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FunTranscript
00:00Can I get you anything?
00:04Beer?
00:05Wine?
00:06A lobotomy?
00:08What?
00:10It's okay.
00:12Oh!
00:14I'll do that.
00:18Hey, Maeve, come in.
00:20What's the drink of choice after signing the boss papers?
00:23Oh, you okay?
00:25Ask me after some tequila.
00:28You know what, guys?
00:29I'm going to call it a night, but, you know, make good choices.
00:34Hey, um, I owe you an apology for how I dragged you into this.
00:39I kind of lost my mind for a bit there.
00:41If you regret this whole thing.
00:42No, no.
00:43I don't, but I wasn't very considerate.
00:47Thanks.
00:48So, how did it go?
00:50Well, I mean, I've had better days.
00:53No kidding.
00:55Okay.
00:55To kill her ex-wives.
01:01Is that too dark?
01:02Not at all.
01:08It's like mid-school.
01:10You're funny.
01:11You're not too bad yourself.
01:12No, no.
01:13You're funny.
01:28I'm not too bad.
01:30So, you're not too bad.
01:33Have you seen it over lately?
01:44Why?
01:45I just saw her with Marcus from Radiology.
01:49Why, they work together?
01:50I mean, in a more than colleagues kind of way.
01:54Touching arms.
01:56So?
01:57I just wanted you to know.
01:58Not get surprised by it.
02:00I've moved on.
02:01Dude!
02:02Well, I don't really want to hear about it.
02:04How would you feel about me giving you Madonna updates without you asking for them?
02:08What?
02:09Cleo, hurry up, man.
02:11Don't rush me.
02:12Yeah, Mum, I'll be there soon.
02:13I've just been busy.
02:14You know how it is.
02:16Okay, yeah, I've got to go for real.
02:18All right, I love you.
02:19Bye.
02:20Sorry.
02:21Don't be sorry.
02:22I wish my mum called me like that.
02:24Lokes, can you please drive?
02:25I've got lots of notes that I need to study up for Dr. Richard today.
02:30Um, yeah.
02:32I can drive.
02:33No, I thought Logan could drive.
02:34He's got his license back.
02:36Yeah, I just want to check over the car, you know.
02:38It's been a minute.
02:39Right.
02:40Yes, sorry.
02:41That's all good.
02:42No, that was selfish.
02:43I didn't think to think that you might be, like, scared or...
02:46Can you guys talk about this in the car?
02:48Hey, it's okay.
02:49I just want to check over the hood or something.
02:50Just take your time.
02:55Don't rush.
02:56Yeah, I know.
02:57Excuse me, Chris.
02:59Think it through.
03:00Visualise the patient in front of you.
03:01Oh, is this your exam?
03:03Yeah.
03:04Good luck.
03:05You hear what he said.
03:07Just remember what I told you and you'll be fine.
03:09You're going to be great.
03:10You're too smart and too charming to fail this.
03:13Your examiner is Brooke Freeman.
03:15Brooke?
03:16That's great news.
03:17She'll be fair.
03:18Doesn't she run St. Keats?
03:19Yeah.
03:20I'm going to meet her now.
03:21You're in the exam next to mine.
03:23You're nailed it, Phil.
03:24Thanks.
03:25I think you know when you're done, I've got some cases I want you to take.
03:28Do you want to get any time off to celebrate?
03:29She hasn't passed anything yet.
03:31Well, she will.
03:34Drew fit in with an ICD while his wife gave birth.
03:37Can you just move your hand for us, please, Keith?
03:39You again.
03:41Shortness of breath, nausea.
03:42Yeah, I can see that.
03:43Thank you, Serge.
03:44What you can't see is that he slightly took a cardiac at 115 BPM.
03:49How's that baby of yours?
03:50Terrifying.
03:52Right.
03:53Keith thinks that his ICD might be playing up.
03:55I don't know, outside.
03:56I can feel it all the time.
03:58It's always there.
03:59Do you have any chest pains?
04:01Not exactly.
04:03Dizziness?
