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ANAESTHESIA
"Giant cell glioblastoma multiforme,
with a hypodense focus in the left temporal region
in patient Mikołaj Sadowski, age 18."
"Tumor resection."
That is what you had written, am I correct?
You seem to have the answers in front of you already,
why even bother asking?
Nothing beats confirmation from the source.
You were aware the patient had already been assessed
by four different neurosurgeons?
All of them professors.
And all four of them refused to operate on Sadowski.
Now, why do you think that's the case?
I think you're better off going to them directly and asking yourself, Prosecutor.
And I did that.
They explained to me that the survival rate after such an operation
is at best a few months,
with the procedure itself posing a high risk of complications
and the possible death of the patient.
Well, I'm no professor here, but I can perform that procedure.
Mikołaj could've survived for much longer.
For your hairdresser, in case he needs inspiration.
Just tell him to do it my way.
I wonder if there's even gonna be enough time for… for me to grow it out.
You'll be able to grow it down to your waist, if you want.
Hello, Mikołaj?
It's not the end, okay?
I want you to trust me here.
-It's gonna be all right. -'Kay.
Instead of telling him the truth about his chances,
you sold him a fantasy.
Hey, what's your song?
-My song, Doc? -You do like music, right?
Or do you have shitty taste and are just too scared to admit it?
Uh, yeah, I mean, I do like music, why?
Well, if I have to cut out part of your brain,
shouldn't I take out the part that's responsible for your shitty taste?
One more!
There's a patient in Canada who survived the procedure and it's been six years.
Yes, but according to your colleagues,
the majority of the patients
won't live past the next three years. More than half won't.
Can you even imagine what another three years is worth to them?
It says here on the report,
um, that you ignored several requests to abort the procedure.
A tumor in the deep structures of the brain
can risk damaging vital functions.
We have to closely monitor them throughout the procedure,
therefore, it's essential for the patient to remain fully conscious.
How did Mikołaj respond to this?
Mikołaj responded very well.
I'm dying. I'm dying.
Yes, Mikołaj, you are going to die.
But I'm hoping not for another four years at least, if we're lucky.
I know it may not sound like much,
-but 4 years can feel like a ton. -Holy fuck.
We need to stop now.
You have places to be, remember?
What was it, Peru? The jungle in Puerto Maldonado.
And then it was Tokyo next, right?
Uh-huh.
Oh, and Spitsbergen. That'll be fucking incredible. Huh?
What else do you have on the bucket list?
Uh, I wanna, uh…
On my, uh, my birthday, go to the Hel Peninsula.
-Come on, tell me more. -Mountain hiking with my girlfriend.
-Great! -If I can get a girlfriend.
Well, that all sounds great, Mikołaj.
Now I need you to help me by focusing only on that list of yours, okay?
Really think about crossing off one item at a time.
Think you can do that?
Out loud for us. We wanna hear you.
Swimming the Great Barrier Reef.
-Nice. -Dad and I always wanted to…
-build some goalposts in our yard. -Uh-huh.
Kick the ball back there.
Enjoy meals with the folks.
-Just normal meals together. -Of course.
And live normally.
Just a normal fuckin' life.
Yeah, a normal fucking life.
A normal fuckin' life, Doc!
Well, what can you tell me?
I know him, he's a friend of mine.
What are they keeping him so long for?
What kind of information can you give me then? The fucking weather?
All right, fuck this. Let's go.
-Come on, let's get David. -For God's sake! Chill out.
Yeah, I mean, we don't even know why they arrested him.
What?
Tell me. How long have you known him?
-I think that your perception's a bit-- -One more word, asshole.
Hey! Back off.
-Calm down. Enough! -David's a fuckin' stand-up guy, you hear?
You've got this, Daria.
POLICE
Tell me about what followed.
Exactly what happened after the tumor resection?
Think we can say mission accomplished.
Any other wishes you want to share before nap time?
I mean, I wouldn't say no to a bacon cheeseburger.
Can you tell my mom that?
Sure. I'll even ask her to get me one, so I can join you.
But right now, I need you to get some sleep.
So we can move on to the secret part of our mission.
The final step.
50 of propofol.
You seem to have forgotten to include that on the report.
Which is why I met your previous clinic director.
He then provided me with a copy of the application
you had submitted to the Bioethics Committee.
