1 00:00:07,506 --> 00:00:08,590 As a Canadian citizen... 2 00:00:08,717 --> 00:00:09,841 I'm moving back home, okay? 3 00:00:09,842 --> 00:00:11,843 - I need a doctor - It's okay. I am a doctor. 4 00:00:11,844 --> 00:00:13,135 - No, get off me. - Ah! 5 00:00:13,136 --> 00:00:16,432 You know, I do feel things Mags, more that I want to. 6 00:00:16,557 --> 00:00:18,515 Remember that night the group of us went out? 7 00:00:18,516 --> 00:00:20,770 I was a first-year resident. You were a 4th... 8 00:00:20,895 --> 00:00:22,771 And you wound up in my place, you were married but 9 00:00:22,896 --> 00:00:24,106 was leaving what you really wanted? 10 00:00:24,231 --> 00:00:25,608 Every time we get somewhere, you reset. 11 00:00:25,734 --> 00:00:27,692 - Look, I'm trying. - You're hiding yourself again, 12 00:00:27,693 --> 00:00:29,446 which you know makes me need to chase you. 13 00:00:29,571 --> 00:00:30,904 Then don't! Just stop. 14 00:00:31,029 --> 00:00:34,533 What if I'm not capable of separating damaged from good. 15 00:00:34,658 --> 00:00:37,869 I've decided to go to Lebanon to a refugee camp 16 00:00:37,870 --> 00:00:39,704 that needs doctors. - That's what we worked so hard 17 00:00:39,705 --> 00:00:41,749 to get away from. - I know it is. 18 00:00:59,684 --> 00:01:01,810 - Hamed? - Yes. 19 00:01:01,935 --> 00:01:04,813 Bash. Bashir. - Denise Garneau. 20 00:01:04,938 --> 00:01:08,524 We could've used you yesterday when you were supposed to be here. 21 00:01:08,525 --> 00:01:10,525 A GI bug ran through a cluster of families, 22 00:01:10,526 --> 00:01:12,488 and I've been on call every night. 23 00:01:12,613 --> 00:01:15,408 Are they okay? I'm sorry. My connecting flight got cancelled. 24 00:01:15,533 --> 00:01:17,575 It took us a while but we got them hydrated. 25 00:01:17,576 --> 00:01:19,744 Munich or Frankfurt? - Frankfurt. 26 00:01:19,745 --> 00:01:22,749 Oh the gate chairs suck for sleeping there, 27 00:01:22,874 --> 00:01:25,373 you done a stint like this before? 28 00:01:25,374 --> 00:01:27,418 Where'd you say you were coming from? 29 00:01:27,419 --> 00:01:30,589 Toronto. And no, not exactly like this. 30 00:01:31,381 --> 00:01:33,425 Well, it's pretty straightforward. 31 00:01:33,550 --> 00:01:36,385 We have one medical tent, some staff, like me, stay put, 32 00:01:36,386 --> 00:01:38,765 others go between camps. 33 00:01:38,890 --> 00:01:42,684 The unofficial ones, which this is, have less resources. 34 00:01:42,810 --> 00:01:47,023 We have about 2500 displaced residents, give or take, 35 00:01:47,148 --> 00:01:50,818 mostly Syrian, some from other parts of the region. 36 00:01:50,943 --> 00:01:53,028 The government curbed registration 37 00:01:53,153 --> 00:01:55,824 meaning they can't access social services. 38 00:01:56,282 --> 00:02:00,742 We have two physicians, six nurses rotating in pairs. 39 00:02:00,743 --> 00:02:04,832 We see a lot of mental health issues, NCDs like diabetes, 40 00:02:04,957 --> 00:02:07,457 hypertension, family planning. 41 00:02:07,458 --> 00:02:09,546 You can stop me if you already know all this. 42 00:02:09,671 --> 00:02:10,838 No, no, this is good. 43 00:02:15,343 --> 00:02:17,135 Good you speak the language, 44 00:02:17,261 --> 00:02:19,514 though it's afternoon now. 45 00:02:20,849 --> 00:02:22,308 Toronto via where? 46 00:02:22,433 --> 00:02:25,185 Syria. Just over the border a few hours from here. 47 00:02:25,310 --> 00:02:27,689 Ah, that's a story I'd like to hear. 48 00:02:29,189 --> 00:02:30,814 Here's your tent. 49 00:02:30,815 --> 00:02:32,735 If there's something you need, we... 50 00:02:32,861 --> 00:02:34,403 probably don't have it. 51 00:02:36,071 --> 00:02:37,574 Hamed, you with me? 52 00:02:37,699 --> 00:02:39,033 Hmm? 53 00:02:40,242 --> 00:02:42,244 Yeah, it's just the uh... 54 00:02:42,369 --> 00:02:45,456 The travel it has a way of taking away your bearings. 55 00:02:45,873 --> 00:02:47,916 Hmm. Get some sleep. 56 00:02:48,041 --> 00:02:51,087 Come find me when you remember who you are. 57 00:03:31,419 --> 00:03:32,587 What's that? 58 00:03:32,712 --> 00:03:35,047 Ah. It reads data from my pacemaker. 59 00:03:35,172 --> 00:03:37,715 Cardiologists use them to keep logs of rhythms, and vitals 60 00:03:37,716 --> 00:03:41,136 and it's supposed to automatically upload to my tablet 61 00:03:41,261 --> 00:03:43,846 but it's just-- - Shouldn't that be going to your cardiologist? 62 00:03:43,847 --> 00:03:46,058 Yes, it will be, once I find one. 63 00:03:46,183 --> 00:03:48,727 - You still haven't? - Why do you look so nice? 64 00:03:48,852 --> 00:03:51,231 Oh, um, I have a meeting. 65 00:03:51,356 --> 00:03:52,898 Remember about a month ago, there was this-- 66 00:03:53,023 --> 00:03:55,066 What do you mean, you can't sync?! 67 00:03:55,067 --> 00:03:58,362 - ...woman who pushed me. - Like what do you mean? 68 00:04:33,106 --> 00:04:35,649 A little game on our way to our morning classes. 69 00:04:39,070 --> 00:04:40,068 Elie. 70 00:04:40,069 --> 00:04:41,281 Bashir. 71 00:04:59,757 --> 00:05:01,383 Hi, Mr. Spurling? 72 00:05:01,508 --> 00:05:04,262 I'm a nurse calling from York Memorial emergency department. 73 00:05:05,012 --> 00:05:07,015 You registered yesterday with abdominal pain 74 00:05:07,140 --> 00:05:08,558 but left before seeing a doctor? 75 00:05:08,683 --> 00:05:10,976 Hey! When are we going to get helped? 76 00:05:11,476 --> 00:05:14,647 Yes, no, I'm aware the waits were very long... 77 00:05:14,772 --> 00:05:17,859 No, it's just as busy today. I'm trying to make sure 78 00:05:17,984 --> 00:05:20,275 that you're in a position to receive care elsewhere. 79 00:05:20,276 --> 00:05:21,943 Yeah, you were telling us that you-- 80 00:05:21,944 --> 00:05:24,072 Yeah. Where are the labs for Mr. Rusinsky? 81 00:05:24,197 --> 00:05:26,034 Because what came up is urinalysis not chem 7-- 82 00:05:26,159 --> 00:05:28,870 Okay, well I can give you the number for a walk-in clinic. 83 00:05:29,286 --> 00:05:31,287 Oh! Or you can hang up on me. 84 00:05:31,288 --> 00:05:32,998 Oh, sorry what? Wrong labs? 85 00:05:33,123 --> 00:05:35,084 I have been here five minutes. How is there an already 86 00:05:35,209 --> 00:05:36,833 "impossible to get to everything" pile of patients? 87 00:05:36,834 --> 00:05:38,837 Okay no, you do not get to be cranky yet, 88 00:05:38,962 --> 00:05:41,716 I have been trying to take a single bite of this protein bar for hours, 89 00:05:41,841 --> 00:05:44,510 every time I go to unwrap it-- - Does anybody actually work here? 90 00:05:45,594 --> 00:05:47,178 I know you've been waiting, sir. 91 00:05:47,179 --> 00:05:48,679 We have the results of your EKG 92 00:05:48,680 --> 00:05:50,683 but the doctor hasn't had a chance to look at them yet, 93 00:05:50,808 --> 00:05:53,351 but I'll check again. - Okay, thanks but I think they need help. 94 00:05:53,352 --> 00:05:56,438 Right. Stomach pain lady, who's been in agony by the way, 95 00:05:56,563 --> 00:05:58,856 finally puked, and then this lady here tried to help 96 00:05:58,857 --> 00:06:00,482 clean up the mess but something's wrong with her knee 97 00:06:00,483 --> 00:06:02,195 so she can't get up. - Hey, what's your name? 98 00:06:02,320 --> 00:06:04,195 Lenore Callahan. Audrey here is really burning up. 99 00:06:04,196 --> 00:06:05,782 Please, just call me a taxi. 100 00:06:05,907 --> 00:06:07,698 I'll be better off at home than here. 101 00:06:07,699 --> 00:06:09,786 Audrey, I'm sorry we can't let you go by yourself, 102 00:06:09,911 --> 00:06:13,205 but I will change your fluids and I will try calling your sister again. 