All language subtitles for Saving.Hope.S04E05

What?

Happy birthday, baby boy.

Happy birthday, buddy.

Wait.

Make a wish.

One, two..

Ooh.

Yay!

Good job, honey.

You got him to his first year.

A toast to the parents.

- Thank you.
- Well...

Well, we didn't drop him on his head.

Didn't swallow a safety pin.

We did it.

What are looking at?

I don't know. I'm just thinking.

It's Luke's birthday today.

Right. That's right.

You had him...

Same day that Joel died.

Birthday, death day, I...

I'm not really sure how
I'm supposed to feel.

Your kid is happy and healthy.
that's all that matters.

True.

I should probably get to work.

How are you doing?

I'm good.

You know me.

I'm not that big
on celebrating anniversaries.

Ask my ex.

Well, if you ever
want to talk about it...

Happy birthday to Luke.

Thank you.

Oh!

Good morning.

Good morning.
Have you had breakfast yet?

Why would I need breakfast when I have you?

You saying I'm the most
important meal of the day?

I am. And the most elusive.

We've kind of been like two ships.

My budget is due in less than a month.

I know,
which is why you need a break.

My buddy Paul's giving us his cottage
on Rosseau for the weekend.

Are you kidding me?

Dust off your flip-flops, Dr. Bell.

We're going to cottage country.

Dawn here.

Yes. That is great news.

Okay. Yeah. I'll be right up.

A donor heart just became
available for a patient of mine.

Looks like I'm doing a transplant today.

Adios, flip-flops, just like that.

Oh, Lane, I'm so sorry. I...

For saving a life?

Don't be.

Can I watch?

Can I watch you do the transplant?

That is against hospital policy.

I know. I was on the board
that made the policy.

Exactly. So, what would we say to the staff?

Whatever we want.

I mean, what's the point
of having a little power

if we can't use it, right?

What do you have?

Taylor Fenn, 16 years old,
motocross champion.

- Motocross?
- Yeah.

Hi. I'm Dr. Reid.

Hi. Nancy Fenn. Hi.

Hi, Taylor. You can call me Alex.

So, you race motorbikes?

Yeah.

These bruises look old.

Uh, they're from a race
in Fort Erie last month.

Missed the landing on the whip. Ate it hard.

Bet you got a nice soil sample though.

Yeah, but I didn't even cry.

She's always covered in bruises,
but this fall she just took.

Jammed the handlebars into
my stomach pretty good.

I thought I should bring her in.

Good idea. I'm just gonna
feel your belly, okay?

Severe abdominal bruising.

Oh, that looks way worse already.

Ow!

Taylor, how long have you been racing?

I got my first ktm when I was 9. Aah!

Localized tenderness in
the upper left quadrant.

- Her systolic just bottomed out.
- What does that mean?

Taylor, I'm gonna need
you to listen to my voice

- and stay with me, okay?
- Oh, I feels so...

Taylor? Taylor? Drop her head.

- Honey?
- She's got to have internal bleeding.

We'll need to get her into the O.R. now.

- Mom, I'm gonna ask you to move away.
- Okay.

- All right, Taylor.
- Mom?

Honey, it's okay. I'm right here.

Yeah.

You two are in my E.R. today?

- Yes, sir.
- At your service.

- Have either of you actually operated?
- I have.

What about you?

I came really close yesterday.

Close only counts in
horseshoes and hand grenades.

Are you guys ready for this?

You take the bag? What do we got?

Bryn Stewart, 32,

single penetrating gunshot
wound to the temporal lobe.

- That's my daughter.
- Oh, sir, I'm sorry.

You're gonna have to stay out here.

- I want to be with her. I'm her father.
- No, no, Dr. Williams,

Dr. Williams, it's okay.

It's okay. You can come in and join.

- Just stay clear while we work, okay?
- Thank you.

Can you tell me what happened?

Uh, I found her.

I think she may have shot herself.

I don't even know where she found a gun.

Zach.

Gunshot.

B.P.'s 155 over 90. Pulse is steady.

Pupils are fixed and dilated.

What does that mean?

It means her brain isn't sending
the responses it should be.

Okay. I got multiple skull fractures here.

I need to see her spine. Let's roll her.

