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Would you like to inspect the original subtitles? These are the user uploaded subtitles that are being translated: 1 00:00:00,320 --> 00:00:02,123 The state controls the universities. 2 00:00:02,148 --> 00:00:03,953 And I am an enemy of the state. 3 00:00:05,171 --> 00:00:07,875 There is no paper trail because of who I am. 4 00:00:08,593 --> 00:00:09,960 My place later? 5 00:00:10,028 --> 00:00:11,395 You've got a second chance. 6 00:00:11,509 --> 00:00:13,848 You should think about how you're gonna use it. 7 00:00:17,999 --> 00:00:20,602 _ 8 00:00:20,627 --> 00:00:21,781 _ 9 00:00:21,828 --> 00:00:23,148 _ 10 00:00:23,173 --> 00:00:24,440 You're in Idlib? 11 00:00:24,471 --> 00:00:28,062 Kafr Halab. The building collapsed this morning. 12 00:00:28,102 --> 00:00:29,516 Bombs last night. 13 00:00:29,541 --> 00:00:30,965 And we're looking for survivors. 14 00:00:30,990 --> 00:00:32,398 How many of you on site, Saleh? 15 00:00:32,423 --> 00:00:35,195 We're small team. Most are trainees like me. 16 00:00:35,242 --> 00:00:37,015 And what sort of equipment do you have? 17 00:00:37,095 --> 00:00:39,508 The usual, basic first aid. 18 00:00:39,533 --> 00:00:40,820 It's good you called. 19 00:00:41,021 --> 00:00:44,258 You need to manage hemorrhagic shock so he's safe to transport. 20 00:00:44,283 --> 00:00:47,656 Can someone find a... a sheet or towel to wrap him? 21 00:00:47,687 --> 00:00:49,773 _ 22 00:00:51,643 --> 00:00:54,773 Place your hands on his pelvis and compress inwards. 23 00:00:55,312 --> 00:00:57,062 Feel around for movement. 24 00:00:57,515 --> 00:00:59,742 _ 25 00:01:02,299 --> 00:01:04,094 They found a regime flag. 26 00:01:04,164 --> 00:01:06,750 _ 27 00:01:06,775 --> 00:01:09,578 _ 28 00:01:09,609 --> 00:01:10,953 _ 29 00:01:15,162 --> 00:01:16,352 Planes? 30 00:01:16,377 --> 00:01:17,969 Saleh, do you need to get out of there? 31 00:01:17,994 --> 00:01:19,695 Just passing over, I hope. 32 00:01:21,673 --> 00:01:24,469 How is... How is Zaynab? 33 00:01:26,255 --> 00:01:27,617 We will be getting married. 34 00:01:29,901 --> 00:01:32,051 Good for you. Poor her. 35 00:01:37,717 --> 00:01:38,930 His radial is strong. 36 00:01:38,955 --> 00:01:40,588 We need to keep looking. 37 00:01:40,613 --> 00:01:42,914 More bodies might be trapped in rubble. 38 00:01:43,609 --> 00:01:46,805 - Thank you, Bashir. - Be safe, if you need... 39 00:01:48,124 --> 00:01:50,487 - Oh. Is everything okay? - Yes, thank you. 40 00:02:24,322 --> 00:02:27,736 - Synced and corrected by martythecrazy - - www.addic7ed.com - 41 00:02:39,180 --> 00:02:40,526 I'm gonna take it. 42 00:02:40,956 --> 00:02:42,890 Wait, wait, wait. 43 00:02:44,309 --> 00:02:46,000 I know what that means. 44 00:02:46,149 --> 00:02:48,669 Dr. Singh says if you're not early... 45 00:02:49,182 --> 00:02:50,922 you're late, so... 46 00:02:51,928 --> 00:02:54,175 Well, your boss got no joy in his life. 47 00:02:54,482 --> 00:02:56,927 He's a surgeon. We're not exactly known for joy. 48 00:02:59,105 --> 00:03:00,472 Dinner later? 49 00:03:00,497 --> 00:03:03,059 Maybe. Don't forget to hold for five. 50 00:03:22,470 --> 00:03:23,784 Everything alright? 51 00:03:23,809 --> 00:03:25,204 A grade four student 52 00:03:25,229 --> 00:03:27,600 in your household, Abigail Hunter, was marked 53 00:03:27,625 --> 00:03:29,401 absent at morning attendance. 54 00:03:29,426 --> 00:03:31,526 I call the school, it goes straight to voicemail. 55 00:03:31,962 --> 00:03:33,878 Mel texted me after the drop off, 56 00:03:33,903 --> 00:03:36,470 so I know Abby's there, or should be. 57 00:03:36,495 --> 00:03:38,122 I called Mel, but she's not picking up. 58 00:03:38,147 --> 00:03:40,589 She has meetings all day, so she might have her phone off. 59 00:03:40,614 --> 00:03:42,849 I'll cover your patients. You do what you need to do. 60 00:03:43,928 --> 00:03:45,476 Thank you. 61 00:03:46,610 --> 00:03:49,103 Why would I get a message from them saying you drop her off? 62 00:03:49,128 --> 00:03:50,565 I don't know, the school didn't call me 63 00:03:50,590 --> 00:03:52,182 so this is the first time I'm hearing about this. 64 00:03:52,207 --> 00:03:54,465 - Did you call back? - It went to voicemail. 65 00:03:54,490 --> 00:03:58,167 Look. When you dropped Abby off, you saw her go in? 66 00:03:58,192 --> 00:04:00,815 I left her in the yard with her friends five minutes before the bell, 67 00:04:00,840 --> 00:04:02,909 When she's been begging ff, for this for months. 68 00:04:02,934 --> 00:04:05,502 If we're making a decision like that, shouldn't we have discussed it 69 00:04:05,527 --> 00:04:08,002 Well you're not here. So you don't get to tell me how to drop the kids off. 70 00:04:08,027 --> 00:04:09,260 Look, I'm worried, okay? 71 00:04:09,285 --> 00:04:12,065 Because if you didn't watch her go in, 72 00:04:12,090 --> 00:04:14,325 doesn't that mean she could actually be gone? 73 00:04:14,350 --> 00:04:15,551 I'm worried too. 74 00:04:15,576 --> 00:04:16,634 I'm already in the car. 75 00:04:16,659 --> 00:04:18,259 I'll call you when I get there 76 00:04:26,354 --> 00:04:29,435 Messy hair, flushed cheeks, and almost smiling? 77 00:04:29,460 --> 00:04:31,135 I wonder who the guy is. 78 00:04:31,220 --> 00:04:33,167 Maybe she just overslept? 79 00:04:33,691 --> 00:04:35,212 - No judgment. - No. 80 00:04:35,237 --> 00:04:36,487 Respect, actually. 81 00:04:36,512 --> 00:04:38,644 It's basically impossible to make a relationship work 82 00:04:38,669 --> 00:04:40,292 - around this job. - You don't date? 83 00:04:41,088 --> 00:04:43,537 I've... I've had to accept 84 00:04:43,562 --> 00:04:46,463 the fact that the hospital is my current boyfriend. 85 00:04:46,488 --> 00:04:47,643 You? 86 00:04:47,668 --> 00:04:50,596 I sleep on a sofa so my sister can have a bedroom. 87 00:04:50,916 --> 00:04:54,065 MVC 3 minutes out. Code trauma. VSA. 88 00:04:54,686 --> 00:04:56,954 Hit-and-run. Victim's not identified. 89 00:04:57,213 --> 00:04:59,410 Driver of the vehicle, head injury, GCS 6, 90 00:04:59,434 --> 00:05:02,144 massive blood loss, ***, resus on the field 8 minutes ago. 91 00:05:02,169 --> 00:05:04,602 Passenger. Airbag malfunctioned, didn't deploy. 92 00:05:04,627 --> 00:05:06,964 Cyanosed, 02 sats at 80 percent. 93 00:05:07,153 --> 00:05:11,159 Pulse 120, resp rate 35, BP 95 on 68 94 00:05:11,184 --> 00:05:13,065 Bed one. Dr. Hamed. 95 00:05:15,235 --> 00:05:16,948 Dr. Leblanc, bed two. 96 00:05:19,630 --> 00:05:21,276 One, two, three. 97 00:05:23,137 --> 00:05:24,706 It's all yours, doctors. 