103 00:06:13,330 --> 00:06:15,957 And Miss Callahan, you need to stay on your gurney, okay? 104 00:06:16,084 --> 00:06:17,666 Are you okay? 105 00:06:17,667 --> 00:06:19,962 Yeah, you don't need to worry about me. 106 00:06:20,087 --> 00:06:22,671 Um, I know the waits are long, 107 00:06:22,672 --> 00:06:25,883 but everybody has been triaged according to how acute 108 00:06:25,884 --> 00:06:28,428 their situation is and you will all get seen, 109 00:06:28,553 --> 00:06:30,931 we're just asking for some patience. 110 00:06:37,979 --> 00:06:40,274 So, feel more like yourself? 111 00:06:40,399 --> 00:06:41,734 Yeah. 112 00:06:43,027 --> 00:06:44,945 You been in a camp like this before? 113 00:06:45,070 --> 00:06:47,447 Yeah and practiced there. 114 00:06:47,572 --> 00:06:49,241 And in your Canadian hospital? 115 00:06:49,366 --> 00:06:52,575 Uh, emergency medicine and trauma surgery residence. 116 00:06:52,576 --> 00:06:55,539 Right. So why'd you come back? 117 00:06:57,375 --> 00:07:00,669 Um, I got a passport and I can travel again so, 118 00:07:00,794 --> 00:07:02,378 the timing seemed right. 119 00:07:02,379 --> 00:07:04,507 So you don't really know. 120 00:07:05,591 --> 00:07:08,049 Westerners come for all sorts of reasons. 121 00:07:08,050 --> 00:07:11,638 Adrenaline. Conviction. Curiosity. Being on the lam. 122 00:07:11,763 --> 00:07:14,558 Not sure I qualify as a westerner. 123 00:07:14,976 --> 00:07:17,101 - Hm. - And what about you? 124 00:07:17,102 --> 00:07:19,395 Neurology in Lyon and hated it. 125 00:07:19,396 --> 00:07:21,938 Got married to an internist and hated that too. 126 00:07:21,939 --> 00:07:25,527 Met someone in an airport five years ago who got me into this. 127 00:07:25,652 --> 00:07:27,111 And you've been doing it ever since? 128 00:07:27,112 --> 00:07:29,739 Well, it's easier when nothing ties you home. 129 00:07:31,993 --> 00:07:34,245 Don't forget to hydrate. 130 00:07:38,541 --> 00:07:41,958 So, I know that uh, coming forward wasn't easy. 131 00:07:41,959 --> 00:07:44,419 Did Doctor Devi explain why I wanted to... to sit with you? 132 00:07:44,420 --> 00:07:49,010 Yes, she said so that I would know the surgical department... 133 00:07:49,135 --> 00:07:52,303 has my back. - As does hospital admin. 134 00:07:52,304 --> 00:07:54,972 We take prejudicial behaviour directed at our staff 135 00:07:54,973 --> 00:07:58,144 very seriously. The instigator has been suspended without pay. 136 00:07:58,269 --> 00:08:01,270 Uh, I mean I didn't mean for her to lose her job, 137 00:08:01,271 --> 00:08:03,231 I really just want to move on and put this behind me. 138 00:08:03,356 --> 00:08:05,441 Oh well, we didn't fire her but we told her very clearly 139 00:08:05,442 --> 00:08:07,402 that she will not be getting a second chance. 140 00:08:07,527 --> 00:08:09,320 - Okay. - June, 141 00:08:09,321 --> 00:08:11,657 you did not deserve to be treated that way. 142 00:08:13,200 --> 00:08:15,825 - Thank you. - Uh, sorry. I have to ask, 143 00:08:15,826 --> 00:08:20,874 are you, um, satisfied with the action that we have taken on this matter? 144 00:08:21,834 --> 00:08:25,213 I'm sorry are you asking me for like a star rating or...? 145 00:08:25,338 --> 00:08:27,462 Fair enough. 146 00:08:27,463 --> 00:08:31,844 So while we have you here, there is another piece of business. 147 00:08:31,969 --> 00:08:33,595 Mark, could you um... 148 00:08:33,720 --> 00:08:36,389 Yes! Well, in light of your recent work 149 00:08:36,516 --> 00:08:38,392 in this novel specialized residency, 150 00:08:38,517 --> 00:08:41,604 we have created a title, Acute Care Surgical Response Fellow. 151 00:08:41,729 --> 00:08:45,856 And it comes with a bursary - 6,400 $ to be precise. 152 00:08:45,857 --> 00:08:48,192 Uh, sorry. I'm still a resident. 153 00:08:48,193 --> 00:08:51,153 Just for a few more months. We're jump-starting next steps. 154 00:08:51,154 --> 00:08:54,742 Let's just consider it an investment in keeping you on. 155 00:08:54,867 --> 00:08:57,036 Um... 156 00:08:57,578 --> 00:08:59,120 Ah, pelvic fracture. 157 00:08:59,247 --> 00:09:02,372 Just saved me tracking down the on-call orthopedic surgeon. 158 00:09:02,373 --> 00:09:04,834 With me, June. 159 00:09:07,254 --> 00:09:08,881 EMT says you fell off your roof? 160 00:09:09,006 --> 00:09:11,839 Trying to adjust my uh TV antenna to pick up the ballgame. 161 00:09:11,840 --> 00:09:15,343 You know the cable company could solve that problem for you, right? 162 00:09:15,344 --> 00:09:18,641 I'm just gonna lower your trousers a little bit here, okay? 163 00:09:18,766 --> 00:09:22,143 June? - FAST shows an enlarged spleen. 164 00:09:22,269 --> 00:09:23,937 Let's get sharper eyes. 165 00:09:24,062 --> 00:09:27,400 - Get me up to speed, Mark. - Abdomen and pelvic pain, 166 00:09:27,525 --> 00:09:29,357 lower extremity numbness and tingling. 167 00:09:29,358 --> 00:09:32,738 Major ecchymosis visible. No hypovolemia, fluids at the scene. 168 00:09:32,863 --> 00:09:35,363 What'd the neuro say? Is Babinski up or down? 169 00:09:35,364 --> 00:09:36,993 June? 170 00:09:37,118 --> 00:09:39,829 Okay, open book fracture with retroperitoneal bleeding. 171 00:09:39,954 --> 00:09:41,245 External fixation? 172 00:09:41,246 --> 00:09:43,246 Was thinking open reduction with internal fixation, 173 00:09:43,247 --> 00:09:46,334 am I set up? - I would want to fix that bleed first. 174 00:09:46,459 --> 00:09:47,920 Obviously. 175 00:09:48,045 --> 00:09:50,420 Uh, June can you rewrap that sling? 176 00:09:50,421 --> 00:09:52,800 Hi. Babinski's negative. 177 00:09:52,925 --> 00:09:55,592 Uh, but about the spleen, I do think it's a concern. 178 00:09:55,593 --> 00:09:57,762 One that's way down our list of priorities. 179 00:09:57,887 --> 00:09:59,681 I disagree, sir. 180 00:09:59,806 --> 00:10:01,975 - Okay. - Which has been noted, June. 181 00:10:02,100 --> 00:10:04,769 Well how about, you let us do our thing 182 00:10:04,894 --> 00:10:07,355 and we will have you ambulatory, uh, 183 00:10:07,480 --> 00:10:09,273 that means walking again faster. 184 00:10:09,274 --> 00:10:12,443 If that's okay with Dr. Curtis, of course? 185 00:10:12,444 --> 00:10:14,655 I yield to your obvious expertise. 186 00:10:14,780 --> 00:10:17,867 Fantastic. 5mg of midazolam please. 187 00:10:20,368 --> 00:10:23,705 I cross-checked results from 50 labs we sent out 188 00:10:23,830 --> 00:10:26,624 in the last few hours and 35 are wrong. 189 00:10:26,625 --> 00:10:29,918 - Wrong how? - Wrong test, wrong patient. 190 00:10:29,919 --> 00:10:33,174 Sometimes it's obvious who got whose but even then... 191 00:10:33,299 --> 00:10:35,176 So they all need to be redone? 192 00:10:35,301 --> 00:10:37,802 Claire, could you look after Mr. Maxwell? 193 00:10:37,927 --> 00:10:40,723 He just got out of Trauma OR. - Notes are on the chart. 194 00:10:41,349 --> 00:10:44,727 Doctor Devi, you look different? 195 00:10:44,852 --> 00:10:47,977 I was at a concert when Claire called about this system glitch. 196 00:10:47,978 --> 00:10:51,566 Doctor Olsen, have you had any reports from other departments? 197 00:10:51,691 --> 00:10:53,942 No must be ED specific, 198 00:10:53,943 --> 00:10:56,863 you better hope that one of the tech guys answers the phone. 