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Would you like to inspect the original subtitles? These are the user uploaded subtitles that are being translated: 1 00:00:04,569 --> 00:00:06,309 - Any interest in a part-time resident practice? 2 00:00:06,354 --> 00:00:08,664 Who better than someone who knows what it's like to be a cardiac? 3 00:00:08,704 --> 00:00:09,794 - I don't think so. 4 00:00:09,835 --> 00:00:12,095 It's not fair, how you see me. 5 00:00:14,014 --> 00:00:15,844 - You're a fighter June, I get that. 6 00:00:15,885 --> 00:00:17,145 - What are you telling me to do here? 7 00:00:17,191 --> 00:00:19,581 - I'm not, I'm just pointing out the landmines. 8 00:00:20,542 --> 00:00:23,072 - Are you free tonight? - You're asking me on a date? 9 00:00:23,110 --> 00:00:25,160 - You had two major health incidents. 10 00:00:25,199 --> 00:00:26,809 They're pushing you out? 11 00:00:26,852 --> 00:00:28,332 - I'm not done, Claire. 12 00:00:41,737 --> 00:00:44,167 Welcome Brothers. Couple of quick announcements. 13 00:00:44,218 --> 00:00:46,828 Unfortunately we begin by offering our condolences 14 00:00:46,872 --> 00:00:50,012 to brother Karif Shahid, who recently lost his father. 15 00:00:50,050 --> 00:00:52,440 So we pray that Allah grants him mercy 16 00:00:52,487 --> 00:00:54,747 and gives him the highest place in paradise. 17 00:00:55,620 --> 00:00:58,060 In times of isolation, 18 00:00:58,101 --> 00:01:00,631 we look towards our community for peace. 19 00:01:16,511 --> 00:01:19,511 - Hey, those stitches still need to come out. 20 00:01:20,819 --> 00:01:23,779 Maybe tomorrow after school you stop by the hospital? 21 00:01:24,127 --> 00:01:26,697 - Rania's coming to get some things. 22 00:01:28,262 --> 00:01:30,532 - We're friends, Amira. 23 00:01:30,568 --> 00:01:33,138 She's still in both of our lives. 24 00:02:03,732 --> 00:02:04,652 - What time is it? 25 00:02:04,689 --> 00:02:06,909 - It's late or early, 26 00:02:06,952 --> 00:02:08,742 depending on your point of view. 27 00:02:09,085 --> 00:02:10,645 - You're working? 28 00:02:10,695 --> 00:02:12,475 - Yeah, I'm unwinding. 29 00:02:13,916 --> 00:02:15,476 - Unwinding. 30 00:02:16,701 --> 00:02:18,311 With Electro Cardiography Interpretation? 31 00:02:18,355 --> 00:02:20,265 - Okay, unless you can show me how to sleep 32 00:02:20,314 --> 00:02:21,974 like a stress-free toddler, yes, that is-- 33 00:02:22,011 --> 00:02:24,271 - I have stress! I stress! - Mm-hmm. 34 00:02:24,318 --> 00:02:29,498 - But I also just had a really good stress reliever. 35 00:02:33,588 --> 00:02:35,198 - Okay. 36 00:02:36,895 --> 00:02:39,195 - Is that you? - Mm-hmm. 37 00:02:39,942 --> 00:02:42,072 What stresses do you have? 38 00:02:42,423 --> 00:02:46,783 - Well, still trying to impress Dr. Hunter, that's one. 39 00:02:46,818 --> 00:02:48,078 - Really? - Yeah. 40 00:02:48,124 --> 00:02:50,084 - You never seemed to worry about that. 41 00:02:50,126 --> 00:02:52,166 - It's future Jake's problem. 42 00:02:52,868 --> 00:02:55,828 Current Jake is worried about how he's gonna sleep 43 00:02:55,871 --> 00:02:57,481 with the light on. 44 00:03:04,358 --> 00:03:06,358 Unless you want me to go? 45 00:03:09,232 --> 00:03:10,672 It's okay, I can go. 46 00:03:15,064 --> 00:03:17,944 Try and get some sleep, weirdo. 47 00:03:39,567 --> 00:03:40,567 - Hey. 48 00:03:40,611 --> 00:03:42,181 - Oh, do you need your office back? 49 00:03:42,222 --> 00:03:43,662 - This isn't my office this morning. 50 00:03:44,006 --> 00:03:45,266 Actually, I'm not even here. 51 00:03:46,530 --> 00:03:48,530 - Soap me. - Excuse me? 52 00:03:48,576 --> 00:03:51,316 - Mnemonic device for rapid sequence intubation. 53 00:03:51,361 --> 00:03:54,711 Suction, O2, Airways, Positioning. 54 00:03:55,104 --> 00:03:57,764 - Medication and Equipment. 