On three. One, two, three.

Okay.

Dr. Williams, check her motor responses.

What are you doing to her now?

I'm checking to see if she has any feeling.

Zero response.

Let's get her up to imaging.

I need to get a better
sense of her injuries.

She's still alive, though, right?

I mean, she's still breathing.

A machine is breathing for her, yes.

Cassie, will you take Mr. Stewart

to somewhere
a little more private, please?

She's gonna pull through. I know it.

She's a fighter.

Yes. She is in very good hands.

Okay, guys, let's get her up to imaging and

do a comprehensive apnea test.

Why am I still here?

Don't know.

So, hell continues.

Great. That is just great.

Okay, I'm trying to pack it off,
but the blood just keeps coming.

Suction.

It's the spleen. It's completely mulched.

Clamp.

Clamping the splenic hilum.
Give me those scissors.

Let's get this guy out of here.

Mm-hmm.

Here it comes. Ready?

Wow. It is huge.

That is twice the normal size.

Uh, we have another problem.

- What?
- She's hypotensive?

Well, hang more blood.

I'm trying, but clearly she isn't clotting.

Autoimmune disease?

Wouldn't explain the size of the spleen.

Toxoplasmosis? Sarcoidosis?

Both could cause enlarged spleen.

Uh, her white blood count is off the charts.

Leukemia?

She was covered in bruises,

but I thought it was from
the motorcycle accident.

- If it's leukemia...
- Then we got to close her up

and get her out of here before we kill her.

All right, team,
our patient today is George Follows.

He is an active 46-year-old father of three,

but he has hypertrophic cardiomyopathy.

For those of you who might not be familiar,

that means that the muscles
in his heart have stiffened,

impeding the blood flow.

But we have a healthy new
heart from a 26-year-old male

who is no longer with us.

And we thank him.

And this is Lane Berkley.
He's a member of the board.

And her new boy toy.

He is here to observe
this operation, to, um...

To, uh, review the standard of practice

for the surgical subcommittee
that I'm currently chairing.

Unless, of course, anyone objects.

Oh, the more, the merrier.

I'm just happy to be here myself.

Okay, well,
I'll just stay out of the way and

let y'all do what y'all do.

They declared me brain-dead
a little while ago.

Yeah. I heard. I'm sorry.

I always thought I'd be the
one to watch him die.

Doctor, can you tell me

how long it'll be
before you try waking her up?

Mr. Stewart, um...

I'm not sure waking her
up is gonna be possible.

Yes, it is.

And I'm gonna be here when she does.

We got unlucky this
morning with that suicide.

But I got a new game plan. Who's with me?

Do we get to hear the plan first,

or do we have to commit now?

The new game plan is...
no one else dies today,

not in our E.R., not on our watch. Yeah?

- Sure.
- Absolutely.

Great.

I got a really good feeling about you two.

We are going to crush this.

- Are you ready?
- Yes, sir.

Children, gather.

This is Doug Renfroe, okay?
He was in a car accident.

He having abdominal trauma
and possible concussion.

Cassie, run a F.A.S.T., please.

Doctor.

Hello, sir. My name is Dr. Sekara.

I'm doug.

You were in an accident, Mr. Renfroe?

Yeah.

S.U.V. came out of nowhere.

Where were you hit?

In the car?

Those were stupid questions.

No. You're just going through the checklist.

It's good to be thorough.

F.A.S.T. is clear. No free fluids.

Good. Check his light reflex.

Pupils are equal and responsive.

All right. Looks like today's
your lucky today, Mr. Renfroe.

Sure doesn't feel like it.

You know what?

Let's send him up to
imaging just to be sure.

I want to get a head and chest C.T.

Remember our pact.

All right. I'll call for an orderly.

No, no. You guys will do it yourself.

Diligence, people, diligence.

Is this your first time seeing it up close?

What's happening?

The pump stopped.

Yeah. I can see that. Tim?

We have a venous airlock.

- What can I do?
- Hold this.

Okay, we need to lift the tube,
get the air out.

Move, please.

Hang in there, George.

Okay, bubble's gone.

SATs are still dropping.

Why isn't the pump turning on?

Give me a minute.

Yeah. I don't have a minute.