Oh, and then I, of course, went to speak with Mikołaj's parents.
I have everything.
You essentially performed a medical experiment here.
A failed and illegal medical experiment, without the committee's approval.
This was not a medical experiment.
Really, it wasn't.
Filling the space left by the tumor with ions
is a method used in the very best clinics worldwide.
Doctor, there's no mention of those ions in the surgery notes.
All right, I'm only gonna say this once.
If someone has an objection with what I'm doing,
now is the time for them to leave the OR.
Okay, then. Let's keep going.
It was indeed a medical experiment.
One that required specific permission from the Bioethics Committee,
which in the end, you didn't obtain.
The reality is, Mikołaj's parents agreed to it.
If they hadn't, he would've died within three months.
I want to thank you all for staying.
-Thank you. -Of course, Doctor.
We'll need a couple beers when this is over.
Doctor.
Heart rate's dropping. BP rising.
We've got a hemorrhage in the brain. Check his pupils.
He's in V-fib. Start CPR.
Don't do this, Mikołaj, not today.
Come on, Mikołaj.
Stay with me!
Pupils fixed and dilated.
Did you ever stop and think of what he could've done
with those three months?
Mikołaj could've given his parents a proper goodbye.
And gotten some closure.
Made amends with God.
Or even himself.
But he couldn't do that, could he?
-Because of you. -Let me in.
-This woman claims to be-- -David Lazarus's attorney, Daria Wolska.
This is the person handling your defense?
Uh, yes.
Tell me, on what grounds is my client being detained?
Mm, let's see, where do we start?
Oh, yes, this is good.
You should look at Articles 192 and 155 of the Criminal Code.
Accused of involuntary manslaughter?
The matter under review is a medical error.
There's no basis yet to even classify it as such.
Oh, is that so?
Just know that your client's failure to cooperate may result in
my considering obstruction of justice and potential flight risk.
Mr. Lazarus is facing a prison sentence of up to five years.
In addition, there is the possibility that he remain in custody until the trial.
Good. Now.
You weren't approved when you applied to the Bioethics Committee.
From what I've gathered, the actual cost of the materials required
for your procedure is around 30,000 euros.
Who covered the cost?
Mikołaj's parents did.
So not only did you perform a medical experiment on their boy, which killed him,
-now you're saying that… -Prosecutor, please.
His parents were also waiting for the committee verdict.
And they were well aware of the risks.
Neither of your parents is from an academic background.
Your father trained in agriculture.
-Your mother attended a trade school. -What is the point of this?
Given that most of your college classmates were from medical families,
perhaps that created a certain amount of insecurity,
which, I'm sure you would have needed to compensate for, however possible.
Maybe all this was about trying to impress your peers?
Can we focus on the case at hand, Prosecutor?
I'm just warming up.
Here is a statement from one of your colleagues.
"David Lazarus is always trying to prove himself."
"He consistently wants to be first in everything he does."
Your plan with Mikołaj was to be the first in Poland to perform the surgery.
Do not comment.
I'm sorry, but this is entirely irrelevant here.
Context. I'm providing some very crucial context, Counselor.
What we're discussing is the cause of this boy's death.
You'd have to prove that my client committed medical malpractice,
because at the moment, Prosecutor, what you've presented is all speculation.
Criminal law isn't really your area of expertise, is it?
Surely you'd still be familiar with Article 92 of the Criminal Code?
No, no, no, I'll refresh your memory.
"The basis for a ruling may only be the entirety of the circumstances
revealed in the proceedings, which are relevant to the decision."
Now, do you agree with the Supreme Court's ruling that Articles 155 and 156--
Oh!
Oh, you're fucking kidding me.
Sorry, I'm a bit of a mess.
I'm sorry about that, Counselor.
My client will be able to answer all your questions.
And he will cooperate whenever his presence is required.
However, I see no reason to threaten him with arrest.
Unless you choose to oversee the proceedings in Belarus.
If there are no further questions,
I'd ask you to please release my client immediately.
Just one more.
Why couldn't you face his parents that day?
Doctor, wait!
No!
No!
Hey, thanks.
I should be thanking you for remembering.
Thermal stimulus, right?
I knew you could do it.
So, are they charging you then?
Yeah.
They're saying that I killed a patient.
Franek.
I think you might be mad at me.
