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00:00 - She can't keep crying poor when she's gambling away the pittance that she has left.
00:04 - Oh. - I hope my stars are alive.
00:06 - Those numbers again are 97, 6 and 12. - Yes!
00:11 - I've just been wracking my brain trying to figure out how to make all these numbers work
00:15 and, you know, without making everyone's lives a misery.
00:17 - I mean, I can tell that she doesn't like my style, you know? She thinks I'm too soft.
00:20 - She's floundering. I mean, that's what happens when people get promoted beyond their level of competence.
00:24 - A face transplant. - You are kidding.
00:26 - I'll be assisted by Stella. - And Quinn.
00:28 - You have ability. Learn how to conduct yourself.
00:31 If you're able to separate your personal life from your professional, things might go differently.
00:36 - Back off, old man.
00:38 - All righty. You can start the assessment and I'll check her bloods.
00:46 - On it.
00:47 - Hi. I'm just gonna quickly check your stomach. Is that OK? - Yeah, yeah.
00:51 - Don't forget to check her vitals first. - I've got this.
00:54 - I know you've read the books, Stella, but it's about what happens in the room.
00:58 Can you perform under pressure? - I know what my weaknesses are, Drew,
01:01 and performing under pressure isn't one of them. - OK.
01:05 - She's showing signs of cholecystitis, so I'm thinking she fasts to take the strain off the gallbladder.
01:09 We'll give her some IV fluids to prevent dehydration and some morphine for the pain.
01:14 - That's all good? You've forgotten an important thing.
01:17 - Oh, the patient's currently breastfeeding, so, yeah, we need to take that into account.
01:21 - And change the meds accordingly. That's right? - Yeah, of course. Sorry. Um, I'll action that.
01:28 - A lot to learn, some of them. - They'll get it.
01:31 - Will they? - Yeah, as long as we get the theory properly ingrained.
01:35 - This face transplant has to go smoothly, Chris. Like clockwork.
01:38 - We have assembled a very strong team for every stage of the relay.
01:42 - But we have these over-eager registrars just getting in the way.
01:45 I say we cut them from the surgery.
01:48 - You can't bring what happened with Britt into this surgery.
01:51 - I'm not worried about my role.
01:54 Hopefully this time I've picked a winner to assist.
01:59 - Mm. Mm-mm.
02:05 (SIGHS)
02:11 (PAPER RUSTLES)
02:16 - OK.
02:18 - I'm dying for a coffee. - You've come to the right place.
02:24 - (CHUCKLES)
02:28 - What are you, the queen of beverages? And is breakfast— Is that your second or your second?
02:35 - I came here to apologise. - That's nice, darling.
02:39 - I may have gone too far with what I said last night. Um, it is your money.
02:45 - Yes, it is. You're right. It's my money.
02:49 - Um, and Maeve suggested that I come and make things right.
02:53 - Oh, Maeve suggested that, did she? - Yeah.
02:56 - I agreed. OK? I went too far. I'm just— I'm sorry.
03:01 I'm just worried about you and your money.
03:05 You're in this pyramid scheme. - Hop, hop, hop.
03:08 Apology not accepted.
03:10 There's still some cold coffee in that cup.
03:14 - You can have that one.
03:16 (TENSE MUSIC)
03:18 - Stella, I have to go check on a post-op. Can you make sure Mr Gray's had a routine consult?
03:27 - Oh, sure, but I still have that ACC paperwork and those referrals to do.
03:32 (AUDIO DISTORTS)
03:39 - We sat down and put our feet in, and the little fish just did the rest.
03:42 They just nibble, nibble, nibble. It's a bit weird, but never mind. - Hi.
03:45 - Sorry, Quinn. I don't mean to interrupt your little chat, but Mr Gray, I am here to—
03:51 - Call me Andy. Everyone does.
03:53 - OK, Andy, I am here to take some blood. - Sure. Go for it.
03:57 - Anyway, it's a weirder sensation, but your feet feel amazing afterwards.
04:00 - So you'll do it again? - Definitely, yeah.
04:02 - Oh! - Oh! - That hurts?
04:04 - I'm a human pincushion already, so...
04:06 - Oh, I'm very sorry, but this is important.
04:08 - And we have pretty good access on your other arm. We could try there, even it out.
04:12 Or we could just, yeah, stick with where you are.
04:14 You don't really need both arms, do you, Andy? You're not a musician.
04:17 Or are you? - Uh, I used to play the trumpet, but, uh, I don't like tuning my own horn.
04:21 - Nice. Very modest.
04:23 Well, soon enough you'll be so busy staring at your awesome new face, you won't even notice your arms.
