1 00:00:02,160 --> 00:00:05,079 You've gotta toughen up. Can't save them all. 2 00:00:05,080 --> 00:00:07,919 Why this hospital, Frankie? Why my department? 3 00:00:07,920 --> 00:00:11,520 Because you're the best, and I want to learn from you. 4 00:00:12,640 --> 00:00:14,719 I just want... happy. 5 00:00:14,720 --> 00:00:16,520 Wish I could give you happy. 6 00:00:19,000 --> 00:00:21,919 How did this girl die? I mean, how is that even possible? 7 00:00:21,920 --> 00:00:24,119 Nothing went wrong. The surgery was fine. 8 00:00:24,120 --> 00:00:26,679 This is a SAC 1. It's gonna be investigated. 9 00:00:26,680 --> 00:00:28,799 How are you going with the RCA? 10 00:00:28,800 --> 00:00:30,079 So, I've been thinking... 11 00:00:30,080 --> 00:00:32,319 I can assure you, the RCA is progressing well 12 00:00:32,320 --> 00:00:34,560 and I am committed to seeing it through. 13 00:00:39,155 --> 00:00:41,314 - There's a loose stitch. - Check it. 14 00:00:41,339 --> 00:00:42,459 Uh... 15 00:00:42,484 --> 00:00:43,802 What's your call, resident? 16 00:00:43,880 --> 00:00:45,879 Um... I must have been mistaken. 17 00:00:45,880 --> 00:00:46,880 Right. 18 00:00:46,881 --> 00:00:49,959 You told Mitri in the operation 19 00:00:49,960 --> 00:00:52,639 and he did... he did what? 20 00:00:52,640 --> 00:00:55,519 Frankie, I told you this in confidence. You can't tell anyone. 21 00:00:55,520 --> 00:00:56,759 Tell anyone what? 22 00:00:56,760 --> 00:00:59,240 Just let it... just let it all play out, please. 23 00:01:01,600 --> 00:01:04,199 The tumour's still in the temporal front lobe. 24 00:01:04,200 --> 00:01:05,959 Speech centre is clear. 25 00:01:06,257 --> 00:01:07,554 Seems clear. 26 00:01:07,579 --> 00:01:08,939 You're mixing words more. 27 00:01:10,301 --> 00:01:12,581 My statement... for the RCA. 28 00:01:15,054 --> 00:01:18,519 With chemo and radio, two years plus. 29 00:01:18,520 --> 00:01:20,079 And will I still be able to talk? 30 00:01:20,080 --> 00:01:25,080 15 to 20% chance you'll lose some speech and/or cognition. 31 00:01:26,480 --> 00:01:28,159 Jesus! Berger! 32 00:01:28,160 --> 00:01:30,600 Berger! Berger! Help! 33 00:03:02,761 --> 00:03:04,375 I've got you, Frankie. 34 00:04:17,938 --> 00:04:21,539 synced and corrected by susinz *www.addic7ed.com* 35 00:04:37,786 --> 00:04:40,585 - Mm. So, how was it? - What? 36 00:04:40,720 --> 00:04:43,959 - Eli! - It was good. It was great. 37 00:04:43,960 --> 00:04:45,040 So much for your sage advice 38 00:04:45,041 --> 00:04:46,840 about not having sex with colleagues. 39 00:04:48,880 --> 00:04:51,359 - Did you tell him? - I didn't need to. 40 00:04:51,360 --> 00:04:52,959 He knows the scar when he sees it. 41 00:04:52,960 --> 00:04:54,273 And what did he say? 42 00:04:54,520 --> 00:04:56,257 - Nothing. - Nothing? 43 00:04:56,800 --> 00:04:58,906 - Well, he kissed it. - Aww! 44 00:04:59,560 --> 00:05:01,460 That's kind of gross. But sweet. 45 00:05:01,485 --> 00:05:03,117 Um... so we're serious? 46 00:05:03,224 --> 00:05:05,184 Oh... I don't know, Lou, but... 47 00:05:06,390 --> 00:05:07,906 I definitely took a risk. 48 00:05:08,187 --> 00:05:10,479 - I'll see you later. - Hey. Where are you going? 49 00:05:10,480 --> 00:05:13,480 Well, I've got a meeting. The RCA findings are handed down tomorrow. 50 00:05:15,375 --> 00:05:17,079 You put everything in your report? 51 00:05:17,080 --> 00:05:18,720 I thought you said we couldn't discuss it. 52 00:05:19,389 --> 00:05:20,948 I'm just checking. 53 00:05:20,973 --> 00:05:22,213 Yep. 54 00:05:29,171 --> 00:05:31,239 Hey. Good news. 55 00:05:31,240 --> 00:05:32,843 Damien Walsh has got a kidney. 56 00:05:32,898 --> 00:05:35,679 - Well, that is good news. - Yeah. Sounds like a cracker. 57 00:05:35,680 --> 00:05:37,687 Zero mismatch, no DSAs. 58 00:05:37,726 --> 00:05:39,559 - Will he and his family know that? - Yeah. 59 00:05:39,560 --> 00:05:41,360 Just trying to keep their hopes under wraps. 60 00:05:42,794 --> 00:05:44,554 Speaking of hope, how are you? 61 00:05:45,475 --> 00:05:46,656 Fine. 62 00:05:46,898 --> 00:05:49,046 Noticed you were a bit unsteady on your feet. 63 00:05:49,071 --> 00:05:51,879 - Ah, here she is. - Team's coming together. 64 00:05:52,421 --> 00:05:53,882 What have we got on the donor? 65 00:05:53,907 --> 00:05:55,599 We have a 16-year-old male 66 00:05:55,600 --> 00:05:58,100 who, uh... died in a car accident just near Canberra. 67 00:05:58,125 --> 00:06:00,031 I'll be doing the retrieval myself. 68 00:06:00,138 --> 00:06:01,304 Brilliant. And, uh... 69 00:06:01,800 --> 00:06:03,519 let me know the condition as soon as you can, yeah? 70 00:06:03,520 --> 00:06:04,562 Will do. 71 00:06:05,354 --> 00:06:07,354 I'm just prepping him. Do you want to come in? 72 00:06:08,609 --> 00:06:10,568 Damien, exciting news! 73 00:06:10,569 --> 00:06:13,688 - Do you like my socks? - Uh, yes. They are nice and bright. 74 00:06:13,689 --> 00:06:16,914 - He calls them his lucky socks. - Won 100 bucks wearing these. 75 00:06:17,101 --> 00:06:19,397 I'm not sure why he's so convinced it's the socks. 76 00:06:19,422 --> 00:06:21,102 I wasn't wearing anything else. 77 00:06:22,009 --> 00:06:23,928 - It's a joke. - Yeah. 78 00:06:24,086 --> 00:06:25,885 Well, early signs are very good. 79 00:06:25,886 --> 00:06:27,485 When will we know for sure? 80 00:06:27,486 --> 00:06:30,605 Well, like I said, this is an anxious time now because we're waiting, 81 00:06:31,101 --> 00:06:32,757 but the retrieval is under way, 82 00:06:33,468 --> 00:06:35,165 and as long as the kidney's in good condition, 83 00:06:35,166 --> 00:06:39,101 you should be having your operation in a matter of... hours. 84 00:06:39,350 --> 00:06:41,187 So, I'll be in touch, okay? Thanks. 85 00:06:43,406 --> 00:06:45,605 - Fingers crossed. - Yeah, he needs this kidney. 86 00:06:45,606 --> 00:06:48,085 Uh, it says here 60ml of Aricept. 87 00:06:48,281 --> 00:06:50,885 - No, it doesn't. It's Aranesp. - Well, that's not what it says here. 88 00:06:50,886 --> 00:06:52,806 - It does say Aricept. - Oh. 89 00:07:00,178 --> 00:07:01,663 - Thank you. - Frankie. 90 00:07:02,206 --> 00:07:04,445 Weren't you on night shift? Shouldn't you be sleeping? 91 00:07:04,446 --> 00:07:07,875 - I am, only I'm vertical and moving. - Oh. Impressive. 92 00:07:08,859 --> 00:07:10,685 Do you want to grab a bite later, before I go on shift? 93 00:07:10,686 --> 00:07:13,144 - Yeah? - Yeah. It's just food. 94 00:07:13,169 --> 00:07:14,476 Well, you like Turkish? 95 00:07:14,679 --> 00:07:16,568 I've been known to devour the odd gozleme. 96 00:07:16,593 --> 00:07:18,645 Great, well, a mate of mine opened a Turkish place round the block. 97 00:07:18,646 --> 00:07:20,326 - You want to join me there? - Sure. 98 00:07:23,284 --> 00:07:25,124 - Hi, Sam. - Hi. 99 00:07:26,273 --> 00:07:27,605 Thanks for joining me, mate. 100 00:07:27,606 --> 00:07:30,085 Um... I've been appointed family liaison. 101 00:07:30,898 --> 00:07:32,812 - You right? - Yeah. 102 00:07:34,106 --> 00:07:35,593 Any news on the RCA yet? 103 00:07:36,156 --> 00:07:37,624 Surely you've got some answers by now. 104 00:07:37,648 --> 00:07:39,273 Yeah... not yet, mate. I'm sorry. 105 00:07:40,166 --> 00:07:42,125 - I just want the truth. - I know. 106 00:07:42,126 --> 00:07:44,734 That's what the root cause analysis is for. 107 00:07:44,851 --> 00:07:47,011 A senior cardiac surgeon who's not 108 00:07:47,023 --> 00:07:49,451 involved in either operation goes in 109 00:07:49,476 --> 00:07:52,525 and looks at the autopsy results, the statements, interviews, 110 00:07:52,526 --> 00:07:54,205 and tries to figure out the cause. 111 00:07:54,206 --> 00:07:55,685 I know what I saw that day. 112 00:07:55,865 --> 00:07:58,185 I know what I felt, something wasn't being said. 113 00:08:00,194 --> 00:08:01,474 How is Zac? 114 00:08:04,083 --> 00:08:05,250 He misses her. 115 00:08:07,050 --> 00:08:09,650 He still wakes up every morning, thinking she's alive. 