Shortland Street 8003 9th September 2024

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Transcript
00:00Previously, on Shaw Monster.
00:02They came for the clinic, and then they came for the real.
00:05What's next? They're going to take the bone out of our skin.
00:07I've been CEO for about a year now, and I'm beginning to think that maybe I'm not the right person for the job.
00:11Your underground clinic, I think we should get it up and running again.
00:14This is sounding like a mammoth change of heart, what gives?
00:17CEO's a hard job, but while I'm here, I'm going to do something good.
00:20Drew, I can see you're not yourself.
00:23You're right, I haven't been feeling great.
00:25He knows there's something wrong, but he doesn't know what it is.
00:27I own the truth.
00:28If you tell Drew, I'm going to tell everyone that you're living on.
00:31Harper, think about how your affair with a junior doctor is going to look to the rest of the world.
00:34You ruined my life, and I ruined yours.
00:40Bill! Bill!
00:42So you're blackmailing me now? You're unbelievable!
00:44Who should we tell first?
00:45Me.
00:46The nurses? They'll get the word out to every department pretty quick.
00:48See how long your reputation lasts.
00:50How can you be so cruel?
00:51Then I'll be kind. You say nothing, I say nothing. Got it?
00:55Got it.
00:56Good.
00:59So the first rule of the after-hours clinic...
01:02Is no after-hours clinic.
01:04Exactly. The CEO has no knowledge, officially.
01:06But she'll look the other way if we're helping people who can't afford GP visits.
01:10Yep. Three volunteers per night, two doctors and a nurse. 6pm to 11pm.
01:15I'm in.
01:16Thanks, Chris.
01:17Anyone else need to know?
01:18We're not involving any department heads, including the D.O.N.
01:21Okay, and the eyes and ears of Medvitas?
01:24Monique. Can't know. Or it's over.
01:28Hey, you okay?
01:30Sorry?
01:31You look stressed.
01:32Do I?
01:33Yeah. Is it just work, or...?
01:36Mainly work. I mean, Andy's a lot harder without Maeve.
01:39Yeah, I bet it would be.
01:41But, um, things with you and Drew, still a bit strained.
01:46I'm just gonna go get the kids in, give them some space.
01:48What about you? Must not be that nice going home to an empty house.
01:51No, no, I'm missing Bailey, like mad. But it is what it is.
01:55Well, I would ask if you want a company, but you have a date with your beautiful children.
01:59No, I've got some messages and stuff to do.
02:03Okay, well, um, let's catch up. So, yeah, I feel like we haven't had a proper catch-up for ages.
02:07Yeah, let's make a date.
02:09Great.
02:13Heads up.
02:14Yes?
02:15The Landons did take their son to Central.
02:17Good riddance.
02:18Yeah, I agree, but Niles thinks he would have got a better standard of care here.
02:21Obviously.
02:22And he also thinks we shouldn't have stuck our noses in.
02:24Which is probably true.
02:26Okay, well, if that means kids with non-racist parents are getting treated by the brilliant Dr. Ishard, I can live with that.
02:31Just letting you know, you two aren't exactly on the same page.
02:34Okay, well, that must be why he's not getting back to me about dinner.
02:37Hmm. Maybe.
02:42Phil.
02:45Big favour to ask.
02:47I've really got some making up to do with Harper.
02:49Okay.
02:50You know what I've been like lately, all over the place.
02:53Right.
02:54I feel like what we could really do with is some couples type.
02:57I don't see where I come into it.
03:00How would you feel about taking over my surgical desk tonight?
03:03Oh, um...
03:04I wouldn't ask unless it was urgent.
03:06Trying to save my marriage here.
03:08Well, how could I possibly get in the way of that?
03:11Mateus?
03:12Send me the notes.
03:13Thank you, Phil.
03:14Oh, yeah.
03:21Hi, I'm Sage. Are you here for the after hours clinic?
03:24Yes. Um, the message said it was free.
03:26That's right. There's no charge for a consultation with one of my doctors.
03:29Follow me.
03:30So, no, it's more of a sharp pain than a dull pain.
03:33It's a dull pain in my back, but it's a sharp pain here.
03:36Okay, buddy. Follow me.
03:38Just fill out your details and I'll be back as soon as possible.
03:41So, just take that to any pharmacy.
03:43If it's not helping after a week, come back and see me, okay?
03:46Appreciate it.
03:47They're rocking in.
03:48I didn't think word had spread this fast.
03:50Just confirms how much the need is out there.
03:52Some of them haven't seen a GP since before COVID.
03:54If ever. What do you think?
03:56Looks like he needs a gastroscopy.
03:58That's what I thought, too.
