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Transcript
00:00Previously on Shorten Street
00:07Cleo, she's not looking so good
00:08What's happened to your hands?
00:10I'm so sorry
00:11Don't be sorry, come here
00:13Something's not alright
00:15We did some repeat, blads
00:17You're pregnant
00:17This is being stable right through the night
00:24And her tent's even come down to 37.7
00:26I saw her
00:28How you feeling?
00:29I collaborate
00:30With you guys and your PPE
00:32Oh, I bet
00:33So, where do we go from here?
00:37Well, it's early stages with the antivirals
00:39We monitor progress, hope for a difference
00:41Do you think this is related to Xavier Ruster's case?
00:45Xavier had undiagnosed hepatitis B
00:47That made it hard for him to fight the virus
00:49Pre-existing conditions, like I don't have any of those
00:52We also need to talk about your pregnancy
00:56I've been consulting with Nazar about how it's going to affect the recovery from the virus
01:01Not to mention the surgery
01:02Also thinking about the potential of a transplant on the horizon
01:09Esther, this pregnancy is going to put a significant strain on your heart
01:15Even worse than last time
01:18Along with the virus
01:20You're at a very high risk of heart failure or cardiac arrest
01:23Not to mention
01:25We have no way of knowing what effects
01:28The medication is having on a baby
01:30With your time on bypass
01:33I'm sorry, but my medical recommendation would be to terminate
01:39We've discussed this at length
01:45I wish there was another way
01:47But I have to agree
01:48This is the best course of action
01:50I'm sorry
01:52So this is the only option?
01:56For Esther to make it through this?
01:58Yes
01:58I know it's a very hard decision
02:01Well, we'll give you some space
02:04Look, the computer system is munted
02:17I've got no surgeries today
02:19You can thank me for that
02:20What?
02:21I've got your book done for PEDCD
02:22You can't do that
02:23I just did
02:24Drew, Drew
02:25Julian got your message
02:26He's the night for the day
02:27Where is he?
02:28Need to know basis
02:29Hey, can I get your coffee?
02:32Yes, please
02:32Send it down to PEDCD
02:33You're going again?
02:35I am going forever
02:36You in mullet?
02:38Not today
02:38Are you a nurse practitioner or not?
02:41Yes
02:41Then get some balls and act like it
02:43You've got the know-how
02:45You've got the say-so
02:45So, say-so
02:47I can't run PEDCD all on my own
02:49Phil is worth telling you guys
02:51I mean that in the nicest possible way
02:52I literally don't know what's happening
02:54Deflect and deny
02:55I love that strategy, Phil
02:56You agreed to this?
02:58She's agreed to treat sick little kids
03:00Yeah, what's the problem with that?
03:01Oh, um
03:02Julian said shut it down
03:03Are we really sure about that?
03:05I'm pretty sure
03:06Well, we're not
03:06Because he's not here to confirm
03:08Oh, okay
03:08You're losing it
03:09Right in front of us
03:10Leave
03:11He's not in the building
03:12It doesn't mean anything
03:13He's not here
03:14He doesn't care
03:15Hey
03:15It's time to face facts
03:17Send the kids to PEDCD
03:20And tell the triage staff to do the same
03:22And if not
03:22I'm going to get on the PA system again
03:24All right, Drew
03:24Yeah, I will get the message out
03:28That what?
03:31That PEDCD is opening again
03:33And it's staying open
03:35Mm-hmm
03:37Okay, I need you guys to look after him, okay?
03:41I have, like, this much room for damage control
03:43With everything going on
03:44So, have we got the green light?
03:45Uh, no, of course not
03:47You were a bit harsh
03:50Well, he can't go on like that
03:52I know
03:53I was thinking the same, but
03:55I don't know
03:56You might be up for a revolution
03:57And you're the OG renegade
03:59Yeah?
04:00Says her
04:01Everyone
04:01So, what do you say?
04:04Couple hours?
04:06Couple of trampoline disasters?
04:08No, I...
