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1
00:00:00,070 --> 00:00:01,179
You're being pushed out?
2
00:00:01,184 --> 00:00:02,383
I'll find a way to get the board
3
00:00:02,387 --> 00:00:03,632
back on-side again.
4
00:00:03,637 --> 00:00:05,132
Dad's dying, Junie.
5
00:00:05,137 --> 00:00:06,438
I don't know what it changes, so...
6
00:00:06,442 --> 00:00:08,218
That's cold, even for you.
7
00:00:08,223 --> 00:00:10,958
Cardiology. I told you
I wanted to explore it,
8
00:00:10,963 --> 00:00:12,148
but you didn't hear me.
9
00:00:12,153 --> 00:00:13,450
Yeah, well, I'm hearing you now.
10
00:00:13,455 --> 00:00:16,490
- Here.
- You're giving us your car?
11
00:00:16,495 --> 00:00:17,765
I need to purge a few things.
12
00:00:17,770 --> 00:00:19,471
There's a detention order against me.
13
00:00:19,476 --> 00:00:20,843
It's been two weeks.
14
00:00:20,848 --> 00:00:23,149
You said Khaled would only
be in detention one day.
15
00:00:23,154 --> 00:00:25,123
He could be deported.
16
00:00:25,128 --> 00:00:27,830
Sorry won't be good
enough, Doctor Hamed.
17
00:00:27,866 --> 00:00:29,554
This is your fault.
18
00:01:01,798 --> 00:01:03,929
Mr. Jackson, I have your results from...
19
00:01:03,934 --> 00:01:05,835
Shh. You'll scare him.
20
00:01:06,336 --> 00:01:08,838
- You see him too, right?
- I do.
21
00:01:09,206 --> 00:01:11,398
Good. Then it's not the mushrooms.
22
00:01:14,744 --> 00:01:16,828
I'll be right back.
23
00:01:17,728 --> 00:01:19,596
The house I bought in Leslieville.
24
00:01:19,601 --> 00:01:21,302
Quick jog to the hospital.
25
00:01:21,307 --> 00:01:23,015
Needs a little work...
26
00:01:23,374 --> 00:01:25,101
Actually, needs a lot of work.
27
00:01:25,106 --> 00:01:27,146
You wouldn't happen to know
a contractor, would you?
28
00:01:27,344 --> 00:01:29,218
Well, my brother-in-law.
29
00:01:29,223 --> 00:01:31,858
He's honest, but he's
also kind of a moron.
30
00:01:31,863 --> 00:01:32,996
I'll pa...
31
00:01:33,001 --> 00:01:34,435
There you are.
32
00:01:36,400 --> 00:01:38,101
Try not to move...
33
00:01:40,910 --> 00:01:43,378
So Mr. Lee definitely has gout
but doesn't want to admit it
34
00:01:43,383 --> 00:01:44,860
while Mrs. Watson thinks she
has everything but actually
35
00:01:44,864 --> 00:01:47,252
just has dyspepsia and... you missed.
36
00:01:47,257 --> 00:01:48,751
If you're gonna practice, pay attention.
37
00:01:48,755 --> 00:01:50,846
- Sorry?
- She means me. The vein.
38
00:01:50,851 --> 00:01:52,360
The trick is to get him
to accept a corticosteroid
39
00:01:52,364 --> 00:01:54,812
before he gets a kidney
stone. Arnold, you with me?
40
00:01:54,817 --> 00:01:56,614
Yeah. Right. Corticosteroid.
41
00:01:56,619 --> 00:01:57,985
Why don't you try
tapping the vein, Jake?
42
00:01:57,989 --> 00:01:59,523
- Tapping it?
- Yeah, tapping it.
43
00:01:59,528 --> 00:02:00,728
Like this.
44
00:02:01,160 --> 00:02:02,654
- See?
- Oh, yeah.
45
00:02:02,659 --> 00:02:04,993
She needs antacids and
a bland diet for a few days.
46
00:02:05,589 --> 00:02:07,679
- You got it!
- Hey!
47
00:02:07,684 --> 00:02:09,185
That was exhausting.
48
00:02:09,190 --> 00:02:10,323
No kidding.
49
00:02:10,328 --> 00:02:11,882
Lightweights, both of you.
50
00:02:12,379 --> 00:02:14,671
So I got your text about lunch,
51
00:02:14,676 --> 00:02:17,011
but my sister's actually
coming to meet me.
52
00:02:17,016 --> 00:02:18,359
She is?
53
00:02:18,808 --> 00:02:20,414
Can I meet her?
54
00:02:21,611 --> 00:02:23,946
Sure, okay.
55
00:02:23,951 --> 00:02:26,244
But if you thought learning
how to put an IV was tough,
56
00:02:26,249 --> 00:02:27,265
I mean...
57
00:02:27,270 --> 00:02:28,804
It flew that way.
58
00:02:29,419 --> 00:02:30,886
Okay, I gotta go.
59
00:02:30,891 --> 00:02:32,492
How did it even get in there?
60
00:02:32,497 --> 00:02:35,499
- Oh, hey! What's going on?
- Hunting party.
61
00:02:37,560 --> 00:02:39,570
We need something to coax it down.
62
00:02:39,575 --> 00:02:40,908
Coax what down?
63
00:02:41,053 --> 00:02:44,197
The model's an acute care
surgical response team.
64
00:02:44,467 --> 00:02:46,390
It would decrease patient waiting times
65
00:02:46,395 --> 00:02:50,532
and expand the scope of procedures
that we can do in emergency.
66
00:02:51,737 --> 00:02:53,504
Do I want to know what's going on here?
67
00:02:53,509 --> 00:02:56,859
It's a bird. We had it, then lost it.
68
00:02:57,180 --> 00:03:00,260
- Shouldn't you be on rounds?
- What?
69
00:03:00,265 --> 00:03:03,703
I was on my way. We were
just trying to catch it.
70
00:03:03,708 --> 00:03:05,183
For patient safety.
71
00:03:05,188 --> 00:03:07,819
And for our own amusement.
72
00:03:07,824 --> 00:03:11,117
Okay, fun's over. Get
maintenance to handle it.
73
00:03:13,960 --> 00:03:15,312
Sorry about the wait.
74
00:03:15,317 --> 00:03:17,812
Landing on a wrist to break a fall
75
00:03:17,817 --> 00:03:20,554
usually means a fracture, but
in your case it's just a sprain.
76
00:03:20,559 --> 00:03:22,218
Doc, he looked me right into the eyes.
77
00:03:22,223 --> 00:03:25,058
And I swear it felt like he
could see through my soul.
78
00:03:25,063 --> 00:03:26,497
Who, the bird?
79
00:03:26,716 --> 00:03:31,152
We tried freeing him but...
it seems he's trapped in here.
80
00:03:32,132 --> 00:03:33,611
Or maybe we are.
81
00:03:34,054 --> 00:03:36,114
That might be the mushrooms.
82
00:03:58,570 --> 00:04:03,476
Synced & corrected by QueenMaddie
www.addic7ed.com
83
00:04:05,582 --> 00:04:08,414
Six-month-old with complex
CHD choppered in from Timmins.
84
00:04:08,419 --> 00:04:10,284
Did they say what kind of
congenital heart defect?
85
00:04:10,288 --> 00:04:12,250
No and things can happen
fast with infants, Jake,
86
00:04:12,255 --> 00:04:14,923
so if we ask you for something,
do it no questions asked, okay?
87
00:04:14,928 --> 00:04:16,788
Oliver Campbell, tacky at 280.
88
00:04:16,793 --> 00:04:18,704
Stabilized at the regional
hospital but thought it best
89
00:04:18,708 --> 00:04:20,675
to fly him down considering
his heart history.
90
00:04:20,680 --> 00:04:23,109
Second SVT episode
started as we were landing.
91
00:04:23,114 --> 00:04:25,140
- We lost his line in transit.
- I'm Dr. Hunter,
92
00:04:25,145 --> 00:04:26,734
this is Dr. Leblanc and Jake Cooper.
93
00:04:26,739 --> 00:04:28,210
What's his previous heart status?
94
00:04:28,215 --> 00:04:30,335
He was born with tricuspid atresia.
95
00:04:30,340 --> 00:04:32,604
We adopted him at 2 months
when he was still in the NICU.
96
00:04:32,609 --> 00:04:35,106
TA means the tricuspid
valve is missing or malformed
97
00:04:35,111 --> 00:04:36,612
and blood doesn't flow correctly.
98
00:04:36,617 --> 00:04:38,945
Any episodes of supraventricular
tachycardia before today?
99
00:04:38,950 --> 00:04:41,070
- Nothing like this.
- Most TA patients need
100
00:04:41,075 --> 00:04:42,148
a shunt put in early on,
101
00:04:42,153 --> 00:04:43,555
- has that happened?
- Four months ago.
102
00:04:43,559 --> 00:04:45,658
They did it here. They hoped
that it would hold him over
103
00:04:45,662 --> 00:04:48,851
until he gets big enough for the more
invasive surgery in a few years.