199 00:10:56,988 --> 00:10:58,490 Um, but before you call. 200 00:10:58,615 --> 00:11:00,283 Can you walk with me? 201 00:11:06,998 --> 00:11:10,043 Province is releasing data on ED waiting times 202 00:11:10,168 --> 00:11:12,713 and ours are... frankly embarrassing. 203 00:11:13,254 --> 00:11:15,758 One of the reasons we brought you in Neeta was to... 204 00:11:15,883 --> 00:11:18,219 help us with this exact issue. So... 205 00:11:18,344 --> 00:11:20,179 I'd like to see comps from other hospitals, 206 00:11:20,304 --> 00:11:22,304 I bet they're similar. - And irrelevant. 207 00:11:22,305 --> 00:11:25,973 We are a level one trauma centre with a reputation to uphold, 208 00:11:25,974 --> 00:11:28,771 so I am going to need you to do better. 209 00:11:29,562 --> 00:11:33,857 There's a nationwide shortage of both funding and staff 210 00:11:33,858 --> 00:11:35,777 that's been 10 years in the making. 211 00:11:35,902 --> 00:11:38,948 So it's not the free healthcare utopia that you expected, is it? 212 00:11:39,073 --> 00:11:41,823 Well the one saving grace is Trauma OR, 213 00:11:41,824 --> 00:11:44,034 it's proving to be the cutting-edge tool 214 00:11:44,035 --> 00:11:47,455 that Jed Bishop said it would be so, Nice work Mark. 215 00:11:47,580 --> 00:11:49,374 - Thanks, Neil. - What concert? 216 00:11:49,499 --> 00:11:51,459 What? Oh, it's this punk band that I-- 217 00:11:51,584 --> 00:11:53,921 Oh. Then I won't know them. 218 00:12:05,849 --> 00:12:08,060 Fever's high. 219 00:12:08,185 --> 00:12:09,559 What's your protocol on IV hydration? 220 00:12:09,560 --> 00:12:11,853 If they can drink, we try to conserve saline. 221 00:12:11,854 --> 00:12:13,315 I think it's chicken pox. 222 00:12:13,440 --> 00:12:15,942 Yeah, you see it from time to time. Have you had it? 223 00:12:16,067 --> 00:12:17,277 Mm-hmm. 224 00:12:17,402 --> 00:12:19,027 Basil? What happened? 225 00:12:23,408 --> 00:12:24,618 Okay. 226 00:12:25,618 --> 00:12:26,869 Put him here. 227 00:12:32,792 --> 00:12:34,544 Okay guys, we'll take it from here. 228 00:12:40,801 --> 00:12:42,136 Tourniquets? 229 00:12:42,261 --> 00:12:43,512 Trauma bag, behind you. 230 00:12:59,027 --> 00:13:00,362 Okay. 231 00:13:01,655 --> 00:13:03,615 - Get me the bone saw. - No, no, no, 232 00:13:03,740 --> 00:13:05,450 we can do a vascular shunt. 233 00:13:05,575 --> 00:13:08,036 You have cannula? - No, we're not set up for that. 234 00:13:08,161 --> 00:13:09,453 It needs to come off. 235 00:13:09,454 --> 00:13:11,078 But, if we reconstruct the brachial artery, 236 00:13:11,079 --> 00:13:12,541 then we can save at least some function. 237 00:13:12,666 --> 00:13:13,791 And cause him to bleed out? 238 00:13:13,917 --> 00:13:15,668 We have three units of O-neg at best! 239 00:13:15,795 --> 00:13:17,126 So we'll cycle his back through. 240 00:13:17,127 --> 00:13:18,462 What about a sterile field? 241 00:13:18,463 --> 00:13:20,588 We sacrifice sterility for efficacy when necessary. 242 00:13:20,589 --> 00:13:22,218 But he would need one to one monitoring. 243 00:13:22,343 --> 00:13:23,886 We could save his arm! 244 00:13:24,011 --> 00:13:26,055 Maybe you forgot how it works in a camp. 245 00:13:26,180 --> 00:13:29,141 We need to save his life. Bone saw. 246 00:13:30,975 --> 00:13:33,061 My house, my call. 247 00:13:49,661 --> 00:13:51,330 Assistant teacher. 248 00:13:51,455 --> 00:13:54,541 But next week I start university to become a real one. 249 00:13:54,666 --> 00:13:55,501 In Beirut. 250 00:13:55,626 --> 00:13:57,626 You're leaving this place. 251 00:13:57,627 --> 00:14:00,129 I'm Bashir. - Bayan. 252 00:14:00,756 --> 00:14:02,964 Do you have a medical question, Bayan? 253 00:14:02,965 --> 00:14:05,134 Yes, but not for me. 254 00:14:05,886 --> 00:14:07,512 Talia. 255 00:14:25,823 --> 00:14:29,156 I don't know, but she gets nauseous and dizzy a lot. 256 00:14:29,157 --> 00:14:32,537 And she can't walk five minutes without needing to sit down. 257 00:14:33,122 --> 00:14:35,708 I told her that I wanted to ask you questions 258 00:14:35,833 --> 00:14:37,499 about getting to Canada, 259 00:14:37,500 --> 00:14:39,376 so she's not suspicious that I'm worried. 260 00:14:39,377 --> 00:14:41,714 I thought maybe this way you could observe her? 261 00:14:41,839 --> 00:14:45,593 I'd be happy to. Give me one minute, please. 262 00:14:54,350 --> 00:14:56,811 I came to see you. I have your wedding gift. 263 00:15:11,118 --> 00:15:13,286 We were best friends at 16. 264 00:15:13,411 --> 00:15:18,334 You know, to go from that to lovers to everything else. 265 00:15:19,667 --> 00:15:23,671 Anyway, we just, we made plans so young. 266 00:15:23,796 --> 00:15:26,381 Lovers is not a word you should ever be using. 267 00:15:26,382 --> 00:15:28,549 What about you and Jonathan? 268 00:15:28,550 --> 00:15:30,092 Where did things go wrong there? 269 00:15:30,093 --> 00:15:32,138 Let's not talk about our ex-lovers. 270 00:15:32,263 --> 00:15:34,016 Oh, so you get to say. 271 00:15:34,141 --> 00:15:36,435 I get to say whatever I want. 272 00:15:40,147 --> 00:15:42,858 Don't take it too close. I like it scruffy. 273 00:15:42,983 --> 00:15:45,485 Now would it be the worst thing in the world 274 00:15:45,610 --> 00:15:47,570 if I got back from work and you were still here? 275 00:15:48,155 --> 00:15:52,700 I-I know that when we started this up we said we'd just... 276 00:15:52,825 --> 00:15:54,952 But I... We should be more. 277 00:15:54,953 --> 00:15:56,911 - Theo - I'm serious. 278 00:15:56,912 --> 00:15:59,666 Theo, you're the first to admit you haven't exactly been 279 00:15:59,791 --> 00:16:01,290 making level choices recently. 280 00:16:01,291 --> 00:16:05,087 Yeah, but this is not what this is. 281 00:16:05,088 --> 00:16:07,007 And with you, there is clarity. 282 00:16:07,132 --> 00:16:11,512 Or you've had one 20-year relationship and then me. 283 00:16:11,637 --> 00:16:15,181 And you're more comfortable as a serial monogamist. 284 00:16:15,306 --> 00:16:17,059 Okay. 285 00:16:17,184 --> 00:16:19,728 Well, I will be back in the morning. 286 00:16:19,853 --> 00:16:22,103 And if you're here, then I'll know. 287 00:16:22,104 --> 00:16:25,314 And for the record, you do not get a say in my beard 288 00:16:25,315 --> 00:16:27,152 until I get an answer. 289 00:16:37,955 --> 00:16:39,540 Antivirals. Are those for us? 290 00:16:49,425 --> 00:16:52,136 She's uh, she's resigned to my convictions. 291 00:16:52,720 --> 00:16:55,179 Hey. Tell her that's the toll of knowing you. 292 00:17:07,359 --> 00:17:09,110 Maybe it's for the best, Saleh. 293 00:17:09,235 --> 00:17:12,529 Starting over isn't easy. - I know that, 294 00:17:12,530 --> 00:17:14,323 but... - Shoot. 295 00:17:20,747 --> 00:17:23,039 The teacher here. 296 00:17:23,040 --> 00:17:26,667 Um. I've been invited for a house call pretending to be tea. 297 00:17:26,668 --> 00:17:28,379 Want company? 298 00:17:28,504 --> 00:17:30,339 More like an accomplice. 299 00:17:35,846 --> 00:17:37,638 Turn around. Seriously. 300 00:17:37,764 --> 00:17:39,724 Run as fast as you can away from this place. 301 00:17:39,849 --> 00:17:42,602 Who are you and what have you done with Mags? 302 00:17:42,727 --> 00:17:45,686 Hey! Hey! He just got here! How come she's seeing him? 303 00:17:45,687 --> 00:17:48,732 - I'm a doctor, sir. - Oh, well then stop flirting 304 00:17:48,733 --> 00:17:50,901 and help me! If I can't get a break from my pain 305 00:17:50,902 --> 00:17:53,989 why should you? Hey. You said you'd get me something! 