Well, that seemed to work.

Very impressive, Dr. Bell.

First rule of surgery...

it's better to be lucky than good.

I will put a new pump in the budget.

Thank you.

And I need to re-glove.

It's bad news, isn't it?

Taylor, you have something
called acute myeloid leukemia.

Oh, no.

Um, what does...
what does that actually mean?

It means that your bone marrow cells

aren't maturing the way
that they're supposed to.

So, believe it or not,

it's actually lucky that
you crashed on your bike.

Yeah, lucky.

Cancer. Super lucky.

The sooner we know about it,

the better chance we have to cure it.

Um...

Can I... can I still ride?

Not for a while.

We'll need to give you
induction chemotherapy

and then a stem cell transplant,

but that's further down the road.

So, we do need a donor.

Can mom be my donor?

No. I'm sorry, Taylor.

The results are back,
and your mother isn't a match.

Am I gonna die?

No.

No, you're not.

Oh, baby, it's okay to cry.

You don't have to be so brave all the time.

I'll give you some time.

No. Can I... can I just talk
to you for a second privately?

Of course.

Honey, I'll be back in a second.

I can't believe...

this is just... it's too much.

It's a lot to wrap your head around.

I'm not her mother.

She was my sister's kid.

I've had her...

I've had her since she was a baby.

We didn't even ever know who the father was,

and-and I don't even think
that she would remember her mo...

Janice.

Okay, then.

We need to get your
sister in here right away.

No, no, no.

No, wait a minute.
You don't understand. My...

My sister... she's a junkie.

She's out for herself and
she always has been and I...

I can't invite her into our lives.

I understand that. I do.

But leukemia progresses rapidly.

We need to get
her biological mother in here

as soon as possible.

She's our best chance at
getting Taylor better.

Okay.

She's not gonna show.

It's only five past.

We keep this between us.

Complete confidentiality.
Taylor never knows.

Let's just take this one
step at a time, all right?

Okay.

Hey. What's going on?

Where's Taylor?

You must be Janice.

This is Dr. Reid.

Um, come on, Janice. Let's sit down.

- No. Your phone call really freaked me out.
- Yeah, well, this isn't about you.

It's about Taylor.

She's been diagnosed with
an acute form of leukemia.

She has cancer.

Yes.

Why didn't you tell me on the phone?

Because I didn't know how you would react.

You didn't know how I would react?

- See? This is exactly what I was afraid of...
- Ladies, please.

Janice, Taylor needs a stem cell transplant.

We were hoping that you'd be a match.

When's the last time you used?

I'm clean.

I will have to do a blood
test to verify that.

Right.

Okay? And I will also test
you for HIV, Hep B, C.

It's standard protocol
for any potential donor.

Sure.

I'll do whatever
if it'll help my little girl.

Thank you.

Come on.

Nancy?

All right, people,
let's get this thing out of there.

Dr. Lin?

Ready, ready.

Bucket.

Lane, you okay?

Lane! Oh!

Somebody help him, please.

I'm sorry you had to leave
the transplant surgery

to come and stitch me up.

Well, when the chief of surgery

asks you to stitch up her boyfriend...

You do what she says.

That's right.

Yeah, I guess we came up with that policy

for a reason after all.

Hold still.

So, now I'm just gonna be a joke,

a punch line in the doctor's lounge.

Oh, trust me

doctor's lounge gossip
has a short shelf life.

So, uh

did she say anything after I fainted?

What do you mean?

Well, I mean, did she laugh?

No. Of course not.
She was just mostly concerned.

Mm.

It's gonna be fine.

Seriously.

I just need to know

how expensive a makeup
gift I need to buy her.

Any advice?

You could try the hospital gift shop.

I'm rather partial to the stuffed chihuahua

with the Hope Zion t-shirt.

Here we go.

- Good to go.
- Yeah.

- Hey.
- Hey.

There he is.

We got, uh, Mrs. Bardsley
in bed 1 all stitched up.

She's just waiting
for her husband to pick her up.

Mr. Farrah, bed 2,
just needs a T.B. booster,

and then he's good to go.

And I just talked
to the surgical step-down ward.

Our doored cyclist is in the clear.

