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00:00Previously on Chalton Street, my hat.
00:02What are we talking?
00:03No, it's not, he doesn't know.
00:04I know we're not together, but I just, I still care.
00:07Everything is fine.
00:08Latest vintage from the apology vineyard.
00:10What I mean is that people have blind spots.
00:13I've got hundreds.
00:13Yeah, maybe I went too hard.
00:15Well, I'm really glad that we are on the same page.
00:24Gareth Hill's 32 severe hypothermia.
00:26There's postage 40 in the field, so they started external pacing.
00:29Grab the bear hugger and the warming packs, please.
00:31God, is this a groundhog day or what?
00:33Yeah, it's all here.
00:34Let's go, mate.
00:36What have we got?
00:37Let's find another guy up the mountain.
00:39Jesus.
00:40On my count.
00:42One, two, three.
00:44Cubicle 2 is discharged during Goldback now.
00:47Great, thank you.
00:48They're living up there overnight.
00:49Exactly.
00:50Frost white, apparently.
00:51Phil, need you on standby, please.
00:53Mix your blankets.
00:54You, start active re-warming.
00:56Sage, can you call HDU?
00:58Let him know we've got a new friend for them.
01:02Hey.
01:03Hey.
01:05This is your Estes patient.
01:06Previous admissions for glioma resection performed by Dr. Warner.
01:09I know I said headaches.
01:12But seriously, this is a rough one.
01:15Not like the others.
01:16Steph.
01:19Hey.
01:20I almost didn't recognise you.
01:21You've worked hard, eh?
01:22Yeah, man.
01:23Got myself a girl, too.
01:24She's a PT.
01:25Gets me on track.
01:27Awesome.
01:27Well, this all looks okay, and it seems like your nausea's settled a bit, so I'll go and
01:31check the wait time for that gastroscopy.
01:33All good?
01:33Thanks.
01:39Mate of yours?
01:40Oh, old gym buddy said they changed clubs a few months back, and he's been caning it.
01:45Yeah?
01:45Four months?
01:46Boom.
01:46He's down 17.4 kilos.
01:48He's gone hungry.
01:48He's on his diet and exercise.
01:50Yeah, I'm sure that's all he's doing.
01:52What do you mean?
01:52I did his assessment.
01:53He's not on any meds.
01:54Well, you might not want to admit it, but there's a lot of black market crap floating around,
01:58like glycevia.
02:00What, that diabetic injection?
02:02Yeah, the one that's giving all of Hollywood its glow-ups.
02:04He's probably buying it online and shredding his little heart out.
02:07He's not on that crap.
02:08Not everyone's after a quick fix.
02:10Yeah.
02:11You say so.
02:14Is that pain relief touching the sides yet?
02:16No.
02:17So, keep it coming.
02:18Hey.
02:20We have to stop meeting like this.
02:22Collapsed today after increasingly severe headaches.
02:25Obs are normal.
02:26She's had a little bit of relief with four megs of vitamin morphine.
02:28We'd have to order an urgent MRI.
02:30I've done that.
02:31What?
02:32Well, I knew you'd want her on the queue ASAP.
02:34I know I'm not a doctor, but I...
02:36It's really helpful.
02:38Oh, I hate that machine.
02:40Loud as.
02:41Well, we will know exactly what we are dealing with.
02:44Like it's some huge mystery.
02:46We always knew this was going to get me.
02:48Eventually.
02:49Chuck that on my Tim Stain.
02:51Yep.
02:52I got her.
02:54Don't get ahead of yourself, okay?
02:55We'll get Chris down here and we'll come up with a game plan.
02:57You don't need to bust out your hearing moves.
03:00I'm good with it.
03:01I got my time and here we are.
03:05Not until we've covered all bases.
03:08Jeez.
03:09She's like a freight train.
03:14His core temp is 27.
03:15He's more pop score than person at this point.
03:17He's maintaining airway.
03:19Let's keep him on high flow.
03:21Hopefully he wakes up when he defrosts.
03:22CT report doesn't show any internal injuries, which is great.