03:59I could do the referral, if you like.
04:01Or we could send him to ED.
04:02Well, it's not urgent.
04:04He's had chronic pain for months, dosing up on ibuprofen.
04:06How long will the referral take?
04:08Admittedly, it could be a few weeks.
04:10Exactly. Don't think he's suffered enough?
04:12Well, we're not fobbing him off. There's pressure on the services, that's all.
04:16I thought that was the whole point of this post, to help people now.
04:19We're not ED, Gia.
04:20We don't have the autonomy to admit patients unless you want to out us.
04:24Not this soon in the game.
04:32Lock him off soon?
04:34Drew stumped all of these ops on me tonight.
04:36Oh, damn.
04:37Yeah.
04:38Oh, I'm sure he's got a good reason, though.
04:40Clearly trusts you to take it on.
04:43You've been working all day. Are you sure you're up for it?
04:45Yeah, I'll be fine.
04:47Well, I can stay on if you need.
04:49Well, a double. I'd never ask you to do that.
04:51I wouldn't do it just for anyone.
04:54I'll be fine. Thanks.
04:56And really, you're a really good guy.
05:00Oh, don't make me blush.
05:03Wait.
05:06I know that look.
05:07What look?
05:08What's up?
05:09I was just wondering if you wanted to go away for the weekend?
05:13Just us.
05:14Oh, I might be keen.
05:16Don't know if I can get any time off, though.
05:17Oh, I didn't mean this weekend. Just whenever.
05:20I'm down.
05:21Okay, great. We'll talk later, but I need to get my head in the game.
05:25Sweet.
05:26Good luck with that.
05:33Dad, you're home!
05:35Dad!
05:37Hello. You are just in time for dinner.
05:40Yum!
05:41Goish hands, please. Chop, chop.
05:43The sitter should be dropping off Sky any minute.
05:45I thought you were working tonight.
05:47Yes, well, I'm not above a bit of emotional blackmail.
05:50What?
05:51I gave Phil a sob story about needing couples' time she's covering.
05:54Right.
05:55Because I need to lift my game. I'm really sorry I was a pain today.
05:58Oh, look, it's okay.
05:59It's not okay.
06:01I'm hoping I can get to your heart through your stomach non-surgically.
06:04Oh, it smells delicious.
06:06Well, that will be the extra crispy roast potatoes.
06:09How was the train?
06:10It was great. Did you get the pics that I sent you?
06:12I certainly did. It looked like everybody had an amazing time.
06:17We went on the train!
06:19It was real old.
06:21Old? As old as me?
06:23No, way older.
06:25Right, well, maybe I'm not as old as that train,
06:27but I have been an old grump lately, and I want to say sorry.
06:30Because you know I love you two more than anything.
06:34We love you, Dad.
06:35Do you forgive me for being an old grouch?
06:37Yeah.
06:38Yeah? Right, make a billy sandwich then.
06:40Yeah!
06:41Make a small sandwich. Make a smaller, make a smaller, make a smaller.
06:44Okay, Jerry, once Sage is finished with that dressing,
06:47he'll take the sample to pathology,
06:49and I'll run some tests on it and contact you in a few days with the results, okay?
06:53Thanks, Doc. You know my mind.
06:54Yeah, definitely worth getting checked out.
06:56Don't delay in future.
06:57Not too tight?
06:58No, all good. Thanks.
06:59Sweet.
07:00Good to go.
07:01Okay, see ya.
07:02See ya.
07:03We're saving lives left, right, and centre.
07:05Yeah.
07:08Hopefully we got it in time.
07:10Not enough people have access to full skin checks.
07:12That's why I'm enlisting more nurses for our mission.
07:15Enlisting?
07:16Yeah, Marsha and Laura and Akeem.
07:18They're going to put the word out tomorrow to help round up some more.
07:21Did you run this past year?
07:22I didn't want to bother her. She already has enough on her plate.
07:25Okay, you need to stop right now.
07:27Look around, Chris. We need help.
07:29Selina doesn't know about the clinic, nor does anyone else in charge.
07:32They'll find out, won't they?
07:33Maybe, but they'll also have plausible deniability if they...
07:37Oh, God, you flat with Monique, don't you?
07:40Oh, right, I should keep my big mouth shut.
07:42Please, where does she think you are tonight?
07:44I didn't say.
07:45Okay, good.
07:46Everything needs to go through Gio, okay?
07:48Yes, Dr Warner.
07:49Okay, so you better call those nurses you mentioned and shut them down.
07:58Come on, Niles. Do you even want to be here?
08:00What do you mean?
08:01Well, you're barely talking.
