All language subtitles for Combat Hospital 2011 s01e02 Enemy Within ENG01

Sync by YYeTs
Correction by Mlmlte
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Six!

Jeez! Run me over, why don't you?

Bring him over there. Trauma bay 3.

Let's go, people.

He's like a furnace.

He's burning up. Get me vitals.

Rebecca.

You ever see anything like this?

- No. You?
- No.

- Vivid skin markings.
- Massive swelling.

- Temp's 105.2.
- Okay, I need ice. A lot of ice.

Let's hang 2 liters of ringers,
wide open, squeeze the bag.

Hey, we need a terp.
We need to get these guys out of here.

Good. You understand English.
Are you his commanding officer?

All right, then let me tell you something.

Not only did you almost kill me,

but you almost killed him by not
getting him in sooner.

Rebecca--

No, Bobby. He almost ran me over.

Now because of your irresponsibility,

this man could die.

He better not.

You're American?

Okay, one in each armpit, one in the groin.

Nice and easy.

He says it's too cold.

Man, I know, but we gotta
get this fever down

as quickly as we can.

800 ibuprofen, please.

He's shivering! It's a paradoxical
effect of the fever. Okay?

With a temperature this high,

he could have a stroke or a seizure.

- Raise your arm above your head.
- What?!

Raise your arm! Keep it elevated!

- You're bleeding all over the floor.
- Let's move him to I.C.U.

We'll start him on pip/tazo,

4.5 grams I.V. Every 8 hours.

After we get him stable, can you
do an ultrasound on the swelling?

- Sure, and I'll get some blood
for the lab as well. - Okay.

Well, let's just hope it stays that way.

Vans.

What have I told you about
using these computers?

You said not to.

Which means?

Not to, sir.

Uh, uh, no, he's in good hands, okay?

And there's nothing more you can do,

so let's take a look at that arm.

I tried to keep pressure on it,

but it was too tough to do that and drive.

Okay, well, that explains
you nearly running me over.

I'm sorry.

2% Lidocaine and suture kit.

Yes, Doctor.

So what's the story behind your friend?

His name is Hamasa. Mm-hmm.

He never mentioned being sick,

but when he passed out
and flipped the truck

he's Afghan national army, doctor...

Gordon. Rebecca Gordon. And you are?

I can't tell you.

You're joking, right?

Okay.

You're special operations.

Undercover. Wait.
What does the army call you guys?

Snake eaters.

They call us a lot of things.

What should I call you?

George Washington.

Too presidential.

Lord Byron.

Pretentious.

You can call me Joe.

Joe. Joe works for me.
It's got a nice ring to it.

Has anybody ever told you about your eyes?

They're amazing.

I'm serious.

So am I.

Believe me.

That's funny coming from a man

who won't even trust me with his real name.

Well, you know the saying.

- If I had to tell you, I'd have to kill you.
- Oh, don't tell me.

In your case, it's not just a saying?

Why do you dress like that?

Or am--am I not allowed to ask?

No, I can tell you that.

Uh, those men outside.
They're A.N.A. Special forces.

It's my privilege to train and
fight alongside them also.

Good enough explanation?

For the time being, yeah.

All right.

You're done.

With his temperature elevated

but generally stable at 103 degrees,

we were able to discontinue
external cooling.

Mm-hmm.

He continues to receive I.V. fluids

while we treat this unknown
infection empirically

with systemic antibiotics.

All right. Thank you, Doctor.

Good report. Your prognosis.
Cautiously optimistic, sir,

subject to further analysis
of this pathogen. All right.

The labs here can tell whether
it's gram-negative or positive.

But they're not equipped for
more complex microbiology,

so you're sending samples to Landstuhl?

They're on the plane to Germany.

Good.

- Dr. Gordon.
- Yes, sir.

You mind not passing notes during rounds?
It's distracting.

Sorry, sir.

Surgeons. I expect you to have read

these notes from Walter Reed and Edmonton...
go, oilers!

About fasciotomy procedures.

I don't want any of you sobbing
after Thursday's conference call

because you got chewed out
by head of U.S. trauma.

That includes you, too, Dr. Hill.

You're not immune to his wrath.

