you're afraid of the answers. Yeah, right.
(knocks on door)
Nelson?
Nelson?
Come on. Open up. (knocks)
(exhales deeply)
Um, I thought you might like to know
that Isabel made it through surgery very well.
Good.
And I took your gift up to ICU
and the NUM's going to give it to her when she wakes up.
Thanks very much for letting me know.
You obviously didn't come here to tell me that.
No. I know how important your privacy is to you.
I don't want to intrude.
But I wanted to see if you were okay, which obviously you're not.
Well, I'll get an X-ray tomorrow.
That's not what I mean and you know it.
There are people out there who would like to help you,
given the opportunity.
And this is the bit where I'm supposed to...
..open up and get everything off my chest.
Would that kill you?
Come on, Nelson...
DRAMATIC MUSIC
(under his breath) Piss off.
What a woman.
GRIM MUSIC
Oh, fuck!
Goodnight, Terri. Thanks for today...
Von.
I was expecting...
Wrong girl.
Sorry, she's gone for the day.
Oh, gone where? Home.
Home.
Home.
Right. I'll, um...
Goodnight, Von.
Goodnight.
No more horror movies, okay?
They scare Max to death.
They scare you, you mean.
Don't forget your appointment with Outpatients.
We need to keep an eye on your blood sugar levels
so we can get them under control.
Thank you very much. My pleasure.
Another satisfied customer.
Hey, Charlotte, do you want to go grab a drink?
I can't. I've got a squash court booked.
My good deed for the week, letting Vincent beat me.
Yeah, like you have any choice in it.
I could always beat him, though.
Uh-hmm.
Oh, by the way.
I told Denis I couldn't make the line dancing thing.
Oh, good for you!
I told him you'd love to, though. What?
Soph. What?!
(chuckles) Oh.
Well, that's me done for the day.
Any plans for this evening, Von?
A double shift.
All work and no play makes Von a dull girl.
Oh, no, no, no. Don't, please.
'Night.
'Night.
PATIENT BUZZES
(flat) Oh...I'm coming.
EDGY MUSIC
DRAMATIC MUSIC
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