04:27 - Didn't we already do bloods?
04:29 - Oh, yeah, we did, but we had to do a cardiac screen. Sorry.
04:33 - It's just to make sure everything's all tickety-boo for your surgery.
04:36 - Tickety-boo.
04:38 - Hey. You OK?
04:42 - Yes, I'm just trying to get my head around this whole surgery thing.
04:46 - Face transplant? - Mm-hm.
04:48 So they're gonna come down here with... the face?
04:51 - Yeah. I've just got a lot riding on this.
04:53 - Yeah, I bet. It's a pretty historic moment. - Yeah.
04:56 And I'm so nervous, especially after the whole Brit thing.
04:59 - It'll be fine, though. Drew and Chris are ready for it.
05:01 - Yeah. I've just got no room for error.
05:03 And as I said, I've got a lot riding on this. - Yeah, I know.
05:06 I know, but if you're worried about Drew, don't be.
05:08 He's in a really good place, and it's massive for him too, so he'll bring his A-game.
05:11 - OK. You're right. It's gonna be a success.
05:14 - It is. Just believe it.
05:16 - Thanks, Emma.
05:18 - Look, Noah, the reality is not everyone can get picked.
05:24 - Yeah, I know. - Yeah, but there'll be still lots of other challenging surgeries you can be assisting.
05:28 - Well, that's true.
05:30 - Don't let this knock your confidence, OK?
05:33 The trick is to brush it off and get back to work.
05:36 You were doing really good. - Thanks, Jessie. I really appreciate you.
05:39 I mean it.
05:41 - Held in with kindness. - Ouch!
05:44 - You know, that's good.
05:46 - Yeah, 'cause I'm not a pushover. - I know.
05:49 - It's just, you know, these registrars are like little kids,
05:52 and I mean that in the nicest way. They just need, like, a little bit of a confidence boost.
05:56 - Tell me about it.
05:58 You need some love too? - Oh, no. No.
06:01 I just, um...
06:03 I'm just sick of feeling like I mess up everywhere I turn.
06:06 - No, I wouldn't say that. - I would.
06:08 - OK, well, we're allowed to make mistakes.
06:11 - My mother is barely talking to me,
06:13 and I'm rebuilding my marriage from the ground up.
06:16 - What else? Oh. Oh, yeah, that major friendship.
06:19 - Well, I thought all the date was on the men, though, not like that explosion sound.
06:23 That's, like, the worst one that I've heard.
06:25 - Oh! - Wow!
06:27 - Thank you.
06:29 - That's me and Louis for, you know, five years.
06:32 Hey, look, if it makes you feel any better, you know, I think I'm really screwing up as D.O.N.
06:36 - What? No, you're great. - I don't think we're done. I think so.
06:39 - Oh, well...
06:41 Look, I guess it's hard letting go of the reins, but you really are doing great.
06:45 D.O.N. is not for the faint-hearted, and you're definitely finding your feet.
06:49 - Thanks, Nic. - And I'm here for you if you ever need a confidence boost.
06:53 - Oh, thank you. - You're welcome.
06:56 - OK, now off I go to ruin some more important relationships.
06:59 - Oh, watch me, look.
07:01 (CHUCKLES)
07:03 - Yes, it's a big day for Shortland Street and an even bigger day for our face transplant recipient.
07:10 - How long is the surgery?
07:12 - There are two operations. Firstly, removing the face from the donor, then the transplant itself.
07:17 Both require a lot of very detailed work, and that'll take anywhere from 16 to 30 hours to complete.
07:22 - Surely surgeons can't work for that amount of time non-stop?
07:26 - No, and of course we wouldn't attempt that.
07:28 We have several teams ready to go, and we'll be working in relays,
07:31 ensuring everyone gets the breaks they need.
07:33 - Still sounds exhausting. - I'm sure it will be.
07:36 And several stages are time-sensitive — for instance, keeping the facial tissue in peak condition
07:40 once it's removed from the donor. But we're very well prepared.
07:44 - What, for very complex surgery that's never been attempted in this country before?
07:49 - Dr Warner and I are very confident we have the right skills and the right people.
07:53 We're excited to get started. This transplant is going to transform a young man's life.
07:59 And speaking of young lives, here's one of our registrars from our new training programme.
08:03 This is Stella Reihana, who will be assisting me.
08:07 - Hi. - Hi.
08:08 - Stella, how are you feeling about the face transplant?
08:11 - Uh...
08:13 I'm a part of a very terrific team.
08:15 And under Dr McCaskill's expert leadership, I'm looking forward to an incredible outcome for our patient.
