- 7/15/2025
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00:00Previously on Shortland Street.
00:07This is a critically ill child infected with a multi-resistant organism.
00:11This is my surgery.
00:12I will assist or you won't do it. It's up to you.
00:14Things have broken. I don't know how to fix them.
00:16No, I'm not abandoning the kids.
00:17I will sort my own kids out.
00:25Careful, the patient's very young.
00:26I'm not aware of that.
00:28His limbs are less robust than in adults.
00:30Is this healthy tissue in reserve?
00:32Like I said when we started, I'll only go deep if I absolutely have to.
00:37Separating the tissue.
00:42Sorry, that smell.
00:45The infection has gone to the muscle.
00:46This is not just soft tissue necrosis.
00:48I don't think that was clear on the ultrasound.
00:50It definitely wasn't.
00:52You need to start an aggressive debridement.
00:54Cleo, call Piku.
00:56Let them know they'll need to be involved.
00:57The muscle, it's all mushy. It's all necrotic.
01:02There's every chance the infection's already reached the bone.
01:05You'll need to go deep.
01:06But you said his limbs are less robust.
01:08Phil, stop fighting me.
01:09I'm just worried about permanent damage.
01:11Do you want to save his arm or his life?
01:13Right. Sorry.
01:15Now cut.
01:15Oh, this seems awfully fishy to me, Naz.
01:23This is a very delicate situation.
01:26But believe me, I will tell my parents.
01:28I just have to wait until the time is right.
01:30So I don't see why you can't just tell Monique that?
01:32Because she'll murder us both, Sage.
01:33Okay.
01:34Keep your shirt on.
01:35I'm sorry.
01:37It's just...
01:37Look, I've already messed her around so much on the way to our engagement.
01:40This...
01:41This will break her heart.
01:44Fine, fine.
01:44Okay, I'll keep your secret.
01:46But only because I love Monique.
01:48And I suppose you're okay, too.
01:50I will forever be in your debt.
01:51Thanks.
01:57What took you so long?
01:59Oh, just chatting.
02:01Come on, Phil.
02:02What in Tilted together?
02:03Oh, you know, I'm just trying to get a spot in Mon and Naz's wedding party.
02:07You don't only bother.
02:09Because I believe in love.
02:11All couples crap out of the end.
02:13Do you have to be such a Debbie Drag all the time?
02:16Isn't it Debbie Downer?
02:18You would know.
02:19Oh, Gia!
02:19Can you get rid of that bummer energy before she gets here, please?
02:22Oh, I'm off the clock.
02:23I could be a big bummer if I want.
02:24Hi.
02:25Hi.
02:27Well?
02:29Well?
02:30So?
02:31Don't leave me in suspense.
02:32How did it go with Romy?
02:32Was he heartbroken?
02:34It's not that simple.
02:36Because he's a patient?
02:37What's this?
02:38He'll be discharged soon.
02:40Gia, you didn't.
02:42It's complicated.
02:43What are you talking about?
02:44Oh, my God!
02:45Get your aura out.
02:46We've been through this.
02:47Do you want to know my read?
02:50No.
02:50Yes.
02:51Okay, Romy needs hope, okay?
02:53And he's seized on you.
02:54And look, I love the whole, like, star-crossed lovers thing, but I don't know.
02:58It is not that sage.
03:00Then what is it?
03:01Is it because he's disabled and you go for guys who need fixing?
03:04Oh, Jesus, Emmett.
03:06Well, I guess they're disabled.
03:08Can't I?
03:10Whatever.
03:10I'm going to go get a drink.
03:11It's not any bit of further down.
03:16It's all nice.
03:17No half measures.
03:18If we leave anything behind, we run the risk of systemic sepsis.
03:22That was the infectious diseases registrar.
03:24Have they confirmed the strain of CRE?
03:26No.
03:26But the preliminary results show it's resistant to all the antibiotics we've been using.
03:31They suggested meropenem, but they can't guarantee it will work.
03:34Damn.
03:35I've reached the bone.
03:36I can't go any further.
03:37Is there osteomyelitis?
03:39I don't think so.
03:40There was nothing on the x-ray.
