All language subtitles for Transplant.S01E10.WEBRip.x264-ION10

for a full-time spot
at the hospital.

- You're pushing yourself
too hard.

Unless you can strike a balance,

maybe the emergency department
is not for you.

- And with post-traumatic
stress injuries,

the only way out is through?

[praying]

[in Arabic]

[murmurs]

[indistinct conversations]

- Amira. Come on.
- Bye, Daneesha.

- There's an apartment
that sounds good

not far from here.

Should we go see it?

I know you don't want
to move again,

but we have to find
our own place.

- Daneesha asked me
to go to a movie.

- You can go right after.
- Please?

I really want to go.

- Okay. I'll check it out
for the both of us.

- Follow me.

Mr. Orr is 55 years old.

Presumed venous thromboembolism,

but the D-dimer was negative.

What's the next step?

Dr. Owens, go ahead.

[Bishop]: You have the option
of a family practice back home.

What made you decide to apply
for this permanent position?

- The resources available
at Memorial,

and the range of what we're able
to do for our patients here.

- Could you be more specific?

Why this job, Dr. Hunter?

What makes it worth
changing all your plans?

- Next?

- Free the neck
of the gallbladder.

- Mm-hmm.

Nice technique, Dr. Miller.

- I'll go ahead and clip
the cystic artery.

- Why did you jump in like that?

- You hesitated.

- I was waiting
for the go-ahead.

- Singh wants us showing
confidence.

- Hey! How's internal?

- You hate it.

- I love emergency medicine.

I always have,
and I always will.

- And that's exactly
what I should've said
in my interview.

- Was it really that bad?

- At least now I won't have
to tell Melissa.

[faint rumbling]
- What was that?

Was that an explosion?

- Auxiliary power...

Does that mean
it was in the building?

- No, we would have felt
the shock wave.

- Then where is it
coming from?

- ...dispatch says a building
up the street just blew up.

Power's down
on the whole block.

- Bash!

- We're still waiting for an ETA
from the scene.

In the meantime--
- What's he doing?

- Doctor Hamed!

Running into the fire,
apparently.

[sirens approaching]

[theme music]

- I think it was a gas leak,

there are people
trapped inside.

- You got this?

[sirens]

[dramatic music]

Get as far away as you can.

[breathing]

- Help.

Can anybody hear me?
Please, help!

- Are you hurt?
I'm a doctor.

- Not me.

Her.

[Bishop]:
We need all hands on deck.

We are implementing
mass trauma protocol.

That means wristbands
for triage.

Red for critical,
yellow for intermediate

and green can wait.

Residents will help
with assessment

and immediate action.

OR's are being cleared
of anything noncritical.

Page myself and Dr. Atwater

for anything
above your pay grade.

- Nursing staff are crucial
and will be the busiest today.

If you see a way to help them,
do it.

Family members
looking for patients,

Ms. Barnes and her staff
are on that.

- We're closest to the incident

and best equipped for trauma.
But...

You to be prepared
for any eventuality.

All right. Ready?

Let's go.

Dr. Leblanc, Internal's gonna
have to live without you today.

We need all the help
we can get.

- Yes, sir.

No word from Bash?
- Nothing.

- What's your name?

- Julia.

- Tell me how you're feeling,
Julia.

- Like a building fell on me?

- We're going to get you
out of here

as soon as help arrives.

Until then, we need
to keep you hydrated

and combat any blood loss.

- Maybe I can find something

to leverage this beam
and dig her out.

- Do you remember where you were
when the explosion happened?

Julia?

- My wife...

Naomi.

Did you see her?

She has... brown hair,
red sneakers.

Did you see her
when you came in?

- Tell me how you're feeling,
Julia.

- Fine.
I'm just a little light-headed.

- It's all a blur.
We got blown back.

Tried to get out,
then she got buried.

[moaning]

[clanking]
This thing's too heavy.

- This place is unstable.
You need to leave.

- No.
Please, you gotta let me help.

- She's lost a lot of blood

and I only have two bags
of saline.

I'm going to stay with her.