08:02Is it about the kid that got moved?
08:05I was surprised, yes, but no, I'm not angry about it.
08:08You sure?
08:09Sure.
08:11All right.
08:12Would Gio's people back you up, though?
08:14On the stance you took?
08:16What if he complains?
08:17Well, that would mean he would have to expose his own sickening racism first.
08:21Maybe he doesn't care about that. Not everyone does.
08:23Well, I care.
08:24And not just because it happened to you.
08:26Whoever it happened to, I would be angry.
08:28All right, then.
08:29And what about how our Māori patients feel?
08:31About the disrespect of having their reo stripped from everything?
08:34Not this again.
08:35Yes, this again.
08:37Look, I know how it feels, okay?
08:40But the official policy is...
08:41Yes, a level playing field.
08:43Treat everyone equally because that's worked so well in the past.
08:46Obviously not.
08:47Well...
08:49Your table is ready.
09:00So much for not talking about work stuff when we're off the clock.
09:05Um, I'm going to Wellington tomorrow.
09:07A seminar on paediatric neurodiversity.
09:09Maybe you could come, too?
09:11I'd trip where you've been.
09:12Why not?
09:13You staying overnight?
09:14Well, if I had someone to make it worthwhile.
09:17Well, that wouldn't exactly be overseeing the hospital now, would it?
09:20Well, take some leave. You're entitled to it.
09:22I'm just a newbie. I don't want to make a bad impression.
09:25Right.
09:26Right.
09:28It's a nice idea. It really is.
09:30But I haven't proved myself yet.
09:31I need to show them that I can get Sean Street under control.
09:34And then I will have some bargaining power.
09:37So until then, no.
09:49How's it going?
09:51Good.
09:52About to divide the peritoneum.
09:55Could you adjust the trocar and the subcostal port?
09:59How's that?
10:00A little more.
10:02Yeah, perfect. Thanks.
10:04Nice of Drew to offload all his ops onto you.
10:07I don't mind.
10:08Bit annoying having to clean up his mess, though.
10:10It's my job.
10:11Right.
10:13Sorry for caring.
10:15It came out wrong, Selina.
10:17I just meant that it's not a big mess. Not really.
10:21All good.
10:23It's just been one of those days.
10:26Got a lot going on?
10:27Yeah.
10:29Don't we all ever feel like people are talking behind your back?
10:34Are they?
10:35No, not you. Me.
10:37They change the topic as soon as you walk in, unless I'm being paranoid.
10:43About to sever the last peritoneal attachment.
10:47Who's doing that?
10:49Doesn't matter. Just a vibe.
10:53Damn.
10:54There's blood in the abdominal cavity.
10:56Yeah, what happened?
10:57I don't know.
10:58Suction?
11:03I can't see the source of the bleed.
11:05We'll find it.
11:07Well, they are out to it.
11:08Great.
11:10Hey, thank you for tonight. It was really lovely.
11:13You're welcome.
11:15And though I do not like to toot my own horn,
11:17sometimes I am a better cook than you.
11:20Fighting words.
11:21No, quite the opposite.
11:23No more grouchiness, no more tantrums.
11:25From now on I'll be so laid back you'll be checking my pulse.
11:28I don't put it all on you though.
11:30You know, I want to be better too.
11:33Make more of an effort.
11:37Is this you making an effort?
11:39Do you want me to stop?
11:43BP?
11:4480 over 50.
11:45Hanging another unit.
11:46We need to check another one.
11:47There's too much blood loss. Where's the damn thing?
11:50What's your next step?
11:51I need to visualise it.
11:53Can you stay laparoscopic for this?
11:55Because you can't see too much.
11:57No, I'll have to switch to an open collie.
11:59Cool.
12:00Have you got the support you need?
12:10Don't, don't.
12:12It's work. It could be Phil.
12:14Don't answer it.
12:15It could be an emergency.
12:16You're not on call, are you?
12:17No, but I haven't been drinking either.
12:19I knew we'd have got something.
12:20And if it is Phil, she did me a really big favour tonight.
12:22She might just need advice.
12:24Drew speaking.
12:25Drew.
12:26I wouldn't be calling unless I had to.
12:28I'm in the OR with Mrs Basco.
12:29What's happened?
12:30I was doing a lap collie.
12:32I was about to remove the gallbladder and she started hemorrhaging.
12:34Have you found the source?
12:35No, not yet. That's why I'm calling.
12:37I'm hoping if I open her up I can find it.
12:39Okay, I'm coming in.
12:40You can't advise over the phone?
12:42No, I'll see you shortly.
12:44Seriously?
12:46It's my patient and she is doing me a favour.
