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1
00:00:00,066 --> 00:00:01,562
I already bought my flight pass,
2
00:00:01,567 --> 00:00:02,946
so I'll be able to go back and forth for
3
00:00:02,950 --> 00:00:04,757
even five times a week.
4
00:00:06,575 --> 00:00:09,812
I want you to know, we don't
have to jump into anything.
5
00:00:10,385 --> 00:00:12,210
- What?
- Placement was wrong,
6
00:00:12,215 --> 00:00:13,726
I think I perforated an organ.
7
00:00:13,731 --> 00:00:15,332
Call for blood!
8
00:00:16,168 --> 00:00:19,168
[MENACING MUSIC]
9
00:00:45,446 --> 00:00:47,640
[MITCHELL]: Does this man speak to you?
10
00:00:50,903 --> 00:00:52,414
Sometimes.
11
00:00:52,419 --> 00:00:55,622
Are you comfortable discussing
why you were arrested?
12
00:00:56,156 --> 00:00:59,359
Doctors who treat rebels, the...
13
00:00:59,728 --> 00:01:01,389
the Regime doesn't like that.
14
00:01:01,394 --> 00:01:02,995
Has there been some kind of change or...
15
00:01:03,000 --> 00:01:05,811
reminder that provoked these memories?
16
00:01:08,035 --> 00:01:10,577
We've spoken before about triggers.
17
00:01:10,582 --> 00:01:13,235
And when they happen,
you want to fix things.
18
00:01:13,240 --> 00:01:14,842
I have seen enough to know that.
19
00:01:15,108 --> 00:01:18,045
And your way of doing that is
by running into burning buildings
20
00:01:18,050 --> 00:01:19,651
trying to save someone else.
21
00:01:20,177 --> 00:01:22,313
It makes you feel in control.
22
00:01:22,583 --> 00:01:26,155
The thing is, post-traumatic
stress is like a faucet.
23
00:01:26,406 --> 00:01:27,740
Once open,
24
00:01:27,745 --> 00:01:30,144
it keeps on flowing, Bash,
whether you like it or not.
25
00:01:30,149 --> 00:01:32,017
Are you saying I can't stop it?
26
00:01:32,192 --> 00:01:34,328
You can find healthy
ways to live with it.
27
00:01:34,522 --> 00:01:37,458
Like letting yourself feel
the memories and talking about it
28
00:01:37,463 --> 00:01:39,598
instead of shouldering it alone.
29
00:01:40,819 --> 00:01:43,384
Hey, this is progress.
30
00:01:43,389 --> 00:01:46,068
All we're doing here is learning
to recognize your triggers
31
00:01:46,073 --> 00:01:48,742
so you can control how to react to them.
32
00:01:51,059 --> 00:01:52,394
Hmm.
33
00:01:54,535 --> 00:01:56,403
Are you looking at apartments?
34
00:01:56,408 --> 00:01:58,807
I told you, man, you can stay
with me as long as you want.
35
00:01:58,812 --> 00:02:00,146
It's not for me, it's for Rania.
36
00:02:00,151 --> 00:02:02,530
She's still having a hard
time finding something.
37
00:02:02,535 --> 00:02:04,403
I didn't see you come home last night.
38
00:02:04,408 --> 00:02:07,077
I was in my room, I was
on a very important task.
39
00:02:07,155 --> 00:02:10,893
Mel was wiped, so I
covered homework and bedtime
40
00:02:11,264 --> 00:02:12,499
All on video call?
41
00:02:12,499 --> 00:02:15,435
Yeah, we made a game out
of it. I was Robot dad.
42
00:02:15,435 --> 00:02:16,844
And it went over really well with Mel.
43
00:02:16,848 --> 00:02:18,609
She's flying in tonight and
we're gonna out for dinner.
44
00:02:18,613 --> 00:02:20,769
- That's good.
- Did Rania ever find a job?
45
00:02:20,774 --> 00:02:23,705
Not yet. The government
helps out for the first year,
46
00:02:23,710 --> 00:02:24,913
but she needs to find a place
47
00:02:24,918 --> 00:02:27,587
and a lot of landlords are
hesitant about newcomers.
48
00:02:28,993 --> 00:02:30,862
- Long night?
- Yeah.
49
00:02:31,019 --> 00:02:32,620
Are you finished soon?
50
00:02:32,625 --> 00:02:34,227
Another hour.
51
00:02:34,917 --> 00:02:36,785
Remember Sonja Jessup?
52
00:02:37,139 --> 00:02:38,926
You know, when Bishop
misread the ultrasound?
53
00:02:38,926 --> 00:02:41,931
And I punctured her spleen.
Hard to forget that one.
54
00:02:41,936 --> 00:02:42,936
Well, her case is up
55
00:02:42,941 --> 00:02:45,089
at the Morbidity
and Mortality rounds today.
56
00:02:45,094 --> 00:02:47,729
I've sat in on a few M&Ms rounds, but...
57
00:02:47,859 --> 00:02:49,736
never one of my own patients.
58
00:02:49,741 --> 00:02:53,969
Then you know they're purely
educational and anonymous.
59
00:02:53,974 --> 00:02:55,703
You have nothing to worry about, Bash.
60
00:02:55,708 --> 00:02:57,310
Does Bishop?
61
00:02:57,611 --> 00:03:00,280
Good morning. Incoming trauma.
62
00:03:00,280 --> 00:03:02,416
- I'm on it.
- Ah, you look tired, Leblanc.
63
00:03:02,416 --> 00:03:05,085
Doctor Hamed, get
changed, meet me outside.
64
00:03:12,025 --> 00:03:13,875
ETA one minute.
65
00:03:13,985 --> 00:03:17,097
Um, Doctor Novak, assuming
I have time between patients,
66
00:03:17,097 --> 00:03:19,232
I'd like to attend the M&M rounds today.
67
00:03:19,232 --> 00:03:22,169
- The case in question is mine...
- Oh. No spoilers.
68
00:03:22,169 --> 00:03:25,639
The whole point is an impartial
review of adverse outcomes
69
00:03:25,639 --> 00:03:27,240
and I'm the one leading it.
70
00:03:27,586 --> 00:03:30,694
But by all means join us.
We'll figure out what went wrong.
71
00:03:30,699 --> 00:03:32,033
[SIRENS WAILING]
72
00:03:32,038 --> 00:03:34,441
A guy sliced his femoral apparently.
73
00:03:34,680 --> 00:03:36,281
It's gonna be bloody.
74
00:03:38,202 --> 00:03:40,202
[GENTLE MUSIC]
75
00:03:48,088 --> 00:03:52,953
Synced & corrected by QueenMaddie
www.addic7ed.com
76
00:03:54,008 --> 00:03:55,797
Please don't let him die!
77
00:03:55,802 --> 00:03:57,404
You need to wait out here.
78
00:03:57,560 --> 00:04:00,229
Heart rate's 135, BP's crashing!
79
00:04:03,010 --> 00:04:05,145
Checking his artery.
80
00:04:06,462 --> 00:04:10,289
Her skate sliced through his
femoral, I can clamp it but...
81
00:04:11,377 --> 00:04:13,949
IVC's flat. He's hypovolemic.
82
00:04:13,954 --> 00:04:16,356
That doesn't bode well for
what's happening below the knee.
83
00:04:16,356 --> 00:04:17,958
It's bad news for a figure skater.
84
00:04:17,958 --> 00:04:19,559
He's exsanguinating!
85
00:04:19,559 --> 00:04:21,695
Activate MTP, I need
two large bore IV's.
86
00:04:21,695 --> 00:04:23,415
Four units, O-neg.
Rhoda, page vascular!
87
00:04:23,558 --> 00:04:26,792
Might not be enough. Ever do an
intravascular shunt back home?
88
00:04:26,797 --> 00:04:28,630
Yes, but they don't
do it here, as a rule.
89
00:04:28,635 --> 00:04:30,110
Then we make a new rule.
90
00:04:30,115 --> 00:04:32,475
The shunt increases the odds
when it comes to saving a limb.
91
00:04:33,957 --> 00:04:36,626
Hemorrhagic shock. Pulseless Vfib...
92
00:04:36,631 --> 00:04:39,516
Start bagging and compressing.
Rhoda, one shot epi!
93
00:04:39,524 --> 00:04:42,704
If we can save this kid and
his leg, why wouldn't we?
94
00:04:43,050 --> 00:04:45,117
Make do with what you can find.
95
00:04:48,793 --> 00:04:50,662
Don't stop compressions, Claire.
96
00:04:50,735 --> 00:04:53,460
Rhoda, prepare to
defibrillate. 200 joules.
97
00:04:53,460 --> 00:04:55,266
Be ready on my mark.