There are rescue teams out there

and inside the building.

Go tell them where we are.
Please!

- Okay.

- They're still trying to get
victims out the building.

Apparently, the whole place
could come down any minute,

and Bash is still in there.

- Hey, guys, did you see
any doctors in there?

- No, I'm sorry, I didn't.

- No pulse.
- She's in V-fib.

Charging to 100 joules.

Everyone clear?

Defib arrest.
[indistinct]

- We have a pulse.

- How long was she down?

- Paramedics found her alone
so there's no telling.

- We need a cooling blanket, and
as many ice packs you can find.

- You're starting targeted
temperature management?

- I'm worried about
potential brain damage.

- There's a chance you could
combat cellular decay

from lack of blood flow.

As long as she wasn't down
more than six minutes.

- Any word on mom or dad?
- Nothing yet.

- Alright, there's a cooling
unit in ICU.

Let's get it up there.
Come on, let's go!

[screaming]

- You need blood.

- So you're just
gonna give me yours?

- I'm a universal donor.

I've done this before.

- At the hospital up the street?

- In Syria, where I'm from.

During the war.

- Lucky me.

I got the war vet.

I feel like I'm losing as fast
as you're putting it in.

- Help is on the way.

- My wife and I had an argument.

I was so angry at her.

It seems so stupid now.

- I'm sure she thinks so too.

- She was late getting out
of the house.

She's always late.

What if the last thing
I said to her

was over some dumb fight
about how disorganized she is?

- Hey.
Just hold on, Julia.

We're gonna get you
out of here.

Julia? Julia!

[man]: Is there anybody here?

- Over here!

This woman is in traumatic
rhabdomyolysis.

We need to fluid overload
before releasing pressure.

- You should get out of here.

The building is unstable.

I can't guarantee your safety.

- I'll risk it.

[metal clanking]
I'm not leaving her.

- My wife... My...

Has anyone seen...

I've been waiting forever,
okay?

I keep trying to ask people
where she is.

Her name is Julia Baranski.

Please tell me that you know.

- We're moving as quickly
as we can,

but right now,
things are still backing up.

So come with me please.

Okay.

What's your name?
- Naomi.

But Julia, I need to find her.

- I promise that we're gonna
look for Julia.

But right now,
I need to take care of you.

- I tried to go back inside,
but I couldn't get in.

- You did the right thing
not to go back in.

You have bruises
and a number of wounds

that need to be treated.

Do you have any intense pain
anywhere in particular?

- My stomach.

- Okay.
Lie down for me, please.

[grunts]

Okay.

- I'm trying to find
my boyfriend.

No one will tell me anything.

- There's a list of people

from the explosion,
at registration.

- No, no. I asked them already
and they don't...

- A number of people came in
without ID's.

Look, I know it's hard,

but we've got a lot
going on right now.

We just need you to stay patient
while we sort it out.

All right? Okay... Who is this?

- I need you to sign off on
the on-calls I'm bringing in.

Our biggest problem is managing

just the minor injuries
and family coordination.

- Triage nurses are doing great,
but we're barely keeping up.

- I'll tell EMS to divert
the ambulances to St. Jacobs.

- I already did.
- Oh, good.

Anything else you need,
as you need it.

Yeah. All right.

Excellent, thank you.

Claire.

[panting]
- Can anybody help me?

- Are you looking for someone?
- I'm looking for my daughter,

she's not answering her phone.

She goes by that building
on her way home from school.

- How old?
- Twelve.

Blonde hair,
plaid private school skirt,

and a green sweater.
Her name is Gabriela.

- She's in our
intensive care unit.

- Intensive care?

Is she okay?
- Come with me.

[gasps]
Nurse.

- Okay, Naomi,
this is gonna be cold.

Let me know if I'm pressing
too firmly.

[breathing]

[grunts]

Okay. I'm gonna have to...

scan to confirm,
but you're hemorrhaging inside,

which means
our first priority right now

is to get you to surgery.

- How Jules is gonna find me?