Well, I will make sure I
do my homework, Colonel.

That'll be a first.

Let's rock 'n' roll.

Hey.

Thanks for making me look
like an idiot during rounds.

Our pleasure. Happy to oblige.

Mm. Have you seen Bobby?

Uh, yeah. We passed him at the coffee shop.

Actually, the coffee there
is quite drinkable.

It's gourmet, unlike the
stuff they serve at D-fac.

- Gourmet coffee in Kandahar?
- Yeah, the Americans--

they, um, they like to
bring a taste of home.

Weren't you looking for Bobby?

Yes, I was. You're right.

Good luck.

Thank you.

I was talking to Beverly.

I'm not sure she likes me.

Good.

What, are you jealous?

Hell, yeah.

Perfect. Thank you.

Okay.

Here you go--coffee.

Now do you need sweetener or sugar?

Quit stalling.
I know you got my test results.

So... let's have it.

It's good news. All right?
There's nothing wrong.

Your hormone levels are normal,

your thyroid and liver enzymes are fine.
I missed my period.

It's not that uncommon to
miss a period. Stress--

Don't say "stress,"
because my entire life

has been nothing but stress, okay?

Even when I was doing night
shifts at Miami general

with a cold sore and the
flu, I-I wasn't late.

See, I-I am never late.

Well, besides missing your period,

can you think of another reason
why you might be pregnant?

I mean, I didn't think it was
immaculate conception...

Or anything like that.

I mean, I-I had sex, if
that's what you're asking.

- I don't--
- And you know what? It was stupid, okay?

Without protection.

I mean, I-I thought that I was in--in love,

and--and I just didn't even think about it.

I'm like, you know what?
I-if it happened, it happened,

and he dumped me... ooh.

At my favorite restaurant
because he thought

that I wouldn't make a scene.

You--

He was wrong, because I made a scene...

And now I can't ever go back there.

That answer your question?

Actually, that wasn't my question.

Oh, sorry. Oh. I thought that you--

No, it's fine.
I just wanted to know if--if maybe

there was another symptom you
haven't told me about.

No.

Then there's nothing wrong with you.
You're just not pregnant.

Nothing wrong with not being pregnant.

No, not in your case.

9-1-1. Let's go.

I'm sorry, honey.
I'm gonna have to call you back.

His fever's spiked at
104 degrees and rising.

We sent vans running back to
D-fac to get some more ice.

Try 800 milligrams ibuprofen I.V.
Where's that lab report?

These meds aren't working, Bobby.

They're not working at all.

Lab report, sir.

Gram-negative rods or variant strain.

That narrows it down to about a billion.

I would've thought the pip/tazos
would've been effective.

What now?

We'll just have to try another cocktail.

What about the third- and
fourth-generation cephalosporins.

Do you concur?

Bobby's the diagnostician. Yeah.

Okay, let's do it.

Graham.

- Dr. Tarzi may be out of
Kandahar, but call him,

see how fast he can get here.
- Yes, sir.

Oh. I think that's yours.

Come on. You don't want to miss your plane.

It's okay. My flight's not
till the day after tomorrow,

so we have another night together.

Oh, actually, I'm on call tonight.

That's okay. I'll-- I'll be around later.

Oh, I'm sorry. I've got a, um,
poker game with Mehra and Ford.

It's the last stage of the tournament.

It's all right. I'll see you around. Okay?

There you are.

I thought you'd forgotten about our trip.

No, of course not.
Your women's clinic, right?

Not my clinic.
Actually, it was Major Samizay's idea.

But I bet you ran with it-- I'm guessing.

All the female staff at the
hospital have chipped in.

There's no heart strings involved.

The Afghan women really need our help.

I hope when you see it,
you'll feel the same way.

I'm in.

Oh, enthusiasm. Good.

Especially if you're in for the long haul.

Let's see what we've got.

Get Captain Trang and Colonel Marks.

The infection has spread
to another patient.

[ _ ]

Good to see you.

Major Samizay.

Not many patients here today, but, uh,

I hope we haven't wasted your time.

How many women do you usually see?

40 or even 50 usually.

But... the rocket attacks
have kept many way.

Well, let's get started.