04:08I can't
04:09As a favour to me
04:11Sorry
04:13There's some consolidation bilaterally
04:17In the lower lobes
04:18How bad
04:19We need to up our oxygen
04:21Have a look
04:22I'm going to read your demo
04:25The excellent heart
04:27Strikes again
04:29I'll do another PCR panel
04:31But Martin's right
04:32About the oxygen
04:33We need to switch to a mask
04:35Six litres for now
04:37Just to get you comfortable
04:38You don't have to
04:39Shook a girl, Chris
04:40I just
04:42Just want to scan
04:43And the patient
04:45Is still a doctor
04:46It's just a precaution
04:48Just to get you comfortable
04:50Right now
04:51The best thing you can do
04:53Is rest
04:54Yeah, how can I raise
04:57Okay
04:59I'll give these to the lab
05:00Fast-track them
05:01Okay, thanks
05:02Have you thought any more
05:04About your decision?
05:07Also, thank you, Mr
05:08Of course
05:10Okay, just press the buzzer
05:12If you need to talk to me
05:13About anything
05:14You're my priority
05:15Um
05:17I'll be straight back
05:19Okay
05:20Chris
05:26We need to do more
05:27I'm hopeful the PCR
05:29Will help with the diagnosis
05:31Hopeful
05:31Have you seen her?
05:32The life is draining out of her
05:34She's under extra pressure
05:36Because of the pregnancy
05:37You need to help her realise that
05:38I'm not going to tell her what to do
05:40You'll have a say
05:40No, I don't
05:43She's compromised
05:44She won't have the strength
05:45To win this fight
05:46I will not make that decision
05:48For her again, Chris
05:48God, it really is
05:56Like a ghost town down there
05:57Yeah, still holding
05:59Well, let's just grab our drinks
06:01And get back quickly
06:01Someone might come in
06:02You're not worried
06:04You're going to get in trouble?
06:05Who there?
06:06Uh, hello
06:06The CEO
06:07Well, he didn't know Harper
06:08Like we did
06:09So we've got to keep the PZD alive
06:11You're telling me no kids
06:12Have come in this morning?
06:13Zero
06:13What do you mean you don't know?
06:18Yeah, okay
06:18See ya
06:19Was it ever this quiet?
06:22Never
06:23I'll go see what's going on, eh?
06:26Bit of him to help out
06:27But he can't come in every day
06:30Neither can I
06:30We just need to prove ourselves
06:33Get some testimonials from parents
06:35Get some kids with casts on their legs
06:38Cute fun, Rosa
06:39Take it to the news
06:40Put you in front of the camera
06:42Money will start rolling in
06:43Say what?
06:44Well, you think I'm more photogenic than you
06:46Okay
06:47I could prepare a little presentation
06:49What if you don't get the money?
06:52You're giving up already?
06:54No
06:54You don't think I can do this?
06:57I never said that
06:58You know Harper would back me
07:00For something like this
07:01She'd be there a thousand percent
07:03I think she still is
07:04That was fast?
07:07Yeah, I just ran into Andy
07:08I got some intel
07:09And?
07:11Okay, I don't want you going off your nut
07:12But it's Maeve
07:14What?
07:16Well, she told her team to ignore your request
07:18All the kids are being directed to ED
07:20Give the handover notes to Dr. Mottahoo
07:23She's taking over Sean's case
07:25And I'm unavailable
07:25Thank you
07:26What patients do you have left to hand over?
07:32Um, just bronchiolitis and cellulitis in room 7
07:35Leave them to me
07:36Leave them to me
07:37Thank you
07:38Sorry
07:40No, don't be
07:42I can't lose another baby
07:44I could
07:44I couldn't survive that again
07:47I guess it should be Esther's choice
07:50But we could reduce the antiviral
07:52Or swap it for another
07:53It's a monumental risk to both Esther
07:56And therefore the baby
07:57But I believe you deserve to make an informed decision
08:00But this is a risk I would absolutely advise against taking
08:03But there is a chance
08:05In theory, there is an absolutely microscopic chance
08:10That both of them could survive
08:11And Chris didn't mention it because of the risk to Esther
08:13But yes
08:15Ribovirin has proven successful in small trials on pregnant women
08:19Past the first trimester
08:20Which is in Esther
08:21What would you do
08:25If you were me?
08:27I can't answer that
08:28Try
08:29Please
08:30I'd give Esther the choice
08:33As you know, you lose her
08:35You lose both of them
08:37Go
08:39Go back downstairs
08:40I'll sort your cover
08:40How could you?
08:48Jennifer, I'm
08:48You know what this means to me
08:50That is her memory
08:51You were helping to destroy
08:52You're going to lose your job
08:54I'm trying to help
08:55You think I don't know that?