55 00:03:58,325 --> 00:03:59,845 - That's it. - The exam's at noon? 56 00:03:59,891 --> 00:04:02,551 - Yes. Oh, I called in for supplementals, 57 00:04:02,590 --> 00:04:04,420 but somebody had to cancel, so I told Rhoda 58 00:04:04,461 --> 00:04:06,121 if she needs anything, just text. 59 00:04:06,158 --> 00:04:07,248 - We'll be fine, Claire. 60 00:04:07,290 --> 00:04:08,990 Go kill it. 61 00:04:13,775 --> 00:04:16,335 - 32-year-old found down, incoming. 62 00:04:18,301 --> 00:04:19,561 - You paged me Rhoda? - Sorry. 63 00:04:19,607 --> 00:04:21,567 By mistake, it's not a pedes trauma. 64 00:04:21,609 --> 00:04:23,349 I'm filling in for Claire and we're just already swamped. 65 00:04:23,393 --> 00:04:24,963 - I have a window if you need help. 66 00:04:25,003 --> 00:04:26,403 - We're good. 67 00:04:26,440 --> 00:04:28,570 - Fall from a ladder, multiple contusions! 68 00:04:28,616 --> 00:04:31,876 BP's 100 over 80, rate's 130. GCS 10. 69 00:04:31,923 --> 00:04:33,403 - You're a doctor? - Yes, Kelsey's my daughter! 70 00:04:33,447 --> 00:04:35,277 I found her on the floor of the bar she owns. 71 00:04:35,318 --> 00:04:36,838 She closed it to renovate. 72 00:04:38,452 --> 00:04:41,282 I did a quick neurological exam, but she'll need a CT. 73 00:04:41,324 --> 00:04:43,854 I don't know how long she's been there. 74 00:04:43,892 --> 00:04:45,372 - Two large bore IVs! 75 00:04:45,415 --> 00:04:47,025 - E-FAST. Start with her chest? 76 00:04:50,768 --> 00:04:52,938 Ray Grisholm. Internist at Midcrest. 77 00:04:52,988 --> 00:04:54,598 I would've got her there, but it's a 20-minute ride. 78 00:04:54,642 --> 00:04:56,432 - This is Dr. Bishop, Chief of our emerg-- 79 00:04:56,470 --> 00:04:58,080 - I saw you at the Trauma Association conference 80 00:04:58,123 --> 00:04:59,783 a few years ago. Is there any free fluid? 81 00:04:59,821 --> 00:05:01,611 - Your daughter is in very good hands, sir. 82 00:05:01,649 --> 00:05:03,349 - Fast positive. Belly full of blood. 83 00:05:03,390 --> 00:05:05,780 - We'll give her a gram of TXA and activate MTP! 84 00:05:05,827 --> 00:05:07,437 - I'm calling the blood bank! - No, no. 85 00:05:07,481 --> 00:05:09,351 She's AB negative, same as me! You can use mine now! 86 00:05:09,396 --> 00:05:10,526 - That's not something that we do. 87 00:05:10,571 --> 00:05:12,361 - Well, she's not hemodynamically stable! 88 00:05:13,138 --> 00:05:15,228 Have either one of you ever done a direct transfusion? 89 00:05:15,271 --> 00:05:16,751 - I have. - I've got a donor card 90 00:05:16,794 --> 00:05:19,064 in my wallet if you need to confirm. 91 00:05:19,754 --> 00:05:21,544 - Set up for a direct transfusion. 92 00:05:21,582 --> 00:05:24,152 Let's take every step we can, Dr. Grisholm. 93 00:05:24,193 --> 00:05:25,723 - Thank you. 94 00:05:26,021 --> 00:05:27,371 Thank you. 95 00:05:27,414 --> 00:05:29,554 - Guy brought his wife in after a car accident. 96 00:05:29,590 --> 00:05:31,290 He's dazed, a little bit cut up and she's-- 97 00:05:31,331 --> 00:05:33,071 Well... 98 00:05:33,115 --> 00:05:34,895 - Displaced leg fracture 99 00:05:34,943 --> 00:05:37,083 and when's the last time you delivered a baby? 100 00:05:37,946 --> 00:05:38,986 - Is she okay? 101 00:05:39,034 --> 00:05:40,564 And after you answer that, please, 102 00:05:40,601 --> 00:05:42,391 tell me I can still get the epidural! 103 00:05:42,429 --> 00:05:44,469 - Fetal heart rate's 140. I paged OB, but-- 104 00:05:44,518 --> 00:05:46,738 - It's okay, I'm on it. Contractions are how far apart? 105 00:05:46,781 --> 00:05:49,831 - Not very! Ben was supposed to time them, but... 106 00:05:49,871 --> 00:05:52,701 - It's really happening now? 107 00:05:53,396 --> 00:05:55,086 I just thought the accident might-- 108 00:05:55,137 --> 00:05:56,657 - What, push it back in, Ben? 109 00:05:56,704 --> 00:06:00,234 Go find someone who can get me an epidural! 110 00:06:00,272 --> 00:06:02,622 - You two got in an accident on your way to have a baby? 111 00:06:02,666 --> 00:06:05,186 - Ben ran a red... - You were yelling at me! 112 00:06:05,234 --> 00:06:06,844 - Oh. - I'm trying here, Tess. 113 00:06:06,888 --> 00:06:08,538 - Jake, ultrasound. 