04:04Potentially.
04:05Mm-hmm.
04:06Take his left side for swelling.
04:08She won't let me hold her.
04:10She hates me.
04:12Babies don't hate people, Keith.
04:13Nervous or swelling.
04:14Uh-huh.
04:15No arrhythmia either.
04:18You had any change in activity levels recently?
04:20Exercise?
04:20Anything like that?
04:21You think I have time for the gym?
04:23Do you mind if I check the implantation?
04:25Oh, no.
04:25Be my guest.
04:26You know, I can hear it ticking.
04:29Especially at night.
04:30What?
04:30The ICD.
04:32ICDs don't tick, Keith.
04:3412 lead, please.
04:36I think we may have an acute case of parentitis here.
04:39Stage 4.
04:40ECG?
04:42Everything looks fine.
04:43It's just so the technician can check your ICD.
04:45Not much going on in surgery today, if you can waste time on that guy.
04:52So, as you know, this is an oral exam.
04:55You'll be presented with hypothetical cases, and I expect you to explain how you'd assess
04:58and treat them.
04:59Sure.
05:00Don't assume I have prior knowledge.
05:02I need to hear your clinical rationale.
05:03Got it.
05:04We've got a lot to get through.
05:05So, if you're ready.
05:07As I'll ever be.
05:08Great.
05:09First patient.
05:11A 50-year-old man presents with chest pain.
05:14Talk me through it.
05:15Okay.
05:15I'd start by getting a focus history.
05:17What can you tell me?
05:19Hypertension, hyperlipidemia, history of smoking.
05:21So, I'd do a systematic assessment to rule out any life-threatening conditions.
05:26Acute coronary syndrome, in particular.
05:27I'd say that's the most concerning differential.
05:30I'd also ask him to describe the pain in detail.
05:33Duration, intensity, radiation.
05:35What does he say?
05:36He describes it as a central constricting pain radiating to his left arm.
05:41Okay.
05:41Starting when?
05:42About half an hour ago.
05:43Okay.
05:44Can we hurry the hell up here?
05:46Yeah.
05:46Sorry.
05:47Take your time.
05:49Is there any other symptoms?
05:50Sweating, nausea, shortness of breath?
05:52No.
05:54Okay.
05:54So, given his risk factors, I'd be concerned about myocardial infraction or unstable angina.
06:00Other causes could be aortic dissection, pulmonary embolism, even pericarditis.
06:08And what would you do diagnostically?
06:10Order an ECG, bloods, and refer him to general medicine for cereal, troponins, and follow-up.
06:16Very well.
06:17Next question.
06:18Wait.
06:18I would also like to consider further imaging, such as chest X-ray, to rule out possible pneumothorax, aortic dissection, given that the pain radiates to his back.
06:30Congratulations, Grayson.
06:32You haven't killed me.
06:33Okay.
06:34Next patient.
06:35A 32-year-old woman, nine weeks postpartum, presents with abdominal pain.
06:41You got this, babe.
06:42I'm ordering an ultrasound and bloods.
06:44Why?
06:45Because all postpartum patients should have an RPOC as a differential, and this is the quickest way to assess that.
06:51Nine weeks postpartum.
06:53I'm your nine weeks postpartum patient?
06:57So much can go wrong with babies.
06:59I mean, the birth was bad enough.
07:02I'm sure it was a difficult labour for your wife.
07:04Well, yeah.
07:06But she's been straight into it.
07:07Parenting, I mean.
07:09It was harder for me to adjust, I guess.
07:11It's just been hard in my heart.
07:12We're getting your ICD checked, eh?
07:14I mean, I'm sure it's fine.
07:15Do you have children?
07:16Me?
07:17Uh, no.
07:18Oh.
07:20You haven't been that lucky yet.
07:22Right.
07:26Hey.
07:27Hey.
07:28You all good?
07:29Have you ever been fed?
07:31No.
07:32Why?
07:33Probably fine.
07:34Well, he's just gone off the socials.
07:36I don't follow him anymore.
07:38Right.
07:38Cool.