116 00:08:10,935 --> 00:08:12,335 We both do. 117 00:08:13,828 --> 00:08:16,268 Mate, it's... it's gonna be... it's gonna be tough, all right? 118 00:08:17,179 --> 00:08:20,125 You need each other to get through this. 119 00:08:20,773 --> 00:08:22,245 - Yeah. - Yes. 120 00:08:22,945 --> 00:08:25,725 Go on, just head in, grab a coffee, and I'll be in a minute. 121 00:08:25,726 --> 00:08:27,328 - Okay? - Okay. 122 00:08:32,423 --> 00:08:35,343 I don't know how I would explain the loss of a parent to a child. 123 00:08:36,740 --> 00:08:37,874 Yeah. 124 00:08:39,000 --> 00:08:41,593 Well, the good news is you don't have to. You don't have kids. 125 00:08:42,039 --> 00:08:45,109 - Well... not yet, but I will. - Really? 126 00:08:45,507 --> 00:08:47,805 Yeah. People do. 127 00:08:47,806 --> 00:08:49,006 Yeah, but I mean... 128 00:08:49,007 --> 00:08:51,165 a medical specialist with a compromised immune system, 129 00:08:51,166 --> 00:08:52,646 wouldn't that be impressive enough? 130 00:08:53,686 --> 00:08:54,846 I mean, adding kids to the mix, 131 00:08:54,847 --> 00:08:56,686 that's, uh... superhuman territory, right? 132 00:08:57,806 --> 00:08:59,261 Well, call me Wonder Woman. 133 00:09:00,000 --> 00:09:01,765 Yeah, right. 134 00:09:02,515 --> 00:09:03,565 Anyway, um... 135 00:09:03,566 --> 00:09:06,281 south side of Glover Street Park around midday. 136 00:09:06,528 --> 00:09:07,742 I'll text you. 137 00:09:17,406 --> 00:09:19,925 Is that everyone for the initial transplant op? 138 00:09:19,926 --> 00:09:21,006 Yes. 139 00:09:21,116 --> 00:09:23,062 Where's the resident surgeon's interview? 140 00:09:23,087 --> 00:09:24,207 Here. 141 00:09:25,286 --> 00:09:27,805 - Let's check it again. - Ooh, talk about pedantic. 142 00:09:27,806 --> 00:09:30,263 - Just kidding. - Nothing wrong with being thorough. 143 00:09:30,288 --> 00:09:31,820 No, no. I like thorough. 144 00:09:34,976 --> 00:09:37,609 Surgeon Dr Mitri, 145 00:09:37,835 --> 00:09:39,537 anaesthetist Dr Lee, 146 00:09:39,562 --> 00:09:41,281 physiologist Dr Ho. 147 00:09:41,437 --> 00:09:43,486 - Scrub nurse... - Chanteau Paul. 148 00:09:43,835 --> 00:09:45,670 - Fetcher scout nurse. - Belinda Tang. 149 00:09:45,695 --> 00:09:47,165 Wasn't there a female resident? 150 00:09:47,166 --> 00:09:48,789 Uh, yeah. Louise Tannis. 151 00:09:51,526 --> 00:09:53,006 Is there a problem, Dr Bell? 152 00:09:53,953 --> 00:09:55,565 You interviewed Louise Tannis, right? 153 00:09:55,566 --> 00:09:56,646 Yep. 154 00:09:56,647 --> 00:09:59,045 - How thorough was the interview? - Thorough enough. 155 00:09:59,811 --> 00:10:02,012 I think we can wrap this up pretty quickly for tomorrow. 156 00:10:18,921 --> 00:10:21,132 Hello. I was just trying to call you. 157 00:10:21,164 --> 00:10:23,365 Oh, sorry. I got a call from Cutter. I'm on the retrieval team... 158 00:10:23,366 --> 00:10:26,045 I just read your interview for the RCA. 159 00:10:26,515 --> 00:10:28,238 There's nothing in it about a loose 160 00:10:28,250 --> 00:10:30,085 stitch or you calling a stop check. 161 00:10:30,405 --> 00:10:32,205 Is there anything in anybody else's? 162 00:10:33,226 --> 00:10:35,565 - No. - So, what's the truth? 163 00:10:35,566 --> 00:10:36,876 What you told me after Zoe died or 164 00:10:36,888 --> 00:10:38,365 what you said in your RCA interview? 165 00:10:38,366 --> 00:10:40,485 - I confided in you. - I didn't ask you to, Lou. 166 00:10:40,486 --> 00:10:42,765 If it happened, it happened, and pretending that it didn't... 167 00:10:42,766 --> 00:10:45,125 It's easy for you to say. It's not your career on the line. 168 00:10:45,126 --> 00:10:47,604 You didn't do anything wrong. You just followed protocol. 169 00:10:47,629 --> 00:10:49,109 It's not as simple as that. 170 00:10:49,710 --> 00:10:51,285 Mitri didn't refuse to check it, 171 00:10:51,286 --> 00:10:54,234 he was so confident he was right, he asked me to do it. 172 00:10:56,686 --> 00:10:58,445 He got you to check his work. 173 00:10:58,882 --> 00:11:02,205 Everyone was waiting. I couldn't see. I wasn't sure, so I let it go. 174 00:11:02,468 --> 00:11:05,365 - This is my fault. - No. This isn't on you. 175 00:11:05,366 --> 00:11:07,125 The lead surgeon has to check. 176 00:11:07,126 --> 00:11:08,765 As if that matters. 177 00:11:09,360 --> 00:11:11,812 Look, if I speak up, it's gonna be my word alone. 178 00:11:23,492 --> 00:11:25,325 Dr Cutter, sorry... 179 00:11:25,326 --> 00:11:26,845 Yeah, you better make this quick. 180 00:11:27,054 --> 00:11:30,725 Um... there are a few unanswered questions for tomorrow 181 00:11:30,726 --> 00:11:32,525 about Zoe's first operation. 182 00:11:32,526 --> 00:11:34,476 You mean like, "Was it a botched job?" 183 00:11:34,703 --> 00:11:37,420 Well, whether all the checks and procedures were followed, 184 00:11:37,445 --> 00:11:40,296 - if there were any factors... - Well, I wasn't there, as you know. 185 00:11:40,726 --> 00:11:42,433 But I was wondering if there was any 186 00:11:42,445 --> 00:11:44,164 indication in the second operation 187 00:11:44,165 --> 00:11:46,289 or... just anything that you may have heard. 188 00:11:46,570 --> 00:11:50,049 It's a dangerous job, questioning the efficacy of the divine. 189 00:11:50,394 --> 00:11:51,679 So, what do you need? 190 00:11:52,448 --> 00:11:54,640 - Someone to speak up. - You have nothing? 191 00:11:55,671 --> 00:11:58,844 Looks like the key person is being intimidated into silence 192 00:11:58,845 --> 00:12:00,375 and the rest are closing ranks. 193 00:12:00,462 --> 00:12:02,141 What about the anaesthetist, Dr Lee? 194 00:12:02,618 --> 00:12:04,249 Says she didn't hear a thing. 195 00:12:04,570 --> 00:12:05,804 Well, several years ago, 196 00:12:05,829 --> 00:12:08,005 Dr Lee claimed to have been a victim of bullying herself. 197 00:12:08,029 --> 00:12:09,218 She lodged a complaint, 198 00:12:09,243 --> 00:12:11,203 but then withdrew it before the case was heard. 199 00:12:11,868 --> 00:12:13,398 I'd have another chat with her. 200 00:12:27,914 --> 00:12:30,007 _ 201 00:12:37,694 --> 00:12:41,812 _ 202 00:12:57,695 --> 00:13:00,250 Look who managed to get themselves a double-page spread. 203 00:13:00,275 --> 00:13:02,179 Oh, that's about the heart graft transplant 204 00:13:02,204 --> 00:13:03,422 you guys did a couple of months back. 205 00:13:03,446 --> 00:13:04,454 Yeah. You'd think, from this, 206 00:13:04,478 --> 00:13:06,273 Astro Boy had pulled it off single-handedly. 207 00:13:06,298 --> 00:13:07,687 Taught him everything he knows. 208 00:13:07,712 --> 00:13:09,757 But you watch who gets head of surgery. 209 00:13:10,187 --> 00:13:12,015 Hope you're planning to speak up tomorrow. 210 00:13:12,040 --> 00:13:13,359 Oh, I don't think I should. 211 00:13:13,422 --> 00:13:16,148 Well, it's your chance to knock this dick swinger off his pedestal. 212 00:13:16,173 --> 00:13:17,539 But what if it jeopardises 213 00:13:17,564 --> 00:13:19,442 my chances of getting on the surgical team? 214 00:13:19,467 --> 00:13:21,156 Well, you did that when you slept with him. 215 00:13:21,617 --> 00:13:24,921 - Hey, how are you with helicopters? - I've been once. I threw up. 216 00:13:24,946 --> 00:13:27,781 Oh, great! Don't do that on our way to Canberra. 217 00:13:34,833 --> 00:13:35,833 Okay. 218 00:13:36,773 --> 00:13:39,773 Looks like raised JVP on the right. 219 00:13:41,023 --> 00:13:42,906 Listen! Listen to that violin. 220 00:13:43,171 --> 00:13:44,731 Just gonna have a listen to your lungs. 221 00:13:45,347 --> 00:13:46,570 This part here. 222 00:13:49,591 --> 00:13:51,551 - Ah, beautiful. - Shh, shh, shh! 223 00:13:53,322 --> 00:13:54,802 I can hear some crackles. 224 00:13:56,605 --> 00:13:58,085 You've got fluid on your lungs. 225 00:13:58,998 --> 00:14:00,500 Let me see your legs, okay? 226 00:14:01,413 --> 00:14:02,953 I used to play this. 227 00:14:03,555 --> 00:14:04,882 Oh. You play? 228 00:14:07,193 --> 00:14:10,445 My dad is a doctor, but he was very close to becoming a violinist. 