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- 6 weeks ago
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00:00It is a full list, typical Monday, but is there anything we should flag before Paul gets here?
00:06Paul's coming? Why do I feel like I missed a meeting?
00:11Morena, Dr Ropata, Paul.
00:15You've got to be kidding.
00:16As you know, Dr Ropata's joining us short term to lead a landmark case.
00:20You knew about this?
00:22Heard last week.
00:23Thanks, Paul. It's good to be back.
00:26And I'm looking forward to working with one of you on something very special.
00:29It really is a coup for our hospital.
00:31A fetus in V2.
00:33Extraordinary. Less than 200 cases worldwide.
00:37Wow. I would love to be involved.
00:39And me.
00:40As head of surgery, obviously, I'd like to be considered for the opportunity.
00:44Yeah. Happy to put my hand up.
00:46We'll be discussing staffing once Miriam has told me more about the case.
00:50It's good to see. So much enthusiasm. It won't be an easy decision.
00:56Everybody knew she was coming back.
00:59Everyone except you.
01:07Emmert.
01:08Hi.
01:10What are you doing here?
01:11Well, I'm not here for a manicure, that's for sure.
01:14Why lose my mind at home when I can lose it here?
01:17Nice hat.
01:18You know, we played a game of volleyball.
01:20Yeah, yeah, yeah. So everyone keeps telling me. We came out on top. No surprises there.
01:24You're supposed to be resting.
01:25I've been resting for two bloody weeks.
01:27Two weeks since the tumour was removed from your brain.
01:30Uh-huh.
01:31I'm fine.
01:32Well, let's just do some checks. Yeah?
01:34Any headaches?
01:36Dizziness?
01:36Vision changes?
01:37No.
01:38Nausea?
01:39Vomiting?
01:40Not yet.
01:43Your post-op scans are clear. That doesn't mean you're ready to be back on the floor.
01:47I'm not asking to be boss. Just let me be useful.
01:50Well, we could always use an extra pair of hands.
01:55Fine, you can stay. Mullins, checkers, vitals, and again at the end of the shift. Light work only. Absolutely no
02:01heavy lifting.
02:02Really? I used to run this place.
02:03Don't push it. Keep an eye on him.
02:07Of course.
02:11So, we're going to ignore everything that robot just told us and run Reese us our way, right?
02:16It's good to have you back.
02:17Yeah, not a moment too soon by the looks of you lot.
02:20Oh, come on, man. What are you doing?
02:25So it's like a fetus of a twin.
02:27It's growing inside of someone.
02:30Basically.
02:31God.
02:32Um, Dr. Ropati explained it to me. I thought maybe I'd misunderstood.
02:36Central must be spewing that she brought it here.
02:38You wouldn't believe the price tag on getting it to operate, but I can see the headlines now.
02:43It's great, right?
02:44Yeah, huge.
02:46You're quiet?
02:48I'm just seeing the usual pattern.
02:50Which is?
02:51Big case, big name, same orbit as always.
02:54You wanted it.
02:55I wanted it to be considered, at least. I'm not even a contender.
02:58Well, you've been a consultant for less than six months, Phil.
03:01It's because I'm not a Warner, or Ropata, or Samuels.
03:05I didn't grow up wearing scrubs, having dinner table debates about surgical techniques.
03:08Well, last names aside, they've been doing it longer than you.
03:10Exactly.
03:11I don't stand a chance.
03:12How am I supposed to get experience with these big names in the way,
03:15lording over the rest of us with their lineage?
03:17Are you asking me to do something about that?
03:20No, God.
03:20Because I could pull some strings.
03:22No, please don't.
03:24I don't need you strong-arming a surgical appointment on my behalf.
03:27I want to get things on my own merit.
03:29I respect that.
03:31You sure you don't want me to intervene?
03:33No, I'm not going to stoop to their level.
03:34I'm better than that.
03:42Well, Nick, Tyler.
03:44Jesus, what the hell are you doing here?
03:46There's no way to greet an old friend.
03:49Because we're not friends.
03:50Wow.
03:52Short-term memory.
03:54Where's your girl?
03:56She's not my girl.
03:58Well, it didn't work out, huh?
04:00Well, I suppose being accessories to murder
04:02can't put a strain on a relationship.
04:05Don't we just let Poppy out of it?
04:08That's what I thought.