98 00:05:24,731 --> 00:05:26,074 Arnold take compressions. 99 00:05:26,099 --> 00:05:29,058 Activate MTP, and insert two large boreVs. 100 00:05:29,296 --> 00:05:31,519 ABCs, doctor. 101 00:05:32,205 --> 00:05:35,172 Uh, I'll intubate and decompress the chest bilaterally. 102 00:05:35,197 --> 00:05:36,956 One, two, three. 103 00:05:40,255 --> 00:05:42,323 We need two units O-neg. 104 00:05:42,348 --> 00:05:46,128 Mags, an eFAST, and I need an art line. 105 00:05:48,278 --> 00:05:51,280 EMS radioed from dispatch, we have IDs. 106 00:05:51,305 --> 00:05:53,534 Marie Tabeh, 46, Ana Tabeh, 20. 107 00:05:53,559 --> 00:05:55,190 This is a mother, daughter? 108 00:06:01,057 --> 00:06:03,392 Pneumothorax. We need a chest tube! 109 00:06:03,417 --> 00:06:04,917 Use a 28 French in case there's a hemothorax. 110 00:06:04,942 --> 00:06:08,144 Let's sedate with ketamine, she needs 40mg, let's start her. 111 00:06:09,895 --> 00:06:11,229 Still no pulse. 112 00:06:11,254 --> 00:06:13,388 There's cardiac activity on the ultrasound, 113 00:06:13,413 --> 00:06:15,440 but her heart looks empty. 1mg epinephrine. 114 00:06:15,898 --> 00:06:18,815 Epi won't help if there's no blood for the heart to pump. 115 00:06:18,840 --> 00:06:21,942 PEA, narrow complex. Not a shockable rhythm. 116 00:06:21,967 --> 00:06:25,519 Restart compressions. Let's focus on resuscitation using blood product. 117 00:06:26,797 --> 00:06:29,128 Preparing for chest tube, making incision.. 118 00:06:29,783 --> 00:06:31,451 Test. 119 00:06:32,839 --> 00:06:35,261 Get your finger in the pleural space. 120 00:06:36,569 --> 00:06:39,441 - What are you feeling? - Smooth pleural... 121 00:06:40,109 --> 00:06:41,901 Lung. I think I'm good. 122 00:06:41,926 --> 00:06:43,737 Chest tube. 123 00:06:56,878 --> 00:06:58,644 Hemopneumo. 124 00:07:00,236 --> 00:07:02,026 Left foot is cold. 125 00:07:03,065 --> 00:07:04,599 No pulse. 126 00:07:04,854 --> 00:07:07,081 Her knee looks pretty mangled. This could be vascular injury. 127 00:07:07,106 --> 00:07:10,003 Page vascular. She's gonna need the OR. 128 00:07:11,149 --> 00:07:12,948 Still no pulse! 129 00:07:13,404 --> 00:07:16,042 No cardiac or electrical activity. 130 00:07:16,849 --> 00:07:19,284 Okay. I think that's it. 131 00:07:19,369 --> 00:07:21,470 You think? Or you know. 132 00:07:21,859 --> 00:07:23,183 I know. 133 00:07:23,694 --> 00:07:25,144 So you're confident. 134 00:07:25,601 --> 00:07:26,987 Yes. 135 00:07:28,753 --> 00:07:31,714 Asystole, no cardiac activity on ultrasound, 136 00:07:31,739 --> 00:07:33,028 prolonged downtime. 137 00:07:33,053 --> 00:07:36,027 We managed *** cause of traumatic cardiac arrest. 138 00:07:36,052 --> 00:07:39,697 3 units packed cells, bilaterally chest decompression. 139 00:07:39,722 --> 00:07:42,222 No pericardial effusion, and a stable pelvis. 140 00:07:42,589 --> 00:07:45,425 I'm confident that after the massive head injuries suffered by this patient 141 00:07:45,450 --> 00:07:47,217 she had no chance. 142 00:07:48,892 --> 00:07:50,192 Then call it. 143 00:07:50,217 --> 00:07:52,284 Time of Death, 10:14 AM. 144 00:07:52,714 --> 00:07:54,112 Thank you, everyone. 145 00:07:54,526 --> 00:07:57,401 Let's just take a moment to acknowledge the end of a life 146 00:07:58,560 --> 00:08:00,925 and the efforts of our team to save it. 147 00:08:15,976 --> 00:08:18,235 Sir? About what just happened. 148 00:08:18,727 --> 00:08:21,501 Being challenged? Consider it the new normal. 149 00:08:21,569 --> 00:08:23,594 Are you talking about how I ran that trauma? 150 00:08:23,619 --> 00:08:25,665 I'm talking about you telling legal 151 00:08:25,690 --> 00:08:27,915 that you can't get us your transcripts. 152 00:08:28,657 --> 00:08:31,228 Do you know what a lawyer hears when you say enemy of the state? 153 00:08:31,253 --> 00:08:32,704 They hear liability, 154 00:08:32,821 --> 00:08:35,649 that puts the pressure on us to make certain that you are not. 155 00:08:36,012 --> 00:08:39,248 I need you to be above reproach. Sharper than everyone else. 156 00:08:39,273 --> 00:08:41,094 Hi, Jasmine Weber, peds two. 157 00:08:41,119 --> 00:08:43,180 - Thanks. - Where's Doctor Hunter? 158 00:08:43,205 --> 00:08:45,541 I asked to take a couple extra patients. 159 00:08:45,809 --> 00:08:47,376 Staying sharp. 160 00:08:48,158 --> 00:08:49,858 Let's see. 161 00:08:52,712 --> 00:08:55,318 Can you tell me what happened Mr. Monroe? 162 00:08:55,506 --> 00:08:58,420 Kinda stupid. My fault, really. 163 00:08:58,682 --> 00:09:00,748 I've been trying to lose a few pounds 164 00:09:00,773 --> 00:09:03,615 so I hid the cookies up in the cupboard. 165 00:09:03,738 --> 00:09:05,318 I got a craving, 166 00:09:05,343 --> 00:09:08,060 so I climbed up on a stool to get them, 167 00:09:08,194 --> 00:09:09,761 and bam! 168 00:09:09,786 --> 00:09:11,654 I didn't want to come all the way down here 169 00:09:11,679 --> 00:09:14,498 but the boss insisted when she got back from work. 170 00:09:15,146 --> 00:09:16,521 Are you a nurse? 171 00:09:16,546 --> 00:09:19,006 Nurse's aide. At a retirement home. 172 00:09:19,031 --> 00:09:20,618 I work the night shift. 173 00:09:20,643 --> 00:09:23,857 You're not supposed to call it the graveyard shift, there. 174 00:09:23,882 --> 00:09:26,342 I get home and he's white as a sheet, 175 00:09:26,367 --> 00:09:28,935 can barely stand from the pain, but it's all, 176 00:09:28,960 --> 00:09:30,873 "No, no, I'm fine." 177 00:09:31,603 --> 00:09:33,177 She worries. 178 00:09:33,202 --> 00:09:35,403 Only because she cares. 179 00:09:35,885 --> 00:09:37,818 We should all be so lucky. 180 00:09:38,664 --> 00:09:40,576 It's gonna be cold. 181 00:09:44,912 --> 00:09:47,180 Okay, well, I'm seeing some fluid here, 182 00:09:47,205 --> 00:09:49,826 so this could be an indication of internal bleeding. 183 00:09:49,851 --> 00:09:53,177 - You'll need a CT. - If you say so, Doc. 184 00:10:00,477 --> 00:10:03,607 We need to bring him to the resus room, stat! 185 00:10:05,361 --> 00:10:07,606 Then she lost control of her legs. 186 00:10:07,731 --> 00:10:10,568 I needed the neighbour to help me get her to the car. 187 00:10:10,593 --> 00:10:12,193 Should I have called an ambulance? 188 00:10:12,239 --> 00:10:14,807 No, the important thing is that you're here now. 189 00:10:17,609 --> 00:10:19,514 How old are you, Jasmine? 190 00:10:20,424 --> 00:10:22,123 Thirteen. 191 00:10:22,210 --> 00:10:24,911 And can you tell me when you started feeling this way? 192 00:10:25,315 --> 00:10:26,740 Earlier today. 193 00:10:26,765 --> 00:10:29,951 It started with a little slurring, and then it got worse. 