12:48You couldn't have told her what to do on the phone?
12:50That wouldn't make me a very good teacher, would it?
12:52And if Phil gets out of her depth, I really need to be there.
12:54Alright, go save a life.
12:56Okay.
12:57I won't be long.
12:58We can continue this later?
12:59If you're keen.
13:00Of course I'm keen. Are you keen?
13:02Of course.
13:07And breathe in again.
13:10And out.
13:15And how long have you been congested like this?
13:18I left work about six or seven months ago.
13:21And you've been short of breath the whole time?
13:23Mm-hmm.
13:24Alright, Davis, let's get you for a chest x-ray
13:26and we can figure out the best treatment for you, okay?
13:28Will that cost?
13:29Absolutely not.
13:30Nga mihi.
13:31Ka hoki mai au.
13:34Your blood pressure's up, so we'll need to get that treated.
13:37I'll be back in a moment and we'll discuss medication options.
13:41What's up?
13:42My patient used to work making engineered stone benchtops,
13:45so now he can barely breathe.
13:47I need to rule out silicosis.
13:48Of course, go have a test.
13:49Negative.
13:50One previous infection three years ago, no problem since.
13:53Non-smoker, no history of asthma.
13:55He needs a chest x-ray.
13:57He'd have to go through ED for that.
13:59I say we bypass and send him straight there.
14:01Officially blowing our cover.
14:03Depends who's on duty.
14:05Are you sure he's not urgent enough for ED?
14:07He's not, but he's unemployed on the benefit, only 34.
14:11And if it is silicosis, it could kill him.
14:13To me, that's an emergency.
14:15Well, so explain to him how important it is and write him a referral.
14:18Oh, for God's sakes, Chris, this isn't a referral centre.
14:21It's a clinic.
14:22But we still have to follow protocol.
14:24Yeah, like ticking boxes and sending them off with good luck.
14:26That's not what we're doing.
14:28We need to be cutting through the red tape for these people,
14:30not adding to it.
14:31Well, most of them aren't urgent,
14:32and some of them just want a professional opinion.
14:34You know that.
14:35Whatever.
14:36I'm getting him the x-ray tonight.
14:41Well, I am sorry for the late notice,
14:43but with the kids asleep and the house empty,
14:45I thought it is now whatever.
14:46No, I'm stoked that you called.
14:48I was just sitting on the couch doing nothing.
14:51Well, I was scrolling.
14:53That pretty much counts for nothing.
14:55Not doom-scrolling, I hope.
14:57Yeah, pretty much.
14:59Everything's just going from bad to worse, right?
15:01Hopefully not everything.
15:06I'm sorry your romantic night got derailed.
15:09It just seems like, you know, it's always something,
15:11whether it's an interruption or exhaustion or, I don't know,
15:15we're just not finding our groove.
15:17Yeah, I hear you.
15:20What else is happening?
15:22Oh, gosh.
15:23What do you want to know?
15:24Where do I start?
15:25I don't know.
15:26Anyhow, something's on the tip of your tongue.
15:30Okay, not really.
15:32Well, I know that Drew's been all over the place.
15:35It's tonight meant to make up for something.
15:38He just wants us to get back on track.
15:40You know, so do I.
15:41And, of course, it was sabotaged.
15:44Phil calling, man.
15:45Yeah, I really think he could have handled it on the phone.
15:47Yeah, but Phil whistles and he comes running.
15:50Sorry.
15:51Sorry.
15:52I'm the idiot who accused him of having an affair.
15:57And then he suspected you.
15:59Not anymore, right?
16:01Fingers crossed we've put that one to bed.
16:03It's hardly surprising, though, in the hours that we work.
16:07We're like ships in the night some weeks.
16:09It's what we signed up for, though, right?
16:11The challenge of coordinating each other's schedules.
16:14But tonight was a big deal.
16:17Ruined by Phil.
16:19Not on purpose, obviously.
16:21And not by seducing your husband.
16:23Why did I even think that?
16:28Bleeding stopped.
16:30Nice work, Doc.
16:32Turns out Mrs. B is one of a small percentage of patients, see,
16:36who have a larger-than-usual vasculature.
16:39Right.
16:40So when you detach the gallbladder from the hepatic vein,
16:43that's what caused the bleeding.
16:45Nice touching moment.
16:47Shall I close?
16:48Go ahead.
16:49Sutures, please, Selena.
16:52Sorry for calling you in.
16:53I really didn't want to.
16:54Don't beat yourself up.
16:55You did the right thing.
16:57I know, but still, I know you wanted to spend time with Harper.
16:59That's okay.
17:00There'll be other chances.
17:02And tonight wasn't a total bust.