08:56You'd do the same for me
08:57No, I wouldn't
08:58I'd have the bravery
08:59To say it to your face
09:00Not go behind your back
09:02And redirect patients
09:03Well, I'm
09:04I'm sorry
09:04Okay, I just didn't see the logic in the plan
09:06I thought it was a bad idea
09:07Well, if it is a mistake
09:08That's my choice to make
09:10True
09:10You know I'm on your
09:11Why are you doing this?
09:15You and Billy
09:16You both know it's not going to work
09:17We do
09:18But
09:18We care about him
09:19And we care about Harper
09:20Are you saying that I don't?
09:22No, of course not
09:23It's just
09:23I don't know
09:25I feel like
09:25I feel like I need to be doing something
09:27Even if it's futile
09:29You feeling better?
09:34Your sets look great
09:35I think the oxygen's moving
09:38She's doing well
09:39Under the circumstances
09:40And what about our baby?
09:43Staple
09:43For now?
09:47Vibovirin
09:48Well, the antivirals are largely an unknown quantity
09:51Increased risk of birth defects and miscarriage
09:54And since your body is the baby's life support system
09:58We're stuck between a rock and a hard place
10:00What about other antivirals?
10:03The ribovirin's working
10:04It's your best chance
10:05Nazar said there's evidence that ribovirin can be used safely during pregnancy
10:10Why wouldn't you tell us that?
10:12That was an extremely small sample size
10:14And they were in the second and third trimester
10:16Esther's only halfway through her first
10:18Why wouldn't you tell us anyway?
10:19It's her choice
10:20Because I knew how hard it would be to make the choice already
10:22You don't have the right to take that choice away from us
10:24It's
10:25Iz, Iz
10:26Are you okay?
10:27What's happening?
10:30Jesus
10:30I
10:32Chris, Chris, what's going on?
10:33Marty, I just, I need you to calm down
10:35Steady breaths
10:36Just try and relax
10:37Make sure Naz is across all this too, please
10:42Of course
10:43For the baby
10:44It sounds like you've made your choice about the termination
10:47It's not my call to make
10:49I just want to be sure Esther has both options available
10:51Until she's ready to make a call
10:53I know it's hard
10:54But you can't let the past cloud your judgement on this
10:57You've been very clear about what you think is best, Chris
10:59Thank you
11:04I don't think you want answers
11:07What's going on?
11:10She said I could take some bloods for research
11:12So far
11:14My wife is not your science experiment
11:16Did you put her up for this?
11:17No, I didn't
11:18Get out
11:18Outside
11:19Okay
11:22I told you to stay away from me
11:27I had to
11:28You can't bar two on her like that
11:30I think this is much bigger than we thought
11:33I called St. Cath
11:34In Central
11:35And
11:35Same things happening there
11:37Huge influx of cases
11:38This isn't just
11:39Seasonal flu
11:40You need more evidence
11:43That's why I'm here
11:45Okay
11:46If I make that call
11:47To the ministry
11:48And I'm not saying I will
11:49We need to be dead certain that this is evolving into an epidemic virus
11:53Okay
11:54Okay, so
11:55Keep going
11:56But don't bother Esther again
11:59That's the way
12:02Get it all out
12:04Nearly finished
12:05Okay
12:07Alright, let's get this foot away, Mum
12:10Do you mind if I join the revolution?
12:17So long as this
12:18Sudden turnaround
12:20Isn't just a front
12:20And you're going to destroy us from the inside out
12:22I
12:23Messed up
12:24I know that
12:26Well
12:26If you're going to join us
12:28You're going to need these
12:29Cubicle two
12:30Possible gastritis
12:31You're on the right side of history
12:33We'll see
12:36Shut it down
12:39Now
12:40No
12:41We're pumping in here
12:42The ambulances are stacked outside
12:44Triage is jammed
12:45Well, we're taking the load in here
12:47We're helping
12:47Everyone in, please
12:50This department does not exist anymore
12:57Is that clear?
12:59You've got 20 minutes to get these patients discharged or admitted upstairs
13:02Then get back to your jobs
13:04Well, what?
13:06Don't push me, Drew
13:07I'll push if I have to
13:08These guys loved Harper
13:10They're loyal
13:11I don't want to
13:15But I will have you suspended
13:17Everyone thinks we're right
13:22The antiviral medication is interfering with the anti-rejection medication
13:26Why didn't Chris pick up on this earlier?
13:28He is 100% attentive
13:30These symptoms just weren't evident until now
13:33Okay
13:34Okay, so what's the full picture?