104
00:04:48,856 --> 00:04:50,554
His little heart's been
through so much already.
105
00:04:50,558 --> 00:04:51,844
- It's okay.
- We'll bring his rate down,
106
00:04:51,848 --> 00:04:52,953
try to isolate the cause.
107
00:04:52,958 --> 00:04:54,926
One, two, three.
108
00:05:01,634 --> 00:05:04,468
Malik Lawson, 17 years old,
type 1 diabetes
109
00:05:04,473 --> 00:05:06,000
and severe hypoglycemia.
110
00:05:06,005 --> 00:05:07,898
Blood glucose is 3 millimoles per litre.
111
00:05:07,903 --> 00:05:09,136
Had a glucagon shot en route.
112
00:05:09,141 --> 00:05:11,308
He started slurring his
words then passed out!
113
00:05:11,313 --> 00:05:13,245
I couldn't get him to eat
or drink anything even though
114
00:05:13,249 --> 00:05:14,689
I know it's what I'm supposed to do!
115
00:05:14,694 --> 00:05:15,883
Did you get a hold of Mom and Dad?
116
00:05:15,887 --> 00:05:17,609
We're not related, I'm his girlfriend.
117
00:05:17,614 --> 00:05:19,742
And he's emancipated. We both are.
118
00:05:20,651 --> 00:05:23,710
No, we need you to stay
outside, young lady.
119
00:05:27,673 --> 00:05:29,941
Rhoda, push 0.7 milligrams of adenosine.
120
00:05:29,946 --> 00:05:31,132
You have to shock him?
121
00:05:31,137 --> 00:05:33,040
It's just a precaution in
case the meds don't work.
122
00:05:33,044 --> 00:05:34,671
Veins are flat! Can't get a line.
123
00:05:34,676 --> 00:05:37,601
- Intraosseus infusion then!
- 15 mm/15 gauge needle.
124
00:05:37,606 --> 00:05:38,765
Run that down, Jake.
125
00:05:38,770 --> 00:05:40,851
Use the medullary cavity in the tibia as
126
00:05:40,856 --> 00:05:43,141
a "non-collapsible vein"
when the patient is critical.
127
00:05:43,146 --> 00:05:45,336
- But even in a baby this small?
- Yeah, when we can't wait.
128
00:05:45,340 --> 00:05:47,375
- Will it hurt him?
- He may feel it.
129
00:05:47,380 --> 00:05:49,367
But we're gonna make
it as quick as we can.
130
00:05:50,709 --> 00:05:52,664
- I can't watch.
- Baby, just go.
131
00:05:52,669 --> 00:05:54,069
I'll stay with him.
132
00:05:54,074 --> 00:05:55,875
Dr. Hunter. Rate's 300!
133
00:05:56,493 --> 00:05:59,492
- Syncope. Non-responsive.
- Jake, get on bagging.
134
00:05:59,841 --> 00:06:02,085
Smaller breaths. Thumb and two fingers.
135
00:06:02,090 --> 00:06:04,132
Squeeze on one, release
on two-three, got it?
136
00:06:04,137 --> 00:06:05,737
- Yes.
- And eyes on me.
137
00:06:05,742 --> 00:06:07,276
Locating the tibial tuberosity,
138
00:06:07,281 --> 00:06:09,749
then 1 cm below, 1 cm medial...
139
00:06:12,031 --> 00:06:13,226
I'm in!
140
00:06:13,231 --> 00:06:15,298
Decreased air entry on his right side.
141
00:06:15,303 --> 00:06:16,804
That's because of his kidneys?
142
00:06:17,320 --> 00:06:20,846
Large pleural effusion.
He needs the fluid out now.
143
00:06:20,851 --> 00:06:22,846
60 cc syringe and a spinal needle!
144
00:06:22,851 --> 00:06:25,017
Malik has chronic kidney
disease caused by his diabetes.
145
00:06:25,021 --> 00:06:27,690
- We told you to wait outside.
- And I told you he needs me.
146
00:06:27,695 --> 00:06:31,022
- Joanie, can you please?
- No, I need to stay with him!
147
00:06:31,027 --> 00:06:32,900
It's okay. What's your name?
148
00:06:32,905 --> 00:06:35,807
- Ruby Evans.
- Okay Ruby Evans, I'm Dr. Hamed.
149
00:06:35,812 --> 00:06:38,723
I'm going to use this needle now
to drain the fluids from his lungs.
150
00:06:38,728 --> 00:06:41,306
If you're going to stay, I need you
to take a deep breath
151
00:06:41,311 --> 00:06:43,034
and help him by remaining calm.
152
00:06:43,039 --> 00:06:46,033
Malik, I'm gonna move
your arm above your head.
153
00:06:54,702 --> 00:06:56,870
One millimetre to the left...
154
00:06:57,826 --> 00:06:59,557
Can someone please
explain what's happening?
155
00:06:59,562 --> 00:07:01,062
We are giving medication to Oliver
156
00:07:01,067 --> 00:07:02,650
to help reset his heart rhythm.
157
00:07:02,655 --> 00:07:04,923
Okay. One, two.
158
00:07:07,588 --> 00:07:10,471
No change. 1.4 milligrams more, Rhoda.
159
00:07:12,972 --> 00:07:15,667
We thought we were done
after we adopted our third,
160
00:07:15,672 --> 00:07:19,541
but uh, when we heard
about Oli we just...
161
00:07:20,138 --> 00:07:23,107
- We knew that he needed us.
- It's really admirable,
162
00:07:23,112 --> 00:07:25,127
taking on a baby with such
a complex heart status.
163
00:07:25,132 --> 00:07:27,000
It's been really hard for Gary.
164
00:07:27,005 --> 00:07:29,096
He worries so much.
165
00:07:29,101 --> 00:07:33,136
But our little guy is a fighter, right?
166
00:07:33,141 --> 00:07:34,775
One, two.
167
00:07:36,369 --> 00:07:37,702
Give him a second.
168
00:07:40,059 --> 00:07:41,716
Heart rate's stabilizing.
169
00:07:41,721 --> 00:07:44,494
We'll get him up to CICU.
Mags will take you. Okay?
170
00:07:44,499 --> 00:07:45,776
Actually, I'll be
your resident there too.
171
00:07:45,780 --> 00:07:47,979
We're gonna run some tests
and sort out what happened, sir.
172
00:07:47,983 --> 00:07:50,510
Bruce. Thank you, all of you.
173
00:07:50,515 --> 00:07:51,948
- Thank you.
- Of course.
174
00:07:51,953 --> 00:07:53,494
Good job, little man.
175
00:07:53,499 --> 00:07:55,564
You did it, huh?
176
00:07:55,967 --> 00:07:58,955
There you are, yes.
177
00:08:02,421 --> 00:08:04,188
Getting fluid now.
178
00:08:05,994 --> 00:08:08,186
We'll do some blood tests
and get a urine sample
179
00:08:08,191 --> 00:08:10,011
to check his kidneys, then
assess and make a plan.
180
00:08:10,015 --> 00:08:13,119
We already have one. I'm
giving him one of my kidneys.
181
00:08:13,124 --> 00:08:15,799
That's very generous of you but...
182
00:08:15,804 --> 00:08:18,196
there are multiple complex
tests you'd have to do to conf...
183
00:08:18,201 --> 00:08:21,947
We did them already. As soon
as we learned he had CKD.
184
00:08:22,463 --> 00:08:24,302
Have we seen you here before Ruby?
185
00:08:24,307 --> 00:08:25,752
Not here.
186
00:08:25,757 --> 00:08:28,239
We did blood and tissue
typing, and serum too.
187
00:08:28,244 --> 00:08:30,080
The doctors said there's
no way I'd be a match
188
00:08:30,085 --> 00:08:31,588
but they were wrong.
189
00:08:32,139 --> 00:08:33,773
Mal and I are meant to be.
190
00:08:33,778 --> 00:08:35,979
We won't let anything come between us.
191
00:08:41,591 --> 00:08:44,097
Elevated heart rate and a slight fever.
192
00:08:44,102 --> 00:08:45,767
Mr. Garcia, I'm Dr. Curtis.
193
00:08:45,772 --> 00:08:46,994
Yeah, we've met before.
194
00:08:46,999 --> 00:08:49,611
My fiancee brought me
in a couple weeks ago.
195
00:08:50,067 --> 00:08:53,189
That's right, you had that
great story about the...
196
00:08:53,465 --> 00:08:56,697
- the jellyfish, right?
- In Miami.
197
00:08:56,702 --> 00:08:59,674
I got stung and the
first thing I said was,
198
00:08:59,679 --> 00:09:01,533
"Hi, I'm Sam, can you pee on my leg?"
199
00:09:01,538 --> 00:09:04,206
Oh, yeah. You just need to rub
sand on it to mitigate the sting.
200
00:09:04,211 --> 00:09:05,611
That's what you said last time.
201
00:09:07,178 --> 00:09:08,681
What brings you here, Mr. Garcia?