08:21 - Have you ever done anything like this before?
08:24 - No, I haven't.
08:25 - So quite a big opportunity for someone so young.
08:28 - Oh, my age doesn't come into it — only my skill.
08:31 - Is that what the previous registrar, Britt Adams, thought when she was thrown in the deep end last week?
08:36 I believe the patient died on the table while she was operating.
08:39 - Yikes.
08:40 - Uh, well, Britt was a very— Sorry, is a very capable surgeon.
08:46 - Ms Adams was not at fault. That situation was unavoidable.
08:49 - And we're not here to discuss that matter.
08:51 We're here to talk about the upcoming, groundbreaking surgery.
08:55 - Oh, Dr Warner, how do you feel about today's challenges?
08:59 Sounds pretty risky. What if something goes wrong?
09:02 - Well, any operation carries an element of risk.
09:05 - She seems nervous. Hope you can handle it.
09:08 - She'll be fine. - She'll be fine.
09:10 - If Stella can't take the heat, she's got no place in the operating room, OK?
09:14 - OK. Sorry.
09:15 - Nothing can go wrong, all right?
09:17 I've played out every possible scenario in my head. In every case, we win.
09:21 So don't worry.
09:23 - Well, I did what you suggested, but Mum wasn't into the whole apology thing.
09:30 - What? - Yeah, I know.
09:32 And I am sorry, but she just— she doesn't realise that Eric is taking her for a ride.
09:36 She's never gonna get that money back, and she just keeps spending up large.
09:40 It's so frustrating.
09:42 I feel like I'm always trying to look out for her.
09:44 I'm always trying to help her, and it always blows up in my face.
09:48 - What are you talking about? - Bruce, he can do no wrong,
09:50 no matter how much he stuffs up.
09:52 - Look, please, OK?
09:54 Your mum is not going to stay mad at you, and you apologised, babe. That's amazing.
10:02 But as for the Eric stuff, it is your mother's money.
10:05 - Yeah. - I know.
10:07 She's just so blind when it comes to him.
10:11 - Maybe. But still, it is money.
10:15 - It's her money, yep.
10:18 Yeah, yeah, yeah.
10:20 - OK, Stella, what have we got here?
10:22 - Uh, Mrs Diggins has an infected leg ulcer.
10:25 - Correct. Risk factors? - Diabetes, poor skin integrity,
10:28 and a sedentary lifestyle will have all contributed.
10:31 - See that, Mrs D? This is what a star pupil looks like.
10:34 - Oh, lovely.
10:36 - Can you organise a silver dressing for Lucy's leg, please?
10:39 See you later, Mrs D.
10:40 - Oh, um... Sorry, did you say you wanted a silver dressing?
10:44 - That's what I said. - OK, well, it's just that studies have shown
10:48 that marine collagen is much more effective.
10:50 - A silver dressing will be sufficient in this situation.
10:53 - OK, but it's just a little bit outdated.
10:56 - Let's chat about this outside. Excuse us.
11:03 - I don't like being undermined, Stella, especially in front of a patient.
11:06 They need to know we have everything under control.
11:09 - Oh, I'm... I'm sorry.
11:11 It's just that... shouldn't we be doing the best that we can for them?
11:16 - Absolutely.
11:17 - OK, well, the study found conclusive evidence
11:20 that marine collagen is much more effective than silver dressing,
11:23 and I'll send it to you. I think you should really look at it.
11:26 - Should I? Well, I don't know if you remember,
11:28 but I'm actually the one in charge here.
11:30 And this attitude of yours... - Attitude?
11:32 - It's not what we need in theatre.
11:34 I'm taking you off the transplant. - What?
11:36 - It's Harry's.
11:37 - I have no idea...
11:41 - How's the little one? - Hanging in there.
11:51 - Oh, she seems OK.
11:55 - For now.
11:56 Only been around the...
11:58 Only been around the...
11:59 It feels like it was in another life.
12:05 - I hear you.
12:07 And then you ask yourself, is it all worth it?
12:12 The struggle?
12:13 - But you carry on.
12:15 Because there are moments, special moments,
12:19 when all of the struggling makes sense.
12:21 - Tiny, tiny moments.
12:25 - Minuscule.
12:28 - Oh no, I'm not breathing.
12:30 - We all go with the transplant teams?
12:34 - Yep, extra nurses all lined up from Central, all sorted.
12:37 - Thank you. - It's gonna go great.
12:39 - Oh, Chris.
12:42 Chris, can I have a word? A private one.
12:44 - Um, sure. How can I help?