03:26But the first bite on the left hand is definitely stage three.
03:29You want me to switch to something?
03:30Yeah, it's just this minor headlack.
03:32There's no bone injury, so we can push ahead with closure.
03:34We'll get some specific imaging on that hand and go from there.
03:37You all right, Mullins?
03:42Yeah, I'm good.
03:43Organise our scans and let me know.
03:45It's carving off to have a copy of the cover.
03:47Given we broke up, that'd be a bit weird.
03:49I'm sorry, mate.
03:51Yeah, I didn't know.
03:52Here, well.
03:53That's what it is.
03:54Were you doing anything unusual when the pain came up?
03:58I woke up with it.
03:59And what does it feel like?
04:01Sharp, aching, stingy?
04:02It's hard to explain.
04:03It's like a crampy kind of pain sometimes,
04:05but other times I just feel totally stuffed,
04:08like I've gone five rounds at the buffet table.
04:10Sounds rough.
04:11Yeah.
04:12How long do you reckon I'll be here?
04:13Oh, at least until we get more info on what's causing the pain.
04:16Another day of schedule.
04:17At work or...?
04:18Gym.
04:19Bro, you're hardly in any condition to be exercising.
04:21You'd wind up in an even worse state.
04:23I know.
04:24Claire's got me pumped about our regime.
04:26Was that your new girlfriend?
04:28Still pinching myself.
04:29She wouldn't have even looked at me before I got this ripped.
04:31Mate, I'd done that.
04:32No, you'll get it.
04:34You probably popped your first ab as a baby.
04:35Oh, whatever.
04:39It's a pretty crazy transformation, eh?
04:42What do you reckon was the top driver?
04:44Absolute commitment.
04:45No cheat days.
04:46Pow, pow.
04:48Yeah, that's it.
04:49Well, like you and the guys said, you know,
04:51put in the hours, get the results,
04:53changed my life.
04:54Far out.
04:55So I just came down to diet and exercise.
04:58You already asked me that.
04:59Oh, you know, I'm just impressed.
05:01I already told you.
05:02What else would I be doing?
05:03Nothing.
05:05No, not all of us won the genetic lottery.
05:08You've got no clue what I've gone through to get here.
05:10I know.
05:10I'm just trying to make sure I haven't missed anything
05:12so that we can figure out what's causing the pain.
05:15Happy Captain's in here?
05:16If you're done here, can you just go?
05:22I need a rest.
05:28Hey, uh, do you see your air patient has CTs back, finally?
05:31Wee, they're manners.
05:34That's why I'm leaving them out.
05:35Oh, that means I get one too.
05:37No, not orange.
05:38Someone told me surgical is coming for cube one.
05:41Surgical is coming for cube one.
05:42Copy that.
05:43Okay, order of grey nurse.
05:44Red.
05:45Then yellow.
05:46Then purple.
05:47Mm-mm.
05:48Purple for yellow.
05:49You've got a wee bit of a pep in your step this morning, Miss Mullins.
05:52Trigger.
05:53Mm, no, before that, you made that little old lady laugh
05:56and you aced that reset.
05:58Oh, do I need to have a reason?
05:59Well, tell me there isn't one.
06:01Marlon's got a suture here for you.
06:03Saved by the suture, I'm on to you.
06:06Look at this.
06:08Five millimetre foreign body.
06:10And ooh, what is that?
06:11An infection.
06:13It's a mess of abscess formed around whatever it is.
06:15Jeez, I wonder she's been in pain.
06:17What's this?
06:17My kid with a sore ear.
06:19I ran a CT.
06:20There's something stuck way up in her neck past the soft palate.
06:23Got a huge abscess.
06:24Thought you did an oral exam.
06:26I did, I must have missed it.
06:28What is that?
06:28Oh, that right there is a long, thin lineal thing.
06:32I'm going to need surgical down here.
06:35You see an updated surgical list?
06:37It's all doable, right?
06:38Uh, I guess.
06:40Like stuff you can do if you are sure?
06:42True.
06:42Which one's the sunflower yellow?