202
00:09:08,686 --> 00:09:11,249
The stomach pains came back yesterday
203
00:09:11,651 --> 00:09:13,494
and then the nausea really hit during
204
00:09:13,499 --> 00:09:14,807
our groomsmen photos this morning.
205
00:09:14,811 --> 00:09:18,063
I remember. You had acute pancreatitis.
206
00:09:18,068 --> 00:09:19,478
It's very rare for a 28-year-old.
207
00:09:19,483 --> 00:09:22,360
We put you on fluids and kept you
under observation for a couple hours.
208
00:09:22,365 --> 00:09:24,892
At least your organs
made an impression, Sam?
209
00:09:25,396 --> 00:09:26,768
Can you just do what you did last time
210
00:09:26,772 --> 00:09:29,066
and then get me out of
here for my ceremony?
211
00:09:29,071 --> 00:09:31,142
It's supposed to be
sunset at Cherry Beach.
212
00:09:31,147 --> 00:09:33,047
Let's see what your
pancreas has to say before
213
00:09:33,052 --> 00:09:34,994
I make you any promises.
214
00:09:35,708 --> 00:09:41,619
So he's gonna need a cbc,
chem, lft's, lipase, bbg.
215
00:09:41,624 --> 00:09:43,558
- And CT abdo.
- Got it.
216
00:09:43,563 --> 00:09:45,096
You really don't remember him?
217
00:09:45,101 --> 00:09:47,510
I see a lot of patients
for a short period of time.
218
00:09:47,515 --> 00:09:48,862
I'm supposed to remember
all their stories?
219
00:09:48,866 --> 00:09:52,690
Okay, what major life event
happened to me last week?
220
00:09:52,695 --> 00:09:54,681
You got promoted?
221
00:09:54,686 --> 00:09:56,821
I turned 30.
222
00:09:56,826 --> 00:09:58,727
You ate one of the cupcakes.
223
00:09:59,814 --> 00:10:02,681
Marnie Jensen's asthma symptoms
aren't relieving with her inhaler.
224
00:10:02,686 --> 00:10:04,885
She's been fighting a cold,
her chest is congested.
225
00:10:04,890 --> 00:10:07,225
Did a peak-flow test
and she's in the red.
226
00:10:08,200 --> 00:10:09,822
Hi Marnie, I'm Theo.
227
00:10:09,827 --> 00:10:11,346
We're gonna take care of you, okay?
228
00:10:11,351 --> 00:10:14,512
- Action plan, Jake?
- Nebulize with albuterol?
229
00:10:14,517 --> 00:10:16,041
He just gets to guess?
230
00:10:16,588 --> 00:10:19,483
This is a teaching
hospital and he's a student.
231
00:10:19,551 --> 00:10:21,319
But how is she with nebulizer, Mom?
232
00:10:21,324 --> 00:10:23,475
Unless you popped out of
my uterus seven years ago,
233
00:10:23,480 --> 00:10:24,647
maybe call me Shelley?
234
00:10:24,652 --> 00:10:27,491
And the bronchodilator
that works is ipratropium.
235
00:10:27,496 --> 00:10:31,796
- Albuterol gives her headaches.
- That's... good to know.
236
00:10:32,335 --> 00:10:34,772
Jake will set that up
for you right away.
237
00:10:34,777 --> 00:10:36,211
Thank you.
238
00:10:36,830 --> 00:10:38,797
Mr. Kline, it's Bashir Hamed again.
239
00:10:38,802 --> 00:10:41,604
It's been two months since
Khaled was in immigration hold.
240
00:10:41,609 --> 00:10:43,576
There must be some way I can help.
241
00:10:44,013 --> 00:10:45,847
Please call me back.
242
00:10:48,113 --> 00:10:49,914
You're renovating a house?
243
00:10:49,919 --> 00:10:52,303
Did you manage to sell
your place in Sudbury?
244
00:10:53,294 --> 00:10:54,628
No, not yet.
245
00:10:54,633 --> 00:10:57,178
And you still have your rental
for when you go back home?
246
00:10:57,183 --> 00:10:58,952
I know what I'm doing, Bash.
247
00:10:59,753 --> 00:11:01,754
You know you can kick
Malik back to peds.
248
00:11:01,759 --> 00:11:03,728
No, he's 17, I'll stay on.
249
00:11:04,226 --> 00:11:07,538
Hey guys, so I kept
thinking I knew Ruby,
250
00:11:07,543 --> 00:11:09,155
maybe she'd been here before.
251
00:11:09,835 --> 00:11:12,036
This has been running on the local news.
252
00:11:12,226 --> 00:11:14,672
Her mother is a school
board trustee in Etobicoke.
253
00:11:14,677 --> 00:11:16,678
And she reported her
missing three days ago.
254
00:11:16,683 --> 00:11:18,202
So much for being emancipated.
255
00:11:18,207 --> 00:11:19,592
Does that mean Malik isn't either?
256
00:11:19,597 --> 00:11:21,298
Iris checked. He is.
257
00:11:22,054 --> 00:11:23,354
Do we call it in?
258
00:11:23,359 --> 00:11:25,525
She's not a patient so there's
no confidentiality issue.
259
00:11:25,529 --> 00:11:27,616
She's been pretty clear
she doesn't want that.
260
00:11:27,621 --> 00:11:29,514
She's a minor who's
been reported missing.
261
00:11:29,519 --> 00:11:32,506
I think we have a duty to let
her mother know she's safe.
262
00:11:33,751 --> 00:11:35,522
Keep me in the loop, Bash.
263
00:11:37,224 --> 00:11:38,881
Bishop wants to see you.
264
00:11:54,171 --> 00:11:55,605
So...
265
00:11:55,868 --> 00:11:57,481
this isn't good news.
266
00:11:57,549 --> 00:12:00,550
Ray Grisholm has filed
a malpractice suit
267
00:12:00,555 --> 00:12:02,120
for the events which led to his daughter
268
00:12:02,124 --> 00:12:05,126
having to be mechanically
ventilated for the rest of her life.
269
00:12:06,505 --> 00:12:07,939
What, is he...
270
00:12:07,944 --> 00:12:10,631
I mean, is he suing the hospital? Or us?
271
00:12:10,636 --> 00:12:12,703
All of the above, unfortunately.
272
00:12:12,786 --> 00:12:14,170
He's been given power of attorney
273
00:12:14,175 --> 00:12:15,643
and he's running with it.
274
00:12:16,138 --> 00:12:18,827
I know you weren't there
when it happened, Mags,
275
00:12:18,832 --> 00:12:22,635
but the suit names all doctors who
were involved in Kelsey's treatment.
276
00:12:23,876 --> 00:12:28,346
We took a necessary
action to save her life.
277
00:12:28,351 --> 00:12:31,519
- I took the action.
- All our options were tragic.
278
00:12:32,807 --> 00:12:35,022
I stand by the choice we made.
279
00:12:36,684 --> 00:12:39,552
This is happening because a father...
280
00:12:39,557 --> 00:12:42,701
needs somewhere to put his anger.
281
00:12:44,882 --> 00:12:46,397
What do we do now?
282
00:12:46,881 --> 00:12:48,233
Contact your insurer,
283
00:12:48,238 --> 00:12:50,014
get them to arrange for a lawyer.
284
00:12:50,019 --> 00:12:51,694
Otherwise, your jobs.
285
00:12:52,303 --> 00:12:55,428
Do not let this get into your heads.
286
00:13:05,717 --> 00:13:08,413
Sir, I know this is the last
thing you need right now.
287
00:13:08,418 --> 00:13:09,718
With you fighting to keep your position.
288
00:13:09,722 --> 00:13:12,131
Don't worry about me, Bashir.
289
00:13:12,136 --> 00:13:14,025
Tell me what I can do to manage this?
290
00:13:14,030 --> 00:13:17,232
You can play it safe. Toe the line.
291
00:13:17,299 --> 00:13:19,000
Toe the line.
292
00:13:20,320 --> 00:13:22,991
Everything you do is
going to be scrutinized.
293
00:13:23,739 --> 00:13:25,473
I know it's unfair,
294
00:13:25,549 --> 00:13:28,284
but you already have to be
better than everyone else.
295
00:13:28,289 --> 00:13:29,823
Starting now,
296
00:13:29,828 --> 00:13:33,164
you need to go out of your
way to follow protocol.
297
00:13:33,169 --> 00:13:36,905
No more pushing the boundaries,
no unnecessary risks.
298
00:13:38,229 --> 00:13:40,330
Don't give them any ammunition.
299
00:13:41,530 --> 00:13:43,398
Do you hear me?
300
00:13:49,541 --> 00:13:50,941
Hey, Gary.
301
00:13:52,309 --> 00:13:54,978
Well, he's looking better.
302
00:13:56,212 --> 00:13:58,281
Is Bruce checking in at home?
303
00:13:58,672 --> 00:14:00,758
Did you figure out what's wrong?
304
00:14:01,612 --> 00:14:06,063
Well, Oli has a condition called
Wolff-Parkinson-White syndrome.