306 00:17:54,114 --> 00:17:57,826 Hold on. Miss Porchnick? Is there a Miss Porchnick here? 307 00:17:57,951 --> 00:18:00,244 It's malware, also called ransomware. 308 00:18:00,369 --> 00:18:03,331 Meaning they want money so we can access our system? 309 00:18:03,456 --> 00:18:05,749 Who'd do that? - They said it's always cross-border. 310 00:18:05,750 --> 00:18:08,003 So, untraceable. It's a new epidemic. 311 00:18:08,128 --> 00:18:10,589 Now joke's on them, we clearly can't afford to pay. 312 00:18:10,714 --> 00:18:12,590 Yeah, IT says it started down here 313 00:18:12,715 --> 00:18:15,511 so they want to sever us off and contain the damage. 314 00:18:15,636 --> 00:18:17,762 Our entire department has a virus. 315 00:18:17,887 --> 00:18:19,430 Which means we revert to paper. 316 00:18:19,555 --> 00:18:22,097 Ugh. Flying blind with labs and imaging 317 00:18:22,098 --> 00:18:24,768 is only going to add to our already insane wait times. 318 00:18:24,769 --> 00:18:26,435 Can we just call in more staff? 319 00:18:26,436 --> 00:18:28,107 For a last-minute night shift? Good luck. 320 00:18:28,232 --> 00:18:29,897 On the bright side, fax still works. 321 00:18:29,898 --> 00:18:32,151 Did one of you call for a list of cardiologists 322 00:18:32,276 --> 00:18:34,320 accepting new patients at the big five? 323 00:18:34,445 --> 00:18:36,115 - Yeah. That's me. - Well, hopefully 324 00:18:36,240 --> 00:18:37,698 your patient is patient because each one of them 325 00:18:37,824 --> 00:18:39,201 has a six-month waiting list. 326 00:18:39,326 --> 00:18:42,911 Okay, she just called a lady who got here way after me! 327 00:18:42,912 --> 00:18:45,247 If y'all don't start getting your asses in gear, 328 00:18:45,248 --> 00:18:46,791 I'm gonna-- - Sir! 329 00:18:46,916 --> 00:18:49,751 I understand that you're frustrated but one more threat like that 330 00:18:49,752 --> 00:18:51,839 and you'll have to leave, understood? 331 00:18:51,964 --> 00:18:56,301 What you're gonna herd me like a common criminal? Fine! 332 00:19:02,014 --> 00:19:03,516 It's you, isn't it? 333 00:19:04,016 --> 00:19:06,060 The patient who needs a cardiologist? 334 00:19:06,185 --> 00:19:07,728 One of them is on mat leave. 335 00:19:07,855 --> 00:19:09,313 Two others are not taking any referrals. 336 00:19:09,438 --> 00:19:10,898 So what are you going to do? 337 00:19:11,023 --> 00:19:12,607 Handle it on my own apparently, 338 00:19:12,608 --> 00:19:14,820 because as evidenced by tonight, our entire system collapses 339 00:19:14,945 --> 00:19:16,571 if we don't put everything in our lives second. 340 00:19:16,696 --> 00:19:18,490 Well, hang in there? 341 00:19:18,615 --> 00:19:20,242 Sorry about the wait Miss Callahan. 342 00:19:20,367 --> 00:19:24,118 The sickest go first. If you think I should come back another day. 343 00:19:24,119 --> 00:19:26,706 You are here for arthritic knee pain, right? May I? 344 00:19:26,831 --> 00:19:29,333 I've been on the elective surgery list 18 months, 345 00:19:29,458 --> 00:19:30,836 only I fell and I twisted it, 346 00:19:30,961 --> 00:19:33,338 and the nurse on the hotline said to come in. 347 00:19:33,463 --> 00:19:35,590 Okay, yeah. It is pretty swollen. 348 00:19:35,715 --> 00:19:37,509 Were you alone when you fell? 349 00:19:37,634 --> 00:19:39,509 - Well, my husband was with me. - Okay. 350 00:19:39,510 --> 00:19:41,802 Is he here now? Because he may want to hear this. 351 00:19:41,803 --> 00:19:43,637 He is. Though not how you mean. 352 00:19:43,638 --> 00:19:45,600 I'm in a committed relationship with the Lord. 353 00:19:45,725 --> 00:19:49,521 Ah, with the-- Okay. Open your mouth for me, please. 354 00:19:50,563 --> 00:19:53,609 Thank you. 355 00:19:53,734 --> 00:19:55,817 I'm sure it sounds ridiculous to a woman of science, 356 00:19:55,818 --> 00:19:58,193 but it just means that I've chosen to centre my life 357 00:19:58,194 --> 00:20:00,655 according to doing good works. - Yeah. Well I gotta tell you, 358 00:20:00,656 --> 00:20:02,743 the line for imaging is long and even if it wasn't, 359 00:20:02,868 --> 00:20:04,658 getting a radiologist to actually look 360 00:20:04,659 --> 00:20:06,580 at a non-acute X-ray during a night shift is... 361 00:20:06,705 --> 00:20:10,205 Not a priority. I see resource crunches every day in our church mission. 362 00:20:10,206 --> 00:20:12,753 Well, you are running a bit of a fever, which can happen 363 00:20:12,878 --> 00:20:14,420 when arthritic fluid gets infected. 364 00:20:14,545 --> 00:20:17,338 I'm just lightheaded. I guess I haven't eaten since I got here. 365 00:20:17,339 --> 00:20:19,216 Yeah... Not even from the vending machine? 366 00:20:19,342 --> 00:20:21,637 Oh, I was afraid I'd miss my turn and then, 367 00:20:21,762 --> 00:20:25,224 I'd just add to the chaos you're already dealing with, so. 368 00:20:26,265 --> 00:20:29,850 Yeah, I shouldn't have said that about no one reading your X-ray. 369 00:20:29,851 --> 00:20:32,020 If you are willing to wait a little bit longer, 370 00:20:32,021 --> 00:20:34,689 I will make it happen. And in the meantime, 371 00:20:34,690 --> 00:20:36,566 we will also get you something to eat. 372 00:20:36,567 --> 00:20:39,780 - Oh thanks, that's very kind. - Of course. 373 00:20:42,407 --> 00:20:45,866 - English please, doctor. - Auntie, my English is fine. 374 00:20:45,867 --> 00:20:47,663 Because we practice, practice, practice. 375 00:20:47,788 --> 00:20:50,249 She needs it for university. 376 00:20:50,374 --> 00:20:52,833 Do you still have family in Aleppo, Bashir? 377 00:20:52,960 --> 00:20:55,169 Only a brother from another mother. 378 00:20:55,294 --> 00:20:57,878 Um, my parents, they uh, 379 00:20:57,879 --> 00:21:00,676 they were doctors there before the war. 380 00:21:00,801 --> 00:21:02,593 I didn't realize you two lived together. 381 00:21:02,718 --> 00:21:05,262 My husband and I never had children. 382 00:21:06,430 --> 00:21:09,098 When he passed, the war was slowing 383 00:21:09,099 --> 00:21:11,600 and I thought I would go live with my sister in Douma, 384 00:21:11,601 --> 00:21:15,272 but then Bayan came and she needed to learn English. 385 00:21:15,398 --> 00:21:17,984 You came alone? How old were you? 386 00:21:18,109 --> 00:21:20,611 I was 10, and Talia took me in. 387 00:21:20,736 --> 00:21:23,823 We hoped to get an apartment in the city but, 388 00:21:23,948 --> 00:21:26,993 the jobs don't pay enough. - And the children here need us! 389 00:21:27,118 --> 00:21:30,621 You're going to be a success story. No more living in tents. 390 00:21:34,458 --> 00:21:35,583 Are you parents? 391 00:21:35,584 --> 00:21:38,752 My wife and I are waiting 392 00:21:38,753 --> 00:21:41,675 until we can build a life somewhere else. 393 00:21:41,800 --> 00:21:43,176 And you? 394 00:21:43,301 --> 00:21:46,679 You built a new life but where's the family to show for it? 395 00:21:46,804 --> 00:21:48,307 My hands are full with my sister. 396 00:21:48,432 --> 00:21:49,890 Uh, does she like Toronto? 397 00:21:50,016 --> 00:21:53,143 In some ways, I think she feels more at home there than I do. 398 00:21:53,144 --> 00:21:55,480 Almost time for afternoon class. 399 00:21:57,316 --> 00:21:59,150 Auntie, stay, we will get it. 400 00:21:59,275 --> 00:22:01,278 There is a wash station down the path. 401 00:23:00,419 --> 00:23:02,878 Whatever you think is wrong with me, 402 00:23:02,879 --> 00:23:04,800 you need to lie to her. 403 00:23:04,925 --> 00:23:07,636 I don't want anything to get in the way of her chance 404 00:23:07,761 --> 00:23:09,678 to make her own life. - Ah. 405 00:23:10,763 --> 00:23:13,724 Have you been experiencing any joints pain? 406 00:23:23,944 --> 00:23:25,568 So your pelvis has been reduced 407 00:23:25,569 --> 00:23:28,572 and your internal bleeding is under control. 