- Look, if she's here,
our support staff
are gonna find her

and they're gonna tell her
where you are,

I'll ask them to myself.

But for now, I really need you

to stay as still
as possible. Okay?

- Miss Petrakis.

[gasps]
- Gabby.

What happened?

- Gabby suffered
a traumatic impact,

and she went
into cardiac arrest.

- Her heart stopped?

- Yes.
But we restarted it,

and we're hoping to rule out
any possible brain damage, but--

- Brain damage?

Can you do anything
to help her?

- We're cooling down her system
in order to decrease
her brain function,

so the lack of oxygen
is less damaging.

After enough time,
we can warm her back up,

and her brain will reset itself
to normal functioning.

- When will we know
if she's okay?

- Not until she wakes up.

- But she will...

wake up?

- Julia Burrenski, 33 years old,

open tip fib fractured, lost
a lot of blood on the scene,

possible smoke inhalation.
GCS 15.

- Okay. We've got this.
Welcome back, Dr. Hamed.

- Bash?

- Are you okay?

- Yeah. What? Am I okay?
Are you?

What were you thinking?
You could have been killed.

You can't just...

- Show up and volunteer
as a doctor?

- You gave blood?
- Yeah. At the scene.

- Let me check you out.

- No. This place is overflowing

and I see one of my patients
from the building.

I need to make sure he's okay.

- You made it.

- Because of you.
You found help.

- Julia?
- She made it too.

Gav. Has anyone
looked at you?

- Just some bruised ribs.

Nothing I haven't done
mountain biking.

- Do buildings usually
fall on you when you're
mountain biking?

[laughs]
Breathe for me, okay?

[grunts]

You said you were blown back
during the blast?

- Yeah. I think maybe
I slammed into the wall.

- Gavin, why didn't you
tell anyone?

- Julia needed you more.

- Dr. Curtis?

- No. Honestly, guys, you got
bigger problems than--

- Gavin.
You did your part to help,
let us do ours.

- What do we have?
- Impact trauma.

Tell me what you hear.

- Bowel sounds...

Reduced air entry.

- The porters are all backed up.

So I'm going to take you up
to surgery myself.

- Did you find Julia?
- Not yet.

It doesn't mean she's not here.

Won't be long.

- Careful.

You think this is
bad mountain biking?

- Oh, not even close.

- Let's have a look.

[grunt]

There it is.
Free fluid.

Dr. Hamed?

Do you see the disruption
at the left diaphragm?

- Is that the bowel?

- Stomach, I think, I'm just...
[grunts]

- We'll need a CT to confirm.

- Anyone want to explain?

- You may have torn
your diaphragm when you were
blown backwards.

These type of tears
can cause your abdominal organs

to protrude
into your chest cavity.

If so, you will need surgery,

but finding it early
means it's treatable.

Good catch, Dr. Hamed.

I'll get him to CT.

- Um, Dr. Curtis
will take care of you
from here.

Thank you for everything.

[grunts]

[shivering]

[gunfire]

[echoing]: Dr. Hamed.

Dr. Hamed! Are you with us?

I heard you gave blood
at the scene today.

- There were chemicals
in that explosion.

- We need to take care of those.

- Anyone who was in there
could be exposed.

- What was that?

- Uh, it's...
Power grid kicking in.

We've been on generator
since the explosion.

The elevator should
start up again in a second.

- Why isn't it?

- I don't know.

[grunts]

Naomi?
Where does it hurt?

- My neck.

- Can you describe it for me?

- It's tightening.
Almost like I'm being choked.

[choking]
- Okay.

We saw the hematoma earlier,

but I do see increased
swelling right now.

Likely residual effect
from impact trauma.

- What do we do?

- You're gonna be fine. Okay?

[moaning]

- You're sure the burns
are chemical?

- It must have been something
I touched during the explosion,

maybe even one of the patients

had that substance
on their skin.

- And you didn't notice
till now?

- There are
a number of corrosives
that don't take effect

until well after contact.

The timeline varies
depending on the chemical.

- So there's no telling
who or what you touched.