Doug Renfroe, our MVC...

he has a mild concussion
and two cracked ribs.

And what is your suggested course of action?

Tape him up, send him home.

Right. And what happens when Mr.
Renfroe gets home and

feels drowsy, falls asleep,
and never wakes up again?

I already talked to his roommate,

advised him
of the concussion protocol.

What is our motto today?

I went through the checklist with him.

- I was very...
- Say it.

No one else dies today.

That's right,
and in order to achieve that,

we need to give 110%, right?

That's right.

So, I need you to go see Doug,

give him some ibuprofen for his headache,

and continue to keep an eye on him.

Thanks, man.

Okay, Janice.

Oh, can you take those off for me, please?

And roll up your sleeve.

Great. Thank you.

Get a good look.

I'm assuming
the other arm is the same?

There is some damage you can't undo.

Okay, well, make a fist.

Great.

I'm having some trouble
finding a usable vein.

Yeah, well, can't you just
stick me somewhere else?

Well, normally in these circumstances,

I would use a central line,

and I'd draw the blood from there,

but that's not a good idea for you.

For me.

How long did you say you've been clean?

Janice, I need to know.
When was the last time you used?

Yeah.

I don't know.

Well, if I put in a central line
and you used it to do drugs,

you would most likely overdose.

I want to see her.

Right now. I want to see Taylor.

I'm sorry.

Nancy's not comfortable with that.

Well, she better get
comfortable with it, okay?

'Cause I'm not doing
anything until I see my kid.

Every vessel attached. Open clamp.

Prepare to take him off pump.

Preparing to take him off.

Give me an amp of epi.

It's fibrillating.

Shouldn't it be contracting by now?

Give it a minute.

Dr. Bell, should we shock?

Yes. Paddles.

Charge to 10.

Discharge.

Not kicking in.

Once more. Charge to 20.

Discharge.

Come on, George.

Third time's a charm. Charge to 30.

Discharge.

Asystole.

We got a stone heart.

It's not salvageable? How does that happen?

I don't know. Maybe it was
on ice too long in transit.

Keep his pH and electrolytes stable,

and we got to look for a new heart.

A new heart?
How do... how do we do that?

Page Charlie.

Okay.

Hey. You had a suicide this morning.

She came into the E.R.

Yeah. She's in the ICU, brain-dead.

Are you sure?

Yeah. She had a full work-up,
was legally declared.

Were her organs damaged?

No.

The transplant that I'm doing...

the donor heart is unusable.

Okay.

What's her blood type?

"O."

That's amazing. That is amazing.

No, no, Dawn, Dawn, she's not a candidate.

Her father's in the ICU,

and he's insisting that she
stay on life support, so...

Yeah. Sorry.

I don't care what my father wants.

I want to help that man in there.

Some good should come out of all of this.

Oh, Dawn?

Yeah?

How long you got?

Well, I can keep him on
pump for a couple of hours,

but after that, even with a new heart,

his chances of waking up are slim to none.

You got to do something.

Convince my father to let me die.

Let me see what I can do.

Thanks, Charlie.

Get inside the O.R. with the
cast and crew of saving hope

at ctv.ca/savinghope

God, look at her. She's so grown up.

I hear she races dirt bikes,
that she's really good at it.

Of course she's good.

We better go.

Can I just hug her first?

I don't think that's a good idea.

Please.

Janice, you can't go in there.

Hey. What the hell is going on?

- Did you let her in there?
- No.

Would it be such a crime if she did?

Yeah, actually, it would.

What, you think I'm gonna sell her crack?

I gave birth to her, Nancy, okay?

Like I'm gonna hurt her.

Well, you won't because I won't let you.

Right. I'm a screw-up.
I lied about being clean.

Oh so she's using again. Of course.

Excuse me.

Little help in here!

Taylor, how are you feeling?

Taylor! What's happening?

- You need to back away.
- Why...

why is she like this?

Her temperature's up.

Incision looks clean.

Could be a clot in a portal vein.

Let's get her on clot busters
and back up to the ICU.

- Let's go. Move out of the way!
- Taylor?

You need to move, please. Let's go!

Honey? Okay, mama's here.

I should go.

You don't have to leave.