408 00:23:28,697 --> 00:23:31,241 And the gods among men don't even show up to allow us 409 00:23:31,242 --> 00:23:33,201 to bask in their reflected glory? 410 00:23:33,202 --> 00:23:35,996 Seeing your enlarged spleen I was actually able to get labs 411 00:23:36,122 --> 00:23:37,539 which trust me, tonight is a miracle. 412 00:23:37,540 --> 00:23:40,292 - Hah. - Turns out you have thrombocytopenia, 413 00:23:40,417 --> 00:23:42,838 which means a low platelet count. 414 00:23:42,963 --> 00:23:45,046 You should also know that it's been associated 415 00:23:45,047 --> 00:23:46,800 with some other underlying conditions. 416 00:23:46,925 --> 00:23:48,801 Like Non-Hodgkin's lymphoma. 417 00:23:49,343 --> 00:23:51,594 - Yeah. Do you-- - Stage 4. 418 00:23:51,595 --> 00:23:54,849 I'd chalk the blood disorder up to my recent chemo which failed, 419 00:23:54,974 --> 00:23:58,725 and by the sounds of it caused my platelets to throw a party in my spleen? 420 00:23:58,726 --> 00:24:00,938 That would make sense. 421 00:24:01,063 --> 00:24:03,023 Yeah. It also means you were right earlier. 422 00:24:03,149 --> 00:24:05,066 I'm impressed you got there, it's the kind of differential 423 00:24:05,067 --> 00:24:07,361 that can get lost in the noise. 424 00:24:07,486 --> 00:24:09,945 - Are you a doctor? - Oncologist. 425 00:24:09,946 --> 00:24:11,905 20 years at Western. And before you ask, 426 00:24:11,906 --> 00:24:14,118 no friends or family you should be calling. 427 00:24:14,910 --> 00:24:16,788 You didn't want to go to your own hospital? 428 00:24:16,913 --> 00:24:19,456 Why'd you back down in there whatever your name is? 429 00:24:19,582 --> 00:24:21,667 - June Curtis. - Hm. 430 00:24:21,792 --> 00:24:23,837 You know how this works. I'm a resident. 431 00:24:23,962 --> 00:24:26,005 Promise me you won't go looking for self-worth 432 00:24:26,130 --> 00:24:29,590 in their opinions, Curtis. You won't find it. 433 00:24:29,591 --> 00:24:31,968 I never really helped any of my patients, 434 00:24:31,969 --> 00:24:33,470 at least let me help you. 435 00:24:33,471 --> 00:24:35,472 I don't mean to be rude, but I don't even know you. 436 00:24:35,473 --> 00:24:38,643 Yeah, but I know you. And a hundred other residents like you, 437 00:24:38,768 --> 00:24:42,479 ones I ground down just like those onanistic clowns 438 00:24:42,480 --> 00:24:44,064 that call themselves your bosses. 439 00:24:44,191 --> 00:24:45,982 Is that really how you view your life's work? 440 00:24:45,983 --> 00:24:48,069 You didn't help anyone? - When I look back, 441 00:24:48,195 --> 00:24:50,864 all I did was tell people they were dying 442 00:24:50,989 --> 00:24:52,866 or saddled with terrible options. 443 00:24:52,991 --> 00:24:54,326 Transfusions, 444 00:24:54,451 --> 00:24:57,117 that could get you strong enough for another round of treatment. 445 00:24:57,118 --> 00:24:59,328 I cancelled my cable because I thought watching TV 446 00:24:59,329 --> 00:25:02,501 was the wrong thing to do with my remaining time. 447 00:25:02,626 --> 00:25:05,667 Turns out ballgames and movies are all I want. 448 00:25:05,668 --> 00:25:09,004 You can't save me Curtis. So don't waste your energy. 449 00:25:09,005 --> 00:25:11,674 Maybe, but at least I can buy you some time. 450 00:25:11,675 --> 00:25:13,802 I said no. 451 00:25:26,191 --> 00:25:28,651 Any idea what's wrong with Talia? 452 00:25:28,984 --> 00:25:32,906 Fever, crackling lungs, low pulse. 453 00:25:33,031 --> 00:25:35,530 She's bradycardic, it could be endocarditis. 454 00:25:35,531 --> 00:25:38,912 I'd want to do an ECG but I'm worried about heart block. 455 00:25:39,037 --> 00:25:41,703 Talia's heart is blocked? From what? 456 00:25:41,704 --> 00:25:44,751 We don't know anything for sure. 457 00:25:48,797 --> 00:25:50,256 But she didn't tell me anything. 458 00:25:50,381 --> 00:25:53,217 - Because I didn't tell her. - Because you can't help her? 459 00:25:53,342 --> 00:25:56,051 We can give her antibiotics for an infection. 460 00:25:56,052 --> 00:25:58,011 But we don't have a pacemaker to keep her heart-- 461 00:25:58,012 --> 00:26:00,389 Okay, so get one. You can call your fancy hospital, right? 462 00:26:00,390 --> 00:26:02,349 Bayan, it doesn't work like that. 463 00:26:02,350 --> 00:26:04,896 Well it should! You have to do something! 464 00:26:05,021 --> 00:26:07,648 I promise we'll find a way to help, okay? 465 00:26:09,984 --> 00:26:11,653 What? 466 00:26:12,486 --> 00:26:14,071 It doesn't work like that? 467 00:26:15,156 --> 00:26:18,199 You won't even try asking your colleagues? 468 00:26:18,200 --> 00:26:20,577 I can't just make a pacemaker fall off the supply shelf, 469 00:26:20,578 --> 00:26:24,081 I'm still only a resident. - With a direct line you've used for me more than once. 470 00:26:24,206 --> 00:26:26,249 - It's not the right solution. - What's going on, Bashir? 471 00:26:26,250 --> 00:26:28,919 What's wrong? Why are you really here? 472 00:26:29,044 --> 00:26:30,213 I... 473 00:26:30,964 --> 00:26:33,007 I just don't want to get their hopes up. 474 00:26:45,270 --> 00:26:47,606 irailing ) 475 00:26:52,444 --> 00:26:54,320 Hi, I'm Doctor Hunter. 476 00:26:54,445 --> 00:26:56,531 Um, I know you've been waiting a while sir. 477 00:26:56,656 --> 00:26:58,282 Look, all I know is a million hours ago, 478 00:26:58,407 --> 00:27:00,493 they said they were waiting for a doctor to read me my tests. 479 00:27:00,618 --> 00:27:03,495 It's been hectic with the system glitches but fortunately, 480 00:27:03,620 --> 00:27:05,165 I was able to track down your results manually. 481 00:27:05,290 --> 00:27:07,248 So you can tell me why my heart was racing? 482 00:27:07,249 --> 00:27:09,250 My co-workers forced me to take an ambulance, 483 00:27:09,251 --> 00:27:11,626 saying I looked so pale and nauseous. 484 00:27:11,627 --> 00:27:14,049 They also said anything heart-related gets seen first, 485 00:27:14,174 --> 00:27:15,632 but that's clearly not true. 486 00:27:15,633 --> 00:27:18,677 Well, our neurologist looked over your EEG 487 00:27:18,802 --> 00:27:21,973 and your blood work and concluded that you have epilepsy. 488 00:27:23,599 --> 00:27:25,476 Epilepsy? 489 00:27:25,851 --> 00:27:28,603 Oh, my God. - I know it may seem frightening 490 00:27:28,604 --> 00:27:31,316 but many people do live with the disease, it is manageable. 491 00:27:31,441 --> 00:27:32,692 Wait, doesn't that mean seizures? 492 00:27:32,817 --> 00:27:34,653 What does that have to do with my heart? 493 00:27:34,778 --> 00:27:37,153 Right, well uh, 494 00:27:37,154 --> 00:27:41,283 heart palpitations can be a marker of uh... 495 00:27:41,951 --> 00:27:43,617 Do you have somewhere else better to be? 496 00:27:43,618 --> 00:27:46,246 Uh no, sorry. I'm sorry, Mister Bertrand. 497 00:27:46,372 --> 00:27:49,208 What we'll do is refer you to a specialist. 498 00:27:49,333 --> 00:27:52,669 Braunstein. Bertrand's my first name. 499 00:27:53,504 --> 00:27:57,091 Your name isn't uh... Shaun Bertrand? 500 00:27:57,216 --> 00:27:59,509 No, man. My name's Bertrand Braunstein. 501 00:27:59,510 --> 00:28:01,762 Did you just read me the wrong results?! 