194 00:10:35,006 --> 00:10:37,662 Did you take any drugs or alcohol? 195 00:10:38,874 --> 00:10:41,443 Any issues swallowing? Headaches? 196 00:10:44,108 --> 00:10:46,145 Can you do this for me? 197 00:10:55,160 --> 00:10:56,560 That's great. 198 00:10:56,585 --> 00:10:58,627 Any indications leading to today? 199 00:10:58,652 --> 00:11:00,223 Cognitive or behavioural? 200 00:11:00,248 --> 00:11:02,231 Can I talk to you outside? 201 00:11:07,715 --> 00:11:09,516 I'm her foster mother. 202 00:11:09,921 --> 00:11:12,222 I've only had Jasmine a few weeks. 203 00:11:12,394 --> 00:11:15,254 Do you have any family medical history? 204 00:11:15,279 --> 00:11:17,213 Specifically, I'm looking for a history 205 00:11:17,238 --> 00:11:18,809 of heart disease or strokes. 206 00:11:18,834 --> 00:11:20,297 You think she's having a stroke? 207 00:11:20,322 --> 00:11:22,660 With slurred speech and loss of motor function, 208 00:11:22,685 --> 00:11:24,317 that's the first thing to rule out. 209 00:11:24,342 --> 00:11:27,543 Well, she's been in a series of group homes for the past two yes. 210 00:11:27,681 --> 00:11:29,615 She ran away from the last one. 211 00:11:29,640 --> 00:11:31,879 That's all the information the foster agency had. 212 00:11:31,904 --> 00:11:33,785 I barely know her at all. 213 00:11:38,203 --> 00:11:41,254 For labs, you want a CBC and electrolytes? 214 00:11:41,279 --> 00:11:44,098 Um... Also venous gas, 215 00:11:44,123 --> 00:11:46,356 extended lytes, CK, 216 00:11:46,381 --> 00:11:49,164 liver panel, hemoglobin A1C. 217 00:11:49,189 --> 00:11:50,629 And get her to CT as soon as possible. 218 00:11:50,654 --> 00:11:52,012 Got it. 219 00:11:52,792 --> 00:11:55,326 So., uh, we'll do imaging 220 00:11:55,351 --> 00:11:57,098 and send blood work to the lab 221 00:11:57,123 --> 00:11:58,590 and see what's going on. 222 00:11:58,615 --> 00:12:01,250 In the meantime, just stay with her 223 00:12:01,275 --> 00:12:03,145 and keep her spirits up. 224 00:12:13,238 --> 00:12:15,567 _ 225 00:12:15,592 --> 00:12:18,778 _ 226 00:12:18,803 --> 00:12:21,246 _ 227 00:12:21,612 --> 00:12:23,079 Where's the rest of your team? 228 00:12:23,104 --> 00:12:24,801 The building shifted again 229 00:12:24,826 --> 00:12:27,301 and they got stuck on a higher floor. 230 00:12:27,470 --> 00:12:29,667 We need your help. 231 00:12:41,824 --> 00:12:43,391 Remember after your accident, 232 00:12:43,416 --> 00:12:46,518 we talked about you having a second chance? 233 00:12:46,937 --> 00:12:49,390 I remember you talking about 234 00:12:49,438 --> 00:12:50,913 how I was coming out of a coma at the time, 235 00:12:50,938 --> 00:12:52,562 so I wasn't saying much. 236 00:12:52,660 --> 00:12:55,689 Running down Bash like that in trauma for no reason? 237 00:12:55,714 --> 00:12:57,982 If this is you trying for a second chance, 238 00:12:58,057 --> 00:12:59,458 you're failing. 239 00:12:59,483 --> 00:13:01,258 I had a very good reason. 240 00:13:01,800 --> 00:13:03,367 I could take you through it. 241 00:13:04,991 --> 00:13:07,307 Over dinner. 242 00:13:07,930 --> 00:13:09,434 My place. 243 00:13:09,952 --> 00:13:13,359 Yeah, I thought we fished with all that about five years ago. 244 00:13:13,632 --> 00:13:15,295 Anyway, I don't recall 245 00:13:15,320 --> 00:13:17,443 you ever actually making me dinner. 246 00:13:17,610 --> 00:13:19,043 I wanted to. 247 00:13:19,283 --> 00:13:22,446 I guess we both wanted things that would not have worked. 248 00:13:23,122 --> 00:13:25,923 What are you doing, Jed? 249 00:13:26,400 --> 00:13:28,828 I mean, why now? After all this time. 250 00:13:28,982 --> 00:13:31,650 You're the one who keeps talking about second chances. 251 00:13:32,840 --> 00:13:36,257 And you're the only one here who's not afraid to tell me to piss off. 252 00:13:36,540 --> 00:13:37,819 So... 253 00:13:38,349 --> 00:13:39,630 Dinner? 254 00:13:39,798 --> 00:13:41,332 What's your answer? 255 00:13:44,199 --> 00:13:46,011 Piss off. 256 00:13:48,029 --> 00:13:50,718 How is her airway? Blood pressure? 257 00:13:50,743 --> 00:13:52,866 _ 258 00:13:52,914 --> 00:13:56,063 Before you move her, you need to tourniquet her leg. 259 00:13:56,250 --> 00:13:58,163 _ 260 00:13:58,268 --> 00:13:59,851 See? You know your stuff, Saleh. 261 00:14:01,615 --> 00:14:04,335 I guess you don't have any blood. Saline will have to do. 262 00:14:04,360 --> 00:14:07,170 *** her to a clinic as soon as possible. 263 00:14:07,195 --> 00:14:08,679 How much saline for a child like this? 264 00:14:08,726 --> 00:14:10,905 _ 265 00:14:10,944 --> 00:14:13,429 _ 266 00:14:15,646 --> 00:14:18,578 Keep your phone on Bashir, please! 267 00:14:29,495 --> 00:14:32,366 In a pediatric crush, uh, 268 00:14:32,391 --> 00:14:35,293 normal saline is 20, 20 ml per kg? 269 00:14:35,318 --> 00:14:37,405 We have a pediatric crush injury? You should've paged me right away 270 00:14:37,430 --> 00:14:39,202 No, no, it's just hypothetical. 271 00:14:39,227 --> 00:14:42,518 - Something I came across in my reading. - Uh, the saline dose is right. 272 00:14:42,543 --> 00:14:44,640 Watch closely for hyperkalemia. 273 00:14:44,665 --> 00:14:46,085 Thanks. 274 00:14:55,365 --> 00:14:58,317 Uh, why did you order a CT for Jasmine Weber? 275 00:14:59,483 --> 00:15:02,161 The symptoms pointed to possible stroke 276 00:15:02,186 --> 00:15:03,419 because of the dysarthria. 277 00:15:03,444 --> 00:15:05,067 Did you call for a bedside glucose test? 278 00:15:05,092 --> 00:15:07,731 - No. - Claire? 279 00:15:07,886 --> 00:15:10,721 I had blood sent to the lab. Hemoglobin A1C. 280 00:15:10,746 --> 00:15:13,434 - Isn't that protocol? - DKA can mimic stroke symptoms. 281 00:15:13,538 --> 00:15:16,173 Bedside glucose is the protocol here for pediatric patients 282 00:15:16,198 --> 00:15:17,622 She won't open her eyes! 283 00:15:17,647 --> 00:15:19,014 Guys! 284 00:15:19,881 --> 00:15:22,629 Jasmine? Jasmine? Come on, Jasmine. 285 00:15:22,654 --> 00:15:24,591 Try and open your eyes for us. 286 00:15:27,320 --> 00:15:29,281 Glucose is 25. She's in DKA. 287 00:15:29,398 --> 00:15:32,618 - DKA? What is that? - Diabetic ketoacidosis. 288 00:15:32,643 --> 00:15:34,325 She's going to need insulin therapy. 289 00:15:34,350 --> 00:15:35,833 I thought you said she was having a stroke. 290 00:15:35,858 --> 00:15:37,718 The symptoms can be very similar. 291 00:15:37,743 --> 00:15:39,916 - She didn't tell me - She probably didn't know. 292 00:15:48,529 --> 00:15:50,063 Hello. 