04:12Now, we need to talk.
04:15Talk about what?
04:17Needs, wants, musts.
04:26Mum?
04:27Mum, have you decided who's assisting on the fetus in P2?
04:31I'm still thinking about it.
04:32I want to do it.
04:34Izzy.
04:34What?
04:35This is a huge case.
04:37I know.
04:37Everyone will be watching.
04:38They always are.
04:40So be honest with me.
04:40Is this about the surgery or the kudos?
04:43You think I just want the clout?
04:45I know you like the attention.
04:47I like being trusted.
04:48This surgery would be a lot of pressure
04:51for where you're at in your career right now.
04:53Pressure creates diamonds.
04:55You're not a consultant.
04:57Are you scared I'll embarrass you?
05:01Right.
05:04Izzy, I'm...
05:05It's cool.
05:07I see how it is.
05:13Hey.
05:16She doesn't see me as a serious surgeon.
05:18She sees you as her peppy.
05:22Everyone always thinks,
05:24because she's my mum,
05:25things will be easier for me at Mahi.
05:27Spoiler alert.
05:28They're not.
05:30Maybe it's delusional.
05:33There's no way I could do it anyway.
05:35Why not?
05:36Because my own mum doesn't think I can do it.
05:39I don't know.
05:40I reckon she's wrong.
05:42You actually think I could do it?
05:44I know you can do it.
05:46I've scrubbed in with the both of you,
05:48and you are just as good as Phil.
05:52Then I'm going to show her.
05:54Go get it, sis.
06:03I would just usually put patient's state
06:05she tripped or fell or unwitnessed for,
06:07just in case.
06:08She fell.
06:09That's what I write.
06:10Yeah, but when it's unwitnessed,
06:12we need to allow for the possibility
06:13that she could have lost consciousness
06:14and not remember it.
06:15Yeah, I'm not trying to cut corners.
06:16No, I'm not saying you were.
06:18It's just best practice.
06:19Look, I know how to write a chart.
06:21Yeah, I'm not stupid.
06:23Well, then why do you write it like that?
06:29I guess I ordered to fix it myself.
06:33Hello, Tyler.
06:36You're on break.
06:38Now.
06:40Are you kidding?
06:41No.
06:42Go.
06:48Media, am I?
06:49Could I have a read?
06:50Oh, Esther, yes, of course.
06:52I just wanted to make sure
06:53that you have everything you need.
06:55And if there's anything I can do
06:56to help smooth the transition
06:57to here at Shortland Street,
06:59just let me know.
07:00That's very kind of you.
07:02I just got a similar call from TK, actually.
07:04He made sure to put in a good word for you,
07:06for the fetus and fetus.
07:08It would be good to work with someone
07:10that you know well.
07:12The shared shorthand
07:13is always an advantage in surgery.
07:16Really?
07:18Hey, I know things didn't end very well with us,
07:21but I hope we can move past there.
07:24It's relevant.
07:26So drop the angle.
07:28Oh, I...
07:28Miriamma!
07:30Your case studies are very elegant.
07:33I've been reading up on them.
07:35Wow.
07:36Someone who's actually done their homework.
07:38Yeah, I actually went down a bit of a rabbit hole.
07:40Now, your paper on high-risk neonatal abdominal surgery,
07:43the one that challenges the standard single-stage approach.
07:46Incredible.
07:47Oh, and I read your work on the multi-organ transplant.
07:50That award was well-deserved.
07:52Oh, thank you.
07:54Walk with me.
07:55Please.
07:58How do you take it?
08:00Didn't work, did it?
08:01What about you?
08:02That was...
08:03desperate.
08:04I'm not desperate.
08:06Mm-hmm.
08:13What was all that about?
08:15Tyler.
08:20What's going on with you?
08:24Nothing.
08:25You don't snap like that for nothing.
08:28It is nothing.
08:29Hey, no, come on.
08:32I don't know what you want me to say.
08:35Well, the truth would be a start.
08:47I don't know you anything.
08:49We're not together anymore.
08:50So that's it?
08:51You're just going to lie to my face?
08:52I'm not lying to you, Poppy.
08:54You are.
08:55And you're bad at it.
08:57Just lay off it, all right?
08:58No.
08:59Because whatever it is,
09:01it's affecting your work,
09:02and you need to come clean.
09:03So my work's the issue?