98
00:04:55,394 --> 00:04:58,527
Doctor Hamed's going
to build us a bridge,
99
00:04:58,532 --> 00:05:01,735
delivering blood from above
Vince's injury to below it.
100
00:05:01,740 --> 00:05:03,971
Here? Without vascular?
101
00:05:03,976 --> 00:05:05,445
Exciting, right?
102
00:05:06,611 --> 00:05:08,746
[MACHINE BEEPING RAPIDLY]
103
00:05:10,272 --> 00:05:12,407
- Charged!
- Clear!
104
00:05:12,412 --> 00:05:14,014
[MACHINE BEEPING]
105
00:05:16,084 --> 00:05:19,274
- Sinus rhythm.
- Let's hope it flows...
106
00:05:21,047 --> 00:05:22,649
Beautiful.
107
00:05:23,890 --> 00:05:26,560
[BEEPING STEADILY]
108
00:05:28,512 --> 00:05:30,649
Good job, everybody.
109
00:05:36,970 --> 00:05:38,839
[SOBBING]
110
00:05:46,046 --> 00:05:48,982
I haven't thrown up this
much since university.
111
00:05:49,290 --> 00:05:51,159
Should have brought a toothbrush.
112
00:05:51,164 --> 00:05:52,719
We've got some mouthwash
once you're done.
113
00:05:52,719 --> 00:05:56,703
Don't hold your breath. It's
been non-stop for two hours.
114
00:05:57,367 --> 00:05:59,581
Anything to eat or drink
this morning beforehand?
115
00:05:59,586 --> 00:06:02,714
I've been trying to drink
more milk, for the calcium.
116
00:06:02,719 --> 00:06:05,527
I was on my phone so I wasn't
paying attention when I poured it.
117
00:06:05,532 --> 00:06:08,468
- It had already expired.
- No, but...
118
00:06:08,775 --> 00:06:10,599
something else had.
119
00:06:10,604 --> 00:06:12,205
Is that a mouse?
120
00:06:12,205 --> 00:06:15,137
A very dead mouse. In the milk.
121
00:06:15,142 --> 00:06:16,650
That I drank.
122
00:06:16,655 --> 00:06:19,679
- You seem remarkably calm.
- Trust me, I wasn't.
123
00:06:20,248 --> 00:06:23,950
Screamed so loud that my cute
neighbour came to check on me.
124
00:06:23,950 --> 00:06:27,186
Which is when the puking started.
125
00:06:27,412 --> 00:06:29,022
Well, it's essentially food poisoning.
126
00:06:29,022 --> 00:06:33,017
Your body's natural reaction of
expelling what you've ingested.
127
00:06:33,022 --> 00:06:35,962
We'll run some blood work
and get you rehydrated.
128
00:06:36,323 --> 00:06:38,192
[RETCHING]
129
00:06:38,365 --> 00:06:40,233
Thank you so much!
130
00:06:40,900 --> 00:06:42,897
Hey, I'm not on the board.
131
00:06:43,155 --> 00:06:45,030
Because the board is yours.
132
00:06:45,533 --> 00:06:47,392
Congratulations, Doctor Curtis.
133
00:06:47,397 --> 00:06:49,561
- I got Chief Resident?
- It wasn't unanimous,
134
00:06:49,566 --> 00:06:52,507
but your surgical record
swayed a few holdouts.
135
00:06:52,710 --> 00:06:54,915
That internal decapitation you caught,
136
00:06:54,915 --> 00:06:57,584
the team you put together for
that aggressive abdominal tumour,
137
00:06:57,584 --> 00:06:59,719
those were things people noticed.
138
00:07:00,253 --> 00:07:02,918
One year term, first
review in three months.
139
00:07:03,185 --> 00:07:04,786
You'll lead morning rounds today.
140
00:07:04,791 --> 00:07:07,189
Get a sense of who's
got what on their plate,
141
00:07:07,194 --> 00:07:08,795
make assignments and... any patient
142
00:07:08,795 --> 00:07:11,198
that's coming through
emerg is your responsibility
143
00:07:11,198 --> 00:07:13,333
whether you're covering it or not.
144
00:07:13,867 --> 00:07:16,069
- Oh, I start now?
- Best way to learn.
145
00:07:16,074 --> 00:07:19,011
Also you should know that
the competition was stiff
146
00:07:19,016 --> 00:07:21,952
and will be... unhappy.
147
00:07:22,676 --> 00:07:24,544
Welcome to the deep end.
148
00:07:29,082 --> 00:07:31,484
[INDISTINCT CHATTER ON PA]
149
00:07:34,154 --> 00:07:35,755
[GENTLE MUSIC]
150
00:07:40,026 --> 00:07:42,429
[WOMAN]: It doesn't matter
where I took him, Matt.
151
00:07:43,163 --> 00:07:45,365
Well, you gave up the
right to know how he is.
152
00:07:45,582 --> 00:07:47,984
No. He... I'm hanging up now!
153
00:07:48,568 --> 00:07:50,163
[SIGHING]
154
00:07:50,444 --> 00:07:53,106
I'm sorry, I didn't,
ah... You're the mother?
155
00:07:53,106 --> 00:07:54,671
That room was empty.
156
00:07:54,825 --> 00:07:57,105
He was finally asleep.
157
00:07:57,303 --> 00:07:59,238
I've been trying to get
the school to stop calling his father
158
00:07:59,242 --> 00:08:00,262
when he's absent, but they keep
159
00:08:00,266 --> 00:08:01,680
forgetting to take him off the damn list
160
00:08:01,684 --> 00:08:03,819
even though he doesn't have custody.
161
00:08:04,647 --> 00:08:08,049
- When did his fever start?
- A couple days ago.
162
00:08:08,054 --> 00:08:10,190
It keeps coming back when
the Tylenol wears off.
163
00:08:10,190 --> 00:08:11,870
At first I thought he was just tired,
164
00:08:11,875 --> 00:08:14,064
but then, he didn't
sleep at all last night.
165
00:08:14,069 --> 00:08:15,863
We went to two walk-ins this morning
166
00:08:15,868 --> 00:08:17,107
and they said the wait
was gonna be hours
167
00:08:17,111 --> 00:08:19,278
- and I'm supposed to be at work.
- He shouldn't be at school
168
00:08:19,282 --> 00:08:20,942
with a temperature over 38 anyway.
169
00:08:20,947 --> 00:08:24,332
You also said to our triage
nurse something about a toothache?
170
00:08:24,337 --> 00:08:27,007
Yeah. He had a cold and then he said
171
00:08:27,007 --> 00:08:29,574
one of his bottom teeth was bugging him.
172
00:08:29,579 --> 00:08:31,715
He stopped mentioning it, but
I figured I should tell them.
173
00:08:31,719 --> 00:08:33,145
What did his dentist say?
174
00:08:33,947 --> 00:08:36,512
Well, I switched jobs, and
my benefits don't kick in
175
00:08:36,517 --> 00:08:37,946
for another month...
176
00:08:38,121 --> 00:08:42,222
Matt, Eamon's father, he
has better dental, but...
177
00:08:42,619 --> 00:08:44,753
We can't use that anymore.
178
00:08:44,886 --> 00:08:47,022
Eamon? I'm Theo.
179
00:08:47,027 --> 00:08:49,696
Mind if I take a quick
peek in your mouth there?
180
00:08:49,696 --> 00:08:51,166
Yeah? Roll over for me.
181
00:08:51,171 --> 00:08:53,306
Perfect, alright, open wide.
182
00:08:53,311 --> 00:08:54,646
Good.
183
00:08:55,302 --> 00:08:56,903
Okay.
184
00:08:58,505 --> 00:09:01,708
I'm gonna go talk to your
mom for a second, okay?
185
00:09:04,372 --> 00:09:06,508
We'll have to check his
white blood cell count
186
00:09:06,513 --> 00:09:07,737
and have a dentist weigh in,
187
00:09:07,742 --> 00:09:11,213
but it could be that an
abscess led to an infection.
188
00:09:12,788 --> 00:09:16,117
I figured it was just a cavity
that could wait a couple weeks.
189
00:09:16,468 --> 00:09:19,059
He needed a new winter coat, so...
190
00:09:19,675 --> 00:09:21,127
Did I screw up?
191
00:09:21,132 --> 00:09:23,330
We have an oral surgeon on call.
192
00:09:23,330 --> 00:09:24,664
She'll take a look.
193
00:09:24,669 --> 00:09:26,909
If she has to drain the abscess,
194
00:09:26,914 --> 00:09:28,960
it'll be covered under
provincial health care.
195
00:09:34,148 --> 00:09:35,749
Doctor Bishop.
196
00:09:36,676 --> 00:09:38,165
How are you feeling?
197
00:09:38,170 --> 00:09:40,572
Fine, gathering strength.