Your mom told me how you felt. That you got scared.
I wasn't scared. Mom was being dramatic.
Well, I'm still sorry.
I just had to do that surgery.
I know. I'm not mad at you, Dad.
Are you sure?
I'm sure. I'm just tired.
Yeah, okay. Well, you get some rest.
And I'll see you again soon, all right, champ?
-Goodnight, Dad. -Night. Don't let the bed bugs--
Are you self-medicating now?
They had me escorted out in front of the entire hospital.
I'm looking at a possible five years in jail.
So I'd really appreciate it if you'd just get off my back.
Alcohol's a strong depressant.
It inhibits synaptogenesis and promotes neurodegeneration.
Awesome. Perfect time for a lecture.
Why don't you just prescribe me…
A little, uh…
-Uh, shrooms? -Yeah.
Heard of them?
They'll help you bring your emotions to the surface.
Rather than bury them.
I'll give you a small amount to start with.
I'll keep an eye on you.
You'll thank me when you feel better.
Yeah, this is good, it's, uh… I don't know, but thank you for this.
If it wasn't for you and Daria, my… Daria!
Daria…
Focus on yourself right now.
Basia, my wife, she says I'm all I focus on.
David? What's going on?
What are you feeling?
Oh, music. You hear?
You can trust me.
I don't know why.
I don't know why you had to die.
Try to breathe through it, you can do this.
I want you to leave.
I am not leaving you. Just breathe.
-Leave me alone! Just leave! -All right! All right.
You're okay.
Mom, can I get some toast?
Toast isn't good for you. It's full of chemicals that cause pimples.
Ew.
When asked to comment on the charges,
this is what public prosecutor Jan Kozieł had to say.
This is a well-connected, very wealthy man.
Mom, come quick, they're arresting Dad!
Something needs to be done, and I promise that from now on,
any doctor, regardless of status, will be punished for killing a patient.
Though Dr. Lazarus is not the only one of his kind,
he does appear to be the prime example of this problem.
Case in point, he's responsible for the--
I'm sure it's all a misunderstanding.
The second crew is tied up with a mechanical issue.
I'm sending you a rig from Jeleniewo. ETA 30 minutes.
Copy.
Traffic accident. Two vehicles involved. At least three injured.
Wow, yeah, I guess you can read.
Shouldn't we be getting a separate crew for each injured person?
You're right. Konrad!
Pull over at the next gas station.
We'll grab a hot dog and wait for the second crew,
because a single ambulance is sure to upset the casualties.
Look, I just wanted to say that we should sh--
Get 'em on.
Fuck me…
FIRE DEPARTMENT
Even more!
-That's good. -Sir, are you all right?
-Probably just a broken arm. -Good.
Just the two of you? Help the girl and her mother first.
Okay!
-How is she? -She's unconscious. Not breathing.
Okay. I'll take it from here.
Hand me the bag.
Still not breathing.
Hey.
-Hey! The mother's bleeding over there. -What?
Right there, she's bleeding heavily.
I tried applying pressure before, but…
My little girl!
-My daughter… -Don't be scared. We're here.
My name is Konstanty Walkiewicz, and I'm a doctor. Do you hear me?
-I can't. -I'm just gonna ask you a few questions.
It's all my fault.
I drifted into the next lane and we…
My poor little girl.
It's too late, she wasn't breathing when we got here.
-Hey. -Get your hands off of me.
It's my call when we stop.
I'm gonna check your pulse.
And you need some medication. Okay?
-Save her! -I need my bag!
Fuck!
Please, you have to help me so I can help you, okay?
I'm gonna insert the needle.
I need you not to move for me, please!
I can't! I don't want it!
I don't want…
No, no. Do something!
Please!
Oh, God!
Fuck.
No! Save her! You can't give up on her yet.
-Fuck! I need to do this. -No, no, no, no, no, please, no!
Please hold still.
You've got to trust me.
This is to help you.
-It'll be over soon. Just hold still. -Get off me!
Why won't you keep going?!
Do something!
You can't stop!
Do something, don't stop!
Konstanty, move your ass!
Konrad!
Holy fuck.
WHO THE FUCK ARE YOU?!
MISSED CALLS (10) BASIA
MESSAGES – BASIA CALL ME. WHY HAVEN'T YOU TOLD ME?