03:41Okay.
03:42Get a repeat x-ray, post-op, and monitor.
03:47Right.
03:47We'll need to start him on meropenem.
03:49Let's add colistin and tigacycline.
03:51No, that's too much.
03:53You're still fighting me?
03:54His organs are on the verge of collapse.
03:56I don't want to have to tell his mother that we killed him with a mega dose of drugs.
03:58Well, do you have a better suggestion?
04:00Because right now we're on last resort measures.
04:02Didn't you have a treatment idea?
04:07Me?
04:08Yeah, you were reading about something.
04:11Immunomodulation.
04:12It was in a recent journal that I read.
04:14Oh, brilliant.
04:15Just give her a chance.
04:16Clear.
04:17There have been some cases, not CRE though, where they've stopped antibiotics altogether
04:23and gave intravenous immunoglobulin instead.
04:26To turbocharge the immune system.
04:28I know.
04:28We're not doing it.
04:29You'd rather shut his kidneys down with more drugs that aren't working?
04:32I don't want another disaster on my hands.
04:34Another disaster?
04:35The debate is over.
04:36You've gambled enough with this kid.
04:38Fine.
04:38You're the boss.
04:43He's a monster.
04:46Oh, son.
04:47Look.
04:47How do I get some cuddles?
04:51Do you have a bed dream?
04:53I want that.
04:55Yeah, I know.
04:59Daddy better's not here, but Mama is.
05:01I want Dad now.
05:03I know, son.
05:05I know.
05:07BP's 60 over 40.
05:08He's tachycardic at 140.
05:10His urine output is falling.
05:12I'm worried he's going into orphan failure.
05:13Okay, we can't carry on with the surgery until he's stable.
05:16Commence noradrenaline and we'll start the additional antibiotics.
05:19No, his body won't be able to take that.
05:21There's no other option.
05:22Except we suggested one.
05:23Why won't you listen?
05:24Oh, for God's sake, you're as bad as Harry.
05:26Your son.
05:28Chris, this isn't about you.
05:29I know.
05:30Then we have to try Cleo's idea.
05:32It wasn't my idea.
05:34I just read it in a recent journal.
05:35It's a huge risk.
05:38Fine.
05:39Then I'll close.
05:42Withdraw all antibiotics.
05:44We'll commence the immunoglobulin.
05:46Seriously?
05:47Seriously.
05:53How was your idea?
06:00Terrible.
06:01Why did he come back?
06:02Maybe I don't want him back.
06:04You don't mean that.
06:06There's a ton of people who have come to be tested with a gene and more on their way.
06:11All related to the Alice model.
06:12Actually, no.
06:13That press release I did with Edenia, it made last night's news, but got taken a bit out of context.
06:17In what way?
06:18Well, the bit they used gave the impression Maori will get cancer, but now there's a gene we can test for.
06:23So we've just scared a bunch of people for no reason?
06:25At least they're coming to the hospital, right?
06:27I mean, no doubt some of them will need care for other things.
06:30That's not our priority.
06:32It is an opportunity to help.
06:34If I can sort everyone out.
06:35Yeah, I can help.
06:37That's my mess.
06:38Our patients.
06:39Thanks.
06:40Moruna.
06:42Moruna.
06:43Busy?
06:44Gene testing.
06:45We got the word out, and then some.
06:46Are Kiwa's test results back yet?
06:49Or is that none of my business?
06:51Oi.
06:52What are you going to do?
06:53Help me.
06:54I don't have time to worry about that.
06:55I just need to get through the day and be strong for Kiwa.
07:01So I've had a look at your ultrasound, Helen, and your appendix is definitely inflamed.
07:05I'm not surprised it's been so sore.
07:07She's been a champ, but the painkiller that the nurse gave us hasn't helped.
07:11All right, well, how about I chart you something a bit stronger?
07:13Make you more comfortable, yeah?
07:14Okay.
07:15And then I will get the surgeon to come and talk to you both.
07:18A surgeon?
07:19Yeah, um, I'm afraid the appendix will have to come out.
07:22They're going to cut me open?
07:23Hey, it'll be okay.