You've seen this kind of burns
before?

- Regime chemical attacks
were frequent.

Sometimes people
would be exposed

and not know it at first.

You need to monitor
every patient from the explosion

to make sure they haven't
been affected.

- We will.
But that includes you.

- Sir, I'm fine.

My burns are minor.
- They still need to be treated.

- So do the people who might
have been exposed.

We're busy.
They need my help.

- And they will get it.

As soon as you finish
irrigating your burns

and do a pH assessment.

Understood?
Good.

I'll send a nurse?

Is there anyone else presenting
with chemical burns?

- We've been screening,
so far nothing.

Triage knows to alert us
if they see any signs.

How's Bash?

- His burns are minor
and we caught them in time.

- You're worried about him?

- He's seen chemicals like
this before,

during the war.

- Dr. Bishop.

We've got a problem
with one of the elevators.

- Have you called Mechanical?

- Yes, but I think you need
to come with me.

- Hi.
Can I help you?

- I still can't find
my boyfriend.

- Did you check with triage?

They have the most updated list
from the explosion.

- Yeah, I tried to tell
the other nurse.

He wasn't in the explosion.
- Okay.

Tell me what happened.
- Uhm...

The paramedics brought him here
because he...

He OD'd.
And I gave him naloxone,

but I think that maybe
it was too late.

And no one is telling me
anything so...

- What's your boyfriend's name?

- Chris Hewitt.

- And yours?

- Alexia.
My name is Claire.

I'm going to figure out
what happened to him.

- That's what the other guy said
and it's been forever.

- It has been a bit
of a madhouse here today.

And it might take me
a bit of time,

but I promise I'll find him,
okay?

Just have a seat over here
and wait.

- Sure you will.

- I was prepping him for surgery

when his burns started
to develop.

- Gavin, you said you were
in the bike shop

when the blast happened?

- It felt like the explosion
was right under us.

- What sort of chemicals
do you use there?

- Lots of stuff.

Degreaser, mineral spirits,
rust remover...

- Rust remover?
- Yeah. We use it all the time.

- Hydrofluoric acid.
It's used to strip rust,
among other things.

It can take some time
to present.

- It's easily neutralized with
a solution of calcium gluconate.

- If it was localized
to the shop that would explain
why we haven't seen more burns.

- I wasn't there alone,
Dr. Hamed.

- Excuse me.

This just came on now?

- When I woke up.

[grunting]

- You must have been
in closer proximity than Gavin.

- It's in my lungs?

[coughing]

Aerosolized particles.

We can do a procedure called
a lung lavage.

It flushes out the chemicals
from your lungs.

[wheezing]

Take slow breaths for me.

[wheezing]

- It's an internal hematoma
which is now swelling quickly.

- A blast injury?
Arterial?

- A venous collection.

And it aggravated
when the elevator stopped.

Dr. Bishop, if it's pressing
on her airway...

[gasps]

How long until somebody
can get us out?

- When the power came back on,

the surge blew
part of our grid.

We've got two elevators down,

but only yours was in use
at the time.

Mechanical's working
with fire and rescue,

but you're between floors,
so it's delicate.

- Sir, if the swelling continues

we lose our shot
at intubating her.

- You need to be prepared to act
before that happens.

- You mean, open an airway
without imaging?

Sir, even if I could
approximate an incision point,

I don't have the proper tools.

- Well, let's hope it doesn't
come to that.

How fast is the swelling
accelerating?

- It's doubled in the last
nine minutes.

- Well, if it keeps accelerating
at the same rate,

you won't have
another nine minutes.

[gasps]

- If I don't make it,

I need you to tell Jules...

If I knew this morning was
gonna be the last time...

Please, tell her
that I love her.

- No.
- What?

- I'm not gonna tell your wife
you love her.

Because you will.

You will.

- Do we have an ETA
on doctor Singh?

- He's on OR4
with a thoracotomy.

He's going to be out
for at least ten more minutes.

- Who else is on?

- All the ORs are active
right now. We're it.

- He's getting worse.

We're losing circulation
to the herniated bowel.