It is gonna take a lot of
paint to fill these holes.

Well, as long as it's safe and discrete,

that's all that matters to them.

This patient came in with
no signs of infection.

He had an open compound
fracture to the tib-fib.

Was he in the I.C.U.?

Was he next to Hamasa?

No, he was in the trauma
bay, and then O.R. 1,

then recovery, and then
to the patient ward.

Then his fever spiked,

and that's when we brought him
back here to monitor him.

We've got a highly contagious,
antibiotic-resistant infection,

which he may have contracted from Hamasa.

We have to isolate these two patients.

Trace back where they've
been, decontaminate it all.

That could be half the hospital, Doctor.

Okay, Rebecca took Hamasa to the O.R. 2
for a washout.

Both 1 and 2 have to be closed.
It's essential.

Seal off everything with plastic

and be aggressive with whatever
antibiotics we got.

Yes, sir.

- Any word from Tarzi?
- No, sir. Not yet.

Dr. Tarzi could be our only hope.

All right. Just keep trying.

Okay.

What's her name?

Afsoon.

- Does she have any family here?
- She came alone.

That takes some courage.

Please tell Afsoon that I
need to look into her mouth

at her throat.

I think she may have a serious infection.

Mm. Doctor...

It's a peritonsillar abscess.

It's gonna need to be drained.

We'll have to get back to the O.R. at base.

She says no base. If her father finds out

or if she is seen and it
gets back to the family,

she could be killed.

She has a seriously infected
tonsil that needs to be drained.

Can't you give her medication?

No, she needs surgery.

Can you, um,

ask Afsoon if she would like to recover?

Good.

Then this might help.

What is it? It's Lorazepam.
It's just a mild sedative.

- For an abscess?
- No, it's just to relax her a little bit

until we can get her into surgery.

Rebecca... I understand
that there are risks. I do.

But without an operation,

she could die of an
easily treated infection.

But how do you propose
getting her onto base?

It's a huge risk.

I think we'll enlist Afsoon into the army.

How many times have I told you,
this is a classified area?

Colonel, he was actually helping Hannah

to reboot some software.

Vans is not here to help talk with I.T.
He's a translator.

He translates Pashto, Dari to English.

Now I don't ever want to see him
this side of the desk again, ever.

Do I make myself clear?

As a bell, sir.

Don't worry about it, kid.
He'll get over it.

Now make yourself scarce.

Wait.

Okay?

Graham, do we have a free O.R.?

Yeah, O.R. 2 is, but--

Good, can you ask Major
Marin to anaesthetize?

Major, shouldn't you check
with the Colonel first?

Believe me, Graham.
I can get her in and out in under five.

Major.

It seems we're double booked.

Uh, not at all. I'm done.

Uh, take her to recovery, and I'll
join you momentarily.

Recovery's quarantined. So is I.C.U.

I have two patients
infected with enterobacter.

We cannot have a
free-for-all going on here.

We've set up some screens in the main ward.

Take her over there.

It's a little noisy, but it'll have to do.

Yeah, well, don't worry,

'cause she's not gonna be there long.

- Is that right?
- Well, I could use some help here, Major,

if you're not too busy. Of course.

All right. This foreign
contractor's had 20,000 volts

passed through him working
on the city grid.

Lungs popped, intubated,
stabilized arrhythmias.

Now I need another surgeon to
check the burns on his limb.

And since you are here...

So your last patient was
from the women's clinic?

She had a seriously infected tonsil

that needed to be drained.

You decided to bring her here on your own?

She needed urgent surgery.

So does he.

Yes, sir. He needs a
4-compartment fasciotomy.

Let's prepare for that.

Colonel, that young woman would've died

without an operation.

- It was my duty to treat
her, to do everything

within my power that I possibly c--
- Within your power?

What do you think this is, huh, role play?

You brought that girl into this hospital

without my consent, without
her consent most likely.

So... you saved her life.

Congratulations. Have a cookie.

Now I have a responsibility
to save lives, too--

servicemen and women, Afghans,
as well as foreign contractors,

aid workers, journalists.

You name it, we fix it, if we can.

Now I got two patients who are down

with the same bacterial infection

and we have no idea where
it came from, what it is,

or how to stop it from spreading.