07:26I read my appendix out.
07:27It was easy peasy.
07:28It didn't hurt?
07:29No.
07:30And you'll be asleep the whole time, and then when you wake up, you're not going to have
07:33any more pain like you do right now, okay?
07:36I promise.
07:37Couldn't have said it better myself.
07:39The nurse will be here in a sec.
07:40Thanks.
07:41Nice.
07:42I'm doing surgery.
07:43I need a surgeon for my appendix patient.
07:45Uh, Helen Sadell, 11 years old.
07:47That's the one.
07:48Hey, have you had a debrief with Chris about Bradley Hoppy?
07:51Yeah, I'm heading to Piku after I finish in the theatre.
07:55I'll chase Chris down now.
07:56Then will you make time for us to?
07:58Nah, this is...
07:58Staying in a hotel can't be helping.
08:00Well, it's better than fighting in front of the kids.
08:04Hey, what's this, uh, Steve Walters?
08:06The dad.
08:07He's only the stepdad.
08:09What do you mean, only?
08:11He's not a biological father.
08:13Well, it seems like he's doing everything a dad would do, and then some.
08:16Look, I get that.
08:17Truly, I do.
08:18But he can't consent to our surgery.
08:19You need to contact the mother.
08:21Will do.
08:22And then you can talk to Esther.
08:23Because the infection isn't responding to any of the antibiotics, we have decided to stop giving them.
08:32What?
08:33Why?
08:34What are you doing instead?
08:36With your consent, we'd like to start Bradley on intravenous immunoglobulin.
08:39It's made from donoplasma, and we hope it will help boost Bradley's own immune system.
08:44And that will fix him?
08:47That is our hope.
08:49Can I go in now?
08:50Of course.
08:52This is our best chance.
08:54But I'm just a junior registrar.
08:56I mean, I actually think you'd go ahead with what I suggested.
08:59It's not based on your suggestion.
09:00It's based on the research.
09:02We'll be limited.
09:03Yeah, of course.
09:05Bradley Hoppy?
09:06I'll take that.
09:09Okay.
09:10Let's start him on IVIG at 0.3 mils per kg per hour.
09:13Working our way up to an X of 2.4 mils, if Bradley can tolerate it.
09:17And you and Tutari, Nicky's gone straight from the oven.
09:28I promise, I'm better behaved these days.
09:30That's good, Julian.
09:33Don't leave just yet, Mr. Tita, if you could take a seat.
09:36Ready for you now, choir.
09:37Nice to see you, auntie.
09:44What's going on?
09:46I'm pretty sure he has chronic emphysema, so I want to head with him.
09:49That's not really what we're here for.
09:51So what?
09:52We tell him we don't care if he's sick today.
09:53We only care if he's got a gene that'll make him sick later.
09:56How can I say no to you?
09:57Julian, please, if we're going to work together.
09:59It's all right.
10:00Keeping it professional for the people and for Kiwa.
10:04More work ahead, though.
10:05Ed and E wants to be screened, too,
10:06to experience the process for the article she's writing.
10:09Need to go my back.
10:10Yeah, she was like a little sister to me growing up.
10:13Think you'd be free to wrap up that interview with her?
10:15If it helps, I'm there.
10:16Cassie, could you help Miss Dizzy to get through the admissions paperwork?
10:19Sure thing.
10:21Need anything else?
10:22There's a lot of patience to be processing on your own.
10:25It helps to keep busy.
10:26And it helps to have help.
10:28Maeve, any chance you're free to give Esther a hand with these blood tests?
10:31That's why I might have spent to finish.
10:33Would you care for a few hours of overtime?
10:35I'm happy to approve.
10:36Yeah?
10:37Thanks.
10:38Everybody helps.
10:39Um, would you need me?
10:40My exam.
10:44Authorised overtime.
10:45Wow.
10:46One does never cease.
10:47What can I say?
10:48You bring out the worst of me.
10:52I know this feels like a slap in the face.
10:54It's ridiculous.
10:55I've been Helen's dad for years.
10:57I understand that.
10:58Do you?
10:59Yes, believe me.