305
00:14:06,068 --> 00:14:08,703
It's an extra electrical pathway
306
00:14:08,708 --> 00:14:11,821
that can cause dangerously high
heart rate like you saw earlier today.
307
00:14:11,826 --> 00:14:13,694
You mean it wasn't
just his heart defect?
308
00:14:13,699 --> 00:14:15,227
He has a new thing?
309
00:14:16,036 --> 00:14:18,125
He does, yes.
310
00:14:18,744 --> 00:14:20,879
Can what happened today happen again?
311
00:14:21,032 --> 00:14:22,688
Potentially regularly.
312
00:14:22,693 --> 00:14:24,672
Or never.
313
00:14:25,001 --> 00:14:27,136
Or somewhere in between...
314
00:14:27,907 --> 00:14:30,742
All of this is so much
harder than we realized.
315
00:14:34,505 --> 00:14:36,306
What do we do now?
316
00:14:37,557 --> 00:14:40,102
You digest the information.
317
00:14:40,107 --> 00:14:43,243
I'm gonna talk to Dr. Fisher
and get back to you.
318
00:15:00,653 --> 00:15:03,355
How long did it take
you to feel settled here?
319
00:15:05,765 --> 00:15:07,999
Should that have happened by now?
320
00:15:08,602 --> 00:15:10,133
I can't imagine...
321
00:15:10,138 --> 00:15:13,821
It's just been so long since
I've had to start new anywhere.
322
00:15:13,826 --> 00:15:18,330
For your nurse
practitioner clinical hours,
323
00:15:18,335 --> 00:15:19,844
will you be leaving us?
324
00:15:20,324 --> 00:15:22,892
Who called about my daughter Ruby?
325
00:15:23,014 --> 00:15:25,703
That was me, Ms. Evans.
I'm Bashir Hamed.
326
00:15:25,708 --> 00:15:27,134
They're actually just
down this hallway...
327
00:15:27,138 --> 00:15:28,505
Ah okay.
328
00:15:28,510 --> 00:15:30,444
Thought you weren't going to call.
329
00:15:30,968 --> 00:15:33,836
Social worker was asking
me about my parents,
330
00:15:34,617 --> 00:15:36,118
then suggested a group home.
331
00:15:36,123 --> 00:15:38,224
You're not going back
to a place like that.
332
00:15:38,462 --> 00:15:40,564
You're not alone, babe, you have me.
333
00:15:41,755 --> 00:15:43,211
Ruby Josephine Evans,
334
00:15:43,216 --> 00:15:45,039
you step away from that
boy right this minute!
335
00:15:45,044 --> 00:15:46,961
Don't upset him! He's sick.
336
00:15:46,966 --> 00:15:48,934
What are you even doing here?!
337
00:15:48,939 --> 00:15:51,674
How can you ask me
that? Ruby, you ran off.
338
00:15:51,679 --> 00:15:54,314
- I was afraid you were dead!
- Well, I'm not!
339
00:15:54,319 --> 00:15:55,539
I can handle myself!
340
00:15:55,544 --> 00:15:57,745
And this doctor tells me
you said you were emancipated
341
00:15:57,750 --> 00:16:01,019
and you want to give away
an organ? Over my dead body!
342
00:16:01,024 --> 00:16:03,192
It's my body, it's my kidney
343
00:16:03,197 --> 00:16:04,964
and I can do what I want with it!
344
00:16:05,137 --> 00:16:07,696
Explain to her I'm the only
one who can help him!
345
00:16:07,701 --> 00:16:10,036
He knows that you can't
make that choice on your own.
346
00:16:10,041 --> 00:16:11,942
Why do you think he called me?
347
00:16:12,773 --> 00:16:16,342
Parental consent is required
for a minor to donate an organ.
348
00:16:17,291 --> 00:16:19,425
But he could die!
349
00:16:19,945 --> 00:16:22,719
You don't know him or
what he's been through!
350
00:16:23,006 --> 00:16:25,607
I love him and I wanna do this for him!
351
00:16:25,612 --> 00:16:27,811
Spend three weeks with him
without a roof over your head
352
00:16:27,815 --> 00:16:30,766
then tell me you love him.
This is foolish!
353
00:16:30,771 --> 00:16:33,807
Just because you got knocked up
by the first guy who looked at you
354
00:16:33,812 --> 00:16:36,867
doesn't mean what Malik
and I have isn't real!
355
00:16:38,037 --> 00:16:40,472
You're coming with me,
we're phoning the police
356
00:16:40,477 --> 00:16:43,913
and you're gonna apologize
for this mess that you created.
357
00:16:44,455 --> 00:16:46,956
If he dies, it's your fault.
358
00:16:53,240 --> 00:16:55,074
She's still struggling to breathe.
359
00:16:55,338 --> 00:16:57,883
I know for a fact ipratropium
works for her asthma.
360
00:16:57,902 --> 00:17:00,203
Which made us think
maybe it's not asthma.
361
00:17:00,612 --> 00:17:03,274
How long has Marnie
been fighting a cold for?
362
00:17:03,279 --> 00:17:06,314
Two weeks. It was maybe
four days after she got back.
363
00:17:06,516 --> 00:17:09,344
- Back from where?
- Bali.
364
00:17:09,603 --> 00:17:11,003
With her father.
365
00:17:12,691 --> 00:17:14,558
Would you give us a second?
366
00:17:18,261 --> 00:17:20,529
You always ask about
international travel
367
00:17:20,534 --> 00:17:21,866
with a respiratory illness. What...
368
00:17:21,870 --> 00:17:23,770
Sometimes, it's okay
if I don't know things
369
00:17:23,775 --> 00:17:25,943
because you haven't told
me. But other times it's not.
370
00:17:26,098 --> 00:17:27,922
You keep moving the goal posts on me.
371
00:17:27,927 --> 00:17:29,782
There's also the question
of you making it sound like
372
00:17:29,786 --> 00:17:31,197
we don't know what's
going on with her kid.
373
00:17:31,201 --> 00:17:32,813
Does that mean that we do?
374
00:17:32,818 --> 00:17:35,538
Marnie's X-ray shows
some indication of TB.
375
00:17:35,543 --> 00:17:38,245
But that is news that you have to
dole out carefully to avoid panic.
376
00:17:38,250 --> 00:17:39,891
Do I look like I'm panicking?
377
00:17:39,896 --> 00:17:42,274
TB as in tuberculosis?
378
00:17:42,363 --> 00:17:44,531
It can mimic asthma,
379
00:17:44,536 --> 00:17:46,670
and with Marnie's travel history,
380
00:17:46,675 --> 00:17:48,040
it's something we need to consider.
381
00:17:48,044 --> 00:17:50,094
Okay. What happens now?
382
00:17:50,099 --> 00:17:52,141
We'll move her to a negative
pressure isolation room
383
00:17:52,146 --> 00:17:53,847
while we work to rule it out.
384
00:17:53,881 --> 00:17:57,461
- Your husband, has he been ill?
- We're divorced.
385
00:17:57,466 --> 00:18:00,313
I'll call him. Ask about his boys too.
386
00:18:00,318 --> 00:18:02,328
Jake, can you ask Rhoda
to set up the room?
387
00:18:02,333 --> 00:18:03,774
This is just a precaution...
388
00:18:03,779 --> 00:18:05,778
Do you get a disproportionate
amount of panicky moms,
389
00:18:05,782 --> 00:18:07,875
or are you just not a good listener?
390
00:18:07,880 --> 00:18:09,414
I don't need to be bubble-wrapped.
391
00:18:09,419 --> 00:18:14,133
I'll... I'll let you know
when I hear from the lab.
392
00:18:14,138 --> 00:18:15,797
My hero.
393
00:18:17,873 --> 00:18:19,836
How's the SVT baby?
394
00:18:19,841 --> 00:18:23,110
Ugh. He's so tiny and he's
been through so much already.
395
00:18:23,115 --> 00:18:24,961
How do you deal with that kind of thing?
396
00:18:25,148 --> 00:18:26,516
Apparently by irritating
397
00:18:26,521 --> 00:18:28,875
people with aggressive
emotional support.
398
00:18:30,754 --> 00:18:32,822
Mags, are you dating my student?
399
00:18:35,494 --> 00:18:39,363
I mean it's not like I'm wearing
his varsity jacket or anything.
400
00:18:39,368 --> 00:18:42,156
- Why, is that a problem?
- It's a bit weird,
401
00:18:42,660 --> 00:18:44,281
but whatever.
402
00:18:51,406 --> 00:18:53,541
I already said yes, Charles.
403
00:18:59,576 --> 00:19:01,633
CT results for Sam Garcia.
404
00:19:04,400 --> 00:19:05,953
Pancreatic abscess.
405
00:19:05,958 --> 00:19:07,959
It's not uncommon after
acute pancreatitis.
406
00:19:07,964 --> 00:19:09,631
He's gonna need the OR for drainage.
407
00:19:09,636 --> 00:19:11,836
So, I guess that means
no sunset wedding?