12:46 - Oh, well...
12:47 I'm relying on your discretion. It's a very delicate matter.
12:51 - I do understand. I just have a quite important surgery I need to prepare for.
12:55 - Right. Yes, yes, yes.
12:57 I won the Ferndale Lottery again!
13:03 - What? - 2.8 million!
13:05 It's like lightning striking twice! What are the odds?
13:08 - I'm also a little confused as to why you've chosen to share this joyous moment with me.
13:15 - Oh, well, I've always been able to talk to you, Chris.
13:17 We're cut from the same cloth.
13:19 And our generation, we do things differently,
13:22 especially when it comes to money.
13:24 But now we're back on an even footing.
13:27 - Right.
13:28 - I haven't told Nicole yet, because she's getting in my ear lately about my financial habits.
13:33 - Ah, sorry. You haven't told Nicole?
13:35 - No. You know what she'll be like. She'll be all proprietorial.
13:39 But I could really change her life.
13:43 - Hmm.
13:44 I would suggest you get a financial advisor who can invest the funds for you
13:50 and be mindful about who you tell.
13:53 - You mean don't tell Nicole?
13:55 - I just mean be careful about who you share this with.
13:58 When they know, people can change. Relationships can change.
14:02 - Hmm. That's a bit of a downer.
14:05 - You're excited. You probably want to shout it from the rooftop.
14:08 - Yeah, I do! - No, don't do that.
14:10 You want my advice? Don't do anything. Tell me you have a plan.
14:14 - Plan.
14:17 - Ah, swatting for the transplant.
14:22 - It's ACC paperwork. - Oh, boring.
14:25 - Necessary.
14:26 - Okay, I have something for you.
14:29 Indy's pre-op bloods.
14:32 - Okay, great.
14:33 - I thought you wanted them urgently, didn't you, Sophie?
14:35 - No, I'm good. - What?
14:37 - I'm off the transplant. - What? Why?
14:43 - Drew took me off.
14:45 - Who's got Indy Gray's blood results?
14:47 - Ah, yes, that's me.
14:49 - Sweet, I'll take that. Thank you very much.
14:52 Couldn't hate the pace, eh?
14:54 - Oh, it's got nothing to do with pace, Harry,
14:56 but everything to do with sensitive male egos.
14:59 - Stella!
15:01 I need you to do Mr Gray's pre-op checks, please.
15:03 - Um, that's a nurse's job.
15:05 - Normally, yes, but today it's Stella's job.
15:07 - Mr Gray's bloods. - As requested.
15:14 - Thanks, Harry.
15:17 - Her heart rate's still dropping. We're at 100.
15:20 - I'm starting compressions. - Yep, ready.
15:22 - Okay, that's it, that's it. She's okay.
15:29 - Thanks so much, CC. - No worries. Have fun.
15:36 - She's a happy camper. She must have a good boss.
15:39 - Yeah, I hear her boss is all right.
15:42 - You know, the thing about being a boss
15:44 is you get to do cool things like take a long lunch.
15:47 - Oh, is that right? - That's right.
15:49 And I'm a boss, so maybe we could do that together.
15:51 - I can't. I've got to cover for Hallam while she gets a haircut.
15:55 - Hang on, you're covering for her? - Yeah.
15:57 Well, I couldn't find any other nurses,
15:59 and someone needs to look after her patients while she's gone.
16:01 - Yeah, get a haircut in the middle of a shift.
16:03 - Well, it's only for an hour. - You're joking, right?
16:06 - No, I'm not. - Oh.
16:08 Okay, well, maybe later then.
16:10 - Hello. I'm on one of the surgical teams for that face transplant.
16:13 - Oh, right. - Yeah.
16:15 Didn't I tell you this last night? - Yeah, you did. It slipped my mind.
16:18 - So I don't know when my break's gonna be.
16:20 - Fine.
16:22 Just don't be a doormat.
16:24 - Okay, team, ready to commence removal of the donor face.
16:33 How should we begin? Gwen?
16:35 - The first incision needs to be carefully considered.
16:38 - Because...? - Well, it's not just the skin involved.
16:41 Part of the transplant will also involve other tissues from the donor.
16:44 - Such as...? - Fat, muscles, tendons, cartilage, nerves and blood vessels.
16:49 - Scalpel, please move.
16:51 - Suction standing by. - Thank you.
16:59 We've mapped the donor face and assessed every incision in advance,
17:04 starting at the hairline above the forehead.
17:09 - Okay, guys, Chris's team have begun removing the donor face
17:12 before retrieving the other organs for donation.