229 00:14:10,845 --> 00:14:14,093 Ah. Well, life is full of these choices, huh? 230 00:14:14,960 --> 00:14:18,079 My son... I thought my son was going to be a musician, 231 00:14:18,104 --> 00:14:20,156 but he studied law instead. 232 00:14:21,333 --> 00:14:24,921 He was quite the advocate... until he had his accident. 233 00:14:25,914 --> 00:14:28,625 - Your legs are very swollen. - Should be here by now. 234 00:14:28,650 --> 00:14:30,851 A severe pitting oedema to the knee as well. 235 00:14:31,658 --> 00:14:33,657 Look, I'm finishing my shift soon, 236 00:14:33,682 --> 00:14:35,723 but, um... I'll let the night shift team know, okay? 237 00:14:37,128 --> 00:14:39,593 He must be proud of you. Your father. 238 00:14:41,851 --> 00:14:42,967 Doctor. 239 00:14:45,265 --> 00:14:47,429 My dad is a very hard man to please. 240 00:14:48,306 --> 00:14:49,726 I'll see you soon, okay? 241 00:14:59,382 --> 00:15:02,187 Oi? Hey, didn't we have a date or something? 242 00:15:02,757 --> 00:15:04,156 I didn't think it was a date. 243 00:15:04,181 --> 00:15:06,140 Two people, place, time, that kind of date. 244 00:15:06,304 --> 00:15:08,445 I got caught up with RCA stuff. I'm sorry. 245 00:15:08,566 --> 00:15:11,195 What's with the cold snap? Okay, what have I done? 246 00:15:11,220 --> 00:15:13,299 Eli, we slept together once. That's all. 247 00:15:13,565 --> 00:15:15,644 'Compromised immune system', 248 00:15:15,645 --> 00:15:17,407 that's probably three words you don't want to hear, right? 249 00:15:17,431 --> 00:15:19,304 Your assumptions about what I can and can't do, 250 00:15:19,329 --> 00:15:20,757 my health and my future, 251 00:15:20,908 --> 00:15:22,320 none of your business! 252 00:15:31,548 --> 00:15:33,015 I gave you my account. 253 00:15:33,279 --> 00:15:34,665 Just checking that there's nothing 254 00:15:34,677 --> 00:15:36,239 that you would like to elaborate on. 255 00:15:37,404 --> 00:15:38,593 Haven't we done this before? 256 00:15:38,618 --> 00:15:41,617 We need to do it again because a resident is blaming herself 257 00:15:41,642 --> 00:15:43,242 for something that is not her fault. 258 00:15:43,725 --> 00:15:47,382 A patient died, we need to investigate what happened and why. 259 00:15:47,640 --> 00:15:49,724 Do you seriously think that bringing Mitri down 260 00:15:49,725 --> 00:15:51,891 - is gonna change the system? - I'm not trying to bring anybody down. 261 00:15:51,915 --> 00:15:53,633 I'm just trying to get to the truth of what happened, 262 00:15:53,657 --> 00:15:56,132 and right now, what is in the way of that is fear. 263 00:15:57,617 --> 00:16:00,156 Monica, you once made a complaint about a surgeon yourself, 264 00:16:00,181 --> 00:16:02,117 so surely you can understand how hard it is to... 265 00:16:02,142 --> 00:16:04,882 Okay. I... That complaint... 266 00:16:05,945 --> 00:16:08,104 cost me my place in the surgical training program. 267 00:16:08,566 --> 00:16:09,664 Yeah? 268 00:16:10,153 --> 00:16:12,062 Which is why I'm now an anaesthetist. 269 00:16:16,314 --> 00:16:19,101 She won't speak up without support. 270 00:16:20,429 --> 00:16:21,921 Well, it's not coming from me. 271 00:16:41,845 --> 00:16:43,284 Paging Dr Bell. Dr Bell. 272 00:16:43,285 --> 00:16:44,564 Where's Dr Bell? 273 00:16:44,565 --> 00:16:46,274 I think she had to submit statements for the RCA. 274 00:16:46,298 --> 00:16:48,018 Keep going. We need to get through handover. 275 00:16:48,054 --> 00:16:50,644 He's a 49-year-old male with fever of unknown origin, 276 00:16:50,645 --> 00:16:52,164 mild productive cough. 277 00:16:52,165 --> 00:16:53,844 We need to exclude underlying HIV. 278 00:16:53,845 --> 00:16:55,039 I'm sorry. 279 00:16:55,205 --> 00:16:56,844 You just missed the two sickest patients. 280 00:16:56,845 --> 00:16:58,765 We'll have to bring you up to speed afterwards. 281 00:16:58,790 --> 00:17:00,765 But back to the priority cases, Tabb. 282 00:17:00,790 --> 00:17:03,484 Okay, next is Gamal Aswany, 283 00:17:03,509 --> 00:17:06,988 a diabetic male in his mid-70s with a background of CCF. 284 00:17:07,304 --> 00:17:09,367 He's actually a brilliant violinist. 285 00:17:09,392 --> 00:17:11,381 Oh, thanks, Tabb. Can we stick to the medicine, please? 286 00:17:11,405 --> 00:17:13,429 Sorry. Uh... presents with shortness of breath. 287 00:17:13,454 --> 00:17:14,945 Bibasal crackles, 288 00:17:14,970 --> 00:17:16,200 JVP is elevated by two centimetres. 289 00:17:16,212 --> 00:17:17,554 Guys, I gotta go. I got a code blue. 290 00:17:17,578 --> 00:17:19,068 He's definitely gonna need more furosemide through the night. 291 00:17:19,092 --> 00:17:21,031 - Okay? Thank you. - I've got it. 292 00:17:21,901 --> 00:17:25,414 - Night shift is fun. - Whoo-hoo. 293 00:17:25,694 --> 00:17:26,854 See you. 294 00:17:34,436 --> 00:17:37,473 Mr Aswany, I'm Dr Bell. I'm just checking in on you this evening. 295 00:17:37,498 --> 00:17:39,298 I hear you're a bit short of breath. 296 00:17:39,898 --> 00:17:42,046 Could you lean forward for me, please? 297 00:17:43,718 --> 00:17:45,906 Did this come on suddenly or slowly? 298 00:17:45,931 --> 00:17:47,131 Fairly quickly. 299 00:17:47,968 --> 00:17:50,546 This is lovely music, but do you mind if I turn it down? 300 00:17:50,704 --> 00:17:51,704 Sorry. 301 00:17:51,736 --> 00:17:55,554 My son insisted I bring it along. It soothes me. 302 00:18:00,816 --> 00:18:03,820 I can hear a heart murmur and you have water on the lungs. 303 00:18:04,295 --> 00:18:06,539 But your ECG looks okay. 304 00:18:07,031 --> 00:18:08,884 Um... I'm gonna give you some medication 305 00:18:08,885 --> 00:18:10,085 to help with your breathing. 306 00:18:10,086 --> 00:18:11,320 He's been a long time. 307 00:18:11,345 --> 00:18:13,859 Doctor, radiologist needs to speak to you urgently. 308 00:18:14,085 --> 00:18:15,234 Excuse me a moment. 309 00:18:15,734 --> 00:18:18,335 Patient Debbie Campbell from Neuro in bed 43. 310 00:18:18,360 --> 00:18:20,640 Had a chest X-ray. Could be an aortic tear. 311 00:18:20,665 --> 00:18:22,185 What's your experience level? 312 00:18:22,745 --> 00:18:25,359 I'm PGY2. I'm a year and a half out. 313 00:18:26,181 --> 00:18:29,340 Organise a CT aortogram and get the patient to ICU. 314 00:18:29,529 --> 00:18:31,168 Chances of survival are very low. 315 00:18:31,664 --> 00:18:32,884 I hope you've got a light load, 316 00:18:32,885 --> 00:18:34,766 because I think this'll take most of your night. 317 00:18:36,750 --> 00:18:40,148 Can you, um...? 40 of furosemide, and I'll be there as soon as I can. 318 00:18:40,173 --> 00:18:41,210 Of course. 319 00:18:41,585 --> 00:18:43,601 Debbie Campbell? I'm Dr Bell. 320 00:18:43,626 --> 00:18:45,425 - Are you in any pain? - Uh... my back. 321 00:18:45,850 --> 00:18:47,375 Could you lean forward for me? 322 00:18:48,312 --> 00:18:50,765 And what sort of pain? Is it dull, sharp? 323 00:18:50,790 --> 00:18:53,414 - Uh, it's like a tearing. - BP's over. 324 00:18:53,439 --> 00:18:54,460 Gotta get it down. 325 00:18:54,485 --> 00:18:56,844 Uh, my husband, he sent me to Emergency, 326 00:18:56,845 --> 00:18:58,964 and then the doctors they sent me to Neurology, 327 00:18:58,965 --> 00:19:00,219 and now they've sent me up here. 328 00:19:00,243 --> 00:19:02,992 The doctors in Emergency thought you might have had a mini-seizure, 329 00:19:03,017 --> 00:19:04,195 so they sent you to Neuro. 330 00:19:04,220 --> 00:19:06,124 Nothing showed up on the brain scans, 331 00:19:06,125 --> 00:19:08,000 but something did show up on the chest X-ray. 332 00:19:09,218 --> 00:19:11,524 Debbie, we think this problem is connected to your aorta, 333 00:19:11,525 --> 00:19:13,324 which is the main artery pumping blood 334 00:19:13,325 --> 00:19:14,782 from the heart to the rest of the body. 335 00:19:14,806 --> 00:19:18,244 We need another test, but this might require urgent surgery. 