06:43Oh no, there he is.
06:46Whichever one you choose, it'll be perfect.
06:48Maybe one more round of cake, Kate?
06:49No, shush.
06:50Cleo, hey, how's your head?
06:53Uh, fine.
06:54Yeah, sorry, yesterday it's just migraines.
06:56No, no problem.
06:56These things happen.
06:57Have you seen the updated surgical list?
06:59Um, has it changed?
07:00You and I are about to scrub in.
07:02Uh, but I thought that it...
07:04Just come through ED, about to remove a foreign body from our patient's oral pharynx.
07:07Oh, gross.
07:09I thought it'd be a great little assist opportunity for you.
07:11Yeah, uh, thanks.
07:12It'll be delicate, but let's discuss the plan when we get inside, yeah?
07:15Sure.
07:16Sounds great.
07:17Uh, I'll be two-six.
07:19Hmm.
07:20You all right?
07:21Uh, yeah.
07:22I guess I'm here now, so I'm ready.
07:25Right.
07:26Right.
07:26I gotta go.
07:28Yeah.
07:31Logan!
07:32Yo!
07:33Do you know anyone who's had a reaction to diabetes?
07:35Um, we have reactions to fentanyl and tachycardia, mostly.
07:38Nothing dramatic, though.
07:39Hmm.
07:43I was just looking for you.
07:45What's up?
07:46Did you get a chance to look at the hand imaging?
07:48Yeah.
07:49Hmm.
07:49Not a lot of viable tissue to salvage.
07:51Great.
07:52So, push ahead with the amputation?
07:54Yeah.
07:55Although, I think we can save the thumb.
07:58How can we amputate the hand and save the thumb?
08:00We aren't amputating the hand.
08:02I accept the fingers are gone, but I think we can get away with just a debridement of
08:05the necrotic hand tissue.
08:07Well, I don't think that's wise.
08:08I think a clean, below-elbow amputation would give him a much better chance of recovery.
08:12Well, it's good you're not the consultant, then.
08:14We need to think about his future.
08:15Exactly.
08:17Gareth needs the right choice.
08:19Not the fast, easy one, which leaves him with nothing.
08:22I've caught him as 35, and I've taken the pacing off.
08:28He's made great progress.
08:29Gareth, can you feel me touching there?
08:31No.
08:33What does that mean?
08:34Will it come back?
08:36The cold has done serious damage to your soft tissue.
08:40Frostbite.
08:42I'm never going to climb again.
08:43You were out there a long time.
08:45You're lucky to be alive.
08:46I thought I was done for when I watched that chopper fly away.
08:49Another chopper?
08:50I'm worried that the ulnar nerve has been damaged.
08:53That's salvageable.
08:54What does this mean?
08:55Am I losing my hand?
08:57No.
08:58It is possible for us to do a debridement.
09:00That is when we remove all the dead tissue without needing to amputate.
09:03But it's important to know that it's still a possibility.
09:05But at this stage, there's absolutely no reason to think it'll be necessary.
09:09Unless we can't save the tissue.
09:11Blood supply looks efficient.
09:12But we won't know for sure until you've had the surgery.
09:14Is that true, Dr. McCaskill?
09:15If, and it's a very big if, we get in there and the blood supply is insufficient, yes, we may need to amputate.
09:22So there's a chance I'll climb again?
09:24You shouldn't rule that out, even with an amputation.
09:26You can still have excellent quality of life.
09:29It wouldn't be the same, though.
09:31Would it?
09:32Don't worry, Gareth.
09:33I'm going to do my very best to make sure you keep it.
09:35Unfortunately, the MRI shows significant regrowth of the glioma.
09:43Increased edema is putting pressure on the side of your brain, hence the headaches.
09:47How is the pain, by the way?
09:49Still there.
09:50A little better, maybe.
09:51I'm sorry.
09:52I wish it was better news.
09:54At least you're straight up.
09:56Is there anyone you'd like me to contact?
09:58Do I have to stay here?
09:59I'd like to get your pain under control, but once we've done that, there's no reason you can't be discharged.