408
00:19:11,841 --> 00:19:14,516
Is he a candidate for
percutaneous drainage?
409
00:19:14,521 --> 00:19:16,305
Possibly. But either way,
410
00:19:16,310 --> 00:19:17,626
I can't get him in before tonight, so.
411
00:19:17,630 --> 00:19:21,367
Unless we did an endoscopic
ultrasound-guided drainage in emerg?
412
00:19:21,607 --> 00:19:23,821
That's not something we
would normally do, is it?
413
00:19:23,826 --> 00:19:25,297
Not traditionally. But we could
414
00:19:25,302 --> 00:19:27,899
if we had an acute care
surgical response team.
415
00:19:27,904 --> 00:19:30,321
So you want to send
less patients up to OR?
416
00:19:30,326 --> 00:19:32,594
Well, patients who have
been surgically diagnosed
417
00:19:32,599 --> 00:19:35,301
spend hours waiting for
an OR slot. Often in real pain.
418
00:19:35,306 --> 00:19:37,594
Appendectomies, splenectomies, scopes.
419
00:19:37,599 --> 00:19:40,601
All things that we can
handle in a trauma OR.
420
00:19:42,726 --> 00:19:45,161
Your groom would be
a compelling example.
421
00:19:46,583 --> 00:19:49,922
So do I tell him that there's
a chance he's getting married today?
422
00:19:49,927 --> 00:19:53,530
I have to get a radiologist
to agree to do guidance first
423
00:19:53,535 --> 00:19:55,953
and of course, Dr. Singh's sign off.
424
00:19:55,958 --> 00:19:58,126
Interrogate and let me know.
425
00:20:02,875 --> 00:20:04,383
Where's Ruby?
426
00:20:04,927 --> 00:20:07,133
She's with her mother.
427
00:20:07,138 --> 00:20:09,139
I know the plan was to
give you a kidney but...
428
00:20:09,144 --> 00:20:11,774
I don't care about that!
I just want her to be okay.
429
00:20:11,779 --> 00:20:14,172
Malik, we tested your renal function.
430
00:20:14,177 --> 00:20:16,045
And you've lost 90%.
431
00:20:19,617 --> 00:20:22,711
- Okay.
- I'll start you on fluids.
432
00:20:22,716 --> 00:20:24,517
And we'll get you on a transplant list,
433
00:20:24,522 --> 00:20:29,460
but realistically that
could take five years.
434
00:20:30,934 --> 00:20:34,136
So until then I just...
435
00:20:34,556 --> 00:20:36,336
survive.
436
00:20:37,033 --> 00:20:38,400
You'll start dialysis
437
00:20:38,405 --> 00:20:40,973
and it will become
a regular part of your life.
438
00:20:49,827 --> 00:20:51,930
Where have you been staying?
439
00:20:54,723 --> 00:20:56,290
Friends' couches.
440
00:20:57,212 --> 00:21:01,414
After that, Ruby rented
a room with her savings.
441
00:21:01,419 --> 00:21:03,031
I tried saying no but...
442
00:21:04,789 --> 00:21:06,257
Ruby.
443
00:21:07,941 --> 00:21:10,047
If I were her mom, I'd hate me too.
444
00:21:11,793 --> 00:21:14,586
Look, it must be difficult
trying to maintain
445
00:21:14,591 --> 00:21:17,193
your diet and blood sugar
levels, moving around so much.
446
00:21:17,198 --> 00:21:18,922
I keep up with my insulin.
447
00:21:18,927 --> 00:21:20,928
I know, but our social
worker has resources...
448
00:21:20,933 --> 00:21:23,836
I tried that when I left
home. It was just as bad.
449
00:21:23,841 --> 00:21:25,173
- Malik, you can't do this...
- I don't have to
450
00:21:25,177 --> 00:21:26,857
talk to you about this!
451
00:21:31,250 --> 00:21:34,789
Look, I get you just wanna help
452
00:21:34,794 --> 00:21:39,397
but there's nothing
you can do about this.
453
00:21:49,273 --> 00:21:51,281
Oliver Campbell has
Wolff-Parkinson-White Syndrome
454
00:21:51,286 --> 00:21:52,453
on top of his heart defect?
455
00:21:52,458 --> 00:21:54,392
And this was the first onset of it.
456
00:21:54,769 --> 00:21:56,344
Will they have a decision today?
457
00:21:56,349 --> 00:21:58,438
I assume you gave the
parents the surgical option.
458
00:21:58,443 --> 00:22:00,860
Radio frequency ablation? I...
459
00:22:01,130 --> 00:22:04,365
Not yet, I didn't think I should
raise it without asking you.
460
00:22:04,596 --> 00:22:07,331
It's either that or wait and see.
461
00:22:07,579 --> 00:22:09,281
Well, ablation is risky.
462
00:22:09,286 --> 00:22:10,886
He could have a stroke,
or sustain damage
463
00:22:10,891 --> 00:22:13,617
that could hurt his chances
of open heart surgery later.
464
00:22:14,129 --> 00:22:17,131
A surgery he might not
make it to if SVT events
465
00:22:17,136 --> 00:22:19,805
like the one he had today
lead to sudden cardiac death.
466
00:22:20,036 --> 00:22:21,969
Then you think they should ablate?
467
00:22:22,884 --> 00:22:25,008
I think they need to
know all their options
468
00:22:25,013 --> 00:22:26,742
to make an informed choice.
469
00:22:26,874 --> 00:22:28,469
They're going to ask me what to do.
470
00:22:28,474 --> 00:22:29,735
And you should answer them.
471
00:22:29,740 --> 00:22:31,674
Mags, you lived their reality.
472
00:22:31,679 --> 00:22:33,625
Tricuspid atresia wasn't my issue.
473
00:22:33,630 --> 00:22:36,231
But you know what that
little boy is going through.
474
00:22:37,367 --> 00:22:39,110
What all of them are.
475
00:22:42,180 --> 00:22:45,641
Sam Garcia meets the criteria
for endoscopic drainage.
476
00:22:45,646 --> 00:22:47,580
Taking a liberal view, maybe.
477
00:22:47,585 --> 00:22:50,587
He's still at risk for sepsis,
and necrotizing pancreatitis
478
00:22:50,592 --> 00:22:52,232
always needs
multidisciplinary management.
479
00:22:52,237 --> 00:22:53,298
His wedding's today.
480
00:22:53,303 --> 00:22:55,735
And iif we did it in emerg,
maybe he'd make it?
481
00:22:55,740 --> 00:22:58,391
And maybe Bishop told you
he wants to start operating
482
00:22:58,396 --> 00:23:01,680
in trauma and you saw
a chance to step up?
483
00:23:02,461 --> 00:23:04,742
I'd be getting in on
cutting-edge procedures.
484
00:23:04,747 --> 00:23:08,250
And diverting patients and
therefore funding from OR.
485
00:23:08,255 --> 00:23:09,977
You have to be smart.
486
00:23:09,982 --> 00:23:11,656
I know I do, that's why I'm here.
487
00:23:11,661 --> 00:23:13,735
Except this is becoming a bad habit.
488
00:23:13,740 --> 00:23:15,607
You come to me before
you walk into something.
489
00:23:15,612 --> 00:23:17,469
I flag the risks and you do it anyway.
490
00:23:17,993 --> 00:23:21,164
If you don't trust my advice,
don't waste my time.
491
00:23:28,010 --> 00:23:32,313
Hey, about what Bishop said earlier.
492
00:23:32,842 --> 00:23:35,777
Yeah, well I called my insurer
493
00:23:35,782 --> 00:23:37,783
and they put me in touch with a lawyer.
494
00:23:38,178 --> 00:23:40,546
Do they think we could lose our license?
495
00:23:40,723 --> 00:23:43,703
Well, she did say to prepare
for it to take a minute.
496
00:23:43,708 --> 00:23:45,408
And that it's a rite of passage.
497
00:23:45,413 --> 00:23:47,081
But, most doctors come through fine.
498
00:23:47,947 --> 00:23:50,078
I know you're not most doctors.
499
00:23:50,083 --> 00:23:54,219
Look, it's unfair you're
wrapped up in all of this.
500
00:23:54,224 --> 00:23:56,659
Well, I am. I am.
501
00:23:57,183 --> 00:23:59,518
And I'm trying to follow Bishop's advice
502
00:23:59,523 --> 00:24:02,016
and stay focused on
the job. You should too.
503
00:24:10,728 --> 00:24:13,297
The bird, he's in the ducts.
504
00:25:00,491 --> 00:25:03,460
- Ruby?
- I think I cut too deep.
505
00:25:11,805 --> 00:25:12,909
He's young.
506
00:25:12,914 --> 00:25:14,649
He's only two years younger than me.
507
00:25:14,654 --> 00:25:16,428
But still a student?
508
00:25:16,433 --> 00:25:18,463
I took a couple years to travel.
509
00:25:18,929 --> 00:25:21,203
Nothing wrong with some
real world experience.