07:39Hey, um, all the best.
07:41Well, hang on.
07:42No, it's probably nothing and I'm overthinking it.
07:44People turn their phones off and go dark.
07:46It's a healthy thing, right?
07:47Can you take me for my check now?
07:54Yep, I can see it in there.
07:56Looks like a pretty purple one.
07:58You like playing with water beads, Chelsea?
08:01It's pretty small, but it is a fair way back in the ear canal.
08:03And I can see it's a bit slower, isn't it, Chelsea?
08:05It's because we're not meant to put things in our ears, are we?
08:08You reckon she could have swallowed any of the beads?
08:10Ah, nah, I don't think so.
08:12Did you eat any, Chelsea?
08:14Anything up the nose, even?
08:15You know what kids can be like?
08:16No, she would have said.
08:18Yeah, she'd probably be feeling it, too.
08:23Sorry, Monique, can I grab you briefly?
08:24Sure.
08:26I will just take a quick look, okay?
08:27Sorry, it's just, I'm on a deadline with the budget.
08:30Did you finish the forecast for the, uh...
08:31Did I not send that through?
08:32It's okay, if you could, please.
08:34Sorry, it's just been a bit all over the place.
08:36Yeah, well, I've got you.
08:37Monique, you know it as well as I do.
08:39Uh, sorry, there it is, in my drafts.
08:41There, sent.
08:43Thanks.
08:45Hey, Finn.
08:45Hey, mate, nose looks clear.
08:48You need to flush it out with saline?
08:50Yeah, thanks.
08:51Okay, just use this, it'll be better.
08:54I'm nearly there.
08:55Yeah, but use this, it'll just be easier.
08:57Ah, one second, sorry, Chelsea.
08:59Duncan, can you please not be stubborn?
09:00Cleo, he's got it.
09:02Oh, sorry.
09:03Do you need to take a break?
09:04Oh, just move, I'll do it.
09:09I wish you could fix the actual tooth.
09:11I know, but that's a job for your dentist, I'm afraid.
09:14Is that pain relief kicked in?
09:16Hey, what's this?
09:17What?
09:18It's like a rash.
09:19Do you mind if I...
09:21I didn't even know it was there.
09:22So it's not bothering you?
09:23Jake had one just like that.
09:32I heard he died, I'm sorry.
09:34Yeah.
09:37No.
09:38Turn around.
09:39Have a good tooth?
09:40There isn't one that's tears.
09:42Why?
09:42Because I want to be here.
09:44All right, let's have it.
09:45What does he need?
09:46Is his head removed?
09:47Keith, your bloods have shown an elevated potassium level.
09:50Oh, Keith, you're going to have to cut back on the bananas.
09:52Well spotted, Dr. Samuels.
09:54We'll keep you here from monitoring and then we'll breach your bloods in a while.
09:57Keith, your anxious hyperventilating has driven your potassium levels up by the merest
10:02of margins, end of story.
10:04What if I'm holding my baby and I drop dead?
10:07I was going to catch her.
10:09It's my job to make sure you're well before we send you on your way.
10:12So I am being thorough, so we can send you home knowing that that won't happen.
10:15What's this about?
10:20Last time he was in here, your mess of a department nearly killed him by misagnosing gastro.
10:26In Poppy's defence, he did have gastro.
10:29It's just that he also had a heart block.
10:31Now look, you're not captain down here, Madam Scalpel.
10:35If you want to babysit this year's most hopeless father, you go right ahead.
10:39Just don't do it here.
10:40He's just scared him, eh?
10:41He's taking you for a ride.
10:44Why you feel for that potato head is beyond me.
10:48The next patient is a 44-year-old man with right lower leg pain.
10:53Go on.
10:54Okay, first I'd clarify the pain itself and any associated symptoms.
10:59Tingling, numbness, weakness.
11:01So I can differentiate between muscular, vascular or neurological causes.
11:05And?
11:07Was there anything in his history?
11:09Sciatica.
11:10Okay, so possible nerve root impingement.