10:04Good.
10:05And we can help with palliative care options.
10:07Make sure you're properly looked after.
10:09Well, wait, surely...
10:10Esther.
10:12What?
10:14There's no reason not to try.
10:16You know, further surgery, if you can get more of...
10:18It's not worth it, right?
10:20The chance of a meaningful improvement.
10:23Tōtai.
10:24I still think it's worth a try.
10:26Kāriai perangi mate eki konei.
10:27Ki te whakarongo koe.
10:28Can you not try and manage every single detail?
10:30Guys, it's your choice, Steph.
10:33All I'm saying is...
10:35Okay, go on.
10:36Tell me.
10:38Step by step, tell me how I'm dying wrong.
10:40Maybe we couldn't...
10:41No, I want to hear it.
10:43It's the Samuel's guide to dying.
10:45Let's just take a minute, yeah?
10:46Yeah?
10:46Why doesn't she always ramp things up?
10:51Why are you being like this?
10:53You're like what?
10:53Hearing?
10:54Well, that's not really how it's translating.
10:56You still want to be your buddy-buddy, be my guest.
11:00Apparently, she ate a burger at her friend's barbecue last week.
11:03Felt a sharp pain, but couldn't see anything in the burger,
11:05so she didn't think anything of it.
11:07Until she started feeling the ear pain.
11:09Okay.
11:10Be sure to advance the endoscope slowly.
11:15We're looking for a needle in a haystack here.
11:21There.
11:21I see swelling in the oropharynx.
11:25Okay.
11:26Make a small incision.
11:30Damn it.
11:31That's okay.
11:31Just pull back and try again.
11:33You're doing fine, Dr. Atwell.
11:34And I've never come across anything like this before.
11:37It's amazing where you can find in a human body.
11:39I did hear of a case where a child put a bean in his ear.
11:42Nobody knew it was there until it started to sprout.
11:44There we go.
11:46It's the size of a abscess.
11:48Did you read the report?
11:4918 millimeters.
11:49Yes.
11:50Reminds me of an article I read last year
11:52about standardization for training simulators
11:54for perilateral abscesses.
11:56And the author recommends that if...
11:57Just stop!
11:58I'm sorry?
12:00Stop talking, please.
12:04Okay.
12:08Well, the vending machine hates me, but there is this.
12:11Thanks.
12:13Those meds kicked in yet?
12:14Yeah.
12:15Easing off a bit.
12:16That's good.
12:18Hey, listen.
12:18I'm sorry about...
12:20Your wife?
12:21God, she annoys me.
12:23Don't know how you put up with her.
12:25Well, actually, we've, um, kind of split up.
12:28What?
12:29Yeah.
12:30How come?
12:31What did she do?
12:32Ha-ha, I love that you instantly blame her.
12:35Ha-ha, I love that you instantly blame her.
12:36So?
12:37It's just a long, ugly story.
12:40You need this more.
12:43She's, um...
12:45She's been under a bit of pressure lately, so...
12:47Yeah, when isn't she?
12:49She needs to get over this obsession with cutting me open, though.
12:52It's creepy.
12:53She's a surgeon.
12:54That's all they know how to do.
12:57So you seem pretty at peace with everything so far.
13:01What can you do?
13:03Hardly any stuff to pick.
13:05Emailed my mate in Brisbane.
13:06Message my cousin down south.
13:08Canceled subscriptions.
13:10Edmund till the end, eh?
13:11Pretty tired, though.
13:15Takes up a lot of headspace.
13:17Yeah, I bet.
13:18With all the waters.
13:22You know what Spike Milligan has written on his tombstone?
13:24Do you?
13:25Bad Jelly the Witch Guy?
13:27Yeah.
13:28It says,
13:29I told you I was ill.
13:32That's a good one.
13:35I am so, so sorry.
13:38Well, ordinarily, I wouldn't be too pleased.
13:41I was distracting you.
13:42Let's just focus on the task at hand.
13:44No, but I'm really sorry.
13:46Oh, no.
13:48There's blood and pus in the field.