502 00:28:01,887 --> 00:28:05,639 Ah, you... You got an EKG. Not an EEG. 503 00:28:05,640 --> 00:28:08,060 - What's the difference? - I mean the good news would be 504 00:28:08,185 --> 00:28:12,480 that your brain is fine. And uh, and your EKG's normal as well. 505 00:28:12,481 --> 00:28:14,982 I'm very sorry about this the mix-up. 506 00:28:14,983 --> 00:28:16,569 It's just, it's been a day. 507 00:28:16,695 --> 00:28:19,071 W-wait that's it?! I sat around here all night 508 00:28:19,196 --> 00:28:21,364 for you to tell me nothing happened? I felt something! 509 00:28:21,365 --> 00:28:25,244 Okay, but your blood work doesn't show any signs of an MI, 510 00:28:25,369 --> 00:28:29,372 so unless anything concrete showed up during the EKG, 511 00:28:29,373 --> 00:28:31,499 which it didn't, all we can do is recommend 512 00:28:31,500 --> 00:28:33,878 that you follow up with your GP. - And I just go home praying 513 00:28:34,003 --> 00:28:35,254 that I don't die in my sleep? 514 00:28:35,379 --> 00:28:38,215 You really expect me to live with that uncertainty? 515 00:28:42,345 --> 00:28:44,263 So the teacher has endocarditis? 516 00:28:44,388 --> 00:28:47,722 Roth spots, Janeway lesions? - Classic presentation. 517 00:28:47,723 --> 00:28:50,017 I'd have to confirm with echo but she could need pacing. 518 00:28:50,018 --> 00:28:51,812 I was wondering what the odds are-- 519 00:28:51,937 --> 00:28:53,313 Slim to nil. 520 00:28:53,439 --> 00:28:55,567 There's no way an NGO could get their hands on a pacemaker? 521 00:28:55,692 --> 00:28:58,192 Well, maybe if you applied the right pressure, kept it up for weeks 522 00:28:58,193 --> 00:29:00,360 and gave up something else they don't have funding for? 523 00:29:00,361 --> 00:29:02,195 What about a hospital in Beirut? 524 00:29:02,196 --> 00:29:04,993 One might take her but only if an NGO foots the bill. 525 00:29:05,118 --> 00:29:06,578 So, same dance. 526 00:29:12,541 --> 00:29:15,669 How the hell did anyone keep track of patients before computers? 527 00:29:15,794 --> 00:29:17,672 Yeah, speaking of chaos, what would you say if I asked 528 00:29:17,797 --> 00:29:19,840 to borrow the C-Arm in Trauma OR for a non-acute injury? 529 00:29:19,965 --> 00:29:23,970 I'd say I just let you move in and you're already trying to get me fired? 530 00:29:24,095 --> 00:29:27,682 I know you were trying to tell me about this big meeting earlier and I just wasn't-- 531 00:29:27,807 --> 00:29:31,144 Turns out it wasn't a meeting. Just a piece of performance art. 532 00:29:40,695 --> 00:29:42,030 Come on, Mags. 533 00:29:46,326 --> 00:29:47,782 What? 534 00:29:47,783 --> 00:29:49,954 I know she doesn't want to speak with me right now. 535 00:29:50,079 --> 00:29:51,412 Then why are you bothering her? 536 00:29:51,413 --> 00:29:53,124 I need advice, heart patient. Seriously? 537 00:29:53,249 --> 00:29:55,126 You just bailed on her to fly halfway around the world 538 00:29:55,251 --> 00:29:57,585 and she takes it in stride to create some distance 539 00:29:57,586 --> 00:29:59,462 and now you can't even let her have that? 540 00:29:59,463 --> 00:30:01,381 Call someone else. 541 00:30:06,095 --> 00:30:07,804 Yeah, that's not what I meant. 542 00:30:07,930 --> 00:30:10,097 Look. A 60-year-old woman with endocarditis, 543 00:30:10,098 --> 00:30:13,267 it could be causing a heart block. We have broad spectrum antibiotics 544 00:30:13,268 --> 00:30:14,935 but I can't get my hands on a pacemaker. 545 00:30:14,936 --> 00:30:16,481 It's a 30,000 $-piece of equipment. 546 00:30:16,606 --> 00:30:18,899 I was thinking I could stop gap with external pacing 547 00:30:19,024 --> 00:30:20,734 until it gets here. - What? 548 00:30:20,859 --> 00:30:23,655 Externally pacing for more than 12 hours risks electrical burns. 549 00:30:23,780 --> 00:30:25,822 On the other hand, the body will view 550 00:30:25,948 --> 00:30:27,533 the intravenous pacer as a foreign object 551 00:30:27,658 --> 00:30:29,910 and it'll collect infection just like the heart valve. 552 00:30:30,035 --> 00:30:32,453 She probably needs surgical valve repair not pacing. 553 00:30:32,454 --> 00:30:34,120 Did you get that? 554 00:30:34,121 --> 00:30:35,875 Yeah. Yeah. I did. Thanks. 555 00:30:36,000 --> 00:30:38,291 How is she? - Just don't do anything stupid over there. 556 00:30:38,292 --> 00:30:40,588 Hey I was trying to freeze him out for you! 557 00:30:40,713 --> 00:30:42,214 You could've held the line. 558 00:30:42,339 --> 00:30:44,676 Yeah, I can't let a stranger suffer, I'm just incapable of that. 559 00:30:44,801 --> 00:30:47,052 - You're allowed to feel upset. - Yeah and I am! 560 00:30:47,177 --> 00:30:51,014 I'm sad and hurt and confused. But it's not just all about him. 561 00:30:51,139 --> 00:30:54,808 Okay, so how do you process these feelings? 562 00:30:54,809 --> 00:30:58,438 Uh, lately? By talking it out with him. 563 00:30:58,564 --> 00:31:00,733 But since I can't do that, I guess... 564 00:31:00,859 --> 00:31:03,149 I'm right back at pouring it all into this place. 565 00:31:03,150 --> 00:31:05,152 Why, how do you...? 566 00:31:05,153 --> 00:31:07,866 Oh I just push it all down until it rears up 567 00:31:07,991 --> 00:31:10,784 in destructive ways. Like letting you use the C-arm. 568 00:31:17,750 --> 00:31:19,878 I need help here! 569 00:31:20,461 --> 00:31:21,753 She's not breathing. - Okay. 570 00:31:21,878 --> 00:31:23,923 Maybe she aspirated? Help me turn her. 571 00:31:24,048 --> 00:31:26,173 Yeah. One, two. 572 00:31:26,174 --> 00:31:29,303 Okay, I'll get something to suction. 573 00:31:29,428 --> 00:31:31,930 Did anybody see her choking? 574 00:31:32,932 --> 00:31:34,893 Alright. 575 00:31:38,521 --> 00:31:40,397 Hold on, I think I-- 576 00:31:47,946 --> 00:31:49,864 Says she was supposed to be sent to OR. 577 00:31:49,865 --> 00:31:52,907 Did we lose track of her? - We have no way of knowing that. 578 00:31:52,908 --> 00:31:56,246 Doctor Devi, if it keeps on like this, someone is gonna die. 579 00:31:56,371 --> 00:31:58,582 Hey. 580 00:32:04,297 --> 00:32:06,089 Can I have your attention, please? 581 00:32:06,214 --> 00:32:09,215 Due to a systems failure beyond our control, 582 00:32:09,216 --> 00:32:11,928 effective immediately unless you're a patient 583 00:32:12,054 --> 00:32:15,933 requiring level one care, this department is closed. 584 00:32:17,894 --> 00:32:20,603 Our triage nurses will be going through who can stay, 585 00:32:20,604 --> 00:32:22,814 who should go, and they'll be handing out lists 586 00:32:22,941 --> 00:32:26,194 of the closest available EDs and clinics. 587 00:32:27,611 --> 00:32:29,864 Are we really closing to new patients? 588 00:32:29,989 --> 00:32:32,572 And sending less acute to other hospitals until our systems are back? 589 00:32:32,573 --> 00:32:35,617 IT is saying it could take all night to get our systems back online, 590 00:32:35,618 --> 00:32:38,039 call the other EDs let them know we're diverting. 591 00:32:38,164 --> 00:32:39,916 We're supposed to call them before we close. 592 00:32:40,582 --> 00:32:43,503 I'll do my best but, we're not the only ones with a bed shortage. 593 00:32:43,628 --> 00:32:45,752 Yet according to Olsen, this massive structural problem is on me. 594 00:32:45,753 --> 00:32:47,799 Are you even allowed to do what you just did? 595 00:32:47,924 --> 00:32:50,301 Claire can you do another EKG on the guy in Exam room D? 596 00:32:50,426 --> 00:32:53,301 And if it's clear go ahead and discharge, I'll sign off later. 