No, it seems that me passing out

is the least of your problems.

People pass out in surgery all the time.

I embarrassed you.

Okay, I am truly coming to dread that sound.

Dawn here.

Yeah. We're still waiting.

Dr. Harris is on it.

Good luck with the heart, Dawn.

I really mean that.

Okay, you know what?

I feel like there's something
that I'm supposed to say to you,

but I don't know what that is.

There's nothing to say.

I'm sorry I didn't protect you.

What's that supposed to mean?

I went against my gut.

I knew it was a bad idea
bringing you in there.

Well, why did you do it?

Because I didn't want to disappoint you.

Is that supposed to make me feel better?

I got a guy in there
with an open chest cavity

and no heart to put in it.

I don't... I don't need this.

Okay.

I don't need this, either, then.

Lane?

Hey! Doug!

What?

Just making sure you're rousable here.

Dude, if you're trying to arouse me,

there are better ways.

Keep testing him.

All right.

Okay, I want you to give me three animals

starting with the letter "s."

What?

Hey, man,
I'd love to go home now.

Look, I know, but Dr.
Miller... he's being a bit...

I just can't discharge you
until I know you can pass

the concussion protocol test.

Fine.

Uh, animals that start with "s."

Uh, sheep, snake, and, uh...

I don't know.

Sushi?

It's a fish.

Okay. I might accept that.

Okay. Give me the capital of Saskatchewan.

Saskatoon.

Actually, it's Regina.

See? Not doing so good there, Doug.

That doesn't prove that I have a concussion.

It just proves I'm dumb.

Okay, last one...

I want you to give me three numbers,

then repeat them to me in reverse.

13, 42, 99.

99, 42, 13.

Okay. Very good.

They're my nana's lotto numbers.
She plays them every week.

Oh, yeah? She ever win?

Once. 500 bucks.
She gave it to the church.

She sounds like an awesome lady.

No. She's a bitch.

But I should still visit
her when I get out of here.

Okay. I'll be back
to check on you in a bit.

Brush up on your geography,
and I'd say you're good to go.

So far, so good.

All right. Good. Well, let's keep it up.

Push to the finish. Eye on the prize, right?

Coaching my kid's soccer team.

Oh, yeah? How are they doing?

Last place.

It's them. It's not me.

About time someone came to look in on her.

Uh, Mr. Stewart,
I didn't introduce myself before.

I'm Dr. Harris.

I was part of the E.R.
Trauma team that, uh...

saw Bryn.

Um, I understand that you're asking

to keep her on life support.

If you're here to convince me otherwise...

No, no, no. I'm-I'm...

I'm not here to convince you of anything.

That's-that's not my job.

Then why are you here?

I'm here to let you know
what your options are

so that, uh, you have all
the information you need

to make the best decision for Bryn.

I know what's right for Bryn.

Okay. Um...

Bryn has sustained
a massive cranial trauma.

She has zero brain activity.

Now, has anyone had the opportunity today

to speak to you about organ donation?

I'd like you to leave.

Now.

Mr. Stewart, I'm just...

Get out!

Okay.

Where are you going?

To tell Dr. Bell that she needs a plan "B"

or plan "C"
or whatever she wants to call

a new plan at this particular point.

So, that's it? You're just giving up?

Look, we don't have much
of a choice here, okay?

I can't exactly tell your
father that his daughter's ghost

wants a transplant to happen, so...

Then he wins. Again.

He wins again?

He made my life a living hell.

Now he's bent on keeping me here.

My father...

Started touching me when I was 8,

told me if I ever told my mother,
it would kill her.

So I didn't.

I protected her.

I kept it all to myself until I...

I put that gun to my head because of him,

because of what he did to me.

Please.

You are the only one who can help me now.

It's gonna be really embarrassing

if I have to call security on you.

I came to apologize.

What are you doing?

You see,
I just became a father, too.

And, uh, I have no idea

what it is you must be
going through right now,

what, uh...

what it must be like to
see your child like this.

No, you don't.

And the fact
that she did this to herself...

I mean, I...

I can't even imagine the
guilt you must feel...

That there were signs you should have seen

of how much she was hurting inside.

But you can't blame yourself.

I do.