11:00And I hate to even have to ask this, but do you think you could get in touch with Helen's biological father?
11:05If I could, I'd wring his bloody neck.
11:07He buggered off years ago.
11:08No contact, no money, no nothing.
11:11Any luck with their surgical consent?
11:13We're working on it.
11:14What, you haven't contacted the mother?
11:15She's on a flight from Tokyo.
11:17Doesn't touch down for eight hours.
11:18So you're going to have to take my consent.
11:19This is ridiculous.
11:20Well, luckily Helen's condition isn't acute.
11:22She's scared and in pain.
11:24We are doing everything we can to make her comfortable, I promise.
11:27And if Helen's condition worsens, we can perform the surgery without a legal guardian's consent.
11:31So you're telling me that my little girl has to suffer even more before you're even going to do the surgery that she needs?
11:36That's insane.
11:38I'm afraid it's the law.
11:39Right, well, I'm getting a lawyer.
11:43Come on, there has to be some way around this.
11:45You know there isn't.
11:46He's a dad.
11:47Step, dad.
11:48Legally, not the same.
11:50Morally, exactly the same.
11:51This isn't about you and Esther.
11:53No matter what, she never missed a chance to remind me those kids aren't biologically mine.
12:00How am I supposed to get past that?
12:03I don't know.
12:04But surely you're going to try.
12:06Look, I have to go, but you need to sort this.
12:12Second MBA incoming.
12:13When it rains, it pours.
12:15ETA, seven minutes.
12:16You ready in recess?
12:17Born ready.
12:19Hey, I've got a 23-year-old in cube two with a dislocated shoulder and rib fractures.
12:22She is complaining of severe chest pain.
12:24Talk me through your plan.
12:25IV morphine for the chest pain, an ECG, and order a chest x-ray, and be ready to give her
12:30IV fluids if she becomes hypertensive.
12:32Excellent.
12:33You're on fire.
12:34Aren't I always?
12:38You notice Mona and Poppy?
12:40What about them?
12:41Something saucy going on there.
12:43Please don't ever say that again.
12:45Oh, well, at least it's normal.
12:46You're carrying on with a paralysed patient.
12:48He is not paralysed, and you made your point last night.
12:51Hey, someone call a surgeon.
12:53Well, yeah.
12:54Take your pick.
12:55But triage two's coming out my ears.
12:58Oh, FYI, your mate has been discharged.
13:00Boy, he is keen on you.
13:02First word out of his mouth this morning was dear.
13:04Don't encourage her.
13:05Tell you what, he's unstoppable.
13:06Kind of puts the rest of us to shame.
13:08Um, okay, I will take the cracked pelvis behind door one.
13:14Hey.
13:16So this is the real deal, then?
13:17I know you got involved last night, but I'd really rather not discuss it with you.
13:21Look, I'm just curious.
13:22How's it going to work?
13:22Don't get ahead of yourself.
13:24You sound like Ronnie.
13:25He's got Parkinson's.
13:26He's got locked-in syndrome.
13:28It's not going to be easy, is it?
13:29So what if it takes a bit more effort?
13:32I don't know.
13:33I think it could be worth it.
13:35Listen, I know I got you back up last night, but I'm serious.
13:38I don't need dating advice from you, Emmett.
13:40No.
13:42But you're getting it anyway.
13:44First there was the gang kid, and now there's this guy who needs 24-7 care.
13:47I mean, I'm sure he's a lovely bloke to you, but you do have to admit, you seem to have
13:51a habit of setting yourself up to fail.
13:53Look, you don't understand.
13:55You're damn right I don't understand.
13:56I don't understand why someone is smart, motivated, and don't shoot me, beautiful as
14:01you, is so intent on selling themselves short.
14:03It was Esther who made the discovery, working with our team in Australia.
14:10Well, it was Julian who first discovered the patterns for the patients here.
14:13Then we contacted a geneticist friend from med school who liaised with the team studying
14:17the gene in Brisbane.
14:19And of course, for both of you, this campaign is extremely personal.
14:23Very much so.
14:24Your son, Kiwa, might have the gene.
14:29Hopefully not.