198
00:09:40,577 --> 00:09:43,021
I wasn't sure you'd make it
in today, I'm glad you did.
199
00:09:43,026 --> 00:09:45,695
I'm not here for the M&M
if that's what you mean.
200
00:09:45,700 --> 00:09:47,568
I'm here as a patient.
201
00:09:50,290 --> 00:09:53,218
You know, Doctor Novak, he's
running the session. And he's...
202
00:09:53,223 --> 00:09:55,892
Yes, yes, we've established.
Wants my job.
203
00:09:57,366 --> 00:09:59,099
He's picked a good case to take up,
204
00:09:59,099 --> 00:10:00,967
plenty to learn from what happened.
205
00:10:00,967 --> 00:10:02,619
So, how come you won't...
206
00:10:02,624 --> 00:10:05,238
If I'm there, others won't
feel free to speak openly.
207
00:10:05,238 --> 00:10:06,702
But if you're not, then...
208
00:10:06,707 --> 00:10:08,842
Novak might malign my good name?
209
00:10:10,538 --> 00:10:12,406
My name can take it.
210
00:10:12,411 --> 00:10:14,547
It's not your fight, Doctor Hamed.
211
00:10:22,055 --> 00:10:24,033
- Congrats, June.
- Thanks, Erica.
212
00:10:24,038 --> 00:10:27,116
- Hopefully, we can work together.
- Don't we already?
213
00:10:27,546 --> 00:10:30,592
And hey, I asked Alex
to show me his system
214
00:10:30,597 --> 00:10:35,124
on consults and OR assignments
in case I got the job but...
215
00:10:35,343 --> 00:10:37,270
I don't mind walking you through it.
216
00:10:37,270 --> 00:10:40,740
I'll figure it out, but thank you.
217
00:10:45,674 --> 00:10:47,150
What the hell is that?
218
00:10:47,155 --> 00:10:49,282
I'm asking Public Health to test it.
219
00:10:49,282 --> 00:10:51,166
Patient found it in a bag of milk.
220
00:10:51,171 --> 00:10:52,632
Like, after they drank from it?
221
00:10:52,637 --> 00:10:54,773
- Mm-hmm.
- [JUNE]: Argh...
222
00:10:54,778 --> 00:10:57,018
- Oh, my God! June!
- What?
223
00:10:57,023 --> 00:10:58,358
You got the job!
224
00:10:58,999 --> 00:11:00,488
[EXCITEDLY]: Chief Resident!
225
00:11:00,493 --> 00:11:02,629
- Oh, my God! It's amazing!
- Thank you.
226
00:11:02,629 --> 00:11:04,230
Any blowback from the other applicants?
227
00:11:04,230 --> 00:11:06,811
If there is I'll just have to
tune it out and do the work.
228
00:11:11,157 --> 00:11:13,616
Something I feel like
you might know all about?
229
00:11:13,621 --> 00:11:15,489
Is he still keeping you out of traumas?
230
00:11:15,494 --> 00:11:17,363
Or telling me I'm doing them wrong.
231
00:11:17,839 --> 00:11:21,042
Anyway as soon as Public Health
is on board, my shift's over.
232
00:11:21,047 --> 00:11:23,450
You should know Mr. Conor
in three needs a scope.
233
00:11:23,450 --> 00:11:25,318
- Possible ulcer.
- Oh, okay.
234
00:11:25,318 --> 00:11:27,987
- I'm so happy for you, June...
- Are you gonna hug me again?
235
00:11:29,429 --> 00:11:31,499
- [CHUCKLING]
- Boundaries, please.
236
00:11:39,171 --> 00:11:40,266
Trish?
237
00:11:40,487 --> 00:11:41,822
How's Vincent?
238
00:11:41,827 --> 00:11:44,804
He's doing well, he's stable
and about to go into surgery.
239
00:11:45,382 --> 00:11:47,944
Nothing like this has
ever happened to us before.
240
00:11:49,337 --> 00:11:52,499
How long have you two been...
241
00:11:53,241 --> 00:11:54,414
Together?
242
00:11:54,948 --> 00:11:56,282
Ten years.
243
00:11:56,282 --> 00:11:58,151
People always ask if
we're a couple but...
244
00:11:58,151 --> 00:12:00,820
we basically grew up on the ice,
so more like siblings,
245
00:12:00,820 --> 00:12:02,155
partners.
246
00:12:02,417 --> 00:12:03,713
It's hard to explain.
247
00:12:03,718 --> 00:12:05,892
One of the nurses recognized your names.
248
00:12:05,892 --> 00:12:07,760
You skate for the country?
249
00:12:07,760 --> 00:12:09,680
I'm sorry, I'm not
familiar with the sport.
250
00:12:09,685 --> 00:12:11,226
It's not like we're famous.
251
00:12:11,231 --> 00:12:13,362
You need to be ranked
25th or better in the world
252
00:12:13,366 --> 00:12:16,166
to make it on the National team
and qualify for the Olympics.
253
00:12:16,171 --> 00:12:17,899
Right now we're 42nd.
254
00:12:17,904 --> 00:12:19,772
That's still very impressive.
255
00:12:21,701 --> 00:12:24,139
Vincent's been asking for you.
256
00:12:28,179 --> 00:12:30,017
He looks so pale...
257
00:12:30,022 --> 00:12:32,852
That's normal for someone
who lost so much blood.
258
00:12:34,130 --> 00:12:35,648
It's okay.
259
00:12:40,703 --> 00:12:41,928
Are you okay?
260
00:12:41,933 --> 00:12:43,749
Are you seriously asking me that?
261
00:12:43,754 --> 00:12:46,461
- My blade almost killed you.
- Because I dropped you!
262
00:12:46,664 --> 00:12:48,601
- What went wrong, T?
- I don't know.
263
00:12:48,601 --> 00:12:49,922
But I've been running
it through in my head
264
00:12:49,926 --> 00:12:51,000
so when we get back out there...
265
00:12:51,004 --> 00:12:52,149
- Trish.
- Coming into that turn,
266
00:12:52,153 --> 00:12:54,234
if my freeside's forward
and yours is out...
267
00:12:54,239 --> 00:12:55,239
Trish.
268
00:12:57,054 --> 00:12:59,807
Doctor Hamed's saying this operation
could put me out for six months.
269
00:12:59,952 --> 00:13:01,821
Six months?
270
00:13:02,992 --> 00:13:06,748
The blade sliced very deep,
severing tissue and muscle,
271
00:13:06,753 --> 00:13:09,155
and our vascular surgeons
might have to take more
272
00:13:09,155 --> 00:13:11,460
to permanently repair Vincent's artery.
273
00:13:11,465 --> 00:13:13,588
We won't know the
extent until they go in.
274
00:13:13,593 --> 00:13:16,090
But everything we've worked
for. This was our shot.
275
00:13:16,095 --> 00:13:17,964
And if we miss the whole season...
276
00:13:17,971 --> 00:13:19,671
This can't be happening.
277
00:13:20,628 --> 00:13:22,764
I'll get it right this time...
278
00:13:23,187 --> 00:13:24,370
Get what right?
279
00:13:24,820 --> 00:13:27,040
Roland says we should be
extensions of each other
280
00:13:27,040 --> 00:13:29,088
so I need to keep practicing.
281
00:13:29,093 --> 00:13:30,777
What? He was our first
coach, when we were kids.
282
00:13:30,777 --> 00:13:32,645
- We haven't seen him in years.
- Trish?
283
00:13:32,656 --> 00:13:33,910
I need help in here!
284
00:13:33,915 --> 00:13:35,054
What's wrong with her?
285
00:13:35,059 --> 00:13:36,660
She may have fallen on her head.
286
00:13:36,665 --> 00:13:38,156
We need to get her to CT,
287
00:13:38,161 --> 00:13:40,246
check for signs of
concussion or skull fracture.
288
00:13:40,381 --> 00:13:41,983
Find us a stretcher.
289
00:13:41,988 --> 00:13:44,390
- Doctor Hamed, wait.
- What is it, Vincent?
290
00:13:44,390 --> 00:13:46,062
She's been taking something.
291
00:13:46,642 --> 00:13:48,789
She doesn't know that I know.
292
00:13:51,104 --> 00:13:52,601
- Doctor Curtis?
- Yeah?
293
00:13:53,108 --> 00:13:56,320
Mr. Conor was asking
about us sending him home
294
00:13:56,325 --> 00:13:58,124
when this happened.
295
00:13:58,129 --> 00:13:59,730
Did your stomach pain get worse?
296
00:14:00,126 --> 00:14:01,437
- Yeah.
- Okay.
297
00:14:01,442 --> 00:14:05,446
Based on your history, it's probably
a bleeding ulcer or gastritis.
298
00:14:06,218 --> 00:14:09,046
Hey, I called for a scope
for him like an hour ago.