09:05Tyler, just tell me.
09:08Okay, Dalton was here.
09:10Dalton?
09:11What does he want?
09:12To collect.
09:14What does that mean?
09:15It says that I owe him a favour.
09:17Okay, well, what is it?
09:20Tyler, you have to tell me.
09:24He wants me to steal drugs from the hospital.
09:28No.
09:30Tyler, no, you're not doing that.
09:32I don't really have a choice.
09:33Of course you do.
09:34No.
09:35No, I don't.
09:37Okay, because otherwise he's going to reopen Hendrix's case,
09:40and he's going to charge you
09:41and he's going to charge me
09:42as accessories to murder.
09:45Oh, my God.
09:47Yeah.
09:49I'm screwed.
09:51Okay, I have to do.
09:5924-year-old male, stab wounds to the chest,
10:02left arm and shoulder,
10:03drug deal gone wrong.
10:04I need two large brivies.
10:05I'm on it.
10:07Hey, the wounds to the chest appear superficial,
10:10but there's a nasty leg to the lead bicep.
10:12Looks like a vicious attack.
10:14That's what you get when you piss about with knives.
10:18Hypertensive at 90 over 60.
10:20You can't find anything that'll take a 16K chair.
10:22Whose fault is that?
10:24We don't know nothing about his history.
10:26Life is choices.
10:28He could die.
10:29Maybe dial back the judgment.
10:30Natural selection, if you ask me.
10:32Yeah, man, you look better than this.
10:33Oh, Christ, not that again.
10:35Dr. Dove, what do you think?
10:36I think he's next to the brachial artery.
10:38He needs surgery.
10:39Now.
10:40No, we'll wait for Esther.
10:41She's the lead on trauma calls.
10:43She's tied up.
10:43I need to get him to theater
10:44before he loses his entire circulating volume.
10:47If we wait in here, arrest us on you.
10:48That's not your call.
10:50Izzy's right here.
10:52Enough.
10:53Fine.
10:53Go.
10:57This isn't working.
11:04Got the imaging all ready?
11:07Yeah.
11:08Miriam, I thought I should take a look.
11:11Yeah.
11:12You see the encapsulation there in the pelvic region?
11:17It's going to be a nightmare for dissection.
11:20Golden Marshall, very young.
11:21Yeah.
11:22Delica.
11:25Hey, Nas.
11:26There's, um, just something I'd like to run by you.
11:31Okay.
11:32I know you're keen to assist.
11:34Very.
11:35And Miriam seems keen too?
11:36Yeah.
11:37Well, I get that.
11:38You're a fine surgeon.
11:42So?
11:43Miriam and I, we, uh, we go back a long way.
11:47We're well together.
11:49She was my mentor.
11:51Yes, I know.
11:53So why would I give up the opportunity of a lifetime, Chris?
11:56Because?
11:56Because you are going to get many more years to do a surgery like this.
12:03Right.
12:05Well, you think that a parasitic torn is just going to appear with a birth rate of, what,
12:08one in five in a thousand?
12:09No, of course I don't.
12:11I...
12:13This is my chance.
12:16And mine.
12:18Nas, I need this surgery for personal reasons.
12:23Because you slept with Kate Hainan and now you need to make up for that.
12:26What?
12:26No, who told you that?
12:28I...
12:29Oh, I don't need to justify myself to you.
12:32I'm doing that surgery.
12:36There you are.
12:37Have you got a minute?
12:38Um, if you're quick.
12:39I just wanted to talk to you about the fetus and fetus case.
12:43Seriously?
12:44What?
12:45You've been a consultant for five minutes and now you're angling for this?
12:48You don't think there are far more experienced, more worthy candidates, perhaps?
12:57I just wanted to at least observe.
13:01That's it.
13:03Pressure's off.
13:05Vitals are holding.
13:06No sign of ooze.
13:08Good.
13:08Let's wash out and close.
13:10Z?
13:11You're on way over your head.
13:13The bleeding is controlled and the patient is stable.
13:15Source identified.
13:16Borachial artery, which I've now ligated.
13:18Any other active bleed?
13:19Negative.
13:20Chest wounds are superficial.
13:22Cardiac vessels?
13:23All intact.
13:24Abdomen?
13:25Seen.
13:25On fast, getting clear, but we'll do a chest and abdominal CT to confirm postoperatively.
13:30Vitals?