597 00:32:53,302 --> 00:32:56,307 I'm not saying that she should be doing my job for me, it's just that-- 598 00:32:56,432 --> 00:32:59,685 - No, you trust her judgment. - And why should he wait hours for me 599 00:32:59,810 --> 00:33:04,145 when you can get him out sooner. Oh and it's Bertrand Braunstein. 600 00:33:04,146 --> 00:33:06,024 Not Shaun Bertrand. - Okay. 601 00:33:06,149 --> 00:33:08,695 - He might have a point. - About my judgment? 602 00:33:08,820 --> 00:33:11,739 Claire, um how comfortable are you with the C-arm in Trauma OR? 603 00:33:11,864 --> 00:33:13,907 Because June says I can use it for Miss Callahan's knee 604 00:33:14,032 --> 00:33:16,327 but all the techs are busy and I'm like... 605 00:33:16,452 --> 00:33:19,414 If no help is coming, we help ourselves. 606 00:33:25,378 --> 00:33:27,003 Please. 607 00:33:31,884 --> 00:33:35,176 Bayan, I was wrong. Talia needs surgery. 608 00:33:35,177 --> 00:33:37,264 One that she can't get here. 609 00:33:37,389 --> 00:33:39,559 It has to be in a proper hospital. 610 00:33:39,684 --> 00:33:42,643 I'll advocate for resources to get her there. 611 00:33:42,644 --> 00:33:45,063 Until then... - Good thing I'm not leaving. 612 00:33:49,901 --> 00:33:51,195 You should undo that. 613 00:33:51,320 --> 00:33:53,239 Hey, there are others who can help. 614 00:33:53,364 --> 00:33:55,407 Who? You? You will leave eventually. 615 00:33:55,532 --> 00:33:58,411 And if I don't stay, she could die. 616 00:34:01,246 --> 00:34:03,373 Okay... 617 00:34:03,958 --> 00:34:06,293 - It might take a minute. - Quick pinch. 618 00:34:06,418 --> 00:34:08,962 One, two, three. 619 00:34:11,090 --> 00:34:12,924 It's not right, skipping the line, 620 00:34:13,051 --> 00:34:16,136 I can still hear Audrey crying for help when I close my eyes. 621 00:34:16,261 --> 00:34:18,556 You need help too. The colour of the fluid does suggest infection. 622 00:34:18,681 --> 00:34:20,391 - Mags! - Yeah? 623 00:34:20,516 --> 00:34:22,726 I think you should... 624 00:34:24,145 --> 00:34:27,732 Lenore, you don't drink alcohol, do you? Or overuse painkillers? 625 00:34:27,857 --> 00:34:31,902 No alcohol. And I only use pain pills the way my doctor says, why? 626 00:34:32,027 --> 00:34:33,904 Well, there is scarring on your liver. 627 00:34:34,029 --> 00:34:36,491 My liver? I thought you were looking at my knee. 628 00:34:36,616 --> 00:34:40,409 Yeah, we checked a wider area given your lightheadedness and jaundice. 629 00:34:40,410 --> 00:34:43,498 Cirrhosis primarily comes from toxins but it can also come 630 00:34:43,623 --> 00:34:45,038 from the kind of mission work that you do. 631 00:34:45,039 --> 00:34:46,916 I'm not sure I follow. 632 00:34:46,917 --> 00:34:49,962 Well, we see hepatitis in unhoused communities, 633 00:34:50,087 --> 00:34:53,132 it is transmissible and it can cause loss of appetite, 634 00:34:53,257 --> 00:34:56,217 bruising and eventually liver injury. 635 00:34:56,218 --> 00:34:57,550 Can you treat it? 636 00:34:57,551 --> 00:34:59,639 Well, we'll need to do typing once our labs are up. 637 00:34:59,764 --> 00:35:01,889 But Lenore, for your liver to get this bad, 638 00:35:01,890 --> 00:35:04,518 it would have taken a long time. You doctor didn't notice anything? 639 00:35:04,643 --> 00:35:06,101 I mentioned some tiredness and bloating 640 00:35:06,102 --> 00:35:08,605 and she just told me to slow down but, you know it's not my-- 641 00:35:08,730 --> 00:35:10,690 Incoming! Parking cop! 642 00:35:10,817 --> 00:35:13,527 Some guy snapped and ran him over on purpose. 643 00:35:13,652 --> 00:35:15,947 Hello? - Doctor Novak, my patient needed an imaging 644 00:35:16,072 --> 00:35:18,072 and everything was backed up. We'll get out of your way. 645 00:35:18,073 --> 00:35:19,784 - Forget it, no time! - Trauma Bay's open. 646 00:35:19,909 --> 00:35:22,576 Thought we weaned you off this kind of excess, Leblanc. 647 00:35:22,577 --> 00:35:24,453 Will that man be okay? 648 00:35:24,454 --> 00:35:27,748 Your doctor should have caught this! You should file a complaint. 649 00:35:27,749 --> 00:35:29,416 She's busy and I didn't press it-- 650 00:35:29,417 --> 00:35:31,251 Well you should start since you can't rely on her. 651 00:35:31,252 --> 00:35:34,130 - I don't need to, I have God. - Lenore, 652 00:35:34,131 --> 00:35:36,134 isn't that kind of thinking what landed you here? 653 00:35:36,259 --> 00:35:38,092 - Mags! - I've devoted my whole life to Him 654 00:35:38,093 --> 00:35:40,304 and I trust Him to take care of me too. 655 00:35:40,429 --> 00:35:42,848 Yeah, except what if a life of service isn't enough anymore? 656 00:35:42,973 --> 00:35:45,893 Mags! I think you made your point. 657 00:35:51,732 --> 00:35:53,860 What happened to you either waiting at my place 658 00:35:53,985 --> 00:35:56,194 or going home to yours. 659 00:35:56,319 --> 00:35:58,612 I'm still married Theo. 660 00:35:58,613 --> 00:36:01,826 As like, you're still legally married? 661 00:36:01,951 --> 00:36:03,617 Because plenty of couples let that linger. 662 00:36:03,618 --> 00:36:04,951 No. 663 00:36:04,952 --> 00:36:08,040 I mean, according to Jonathan we're still together. 664 00:36:08,748 --> 00:36:11,166 Six months ago, you were telling people he moved out. 665 00:36:11,167 --> 00:36:14,003 Six months ago he did. And then he moved back, 666 00:36:14,004 --> 00:36:17,757 ostensibly because the cost of two households was bleeding us dry. 667 00:36:18,176 --> 00:36:21,846 But, full transparency, he also thinks we're working on it. 668 00:36:21,971 --> 00:36:23,723 Full transparency? 669 00:36:23,848 --> 00:36:25,558 Well he thinks you're working on it because you are or-- 670 00:36:25,683 --> 00:36:28,895 We sleep in separate rooms. We've been on a few dates 671 00:36:29,020 --> 00:36:31,355 Liz, you guys have a kid, okay? 672 00:36:31,480 --> 00:36:33,357 I can't be the one who comes between that. 673 00:36:33,482 --> 00:36:35,902 Theo, I haven't done anything wrong here 674 00:36:36,027 --> 00:36:38,194 and neither have you. 675 00:36:39,572 --> 00:36:43,534 Does this change what you said earlier? 676 00:36:43,909 --> 00:36:46,746 Do you want to fix things with him? 677 00:36:48,246 --> 00:36:49,956 I don't know! 678 00:36:54,420 --> 00:36:56,630 You paged me up here why? 679 00:36:56,755 --> 00:36:58,547 I couldn't take him to Trauma OR 680 00:36:58,548 --> 00:37:01,175 because of a woman with knee problems. 681 00:37:01,176 --> 00:37:03,386 And that is an act of compassion I understand that you sanctioned? 682 00:37:03,511 --> 00:37:07,433 Yeah, well your guy was stabilized and rushed into surgery, so? 683 00:37:07,558 --> 00:37:09,060 Okay, that's not my point. 684 00:37:09,185 --> 00:37:11,978 Then what is your point, that you get to use your gut and I don't? 685 00:37:12,103 --> 00:37:15,315 You do understand that we bill O-HIP like 686 00:37:15,440 --> 00:37:18,110 5,000 $ a minute for Trauma OR, right? 687 00:37:18,235 --> 00:37:20,904 So maybe you should use my bursary blood to money to pay for that! 688 00:37:21,029 --> 00:37:23,156 Yeah, I'll even write you a check for the balance! 689 00:37:25,534 --> 00:37:28,534 Okay, June, I see that you are upset. 690 00:37:28,535 --> 00:37:31,456 And uh, to be honest I wasn't expecting it-- 691 00:37:31,581 --> 00:37:33,916 You guys cooked up this fake position to try to pacify me 692 00:37:33,917 --> 00:37:36,585 and you made me feel like I shouldn't have even reported the stupid incident. 