293 00:15:50,932 --> 00:15:54,966 Um, the endoscopy showed enlarged veins in the esophagus 294 00:15:54,991 --> 00:15:56,786 which ruptured from your fall. 295 00:15:57,160 --> 00:15:59,833 Subsequent tests, however, reveal... 296 00:15:59,959 --> 00:16:02,939 cirrhosis and liver failure. 297 00:16:04,866 --> 00:16:07,401 I'm sorry to tell you that with this amount of damage, 298 00:16:07,426 --> 00:16:10,027 the chances of the liver recovering on its own are slim. 299 00:16:10,225 --> 00:16:12,115 Is there anything we can do? 300 00:16:12,140 --> 00:16:13,622 We're starting medication now, 301 00:16:13,647 --> 00:16:16,953 but Walter will also need something called a variceal ligation, 302 00:16:17,030 --> 00:16:19,123 which means a surgeon uses rubber bands to stop 303 00:16:19,148 --> 00:16:20,750 the enlarged veins from bleeding. 304 00:16:21,838 --> 00:16:25,296 Long term though, a liver transplant is your only option. 305 00:16:26,787 --> 00:16:29,222 That's what a lifetime of drinking gets you. 306 00:16:30,105 --> 00:16:32,512 It's probably what I deserve. 307 00:16:32,947 --> 00:16:34,722 I'm sorry. 308 00:16:42,832 --> 00:16:44,399 Excuse me, doctor? 309 00:16:44,429 --> 00:16:47,526 - Yes? - You mentioned a transplant. 310 00:16:47,825 --> 00:16:51,405 Does it jeopardize that, him having been a drinker? 311 00:16:52,119 --> 00:16:55,989 Well, he would have to be sober for a minimum of six months. 312 00:16:56,014 --> 00:16:57,557 He's four years sober. 313 00:16:57,582 --> 00:17:00,436 I'm six. We met in the program. 314 00:17:00,461 --> 00:17:02,749 I'm sorry to bring you such bad news. 315 00:17:03,890 --> 00:17:05,547 We've overcome a lot. 316 00:17:05,572 --> 00:17:07,508 We'll get through this. too. 317 00:17:11,630 --> 00:17:14,721 Let me guess. Jasmine Weber? 318 00:17:14,746 --> 00:17:16,013 Any luck? 319 00:17:16,038 --> 00:17:18,235 I called every contact number that I could find, 320 00:17:18,260 --> 00:17:20,302 pieced together that she lived with a grandmother 321 00:17:20,327 --> 00:17:22,560 until a few years ago when she passed. 322 00:17:22,585 --> 00:17:23,622 Of what? 323 00:17:23,648 --> 00:17:26,645 Heart attack. Apparently, in front of Jasmine. 324 00:17:26,670 --> 00:17:28,552 Not sure that's something you get over. 325 00:17:28,577 --> 00:17:30,244 It isn't. 326 00:17:30,842 --> 00:17:33,778 Then she was abandoned by an uncle, who's now in jail. 327 00:17:33,803 --> 00:17:36,638 Learned in the hard way not to trust anyone. 328 00:17:37,016 --> 00:17:39,082 Any type 1 diabetes in the family? 329 00:17:39,107 --> 00:17:42,029 Medical records don't even start until she was put in foster care. 330 00:17:42,054 --> 00:17:44,544 But she's one of the lucky ones. 331 00:17:44,569 --> 00:17:47,395 Most of the older kids don't find someone conscientious like Liz 332 00:17:47,420 --> 00:17:48,720 to look out for them. 333 00:17:56,541 --> 00:17:59,543 Think we could speed walk a variceal ligation into OR? 334 00:17:59,672 --> 00:18:01,206 What's his coag look like? 335 00:18:01,231 --> 00:18:03,815 Labs just came in. Mmm... 336 00:18:05,219 --> 00:18:07,356 Blood alcohol level 0.09? 337 00:18:07,832 --> 00:18:09,341 I couldn't smell it on him 338 00:18:09,366 --> 00:18:10,895 Might've been vodka. 339 00:18:10,920 --> 00:18:12,450 Is he cirrhotic? 340 00:18:12,960 --> 00:18:15,334 Yeah. The seasoned ones know how to hide it. 341 00:18:15,359 --> 00:18:17,489 No, his fianc�e says he's been in recovery four years. 342 00:18:17,514 --> 00:18:19,915 Guess he slipped. They always do. 343 00:18:20,058 --> 00:18:22,989 I was so focused on the cirrhosis I didn't question the X-ray. 344 00:18:23,014 --> 00:18:24,794 Look. Do you see anything? 345 00:18:25,896 --> 00:18:27,602 Fracture to the sternum, none to the extremities. 346 00:18:27,627 --> 00:18:29,328 Trauma to the abdomen. 347 00:18:29,622 --> 00:18:32,356 - Was there any circular bruising? - Yeah. 348 00:18:32,794 --> 00:18:34,934 Does this look like a fall off a stool to you? 349 00:18:35,690 --> 00:18:38,067 That's a tough angle for a stool 350 00:18:39,211 --> 00:18:41,505 Could it be steering wheel trauma? 351 00:18:43,428 --> 00:18:45,618 My guess is that your drunk was driving. 352 00:18:45,643 --> 00:18:46,776 And, by the looks of it, 353 00:18:46,801 --> 00:18:49,067 may've been in a serious accident. 354 00:18:50,936 --> 00:18:53,396 The timeline tracks for that hit-and-run we got this morning. 355 00:18:53,421 --> 00:18:56,372 The mother we lost. The daughter, how's she doing? 356 00:18:56,397 --> 00:18:59,310 She'll pull through. No thanks to that asshole. 357 00:19:00,529 --> 00:19:04,060 Well, even if he was in an accident, doesn't make it a bad accident. 358 00:19:05,202 --> 00:19:07,029 You sure about that? 359 00:19:24,064 --> 00:19:25,927 Okay. Have a look. 360 00:19:25,952 --> 00:19:28,557 Okay, her pupils are dilated. She's losing consciousness? 361 00:19:28,582 --> 00:19:29,782 Yes, she is. 362 00:19:29,807 --> 00:19:32,175 Okay. So we manage pain 363 00:19:32,200 --> 00:19:35,567 and get Fatima fluid resuscitation or she risks kidney injury. 364 00:19:35,664 --> 00:19:38,145 She needs a field hospital. You can't wait, Saleh. 365 00:19:38,170 --> 00:19:39,470 You need to get her out yourself. 366 00:19:39,495 --> 00:19:41,996 - I can't do this alone, Bashir. - Yes, you can. 367 00:19:42,021 --> 00:19:44,302 Your adrenaline will give you strength. 368 00:19:53,696 --> 00:19:56,200 Lou! Hey! Hi. 369 00:19:56,263 --> 00:19:59,364 Uh, I saw you were talk to the cop from the car accident before. 370 00:19:59,389 --> 00:20:00,763 - Who, Desantos? - Yeah. 371 00:20:00,788 --> 00:20:02,575 Yeah. Our kids go to the same school. 372 00:20:02,600 --> 00:20:04,701 Uh, quick question 373 00:20:10,896 --> 00:20:12,896 _ 374 00:20:13,444 --> 00:20:16,409 I got her leg out, but it's a mess. 375 00:20:17,177 --> 00:20:20,081 I need you to tell me how to manage the bleeding. 376 00:20:20,558 --> 00:20:22,971 Saleh. Saleh! 377 00:20:29,143 --> 00:20:30,909 I'm sorry, okay? 378 00:20:31,490 --> 00:20:34,114 I know, I know you have a lot on your plate. I know. 379 00:20:35,418 --> 00:20:36,685 Fine. 380 00:20:38,947 --> 00:20:40,214 Hey. 381 00:20:40,446 --> 00:20:42,413 Hey. I didn't mean to interrupt. 382 00:20:42,438 --> 00:20:44,725 No, no. Mel called. 383 00:20:44,750 --> 00:20:48,234 The school's automated attendance software misfired. 384 00:20:48,259 --> 00:20:49,959 Abby was there the whole time. 385 00:20:49,984 --> 00:20:51,696 Good to know she's okay. 386 00:20:51,721 --> 00:20:54,274 Mel had to cancel a meeting and drive halfway across town, 387 00:20:54,299 --> 00:20:57,634 but... Anyway, Abby is fine. 388 00:20:59,246 --> 00:21:01,440 What's going on with you today? 