We're gonna have to go in.

- Without Singh?
Dr. Curtis--

- If we lose blood flow,
the bowel will become ischemic.

It could cause severe damage.
I have to go in.

Scalpel.

- Please.

May I?

So we're slowly bringing
your daughter's temperature
back up.

- I can't stand this.

Not knowing.

- It shouldn't be too much
longer now.

- There must be something
you can tell me.

Chances?
Statistics?

I can't just sit here
in the dark.

Gabby walks home from school
on her own.

If I'd finished work early
and come to pick her up...

- Elena...

This is not your fault.

- I had the option to work
from home this year

and I didn't take it.

- And if you did pick her up?

You could both
be lying here.

- I'm never letting her
walk home again.

- I bet you Gabby
wouldn't be as keen
on that idea as you are.

[laughs]

- She's always been so stubborn.

- I'll come get you
as soon as there's news. Okay?

- Thank you.

- All I need to do
is make an incision distally.

I'll quickly insert a tube.

- Dr. Leblanc.

- Poor hemostatic technique
can increase the risk...

[Bishop]: Mags.

- ...to be careful
to apply pressure...

- Mags!
- What?

[Bishop]: Where do you spend
every waking moment of your day?

- In this hospital?

- Exactly.
And when you're not here,
what are you doing?

- Reading.

- Reading what?

- Medical textbooks.

I've read three studies
on this procedure

and I've watched
every video available online.

You're the one always
telling me not to overthink,
but I'm ready for this

because of all the work
I've done.

- I agree.

- You do?

- If I was stuck in an elevator
with a hematoma,

no imaging, and no tools,

I'd be lucky to have you there
to handle it.

- I'm gonna do it now.

- Slow and steady.

[wheezing]

- Come on. Come on.

It's working.

It's working. It's working!

Her O2 sats are rising.

[laughs]

- Hey.

Alexia?

- Did you find him?

Is Chris okay? Is he...

- Do you mind coming with me?

- No. If he's, uh...

If this is what I think,
please just tell me here.

- I am so sorry to tell you,

but the doctors weren't able
to save Chris's life.

[crying]
He died from the overdose.

- I tried to help him. I did.

- I spoke with the paramedics

and they said the exact
same thing.

You did everything you could.

Is there anyone I can call
to be here with you?

- No, there's, uh...

There's no one.

- I know how hard this must be.

- Do you? Really?

The only person who ever
gave a crap about me is dead.

[crying]

- You started without me?

- The patient's stomach was
halfway into his chest cavity

and beginning to necrotize.
I had no choice.

- Let me take a look
at what you've done.

You were able to re-assemble
the edges without tension.

- Yeah.
I used running silk

and interrupted reinforcement
sutures along with some mesh.

- You can close up.

- Lung isolation established.

- You fully evaluated potential
morbidity from the procedure?

- No risk for complications.

- We don't tape the joints.

- They can leak.

We did a lot of these
in the field during the war.

- Did you check for effective
lung isolation?

One lung needs to be ventilated

while the other
is being flushed.

Clamp the drainage tube,

and introduce 1200 mL
of lavage fluid.

- Yes, sir.

Lavage fluid starting.

Clamping lavage tube.

Start percussion.

- Starting percussion.

[machine beeping]

[tube making noise]

- There's fluid leaking
into the ventilated lung.

We need to stop.

It's not draining.
All right, let's get her
into lateral decubitus.

Lavage side down.

Lift on three.
- One, two...

- We need to aspirate.

- Hyper-oxygenate the airway.

We need to move,
Dr. Hamed.

[gunfire]

- Momma...

[muffled gunfire]

[crying]

Momma...

[muffled gunfire continues]

- Bashir!

Just do a scan,
check for lung sliding.

I'll take over that.

- I'll do it.

- You got it? Okay.

- No lung sliding.

Pneumothorax.

She's not getting enough oxygen.

- Let's put a chest tube in.

Get me a scalpel
and a 22 French?

Double time.

Bash. You're good?

Alright.