But now you bring in an unauthorized
admission into this hospital,

and you endanger the lives
of every patient in here.

Look, I get your point, Colonel. I do.

But I did not know that there
was only one O.R. available.

No, no, actually, Major,

I don't think you "get"
what I'm saying at all.

It doesn't matter whether there's
one operating room or five.

You have no right to commit
our scarcest resources

without consulting me.

Do you understand that?

- Do you understand that?
- Understood, sir.

You do that one more time,

and I will personally escort
you onto the next plane out.

Do you understand that?

Understood, sir.

Had you planned to get that
young girl off the base

when she recovered?

Yes, Major Pedersen's standing by
to drive her back to the clinic.

Good. Lecture's over.

Sir. We located Tarzi. He's an hour out.

All right.

Heard about what happened.

Sometimes you get the bear.

Sometimes the bear gets you.

I would've done the same thing as you.

I just wouldn't have let him catch me.

So, um, snake eater,

how well do you know Colonel Marks?

Right.

'Cause if you tell me,
you'd have to kill me.

Yes. You must be a blast on a date.

Try me.

Oh. Okay.

Yeah. Uh, we can, uh,

we could always get something to drink.

I don't drink, except Chai.

Chai?

Chai is nice.

What's up?

He's tachycardic. 130.

B.P.'S 183 over 98.

Temperature is 104.

Okay, let's break out the ice again.

Whatever this damn thing is,

let's give the
fluoroquinolones one last try.

Yes, Colonel.

What's happened?

Her father found out she's here.
He's on his way.

Oh, Jeez.

Major Samizay's found a safe house
where she can stay.

All right.

Well, let me just check her
really quickly before she goes.

How's that?

Good. Good.

Okay, go before I get you
in any more trouble.

Thank you, Major.

Good girl.

I appreciate everything you've
done for me in the past.

And one day, I'd like to repay those debts.

Look, it's crucial for me
that Hamasa pulls through.

Well, I've got a local G.P.-- Dr. Tarzi.

He's coming in from Helmand.

Now when it comes to
treating regional disease,

this guy is the man.

Look, if you want me to go
get him, just say the word.

He'll be here within the hour.

If anything happens, you
will be the first to know.

Vans. He wants to talk to you.
I told him you were busy.

Okay, can we help this gentleman?

He says he heard what you did to Afsoon.

Well, tell him I am sorry, please,

and tell him to not blame his daughter.

If he wants to blame anyone,
you blame me, okay?

Because I wanted to treat her and--

he thanks you from the bottom of his heart

for saving her life.

The fluoroquinolones are not working.

We're down to one option.
Double amputation? He's too unstable.

He's gonna die if we don't operate now.

Resuming C.P.R. No vitals.

Five, six...

He didn't convert.

Still a flatline.

No.

Ideas?

Anyone?

Okay, Doctor, I think we can call it.

Doctor.

Time of death--

1855, kandahar time.

Now we've had one fatality
from this unknown infection.

Farrin arrested on his way to surgery.

Hamasa is holding on, but barely,

and he's not responding to
any of the antibiotics.

Well, what's been tried?

Everything on the shelf.

Can we push the lab report from landstuhl?

I call every half-hour,

they give me the same response
"we're working on it."

Now the only thing that we can do

to stop this contamination
is to clean everything.

We've been doing that, sir.

We're scrubbing everything, 10% bleach.

Well, we're gonna have to do it again.

So I'd be grateful if you
all committed yourselves

to at least two cleaning details.

Graham, you got the list?

Uh, yes, sir.

Oh, the mop thing again.

We're looking for volunteers
for the first shift.

Those off duty are Larry Alexander,

Pam Everwood, Bobby Trang, Simon Hill...

Simon?

What's the matter?

Are you following me?

I wasn't following you.

Okay. My mistake. I'll see you later.

Wait.

I thought we liked each other.

Yes, we did. Uh, we do.

And that's it?

Of course.

Look, we had fun, okay?

We had lots of fun,

and, you know, I enjoyed every moment
of it, every minute. It was...

But you're-- you're getting on a plane.

This is about that new Doctor, isn't it?