299
00:14:09,051 --> 00:14:10,593
Any idea why no one came to get him?
300
00:14:10,598 --> 00:14:13,000
A resident needs to
be assigned for that.
301
00:14:13,513 --> 00:14:15,648
I'm gonna take you up myself.
302
00:14:15,653 --> 00:14:19,123
And I will ask Erica Harris
to cover me in emerg.
303
00:14:19,128 --> 00:14:20,554
Can you get us a chair?
304
00:14:20,559 --> 00:14:23,495
We'll give your wife a call, let
her know what's going on, okay?
305
00:14:23,500 --> 00:14:25,636
[INDISTINCT CHATTER]
306
00:14:25,924 --> 00:14:27,320
Heard you were looking for me?
307
00:14:27,325 --> 00:14:29,194
He started breathing
heavy a few minutes ago
308
00:14:29,199 --> 00:14:30,734
- and saying his head hurts?
- Okay.
309
00:14:30,739 --> 00:14:32,874
Eamon, could you sit up for me?
310
00:14:32,941 --> 00:14:34,810
Okay, good.
311
00:14:34,815 --> 00:14:36,950
Take some big breaths, buddy.
312
00:14:36,955 --> 00:14:39,357
[WHEEZING]
313
00:14:41,103 --> 00:14:44,306
Okay. You can sit back down. Perfect.
314
00:14:44,823 --> 00:14:46,425
I heard from the oral surgeon.
315
00:14:46,430 --> 00:14:48,565
She says there was a ruptured abscess
316
00:14:48,570 --> 00:14:50,705
which likely led to the infection.
317
00:14:52,232 --> 00:14:54,210
How long's he had these marks?
318
00:14:54,215 --> 00:14:56,617
I don't know. I've never noticed them.
319
00:15:01,117 --> 00:15:03,520
[GENTLE MUSIC]
320
00:15:06,595 --> 00:15:10,316
Arnold? EKG. Page cardio stat.
321
00:15:10,321 --> 00:15:11,691
Copy that.
322
00:15:13,682 --> 00:15:17,953
Eamon, I need you to take a big
breath and hold it for me, okay?
323
00:15:18,920 --> 00:15:20,777
What's happening to him?
324
00:15:24,124 --> 00:15:25,993
Good job.
325
00:15:26,841 --> 00:15:30,965
Those marks on his hands and
feet are called Janeway lesions.
326
00:15:30,970 --> 00:15:32,481
What that tells me is that Eamon's heart
327
00:15:32,485 --> 00:15:34,746
is throwing out tiny little blood clots.
328
00:15:34,751 --> 00:15:36,352
And I heard a murmur when I listened.
329
00:15:36,357 --> 00:15:38,756
In his heart?! What does that
have to do with a toothache?
330
00:15:38,761 --> 00:15:40,629
Mommy, I'm scared.
331
00:15:40,634 --> 00:15:42,236
That's okay, baby.
332
00:15:42,599 --> 00:15:44,176
What do we do when we feel afraid?
333
00:15:44,181 --> 00:15:45,832
Huh? Take a deep breath,
334
00:15:46,432 --> 00:15:48,949
we put our scariest face and we say...
335
00:15:48,954 --> 00:15:50,855
[TOGETHER]: Go away fear!
336
00:15:50,860 --> 00:15:52,995
Okay, that's good.
337
00:15:54,398 --> 00:15:56,533
Eamon may have something
called endocarditis,
338
00:15:56,538 --> 00:16:00,542
it's an infection in one or
more of the valves of the heart.
339
00:16:00,842 --> 00:16:04,473
Sometimes, oral infections can
travel to other parts of the body
340
00:16:04,478 --> 00:16:06,080
when left unchecked.
341
00:16:06,085 --> 00:16:09,223
- When left unchecked.
- We'll do X-rays to confirm
342
00:16:09,228 --> 00:16:12,164
and an echo to see if or...
343
00:16:12,169 --> 00:16:14,730
how it affected his heart function.
344
00:16:14,735 --> 00:16:16,336
And if it has, how do you fix it?
345
00:16:16,341 --> 00:16:18,210
That depends on how far it's progressed.
346
00:16:18,215 --> 00:16:20,933
Cardiology will tell
us if he needs surgery
347
00:16:20,938 --> 00:16:23,051
or if it can be managed with medication.
348
00:16:23,313 --> 00:16:24,648
Hi.
349
00:16:25,606 --> 00:16:30,184
Arnold here is going to put some
stickers on your chest, okay, Eamon?
350
00:16:30,189 --> 00:16:32,324
I promise you, it won't hurt one bit.
351
00:16:32,329 --> 00:16:34,114
But it might tickle a little bit.
352
00:16:43,686 --> 00:16:45,809
You think I'm a bad mom
for leaving it so long.
353
00:16:45,814 --> 00:16:48,614
- I never meant to imply...
- Maybe not. But you did.
354
00:16:50,485 --> 00:16:52,035
Look,
355
00:16:52,873 --> 00:16:54,895
Eamon's dad was abusive.
356
00:16:55,446 --> 00:17:00,251
And about six months ago, it
got real bad, so we got out.
357
00:17:00,669 --> 00:17:03,338
And I don't want him to
know where we are. Ever.
358
00:17:03,611 --> 00:17:06,281
But that also means
not taking his money,
359
00:17:06,454 --> 00:17:09,535
so that means Eamon has
to live with less because
360
00:17:09,540 --> 00:17:11,965
I can't give him everything he needs.
361
00:17:13,301 --> 00:17:15,970
And now my little boy's heart...
362
00:17:17,979 --> 00:17:20,114
[SOBBING]
363
00:17:22,941 --> 00:17:24,809
Please help him.
364
00:17:24,814 --> 00:17:27,216
[CITY SOUNDSCAPE]
365
00:17:29,158 --> 00:17:31,560
[INDISTINCT CHATTER]
366
00:17:35,072 --> 00:17:36,674
Hey, Cam!
367
00:17:37,577 --> 00:17:40,762
I'm sorry! I know you only
have 45 minutes, I'm sorry!
368
00:17:40,767 --> 00:17:42,636
I lied. I have 90.
369
00:17:43,297 --> 00:17:45,840
- You ordered anyway?
- I was starving, sorry.
370
00:17:45,845 --> 00:17:47,746
And you're actually
earlier than I thought.
371
00:17:47,751 --> 00:17:49,622
Oh, my God, this woman
drank an entire bag of milk
372
00:17:49,626 --> 00:17:51,404
before she realized there
was a dead mouse in it.
373
00:17:51,408 --> 00:17:52,887
I had to stay and fill out paperwork
374
00:17:52,892 --> 00:17:54,575
and it just took me way longer
to convince Public Health
375
00:17:54,579 --> 00:17:57,024
to get it tested for
hantavirus, just forever.
376
00:17:57,029 --> 00:18:00,410
Well, there's my appetite.
My sister, Magalie, James.
377
00:18:00,415 --> 00:18:02,395
And that's on the low
end of weird for her.
378
00:18:02,400 --> 00:18:04,268
Just a coffee for now, James, thank you.
379
00:18:04,539 --> 00:18:06,223
This is for you.
380
00:18:08,711 --> 00:18:10,824
Their war against clutter continues.
381
00:18:35,968 --> 00:18:37,837
[GENTLE MUSIC]
382
00:18:37,842 --> 00:18:39,710
Doctor Mann.
383
00:18:43,329 --> 00:18:44,329
Twelve.
384
00:18:57,728 --> 00:18:59,621
It's just, you know, when...
385
00:18:59,626 --> 00:19:03,097
like the entire essence of
your being offends someone?
386
00:19:03,493 --> 00:19:06,051
It's kind of hard not
to start believing it.
387
00:19:07,241 --> 00:19:08,864
You can't just tell him off?
388
00:19:08,869 --> 00:19:12,106
No! No, that would really
make things worse for me.
389
00:19:12,111 --> 00:19:14,285
Are you gonna eat that?
You're not gonna eat that.
390
00:19:16,430 --> 00:19:18,299
[CHUCKLING]
391
00:19:20,541 --> 00:19:22,677
More labs on Trish Albrecht.
392
00:19:22,889 --> 00:19:24,757
Head CT's normal.
393
00:19:27,435 --> 00:19:29,571
Her transaminase
levels are way too high.
394
00:19:29,576 --> 00:19:31,711
There's something in her system.
395
00:19:31,840 --> 00:19:34,129
Maybe what her partner
said might explain that.
396
00:19:34,134 --> 00:19:36,536
But I can't just come
out and accuse her.
397
00:19:40,090 --> 00:19:41,692
M&M rounds today.
398
00:19:41,802 --> 00:19:43,731
You heard about what's being discussed?