510
00:25:21,208 --> 00:25:23,635
Oh. She's defending you. She likes you.
511
00:25:24,087 --> 00:25:25,971
Don't get too excited.
512
00:25:25,976 --> 00:25:28,110
She once carried a sock
around for months
513
00:25:28,118 --> 00:25:29,571
telling us it was her soulmate.
514
00:25:29,576 --> 00:25:31,376
I was four! I was four!
515
00:25:31,381 --> 00:25:33,545
And it was a really cute sock, okay?
516
00:25:33,550 --> 00:25:35,318
You already have to go?
517
00:25:35,323 --> 00:25:36,696
It's just an update.
518
00:25:36,701 --> 00:25:38,219
Is it the patient this morning?
519
00:25:38,630 --> 00:25:40,531
You should've seen her.
520
00:25:40,536 --> 00:25:42,727
She saved a baby's life.
521
00:25:42,732 --> 00:25:46,101
Yes, she's a force of
nature and always has been.
522
00:25:46,631 --> 00:25:49,063
- Okay, you can go now.
- Oh my God, Cam!
523
00:25:49,068 --> 00:25:50,578
What? You'll have to run off,
524
00:25:50,583 --> 00:25:52,602
and I can't talk about him if he's here.
525
00:25:54,439 --> 00:25:57,094
Okay, that's fine.
526
00:25:57,246 --> 00:25:59,081
Very nice to meet you, Camille.
527
00:25:59,086 --> 00:26:02,174
I look forward to hearing
528
00:26:02,179 --> 00:26:04,109
if I'm good enough for your sister.
529
00:26:05,193 --> 00:26:06,867
But nobody is.
530
00:26:14,666 --> 00:26:17,168
You can't honestly tell me
you see yourself with him.
531
00:26:17,424 --> 00:26:20,071
He's sweet. He's funny. He's smart.
532
00:26:20,076 --> 00:26:22,444
And he will do anything
you want to make you happy.
533
00:26:23,568 --> 00:26:25,569
At least he's in keeping
with your pattern.
534
00:26:25,574 --> 00:26:28,383
No, he's not! What pattern?
What are you talking about?
535
00:26:28,388 --> 00:26:31,791
It's either someone
who withholds validation
536
00:26:31,796 --> 00:26:33,739
or someone who worships you.
537
00:26:34,156 --> 00:26:35,945
You honestly don't see that?
538
00:26:36,318 --> 00:26:38,813
Look I get it. You've
had a terrible few months.
539
00:26:38,818 --> 00:26:40,789
But letting this boy
fall in love with you
540
00:26:40,794 --> 00:26:42,962
so you can feel better about yourself,
541
00:26:43,171 --> 00:26:44,972
it's the wrong answer, Mag.
542
00:26:46,189 --> 00:26:49,258
Just once I wish you could
tell me what I want to hear.
543
00:26:56,594 --> 00:26:58,180
Do we have a patient with bedsores?
544
00:26:58,185 --> 00:26:59,743
Because I'm an expert,
if you want advice.
545
00:26:59,747 --> 00:27:01,515
Did you need me for something, Arnold?
546
00:27:02,766 --> 00:27:04,603
Sam's pain's is at an 8.
547
00:27:04,608 --> 00:27:06,809
And not just because he
finally told his fiancee
548
00:27:06,814 --> 00:27:08,274
he can't make their wedding.
549
00:27:08,279 --> 00:27:10,180
Give him another
10 milligrams of morphine.
550
00:27:10,185 --> 00:27:12,320
It's gonna be a few
hours before his surgery.
551
00:27:13,316 --> 00:27:14,992
How do you know so much about bedsores?
552
00:27:14,997 --> 00:27:18,250
Before I came to emerg,
I was a hospice nurse.
553
00:27:18,255 --> 00:27:20,152
Hard to avoid them in that field.
554
00:27:20,571 --> 00:27:21,766
Why?
555
00:27:37,170 --> 00:27:38,992
- Oh, baby...
- Don't, okay?
556
00:27:38,997 --> 00:27:40,610
I already know what you're thinking.
557
00:27:40,615 --> 00:27:44,336
Baby, I was afraid to ask if
this was starting up again.
558
00:27:44,906 --> 00:27:46,845
You have experience with this?
559
00:27:46,850 --> 00:27:49,414
When I was little, it was
just pinching and scratching.
560
00:27:49,419 --> 00:27:50,611
Then it got worse.
561
00:27:50,616 --> 00:27:51,983
Seeing a psychologist has helped.
562
00:27:51,988 --> 00:27:53,989
Yeah, once you accepted I needed to.
563
00:27:54,154 --> 00:27:56,622
I wasn't raised to reach out for help
564
00:27:56,627 --> 00:27:58,336
with problems like these.
565
00:27:58,341 --> 00:28:00,063
Many people aren't.
566
00:28:00,068 --> 00:28:03,804
She's given me some good
tools, but sometimes it's...
567
00:28:04,096 --> 00:28:05,781
I don't know.
568
00:28:05,961 --> 00:28:07,770
A hard pattern to break?
569
00:28:08,125 --> 00:28:10,774
This is why Malik's bad for you, honey.
570
00:28:10,779 --> 00:28:14,306
- He's too unstable.
- You're wrong, Mom.
571
00:28:14,311 --> 00:28:16,909
Sharing our burdens makes us stronger.
572
00:28:16,914 --> 00:28:20,316
I know his and he knows mine.
And, look...
573
00:28:21,863 --> 00:28:23,730
No fresh cuts,
574
00:28:24,788 --> 00:28:26,655
just old scars.
575
00:28:28,198 --> 00:28:30,707
Today was the first time in months.
576
00:28:31,136 --> 00:28:35,005
He helps me, you need
to let me help him back.
577
00:28:38,735 --> 00:28:41,013
Those are the only options?
578
00:28:41,018 --> 00:28:45,207
Do this ablation procedure or
wait and see if the SVT recurs?
579
00:28:45,212 --> 00:28:48,018
There's medication that we can
try to prevent future episodes,
580
00:28:48,023 --> 00:28:49,440
but there's no guarantee.
581
00:28:49,445 --> 00:28:51,113
No. No surgery.
582
00:28:51,118 --> 00:28:52,352
You heard her.
583
00:28:52,357 --> 00:28:54,356
These episodes could keep
happening if we don't do it.
584
00:28:54,360 --> 00:28:55,518
It could. Not will.
585
00:28:55,523 --> 00:28:57,268
The medication might
help. We should wait.
586
00:28:57,273 --> 00:28:58,772
You wanted to wait to chopper him here,
587
00:28:58,776 --> 00:29:00,566
- but if we hadn't brought him...
- He's just a baby, Bruce!
588
00:29:00,570 --> 00:29:02,437
How much more can we
ask him to go through?
589
00:29:06,530 --> 00:29:08,097
What about you?
590
00:29:09,132 --> 00:29:11,667
What would you do if he was yours?
591
00:29:15,148 --> 00:29:16,565
I don't know.
592
00:29:16,570 --> 00:29:18,768
Because both options are terrible!
593
00:29:18,773 --> 00:29:20,507
I'm sorry.
594
00:29:20,764 --> 00:29:22,465
Do we...
595
00:29:22,470 --> 00:29:24,675
Do we need to decide this second?
596
00:29:24,680 --> 00:29:27,339
No. And if you do choose the ablation,
597
00:29:27,753 --> 00:29:29,885
it won't be today. So...
598
00:29:30,612 --> 00:29:33,856
Take your time, think about it.
599
00:29:42,743 --> 00:29:44,177
What's happened to Malik?
600
00:29:44,182 --> 00:29:46,951
We were about to start dialysis
when his breathing worsened.
601
00:29:50,034 --> 00:29:52,151
- What's going on?
- Fluid in his lungs again.
602
00:29:52,156 --> 00:29:53,392
- Claire?
- On it.
603
00:29:56,848 --> 00:29:58,245
What do you need, Bash?
604
00:29:58,250 --> 00:30:00,518
Help with thoracentesis.
Guide placement.
605
00:30:04,617 --> 00:30:06,118
Puncturing now.
606
00:30:06,262 --> 00:30:08,129
About to enter pleural cavity.
607
00:30:09,166 --> 00:30:10,600
Good.
608
00:30:12,222 --> 00:30:14,826
- O2 sats aren't really moving.
- This is the second time
609
00:30:14,831 --> 00:30:16,699
this has happened to him,
he's in kidney failure.
610
00:30:16,703 --> 00:30:18,269
The fluid's gonna
continue to accumulate.
611
00:30:18,273 --> 00:30:20,132
He needs the OR VATS pleurodesis.
612
00:30:20,137 --> 00:30:22,097
- What does that mean?
- It's a surgical procedure
613
00:30:22,105 --> 00:30:24,328
that seals up the space
between his chest and his lungs,
614
00:30:24,333 --> 00:30:25,667
or this will keep happening.
615
00:30:25,672 --> 00:30:27,906
Thoracics can't take him
for at least another 8 hours.