11:14Checking for signs of quarter and quinoa syndrome, such as loss of sensation around the saddle area.
11:20Does the pain radiate from the lower back down the leg?
11:22No, that doesn't.
11:24Your other thoughts?
11:25Okay, so then DVT, tendinitis, compartment syndrome, that'd all be on my radar.
11:32You're forgetting something.
11:34Oh, diabetes.
11:35Status unknown.
11:36Diabetic neuropathy could be worth checking too.
11:39So I do a full blood count and you and ease.
11:42Not necessary.
11:43Are you happy with your answer?
11:46Not my exam.
11:48Yes.
11:49Your response has been submitted.
11:51Right then, moving on.
11:52The next patient...
11:53Wait.
11:54Did I miss something?
11:56You'll get my reflections as part of your results.
11:58Can't you just tell me now?
12:01You did miss a rather vital piece of information.
12:04Did I?
12:04The patient has a large piece of glass protruding from his leg.
12:08What?
12:09Oops.
12:10You didn't ask if there'd been any trauma.
12:12Well, I would have seen it if this had been real.
12:13I need to know your assessment covers all the bases.
12:16I'm not assuming you know anything.
12:18And you shouldn't either.
12:22You saw cube one?
12:23Yeah, there are next one.
12:24And here's Ursula's, see?
12:26And this one, tabuki's.
12:29It's a rash.
12:30Same thing though, right?
12:32What meds are you giving her?
12:33Amoxicillin.
12:34There you go then.
12:35But look at the shape.
12:39Your rash is a common reaction.
12:41But the other symptoms, both febrile, both head fatigue?
12:44Yeah, along with half the other patients in here.
12:47And those two things are consistent with infection.
12:49Sage!
12:50But my gut is telling me...
12:51Where the hell is Sage?
12:52Well, then take an antacid and get on with it.
12:55Hey.
12:56Hey.
12:58What's going on with Keith?
12:59Uh, Essie's still waiting in for us.
13:01What if it's something viral?
13:02Oh, Jesus, Poppy.
13:03What's this?
13:04She thinks there's a connection between sore teeth and leukemia.
13:07Jake, to...
13:07Look, he died.
13:10Of cancer.
13:11Now, please, go and make yourself useful.
13:15Okay.
13:16Everything looks good, Keith.
13:18The check is happy with the ICD.
13:20Potassium is down.
13:21So I think we'll be ready to send you back into the baby trenches in no time.
13:24I just want you to be sure.
13:26I will be.
13:27I don't want to let her down.
13:30Many people live long and happy lives with an ICD.
13:33I know.
13:33But I don't want to disappear when she won't know why I've left or where I've gone.
13:39She's so precious.
13:40You should see her.
13:41Very cute.
13:46With all the sleepless nights with a face like that.
13:49There's something wrong.
13:51You have to believe me.
13:54He's determined to get rid of me.
13:56Don't worry about him, okay?
13:58You are my patient.
13:58Hey.
14:03Hey.
14:03How's Mother?
14:05I don't know.
14:05You there?
14:07I'm Julian Jack.
14:09Great.
14:10Hmm.
14:11Just thought you'd want to hit her.
14:12Thanks.
14:18Do you still follow Thaddeus?
14:20Yeah.
14:21Do you not want me to?
14:22No, it's all good.
14:23Can I see?
14:26He doesn't mean to post as much.
14:28Not that I've been looking at the pregnant sister.
14:30Yeah, it's weird.
14:31Hmm.
14:32But you're not the one who's pregnant, mate.
14:34Why are you posting reels about maternity bras?
14:36No.
14:37That he stopped posting.
14:39No, I do wonder how she's going.
14:40Yeah.
14:41Of course you do.
14:42You think you're going to reach out, you know?
14:45I don't think she'd be keen on that.
14:47I think she would.
14:48You guys are like family.
14:49Maybe.
14:51Look, I know you guys aren't together, but I'd really love something like that.
14:57Yeah.
14:58Yeah, I guess.
15:00Do you think me and Cleo are good together?