693 00:37:36,586 --> 00:37:39,213 Our timing was justifiably terrible, 694 00:37:39,214 --> 00:37:42,092 but Olsen approached me months ago about it and I wanted to wait 695 00:37:42,217 --> 00:37:44,971 until I was sure you liked working with me. 696 00:37:45,096 --> 00:37:47,473 Why can't you see this for what it is? 697 00:37:47,598 --> 00:37:49,933 It's a reflection of your ability. 698 00:37:55,313 --> 00:37:57,817 You're taking Talia home, to Douma? 699 00:37:57,942 --> 00:38:00,319 Yeah. As a Syrian, the hospitals will treat her. 700 00:38:00,444 --> 00:38:02,110 And she has a sister there. 701 00:38:02,111 --> 00:38:03,864 That area is regime controlled. 702 00:38:03,989 --> 00:38:05,405 I wouldn't even risk going there. 703 00:38:05,406 --> 00:38:07,618 I know that's why I'm asking to borrow your truck, I'll go-- 704 00:38:07,743 --> 00:38:11,663 You could be arrested! If we try to help everybody, we help nobody. 705 00:38:11,788 --> 00:38:14,458 Look, I made a mess, this is the only way I know to fix it. 706 00:38:14,583 --> 00:38:18,128 Can't you just once stop taking everything on yourself! 707 00:38:19,087 --> 00:38:22,132 You say you're here for me? Why? 708 00:38:22,257 --> 00:38:24,300 To talk me out of leaving because you're worried 709 00:38:24,301 --> 00:38:26,679 that I can't make my own life? - No, no, it's not-- 710 00:38:26,804 --> 00:38:28,973 Look, you don't know what it's like... 711 00:38:29,098 --> 00:38:31,431 Being the one that left. 712 00:38:31,432 --> 00:38:33,934 Whatever part of you is missing, 713 00:38:33,935 --> 00:38:36,188 it's not in Douma, Bashir. 714 00:38:42,569 --> 00:38:45,406 You told me not to seek validation in their opinion of me 715 00:38:45,531 --> 00:38:47,447 but this is how this entire ecosystem is built. 716 00:38:47,448 --> 00:38:49,992 - Then you have to resist it. - Except every time I try, 717 00:38:49,993 --> 00:38:52,496 it's the same garbage cycle. Either people end up hating me 718 00:38:52,621 --> 00:38:55,540 or they tell me not to help them! - So give up. 719 00:38:55,665 --> 00:38:57,335 Enough already, right? 720 00:38:58,210 --> 00:39:02,422 Right, like that's why you were on your roof. 721 00:39:02,547 --> 00:39:05,592 You don't care what happens to you, anymore? 722 00:39:05,717 --> 00:39:08,721 You know what? You wanna die so badly, fine! 723 00:39:08,846 --> 00:39:11,223 You know, we're not so different. 724 00:39:11,348 --> 00:39:14,726 I used to think the problem was everyone else, 725 00:39:14,851 --> 00:39:17,270 but the problem is me... 726 00:39:17,813 --> 00:39:19,105 Hating myself. 727 00:39:19,230 --> 00:39:22,192 Listen, I do not... 728 00:39:27,781 --> 00:39:31,657 It's not that I want to die. But I am. 729 00:39:31,658 --> 00:39:33,869 So if you really want to help me, 730 00:39:33,870 --> 00:39:35,829 you can distract me from that. 731 00:39:35,830 --> 00:39:37,290 Hm? 732 00:39:45,757 --> 00:39:48,552 Asthma attack admitted and stable. 733 00:39:48,677 --> 00:39:50,721 And the kid with the glass in his eye 734 00:39:50,846 --> 00:39:54,556 is waiting for ophthalmology who still insists he's on his way. 735 00:39:54,557 --> 00:39:56,268 Uh, sorry. 736 00:39:56,393 --> 00:39:59,772 You know anything about curtain five? Can't find the intake. 737 00:39:59,897 --> 00:40:03,065 Um. Give me five seconds. I'm just gonna change an infusion in E first. 738 00:40:03,066 --> 00:40:06,654 Well, looks like we weathered the storm. 739 00:40:08,322 --> 00:40:10,406 You're going to take heat for closing those doors though. 740 00:40:10,532 --> 00:40:12,243 I am aware. 741 00:40:12,368 --> 00:40:16,369 But hey, Olsen was out of line before. 742 00:40:16,370 --> 00:40:19,540 Ah, the cavalry arrives after the battle is lost. 743 00:40:21,918 --> 00:40:24,130 Arnold you said five, right? 744 00:40:24,255 --> 00:40:26,923 Yes, Claire. It's five. 745 00:40:30,009 --> 00:40:32,760 - How's Mother Theresa? - She has hepatitis 746 00:40:32,761 --> 00:40:34,639 which wasn't caught for who knows how long. 747 00:40:34,764 --> 00:40:36,931 I hope we didn't screw you up with our little stunt thing. 748 00:40:36,932 --> 00:40:39,059 No. Actually, they tried to promote me. 749 00:40:39,060 --> 00:40:41,772 What? - Help! Help! She's bleeding! 750 00:40:41,897 --> 00:40:43,773 Someone! Someone help! 751 00:40:43,898 --> 00:40:47,319 - Oh my God, it's Claire! It's Claire! - Call a code blue! 752 00:40:47,444 --> 00:40:50,864 Pulse is faint. Multiple stab wounds! 753 00:40:50,989 --> 00:40:53,032 Gauze! Gauze! Gauze! - Now, Arnold! 754 00:40:54,743 --> 00:40:56,494 We need her in trauma OR now! 755 00:40:56,619 --> 00:40:58,456 - Move! - Did anybody see who did this? 756 00:40:58,581 --> 00:41:01,040 - Claire, can you hear us? - Got the board! 757 00:41:01,166 --> 00:41:05,003 Board roll on three. One, two, three. 758 00:41:05,128 --> 00:41:08,256 Lift on three. One, two, three. 759 00:41:11,594 --> 00:41:13,846 Out of the way, out of the way, out of the way. 760 00:41:13,971 --> 00:41:16,473 - We've got you, Claire. - Clear! Clear the way! 761 00:41:21,020 --> 00:41:25,315 I told her if she didn't leave, I won't accept any treatment. 762 00:41:25,440 --> 00:41:28,277 I'm not going to let her stay for me. 763 00:41:30,069 --> 00:41:32,864 Okay look, when I left home... 764 00:41:34,282 --> 00:41:39,455 I left with this weight, to live for those who couldn't. 765 00:41:41,248 --> 00:41:45,043 And if you make Bayan do the same, she'll have to carry it too. 766 00:41:59,599 --> 00:42:02,476 Doctor Garneau. Will you introduce me to the NGO reps? 767 00:42:02,477 --> 00:42:04,772 Talia needs resources and a trip to the hospital. 768 00:42:04,897 --> 00:42:07,480 They're coming to test the water chlorination. 769 00:42:07,481 --> 00:42:09,735 Those gastroenteritis cases I mentioned? 770 00:42:09,860 --> 00:42:12,570 They're looking more like cholera. 771 00:42:12,695 --> 00:42:14,447 An outbreak? Are you sure? 772 00:42:14,572 --> 00:42:16,407 I sent samples to the lab in Beirut. 773 00:42:16,534 --> 00:42:18,826 If I'm right, we'll know in a few days. 774 00:42:23,248 --> 00:42:25,708 There's a lot of fluid, likely organ perforation. 775 00:42:25,833 --> 00:42:27,293 - Which one? - C-arm. 776 00:42:27,418 --> 00:42:29,462 Heart rate's rising. She's showing signs of shock. 777 00:42:29,587 --> 00:42:30,922 BP's on rapid decline. MTP? 778 00:42:31,047 --> 00:42:32,549 Yeah, let's hang as many units as we can. 779 00:42:32,674 --> 00:42:35,636 One gram TXA, we really need to figure out what organ got hit. 780 00:42:35,761 --> 00:42:40,054 Imaging confirms free fluid, spleen and right kidney. 781 00:42:40,055 --> 00:42:42,643 I need more gauze, I can't get a handle on this bleed. 782 00:42:42,768 --> 00:42:44,726 - What about her left? - She doesn't have one. 783 00:42:44,727 --> 00:42:46,272 No left kidney? Claire only has one? 784 00:42:46,397 --> 00:42:47,730 Does anyone know why? 785 00:42:47,855 --> 00:42:50,234 No. She doesn't really talk about personal stuff like that. 786 00:42:50,359 --> 00:42:52,777 - V-tach! - She's hemodynamically unstable. 787 00:42:52,902 --> 00:42:55,906 Rhoda, crash cart! - We gotta to open her now, source the damage. 788 00:42:56,031 --> 00:42:58,074 Yeah, I'm going to start a central line. 789 00:42:58,199 --> 00:43:01,409 V-fib. She's in v-fib, we need to shock. 790 00:43:01,410 --> 00:43:03,411 Charge 200. 791 00:43:03,412 --> 00:43:05,205 Clear! 792 00:43:28,063 --> 00:43:29,898 difuze