336 00:19:18,245 --> 00:19:20,157 We'll call your husband and get him to come back in. 337 00:19:20,181 --> 00:19:22,070 Oh, when you say urgent, what do you...? 338 00:19:22,095 --> 00:19:25,004 It's just that we've come back... It's for my sister's wedding. 339 00:19:25,005 --> 00:19:27,484 If this is what we think, surgery would be immediate, 340 00:19:27,485 --> 00:19:29,555 so I'm sorry, you won't be going to your sister's wedding. 341 00:19:29,579 --> 00:19:30,883 I'm supposed to be the maid of honour. 342 00:19:30,907 --> 00:19:32,562 I know, it's a terrible disappointment, 343 00:19:32,587 --> 00:19:34,008 but your health's the priority here. 344 00:19:34,032 --> 00:19:35,250 I'm sure she'd understand. 345 00:19:35,275 --> 00:19:38,570 Could you organise a bed in ICU, and I'll get on to the aortogram? 346 00:19:38,595 --> 00:19:39,554 Mm-hm. 347 00:19:39,579 --> 00:19:41,018 I'll be back in a few minutes to check on you. 348 00:19:41,042 --> 00:19:42,362 Okay. Thank you. 349 00:19:44,875 --> 00:19:47,124 - Great. Thank you. - Husband's on his way. 350 00:19:47,125 --> 00:19:49,101 Are we talking about an aortic dissection? 351 00:19:49,126 --> 00:19:51,604 Almost definitely. The aortogram is done. 352 00:19:51,605 --> 00:19:53,404 - Did you call ICU? - Yep. No beds. 353 00:19:54,007 --> 00:19:55,601 - Are you serious? - Very. 354 00:19:56,391 --> 00:19:57,790 Um, where's Tanya? 355 00:19:57,972 --> 00:20:00,531 Dealing with an arrest in Psych. That's two blocks away. 356 00:20:00,719 --> 00:20:03,171 - Where are you going? - Well, I need Debbie's report. 357 00:20:03,196 --> 00:20:05,564 Patient in bed 5 is still in serious pain, despite analgesia 358 00:20:05,565 --> 00:20:08,164 and bed 13 had a fall trying to get out of bed, hit his head. 359 00:20:08,165 --> 00:20:09,345 Well, any sign of a concussion? 360 00:20:09,357 --> 00:20:10,764 Not so far. But you need to review. 361 00:20:10,765 --> 00:20:12,859 Well, I'm sorry. This takes priority. 362 00:20:13,007 --> 00:20:17,093 Bed 14, new IVC. Bed 2, rechart meds. Bed 62, new IVC. 363 00:20:17,203 --> 00:20:19,604 And Bed 19, patient in pain. 364 00:20:19,605 --> 00:20:21,273 Thank you. 365 00:20:33,281 --> 00:20:34,945 Oh, shit. 366 00:20:42,577 --> 00:20:43,882 Now, this had better be good 367 00:20:43,915 --> 00:20:45,969 'cause I'm halfway through a particularly fine pinot. 368 00:20:45,993 --> 00:20:48,328 I have a patient with a confirmed aortic dissection. 369 00:20:48,353 --> 00:20:50,540 One kidney is already dead, the bowel is on its way out. 370 00:20:50,564 --> 00:20:52,163 Well, get her into ICU. 371 00:20:52,188 --> 00:20:53,437 Yeah, there's no beds. 372 00:20:53,965 --> 00:20:55,476 Who's the vascular surgeon? 373 00:20:55,501 --> 00:20:57,580 Um, Leach, but he's in theatre already. 374 00:20:58,125 --> 00:21:00,890 And Cutter's already on retrieval, right? 375 00:21:01,734 --> 00:21:03,687 Sounds like you've struck gold. 376 00:21:03,805 --> 00:21:05,304 Yeah. What do I do? 377 00:21:05,890 --> 00:21:07,210 Well, where's Tanya? 378 00:21:07,305 --> 00:21:09,085 Uh, she's busy. It's just me. 379 00:21:09,867 --> 00:21:11,828 Look, get her onto IV beta-blockers 380 00:21:11,853 --> 00:21:14,085 and then get her out of there and into the... jungle. 381 00:21:14,126 --> 00:21:15,453 I'm sorry. What did you say? 382 00:21:18,285 --> 00:21:20,585 Get her into surgery, whatever way you can. 383 00:21:22,226 --> 00:21:24,125 Okay, I will try. Thank you. 384 00:21:25,117 --> 00:21:28,007 Uh, Carol, can you page the reg on general surgery 385 00:21:28,032 --> 00:21:29,218 and get that for me? 386 00:21:29,406 --> 00:21:31,244 Pharmacist on call won't come in for this. 387 00:21:31,245 --> 00:21:34,187 Says you can't give IV beta-blockers on ward, only in ICU. 388 00:21:34,212 --> 00:21:36,375 Well, that's where she would be, if there was a bed. 389 00:21:37,655 --> 00:21:39,093 Fine. I'll call him. 390 00:21:40,427 --> 00:21:42,515 Lazy bastard might want to come in and save a life. 391 00:21:42,718 --> 00:21:45,328 Look, when I left, they thought she'd had a small seizure. 392 00:21:45,353 --> 00:21:46,851 Now you're telling me it's her heart 393 00:21:46,876 --> 00:21:48,829 and she's lost her kidney, she could lose her bowel? 394 00:21:48,853 --> 00:21:52,124 A tear like this means that blood escapes into layers of the aorta 395 00:21:52,125 --> 00:21:54,004 and it restricts blood flow to the organs, 396 00:21:54,005 --> 00:21:55,860 and they just stop functioning. 397 00:21:56,132 --> 00:21:58,244 - Can you fix it? - We need to get her into surgery. 398 00:21:58,245 --> 00:22:00,644 But, Mr Campbell, you need to understand 399 00:22:00,645 --> 00:22:02,187 that this is life-threatening. 400 00:22:04,445 --> 00:22:05,640 Try not to move. 401 00:22:06,234 --> 00:22:07,585 Stay, stay, stay, stay, stay. 402 00:22:07,610 --> 00:22:09,039 The pharmacist did come in 403 00:22:09,064 --> 00:22:11,062 and there are no IV beta-blockers in store. 404 00:22:11,087 --> 00:22:12,338 What?! How does that happen? 405 00:22:12,350 --> 00:22:14,117 Oh, I don't know, it just does. Zilch. 406 00:22:14,281 --> 00:22:16,924 Okay, we need GTN patches. We don't have a choice. 407 00:22:16,925 --> 00:22:18,724 And did you page the reg on general surgery? 408 00:22:18,725 --> 00:22:20,039 Yes, I did. There was no answer. 409 00:22:20,903 --> 00:22:22,679 Well, I'll hunt him down myself. 410 00:22:27,148 --> 00:22:29,929 Look, he's finishing up now, but he's completely unqualified 411 00:22:29,954 --> 00:22:31,046 to do an aortic dissection. 412 00:22:31,071 --> 00:22:32,924 It'd be like asking you to go in and fix it. 413 00:22:32,925 --> 00:22:34,444 - We need to operate now. - Yeah, well, who's on call? 414 00:22:34,445 --> 00:22:36,484 - Duvenbeck, but he's not answering. - Well, where's Cutter? 415 00:22:36,485 --> 00:22:38,414 - She's on retrieval. - Mitri? 416 00:22:40,733 --> 00:22:41,813 Oh, right. 417 00:22:42,023 --> 00:22:44,844 A resident waking up a surgeon who's not on call. 418 00:22:44,845 --> 00:22:46,725 Hmm! Yeah, well, good luck with that. 419 00:22:55,379 --> 00:22:57,671 Why did we have to land in the middle of nowhere? 420 00:22:57,820 --> 00:23:00,718 Mechanical problems. They didn't tell me anything else. 421 00:23:00,743 --> 00:23:02,644 Then why'd they take off in the first place? 422 00:23:02,645 --> 00:23:04,084 I guess they didn't know they had any. 423 00:23:04,085 --> 00:23:06,625 Great. We're stuck in the middle of BF nowhere. 424 00:23:06,789 --> 00:23:08,625 Hey, did you call the team in Canberra? 425 00:23:08,650 --> 00:23:10,449 No, they're waiting, but... 426 00:23:10,567 --> 00:23:12,093 they can't wait forever. 427 00:23:12,462 --> 00:23:13,507 Shit! 428 00:23:14,476 --> 00:23:15,726 Cutter speaking. 429 00:23:15,751 --> 00:23:17,437 Dr Cutter, it's Frankie Bell here. 430 00:23:17,462 --> 00:23:18,645 I'm sorry to have to call you, but I 431 00:23:18,657 --> 00:23:19,884 have a patient with an aortic tear. 432 00:23:19,885 --> 00:23:22,226 There's no beds in ICU and no surgeon to do the job. 433 00:23:22,251 --> 00:23:24,530 Then transfer the patient to another hospital. 434 00:23:24,555 --> 00:23:26,195 Their chances of survival are low as it is. 435 00:23:26,219 --> 00:23:27,819 You can't afford to waste any more time. 436 00:23:27,937 --> 00:23:29,601 Look, call Pickering at Carlton. 437 00:23:29,626 --> 00:23:31,453 He'll operate on anything with a pulse. 438 00:23:32,390 --> 00:23:33,992 Okay, should I...? 439 00:23:34,904 --> 00:23:35,828 Doctor? 440 00:23:35,923 --> 00:23:38,802 The antibiotics for Debbie Campbell, her cannula's tissued. 441 00:23:38,827 --> 00:23:40,467 Well, give her them orally. 442 00:23:42,031 --> 00:23:45,258 Shit. Such a headache. Have you got anything? 