What, Rebecca? No, I'm not her type.

Look, let's just keep this
memory sweet, shall we? And--

Beverly, just grow up.
All right? Just grow up.

He's asking me

to say good-bye to his family.

He says thank you all for trying.

He's proud to have served with us.

Tell him to rest.

Okay? Tell him to save his
strength for the infection.

Out here, you learn real fast...

It's not the guns or the airpower that--

that save you.

Guys like Hamasa...

Without him, I'd be dead.

That's certainly not in the manual.

Dr. Tarzi wrote his own manual.

I think I've nailed the bugger.

Judging by the distinctive odor,

the inflammation, and the redness,

it's pseudomonas, all right?

A common occurrence here
in Southern Afghanistan

which, as you know, causes lots of misery.

But you won't lick him
with your fancy quinolones

or your third-generation cephalosporins.

He's been exposed to those
and eats them for breakfast.

What you need are some good,
old-fashioned polymyxins.

I thought that stuff went
out with the ice age.

But never too late for a comeback.

Thank you.

Graham, get on to the other coalition m.
T.F.S in Afghanistan--

bastion, etcetera.

See if anyone's carrying stocks
of old-school polymyxins,

and get Mehra and Ford
on standby to go fetch.

One more thing, Colonel. Shoot.

You can't mess with this guy.

It can live on practically any surface,

in any environmental condition,
and it's very hard to kill.

- You're bleach cleaning everything?
- Everything.

You may have to do it over and over again,

until you're sure it's gone.

A mosquito's eyelash

can carry enough pseudomonas
to shut down the whole base.

And keep the I.C.U. and O.R.S sealed

until you're sure those
older 'biotics work.

The skin rash? Vinegar. 5% strength.

Works better than any topical treatment

and is a hell of a lot cheaper.

Yeah. Thank you, Doctor.

My pleasure, Colonel.

I'll pop back later, see how
you're getting on okay.

He's quite a character.

Excellent backgammon player, too.

Mosquitoes have eyelashes, sir?

Dr. Tarzi's approach, you get
local knowledge and poetry.

No patients pending? Mnh-mnh.

Then go, clean.

Colonel, bastion and the other m.
T.F.S have nothing.

And all the nearest fobs recycle
their stocks every three months.

Ah, no, no. We can't sit around
to empty the phone book.

Let's try spin Boldak.

Three international aid agencies
operating out of there.

Let's see what they've got buried
in their freezers. All right?

Where we headin', sir?

- Southeast border.
- Any place in particular?

That's kind of a big spot to land on, sir.

No, we're gonna let you know
when you're in the air.

Okay, so what are you waiting for?
Let's go.

Go! Go! Go! Go!

So what are we doing?

A little sightseeing, shopping, no rush.

- Girls in bikinis steaks
by the swimming pool,

a little water polo.
- Polo?

Yeah.

- Someone mentioned that they had a casino.
- Oh, yeah?

♪ Oh, mama, look at me ♪

♪ As happy as a boy can be ♪

♪ Oh, now I can't decide ♪

♪ Just fill me up and blow my mind ♪

♪ Now take a ride with me ♪

♪ And tell me how it's gonna be ♪

♪ Oh, no, you can't decide ♪

And you thought the mop routine was a joke?

Simon's version, not mine.

- All right, the ward and
the hallway are clear,

so let's seal it off.
- What, we can't use it?

No. We're gonna keep this
whole area completely sterile

until our patient's infection's reversed.

Hold it. Hold it.

We got a contamination in here.
Leave the casualties out here.

Colonel, what are we gonna do, huh?

Can't take 'em back inside.
Trauma's closed.

Well, first, let's see what we got.

Simon?

Okay, we've got a neck wound,
shrapnel near the spine.

Abcs are fine. Patient conscious
and responsive. Great. D-fac.

- What?
- You heard me. Dining facility. Move!

Pam, Suzy, get the equipment over to D-fac.

Yes, sir!

Colonel, we got a bleeder.

Follow Simon. D-fac, right away.

Will?

Nothin' doin', boss. Patient's dead.

Will, take him inside.

And call the padre, please.

Yes, sir.

I was thinking about ordering in tonight.