14:31I don't have kids yet, not for lack of trying, but I can't imagine how scary that must be.
14:38And you sadly lost your girlfriend, Hoana, to lung cancer.
14:43Yes.
14:44Well, I can see you both draw a lot of strength from each other.
14:48I think that's very true.
14:49And you make a, um, you make a, sorry, I, um, seem to have lost my, I must still be a
15:00bit wiped out.
15:02More coffee?
15:03Oh, no thanks.
15:05Pulling myself together, I was going to say that you two make a great team.
15:11And a, um, very beautiful couple.
15:13Sorry.
15:15You're so kind.
15:15Oh, we're not a couple.
15:17What would give you that idea?
15:18You're not.
15:19Well, it's a very nice picture.
15:22Yeah, that's just a picture for the brochure, you know, the hospital.
15:26Oh, sorry.
15:27I seem to have completely misread the situation.
15:30Makes you a mistake.
15:31It's part of our co-puppet at Shorten Street for me to work with our HODs as closely as possible.
15:37And working with Esther is clearly paying dividends.
15:40Can't deny that.
15:42You're both doing great things for Maori health.
15:45We try our best.
15:46I think that might be all we have time for.
15:52And now the little kid's in HDU all because of a mozzie bite.
15:56That got infected with a multi-resistant organism.
15:58So he cut off his antibiotics.
15:59It's a ballsy move.
16:00It's immune to modulation.
16:01By withdrawing antibiotic therapy and administering immunoglobulin, we hope we can kickstart Bradley's
16:06immune system.
16:08What were you thinking?
16:09I, uh, this isn't on her.
16:11I was talking to Cleo.
16:12Just dial it back with the Gordon Ramsay energy.
16:14I'm sure you've got work to do.
16:16You good?
16:17Yes, I'm fine.
16:17Just go.
16:19The treatment obviously wasn't Cleo's final decision.
16:21Like you said, she's just a junior.
16:23But it was her decision to suggest we use Bradley as a guinea pig for an unproven treatment.
16:27I just mentioned it was in a recent journal that I'd read.
16:30I don't know if I should be more furious at you for suggesting it or your supervising
16:34surgeons for letting it get this far.
16:35You weren't there, Naz.
16:36The necrosis, it was extensive.
16:38Then you heard how bad it was, didn't you?
16:39Because you wanted this case all to yourself.
16:41That is not how it is.
16:42It's insanely risky.
16:44And it's the best chance we've got.
16:46Ask Chris.
16:47It was his call in the end.
16:48That's right.
16:49Chris Warner.
16:49Changes everything, doesn't it?
16:52Nazar, I need you.
16:53Helen Sadell?
16:54Oh, you got the mother's consent?
16:55Not yet, but I got the pilot of the plane.
16:58Incredible.
16:58This isn't over.
17:03I really messed up.
17:05We both did.
17:06And we didn't get into the boys' club.
17:09Next time, I'll wear my penis.
17:13What the hell was that?
17:15I thought it went well.
17:16Are you out of your mind?
17:17Why did she think that we were a couple?
17:19You'd have to ask Ed anything.
17:20What have you been saying behind my back?
17:21Nothing.
17:22She said it herself.
17:23She made a mistake.
17:24You literally believe it.
17:26She's known me for a long time.
17:27She gets my humour.
17:28Do I look like I'm laughing, Julian?
17:30No.
17:31But that's not really me making you miserable, is it?
17:34I love my husband.
17:35He's dragging you down.
17:37You don't know him.
17:38You and I connect.
17:39In ways he can never understand.
17:41It's who we are.
17:44And it's why you kissed me.
17:46You kissed me?
17:47You didn't even saw him.
17:49The spark.
17:50How alive you made me feel.
17:52And I don't think I can hide it anymore.
17:53I don't want to.
17:54Well, how about you try?
17:55Look, I want you, Esther, and you want me.
17:59There's no shame in that.
18:01Yes, there is, because I have a family.
18:02You're not happy.
18:03And if you're not happy, your kids won't be either.
18:05Well, then leave me alone, Julian, so I can be happy.
18:08I don't believe that's what you want.
18:15Enough.