443 00:23:45,321 --> 00:23:46,801 Oh. Um... 444 00:23:49,765 --> 00:23:50,812 Tampon? 445 00:23:50,945 --> 00:23:52,125 Not this week. 446 00:23:53,031 --> 00:23:55,537 Nah, I don't have any. Should I ask those guys? 447 00:23:55,562 --> 00:23:56,946 Well, they don't need a tampon. 448 00:23:57,617 --> 00:24:00,039 They're gonna have to start the operation without us. 449 00:24:00,601 --> 00:24:02,203 Which kidney are we getting? 450 00:24:02,398 --> 00:24:04,889 Well, Berger wanted the left, but they've got first dibs. 451 00:24:04,914 --> 00:24:07,327 You know, we should be in there now, because I can see that team, 452 00:24:07,351 --> 00:24:09,585 they're gonna be circling in there like vultures. 453 00:24:09,687 --> 00:24:11,070 Well, maybe they could Skype us in 454 00:24:11,082 --> 00:24:12,601 while they're examining the organs, 455 00:24:12,960 --> 00:24:15,875 and then someone else can do the transporting if the kidney's viable. 456 00:24:16,204 --> 00:24:17,421 Good idea. 457 00:24:17,925 --> 00:24:19,507 - Let's try that. - Mm-hm. 458 00:24:26,832 --> 00:24:28,991 Dr Cutter suggested that you might be able to help. 459 00:24:29,016 --> 00:24:30,335 My sister should be here. 460 00:24:30,336 --> 00:24:33,015 Uh, no, he's in theatre already, which is why I'm calling you. 461 00:24:33,016 --> 00:24:35,335 You can't always fix things when they're broken. 462 00:24:35,336 --> 00:24:37,215 I have no idea, I'm... I'm sorry, but the patient is about to die. 463 00:24:37,216 --> 00:24:39,255 - I need to get her into surgery. - Sorry. I'm on the telephone. 464 00:24:39,256 --> 00:24:40,457 I shouldn't have to wait. You know, I've 465 00:24:40,469 --> 00:24:41,535 been on anti-discrimination boards. 466 00:24:41,536 --> 00:24:43,495 - I know quite a lot about it. - Look, I'm sorry, sir. 467 00:24:43,496 --> 00:24:44,935 Did you say you're looking for your sister? 468 00:24:44,936 --> 00:24:46,618 The patient in bed 26, he's increasingly short of breath, 469 00:24:46,642 --> 00:24:48,123 Coda, it's a musical term, meaning 'the end'. 470 00:24:48,135 --> 00:24:49,286 Saturating on two litres of nasal. 471 00:24:49,287 --> 00:24:51,135 Okay, four more litres of oxygen by mask. 472 00:24:51,136 --> 00:24:52,108 I've got too many other patients to 473 00:24:52,120 --> 00:24:53,188 deal with. I'll be there when I can. 474 00:24:53,212 --> 00:24:54,602 - I'm broken from the accident. - Okay. 475 00:24:54,626 --> 00:24:56,352 Um, could you please look after this young man? 476 00:24:56,376 --> 00:24:57,975 Dr Kalchuri says she needs your help upstairs. 477 00:24:57,976 --> 00:24:59,985 - Yeah, I can't. I think maybe Neuro. - My sister should be here. 478 00:25:00,009 --> 00:25:02,055 - I'm not European. - No, Vascular. Sorry, Vascular. 479 00:25:02,056 --> 00:25:03,390 - I need the Vascular Reg. - Sir, this is the Cardio Unit. 480 00:25:03,391 --> 00:25:04,456 Are you sure you need to be here? 481 00:25:04,457 --> 00:25:06,117 What about we take you up to Neuro? 482 00:25:06,156 --> 00:25:08,815 How can I be European? I was born in Auburn. 483 00:25:08,816 --> 00:25:09,763 Oh, come on, come on, come on, come on. 484 00:25:09,775 --> 00:25:10,095 So, I... 485 00:25:10,096 --> 00:25:11,912 - and then they bundled me in. - Mm-hmm. 486 00:25:11,913 --> 00:25:12,810 Just bundled me in. 487 00:25:12,835 --> 00:25:15,415 Dr Kalchuri wants you to call her, ASAP. She needs assistance. 488 00:25:15,416 --> 00:25:17,415 Oh, well, so do I. Sorry. 489 00:25:17,835 --> 00:25:19,523 Yes, hi. Is that Vascular? 490 00:25:19,548 --> 00:25:20,827 Yes, hi. Um... 491 00:25:21,171 --> 00:25:22,960 Oh, is this... is this the surgeon? 492 00:25:23,096 --> 00:25:24,499 Yeah, I've spoken with Dr Pickering 493 00:25:24,511 --> 00:25:26,007 in cardio. He's given his approval. 494 00:25:26,032 --> 00:25:27,872 It's midnight. Why are you calling me now about this? 495 00:25:27,896 --> 00:25:29,672 Well, he told me that I need to get 496 00:25:29,684 --> 00:25:31,575 approval from you for the transfer. 497 00:25:31,600 --> 00:25:33,475 The initial CT scan was two hours ago. 498 00:25:33,500 --> 00:25:34,975 No, I... I understand that. 499 00:25:34,976 --> 00:25:37,420 But I can't get her into surgery here, so I'm just trying... 500 00:25:37,445 --> 00:25:39,535 Call in the morning, if you haven't managed to get her into surgery, 501 00:25:39,536 --> 00:25:40,656 we'll consider taking her. 502 00:25:40,681 --> 00:25:42,204 She's lost the blood flow to her left kidney. 503 00:25:42,228 --> 00:25:43,815 Well, it's gone, then. We can't save it. 504 00:25:43,816 --> 00:25:45,775 But if we don't get her into surgery, she'll lose her bowel. 505 00:25:45,776 --> 00:25:47,375 Right now, the patient's stable. 506 00:25:47,609 --> 00:25:50,140 No... all signs are saying that she won't last the night. 507 00:25:50,165 --> 00:25:52,856 - No, we're not accepting her. - Call in the morning. 508 00:25:56,429 --> 00:25:59,095 Kenny... if anything... if anything happens to me... 509 00:25:59,096 --> 00:26:00,976 Deb, don't. Don't, Deb. 510 00:26:02,398 --> 00:26:04,164 - If I don't come back... - Hey. 511 00:26:04,189 --> 00:26:05,428 I want you to tell.. 512 00:26:05,453 --> 00:26:07,742 You're having this operation, then you're coming home. 513 00:26:08,117 --> 00:26:11,039 You're my angel, okay? You're not going anywhere. Got it? 514 00:26:11,064 --> 00:26:12,625 I'm sorry. Excuse me. 515 00:26:13,546 --> 00:26:16,575 Debbie, I'm afraid that we have to transfer you to another hospital. 516 00:26:16,820 --> 00:26:18,575 Wait. You said that this was serious. 517 00:26:18,576 --> 00:26:21,335 We don't have a surgeon here, right now, to do the operation, 518 00:26:21,336 --> 00:26:23,575 so you'll have to bear with me while I get it organised. 519 00:26:28,936 --> 00:26:30,056 Hey... 520 00:26:30,057 --> 00:26:31,398 Hey, hey, stay still. 521 00:26:31,696 --> 00:26:33,095 I'm sorry. 522 00:26:33,096 --> 00:26:35,812 Hey. Don't be sorry. Okay? This is... 523 00:26:36,500 --> 00:26:37,960 Everything will work out. 524 00:26:38,281 --> 00:26:39,921 I love you so much, Kenny. 525 00:26:40,096 --> 00:26:42,125 - I love you. - Just hang in there. 526 00:26:42,976 --> 00:26:45,101 Keep calm and just stay relaxed. 527 00:26:51,243 --> 00:26:53,664 Left kidney's a little enlarged, by the look of it. 528 00:26:55,121 --> 00:26:56,914 No. Wait... 529 00:26:59,070 --> 00:27:00,655 I think what we have here 530 00:27:00,656 --> 00:27:03,250 is a horseshoe kidney, that is usable. 531 00:27:03,484 --> 00:27:04,935 Of course it is. We'll have it. 532 00:27:04,936 --> 00:27:07,495 Well, technically, you'd have to say this is the left kidney. 533 00:27:07,496 --> 00:27:08,421 Why? 534 00:27:08,446 --> 00:27:11,135 Before we descend into complete anarchy here, 535 00:27:11,136 --> 00:27:13,815 I should point out that there's a high risk of trauma 536 00:27:13,816 --> 00:27:15,135 with this kind of injury. 537 00:27:15,479 --> 00:27:17,519 Let's see what we have here. 538 00:27:20,616 --> 00:27:22,156 That's one damaged kidney. 539 00:27:22,736 --> 00:27:25,523 I'm afraid both teams have drawn the short straw. 540 00:27:25,736 --> 00:27:27,367 Shit. 541 00:27:28,859 --> 00:27:30,991 Nothing like coming home empty-handed. 542 00:27:31,312 --> 00:27:33,215 I can't believe it. It looked fine on the surface. 543 00:27:33,216 --> 00:27:34,495 Yeah, they often do. 544 00:27:34,496 --> 00:27:35,975 I'll call the team. 545 00:27:35,976 --> 00:27:38,055 That poor kid there, waiting in pre-op. 546 00:27:38,289 --> 00:27:39,757 Oh, it's your mate again. 547 00:27:40,000 --> 00:27:41,975 - How'd you go? - Uh, they won't take her. 548 00:27:41,976 --> 00:27:44,179 Cardio said yes, but the vascular refused. 549 00:27:44,204 --> 00:27:46,695 Well, we'll have to make them take her. 550 00:27:47,046 --> 00:27:49,295 - Okay. - Look, leave it with me. 551 00:27:49,515 --> 00:27:51,495 Uh, we didn't get to Canberra. It's a long story. 