He's been sitting in the lounge the last two hours and I need him on the rig.
-Okay. -What's up?
37-year-old female, chest pains started 40 minutes ago.
Hey.
I know the pain you're in.
And believe me, it's completely normal.
These things just happen.
And as doctors, we have to deal with it.
Are you trying to make me feel better, 'cause I can't say that it's working.
So many of my patients want to die.
So why bother treating them?
Because I believe that one day, they'll change their minds.
But if they don't, I've done what I can.
This was her fault.
She's the one who caused it to happen.
If we manage to save her life…
She'll be forced to live with the guilt of killing her own daughter.
What kind of life is that?
You're gonna have to go through a lot of days like today.
Days when you have to see people dying.
And ultimately, you're gonna have to learn how to cope.
Because if you can't, there's no way you can do this job.
It's just part of being a doctor.
I wasn't aware the asshole was holding a goddamn press conference,
how would I know?
And it didn't occur to you to let your wife know that you got arrested?
I'm sorry, but I was too fuckin' exhausted after everything.
All right, so how's, uh, Franek taking all this? Is he okay?
Maybe you should ask him yourself.
Basia, I'm sorry.
I'll call him after school and I'll explain everything.
Don't apologize to me, David, I'm perfectly fine.
But you make sure to leave our son out of your mess.
Are you fucking serious?
I'm the one who's completely fucked in this!
You think you could maybe show a little support instead of--
Jagoda!
Doctor!
Is it true your surgeries are medical experiments?
Any comment about what the prosecutor had to say?
How many of your patients died like Mikołaj?
Are you seeing any patients?
That is Dr. David Lazarus.
He's a brilliant doctor.
I'm also proud to say that he's a friend of mine. And he's innocent.
If anyone has a problem with him, they can deal with me.
How you holdin' up?
Good to see you.
Thanks.
I'd like to get back to work if I can.
There was no way to know how long you'd be gone.
Well, I'm here now.
The schedule's already made. Maybe it's best for you to get some rest.
Okay. Bye.
He just left. There's no one to fill in for him.
-For fuck's sake, are you sure? -Yes, I'm sure!
-I need Konstanty back on his feet. -What's going on?
Konstanty's gone, now I'm short a crew member on the rig.
I'll do it.
You're busy enough as it is in neuro.
Slight schedule changes.
Status check. Confirm you're en route. Patient's getting worse.
-All right, go. -Let's go, big guy.
-Where's the girl? -About 200 meters from here.
Her clothes are soaked. She's freezing cold.
-Thank God. We called you 45 minutes ago! -Move aside, please.
Hello? Can you hear me? Hello?
Can you open your eyes?
She's unconscious.
Not getting a pulse.
She was breathing fine before we moved her. To be closer to the road.
-Begin resuscitation. -25 degrees, severe hypothermia.
Hypothermia can promote clot formation.
-When was she moved? -A few minutes before you got here.
-We used a vest to cover her up. -Go.
One. Two.
One. Two.
Hang on.
She's in V-Fib.
Charge it.
Clear.
She's back.
-One. Two. -Let's get her warm, fast.
-Turn the heat up to max, guys! -It is on max!
All right, then I need the heat packs from the thermobox.
What's her temperature?
Temperature is 26.4.
Here.
Oh, come on, not again.
No pulse.
We keep doing CPR till she warms up.
David.
…three, four.
David, let me try.
… thirteen, fourteen, fifteen.
All right. My turn.
No.
Let me switch with you, come on.
Let's go.
Not dying today, not on my watch.
I'm not gonna lose another.
Whether you're a brother Or whether you're a mother
You're stayin' alive, stayin' alive
Feel the city breakin' And everybody shakin'
You're stayin' alive, stayin' alive
Ah, ah, ah, ah Stayin' alive, stayin' alive
Hey, hey, hey, hey, hey! She's back, look!
That's a queen, right there. Brave as hell!
No time to lose. Let's get her to the ICU now.
-Hospital's about 20 minutes away. -Make it there in 10. Let's go!
Nicely done.
Second-degree hypothermia.
Cardiac arrest, but she's back now.
I need an ABG and chest X-ray STAT,
and start continuous core temperature monitoring.
EARNING OFF THE DEATH OF INNOCENTS. NO, THANKS…
'GENIUS' FROM THE MEDIA GETS REALITY CHECK.