15:03Where's this coming from?
15:04Just be honest.
15:05Oh, she's very...
15:07What?
15:09Scattered.
15:10You know, maybe a bit uptight.
15:11More than I thought you'd be compatible with.
15:13She's very nice.
15:14And if she's for you, then that's all matters.
15:17Yeah.
15:18You're going to eat that?
15:20You guys all good, though?
15:21Yeah.
15:22I think so.
15:24I'm going to go to Pete's.
15:25See you.
15:27How's she doing?
15:44You know I'm not allowed to say.
15:45Yeah, and that's not my place, but she's a great surgeon, truly.
15:48We could use more consultants like her.
15:51Freeman.
15:53Been a while?
15:54Hey, how's Chelsea going?
15:57Marty's notes, my main concern is the eardrum.
16:00If the beat keeps expanding, it could perforate.
16:02I will read up about that now.
16:04Anything I can do to help?
16:05No, thank you.
16:06I'm doing an exploration under anaesthetic.
16:09So you didn't get the beat out in the end?
16:11No.
16:13I will go back in a while.
16:15Hey, you did really well with Chelsea.
16:17I want you to know that.
16:18It's only because she needs surgery now that we're taking over.
16:20So don't feel disheartened.
16:21No, I don't, actually.
16:22Me and Cleo don't work well together sometimes, so it's for the best.
16:26We were putting stress on Chelsea.
16:28Maybe for the best.
16:29Is she always clear?
16:32Just let me know how Chelsea gets on.
16:37Laza.
16:38Yes?
16:39Seems I've got a PA who's pretty cut up.
16:42Sorry about that.
16:43So?
16:43I just wanted to check in.
16:45Make sure you're fearing that, Kate.
16:47What?
16:48It's been quite difficult, actually.
16:49I won't lie.
16:51You know, working together, being in the same building, I don't really think it's healthy.
16:56Right.
16:56I don't think I knew what heartbreak felt like until now.
16:58I mean, there was my first love, Sixteen Shiloh, but...
17:00Look, I think Martin would be the best person to talk about that with.
17:04Yeah.
17:09I've blown it.
17:10Don't be silly.
17:11I'm sure you're doing fine.
17:13Belle, just bring your books easy to read.
17:15She wants me to fail.
17:16Why would she want that?
17:18Oh, my God.
17:19Hey, just focus on your exam.
17:21You're doing fine.
17:22Oh, Andrew, can you take these, please?
17:29Of course.
17:30Oh, God.
17:31Billy, it's bad.
17:32What?
17:34What's wrong?
17:34Is Madonna okay?
17:35The rabbit isn't coming out of the hat.
17:38What?
17:40Madonna's been in labor for two days.
17:42The baby won't come out.
17:43Perhaps it can sense the general feeling of doom in the world.
17:45I can't blame it.
17:46What did the doctors say?
17:48The baby's heart rate is slowing with the contractions.
17:51She might need an emergency C-section.
17:53Madonna sent me away.
17:54Actually, I think my crying was making it worse.
17:56Although I swear they were mostly tears of pain.
17:58I think she may have broken my pinky finger with how hard she was squeezing my hand.
18:01Not that I'm the one complaining about pain.
18:02I'm working with Madonna literally trying to push a human being out.
18:05Hey.
18:06Hey.
18:07Look at me, Thaddeus.
18:09You've got to put that for your side, okay?
18:11She doesn't need it right now.
18:12You've got to go in there and hold her hand and tell her it's all going to be fine.
18:16She can't be alone in there.
18:19Are you going to be okay?
18:21I'm terrified.
18:22I know.
18:23Of course you are.
18:24But you are going to be a great father.
18:26And that starts with showing up in this moment right now.
18:29I knew you were the right person to call, boys.
18:31I was ready with some sage advice up your sleeve.
18:36Okay.
18:37Okay, I am going back in.
18:39My fingers be damned.
18:41Thank you, Thaddeus.
18:42No worries.
18:44Keep me updated, okay?
18:46I will.
18:48I hope you're well, my friend.