399
00:19:45,262 --> 00:19:47,106
I tried to tell him.
400
00:19:51,362 --> 00:19:53,764
[PHONES RINGING, HUBBUB]
401
00:19:54,136 --> 00:19:57,873
There is a toxin in your body, Trish.
402
00:19:58,053 --> 00:20:00,184
It's damaging your liver.
403
00:20:01,609 --> 00:20:05,880
We need to know if there's
anything you've taken or ingested.
404
00:20:05,885 --> 00:20:08,535
Even too much acetaminophen
can lead to this.
405
00:20:08,920 --> 00:20:12,004
We won't know if we can
reverse or stop the damage
406
00:20:12,009 --> 00:20:13,878
if we can't isolate the cause.
407
00:20:15,993 --> 00:20:17,595
Supplements.
408
00:20:17,650 --> 00:20:20,319
They're supposed to be natural.
409
00:20:20,324 --> 00:20:22,192
Supplements from a pharmacy?
410
00:20:22,197 --> 00:20:25,074
One of the trainers at
our club gets them online.
411
00:20:25,079 --> 00:20:26,681
Do you know what's in them?
412
00:20:26,686 --> 00:20:30,707
Muscle proteins, beta-alines.
Nothing illegal.
413
00:20:30,712 --> 00:20:32,676
- Performance enhancers?
- No!
414
00:20:32,681 --> 00:20:38,287
No HGH. Nothing banned that
would show up on a drug test.
415
00:20:41,563 --> 00:20:43,165
Vincent doesn't know.
416
00:20:43,170 --> 00:20:46,640
How long have you been taking these?
417
00:20:46,645 --> 00:20:48,246
A few months.
418
00:20:48,636 --> 00:20:51,039
After I fell and hurt my knee.
419
00:20:51,479 --> 00:20:55,137
But... I'm gonna be okay, right?
420
00:20:55,142 --> 00:20:57,356
The IV fluids are flushing your system.
421
00:20:57,361 --> 00:20:58,696
Now that we know the cause,
422
00:20:58,701 --> 00:21:00,864
we'll look for a way to stop the damage.
423
00:21:00,993 --> 00:21:03,020
And if you can't?
424
00:21:03,139 --> 00:21:05,957
Let's take it one step at a time.
425
00:21:05,962 --> 00:21:07,707
We'll see how you respond to treatment
426
00:21:07,712 --> 00:21:09,645
and we'll take it from there.
427
00:21:09,650 --> 00:21:16,056
We're 22. And I know
that sounds young but...
428
00:21:16,884 --> 00:21:20,199
There's always stronger
skaters coming up behind you.
429
00:21:21,319 --> 00:21:23,988
And if we don't make it this season...
430
00:21:28,087 --> 00:21:30,223
I did this to us.
431
00:21:30,710 --> 00:21:32,845
[GENTLE MUSIC]
432
00:21:32,850 --> 00:21:36,587
34-year-old patient with
multiple undiagnosed AVMs.
433
00:21:36,943 --> 00:21:38,778
Pleural effusion required a chest tube.
434
00:21:38,783 --> 00:21:41,719
The attending physician
guided placement via ultrasound
435
00:21:41,724 --> 00:21:43,844
while the Resident managed
insertion, after which
436
00:21:43,849 --> 00:21:45,452
there was a sudden
withdrawal of frank blood,
437
00:21:45,456 --> 00:21:47,379
indicative of splenic laceration.
438
00:21:48,116 --> 00:21:51,403
Our agenda with these rounds
is to examine what happened
439
00:21:51,408 --> 00:21:54,337
and to invite discussion
about how to prevent
440
00:21:54,342 --> 00:21:56,176
similar outcomes in the future.
441
00:21:56,415 --> 00:21:58,551
Seems simple enough.
442
00:21:58,556 --> 00:22:00,691
The Attending misread the ultrasound.
443
00:22:00,696 --> 00:22:02,184
Thanks, Doctor Singh. Yes.
444
00:22:02,189 --> 00:22:04,731
There was a lapse in vision
445
00:22:04,736 --> 00:22:06,832
caused by a medical condition...
446
00:22:06,837 --> 00:22:08,705
[MACHINE BEEPING]
447
00:22:08,710 --> 00:22:10,846
[SUSPENSEFUL MUSIC]
448
00:22:10,851 --> 00:22:12,582
Keep going.
449
00:22:12,587 --> 00:22:14,990
After which the Resident
misplaced the tube.
450
00:22:14,995 --> 00:22:17,684
That's addressed in the
chart, and the case notes.
451
00:22:17,689 --> 00:22:20,051
Human fallibility. So, in other words,
452
00:22:20,056 --> 00:22:22,473
it's pretty dull from
a clinical perspective.
453
00:22:22,478 --> 00:22:26,114
Why then, Doctor Novak, did you
want us taking up this case today?
454
00:22:26,119 --> 00:22:28,324
You're asking the right question, Wendy.
455
00:22:28,329 --> 00:22:30,574
We know how it happened, but not why.
456
00:22:31,061 --> 00:22:35,065
And when you tug that particular
thread, things get interesting.
457
00:22:36,158 --> 00:22:38,294
Systemic failure of leadership
458
00:22:38,928 --> 00:22:42,398
led to this entirely
preventable incident.
459
00:22:45,498 --> 00:22:47,028
How'd I do, Sunita?
460
00:22:47,637 --> 00:22:48,779
You know the drill when it comes
461
00:22:48,783 --> 00:22:51,028
to the Motor Assessment Scale,
Doctor Bishop.
462
00:22:51,033 --> 00:22:52,902
You get your score at the end.
463
00:22:53,117 --> 00:22:55,169
Now, this next one's timed.
464
00:22:55,353 --> 00:22:57,591
What I'd like you to do now is pinch
465
00:22:57,596 --> 00:22:59,458
between your thumb and forefinger,
466
00:22:59,463 --> 00:23:03,734
then middle, ring, and little
finger, as fast as you can.
467
00:23:03,912 --> 00:23:05,514
Okay. Are you ready to start?
468
00:23:09,396 --> 00:23:11,192
As fast as you can, Doctor Bishop.
469
00:23:11,197 --> 00:23:13,349
Then change hands, please.
470
00:23:18,705 --> 00:23:20,622
That's fine, you can rest.
471
00:23:22,150 --> 00:23:24,552
[NOVAK]: This shouldn't have happened.
472
00:23:24,932 --> 00:23:27,067
It's on record that
the Attending suffered
473
00:23:27,072 --> 00:23:28,771
a significant brain
injury months earlier.
474
00:23:28,776 --> 00:23:31,708
Doctor Novak, as you acknowledged,
475
00:23:31,713 --> 00:23:35,372
the Attending physician admitted
that his medical condition
476
00:23:35,377 --> 00:23:38,314
led to the error. Acute vision loss.
477
00:23:38,319 --> 00:23:41,896
Unless you're saying his vision
loss wasn't just "in the moment"?
478
00:23:41,901 --> 00:23:43,412
No, I think since you're
asking that question,
479
00:23:43,416 --> 00:23:45,018
it's worth exploring.
480
00:23:45,724 --> 00:23:47,427
Is that for all my hard work?
481
00:23:47,432 --> 00:23:48,560
[CHUCKLING]
482
00:23:48,565 --> 00:23:50,403
Now with your right arm,
483
00:23:50,408 --> 00:23:54,145
take a jellybean from one
cup, and place it in the next.
484
00:24:01,241 --> 00:24:02,842
Now with your left.
485
00:24:10,095 --> 00:24:11,696
Bugger.
486
00:24:14,563 --> 00:24:15,897
I can't...
487
00:24:15,902 --> 00:24:18,170
We'll try this one again next time.
488
00:24:19,155 --> 00:24:21,825
You're suggesting the Attending
489
00:24:21,830 --> 00:24:23,474
was aware of his deficiencies
490
00:24:23,479 --> 00:24:25,882
and risked patients anyway?
491
00:24:26,394 --> 00:24:28,396
That's a hell of an allegation.
492
00:24:28,401 --> 00:24:30,270
And not the point of this forum.
493
00:24:30,329 --> 00:24:31,966
Logging my failures?
494
00:24:32,109 --> 00:24:34,779
In this room,
we call them opportunities.
495
00:24:35,987 --> 00:24:38,685
Not sure a trauma patient needing
treatment would see it that way.
496
00:24:38,690 --> 00:24:40,787
There's still work to do, sir,
497
00:24:40,792 --> 00:24:42,661
but it's nothing to be afraid of.
498
00:24:42,966 --> 00:24:45,302
[NOVAK]: What are the odds
that this was the first time
499
00:24:45,307 --> 00:24:47,175
he presented the symptom?