13:31Stable.
13:32Since Izzy worked their magic.
13:34Okay.
13:36I'm ready to close.
13:38Looks like you've got it under control.
13:39Carry on.
13:41Nice ones.
13:44There.
13:46Security's widened.
13:48This could have tipped into something nasty.
13:50Good catch.
13:51You could have gone home and dropped dead tonight.
13:53You're going to be fine.
13:54We got you.
13:56Call oncology for a review.
13:58Still got it.
14:00What's all this thing?
14:02Oh, come on.
14:03Emmett, it's good to see you up and about.
14:05Uh-huh.
14:07Oh, why does this feel like an ambush?
14:08It is a conversation with the four horsemen of the apocalypse.
14:12Who called the CEO?
14:13I've been made aware of some concerns about Emmett being back in ED.
14:18Let me guess.
14:19Too soon?
14:20Too risky?
14:21Too inconvenient?
14:22He has been solid all morning.
14:24He's post-major neurosurgery.
14:25We can't ignore that.
14:26I've passed my physical.
14:27My scans are clear.
14:28My work speaks for itself.
14:30So why are you lost standing here like I can't hack it?
14:32No one is saying that, but a softer re-entry might be more appropriate.
14:37Meaning?
14:38Arc.
14:39You run it.
14:39Low acuity, but full oversight.
14:42Ugh.
14:43A demotion.
14:44A compromise.
14:45How long?
14:47We'll review once you're settled.
14:48I don't need a performance review.
14:50But you do need a reality check.
14:52This isn't about your ability.
14:53It's about your brain health.
14:54And as your surgeon, I can't clear your 3D.
14:56This is the only option that I'm comfortable with.
14:59Stubbed toes and paper cuts it is then.
15:05Was it really necessary?
15:06It's about safety.
15:08Yours included.
15:10I'll go with him.
15:11I want to transfer to Arc too.
15:14Do what you need to do.
15:18We'll just take a seat and I'll be with you in a second.
15:28Look, I know we're not together.
15:31I'm aware of that.
15:32But you were in this with Dalton because of me and Hendrix.
15:36And I'm not letting you torture your career because of my mess.
15:38Look, this isn't your mess anymore.
15:40I made sure of that.
15:41Did you?
15:42What else do you want me to do, Poppy?
15:45We call Dalton, okay?
15:46We offer him something that doesn't end with you and Cuffs or us struck off.
15:50Like what?
15:52I don't know.
15:52But we'll figure it out and we'll face it together, okay?
15:56Look, you don't know me that.
15:57Yeah, actually, I do.
16:01All right.
16:03We'll call him together.
16:05Good.
16:14Excuse me, Doc.
16:15Can you have a look at my blister?
16:19This is a joke.
16:21All right, listen up, everyone.
16:24We've had a hectic infestation of lice.
16:27They've settled in.
16:28They're laying eggs.
16:28See, if you don't really, really need to be here,
16:30I suggest you leave ASAP.
16:32I've been close to a couple of those...
16:34Is he who's named?
16:36That's it.
16:37Yeah, take it to your GP.
16:44Emmett.
16:45What?
16:46You put me in charge of the ARC, I'm going to run it my way.
16:49You can't just fake an infestation.
16:51Why?
16:51I just did.
16:53This is not ED.
16:54You don't get to play cowboy.
16:55Well, don't shove me somewhere where emergency medicine is being confused with customer service.
17:01Get him under control.
17:02I'll try.
17:32Oxycodone.
17:34There isn't.
17:35If we get caught, we lose our jobs, we lose our careers.
17:39You could go to prison.
17:41Which is exactly where the pair of you would be if it wasn't for my help.
17:44I told the police everything.
17:46Hey, you should be in jail.
17:48You're the one who lied.
17:49Yeah, but not just me, right?
17:51I mean, this one here, he got Mickey sent back to Australia, didn't he?
17:56I mean, just do whatever you want me.
17:59Just leave her out of it.
18:05Oh, baby, just walk away.
18:08Okay?
18:08I can handle this.
18:09If I get caught, you had nothing to do with it.
18:11I'm not letting you do that.
18:12Okay?
18:13Not for me.
18:17Okay, if we do this, it has to be on our terms.
18:24You know you can't intercept cases.
18:25You bypass protocol, chain of command, my authority.