18:51Talk soon.
18:5242-year-old woman, motorbike versus car.
18:58Spinal injury with compression fractures and a significant head injury.
19:03Uh, GCS on arrival.
19:05Flex rating between 9 and 11.
19:07She's tachycardic at 130.
19:09BP 90 over 60.
19:10Okay.
19:12Please begin.
19:12All good?
19:20Great.
19:21I'll be back to check on you soon.
19:22Hey, uh, you seen Sebastian?
19:24Brown hair, freckles.
19:25He's about this high.
19:26You got a runner again?
19:27Yeah.
19:28Marty warned me.
19:28And Seb promised me.
19:29Looked me dead in the eyes as well.
19:30A little psycho.
19:31Well, I haven't seen him.
19:33Oh, keep a lookout, though.
19:34Damn.
19:35Thanks.
19:35Yeah.
19:36I have an idea around your car.
19:39Oh, that's fine.
19:40Yeah, but you aren't, though.
19:42Hey, uh, Chelsea's looking for you.
19:43Oh, okay.
19:44I'll be there in a sec.
19:45I just need to check the ammo bag.
19:49Is he all good?
19:51I don't know.
19:52Maybe you should check.
19:55I'm the one who gets up in the night so Penelope can rest, but it's relentless.
20:00I don't think I've had more than a two-hour sleep in, what, six months?
20:04I know the feeling.
20:06And I've been holding off telling her about all of this because I don't want to alarm her.
20:10All of?
20:10Panic about my heart.
20:12Ah.
20:12Panic about my ICD.
20:15Well, I've reviewed recent tests, and you'll be pleased to know that everything's normal,
20:18so...
20:19Panic about widowing her.
20:20About not living long enough to see my child grow up.
20:24We've checked everything we can, and all is fine, Keith, I promise.
20:27It's not.
20:29It's like I have a ticking time bomb in me.
20:32I told you, I can hear it.
20:33I think your wife probably wants you back home, and like I said, we've done all the
20:37tests we can.
20:38I'm not going home.
20:40Keith, you can't stay here just because you want to avoid your baby.
20:43She's fine.
20:43I'm the one with the failing heart.
20:45You have a chance to live.
20:47And to see your daughter grow up and be a part of that, you don't want to waste time behind
20:51a condition that doesn't even exist.
20:53How dare you.
20:54Some people aren't so lucky, okay?
20:56They have the odds stacked up against them, and I see that happen every single day.
21:00The ticking hasn't stopped.
21:02It's not your ICD, okay?
21:03It's your anxiety about being a dad, and you're just going to have to suck it up and get through
21:06because that is what you are now and forever.
21:09Oh, God!
21:10It's back!
21:11The ticking!
21:12It's worse!
21:13Hey!
21:14Jesus, Esther, you all right?
21:15Oh, God!
21:16Is it contagious?
21:17Can you just be quiet for one minute, please, mate?
21:20Can you get me to an ED room now?
21:22Let's go.
21:23You're all right.
21:24I got you.
21:25I need your answers, please.
21:27Put in a central line.
21:27She's bleeding out.
21:28I can't stop the lead.
21:29Let's get more unmatched blood here, please.
21:31I need more arterial clamps now, mate.
21:32The patient's crashing.
21:33Blood pressure, 70 over 40.
21:35Pulse 150.
21:36I can do this.
21:37It's okay.
21:37I'm all right.
21:38I can do this best for you.
21:41Phil, do you have an answer?
21:43Does anyone have any ideas?
21:44Keep going.
21:45I'm starting compressions.
21:48What are you doing?
21:49We can move on from the question.
21:51No, no, no, no.
21:52Not yet.
21:53I can save it.
21:55I'm not letting you go.
21:58I'm not letting you go.
21:59Phil, can you respond, please?
22:04I had...
22:05The patient is now in VT arrest.
22:07How do you proceed?
22:09Phil.
22:12I'm sorry.
22:13I'm sorry.
22:16I'm so, so sorry.
22:21I think we should leave it there.
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