SHIT. FIRST PRAISE, THEN A LETDOWN.
WILL THE CELEBRITY DOCTOR BE CHARGED?
-Dad? -Hey, Franek.
I'm sorry, buddy, I should've called sooner.
Uh, so, I know you saw me on the TV earlier…
and I wanted to…
apologize to you for what you saw.
-It must've been awful. -That man's a big liar.
Well, I'd like to talk to you a bit more about it.
Maybe if you don't have any plans in the morning?
Uh… I don't think I do.
Well, let's have breakfast, okay?
Give me a chance to explain everything, man to man.
Maybe after that, you'll beat me in that video game of yours?
You mean you're coming home? I miss you, Dad!
I miss you more, champ.
Is, uh, Mom around?
She's out, but when she gets back, I'll tell her you say hi.
Hm.
-So, I'll see you in the morning then? -Uh-huh.
Good night, champ.
Night, Dad!
Hell yeah!
Her little heart's beating better than ever.
Mmm.
She'll be waking up later today.
Hey, hey, no! Come on.
Use your own fork, dude. Tastes better without all your spit.
We may have swapped spit in the past, you know that, right?
That's totally not the same thing, obviously.
-Hm? -Ada, when…
When we gave her CPR…
for so long…
and it wasn't working…
I didn't think I could do it.
-When I see an adult die, it's one thing. -Yeah.
When it's a kid, I mean…
I know.
You did it, though.
About fuckin' time.
Easy there. Easy. Okay, okay.
You're okay, honey.
Just relax, now.
-You're gonna be all right, okay? -There you go.
-Okay. There you go. -Oleg. Oleg.
Ewa.
Ewa.
And you?
Rania.
Rania.
Sweet, huh?
Beautiful.
-I'll go find a doctor. You stay with her. -Mm-hm. I will.
Mother. Your mother?
Hello?!
Is anyone out there?
I'm a doctor!
Hello?
I'm a doctor!
I'm a doctor.
I'm here to help you.
-Oh, you still at the university? -No. No, I'm at home now.
I'm sorry about earlier. I got carried away.
You did.
I understand if you're angry. You have every right to be.
I don't know what's gotten into me. Lately, it's like I'm losing it.
What if I come home? Just for a little while?
Basia? Are you still there?
I gotta pack up a couple of things and I'll be home in, uh, four hours or so?
Okay. Okay, sure.
I understand why I might get the cold shoulder.
I brought it on myself.
I promise I'll try to make it up to you.
Guess I'll see you later.
Hey, I appreciate the support, Oleg, but I--
David, listen! It's important.
What is it? What's wrong?
I'm in the woods, I've got Rania's mother, the little girl you found.
What do you mean? Where?
I'm dropping you a pin now. David, she's got a parasternal wound.
Thready pulse, muffled heart sounds. It's a pericardial effusion.
I have to relieve the pressure now, before her heart stops.
How exactly did you do this examination? Why didn't you phone an ambulance?
An ambulance would only make it here in an hour. She doesn't have that long.
And even if she did, they'd just send her back to Belarus.
David, it's a simple procedure.
We could do it right at the hospital. Together.
I'm asking if you'll be my assistant.
Oleg, I can't. I'm already on the way to see my son.
Call an ambulance!
David, I'm telling you, there's no time.
I'm gonna do this, with or without your help.
Oleg, make the call, for God's sake.
Christ's sake…
-What's goin' on, big guy? -Zawisza…
I'm gonna need your help with something.
Don't forget to take him out.
Wait, the dog is vomiting? What the hell did you give him?
OPERATING ROOMS
-Quickly. Turn right. -All right, careful.
-Come on. Yeah. -We got it.
Let's move that out.
Now!
Okay, Doc.
You're the boss.
Uh, Dr. Kovalev is the one in charge. I'll be assisting him.
Ultrasound.
Easy, easy, easy, easy.
Slow and steady.
Okay, looks like you're in.
-She's bleeding around the heart. -Fuck.
Pericardial sac's filling up.
Stab wound to the heart.
-We need to operate on her right away. -We're not prepared for this procedure.
For fuck's sake, without an anesthesiologist or the right equipment?
I'll handle the anesthesia.
I'm certified, I can do it.
Her heart could stop at any moment.
We need to start now, or we're gonna lose her.
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