18:15And when you wake up, no more sore tummy.
18:23And no more appendix.
18:24That's right.
18:25So you don't need to worry about anything, okay?
18:27The surgeon and the team are going to take great care of you, I promise.
18:30Sorry your mum can't be here.
18:31That's okay.
18:32You're just as good.
18:33The paperwork's in order, with your wife's consent.
18:35Thanks to Marty and the satellite phones, we're ready to go.
18:39I am sorry about the lawyer threats.
18:41I guess I kind of lost it.
18:42We've all been there.
18:43Well, I was on the phone getting nowhere, and you were getting results, so you really
18:48came through.
18:49Head on through.
18:50I'll follow shortly.
18:51Hi.
18:52See ya.
18:55You really went above and beyond.
18:57Just doing my job.
18:58You're doing it better than me.
18:59No, I just made a few calls.
19:01Look, I know you've got a lot on your mind, but when we were looking after Pecky and Kiwa,
19:07well, they couldn't stop talking about you.
19:09They love you, as their dad.
19:11Esther knows it.
19:13Don't let her tell you otherwise.
19:15Thanks, ma'am.
19:24I was looking for you, behind the bins.
19:27Why?
19:28Because that's usually where you go to cry.
19:31Cheer up.
19:32You've done nothing wrong.
19:33Yes, I have.
19:35Okay, that little boy is probably going to die, and somehow I've convinced Chris Warner
19:39to pursue a high-risk, highly experimental treatment.
19:42That treatment is what's going to save him.
19:44You think?
19:45You've got to back yourself, Cleo.
19:46You had a gut feeling, you spoke up.
19:48Don't doubt yourself now.
19:50Okay.
19:51Okay.
19:54And thank you for sticking up for me with Nizar.
19:58I'm sick of their sexism.
20:01They don't even know they're doing it.
20:04Logan isn't like that.
20:05No, he's harmless.
20:07Us girls just gotta stick together.
20:11Sure.
20:11I mean, within reason.
20:13Yeah, it's just nice to feel like I've made a new friend.
20:18You shouldn't be here to make friends.
20:21I know.
20:22And I'm not.
20:23I'm just really worried about Bradley, and it's nice to have someone I can turn to to talk
20:29about it with.
20:30I mean, I could talk to Bobby if I was here.
20:33You've made a call.
20:34It'll either work or it won't.
20:35We're dealing life or death, and if you can't handle that, then maybe surgery isn't right
20:38for you.
20:39Well said.
20:41Chris, hi.
20:42She's right.
20:43Medicine is about being brave, about pushing the boundaries and hoping like hell you're
20:48right.
20:48Um, I've just been to see Bradley.
20:52Unfortunately, he's going into multi-organ failure.
20:56I don't think he'll make it through the night.
21:02What now?
21:05That's a nice welcome.
21:07Well, all we've done recently is fine, so...
21:10Yeah, I'd like that to stop.
21:13Yeah, me too.
21:15I miss you.
21:16I would really love to believe that.
21:20That's true.
21:23Then why am I always second best?
21:26You're not.
21:27Are you really going to stand there and say you don't treat me like some consolation prize?
21:32Second to Julian.
21:33Second to Kawe, and always, always second to Curtis.
21:37I don't feel that way.
21:38Then why do you keep finding reasons to stay so close to Julian?
21:42All his surgeries, this bloody research.
21:44You pushed me to do that research.
21:46Because it's important, not for you to sneak around with another man.
21:49Nothing happened.
21:50That's bullshit, Esther.
21:52He kissed you.
21:52I didn't kiss back.
21:54What do you want, a medal?
21:57What is it?
22:04Nothing that concerns you.
22:05What do you want, a medal, a medal, a medal, a medal, a medal, a medal, a medal, a medal, a medal, a medal, a medal, a medal, a medal, a medal, a medal, a medal, a medal, a medal, a medal, a medal, a medal, a medal, a medal, a medal, a medal, a medal, a medal, a medal, a medal, a medal, a medal, a medal, a medal, a medal, a medal, a medal, a medal, a medal, a medal, a medal, a medal, a medal, a medal.
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