500
00:24:47,535 --> 00:24:49,404
And yet no one on his team
501
00:24:49,409 --> 00:24:51,811
raised any objection to him practicing?
502
00:24:52,255 --> 00:24:54,060
[SCOFFS] I mean, we're not a shy bunch.
503
00:24:54,065 --> 00:24:55,468
Why not speak up?
504
00:24:55,473 --> 00:24:57,599
Did people fear repercussions?
505
00:25:00,011 --> 00:25:03,748
Was there a culture of fear
in our emergency department?
506
00:25:03,753 --> 00:25:05,889
That's not what happened.
507
00:25:06,445 --> 00:25:08,943
The Attending, and...
508
00:25:08,948 --> 00:25:10,990
everyone knows you mean Doctor Bishop,
509
00:25:10,995 --> 00:25:14,420
fosters an environment
of open communication.
510
00:25:15,250 --> 00:25:18,187
And as the aforementioned
Resident in this case,
511
00:25:18,192 --> 00:25:20,861
I can confirm that he
invites us to push back.
512
00:25:21,576 --> 00:25:23,328
Then why didn't you?
513
00:25:23,768 --> 00:25:26,459
How was it that a staff of
fully trained physicians,
514
00:25:26,464 --> 00:25:30,451
who diagnose patients that
they've just met every day,
515
00:25:30,456 --> 00:25:32,858
couldn't spot even
the tiniest indication
516
00:25:32,863 --> 00:25:34,465
that something was wrong with him?
517
00:25:35,247 --> 00:25:37,302
Because he was hiding it.
518
00:25:37,862 --> 00:25:40,560
He knew he wasn't recovering
properly from his head injury
519
00:25:40,565 --> 00:25:42,434
though he did know how bad it was.
520
00:25:42,439 --> 00:25:45,375
But that lack of judgment was his.
521
00:25:46,196 --> 00:25:48,177
No one else's.
522
00:25:51,861 --> 00:25:54,798
[GENTLE MUSIC]
523
00:26:05,709 --> 00:26:07,193
What the hell, June.
524
00:26:07,593 --> 00:26:10,482
I was just in surgery.
Scoping some bloody ulcers.
525
00:26:10,487 --> 00:26:13,423
The guy's fine. GI's in
there, sealing them up now.
526
00:26:13,428 --> 00:26:14,569
Just got to keep him overnight.
527
00:26:14,573 --> 00:26:16,279
A patient I know nothing about.
528
00:26:16,284 --> 00:26:19,487
Okay, I thought I was responsible
for assigning the residents to OR's?
529
00:26:19,492 --> 00:26:21,052
So you assigned yourself?
530
00:26:21,057 --> 00:26:23,068
Without finding anyone to cover emerg?
531
00:26:23,073 --> 00:26:25,498
I know it's your first day but, man!
532
00:26:25,503 --> 00:26:26,838
Harris said she was on it.
533
00:26:26,843 --> 00:26:29,512
Doctor Harris is in
OR seven on a whipple.
534
00:26:29,670 --> 00:26:32,339
I can't be micromanaging
you like this, June.
535
00:26:32,637 --> 00:26:35,318
You've been given a team, use it.
536
00:26:36,115 --> 00:26:37,717
[SIGHING]
537
00:26:39,061 --> 00:26:41,197
[PHONE RINGING]
538
00:26:41,455 --> 00:26:43,057
Hey. Everything okay?
539
00:26:43,062 --> 00:26:45,662
With me, yes. But you sound upset.
540
00:26:45,667 --> 00:26:47,615
- What's wrong?
- Just a busy day...
541
00:26:47,620 --> 00:26:49,222
I'm fine.
542
00:26:49,227 --> 00:26:51,362
Uh, the place I found.
Did you go see it?
543
00:26:58,518 --> 00:27:00,732
But they said they'd take
care of the references.
544
00:27:06,096 --> 00:27:07,873
Okay, well, let me call them back.
545
00:27:07,878 --> 00:27:10,281
Actually I have found something else.
546
00:27:10,286 --> 00:27:14,290
A Syrian friend from
class has an extra room.
547
00:27:14,295 --> 00:27:17,765
Near Keele and Lawrence.
548
00:27:23,925 --> 00:27:25,584
And the people you'll be living with?
549
00:27:25,589 --> 00:27:29,059
I just met them.
Three women and two men.
550
00:27:29,212 --> 00:27:33,012
One of whom may or may not
already want to marry me.
551
00:27:37,217 --> 00:27:38,668
[CHUCKLING] I'm kidding.
552
00:27:39,099 --> 00:27:41,160
What, about him wanting to marry you?
553
00:27:41,165 --> 00:27:43,918
Or that you'll be living
with people you don't know?
554
00:27:43,923 --> 00:27:45,238
Bashir,
555
00:27:45,243 --> 00:27:47,340
I can take care of myself.
556
00:27:47,345 --> 00:27:50,015
I know. It's just...
557
00:27:50,315 --> 00:27:51,916
Yes. Of course.
558
00:28:01,587 --> 00:28:05,591
Ah, yes. Singing and crude
jokes. You'll love it.
559
00:28:06,944 --> 00:28:08,812
[PAGER BEEPS]
560
00:28:08,817 --> 00:28:12,198
Ah, Rania, I have to go.
561
00:28:12,203 --> 00:28:15,140
[THEY SAY GOODBYE IN ARABIC]
562
00:28:18,872 --> 00:28:20,740
She's in and out, still confused.
563
00:28:20,745 --> 00:28:23,655
Her sats are low and her blood
ammonia level came back high.
564
00:28:26,743 --> 00:28:31,014
Hypotensive, tachycardic. AST,
ALT, bilirubin all spiking.
565
00:28:31,019 --> 00:28:32,887
She's in acute liver failure.
566
00:28:32,892 --> 00:28:37,163
Encephalopathy grade 3, that's the
threshold for intubation, right?
567
00:28:37,168 --> 00:28:39,570
Otherwise she's at risk of
not protecting her airway?
568
00:28:40,044 --> 00:28:42,180
Yes. I'll sedate her,
569
00:28:42,185 --> 00:28:45,567
and you call RT for intubation and...
570
00:28:45,572 --> 00:28:48,241
insert an OG tube for lactulose.
571
00:28:48,246 --> 00:28:49,581
Claire?
572
00:28:50,306 --> 00:28:52,174
What you said in there...
573
00:28:52,582 --> 00:28:54,985
Did Doctor Bishop ask you to do that?
574
00:28:57,197 --> 00:28:59,561
I'll let you know when she's intubated.
575
00:29:03,251 --> 00:29:05,386
- How are you feeling, Vincent?
- Can I see Trish?
576
00:29:05,391 --> 00:29:09,395
She's not awake. We're doing
our best to look after her.
577
00:29:09,861 --> 00:29:11,196
Was it her head?
578
00:29:11,196 --> 00:29:13,217
- No.
- Then I was right.
579
00:29:14,272 --> 00:29:16,267
What did those things do to her?
580
00:29:16,605 --> 00:29:19,275
Trish is in acute liver failure.
581
00:29:19,694 --> 00:29:22,420
No, don't tell me that.
582
00:29:22,729 --> 00:29:24,597
I didn't say anything.
583
00:29:25,124 --> 00:29:26,687
I could have stopped
her from taking them.
584
00:29:26,691 --> 00:29:29,920
But she was getting stronger
and we were having our best year.
585
00:29:29,925 --> 00:29:31,061
Can you help her?
586
00:29:31,066 --> 00:29:32,881
We're doing everything we can,
587
00:29:32,886 --> 00:29:35,600
but if we don't slow
the toxicity down soon...
588
00:29:35,605 --> 00:29:37,207
She could die?
589
00:29:38,205 --> 00:29:40,874
I'm sorry, Vincent. It's a possibility.
590
00:29:42,967 --> 00:29:45,788
She's always had to
work harder physically...
591
00:29:47,499 --> 00:29:51,255
But we joke that she's the artist
and I keep us tethered to reality.
592
00:29:53,732 --> 00:29:55,716
And I let her fall.
593
00:29:58,538 --> 00:30:00,139
You got an early flight?
594
00:30:04,873 --> 00:30:06,592
The girls've probably
already talked your folks
595
00:30:06,596 --> 00:30:08,192
into buying them an armload of candy.
596
00:30:08,197 --> 00:30:11,857
- I'm sure they have.
- I know I said I could duck out early,
597
00:30:11,862 --> 00:30:13,464
but it's been busy today.
598
00:30:13,731 --> 00:30:16,934
I did, however, snag us a 9PM table.
599
00:30:16,939 --> 00:30:20,409
You could go early, sit
with a glass of wine.
600
00:30:24,146 --> 00:30:26,015
Mel, what's wrong?
601
00:30:26,503 --> 00:30:29,439
It's not working, Theo.