13:37The antivirals are pushing the teclimus levels up
13:41Which, unfortunately, is affecting her kidneys
13:44She's retaining fluid
13:45All alongs
13:47We're losing control of this
13:49We can work this out
13:52Look, I'll begin slowly titrating the antivirals down
13:55Which should hopefully still give us enough of a therapeutic effect
13:58While reducing the burden of the drug
14:00Hopefully sparing her kidneys
14:01Once you get worse?
14:04Hopefully not
14:05And if she does
14:05We'll come up with a new plan
14:07Okay
14:08So we continue the teclimus?
14:10For the moment
14:11Then
14:12Let's go leaping into attrition
14:14Okay
14:17I'll be right back
14:20Okay
14:21Got some words to be with you?
14:31It's fine
14:32I'm fine
14:33Where do you know?
14:35Well
14:36I'll do anything about that
14:37About any of it
14:39What do I do if I lose her?
14:50We're doing our best to make sure that doesn't happen
14:52You know that, right?
14:55This is not fair
14:56Yeah, none of this is
14:59I just need a chest x-ray
15:06No
15:07If it's something viral
15:08Then we can see what's going on
15:10Just take his bloods
15:11Check the results
15:11Unless there's something wildly unusual in there
15:14Send him on its way
15:15And where did we find that?
15:20Oh, was that the portable ultrasound?
15:21I need that
15:22No, you don't, Pipsqueak
15:23Where was it?
15:23I stole it
15:24The PZD
15:25So you flipped into the revolution
15:27And then flopped back out again?
15:28Not really
15:29You want to tell me which side you're on now?
15:32The staying employed side
15:33Yeah
15:34Look, I get it
15:35You know I do
15:36It sucks if I had a spare five million dollars
15:38Yeah, me too
15:39What do I have?
15:40Man, it's jet planes
15:41Parking ticket
15:42Total chaos
15:44It's not a mystery virus
15:47Until the bloods say it's a mystery virus
15:49So wait for the bloods
15:50It can't hurt to do a quick scan for an MPMA
15:53Take a break
15:54Can I get some hands here, please?
15:57Take a break
15:58Can I just palm this guy up on someone?
16:02Give us a hand, will you?
16:03You know it
16:03You know if I was young, I'd be manning the barricades
16:06You're not that old, I'm it
16:08I'm grumpy old
16:09Your BP's stable at 118 over 72
16:12Your heart rate's down to 95
16:14And your lungs are sounding a lot clearer
16:15And your stats are sitting at around 96%
16:17Great
16:18Creatinine and tacrolimus are trending down
16:21Your urine output is up to 35 mils
16:24Means your kidneys are doing better
16:26This is all very good news
16:28Okay, so this is working
16:30We're not out of the woods yet
16:32But we're heading in the right direction
16:34I mean, it's taking a lot of delicate balancing
16:36But I believe we can get there
16:37If you stay on track, we can increase your antivirals
16:40What do you think, Mills?
16:42Say Chris does job
16:43I am, don't worry
16:45How's the baby?
16:48He still has a strong and steady heartbeat
16:49Your body's doing an amazing job
16:51What?
16:52Look, you've got a long road ahead of you
16:54It's a rest
16:55What?
16:58If this is what you want
16:59I will absolutely support it
17:01I've made my position clear
17:03But it's always been entirely your call
17:05I'm not ready to do anything
17:08It's just
17:08In your time
17:11Now's the plan of the working, babe
17:14You're going to be okay
17:16Listen
17:19Guys, if you do want to leave
17:21No hard feelings, okay?
17:22But if you do stay
17:23I'll show you all dinner
17:25Sorry, Drew
17:27James
17:30Okay, why don't we revisit this tomorrow?
17:37Maybe we'll make a new plan
17:37Do you want to go too?
17:40Go on then
17:41Be a trader like the rest of them
17:42Well, I'm not giving up, okay?
17:44But maybe this just isn't the way to go about it
17:46What about you?
17:47Are you giving up as well?
17:49Hey
17:49No one is going to forget Half a Whitley
17:52It's impossible
17:54Yeah, we just need to regroup
17:57We'll make some calls
17:58I'm not quite sure who to yet
18:00But I'm sure you'll think of someone
18:01Okay, someone smart
18:02And rolling in it
18:03Go then
18:04Both of you
18:06Well, I don't want to leave you alone
18:08I'm all right
18:09You sure?