17:15 While they do that, how do we prepare Mr Grey here to receive it? Harry?
17:20 - Um, the scar tissue from his burns is a problem, right?
17:23 He can get in the way of connecting up blood vessels and capillaries.
17:26 - And we deal with that by...? - The Bradman.
17:28 - Correct. So we get maximum blood flow and nerve connection.
17:32 If everyone's ready, let's get started.
17:37 - What if preparing Mr Grey takes a lot longer than Chris's team?
17:40 - The face gets stored in a cold solution between 2 and 4 degrees Celsius.
17:44 There's a limit to how long that temporary storage is good for
17:46 before the tissue starts to degrade,
17:48 so we need to keep in step with the other team, like a beautiful ballet.
17:53 Commencing the Bradman of the site.
17:57 - Stop! - What's the...? - You have to stop.
17:59 - What are you talking about? - You can't go ahead. You have to stop right now.
18:04 - Tonight, I found an empty packet of a herbal supplement.
18:07 - What? - It's a traditional Chinese medicine called Chuan Xiong.
18:11 - And? - Well, it's...
18:13 - Well, I can't risk it.
18:17 - Well, it wouldn't take long. Mum, Chris is in the middle of an operation.
18:22 - The operation.
18:24 - What do you need to talk to him about?
18:26 - A new bag. Oh, that looks expensive. - Yeah, it was.
18:32 - Right, if you want to keep digging the hole that you've gotten yourself into, be my guest.
18:36 But don't come running to me when you need pulling out.
18:39 - I don't have to run every little detail of my life by you, do I?
18:42 - No, you don't.
18:44 - Well, thanks for your input.
18:46 Ooh! Running late for my massage, so if you don't mind.
18:50 - So it just stopped in its tracks.
18:56 Oh, God, well, that's not a good start.
18:59 OK, thanks, Madonna.
19:01 - Cece. - Hmm?
19:03 - I'm so sorry, but Junior's practice got cancelled, and I need to pick him up.
19:06 - Really? - Yeah, he got a ride there, but the dude's gone now,
19:09 so can you cover for me? Sorry, I know it's a pain.
19:11 - Well, it's not exactly an emergency, Billy. - Yeah, I know that, but...
19:14 - You know, and we're super stretched today with the big transplant op.
19:17 - I heard they just had a delay. - Oh, wow. News travels fast.
19:20 Sorry, Billy, I'm just not gonna be able to let you go.
19:22 - Are you kidding? - No.
19:24 - I already told him I'm picking him up. - Well, you will have to tell him
19:26 that you'll pick him up after your shift.
19:29 - OK, then. - Hey, don't feel bad.
19:32 I thought you handled that one really well.
19:34 Sometimes I don't really feel like I'm cut out for this.
19:36 What? You're amazing. I mean, as a boss.
19:39 I don't think you'd be saying that if I was your boss.
19:42 - Well, all the nurses rave about you. - Really?
19:44 Yeah, apparently...
19:46 - Do not let anyone take advantage of you. - That's right.
19:51 Good plan. Gotta stay strong, right?
19:54 - Right. - Anyway...
19:58 (PHONE RINGS)
20:00 Cece speaking.
20:02 Oh, no, he's started.
20:07 - Chris, you have to stop. - What the hell's going on?
20:10 We've had a complication. It's an underclared subliminal.
20:13 - What? - Yeah, it's used for cardiovascular disease.
20:16 - An anticoagulant. - How did that get through the pre-op checks?
20:19 - He didn't tell us. It's a herbal thing. - And you just stopped?
20:22 - We haven't started, just. - Well, no such luck here, Drew.
20:26 As you can see, we have a face half off.
20:29 - Why didn't you tell us about this? - That doesn't matter.
20:32 What matters is what you are going to do,
20:35 because this operation, the biggest operation in the history of the hospital,
20:39 is actually under way.
20:41 This man's face is 50% removed and it's not going back on.
20:45 Well, we can't proceed until he's had some quantum factors.
20:48 Once I have removed it, there will be a window of four hours
20:52 where we can store the face and keep it viable.
20:55 I don't know what the hell you were doing, proceeding without all the facts,
20:59 but if Mr Grey ends up without a face, that's on you.
21:03 So come up with a plan fast.
21:07 - This is a huge stuff-up. - Chris is blaming me.
21:10 - His whole career... - I'm falling behind. I've made so many bad calls.
21:13 - ...is on a knife siege. - It's not Drew's fault, Monique.
21:16 Whose fault is it, then? I need to throw someone under the bus.
21:19 Shortland Street. Tomorrow on Twitch.