- What if she doesn't wake?

- Let's just give it a second.

Come on, Gabby.

Gabby?

Do you know where you are?

- It's okay, baby.

You're in the hospital.

Everything's okay.

- Hi, I'm Theo.

Gabby, I'm gonna ask you
something, okay?

Can you count backwards
from ten for me?

- Why... backwards?

- That's a very good sign.

Your mother told me
you had a mind of your own.

It looks like she was right.
Welcome back, Gabby.

[laughs]
- Oh, my baby.

Oh, you're okay.

She's okay.

Oh, baby.

[Bashir]:
That was just a split second.

- It was long enough for me
to take over the aspiration.

You said you did those
procedures in the war.

It's understandable
if this one got to you,

given the events
of the day.

- It didn't. I hesitated.
That's all.

[sighs]

- I think we both know
it was more than that.

- You pull something like that
again, you're off my team.

- If I didn't intervene
when I did,

the patient would be
on a feeding tube
for the rest of his life.

- I was minutes away.
You should have waited.

- You would be saying
the same thing if I was
Dr. Miller?

- You think I'm giving you
a hard time

because you're a woman?

When I started here
25 years ago,

I was the only brown face
in the department.

- I guess you found a way to pay
that prejudice forward.

- If that's what you want
to believe Dr. Curtis, fine.

But the truth is,
you shouldn't have performed
that procedure alone

for the same reason
I didn't want Dr. Miller

to go ahead and divide
that cystic artery this morning,

which I explained to him
after you left.

Because you're not ready.

- A patient's gonna live
a normal life

because of what I did in there.

- Your execution was sloppy.

You cut wider than necessary

and you used twice the mesh
that you needed.

He'll have a harder recovery
because of it.

This isn't about your gender,

or your sense of entitlement

or the massive
chip on your shoulder.

It's about the patients.

Consider that next time
before you cut.

- Oh my God, that's her.

You sure she's okay?

- Her lung lavage worked.

You'll both be home soon.

- Thank you.
For everything.

- You ready?

[soft music]

[crying]

- Hi.

- Took you long enough.

- You know me.
Always late.

- I promise never to complain
about that again.

- No, you don't.
[laughs]

[crying]

[laughs]

- I'm sorry.

- Dr. Bishop?

Dr. Bishop, I just...

I want you to know
that you were wrong about me

when you suggested that
Internal would be a better fit

because Emergency
is where I belong and--

- I know.
- No, but what I'm saying is--

- You showed me that today.

Welcome home, Dr. Leblanc.

[phone chiming]

- Hi.

Uh... Sorry I missed
your messages.

I'm coming home soon.

Uh, let's have dinner
together tonight?

Yeah, it's been a crazy day.

[indistinct]

Hey.

Can Amira and I stay with you
a little while longer?

- Bash, I don't know how many
times I have to tell you,

but I love having
you two around.

Stay as long as you need to.

- How'd you do today?

- I beat the odds.

That's what I should have said
in the interview.

We beat the odds here.

- That was a tough day.

I know you're all exhausted.

We weren't perfect,
but we came through.

What we do here is about more
than being perfect.

It's about showing up,
no matter how we're tested,

and leaving everything
on the floor.

That's what we do every day.

And nothing makes me more proud
than knowing that.

Now get back to work.

- Hey.

- There's a Gift card for the
grocery store down the street.

They have hot meals too.

There's also
the name and address
of a woman's shelter.

Our social worker called ahead,

they have a bed
waiting for you.

All you have to do is show up.

- Why are you doing this?

- I ran away when I was fifteen.

It's never too late
to start again.

[sighs]
I'm here most days.

You need anything,
you come back.

- I bet you do
something like this every day

and no one ever notices.

- Look at you,
so sentimental today.

[chuckling]

- How are you feeling, Gavin?

- I talked to the nurses.

Four people died
in that explosion.

- I was there.
You did everything you could.

Those people that
didn't make it, you have to...

You have to try
and let that go.

- Yeah.

[muffled gunfire]

[beeping]

Subtitling: difuze