389 00:21:05,523 --> 00:21:07,124 That, uh... 390 00:21:09,008 --> 00:21:11,042 That pediatric crush wound? 391 00:21:12,005 --> 00:21:14,240 It was a child in Syria. 392 00:21:14,354 --> 00:21:16,963 They found her pinned in a bombed out building. 393 00:21:17,839 --> 00:21:20,640 My friend Saleh he's a volunteer medic, only a year of med school. 394 00:21:20,665 --> 00:21:23,136 He calls sometimes with consults. 395 00:21:24,691 --> 00:21:26,058 Is she okay? 396 00:21:26,359 --> 00:21:28,099 We don't know yet. 397 00:21:30,409 --> 00:21:32,189 You told me that was hypothetical. 398 00:21:32,214 --> 00:21:34,128 - I didn't want to involve you. - But you did! 399 00:21:34,153 --> 00:21:35,605 When you asked my advice. 400 00:21:35,763 --> 00:21:38,031 If I'd have known there was a real child, 401 00:21:38,056 --> 00:21:39,590 I would have asked more questions. 402 00:21:39,615 --> 00:21:41,051 Made sure I had all the details! 403 00:21:41,076 --> 00:21:42,722 What if something I said cost that child's life? 404 00:21:42,747 --> 00:21:45,190 I just needed guidance on fluid resuscitation 405 00:21:45,239 --> 00:21:47,607 Protocols change based on the scenarios. 406 00:21:47,902 --> 00:21:49,602 You should know that. 407 00:21:49,631 --> 00:21:51,999 Are you talking about the testing I ordered for Jasmine? 408 00:21:52,024 --> 00:21:53,878 I'm talking about you being honest with me 409 00:21:53,903 --> 00:21:56,711 instead of taking everything on yourself. 410 00:22:02,377 --> 00:22:05,045 We put in a chest tube to drain the fluids, 411 00:22:05,151 --> 00:22:08,070 and we performed a surgery to repair a torn artery in your leg. 412 00:22:08,095 --> 00:22:09,895 Both were successful. 413 00:22:10,113 --> 00:22:11,655 We'll keep you for observation 414 00:22:11,680 --> 00:22:14,102 but you should make a full recovery. 415 00:22:14,843 --> 00:22:16,891 We've called your dad. He's on a flight now. 416 00:22:16,916 --> 00:22:19,107 So... - Can I see my mom? 417 00:22:25,743 --> 00:22:27,866 I'm so sorry. 418 00:22:39,219 --> 00:22:41,213 Lydia not here? 419 00:22:42,023 --> 00:22:43,882 She's gone to get some air. 420 00:22:44,823 --> 00:22:47,262 Walter, do you drive a blue sedan? 421 00:22:49,825 --> 00:22:51,258 Why? 422 00:22:51,859 --> 00:22:53,559 Because your labs came back 423 00:22:53,796 --> 00:22:56,061 and there was alcohol in your bloodstream. 424 00:22:58,112 --> 00:23:00,607 And the bruising on your abdomen, 425 00:23:01,014 --> 00:23:04,141 the placement of it, it suggests you could've hit a steering wheel. 426 00:23:07,950 --> 00:23:11,602 I... I started slipping. 427 00:23:12,829 --> 00:23:15,456 Once or twice. 428 00:23:17,385 --> 00:23:19,626 Then last night, with a buddy, 429 00:23:19,651 --> 00:23:21,251 I... 430 00:23:24,768 --> 00:23:27,093 I don't remember what happened. 431 00:23:29,351 --> 00:23:32,319 I woke up a few blocks from the house 432 00:23:32,615 --> 00:23:34,974 in a smashed car. 433 00:23:37,463 --> 00:23:41,857 Lydia wasn't home from work yet so I left it in the lot. 434 00:23:41,882 --> 00:23:43,382 And just... 435 00:23:45,007 --> 00:23:46,975 hoped that what I hit 436 00:23:47,386 --> 00:23:49,823 was parked and empty. 437 00:23:52,510 --> 00:23:54,703 A mother and daughter came in this morning. 438 00:23:55,713 --> 00:23:57,664 Hit by a blue sedan. 439 00:23:59,415 --> 00:24:01,650 Oh... Oh... 440 00:24:06,550 --> 00:24:08,301 Are they okay? 441 00:24:08,900 --> 00:24:10,261 No, Walter. 442 00:24:10,442 --> 00:24:11,762 They're not. 443 00:24:14,160 --> 00:24:17,269 There were no complications and you're responding to medication well. 444 00:24:17,294 --> 00:24:18,686 Are you feeling better? 445 00:24:18,711 --> 00:24:20,354 How long do I have to stay here? 446 00:24:20,396 --> 00:24:21,730 A little while longer. 447 00:24:21,755 --> 00:24:25,433 We want to make sure that your blood sugar is under control. 448 00:24:25,458 --> 00:24:27,511 And we have to show you 449 00:24:27,653 --> 00:24:29,871 how to use a glucose meter before you go. 450 00:24:29,896 --> 00:24:33,165 It'll help you and Liz manage things easier when you get home. 451 00:24:33,190 --> 00:24:34,857 That's not my home. 452 00:24:35,259 --> 00:24:37,162 I never wanted to go there. 453 00:24:37,366 --> 00:24:40,165 I know it's hard, adjusting to a new place. 454 00:24:41,323 --> 00:24:43,835 Where I live isn't my home either. 455 00:24:43,860 --> 00:24:46,462 Do you have to share it with someone you barely know? 456 00:24:52,209 --> 00:24:54,387 We'll try again later. 457 00:25:06,742 --> 00:25:08,310 Do you have a minute? 458 00:25:08,517 --> 00:25:10,236 I've got a hypothetical. 459 00:25:11,135 --> 00:25:12,740 Sure. 460 00:25:14,275 --> 00:25:16,043 If a patient 461 00:25:16,399 --> 00:25:18,663 admits to a crime in confidence... 462 00:25:18,688 --> 00:25:21,071 - Mm-hmm? - Would you tell the authorities? 463 00:25:21,096 --> 00:25:23,415 We can't. We're bound by doctor-patient confidentiality. 464 00:25:23,440 --> 00:25:25,793 I know, I know. Unless it's to report a gunshot wound, 465 00:25:25,818 --> 00:25:27,633 the safety of a child, or intent to cause future harm. 466 00:25:27,658 --> 00:25:28,925 I know. And it isn't. 467 00:25:28,950 --> 00:25:31,051 Then you'd be breaking your oath. 468 00:25:31,115 --> 00:25:32,508 Yeah, I know that too. 469 00:25:33,165 --> 00:25:35,171 I just... I... 470 00:25:35,503 --> 00:25:39,098 I can't help but think that you, you know, the rule-breaker, 471 00:25:39,123 --> 00:25:41,586 Doctor Instinct, would understand that someone might 472 00:25:41,611 --> 00:25:43,798 break the oath for a moral obligation you felt 473 00:25:43,823 --> 00:25:45,938 outweighed the needs of a patient. 474 00:25:46,835 --> 00:25:49,504 There are consequences to drawing lines like that. 475 00:25:49,529 --> 00:25:51,028 Then you've done it? 476 00:25:52,797 --> 00:25:56,033 During the war, I treated regime soldiers. 477 00:25:56,058 --> 00:25:58,661 Only when they forced me. Often, at gunpoint. 478 00:26:02,061 --> 00:26:03,462 It's fine. 479 00:26:04,839 --> 00:26:07,607 The point is, I chose sides. 480 00:26:07,873 --> 00:26:10,255 And now I can't go home. 481 00:26:14,803 --> 00:26:17,304 His nausea's getting worse. 482 00:26:18,402 --> 00:26:22,225 I always know something's wrong when he gets quiet. 483 00:26:23,563 --> 00:26:28,481 Liddy, could you go get me a glass of water, please? 