18:28I wasn't trying to undermine you.
18:30And what if something went wrong?
18:31It didn't.
18:32And you can't go over risking patients like that.
18:34I'm sorry.
18:36In saying that, you handled things well.
18:41The patient's recovering well.
18:43No neurovascular compromise.
18:45They're receiving several much-needed blood transfusions.
18:48You made the right call under pressure.
18:50You saved a life.
18:52Excellent work.
18:53Excellent work on what?
18:55Izzy stepped in on a complex brachulatory trauma.
18:58She took the lead and she handled herself very well.
19:01Great.
19:04We'll continue our debrief later.
19:10So, how about that assist?
19:12You think I'm ready?
19:13The surgery requires another consultant at minimum.
19:16I handled that tremor up solo.
19:18You did.
19:19And you did well.
19:20But we both know what happened with your exams.
19:23Right.
19:27Nothing I do is ever going to be good enough for you, is it?
19:30That isn't fair.
19:31But it's true, though.
19:33This isn't personal.
19:34You did well today, and I am proud of you.
19:37But that doesn't override experience, skill-level requirements, or patient safety.
19:43Your time will come.
19:46Just not on this case.
19:51It's so quiet in here.
19:53Yeah.
19:55Too quiet.
19:56Well, that's your fault.
19:57I'm just eating half the waiting room packing.
20:02So, Paul wants you to babysit me, that right?
20:04Why?
20:05You're planning on acting like a big baby?
20:07Mm-hmm.
20:08Paul did not transfer me.
20:10It was my choice.
20:11Dumb move, Mullins.
20:13You better not be here to look out for me.
20:15Oh, I definitely am.
20:17Well, you were in for a long week, then.
20:20Great.
20:20I've cleared my schedule.
20:22Well, I'm warning you.
20:23I'm not going to go easy on you.
20:24Yeah, well, I wouldn't recognise you if you did.
20:27I think you've got me all figured out, don't you?
20:29Oh, please.
20:30You are going to push boundaries, just a simple flinch.
20:34Test how far you can go before Paul shows up again.
20:37And pretend you don't care about anything.
20:41Or anyone.
20:42That's not...
20:42And then, you were going to say something deliberately awful, just to see if I'll bite.
20:49You forgot storm out dramatically.
20:51Well, see, that's more end-of-shift behaviour.
20:53You only do that when you're all tuckered out and need to be put down for a nap.
20:58Here you go.
21:00You're enjoying this, aren't you?
21:02Just meeting you where you're at.
21:04Oh, yeah.
21:05Which is?
21:05Petty.
21:06Reactive.
21:07Slightly f***ing feral.
21:09But actually, you're just a big softie.
21:13You're all careful now.
21:14Or what?
21:15What?
21:15You'll call another lice outbreak?
21:17Go ahead, Emmett.
21:18I know exactly what I'm working with.
21:27Well, Paul's late for his own meeting.
21:30Well, you handled Emmett, right?
21:34Nice to know we can still work more together.
21:37Indeed.
21:40Thank you all for coming at such short notice.
21:43Just wanted to touch base about the fetus in V2 case.
21:46It's already attracting media attention, which means added scrutiny.
21:49I want absolute clarity and leadership in theatre.
21:52So after some careful consideration, Dr. Grayson will be leading the surgery.
21:58Congratulations, Phil.
21:59You don't have the authority to decide that.
22:01You will be assisting Phil, Miriam.
22:05I won't be discussing it.
22:06It's done.
22:08Assisting?
22:09You put him up to this.
22:10You told me to stay in my lane.
22:12This is me doing exactly that.
22:17One delivery, one time, nobody gets hurt.
22:21Well, I can't guarantee that no one gets hurt.
22:23Then we're done.
22:24Right now.
22:29All right.
22:30You get one window.
22:32I'll get you the delivery schedule, when and where the oxycodone comes in.
22:35Oh, P.
22:36You don't have access to that information.
22:38I do.
22:40Smart.
22:41Clean.
22:42Minimal exposure.
22:43Yeah, that's the point.
22:44Once this is done, we're done.
22:45Don't interrupt.
22:49What if I want more?
22:52This is the deal.
22:54All right.
22:57One job and we're done.
23:00Good.
23:03You know, you were always overly cautious, Tyler.
23:08But this one...
23:13She doesn't blink.
23:14She doesn't blink.