552 00:27:51,496 --> 00:27:53,296 We're driving back to Sydney now. 553 00:27:53,797 --> 00:27:56,597 But it's a no-go with the kidney for Damien, I'm afraid. 554 00:27:58,117 --> 00:27:59,203 Thank you. 555 00:28:09,531 --> 00:28:11,656 I'm so sorry. The kidney was damaged. 556 00:28:11,681 --> 00:28:14,289 It wasn't good enough for you. We can do better. 557 00:28:15,176 --> 00:28:16,815 It's disappointing, I know. 558 00:28:16,987 --> 00:28:18,093 It sucks. 559 00:28:20,875 --> 00:28:23,976 Look, there is a program. It's called the Paired Kidney Exchange. 560 00:28:24,001 --> 00:28:25,775 You're not compatible with Damien, 561 00:28:25,776 --> 00:28:27,816 but you would be paired with someone who is a match. 562 00:28:27,906 --> 00:28:30,455 You would donate a kidney, Damien would get a kidney, 563 00:28:30,456 --> 00:28:32,179 just not to and from each other. 564 00:28:32,380 --> 00:28:34,554 If you're interested, I can look into it for you. 565 00:28:55,856 --> 00:28:56,890 Okay. 566 00:28:57,460 --> 00:28:59,109 For now, just go home and rest 567 00:28:59,134 --> 00:29:00,734 and we can talk about it another time. 568 00:29:02,376 --> 00:29:03,500 I'm so sorry. 569 00:29:07,152 --> 00:29:08,546 We'll get through this. 570 00:29:15,616 --> 00:29:16,656 Doctor... 571 00:29:16,657 --> 00:29:18,775 the patient in bed 26 is struggling to breathe. 572 00:29:18,882 --> 00:29:20,615 Descending to, um, 82% 573 00:29:20,616 --> 00:29:22,615 and he also complained about chest pains. 574 00:29:22,616 --> 00:29:24,055 - How bad is the pain? - 3 out of 10. 575 00:29:24,056 --> 00:29:26,375 Give him some GTN, another 80 of furosemide 576 00:29:26,376 --> 00:29:28,015 and increase oxygen to six litres. 577 00:29:28,016 --> 00:29:29,415 I will be there as soon as I can. 578 00:29:29,416 --> 00:29:31,242 BP's still over 200. 579 00:29:32,742 --> 00:29:33,776 Dr Cutter... 580 00:29:33,777 --> 00:29:35,804 - Carlton Hospital is accepting care. - Really? 581 00:29:35,829 --> 00:29:38,311 I've organised an Intensive Care ambulance. Tell Carol. 582 00:29:38,336 --> 00:29:41,398 Yes, I will. Absolutely. Thank you so much! 583 00:29:41,570 --> 00:29:42,960 Thank you very much! 584 00:29:42,985 --> 00:29:43,985 Where have you been? 585 00:29:44,046 --> 00:29:46,375 I've had five MET calls going, all of them unstable. 586 00:29:46,376 --> 00:29:47,975 I have a patient here with aortic dissection. 587 00:29:47,976 --> 00:29:49,615 Well, then, she needs to be in surgery right now. 588 00:29:49,616 --> 00:29:50,776 There is no surgeon available here. 589 00:29:50,788 --> 00:29:52,095 I've organised a transfer to Carlton. 590 00:29:52,096 --> 00:29:54,015 But I can't get her BP down. When I arrived, it was 220/110. 591 00:29:54,016 --> 00:29:55,975 - What is it now? - 200/95. 592 00:29:55,976 --> 00:29:58,455 Mr and Mrs Campbell, this is Dr Tanya Kalchuri. 593 00:29:58,456 --> 00:29:59,735 What's the story with those patches? 594 00:29:59,736 --> 00:30:01,135 There's no IV beta-blockers. 595 00:30:01,136 --> 00:30:02,216 She's got rebound tachycardia. 596 00:30:02,217 --> 00:30:03,615 You know that the treatment for that is... 597 00:30:03,616 --> 00:30:05,055 - Excuse me, Doctor? - IV beta-blockers. 598 00:30:05,056 --> 00:30:06,615 We don't have any, so I'm trying to get her BP... 599 00:30:06,616 --> 00:30:08,415 - Don't use patches. - If there's no IV? 600 00:30:08,416 --> 00:30:10,455 Use oral, oral and more oral. 601 00:30:10,765 --> 00:30:12,455 Nurse, can we get some oral beta-blockers? 602 00:30:12,456 --> 00:30:14,742 - Doctor, what's going on? - Just one moment, please. 603 00:30:14,896 --> 00:30:16,215 Excuse me, Doctor?! 604 00:30:16,375 --> 00:30:18,495 Not me, Joe. You see, they're all racing this way, that way, 605 00:30:18,496 --> 00:30:19,912 and this way and that way... 606 00:30:19,937 --> 00:30:21,397 Ah, Patient Care here to transfer to Carlton. 607 00:30:21,421 --> 00:30:22,655 And there's trouble. The apple pie... 608 00:30:22,656 --> 00:30:24,615 No, no, no. We organised Intensive Care paramedics. 609 00:30:24,616 --> 00:30:26,815 We're just your run-of-the-mill variety. Dr Bell? 610 00:30:26,816 --> 00:30:27,896 Yeah, that's right. This... 611 00:30:27,897 --> 00:30:29,495 It took me two hours to sort out this transfer. 612 00:30:29,496 --> 00:30:31,015 - Bloody morons. - That's because of my brain. 613 00:30:31,016 --> 00:30:33,055 - It's broken from the accident. - Not you, mate. Not you. 614 00:30:33,056 --> 00:30:35,015 Doctor, what's going on? Why aren't they taking her? 615 00:30:35,016 --> 00:30:37,495 They're the wrong paramedics, but don't worry I'm sorting this out. 616 00:30:37,496 --> 00:30:39,255 The apple pie is in the bed. You know, my sister... 617 00:30:39,256 --> 00:30:40,615 - Who is this guy? - I don't know! 618 00:30:40,616 --> 00:30:41,855 I thought he was from Neuro. 619 00:30:41,856 --> 00:30:44,015 He's not from Neuro. You said you'd sort it! 620 00:30:44,016 --> 00:30:46,495 Sir, we really do need to know your name. 621 00:30:46,496 --> 00:30:48,135 - Not me, Joe. My sister. - What about your sister? 622 00:30:48,136 --> 00:30:49,704 - What's her name? - Where is your sister? 623 00:30:49,728 --> 00:30:51,090 Rookwood Cemetery. 624 00:30:53,711 --> 00:30:55,320 - 200ml, please. - Yeah, sure. 625 00:30:57,507 --> 00:30:59,828 - There's not enough time. - What about Mitri? 626 00:30:59,853 --> 00:31:00,945 Not on call. 627 00:31:01,576 --> 00:31:04,255 What's worse, waking up a surgeon who's not on call 628 00:31:04,256 --> 00:31:05,815 or sitting at a coroner's court 629 00:31:05,816 --> 00:31:07,576 because a patient died and it's on your head? 630 00:31:27,851 --> 00:31:28,736 Yep. 631 00:31:28,737 --> 00:31:31,227 Um, this is Dr Bell. I'm sorry to wake you. 632 00:31:31,252 --> 00:31:33,046 But I'm afraid that I have no choice. 633 00:31:34,117 --> 00:31:35,890 - I'm not on duty. - I know. 634 00:31:36,096 --> 00:31:39,775 But I have a patient with an aortic dissection and no surgeon. 635 00:31:39,776 --> 00:31:41,295 Okay, so, who's on call? 636 00:31:41,437 --> 00:31:43,335 Duvenbeck. He's not answering. 637 00:31:43,336 --> 00:31:45,153 Cutter's on retrieval, and I've tried 638 00:31:45,154 --> 00:31:48,296 to get her transfer to Carlton, but they sent the wrong paramedics. 639 00:31:48,456 --> 00:31:50,695 Hang on, hang on. 640 00:31:51,148 --> 00:31:53,085 You want me to come in there and save your arse? 641 00:31:53,110 --> 00:31:54,349 No, not mine. 642 00:31:54,484 --> 00:31:57,335 The patient's. I'm... I don't think she'll last the night. 643 00:31:57,336 --> 00:31:59,575 She's lost one kidney. She's about to lose another. 644 00:31:59,576 --> 00:32:02,296 I know how serious an aortic dissection is, Dr Bell. 645 00:32:03,273 --> 00:32:04,875 It's a high-risk operation... 646 00:32:05,353 --> 00:32:06,531 as was the other. 647 00:32:13,023 --> 00:32:14,495 If I come in there, you need to accept 648 00:32:14,507 --> 00:32:15,796 that the outcome is what it is. 649 00:32:16,216 --> 00:32:17,234 Got it? 650 00:32:18,581 --> 00:32:19,687 Yes. 651 00:32:23,752 --> 00:32:24,882 Is he coming? 652 00:32:28,705 --> 00:32:29,945 Well done. 653 00:32:43,856 --> 00:32:46,575 Oh, God. I'm so tired. 654 00:32:46,576 --> 00:32:49,975 Oh! You... There is literally nowhere else in the world 655 00:32:49,976 --> 00:32:51,735 I'd rather be right now than with my pillow. 656 00:32:51,736 --> 00:32:53,102 I don't think mine would recognise me. 657 00:32:53,126 --> 00:32:54,140 Where are you going? 658 00:32:54,171 --> 00:32:56,352 It's the middle of the night. I've got a date with my pillow. 659 00:32:56,376 --> 00:32:58,416 No, you have a date with me in an aortic dissection. 660 00:32:59,117 --> 00:33:01,539 What? I thought the patient had been transferred! 661 00:33:01,564 --> 00:33:02,554 I need you in theatre. 