13:50I think I've ruptured the abscess.
13:51Okay.
13:52You need to take over.
13:53No, I don't.
13:55You need suction.
13:59There.
14:00Can you see better now?
14:02No.
14:04Yes, I think...
14:06Focus on your patient, Dr. Atwell.
14:09Prep for me to take over.
14:10Crocodile forceps.
14:18I can see the brush fragment.
14:28Excellent.
14:31Is there a worm packing?
14:35Should I leave the worm open to drain?
14:37That's correct.
14:39Nicely done, Cleo.
14:43Hey, great job.
14:45You're trampled?
14:45The hand?
14:46Ah, we did the best we can.
14:47It's still early days, though.
14:49You're so modest.
14:51He's awake.
14:52Oh, thanks.
14:53There's my favourite sister.
14:57What do you want?
14:58I need your help.
14:59You still think Michael wouldn't fit to his gym, bro?
15:01Yeah, about that.
15:02Look, I already gave you my advice.
15:04Yeah, I need to talk to him.
15:05I know, but you're so much better at this than me.
15:07Oh, please.
15:08I mean it.
15:09The dude in distress thing just means I don't want to do it.
15:11No, it doesn't.
15:12Well, go on.
15:13Break me wrong.
15:15I don't want to mess it up again.
15:16Well, it's not for you.
15:18It's for him.
15:18So give it a go, okay?
15:20You have to learn how to do these things by yourself.
15:24Remember Curtis was cheating on her?
15:27With me while she was up with a piggy?
15:29I guess I've always felt like I've been in a shadow.
15:33Ghosts don't have shadows.
15:36What?
15:36You feel like you don't measure up or something?
15:40The only one who thinks that is you.
15:42Move on, bro.
15:42And unless you think you're good enough for Esther,
15:46you won't be.
15:51Bye-bye.
15:53I'll see you later.
15:54Laters.
15:58I don't really have time for you.
16:00I am here to apologise.
16:05I'm listening.
16:08I just got some...
16:10It really doesn't feel like giving up.
16:13Best apology ever.
16:14I just think that maybe we could get another MRI, you know, see where things stand.
16:18It's not giving up.
16:20It's taking back control after way too long.
16:24Now stop stalling.
16:26Spill.
16:28It's your heart again, isn't it?
16:30Chances of getting one were...
16:37Only so chances of getting two.
16:39Is that the only option?
16:41A new heart?
16:42Yes, yes, yes.
16:43Got a plan, but...
16:45Marty doesn't know, does he?
16:48God, you're an idiot, Esther Samuels.
16:50Me too's not really in a place where...
16:52Because you've broken up.
16:53Because he wouldn't help you out anyway.
16:55He wouldn't be supportive.
16:57He's got...
16:57You've had enough time with your beautiful family and now you're ready to tap out.
17:00Well, see, now...
17:02Now you get why I understand where you're at.
17:04We are not the same.
17:05You were the one who cried in the first place.
17:07Yeah, and I wouldn't have if I knew this was what you were going to come up with.
17:09My heart is failing and I might not get to see my kids grow up.
17:12It's a shame you don't want to fight for them.
17:13It's not that easy, Steph.
17:15It was when you were spewing it at me.
17:17If this is all the time I have left with my kids, I don't want to spend it stuck in a hospital bed.
17:25I'm sorry.
17:27Go.
17:29Steph.
17:30And don't come back unless you have a treatment plan.
17:33For you.
17:41Hey.
17:42Hey.
17:44Sorry.
17:45Jump scare.
17:46Exactly what I was going for.
17:49Hey, um, sorry.
17:51I really don't want to be the super needy day after the night before kind of gal, but...
17:56And that's not a great time.
17:57I've got to head back in.
18:00Sure.
18:02But just so I know, are we pretending like last night didn't happen?
18:10I...
18:10I'm leaving.
18:12Sure.
18:13Sorry.
18:13It's okay.
18:15It doesn't need to be awkward between us.
18:16No, I'm...
18:17I'm gonna go and see Nick.
18:18What are you doing?
18:36I need that.