616
00:30:27,911 --> 00:30:29,745
- Excuse me.
- Can he wait that long?
617
00:30:29,750 --> 00:30:31,776
He'll have to. I'll put a drain in,
618
00:30:31,781 --> 00:30:33,144
and we'll monitor him
until they have time.
619
00:30:33,148 --> 00:30:35,443
Unless we do a chemical
pleurodesis here.
620
00:30:35,933 --> 00:30:39,190
- That's a risk in emerg.
- It's talc in a chest tube.
621
00:30:39,195 --> 00:30:41,262
It'll expedite dialysis.
We know he needs it.
622
00:30:41,267 --> 00:30:42,558
It makes sense, Bash.
623
00:30:43,103 --> 00:30:44,604
Call an attending?
624
00:30:45,525 --> 00:30:46,858
You guys should wait outside.
625
00:30:46,863 --> 00:30:50,228
- I wanna stay. Please!
- Baby. Let's let them work.
626
00:30:50,233 --> 00:30:54,410
We need talc, 10 grams in
a 250 ml sterile isotonic
627
00:30:54,415 --> 00:30:55,558
sodium chloride solution.
628
00:30:55,563 --> 00:30:58,175
I'll start on the tube,
you wanna prep the agent?
629
00:30:59,132 --> 00:31:01,027
- Bash?
- What's happening?
630
00:31:01,574 --> 00:31:02,894
He needs a chemical pleurodesis.
631
00:31:02,899 --> 00:31:05,133
Are you sure you don't want in on this?
632
00:31:05,515 --> 00:31:07,216
You guys have it.
633
00:31:07,782 --> 00:31:10,050
I need a 28 French
and two guarded clamps.
634
00:31:16,028 --> 00:31:19,566
So, scale of one to Titanic?
635
00:31:19,571 --> 00:31:21,799
You were fine. Cam is insane.
636
00:31:21,804 --> 00:31:24,738
- Because if I said anything...
- No.
637
00:31:24,743 --> 00:31:26,911
Marnie is negative for TB.
638
00:31:27,907 --> 00:31:29,240
That's a relief.
639
00:31:29,245 --> 00:31:31,262
Although I guess it means
that we're back to not knowing.
640
00:31:31,266 --> 00:31:33,077
Did you want me to
work up a differential?
641
00:31:33,082 --> 00:31:35,746
Sure, but respirology
will have to weigh in.
642
00:31:35,751 --> 00:31:39,693
And this is complex
so you're aware of the expectations.
643
00:31:42,521 --> 00:31:45,423
You know certain fungal
infections can mimic TB.
644
00:31:45,428 --> 00:31:48,189
I'd look into any environmental
exposures if I were you.
645
00:31:48,194 --> 00:31:51,029
She did say that she was
playing on a compost pile
646
00:31:51,034 --> 00:31:52,451
with her brothers.
647
00:31:53,219 --> 00:31:54,499
You're incredible.
648
00:31:54,504 --> 00:31:56,067
Why are you still here?
649
00:31:56,072 --> 00:31:58,255
Go, go cross-reference
with her symptoms.
650
00:32:07,646 --> 00:32:09,008
The wedding came to him?
651
00:32:09,013 --> 00:32:10,303
We didn't think Sam was a good candidate
652
00:32:10,307 --> 00:32:11,540
for draining in trauma.
653
00:32:11,545 --> 00:32:15,153
Hmm. Not to mention
Dr. Singh detested my idea
654
00:32:15,158 --> 00:32:17,555
of an acute care surgical response team.
655
00:32:17,560 --> 00:32:18,865
Yeah, passionately.
656
00:32:18,870 --> 00:32:22,469
And the kidney failure
patient? The ED pleurodesis?
657
00:32:22,474 --> 00:32:23,765
What will he make of that?
658
00:32:23,770 --> 00:32:25,437
I haven't mentioned it yet but...
659
00:32:25,442 --> 00:32:26,639
That patient was a candidate,
660
00:32:26,644 --> 00:32:28,412
and I'll defend it to any surgeons
661
00:32:28,417 --> 00:32:30,240
that wants to take issue.
662
00:32:32,526 --> 00:32:34,272
How are you doing, June?
663
00:32:34,277 --> 00:32:37,412
Being Chief Resident, caught
between the egos and the politics...
664
00:32:37,417 --> 00:32:39,582
It's just hard to know whose
interests you're serving,
665
00:32:39,587 --> 00:32:41,379
you know, who you can trust.
666
00:32:41,384 --> 00:32:45,187
All I know is patient
first is our true north.
667
00:32:46,495 --> 00:32:48,829
Keep an open mind about
what I'm proposing.
668
00:32:48,959 --> 00:32:52,495
If you find a candidate that fits
the bill, I'll have your back.
669
00:32:55,513 --> 00:32:57,115
Khaled appealed his asylum case
670
00:32:57,120 --> 00:32:58,858
because you said he had a chance.
671
00:32:58,863 --> 00:33:00,431
Now he's stuck in jail!
672
00:33:00,436 --> 00:33:03,123
I've been trying to argue
for his conditional release.
673
00:33:03,128 --> 00:33:05,326
- Beyond that...
- Don't say there's nothing I can do.
674
00:33:05,331 --> 00:33:08,106
I'm sorry doctor, but it is the case.
675
00:33:08,111 --> 00:33:10,545
Listen, I'll call if anything changes.
676
00:33:12,037 --> 00:33:16,438
Dr. Hamed, how long do
these sessions usually take?
677
00:33:16,443 --> 00:33:17,953
His dialysis.
678
00:33:17,958 --> 00:33:19,841
Three hours, four times a week.
679
00:33:20,115 --> 00:33:21,552
Well, I feel for him,
680
00:33:21,557 --> 00:33:24,226
but he's gonna have to learn
to make health his priority.
681
00:33:24,231 --> 00:33:27,167
What alone? Without any support?
682
00:33:27,172 --> 00:33:29,540
- She's just a child!
- Your daughter got him to do
683
00:33:29,545 --> 00:33:32,747
what apparently no one
else can, confide in her.
684
00:33:33,150 --> 00:33:35,618
And like it or not, she trusts him too.
685
00:33:35,938 --> 00:33:38,099
This is none of your damn business.
686
00:33:42,459 --> 00:33:44,737
She got sick from my compost pile?
687
00:33:44,742 --> 00:33:46,427
I'll have Jake here explain it
688
00:33:46,432 --> 00:33:48,800
since we have him to
thank for the revelation.
689
00:33:49,348 --> 00:33:51,224
Yeah, well, Marnie likely has
690
00:33:51,229 --> 00:33:53,380
"allergic bronchopulmonary
aspergillosis".
691
00:33:53,385 --> 00:33:56,754
It's an infection from a fungus
commonly found in compost bins.
692
00:33:56,759 --> 00:33:59,865
And the effects resemble asthma, or TB.
693
00:34:00,259 --> 00:34:03,194
But the good new is, it's not
contagious and totally treatable.
694
00:34:03,199 --> 00:34:07,107
Wow. Okay. So what are the next steps?
695
00:34:07,112 --> 00:34:08,651
Well, we'll swab to confirm,
696
00:34:08,656 --> 00:34:11,002
but Marnie will be on
the mend for a few days.
697
00:34:11,007 --> 00:34:12,581
Shall I go fix you boys some cocktails
698
00:34:12,586 --> 00:34:13,839
while you finish chatting?
699
00:34:14,077 --> 00:34:16,541
Wow, the second a man's in the room.
700
00:34:16,546 --> 00:34:19,974
Stand down, soldier.
I have a magnetic presence.
701
00:34:19,979 --> 00:34:22,018
- It's why you fell for me.
- And why I left you.
702
00:34:22,023 --> 00:34:23,510
Have you been doing this all day?
703
00:34:23,515 --> 00:34:25,424
Stop terrifying the doctors.
704
00:34:25,429 --> 00:34:27,697
You're not scared of
me, are you, Dr. Hunter?
705
00:34:35,669 --> 00:34:36,936
It's happening again!
706
00:34:36,941 --> 00:34:38,932
He was awake and smiling and then...
707
00:34:38,937 --> 00:34:41,772
Let's give him 0.7 milligrams
of adenosine, Nelly.
708
00:34:43,506 --> 00:34:45,307
Okay. One, two.
709
00:34:47,705 --> 00:34:49,619
- Why isn't it working?
- He's still at 300 bpm.
710
00:34:49,624 --> 00:34:51,502
We need to cardiovert. 3.5 joules.
711
00:34:51,910 --> 00:34:54,912
On my mark. Ready, and clear!
712
00:34:58,951 --> 00:35:00,084
Again. 7 joules.
713
00:35:00,089 --> 00:35:02,236
Ready, and clear!
714
00:35:07,297 --> 00:35:08,998
Give him a minute.
715
00:35:09,479 --> 00:35:11,580
Come on, come on, Oli.
716
00:35:12,754 --> 00:35:14,255
Okay, he's stabilizing.
717
00:35:28,651 --> 00:35:30,799
This isn't going to stop, is it?