602
00:30:30,742 --> 00:30:32,343
Since when?
603
00:30:34,055 --> 00:30:37,258
I've been trying so hard
to make this work for us.
604
00:30:37,263 --> 00:30:39,029
I know you have.
605
00:30:39,049 --> 00:30:40,383
I do.
606
00:30:41,168 --> 00:30:43,037
But it's...
607
00:30:43,971 --> 00:30:45,573
not enough.
608
00:30:46,029 --> 00:30:48,164
It'll get better.
609
00:30:48,461 --> 00:30:51,398
I promise. Once I settle
in, I'll be less scattered.
610
00:30:51,403 --> 00:30:54,073
We'll have more time
to figure this all out.
611
00:30:54,862 --> 00:30:57,531
I'm not happy, Theo.
612
00:30:58,920 --> 00:31:00,254
No. Mel.
613
00:31:02,845 --> 00:31:04,713
I can fix that,
614
00:31:04,843 --> 00:31:06,445
I know I can.
615
00:31:06,450 --> 00:31:08,051
You can't.
616
00:31:11,731 --> 00:31:16,536
Because when you chose
this, you didn't choose me.
617
00:31:19,018 --> 00:31:20,619
Okay.
618
00:31:24,027 --> 00:31:25,362
Okay, so...
619
00:31:25,367 --> 00:31:27,802
Then I un-choose it.
620
00:31:29,083 --> 00:31:31,485
I'll come home and we'll go
back to the original plan.
621
00:31:31,490 --> 00:31:33,893
Please don't try telling
me you want to come home.
622
00:31:33,898 --> 00:31:35,766
It's too late for that.
623
00:31:37,242 --> 00:31:39,377
The past month, you doing this job,
624
00:31:39,382 --> 00:31:42,586
it's the happiest I've
seen you for so long.
625
00:31:49,583 --> 00:31:52,982
You can still be a great
dad to your daughters.
626
00:31:53,005 --> 00:31:54,873
[PANTING]
627
00:31:56,858 --> 00:31:58,727
I'm sorry.
628
00:32:00,502 --> 00:32:02,162
Me too.
629
00:32:07,372 --> 00:32:08,973
I'm going to go.
630
00:32:12,176 --> 00:32:15,113
[SOFT, DRAMATIC MUSIC]
631
00:32:18,978 --> 00:32:21,113
Where have you been, Doctor Curtis?
632
00:32:22,125 --> 00:32:25,061
We can't be left scrambling
for surgical consults
633
00:32:25,066 --> 00:32:27,427
- when you're not here.
- I know, I'm sorry.
634
00:32:27,432 --> 00:32:30,810
We managed, you'll learn.
635
00:32:30,855 --> 00:32:33,466
It's good to see you coming
up in the world, Doctor Curtis.
636
00:32:37,822 --> 00:32:40,208
Did he really say all
that stuff about Bishop?
637
00:32:40,683 --> 00:32:42,552
I just...
638
00:32:43,262 --> 00:32:46,130
hate that man.
639
00:32:46,958 --> 00:32:51,229
[ON PA]: Doctor Curtis to ICU.
Doctor Curtis, ICU.
640
00:32:51,332 --> 00:32:52,933
Go. Better hurry.
641
00:32:52,938 --> 00:32:55,341
Okay. [SIGHS]
642
00:32:57,628 --> 00:32:59,763
[MACHINE BEEPING RAPIDLY]
643
00:32:59,768 --> 00:33:02,171
She needs mannitol
and hypertonic saline.
644
00:33:02,916 --> 00:33:04,775
She just started convulsing.
645
00:33:05,162 --> 00:33:08,022
A decorticate posturing.
You're thinking cerebral edema?
646
00:33:08,027 --> 00:33:09,640
- Mm-hmm.
- Well...
647
00:33:09,645 --> 00:33:13,382
I mean, it is a statistical
complication of liver injury.
648
00:33:13,387 --> 00:33:15,519
I'll get a CT to confirm.
But if we're right,
649
00:33:15,524 --> 00:33:17,617
she'll need a craniotomy to
drain the fluid from her brain.
650
00:33:17,621 --> 00:33:19,749
Okay. I'll prime a neurosurgeon.
651
00:33:22,489 --> 00:33:24,891
[SUSPENSEFUL MUSIC]
652
00:33:26,532 --> 00:33:29,201
[CITY SOUNDSCAPE]
653
00:33:34,062 --> 00:33:35,930
What the hell, Erica?
654
00:33:35,987 --> 00:33:37,856
I thought I asked you
to cover for emerg.
655
00:33:37,910 --> 00:33:40,429
A senior oncologist
needed me in surgery.
656
00:33:40,434 --> 00:33:41,663
I was supposed to say no?
657
00:33:41,668 --> 00:33:44,569
You could have asked somebody
else, you could've paged me!
658
00:33:44,574 --> 00:33:47,155
You told me you didn't need
help learning the system.
659
00:33:47,416 --> 00:33:50,619
You know you need backups
for your backups, right?
660
00:33:52,198 --> 00:33:54,868
Is that the emergency craniotomy?
661
00:33:55,724 --> 00:33:57,093
Who's assisting?
662
00:33:57,098 --> 00:33:58,788
I assigned another resident.
663
00:34:00,136 --> 00:34:01,738
But you can be the backup.
664
00:34:02,162 --> 00:34:03,763
[DRY CHUCKLE]
665
00:34:07,132 --> 00:34:08,733
Hey!
666
00:34:10,500 --> 00:34:12,210
Heard about the other figure skater.
667
00:34:12,215 --> 00:34:14,601
Quite the pair, those two.
668
00:34:16,898 --> 00:34:19,390
Listen, I'm glad you
punched back earlier.
669
00:34:19,395 --> 00:34:21,263
It's how those sessions
are supposed to be.
670
00:34:21,268 --> 00:34:23,147
Lively. Illuminating.
671
00:34:25,551 --> 00:34:27,153
You look up to Bishop.
672
00:34:27,701 --> 00:34:30,103
I get that. He's a brilliant guy.
673
00:34:30,213 --> 00:34:32,296
He took a chance on me.
674
00:34:32,301 --> 00:34:35,038
Now you feel like your
survival here depends on him.
675
00:34:36,910 --> 00:34:39,046
I know what it's like
to need his approval.
676
00:34:39,051 --> 00:34:41,390
It's like his residents are starving,
677
00:34:41,395 --> 00:34:43,531
and he controls the food supply.
678
00:34:43,536 --> 00:34:45,726
That may have been your
experience with him,
679
00:34:45,731 --> 00:34:47,311
it's not mine.
680
00:34:49,550 --> 00:34:50,710
Doctors from your country,
681
00:34:50,715 --> 00:34:53,546
it's not easy to get
your credentials out.
682
00:34:57,354 --> 00:34:59,490
I looked into your file.
683
00:34:59,679 --> 00:35:01,843
There's no medical transcripts there.
684
00:35:02,324 --> 00:35:04,561
There's just a sworn statement
from Bishop saying he...
685
00:35:04,566 --> 00:35:06,168
swears they exist.
686
00:35:06,367 --> 00:35:07,968
They do.
687
00:35:09,517 --> 00:35:11,119
What are you saying?
688
00:35:11,651 --> 00:35:13,252
Just that I know how it feels
689
00:35:13,257 --> 00:35:15,126
when his approval doesn't come.
690
00:35:18,152 --> 00:35:20,287
If you need anybody else in your corner,
691
00:35:20,292 --> 00:35:21,627
I'm there.
692
00:35:22,171 --> 00:35:24,085
Remember that, Doctor Hamed.
693
00:35:27,311 --> 00:35:28,626
Hey, hey!
694
00:35:28,631 --> 00:35:31,834
- You're back.
- And you're still here.
695
00:35:32,165 --> 00:35:35,733
Why does it feel like the last
12 hours since I've seen you
696
00:35:35,738 --> 00:35:37,072
have been one minute?
697
00:35:37,077 --> 00:35:38,882
Does that mean it was a good first day?
698
00:35:38,887 --> 00:35:42,577
More like an ongoing ordeal
of just disappointing everyone?
699
00:35:42,582 --> 00:35:44,069
- June.
- Oh, yeah.
700
00:35:45,316 --> 00:35:46,843
[SIGHS] It's Doctor Singh.
701
00:35:46,848 --> 00:35:48,716
I wonder what else I messed up.
702
00:35:48,872 --> 00:35:50,741
It will be okay.
703
00:36:00,202 --> 00:36:02,124
This came back for you.
704
00:36:03,439 --> 00:36:05,679
But Public Health is
supposed to be testing it.
705
00:36:05,684 --> 00:36:07,749
I spent an hour on hold
and I talked to two people.
706
00:36:07,754 --> 00:36:09,491
When did you have the time to do that?