662 00:33:02,579 --> 00:33:05,455 Mitri, I am seriously struggling to stay vertical right now. 663 00:33:05,456 --> 00:33:07,656 Then do it lying down. Please. We need a team. 664 00:33:08,960 --> 00:33:11,295 Well, are you happy with Dr Tannis assisting? 665 00:33:11,843 --> 00:33:14,195 - Sure. I'll see you in there. - All right, then. 666 00:33:16,610 --> 00:33:18,984 Tighten your lower sphincter and refocus. 667 00:33:24,585 --> 00:33:26,242 Just hang in there. 668 00:33:26,408 --> 00:33:27,507 Mrs Campbell? 669 00:33:27,651 --> 00:33:29,331 I'm the surgeon who's gonna operate on you. 670 00:33:29,612 --> 00:33:32,092 We've assembled the best possible surgical team for this, okay? 671 00:33:32,226 --> 00:33:34,500 So, you can be assured, you're in excellent hands. 672 00:33:34,576 --> 00:33:36,171 Bless you, Doctor. Thank you. 673 00:33:36,500 --> 00:33:37,935 Dr Bell will do her best to keep you informed. 674 00:33:37,936 --> 00:33:39,896 In the meantime, try and get some rest. 675 00:33:42,695 --> 00:33:44,367 You make sure you come back. 676 00:33:44,937 --> 00:33:47,015 And tell those angels you belong here, with me. 677 00:33:47,016 --> 00:33:48,615 I'll have to. I couldn't stand looking down 678 00:33:48,616 --> 00:33:50,015 and seeing you with someone else. 679 00:33:50,016 --> 00:33:52,535 The apple pie is on the bed! That's a coda. 680 00:33:52,536 --> 00:33:53,775 - I'm sorry. - It means 'the end'. 681 00:33:53,776 --> 00:33:54,747 I think his name is Adam Aswany. 682 00:33:54,759 --> 00:33:56,090 Coda's a musical term, it means 'the end'. 683 00:33:56,091 --> 00:33:58,495 - Aswa... Oh, Aswany! Yes, Gamal Aswany. - It's the end. 684 00:33:58,496 --> 00:33:59,960 His end... His end... 685 00:34:00,234 --> 00:34:01,343 You're his son. 686 00:34:01,368 --> 00:34:02,797 - His end. - "Hizend"? 687 00:34:02,822 --> 00:34:04,812 His... end! His end! 688 00:34:05,653 --> 00:34:06,898 Room 26! 689 00:34:29,156 --> 00:34:30,265 He's gone. 690 00:34:40,515 --> 00:34:42,078 The apple pie's on the bed. 691 00:34:42,656 --> 00:34:43,750 Coda. 692 00:34:44,278 --> 00:34:45,382 The end. 693 00:34:45,869 --> 00:34:48,188 There will be too many flowers. 694 00:34:49,306 --> 00:34:50,437 People crying. 695 00:34:51,875 --> 00:34:53,496 All those wet tissues. 696 00:35:32,022 --> 00:35:33,945 Can't see. Suction. 697 00:35:42,379 --> 00:35:43,819 Am I boring you two? 698 00:35:47,695 --> 00:35:48,895 Mm. Clamp on. 699 00:35:48,896 --> 00:35:50,101 Hand me the suture. 700 00:35:57,555 --> 00:35:58,671 Whoops. 701 00:35:59,917 --> 00:36:00,984 Damn. 702 00:36:07,512 --> 00:36:09,085 Steady now. We'll start again. 703 00:36:11,289 --> 00:36:12,726 Come on, you. 704 00:36:13,184 --> 00:36:14,367 Behave. 705 00:36:18,136 --> 00:36:19,136 Got it. 706 00:36:22,450 --> 00:36:23,597 That's it. 707 00:36:28,078 --> 00:36:29,300 Good result. 708 00:36:29,698 --> 00:36:30,776 Yeah. 709 00:36:34,153 --> 00:36:36,081 And another notch in your surgical belt. 710 00:36:37,566 --> 00:36:39,816 It's not every day a surgical resident gets a shot 711 00:36:39,841 --> 00:36:41,073 in an aortic dissection. 712 00:36:44,456 --> 00:36:46,089 You did well. 713 00:36:47,151 --> 00:36:48,308 Thanks. 714 00:36:48,416 --> 00:36:50,695 Please report to Dr Ford in his office. 715 00:36:50,696 --> 00:36:52,175 Urgently, please. 716 00:36:52,176 --> 00:36:54,176 Nurse Bonbridge, Dr Ford's office. 717 00:36:59,321 --> 00:37:01,956 You told me he was short of breath! 718 00:37:03,034 --> 00:37:04,272 I said he needed to be reviewed 719 00:37:04,296 --> 00:37:05,895 and that he would need more furosemide. 720 00:37:05,896 --> 00:37:08,612 That is a long way from bi-ventricular heart failure. 721 00:37:08,792 --> 00:37:10,431 He has a history of CCF. 722 00:37:10,558 --> 00:37:12,128 It was in the notes, Frankie. 723 00:37:12,153 --> 00:37:14,935 I am not a mind-reader. He should have been listed as high-priority. 724 00:37:14,936 --> 00:37:17,066 He had a heart murmur that you didn't pick up. 725 00:37:17,091 --> 00:37:18,655 That is the point of handover, Tabb. 726 00:37:18,656 --> 00:37:21,015 - It is your job to keep me informed! - Uh, you were distracted. 727 00:37:21,016 --> 00:37:22,936 Your head was in the bloody RCA. Do you remember? 728 00:37:23,073 --> 00:37:24,335 Were you even listening to me? 729 00:37:24,336 --> 00:37:25,723 How the fuck am I meant to listen to 730 00:37:25,735 --> 00:37:27,096 something that's not being said?! 731 00:37:36,662 --> 00:37:37,794 Aaagh! 732 00:37:39,334 --> 00:37:41,614 It's lovely music, but do you mind if I turn it down? 733 00:37:42,808 --> 00:37:44,735 Did this come on suddenly or slowly? 734 00:37:45,009 --> 00:37:46,249 Fairly quickly. 735 00:37:51,264 --> 00:37:53,042 Coda. That's a musical term. 736 00:37:55,972 --> 00:37:57,332 The apple pie is in the bed. 737 00:38:01,096 --> 00:38:03,815 The apple pie is on the bed. That's a coda. 738 00:38:03,816 --> 00:38:04,856 Aah! 739 00:38:05,003 --> 00:38:06,003 Ohhh! 740 00:38:23,365 --> 00:38:24,472 Ohh! 741 00:38:29,916 --> 00:38:31,056 Mr Campbell? 742 00:38:31,231 --> 00:38:32,231 Yes. 743 00:38:32,987 --> 00:38:34,426 Your wife is now stable. 744 00:38:34,886 --> 00:38:36,375 The torn section of the aortic valve 745 00:38:36,376 --> 00:38:37,935 has been repaired using a Dacron graft. 746 00:38:37,936 --> 00:38:39,375 Bless you, Doctor. Bless you. 747 00:38:39,376 --> 00:38:41,535 Unfortunately, decreased blood supply to the organs 748 00:38:41,536 --> 00:38:43,295 meant she lost one of her kidneys. 749 00:38:43,487 --> 00:38:45,503 But I'm fairly certain she'll make a full recovery, 750 00:38:45,816 --> 00:38:47,856 as long as we keep her blood pressure under control. 751 00:38:49,256 --> 00:38:51,495 Thank you, D... Thank you, Doctor. 752 00:38:51,534 --> 00:38:52,831 I can't thank you enough. 753 00:38:53,171 --> 00:38:55,378 Maybe if I... I kiss your feet? 754 00:38:55,800 --> 00:38:57,575 That might be a little unhygienic 755 00:38:57,576 --> 00:39:00,096 and, uh, possibly not in the best interests of the patient, huh? 756 00:39:02,105 --> 00:39:03,386 - Thank you, Doctor. - Oh... 757 00:39:03,472 --> 00:39:04,696 Thank you so much. 758 00:39:06,613 --> 00:39:07,706 Thank you again. 759 00:39:27,136 --> 00:39:28,081 Hey. 760 00:39:28,120 --> 00:39:30,327 Hear the good news, right? About the aortic tear? 761 00:39:30,618 --> 00:39:32,011 She's gonna be okay. 762 00:39:32,317 --> 00:39:33,370 Yeah. 763 00:39:33,741 --> 00:39:35,222 I heard. But, um... 764 00:39:36,430 --> 00:39:37,776 I lost someone else. 765 00:39:38,216 --> 00:39:41,055 I spent all night trying to get a surgeon to operate on that tear 766 00:39:41,056 --> 00:39:42,495 and there was all these MET calls 767 00:39:42,496 --> 00:39:44,335 and there were no other doctors around. 768 00:39:44,336 --> 00:39:45,735 Well, then, the tear takes priority. 769 00:39:45,736 --> 00:39:47,862 I knew he had breathing difficulties. 770 00:39:48,362 --> 00:39:49,875 And I think that his son was trying 771 00:39:49,887 --> 00:39:51,455 to tell me that he was in trouble, 772 00:39:51,456 --> 00:39:52,987 but he's brain-injured and... 773 00:39:53,276 --> 00:39:54,916 I didn't know he was and I couldn't... 774 00:39:59,862 --> 00:40:02,612 I didn't get there in time and he died. 775 00:40:03,394 --> 00:40:05,620 And he had a history of CCF. 776 00:40:07,022 --> 00:40:08,308 I missed it. 777 00:40:09,081 --> 00:40:11,135 But even... even if you'd picked it, you... 778 00:40:11,136 --> 00:40:14,581 But his son has lost his carer. He's got no one. 779 00:40:15,300 --> 00:40:16,695 You know, and I've been pushing you 780 00:40:16,696 --> 00:40:18,415 to speak out at the RCA over Zoe's death, 781 00:40:18,416 --> 00:40:19,895 so the truth will come out, 782 00:40:19,896 --> 00:40:21,735 and here, I have lost a patient myself. 783 00:40:22,105 --> 00:40:23,615 So, who am I to judge? 