18:09Yeah
18:10I just need a minute
18:12All your vitals are heading in the right direction
18:32And so
18:33You just need to focus
18:34On rest and recovery
18:36And I saw the bloods that Poppy took
18:38Your potassium is almost within the normal range
18:41She answers
18:42She's working on it
18:44You did it is
18:45Can you get the kids?
18:50I need to see them
18:51Hey, why don't you rest for tonight?
18:53Then we can bring them in tomorrow, yeah?
18:54No, it needs to be tonight
18:56Hey, what's going on?
18:59I need to tell them I love them
19:01Hey, listen, nothing's going to happen
19:04Okay, you're getting better, babe
19:05But in the meantime
19:07It might be a bit tricky for them to see you like this
19:09Hey
19:10It's going to be okay
19:12I don't know that I don't feel right
19:17And I don't want them thinking I left them
19:19Yes
19:22Maddie, please
19:23There's no harm I'm bringing them in
19:25If that's what you want
19:26Um
19:27Yeah, I'm just worried about a compromised immunity
19:31Well, the reassurance of seeing the kids
19:33It might be the lift she needs
19:34Thank you
19:36Out of the cuts, please
19:39Yeah
19:40They'll withdraw it and they might be asleep
19:42But I'll try
19:43Let you get some rest
19:47Okay, I'll be straight back, babe
19:50The kids are going to be terrified to see you like this
19:59They'll be okay
20:00She needs to see them
20:01And they need to see her
20:03We don't know how this is going to pan out
20:07They need to understand what's happened
20:09And if things don't go the way we want them to
20:12I'll get you here to bring them in
20:14Yeah, and Maddie, try and take care of yourself too
20:17Okay, I know it's hard, but just try
20:20Thanks
20:21Hey, um, where's Pastor Pete?
20:29Yeah, I'll have some before I go
20:31What? Go away
20:32Back to work
20:33What? For real?
20:36I'm just going to shower real quick and then I'll go
20:37Um
20:38Can we talk about her?
20:43What's up?
20:45She's like, no, I'm doing good
20:46Still?
20:48Yeah, I'm trying to make her feel better
20:49I'm just going to make her feel worse
20:50Dinner's great, Cleo
20:53Logan made it
20:56Good day?
21:00You want to talk about it?
21:02You've probably already heard, haven't you?
21:05What? I have no idea what's going on
21:07Yeah, because you make zero attempt at ever knowing what's going on in my life
21:10I'm busy, Clee
21:12Yeah, with your perfect life and your hotshot career that you're always nailing at
21:15Not exactly
21:17I'm always here for you
21:19And I'm here for you
21:20Yeah, only when it suits you
21:22That's not true, you know that
21:24Everything always has to be on your terms
21:26I actually don't have time for this right now
21:29See?
21:29This one time, today, right now
21:31Is not an accurate sample of our friendship
21:33And you know it
21:34Whatever
21:34I've got fun with your perfect life
21:36And you'll forget about me
21:38Things aren't perfect for your information
21:41Which you'd actually know if you paid any attention to me
21:43But you're so wrapped up
21:44In what?
21:47No
21:47I'm tired, I'm annoyed
21:51And I just need to get back to work
21:53Well, I'm not going to be there when you need me
21:56God, Cleo
21:56I'm here
21:58What do you need?
22:00Let's talk
22:01You're busy
22:02I'm going to go to work
22:07I'll talk to you in the morning, okay?
22:23What's going on?
22:25I started no adrenaline infusion
22:26We need to get her pressure up
22:27That might hurt the failure
22:29What's happened?
22:31I only just stepped out
22:32What's going on?
22:33We're handling it, Marty
22:33Sets are still dropping
22:34Shall we move to BiPAP?
22:35Will someone tell me what's going on?
22:37She's in respiratory failure
22:38From the increased burden to her heart
22:40Deteriorating fast
22:40Marty?
22:42Oh, it's okay, babe
22:43Just stay with me, okay?
22:44I'm right here
22:45We'll move to BiPAP
22:46Yes
22:47They'll be here
22:48I think we're past the point for BiPAP
22:50Draw up drugs for RSI
22:52Isda
22:53We need to intubate
22:54I just want to see the kids face
22:57I'm sorry
22:58We need to do this
22:58Before you arrest
22:59Pushing fire now
23:01I promise you
23:02That we'll be here
23:03When you work out, okay?
23:04I promise
23:05Let's go look
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