17:05I think we're getting back on the same page.
17:15Hey, how'd it go with your X-ray guy?
17:17Radiology wouldn't budge.
17:19Said they're emergency only after hours.
17:21So you booked him in?
17:22No, I took him to E.D.
17:24Emmett was all like, friend of yours, is he?
17:26Did he give you attitude?
17:28Actually, once I mentioned the silicosis he was all in,
17:31couldn't do enough.
17:32Good to hear.
17:33I'll follow up with Davis tomorrow.
17:35All in all, not a bad opening night.
17:38We helped people that were missing out,
17:40Maori and Pacifica included.
17:42That's all I wanted.
17:43Word's gonna spread like wildfire.
17:46Bring it on.
17:47You think we can keep up with demand?
17:50We can try.
18:04Morning.
18:05Sorry about last night.
18:07Are you?
18:08Yes.
18:09Were you trying to mess with me?
18:11I needed Drew's help, not everything's about you, Jesus.
18:14But we were trying to have a night in, together.
18:16Great, yeah, I can't wait to hear about it.
18:19Just stay away from us, Phil.
18:21We work together.
18:22Me and your deluded husband.
18:24And yeah, you're right, he does think it's all his fault.
18:27I don't think it's his fault.
18:29Me and your deluded husband.
18:31And yeah, you're right, he does think it's all his fault.
18:34We're done here.
18:35Oh yeah, we're done.
18:36I don't know what I was thinking.
18:38Oh believe me, the feeling is mutual.
18:40Drew deserves better.
18:53You got home late last night.
18:55Yeah.
18:57Did you go out?
18:58No, no, no, just working, overtime.
19:00You want a coffee? I can make a fresh plunger.
19:02No, no, it's all good.
19:03How was your night?
19:04Nazar is abandoning me for Wellington.
19:07What? Long term?
19:08One night.
19:10So we had to hash out our differences
19:12and all the supposedly evil things that Medvitas is making me do.
19:15Yeah, let's not get into that again.
19:17Okay, well I'll just go.
19:19Wait, Sage, um...
19:21What are they actually saying about me?
19:23The nurses?
19:25Last night, for example, I know you guys talk.
19:28I didn't actually chat to any nurses.
19:31So no one was bitching about me?
19:34Nope.
19:35Can I go now?
19:37Yeah.
19:43Look at me like that.
19:44Like what?
19:46Like I'm obsessed with my job.
19:48Well...
19:49You can talk?
19:56What do you know, Monique?
19:58What do you know?
19:59Could we have a meeting about those budgets today?
20:01Sure, I'll just check my diary and get back to you.
20:04Right.
20:05Can you do an order for me, please? I'll be right back.
20:08Sure.
20:10How'd it go?
20:12Busy as.
20:13I'm a little bit tired.
20:15I'm going to bed.
20:16Good night.
20:17Good night.
20:18Good night.
20:19Good night.
20:20Good night.
20:21Good night.
20:22Good night.
20:24Busy as.
20:25I'm looking forward to tonight, but we need to be able to bypass the ED
20:28and send the nurse to try your first scans.
20:30Well, you could write a referral.
20:31Write a referral, yes.
20:32That is what Chris said.
20:34It might take a little bit longer, but it's the only way to keep it underground.
20:37It has been years since some of them got medical help.
20:40They've got long-term chronic conditions that are way worse than they should be.
20:44Well, ED is the place for them if it's urgent.
20:46A lot of them are coping, just they think they'd get turned away.
20:50Now they've got somewhere that's free, somewhere that won't turn them away.
20:53They've waited long enough, yes.
20:55We need to fast-track them.
20:58They're talking about me.
21:00You're being paranoid.
21:01Thanks.
21:03So anyway, long story short, Mrs. Bascombe is recovering well.
21:07Another hero.
21:08Well, I still think it's a shame you got called in.
21:10I think it's a shame you were asleep when I got home.
21:12We should take a holiday.
21:14That way you can't get called in.
21:16You know, it seems to be happening a lot lately.
21:18Are you annoyed at Phil?
21:19No.
21:20She feels bad about spoiling your night.
21:22I just don't need to do it again.
21:23So you're annoyed at me now?
21:25What? No.
21:26You just seem really on edge.
21:28I'm not.
21:29Okay.
21:31Sorry, it's me. I'm just tired.
21:34Actually, I have got some admin to catch up on before ED, so I'll see you later.
21:37Sure.
21:41PHONE RINGS
21:44Hey, you know, Hub's not here.
21:46She just left her phone behind.
21:48Yes, I can get her to call you.
21:50Cheers.
22:13What the hell?