484 00:26:29,401 --> 00:26:31,035 Sure. 485 00:26:38,439 --> 00:26:40,773 No sign of new haemorrhaging. 486 00:26:42,923 --> 00:26:47,829 We're just waiting to hear back from the OR on a scheduled time for your ligation. 487 00:26:51,007 --> 00:26:52,703 You haven't told her? 488 00:26:56,637 --> 00:26:58,905 When are the cops coming for me? 489 00:26:59,763 --> 00:27:01,803 I haven't told them either. 490 00:27:01,828 --> 00:27:03,505 But I hurt those people. 491 00:27:03,530 --> 00:27:05,994 I have to pay for what I've done. 492 00:27:06,019 --> 00:27:09,209 I agree. But I have a duty to protect your confidentiality. 493 00:27:09,234 --> 00:27:12,264 So if you want to tell the police, you'll have to them yourself. 494 00:27:12,289 --> 00:27:14,310 What, what if, what if I... 495 00:27:14,727 --> 00:27:17,123 If I can't bring myself to do it? 496 00:27:17,254 --> 00:27:19,121 Then you'll have your surgical procedure. 497 00:27:19,146 --> 00:27:20,302 Lydia will take you home. 498 00:27:20,327 --> 00:27:22,368 And I guess you try to live with what you've done. 499 00:27:29,528 --> 00:27:32,063 The Mannitol is helping. 500 00:27:32,217 --> 00:27:33,797 Jasmine's going to be okay. 501 00:27:33,822 --> 00:27:35,424 Thank God. 502 00:27:36,276 --> 00:27:38,244 So, was this my fault? Is it the food I'm making? 503 00:27:38,269 --> 00:27:40,264 - Was I making the wrong... - No, type 1 is genetic. 504 00:27:40,289 --> 00:27:42,514 There was nothing you could do to prevent this. 505 00:27:42,539 --> 00:27:44,615 But you can help her control it. 506 00:27:44,640 --> 00:27:47,409 I doubt she'll let me do that. 507 00:27:48,298 --> 00:27:51,251 I thought I was doing a good thing, becoming a foster mom. 508 00:27:51,283 --> 00:27:54,152 - But this? - I think you're very strong, 509 00:27:54,221 --> 00:27:55,819 doing something like this. 510 00:27:55,844 --> 00:27:57,878 I'm not questioning my decision. I just... 511 00:27:58,848 --> 00:28:00,782 I feel like I'm messing it up. 512 00:28:02,036 --> 00:28:05,982 Like I'm messing her up, and she's already been through so much already. 513 00:28:06,065 --> 00:28:07,373 I'm sorry. 514 00:28:09,637 --> 00:28:13,099 We all feel like that the minute we become parents. 515 00:28:14,122 --> 00:28:17,457 But the highs outweigh the lows. 516 00:28:18,944 --> 00:28:20,843 And all we can do is... 517 00:28:21,280 --> 00:28:24,972 get up every day, committed to doing our very best. 518 00:29:29,593 --> 00:29:31,994 Walter's ligation procedure. 519 00:29:32,233 --> 00:29:33,833 When is that happening? 520 00:29:33,858 --> 00:29:36,006 Well, procedures are triaged according to urgency. 521 00:29:36,031 --> 00:29:38,262 And because he stopped bleeding, 522 00:29:38,287 --> 00:29:41,107 it may not be for a few more hours. 523 00:29:41,246 --> 00:29:43,814 When... When he does get it, 524 00:29:43,839 --> 00:29:46,441 how much time will it buy him? 525 00:29:46,927 --> 00:29:50,784 Well, it only fixes the bleeding, not his liver. 526 00:29:50,809 --> 00:29:54,585 - Oh... - And there are no guarantees, but... 527 00:29:55,102 --> 00:29:56,647 Without the transplant... 528 00:29:57,553 --> 00:29:59,220 maybe a year? 529 00:30:02,874 --> 00:30:06,663 A year more than that young woman will have with her mother. 530 00:30:08,115 --> 00:30:10,037 I'm so sorry. Lydia 531 00:30:11,928 --> 00:30:14,686 It won't be the life we planned, 532 00:30:14,711 --> 00:30:16,616 - but... - But... 533 00:30:18,614 --> 00:30:21,381 He did a terrible thing, 534 00:30:21,406 --> 00:30:24,508 but he's not a terrible person. 535 00:30:26,003 --> 00:30:28,639 He'll never forgive himself for this. 536 00:30:29,652 --> 00:30:33,733 What kind of a person would I be if I left him alone with that? 537 00:30:45,061 --> 00:30:46,728 You told the cops. 538 00:30:46,906 --> 00:30:49,325 No, he did. And she's sticking by him. 539 00:30:49,886 --> 00:30:51,454 And you wouldn't? 540 00:30:51,506 --> 00:30:53,040 He killed somebody. 541 00:30:53,326 --> 00:30:56,608 I would, yes, like to say that if I was in love with somebody, 542 00:30:56,633 --> 00:30:58,630 I would be able to get past that, but I... 543 00:30:58,655 --> 00:31:00,351 People stay with people who hurt them all the time. 544 00:31:00,376 --> 00:31:02,178 We're kind of stupid like that. 545 00:31:02,345 --> 00:31:04,534 Well, if that cop arrests Walter before his procedure, 546 00:31:04,559 --> 00:31:07,302 there's no telling when he'll be able to get another one. 547 00:31:12,376 --> 00:31:14,256 Let me see what I can do. 548 00:31:21,444 --> 00:31:23,412 Bashir? Hello? 549 00:31:23,437 --> 00:31:24,616 Bashir? 550 00:31:24,641 --> 00:31:26,410 Alhamdulellah. 551 00:31:26,435 --> 00:31:28,772 I was on the road. The cell towers are still... 552 00:31:28,797 --> 00:31:30,499 Are you driving her yourself? 553 00:31:30,524 --> 00:31:32,994 I had to. Nobody was coming for us. 554 00:31:33,839 --> 00:31:37,752 She's feverish. She started vomiting 15 minutes ago. 555 00:31:37,777 --> 00:31:39,398 Can you... 556 00:31:40,474 --> 00:31:42,210 Can you feel air under the flesh? 557 00:31:42,235 --> 00:31:44,338 Press down on the tissue. 558 00:31:50,181 --> 00:31:51,715 Yes, I feel air. 559 00:31:51,740 --> 00:31:53,889 Crepitus. Saleh, you have to amputate the leg. 560 00:31:53,914 --> 00:31:56,143 On the side of the road? Now? 561 00:31:56,180 --> 00:31:58,316 Alone? - If you don't, she'll die. 562 00:31:58,645 --> 00:32:01,314 And you're not alone. I'm here. 563 00:32:04,821 --> 00:32:08,421 So there's a patient waiting in Emerg on a variceal ligation. 564 00:32:08,446 --> 00:32:10,613 Let me guess, you want to scrub in? 565 00:32:10,638 --> 00:32:12,606 Yes, always. But I was actually just checking 566 00:32:12,631 --> 00:32:14,202 to see if there was any wiggle room. 567 00:32:14,447 --> 00:32:17,039 The patient needs the ligation before he's arrested. 568 00:32:17,489 --> 00:32:19,540 You mean arrested? 569 00:32:19,565 --> 00:32:21,626 No. Like, hauled off to jail. 570 00:32:21,651 --> 00:32:23,795 He's a drunk driver who killed a woman this morning. 571 00:32:24,003 --> 00:32:26,371 And you want to rush him into surgery 572 00:32:26,396 --> 00:32:28,363 so he doesn't lose his chance to get it? 573 00:32:28,771 --> 00:32:31,220 I didn't take you for someone who'd be affected by that. 574 00:32:31,245 --> 00:32:32,679 I'm not. 575 00:32:32,863 --> 00:32:36,142 You know the girl with the arterial injury we repaired earlier? 