784 00:40:23,616 --> 00:40:26,936 Your patient died because you couldn't be in two places at once. 785 00:40:28,788 --> 00:40:29,933 You couldn't. 786 00:40:32,230 --> 00:40:34,951 But it's possible Zoe died because... 787 00:40:35,292 --> 00:40:38,749 a surgeon took offence at his work being questioned 788 00:40:38,774 --> 00:40:40,480 by a junior surgeon. 789 00:40:41,422 --> 00:40:43,066 That's arrogance. 790 00:40:45,087 --> 00:40:46,362 And you're right. 791 00:40:48,160 --> 00:40:49,566 It's dangerous. 792 00:40:52,946 --> 00:40:54,605 You did everything you could. 793 00:40:57,776 --> 00:40:59,011 You always do. 794 00:41:15,519 --> 00:41:17,972 The social worker's seen him and organised care. 795 00:41:18,800 --> 00:41:19,839 Don't worry. 796 00:41:20,152 --> 00:41:21,167 He'll be right. 797 00:41:34,137 --> 00:41:35,503 No wet tissues. 798 00:41:36,477 --> 00:41:37,714 No flowers. 799 00:41:42,030 --> 00:41:43,550 What was his favourite song? 800 00:43:12,346 --> 00:43:13,975 The autopsy has revealed the bleed 801 00:43:13,976 --> 00:43:17,323 was most likely the result of a missing stitch, 802 00:43:17,420 --> 00:43:19,948 the possible causes of which have been outlined. 803 00:43:20,752 --> 00:43:22,735 A sudden spike in blood pressure, 804 00:43:22,736 --> 00:43:24,909 causing the existing stitch to burst. 805 00:43:25,518 --> 00:43:28,657 Friable hard tissue, incapable of holding the stitch. 806 00:43:28,682 --> 00:43:32,831 Or... a problem with the initial stitching itself. 807 00:43:34,092 --> 00:43:37,917 The committee is satisfied that hospital protocol was followed 808 00:43:38,690 --> 00:43:41,535 and no single cause can be identified. 809 00:43:42,159 --> 00:43:43,987 This in no way diminishes the... 810 00:43:44,409 --> 00:43:48,229 the trauma suffered by the family, and the staff involved. 811 00:43:48,846 --> 00:43:51,642 A formal apology has been made to the patient's husband, 812 00:43:51,667 --> 00:43:53,987 and counselling made available to all... 813 00:43:54,201 --> 00:43:55,448 Sorry, Dr Mack. 814 00:43:57,010 --> 00:43:59,415 I want to suggest that while there may be protocol in place, 815 00:43:59,416 --> 00:44:00,956 it's not always adhered to, 816 00:44:01,432 --> 00:44:03,846 and that... that may have been the cause. 817 00:44:04,445 --> 00:44:06,948 Well, there's nothing in your report about it. At what point? 818 00:44:09,854 --> 00:44:13,260 Before we took the patient off the cardiopulmonary machine, uh... 819 00:44:14,554 --> 00:44:16,474 Dr Mitri was about to declamp. 820 00:44:18,210 --> 00:44:20,050 I thought I saw a loose stitch. 821 00:44:21,604 --> 00:44:22,604 And? 822 00:44:23,190 --> 00:44:25,088 And I said, "Stop. Do not unclamp." 823 00:44:27,377 --> 00:44:29,095 Dr Mitri, do you recall this? 824 00:44:30,026 --> 00:44:31,831 Uh... she may have said something, but... 825 00:44:32,135 --> 00:44:34,307 I'd been working for 14 hours straight and I was... 826 00:44:35,211 --> 00:44:36,970 focused on the operation. 827 00:44:37,057 --> 00:44:39,817 But, no. No, no. I... I don't recall it. 828 00:44:41,782 --> 00:44:45,487 Did anyone hear Dr Tannis raise a concern? 829 00:44:52,409 --> 00:44:55,455 Sir, can I just say that the culture of bullying in this hospital 830 00:44:55,456 --> 00:44:57,807 means that people are afraid to speak up. 831 00:44:58,713 --> 00:45:00,335 Well, you can say whatever you like, 832 00:45:00,336 --> 00:45:03,255 but without any evidence to substantiate such a claim... 833 00:45:03,256 --> 00:45:05,015 I don't have any evidence. 834 00:45:05,510 --> 00:45:07,845 But the fear amongst staff is so strong 835 00:45:07,870 --> 00:45:11,295 that they won't say anything for fear of personal repercussions. 836 00:45:11,296 --> 00:45:13,175 Now, Louise Tannis is telling you the truth. 837 00:45:13,176 --> 00:45:14,535 But she's been cornered and bullied. 838 00:45:14,536 --> 00:45:15,656 That's... that's enough. 839 00:45:16,094 --> 00:45:19,307 Dr Bell, would you please let me chair this meeting as I see fit. 840 00:45:21,549 --> 00:45:24,375 Dr Tannis, you mentioned nothing about this in your interview 841 00:45:24,376 --> 00:45:26,015 and, yet, you have just now alleged 842 00:45:26,016 --> 00:45:28,299 you thought you saw a slipped stitch. 843 00:45:29,237 --> 00:45:30,775 How certain were you? 844 00:45:30,776 --> 00:45:33,940 - Certain enough to call it. - Did you call it a second time? 845 00:45:37,084 --> 00:45:38,159 No. 846 00:45:40,980 --> 00:45:42,456 Dr Mitri heard me. 847 00:45:44,198 --> 00:45:45,487 He told me to check it. 848 00:45:46,296 --> 00:45:47,362 And did you? 849 00:45:50,167 --> 00:45:51,016 Yes. 850 00:45:51,017 --> 00:45:53,095 She should never have been asked to check it in the first place. 851 00:45:53,096 --> 00:45:55,256 But I... I couldn't see anything. I was under pressure. 852 00:45:57,394 --> 00:45:59,252 How did you proceed, Dr Tannis? 853 00:46:15,820 --> 00:46:16,995 I let it go. 854 00:46:18,896 --> 00:46:20,127 And I shouldn't have. 855 00:47:33,280 --> 00:47:34,280 Dr Tannis? 856 00:47:34,808 --> 00:47:36,128 You did the right thing. 857 00:47:36,192 --> 00:47:37,565 You're very brave. 858 00:48:12,511 --> 00:48:16,615 It was a whitewash. Lou was crucified. 859 00:48:17,050 --> 00:48:20,027 She's been made to do a graded assertiveness training course. 860 00:48:20,363 --> 00:48:21,655 Nothing for Mitri, 861 00:48:21,656 --> 00:48:23,295 who's "an exemplary surgeon 862 00:48:23,296 --> 00:48:25,575 "and valuable member of the surgical team." 863 00:48:25,576 --> 00:48:28,535 I'm sure they're very reluctant to shatter the confidence 864 00:48:28,536 --> 00:48:29,855 of someone like Mitri. 865 00:48:30,238 --> 00:48:33,255 He's a top-rate surgeon and saves lots of lives. 866 00:48:33,457 --> 00:48:34,855 It doesn't make it right. 867 00:48:35,005 --> 00:48:37,027 It just makes it... complex. 868 00:48:37,835 --> 00:48:39,955 You're fighting the good fight, Frankie. 869 00:48:40,972 --> 00:48:42,092 We just lost. 870 00:48:42,621 --> 00:48:44,691 You lost the battle but not the war. 871 00:48:45,464 --> 00:48:48,375 That debated incident is now on record 872 00:48:48,376 --> 00:48:50,656 and serves as a deterrent... 873 00:48:52,214 --> 00:48:53,527 to any surgeon... 874 00:48:54,136 --> 00:48:56,535 who's tempted to ignore the advice of a team member. 875 00:48:56,536 --> 00:48:59,722 Well, too late for Zoe Mendosa and her family. 876 00:49:01,971 --> 00:49:04,792 The two things birds need to survive... 877 00:49:06,636 --> 00:49:08,575 Context and perspective. 878 00:49:09,224 --> 00:49:10,285 But... 879 00:49:11,619 --> 00:49:14,082 they need to leave the ground in order to get it. 880 00:50:03,040 --> 00:50:06,829 synced and corrected by susinz *www.addic7ed.com* 881 00:50:07,939 --> 00:50:10,258 It's a teaching hospital, so why don't you teach me? 882 00:50:10,259 --> 00:50:12,098 No, look. You're jumping the gun, Frankie. 883 00:50:12,099 --> 00:50:13,818 No, look, don't patronise me! 884 00:50:13,819 --> 00:50:15,498 Right? Now, this is how it's gonna play. 885 00:50:15,499 --> 00:50:17,738 And I'm sorry I don't have testicles. 886 00:50:17,739 --> 00:50:19,938 - Your boss is not okay. - Has something happened? 887 00:50:19,939 --> 00:50:21,248 I don't know what's going on, but we 888 00:50:21,260 --> 00:50:22,618 were about to do this kidney biopsy 889 00:50:22,619 --> 00:50:24,258 and he just... froze. 890 00:50:24,493 --> 00:50:26,009 I'm not having the operation. 891 00:50:26,158 --> 00:50:28,738 Not until I've seen the Paired Kidney Exchange through. 892 00:50:28,825 --> 00:50:30,065 Well done, Sherlock. 893 00:50:31,179 --> 00:50:33,858 What can we do to stop this whole thing from falling over? 894 00:50:33,859 --> 00:50:35,698 His judgement is impaired 895 00:50:35,699 --> 00:50:37,718 and if something happens, you're both done for.