707
00:36:09,600 --> 00:36:12,160
This morning after my shift.
And I know, I know.
708
00:36:12,165 --> 00:36:13,585
You think it was a waste of energy.
709
00:36:13,590 --> 00:36:15,455
And the person who
makes the final decision
710
00:36:15,460 --> 00:36:16,843
at Public Health agrees.
711
00:36:16,848 --> 00:36:19,413
Unless the patient's
symptomatic for hantavirus,
712
00:36:19,418 --> 00:36:20,745
which yours was not,
713
00:36:20,750 --> 00:36:23,687
they're not gonna test the mouse
because she isn't at risk.
714
00:36:23,692 --> 00:36:25,828
Okay, then why are you
giving it back to me?
715
00:36:26,336 --> 00:36:29,468
Oh, I thought, knowing
you, you might want to...
716
00:36:29,473 --> 00:36:31,311
dissect it and test it yourself?
717
00:36:31,316 --> 00:36:34,304
Or at least give it a proper burial.
718
00:36:34,309 --> 00:36:36,796
Listeria outbreak in a U of T dorm.
719
00:36:36,801 --> 00:36:38,616
Curtains are starting to line up.
720
00:36:38,621 --> 00:36:39,955
Sorry, Mags.
721
00:36:40,118 --> 00:36:41,987
Have a fun night.
722
00:36:41,992 --> 00:36:44,661
[PHONES RINGING]
723
00:37:00,810 --> 00:37:04,718
I spoke with the cardiologist again.
724
00:37:05,192 --> 00:37:07,390
Everyone's confident that he'll be able
725
00:37:07,395 --> 00:37:09,624
to fight off the infection
without surgery
726
00:37:10,175 --> 00:37:12,327
and avoid any damage to his heart.
727
00:37:12,447 --> 00:37:14,049
[SIGHING IN RELIEF]
728
00:37:14,756 --> 00:37:19,252
Um, they said he could be here
on IV antibiotics for weeks.
729
00:37:19,257 --> 00:37:21,111
Is there someone else
who can help you manage?
730
00:37:21,130 --> 00:37:22,999
Grandparents or...?
731
00:37:24,152 --> 00:37:26,555
No, we're alone together,
732
00:37:27,334 --> 00:37:29,202
him and me.
733
00:37:31,086 --> 00:37:33,488
You didn't do anything wrong, Christie.
734
00:37:35,922 --> 00:37:38,592
He needed a dentist
and I bought him a coat.
735
00:37:39,689 --> 00:37:42,385
And I'm supposed to know
what's best for him, but,
736
00:37:42,416 --> 00:37:45,085
every decision has consequences.
737
00:37:47,892 --> 00:37:50,294
We don't know what they
are when we make them.
738
00:37:54,331 --> 00:37:56,199
You're an amazing mom.
739
00:37:57,693 --> 00:37:59,828
[CHUCKLING SOFTLY]
740
00:38:02,131 --> 00:38:05,334
[SOFT MUSIC]
741
00:38:07,823 --> 00:38:09,463
What was the last thing that he said
742
00:38:09,468 --> 00:38:11,556
after asking about your transcripts.
743
00:38:11,561 --> 00:38:13,963
That if I needed an ally
and you weren't around,
744
00:38:13,963 --> 00:38:15,831
I could turn to him.
745
00:38:16,460 --> 00:38:19,505
Why do you think I sent
Claire in there today?
746
00:38:19,510 --> 00:38:22,489
I was protecting my team,
taking responsibility.
747
00:38:22,494 --> 00:38:25,400
All you did by getting involved
was make things worse.
748
00:38:25,405 --> 00:38:27,760
- For both of us!
- But you were not defending yourself!
749
00:38:27,765 --> 00:38:30,435
I told you this was not your fight!
750
00:38:30,744 --> 00:38:32,648
I know. It's yours.
751
00:38:33,983 --> 00:38:36,119
So why won't you fight it?
752
00:38:40,181 --> 00:38:41,783
[SIGHS]
753
00:38:45,910 --> 00:38:49,910
[GENTLE MUSIC]
754
00:38:51,842 --> 00:38:53,176
Trish.
755
00:39:00,084 --> 00:39:02,486
They said you came through okay.
756
00:39:03,751 --> 00:39:06,549
- I did this to us, Vin.
- And I let you.
757
00:39:07,803 --> 00:39:10,205
I knew what you were doing,
and I didn't say anything.
758
00:39:10,502 --> 00:39:12,904
How did we get so out of sync?
759
00:39:13,174 --> 00:39:14,776
Fear?
760
00:39:16,080 --> 00:39:19,799
I know I was afraid of all
of this being for nothing.
761
00:39:21,134 --> 00:39:24,071
I had to find a way
to keep going for us.
762
00:39:26,619 --> 00:39:28,642
You know, I've been sitting here, Trish,
763
00:39:29,855 --> 00:39:32,257
hoping you'd survive and thinking.
764
00:39:33,708 --> 00:39:36,557
We've been picking each
other up since we were kids,
765
00:39:38,797 --> 00:39:40,932
we can get up from this too.
766
00:39:45,901 --> 00:39:47,503
Where does this leave us?
767
00:39:47,508 --> 00:39:50,444
Vincent's surgeons said 12 weeks,
768
00:39:50,777 --> 00:39:54,158
and I could try to give you
a specific timeframe, but...
769
00:39:55,661 --> 00:39:58,455
You two have been
beating the odds all day.
770
00:39:58,460 --> 00:40:01,460
[GENTLE MUSIC]
771
00:40:05,758 --> 00:40:07,627
[SIRENS BLARING IN THE DISTANCE]
772
00:40:10,179 --> 00:40:11,514
Hey.
773
00:40:11,519 --> 00:40:14,188
Doctor Harris told me about
you losing your temper.
774
00:40:14,745 --> 00:40:17,228
Of course she did. Is
that why you paged me?
775
00:40:17,463 --> 00:40:19,807
She wasn't wrong to leave emerg.
776
00:40:19,812 --> 00:40:21,947
Someone with more weight needed her.
777
00:40:22,432 --> 00:40:25,174
One of the things you learn as a boss,
even in middle management,
778
00:40:25,179 --> 00:40:27,127
is how to live with
people not liking you.
779
00:40:27,132 --> 00:40:29,328
Uh, yeah, I'm fine with
people not liking me.
780
00:40:29,333 --> 00:40:31,440
You're the one who keeps telling
me that I need to politick,
781
00:40:31,444 --> 00:40:34,182
and delegate and what
was it? Yeah, trust them.
782
00:40:34,187 --> 00:40:36,322
- [CHUCKLES]
- I didn't say it would be easy.
783
00:40:36,327 --> 00:40:39,531
Anyway. This is why
I paged you. Two please.
784
00:40:39,792 --> 00:40:42,557
Actually, I have to
get back, Doctor Singh.
785
00:40:42,562 --> 00:40:44,697
Oh, come on, it's a rite of passage.
786
00:40:44,702 --> 00:40:48,173
And the dinner of overworked
doctors everywhere.
787
00:40:54,623 --> 00:40:57,292
Today's mistakes are over.
788
00:41:03,256 --> 00:41:05,124
Got any onions?
789
00:41:13,019 --> 00:41:17,119
So, this would be the first
place I rented in this city
790
00:41:17,124 --> 00:41:19,260
with two bedrooms.
791
00:41:30,250 --> 00:41:32,386
Since now.
792
00:41:33,085 --> 00:41:37,623
But Theo's was always
going to be temporary.
793
00:41:48,081 --> 00:41:52,352
Actually, I was thinking
you could move in here,
794
00:41:52,633 --> 00:41:54,064
with me and Amira.
795
00:41:57,757 --> 00:41:59,807
- [CHUCKLES]
- The bedroom.
796
00:41:59,812 --> 00:42:01,146
I'll take the couch.
797
00:42:01,151 --> 00:42:03,554
You just finished telling
me this is the first place
798
00:42:03,559 --> 00:42:05,961
you've rented with two bedrooms
799
00:42:06,419 --> 00:42:08,892
and you're already back
to sleeping on the couch?
800
00:42:08,897 --> 00:42:10,766
I don't mind.
801
00:42:12,066 --> 00:42:14,201
Rania, I'm serious.
802
00:42:14,563 --> 00:42:16,698
You don't think it's a little fast?
803
00:42:16,703 --> 00:42:19,907
Fast. We've already lost so much time.
804
00:42:40,808 --> 00:42:43,478
I don't need to be saved, Bashir.
805
00:42:44,747 --> 00:42:46,883
Maybe I do.
806
00:42:57,815 --> 00:43:00,815
Synced & corrected by QueenMaddie
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807
00:43:00,865 --> 00:43:05,415
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