576 00:32:36,175 --> 00:32:38,801 - Mm-hmm. - Well, her mom died because of him. 577 00:32:38,843 --> 00:32:42,332 He should be healthy enough to serve whatever sentence they throw at him. 578 00:32:43,549 --> 00:32:44,649 Well... 579 00:32:46,009 --> 00:32:47,860 The candor's refreshing. 580 00:32:47,885 --> 00:32:49,139 Anyway, he's in luck. 581 00:32:49,164 --> 00:32:50,853 An elective case dropped off the board 582 00:32:50,878 --> 00:32:53,366 so I was about to move him up to this evening anyway. 583 00:32:56,338 --> 00:32:58,162 It's the ICU. It's the daughter. 584 00:32:58,202 --> 00:32:59,572 Better go, then. 585 00:33:00,517 --> 00:33:02,500 _ 586 00:33:05,218 --> 00:33:06,819 You paged me? 587 00:33:06,844 --> 00:33:08,385 Patient is a nine-year-old girl. 588 00:33:08,410 --> 00:33:10,174 Crushed lower right extremity. 589 00:33:10,199 --> 00:33:12,177 Saleh called with a few questions. 590 00:33:12,385 --> 00:33:14,096 We really need your help. 591 00:33:15,308 --> 00:33:16,722 What do I need to know? 592 00:33:17,095 --> 00:33:19,393 _ 593 00:33:19,418 --> 00:33:21,205 This is Saleh. We worked together in Syria. 594 00:33:21,230 --> 00:33:22,947 Hello, doctor. 595 00:33:23,173 --> 00:33:25,041 Severe soft tissue injury 596 00:33:25,066 --> 00:33:27,603 progressed by a gangrenous limb. 597 00:33:27,735 --> 00:33:30,320 He's pulled over on the side of the road and needs to perform 598 00:33:30,345 --> 00:33:32,580 an above the knee amputation right now. 599 00:33:32,605 --> 00:33:34,005 With what tools? 600 00:33:34,030 --> 00:33:36,423 I have a scalpel, scissors, 601 00:33:36,448 --> 00:33:38,783 hemo... The clips. 602 00:33:38,808 --> 00:33:41,611 - Hemostatic clips. - Yes, dressings. 603 00:33:42,095 --> 00:33:44,642 - And a handsaw. - Ketamine for sedation. 604 00:33:44,942 --> 00:33:47,003 Uh, can you show me the girl again? 605 00:33:47,643 --> 00:33:51,046 She weighs maybe 20 kilograms, Dr. Hunter. 606 00:33:51,071 --> 00:33:53,343 Try 20 megs, if you have that. 607 00:33:53,368 --> 00:33:55,554 Uh, 20 milligrams. 608 00:33:58,316 --> 00:33:59,516 Done. 609 00:33:59,541 --> 00:34:01,142 Okay, Saleh. 610 00:34:01,393 --> 00:34:03,595 If the tourniquet is tight, 611 00:34:03,620 --> 00:34:04,787 make your incision. 612 00:34:04,812 --> 00:34:07,649 Start by dividing the skin circumferentially. 613 00:34:08,854 --> 00:34:12,822 _ 614 00:34:19,120 --> 00:34:21,913 Good. Now cut through the subcutaneous tissues 615 00:34:21,938 --> 00:34:23,372 Okay. 616 00:34:24,268 --> 00:34:25,708 You're doing great. 617 00:34:25,736 --> 00:34:27,846 _ 618 00:34:27,871 --> 00:34:29,628 _ 619 00:34:29,728 --> 00:34:32,260 _ 620 00:34:32,431 --> 00:34:34,051 _ 621 00:34:34,076 --> 00:34:36,134 Code Blue. Room 305 622 00:34:36,159 --> 00:34:38,572 - You've gotta go to that, Bash. - I can't leave him. 623 00:34:38,597 --> 00:34:39,830 Saleh? 624 00:34:40,122 --> 00:34:42,641 You think we can do this, just you and me? 625 00:34:43,908 --> 00:34:45,272 Okay. 626 00:34:45,297 --> 00:34:47,646 Who knows, something might get lost in translation. 627 00:34:47,671 --> 00:34:48,940 Bash. 628 00:34:49,101 --> 00:34:51,503 We got this, okay? Go. 629 00:34:51,652 --> 00:34:53,767 - Code blue, room 305. - Thank you, Theo. 630 00:34:53,837 --> 00:34:56,692 _ 631 00:35:01,313 --> 00:35:03,614 I finished the sewing. 632 00:35:03,939 --> 00:35:05,947 There's blood everywhere. 633 00:35:05,999 --> 00:35:07,333 Tighten the tourniquet, 634 00:35:07,358 --> 00:35:10,134 then apply the hemostats to the longitudinal structures 635 00:35:10,159 --> 00:35:12,506 that are likely to be the major blood vessels. 636 00:35:12,531 --> 00:35:14,507 Hemostats to... 637 00:35:14,908 --> 00:35:16,440 I'm sorry? 638 00:35:16,465 --> 00:35:19,846 The structures that look like... 639 00:35:22,302 --> 00:35:23,808 So... 640 00:35:25,054 --> 00:35:26,487 The leg... 641 00:35:27,056 --> 00:35:29,057 The blood vessels. 642 00:35:29,082 --> 00:35:31,649 Okay? Yes? The structures, the blood vessels. 643 00:35:32,694 --> 00:35:35,187 - What happened? - Acute respiratory failure, 644 00:35:35,212 --> 00:35:37,220 we need a non-rebreather at 15 litres per minute, 645 00:35:37,245 --> 00:35:39,468 - and a stat portable chest. - Chest tube's not working. 646 00:35:39,493 --> 00:35:41,516 - O2 stats? - Uh, 66. 647 00:35:41,541 --> 00:35:45,111 Resp is 40, tachy's at 144, BP's 84 60. 648 00:35:45,136 --> 00:35:48,580 Prep a new tube. If it's kinked, we'll have to re-insert. 649 00:35:49,810 --> 00:35:52,175 The chest tube's definitely not working. 650 00:35:52,200 --> 00:35:54,088 Tension pneumothorax. 651 00:35:54,745 --> 00:35:56,674 Your colleagues were all here before you. 652 00:35:56,902 --> 00:35:58,436 Sorry, I got held up. 653 00:35:58,461 --> 00:36:00,528 If you can't get here on time, we don't need you. 654 00:36:06,434 --> 00:36:09,687 Insert a new tube, she'll settle. 655 00:36:10,864 --> 00:36:14,317 You sure? Just try again. 656 00:36:14,342 --> 00:36:15,777 Keep at it 657 00:36:16,761 --> 00:36:18,118 Show me. 658 00:36:18,306 --> 00:36:20,782 Here. Do you see it? 659 00:36:20,807 --> 00:36:23,118 - Good. - What do I do now? 660 00:36:23,143 --> 00:36:25,720 Okay now, keep the tourniquet 661 00:36:25,745 --> 00:36:28,221 - in the position, and... - Okay. 662 00:36:28,480 --> 00:36:32,307 Just examine for obvious blood vessels. Then clamp with your hemostat 663 00:36:32,423 --> 00:36:35,088 - Okay. - That was fast. 664 00:36:35,463 --> 00:36:36,979 She's okay. 665 00:36:37,004 --> 00:36:38,393 Dr. Hunter, there's oozing. 666 00:36:38,418 --> 00:36:40,585 That's normal, just keep an eye on it. 667 00:36:40,610 --> 00:36:43,430 If it continues, you just need more pressure on the dressing. 668 00:36:43,645 --> 00:36:46,180 Thank you. Thank you both. 669 00:36:46,224 --> 00:36:48,393 Well done, Saleh. 670 00:36:50,910 --> 00:36:52,577 What the hell is going on in here? 671 00:36:52,602 --> 00:36:55,904 Uh... nine-year-old, uh... 672 00:36:56,351 --> 00:36:59,705 Syrian female, crushed lower extremities 673 00:36:59,730 --> 00:37:02,869 after a building collapse. Rapid onset of GFM 674 00:37:02,894 --> 00:37:04,528 after tourniquet and rescue. 675 00:37:04,574 --> 00:37:06,998 A volunteer medic just successfully performed 676 00:37:07,023 --> 00:37:11,374 a roadside amputation with almost no equipment. 677 00:37:12,834 --> 00:37:14,201 Prognosis? 678 00:37:14,226 --> 00:37:15,504 Uh... 679 00:37:15,875 --> 00:37:18,189 She's responsive and stable. 680 00:37:18,214 --> 00:37:19,848 He, He saved her life. 681 00:37:19,873 --> 00:37:21,273 Good. 682 00:37:21,622 --> 00:37:23,510 Find me before you leave. 