18:37You can have it back in a sec.
18:38Please, not another lecture.
18:40You know, if you spend a little more time focusing on your own health instead of everyone else's,
18:45maybe my job wouldn't be so difficult.
18:47I'm your personal treatment plan assistant.
18:50Slash doctor.
18:51I'm whanau.
18:52You can't get rid of me.
18:53That is accurate.
18:55Just listen for once.
18:57You have so many options.
18:59I'm not hearing any more of this to fetus crap.
19:01You can save your room like yourself, no.
19:03There are people who are sicker than me.
19:05So?
19:06Tracking your exercise and managing your stress is not gonna stop old mate from getting his treatment.
19:11Well, I did stop someone, didn't I?
19:13I got a heart that wasn't meant for me.
19:15That's kind of how it works.
19:16That wasn't down to you, yes.
19:19It still isn't right.
19:20Think about Marty.
19:22Okay?
19:22Think about the kids.
19:23I'm here because of Kaui.
19:25I've already stolen somebody else's time.
19:27And this, this is...
19:29It's too much.
19:30Kaui is gone.
19:32You didn't take from him.
19:34Survivor's guilt is real, but it's not gonna get you anywhere and it's not gonna bring anyone back.
19:39You need to put your focus here.
19:41They need you.
19:42We all do.
19:43So that voice and your head holding you back from taking care of yourself, it's time to shut it up.
19:53Don't keep apologizing.
19:55But...
19:55Look, will I be impressed if you shout at me again?
19:58No.
19:58Understood.
19:59But you rallied.
20:00Your endoscopic technique was excellent and everyone's giving you stellar feedback.
20:03Yeah, I know.
20:04I just feel like I let myself down and...
20:06Let me finish.
20:08Look, I took the wrong approach.
20:09I was trying to lighten the mood instead of keeping you on track.
20:13It won't happen again.
20:15This is when you say the same.
20:18Oh, yeah, of course it won't happen again.
20:20Get some rest.
20:22Oh!
20:23Finally.
20:26Hey, how'd that go?
20:27Uh, yeah.
20:28Good, mostly.
20:29Mostly?
20:30Was that about the not happening again thing?
20:32Why were you listening in on me?
20:33No.
20:34Did he notice you weren't okay?
20:36You don't need to be hovering over what I do all the time.
20:38Oh, so she was trying to help.
20:39Help?
20:40You're going to help me in surgery.
20:42Like you would have any idea what it takes.
20:44Cleo, wait.
20:45Just back off!
20:46Logan!
20:47Please!
20:50Stop, stop, stop, stop, stop.
20:54Help.
20:58What's all the fuss about?
20:59Look at yourself.
21:00It hurts so much.
21:06Okay.
21:07Can we get some IV morphine?
21:09Gangrene.
21:10I can see that.
21:12Grain of the tissue, no perfusion.
21:14I'm across the diagnostic criteria.
21:18We need to go to plan B.
21:20Plan B?
21:21Be back soon, Gareth.
21:29Are you going to admit you were wrong?
21:30I made the best decision I could at the time.
21:32That is a lie and you know it.
21:33Chris!
21:35I need to bump your electorate to tomorrow, please.
21:37Thanks, mate.
21:38We knew this is where he would end up.
21:40This is a disaster.
21:41Okay, you need to calm down.
21:42Why did you force him to hang on?
21:44Now it was even worse off from when we started.
21:45Better than jumping in without thinking it through.
21:47It was the right call.
21:48When did you get so nervous?
21:49Excuse me for trying to avoid blowing up someone's life
21:52when there could be another option.
21:54Yeah, right.
21:54This is my fault.
21:55How can I be so stupid?
21:56Well, if you don't make any effort to change,
21:58what do you expect?
21:59If I...
22:00Maeve, you really just can't help yourself, can you?
22:03That has got nothing to do with you.
22:04It's pathetic.
22:06You should be embarrassed.
22:07Well, don't worry.
22:08Because Maeve's gone to Christchurch to save her marriage
22:09and I'm left alone like the idiot I am.
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