718
00:35:32,985 --> 00:35:34,852
I think you should do the ablation.
719
00:35:35,307 --> 00:35:37,822
- You said it could kill him!
- There are risks either way.
720
00:35:37,827 --> 00:35:40,813
But your son is a fighter,
721
00:35:40,818 --> 00:35:42,652
and it gives him the best chance.
722
00:35:50,931 --> 00:35:53,518
Okay. It'll take a few days to schedule
723
00:35:53,523 --> 00:35:56,079
and Dr. Fisher will do
the procedure, but I promise
724
00:35:56,084 --> 00:35:58,352
that I'll be with you
every step of the way.
725
00:36:29,774 --> 00:36:32,697
You didn't mention me that you
treated Ruby for cutting herself.
726
00:36:34,118 --> 00:36:36,533
I'm just going over
today's patient intakes.
727
00:36:36,538 --> 00:36:39,807
It was right before Malik
crashed again. I'm sorry.
728
00:36:39,812 --> 00:36:41,880
It's not that. It's just,
you realize that
729
00:36:41,885 --> 00:36:43,385
with her history of self-harm,
730
00:36:43,393 --> 00:36:45,394
it's unlikely she'll be
able to donate a kidney.
731
00:36:45,470 --> 00:36:47,205
Even if she keeps it under control?
732
00:36:47,210 --> 00:36:48,643
Still a tough sell.
733
00:36:48,648 --> 00:36:50,716
Donors often experience
depression post-op.
734
00:36:50,721 --> 00:36:52,656
There's pretty strict
rules on mental health.
735
00:36:52,661 --> 00:36:55,296
Then it's a death sentence
for this kid, Theo.
736
00:36:57,379 --> 00:36:59,166
Look, man, I heard about the lawsuit.
737
00:36:59,171 --> 00:37:00,947
I know what it's like.
738
00:37:00,952 --> 00:37:03,454
- You've been sued?
- I'm being sued.
739
00:37:04,631 --> 00:37:06,566
For custody.
740
00:37:09,093 --> 00:37:11,838
- Theo, I...
- Just... You have to tell them.
741
00:37:11,843 --> 00:37:13,236
Ruby and Malik.
742
00:37:13,241 --> 00:37:15,229
They need to know what they're facing.
743
00:37:21,982 --> 00:37:25,494
Since when did you start drinking
fancy apricot beer, anyways?
744
00:37:25,499 --> 00:37:27,299
You're free to buy your own.
745
00:37:28,578 --> 00:37:31,221
I feel like I'm 16 again and
you're bootlegging for me.
746
00:37:31,226 --> 00:37:32,927
I did that one time.
747
00:37:33,373 --> 00:37:35,198
You ended up throwing up
all over Taneesha's car.
748
00:37:35,202 --> 00:37:36,967
Which she made me pay
to have it cleaned.
749
00:37:36,972 --> 00:37:39,907
You're the one who insisted
I go camping with you guys.
750
00:37:39,912 --> 00:37:41,479
- Remember?
- I had no choice.
751
00:37:41,484 --> 00:37:43,551
What do you mean, you had no choice?
752
00:37:46,025 --> 00:37:48,705
Dad took out a second mortgage
on the house without telling Mom.
753
00:37:48,710 --> 00:37:51,541
I came home, she's screaming,
packing up all his stuff.
754
00:37:53,537 --> 00:37:56,138
So I had to get you out of
the house for the weekend.
755
00:37:56,143 --> 00:37:58,143
When we got back, she was fine.
756
00:37:58,904 --> 00:38:00,939
And Dad was "on the road" for a month.
757
00:38:00,944 --> 00:38:02,480
Yeah, but he was
a management consultant!
758
00:38:02,484 --> 00:38:04,219
He always travelled for...
759
00:38:06,743 --> 00:38:08,644
That one wasn't for work.
760
00:38:09,468 --> 00:38:12,814
She threw him out and he
wormed his way back in.
761
00:38:13,398 --> 00:38:15,199
Again.
762
00:38:17,996 --> 00:38:20,097
What else am I remembering wrong?
763
00:38:23,266 --> 00:38:27,069
I'm sorry that you had to
build those walls, June.
764
00:38:27,410 --> 00:38:28,979
I have enough bad memories, you know.
765
00:38:28,984 --> 00:38:31,052
I just wanted you to have good ones.
766
00:38:34,329 --> 00:38:36,150
Well, you're off the hook.
767
00:38:36,155 --> 00:38:37,768
It's time for Dad's night meds.
768
00:38:37,773 --> 00:38:39,080
You should change his mattress.
769
00:38:39,085 --> 00:38:41,252
Gel or foam will help the bedsores.
770
00:38:44,158 --> 00:38:46,932
Isn't that kind of helpful
advice against the rules?
771
00:38:47,656 --> 00:38:49,682
I'm giving you advice, not him.
772
00:38:49,897 --> 00:38:52,643
And trusting you not to tell
me whether or not you take it.
773
00:38:52,889 --> 00:38:54,523
Thanks, Junie.
774
00:38:54,935 --> 00:38:56,602
Yeah.
775
00:39:01,738 --> 00:39:03,472
Is that your secret identity?
776
00:39:03,477 --> 00:39:05,912
Yeah I keep the cape in the bag.
777
00:39:05,917 --> 00:39:09,252
You know, in case I see
a cat in a tree on my way home.
778
00:39:10,080 --> 00:39:12,111
So, Marnie's in respirology now
779
00:39:12,116 --> 00:39:14,384
with a much less accommodating doctor.
780
00:39:15,614 --> 00:39:18,883
Justin's gonna spend the night
with her since I took the day.
781
00:39:19,990 --> 00:39:21,357
So?
782
00:39:24,456 --> 00:39:28,427
Wow, you're really going
to make me ask you, huh?
783
00:39:28,432 --> 00:39:30,783
Ask what?
784
00:39:30,901 --> 00:39:32,868
If you wanna come home with me.
785
00:39:33,767 --> 00:39:36,596
To be clear, if you
wanna have sex with me.
786
00:39:36,768 --> 00:39:39,571
Yeah. Um...
787
00:39:39,576 --> 00:39:42,144
- What about your husband?
- Ex-husband.
788
00:39:42,149 --> 00:39:44,105
Though I'm sure he'd be
delighted if you felt compelled
789
00:39:44,109 --> 00:39:45,507
to ask him for his blessing.
790
00:39:45,512 --> 00:39:48,550
- You know, I'm your daughter's doctor.
- Ex-doctor.
791
00:39:48,650 --> 00:39:50,315
What else you got?
792
00:39:51,845 --> 00:39:55,114
- I thought you hated me.
- Don't overthink it.
793
00:40:05,932 --> 00:40:08,600
I'm sorry. I know this isn't
what you wanted to hear.
794
00:40:10,170 --> 00:40:12,120
There must be something you can do!
795
00:40:12,125 --> 00:40:13,690
There isn't.
796
00:40:13,894 --> 00:40:15,573
- It's okay, babe.
- No!
797
00:40:15,578 --> 00:40:17,940
We'll make dialysis work
until you get a kidney.
798
00:40:17,945 --> 00:40:20,545
I'll find us a place to
live, get a part-time job.
799
00:40:20,550 --> 00:40:23,354
I'll go to one of the group homes
if the social worker's still around.
800
00:40:23,359 --> 00:40:24,769
I can reach out if
you think you're ready.
801
00:40:24,773 --> 00:40:27,284
- Mal, you don't want that!
- Ruby, it's better this way.
802
00:40:27,289 --> 00:40:28,605
I'm not dragging you down with me.
803
00:40:28,609 --> 00:40:30,844
Stop this foolishness, both of you.
804
00:40:32,881 --> 00:40:35,149
He'll come and live with us.
805
00:40:35,609 --> 00:40:37,195
He can stay in our guest room.
806
00:40:37,706 --> 00:40:39,354
I'll make sure he gets to dialysis.
807
00:40:39,359 --> 00:40:42,334
No, Ms. Evans, I couldn't do that.
808
00:40:42,729 --> 00:40:45,408
You deserve a fair
chance to fight this off.
809
00:40:47,177 --> 00:40:49,278
I'm not taking no for an answer.
810
00:40:50,188 --> 00:40:52,954
If I can't convince you,
I know Ruby can.
811
00:40:59,568 --> 00:41:01,636
You don't know how
much this means to me.
812
00:41:02,359 --> 00:41:04,427
We'll find a way to get through.
813
00:41:24,689 --> 00:41:26,957
It's a good thing you're doing.
814
00:41:27,384 --> 00:41:29,118
What choice did I have?
815
00:41:29,549 --> 00:41:31,550
Turn my back and lose my daughter?
816
00:41:32,142 --> 00:41:33,487
I don't like this thing between them.
817
00:41:33,491 --> 00:41:35,064
But I can't stop it.
818
00:41:35,970 --> 00:41:38,772
All I can do now is let it happen.
819
00:42:54,142 --> 00:42:57,142
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