683 00:37:25,531 --> 00:37:27,140 Who was that? 684 00:37:27,165 --> 00:37:28,765 The big boss. 685 00:37:29,018 --> 00:37:31,275 Call me when you get to the hospital, Saleh. 686 00:37:35,221 --> 00:37:37,108 You do that kind of thing a lot? 687 00:37:38,828 --> 00:37:40,762 Not anymore. 688 00:37:48,709 --> 00:37:51,246 Cops agreed to wait until he's out. 689 00:37:52,370 --> 00:37:54,571 Thank you for pushing for the ligation. 690 00:37:54,874 --> 00:37:56,934 Well, I didn't do it for him. 691 00:38:07,359 --> 00:38:08,759 Dinner. 692 00:38:10,039 --> 00:38:11,685 For one? 693 00:38:11,710 --> 00:38:13,603 I have to get back. 694 00:38:15,720 --> 00:38:17,690 My dad's a drinker, 695 00:38:17,715 --> 00:38:20,656 and one time he almost ran the car off the road 696 00:38:20,681 --> 00:38:21,984 with me and my brother inside. 697 00:38:22,009 --> 00:38:23,862 And the next day, he... 698 00:38:23,991 --> 00:38:26,074 didn't even realize he'd done it. 699 00:38:27,046 --> 00:38:29,642 We don't talk anymore. 700 00:38:33,612 --> 00:38:37,044 Why are you telling me this? 701 00:38:37,069 --> 00:38:38,803 Because... 702 00:38:40,075 --> 00:38:41,643 I want you to know. 703 00:38:41,668 --> 00:38:42,935 And... 704 00:38:43,022 --> 00:38:47,679 if I'm closed off sometimes, which I might be again, 705 00:38:49,858 --> 00:38:52,224 it's not because I don't want you around. 706 00:38:53,023 --> 00:38:55,562 Well, you haven't driven me away just yet. 707 00:38:59,591 --> 00:39:01,892 Good news. You're almost ready to be discharged. 708 00:39:01,917 --> 00:39:03,318 Only one thing left. 709 00:39:03,740 --> 00:39:06,542 You need to be able to test your own blood sugar levels 710 00:39:06,567 --> 00:39:08,062 in order to leave. 711 00:39:08,087 --> 00:39:09,825 Liz knows how. 712 00:39:11,743 --> 00:39:14,144 You know, I helped treat a little girl today 713 00:39:14,169 --> 00:39:17,166 who lost her leg in an accident. 714 00:39:18,521 --> 00:39:20,332 Her life is going to be different, 715 00:39:20,357 --> 00:39:22,088 and it will be hard at first. 716 00:39:22,358 --> 00:39:24,673 It'll be hard forever. 717 00:39:25,066 --> 00:39:26,878 I think that's up to her. 718 00:39:27,440 --> 00:39:30,617 And I bet it won't be long before she gets good on crutches. 719 00:39:30,642 --> 00:39:32,984 Maybe even learns to play soccer with them. 720 00:39:35,248 --> 00:39:37,728 You said this isn't your home? 721 00:39:37,972 --> 00:39:39,688 My home is Syria. 722 00:39:40,615 --> 00:39:42,901 Do you wish you were still there? 723 00:39:44,342 --> 00:39:46,236 Sometimes. 724 00:39:46,776 --> 00:39:48,572 A lot of the time. 725 00:39:54,793 --> 00:39:57,164 I wish my Grandma was still here. 726 00:39:59,202 --> 00:40:03,439 What helps me is to focus on the things I can control. 727 00:40:04,192 --> 00:40:06,674 It makes everything I can't less scary. 728 00:40:07,261 --> 00:40:08,979 What do you do? 729 00:40:10,372 --> 00:40:11,939 I do this. 730 00:40:14,106 --> 00:40:15,935 This child... 731 00:40:17,678 --> 00:40:19,779 was on the other side of the world. 732 00:40:19,804 --> 00:40:21,972 To be a part of saving her... 733 00:40:21,997 --> 00:40:24,098 Puts things in perspective? 734 00:40:24,123 --> 00:40:25,957 I'm sorry about earlier. 735 00:40:26,623 --> 00:40:29,952 I just was... upset that I couldn't do anything to help. 736 00:40:29,977 --> 00:40:32,492 I know it's hard to be the one away. 737 00:40:33,485 --> 00:40:34,773 I just... 738 00:40:34,860 --> 00:40:37,415 I hate how much I'm missing. 739 00:40:37,440 --> 00:40:39,248 You know, the good, the bad. 740 00:40:40,938 --> 00:40:43,252 And I don't mean just with them. 741 00:40:44,052 --> 00:40:45,505 With you, too. 742 00:40:45,530 --> 00:40:47,285 In six months, you'll be back, 743 00:40:47,310 --> 00:40:49,759 and everything will be so much better. 744 00:40:49,784 --> 00:40:53,554 Hey, I have tomorrow off. 745 00:40:53,676 --> 00:40:55,377 I can fly home. 746 00:40:55,402 --> 00:40:57,975 Surprise the girls. Take them out of school? 747 00:40:58,955 --> 00:41:02,791 It's difficult when you 748 00:41:02,816 --> 00:41:05,107 come home for such a short time. 749 00:41:05,653 --> 00:41:06,910 When you go, 750 00:41:07,548 --> 00:41:10,050 I'm picking up the pieces. 751 00:41:10,075 --> 00:41:13,355 I know I didn't handle things well today. 752 00:41:13,380 --> 00:41:15,981 But if... If you're upset with me, or... 753 00:41:16,006 --> 00:41:17,828 I'm not, I swear. 754 00:41:18,202 --> 00:41:22,667 I'm just trying to be honest about what I need. 755 00:41:23,155 --> 00:41:25,879 Gotta go. I'll call you when I can. Have a good night. 756 00:41:25,904 --> 00:41:27,404 You too. 757 00:41:27,429 --> 00:41:28,941 Hey, Mel? 758 00:41:34,832 --> 00:41:37,551 And the timeline of this? 759 00:41:37,576 --> 00:41:40,436 Okay, let's follow the progress for her. 760 00:41:40,756 --> 00:41:42,979 Takes 24 hours, and then 761 00:41:43,230 --> 00:41:44,897 get back to me, let me know, 762 00:41:44,922 --> 00:41:47,108 how's the rest. Alright, thanks, Mark. 763 00:41:47,133 --> 00:41:48,834 How's the Syrian girl? 764 00:41:48,859 --> 00:41:50,393 They made it to the hospital. 765 00:41:50,418 --> 00:41:53,322 Good. Take a seat. 766 00:41:56,437 --> 00:41:58,705 Look, I understand what you did. 767 00:41:59,128 --> 00:42:00,955 It's why I hired you. 768 00:42:01,771 --> 00:42:03,371 But you can't ever do it again. 769 00:42:03,396 --> 00:42:05,931 Not from work, not with everything we're up against. 770 00:42:05,956 --> 00:42:08,588 I need you to be better than everyone else. 771 00:42:08,626 --> 00:42:11,673 That means when you're paged, you arrive first, and be present. 772 00:42:11,698 --> 00:42:13,265 Yes, sir. 773 00:42:15,824 --> 00:42:18,692 I spoke to the Dean's office at your med school today. 774 00:42:18,717 --> 00:42:20,121 I didn't get the transcripts. 775 00:42:20,146 --> 00:42:24,520 But they did assure me they exist, and confirmed your qualification 776 00:42:26,174 --> 00:42:29,343 You... They did? How is that possible? 777 00:42:29,879 --> 00:42:31,760 I told legal I would swear whatever they need 778 00:42:31,785 --> 00:42:35,239 so we can put this thing to bed, once and for all. 779 00:42:38,869 --> 00:42:41,995 Bashir, you need to learn to take yes for an answer. 780 00:42:44,626 --> 00:42:46,793 We're in this together now. 781 00:42:47,220 --> 00:42:49,379 Don't let me down. 782 00:42:58,363 --> 00:43:03,973 - Synced and corrected by martythecrazy - - www.addic7ed.com - 56595

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