You know, as fathers, we try to protect

our-our children
from every-every cruelty.

But you can't be there
every second of every day.

You can't live
their whole lives for them.

I tried to be a good father.

I did.

I know you did.

But you can rest now.

Your job is done.

Your daughter's at peace.

And if it will give you some peace

knowing that your daughter
helped save a life...

Then we can do that.

And if not, that's okay, too.

He's not gonna sign it, is he?

That is one gorgeous heart.

You know, Dawn, I'd...

I'd stick around
to watch you do your thing,

but I heard that can be dangerous,

so I'm just gonna wait outside.

Hardy har har.

Take care of that heart.

I'll do my best.

Aorta and the pulmonary vein are tightened.

We're ready. It's ready to go.

Is it tight enough?

- Tighter than a nun's...
- Okay, don't finish that.

I'm making an executive decision here, Doug.

Our time together
has officially come to an end.

No more skill-testing questions?

Nope. I'm afraid not.

Hey, uh, can I get
some pain meds for the road?

I could give you some more ibuprofen.

Well, how about something
with a little more kick?

Nothing that would be
impeding your cognition.

Ah. Captain buzzkill.

Hey, that's me.

See you around, Saskatoon.

We managed to break up the clot
that was stopping blood flow.

She's getting stronger,
but she's not out of the woods yet.

There you go. The kid's gonna be okay.

She almost died, Janice.

I know. I was there.

I have good news.

I have your test results. You are a match.

Oh, my...

oh, my god! Thank god!

Oh, but what about the drugs?

I'll get clean.

I can get you into detox.

Once you're clean, you can start donating.

You're gonna do this, right?

You have to.

I'll do it.

But I want to meet her.

For real this time.

Okay.

If I let you meet her,

do you promise not to tell
her who you really are?

What would you do if it was your kid?

Taylor's very sick.

She's very weak, and news like this

could be deeply upsetting to her.

She needs to be strong right now.

Her health is the priority.

Is it gonna work?

Vent on. Leave some blood behind.

What's happening?

- Yes.
- Yes.

Whoo!

My heart, it took.

It did.

Thank you.

It doesn't hurt anymore.

Taylor, we have fantastic news.

Hey, honey. It's gonna be okay.

We found a match.

This is Janice.

And she's gonna save your life.

Really?

Yeah.

Have we met?

We have. Yeah.

You wouldn't remember.

It was a...

it was a long time ago.

I'm, um...

Are you okay?

I'm just an old friend of your mom's.

Right on.

Yeah.

Mr. Herdman is going to take it easy

on the yard work for a while.

Good.

And I wrote the businessman
a scrip for methocarbamol

and made him promise to
follow up with his G.P.

We stuck to our plan,
we were diligent, and...

- No one else died today.
- No one else died today.

I feel like we should hug.

Do you guys want to have
a big hug right now?

Let's just do that.

What the hell is this?

Male, early 20s.

Found him collapsed at a bus stop close by,

vital signs absent.

Flatline throughout?

Hold on the CPR.

20 minutes?

Time of death, 9:04 P.M.

I sent him home.

His C.T. was clear.
You did everything right.

But I sent him home.

Hey, this is all on me.

I set a game plan this morning

that was impossible to see through.

We do our best,
we give it everything we got,

and even still some people die.

That's just the way this works,
and it sucks.

But the people we see tomorrow

have nothing to do
with the ones we lost today.

No short-term memory,
Dr. Sekara, you hear me?

Get over it.

Dev...

You came back.

I did.

I'm sorry for earlier.

I was feeling really...
really sorry for myself.

Apology accepted.

Oh.

So, muskoka is definitely out.

But there are a number of other ways

that we can... entertain ourselves.

Lane, that heart transplant was incredible.

It was just...

I mean, when the first heart didn't take,

I thought that was it

because that's usually how it goes, right?

And then it just...

stop talking.

Okay, I know. I'm sorry. I'm just...

Shut up.

What?

Mm.

Take off your skirt.

Okay. Slow down. I'm...

Take off your skirt.

Hey, slow down.

Get your hands...

Shh. Shh. Shh.

I got you. I got you.

Shh!

I know what you did to her.

What are you talking about?

You can't hurt her anymore.

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