Pulse 148.

What, are you afraid of a
little blood in your food?

Well, it's not the blood that bothers me.

It's what lives in it.

You know there's ten times more
bacteria in the body than--

than there are cells. Yeah, yeah, yeah.

Labs confirmed it's a real
nasty pseudomonas strain,

unique to Afghanistan.

And Landstuhl is alerting R.C. South

and advising them to shut down
all surgical operations here.

So, colonel, what do we
do if we get a mass Cal?

I don't know. It's unthinkable.

I mean, we'd have to turn away
our own injured soldiers.

The truth is, with this
infection gone unchecked,

we can't dispense anything
more complex than a band-aid.

Simon, we're using the ready room

as temporary in-patient ward.

One of my nurses was just crying right now.

- She wouldn't tell me why.
- Oh, I'm sorry to hear that.

You know, you can screw the Doctors,

and they can screw you,
too, for all I care.

But you leave my nurses alone.

Whoa, whoa. Wait, wait, wait.
Hold on, guys.

- Are you talking about Beverly?
- Yeah, you know I am.

Oh, look, she was scheduled
to go home, okay?

- She must have known it

wasn't gonna go anywhere.
- Oh, you think she did?

Come on.

Look... she knew exactly
what she was getting into.

Okay, if I was to promise you

that I would never sleep around
again, would you believe me?

No.

Well, there you go.

Whoo, yeah. Caesars Palace, baby.

Jackpot, sir. We got your meds.

Way to go.

If the meds don't work straight away,

we're gonna have to put
him on a ventilator.

I want him to know that
that means inducing a coma.

And there's no guarantee
of a return ticket?

Believe me, it's his best chance.

Okay.

All right?

Are you kidding me?

Put some spirit into your swing, Simon.

This I do not believe.

- This is heaven, man.
- There is a God,

and we get to live happily ever after.
- Okay...

If you want to see the pot
for last Saturday's game,

I suggest you delete those.

Mission success?

Good work, guys.

You should be suited and
booted with those stitches.

I'm gonna be okay.

You know you'll have to
stay in there until...

I know.

Don't let the bear get you, Joe.

Colonel, we got a result.

Well, I think we're
nearly out of the woods.

Polymyxins finally seem to be kicking in.

What about our friend?

He'll have to strip down
completely before he gets out

and take a long, sterilizing shower.

He looks like he could use
a good scrub down anyway.

I'd like to reopen the I.C.U.

If I had the luxury of an I.C.U.,

I'd never close it.

What about the risk of contamination?

Well, you'll never be completely
rid of this infection in Kandahar.

You know have to balance such concerns

with staying open for business.

True.

I just don't ever want to be in a position

where we're having to
turn our own men away.

Well, there you go.

Decision made.

Open for business, people!

...Your new roommate?

Come in.

Don't mind me.

I'm sorry.

I made a real mistake.

I thought...

You cared about me.

I... I was being silly.

Oh, now you are being silly.
I do care about you.

I just...

Look...

I'm a neurosurgeon, okay?

We don't do ordinary.

It's like the mop thing. You know, you...

Romance... okay?

That--that's--that's
great for other people.

It's just...

Not me.

Look, what you need to do
is you need to go home...

And you need to find someone
who's right for you.

Okay?

Vans.

I want you to have this.

Is it broken, Colonel?
I can try and fix it.

No, it's not broken. I want you to keep it.

- All right?
- All right.

Thank you, sir.

This is awesome.

Just stay out of toc.
It's a restricted area.

You clean up good.

Thank you kindly, ma'am.

Well, I always go for a man in uniform.

What, this old thing?

- It's just till I get it to the end and pass.
- And then?

Back in the fray.

Oh. So no Chai.

Can I take a rain check?

By the way, Hamasa wants to thank you all.

I'm also grateful.

I gotta go.

Catch you later?

Sure.

For that cup of Chai.

Visiting hours over?

Ugh. I don't know.

I apologized to bev, told her the truth--

you know, that I'm a bastard.

I don't think she believed me.

Hmm. Well, I can't imagine why.

Well, thank you. That's most kind.

Sync by YYeTs
Correction by Mlmlte
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