114 00:06:10,413 --> 00:06:12,893 - Oh... - Her stomach's bleeding. 115 00:06:12,937 --> 00:06:14,497 Tess, oh! - Ben! 116 00:06:14,548 --> 00:06:16,718 Remember, we took those classes 117 00:06:16,767 --> 00:06:19,197 about how your one job is to stay calm? 118 00:06:19,248 --> 00:06:22,468 Yeah? I need you to do your job, Ben! 119 00:06:23,557 --> 00:06:25,517 My baby's gonna be okay, right? 120 00:06:25,559 --> 00:06:27,209 - It's not deep, just oozing. 121 00:06:27,778 --> 00:06:31,348 - Grab me a pair of forceps and a vacuum just in case, Arnold. 122 00:06:31,391 --> 00:06:33,391 - Got it. - Okay. 123 00:06:33,436 --> 00:06:36,736 Baby's heartrate looks good, but it is sunny-side-up. 124 00:06:36,787 --> 00:06:40,437 Which is what Jake? - Occiput posterior position. 125 00:06:40,487 --> 00:06:42,177 - Is that bad? - For the baby, no. 126 00:06:42,576 --> 00:06:45,226 For mom, it could mean a tougher delivery, 127 00:06:45,274 --> 00:06:46,714 but to answer your question, Tessa, 128 00:06:46,754 --> 00:06:48,324 I have to get you in position to push, 129 00:06:48,364 --> 00:06:51,674 there's no time for an epidural, this baby is on its way now! 130 00:06:51,715 --> 00:06:54,455 You're ready? And one, two, three! 131 00:07:01,725 --> 00:07:03,945 - Sorry about the heavy hand before. 132 00:07:05,294 --> 00:07:07,914 I had a boss who used to say, 133 00:07:07,949 --> 00:07:11,039 "What this situation needs is two of me and none of you." 134 00:07:12,257 --> 00:07:14,087 I maybe followed a little too closely 135 00:07:14,129 --> 00:07:16,649 in his footsteps. - Pelvic fracture wrapped. 136 00:07:16,697 --> 00:07:18,177 - You're both what year? 137 00:07:18,220 --> 00:07:21,350 - I'm emerg PGY-two. - I'm PGY-one. 138 00:07:21,397 --> 00:07:22,877 - But this is his second residency. 139 00:07:22,920 --> 00:07:24,530 He was a trauma surgeon in Syria. 140 00:07:24,574 --> 00:07:26,974 - Oh so you're ahead of your peers, but also behind them? 141 00:07:27,882 --> 00:07:30,062 It's a good thing Kelsey isn't awake to see this. 142 00:07:30,101 --> 00:07:32,231 She hates it when I insert myself in her life. 143 00:07:32,277 --> 00:07:34,317 - I'm guessing this is one time she'd make an exception. 144 00:07:34,366 --> 00:07:36,926 - You know, I told her that the bar would be the death of her, 145 00:07:36,978 --> 00:07:38,498 I meant it was a money pit, not this. 146 00:07:38,545 --> 00:07:40,545 - You said you didn't know how long she was alone? 147 00:07:40,590 --> 00:07:43,510 - I knew she was trying to get the place ready to re-open 148 00:07:43,550 --> 00:07:45,900 and we hadn't talked in a few days. 149 00:07:46,509 --> 00:07:48,509 She used to always call her mom, but... 150 00:07:48,555 --> 00:07:52,035 We buried her a month ago. Ovarian cancer. 151 00:07:52,080 --> 00:07:54,040 - I'm sorry. 152 00:07:55,083 --> 00:07:56,873 - When it happens, 153 00:07:56,911 --> 00:08:00,741 you're distracted. Then... everybody goes. 154 00:08:02,264 --> 00:08:04,484 We're still figuring out... 155 00:08:04,527 --> 00:08:07,047 not having her mom as our bridge. 156 00:08:09,532 --> 00:08:10,972 - Temp's 39. 157 00:08:11,012 --> 00:08:12,752 - I'd feel a lot better if her temp wasn't so high. 158 00:08:12,796 --> 00:08:15,886 - It could be an inflammatory response due to the trauma. 159 00:08:15,930 --> 00:08:18,540 We'll get Kelsey up to interventional radiology 160 00:08:18,585 --> 00:08:21,495 for an angio-embolization to stop the pelvic bleed, 161 00:08:21,544 --> 00:08:23,554 and after that, just let her rest. 162 00:08:25,592 --> 00:08:27,032 - Okay, the baby's crowning, mom. 163 00:08:27,071 --> 00:08:29,511 I just need a couple more pushes, okay? 164 00:08:30,379 --> 00:08:31,989 - Hang in there, Tess. - Shut up. 165 00:08:32,033 --> 00:08:33,693 - I thought I was supposed to-- 166 00:08:33,730 --> 00:08:35,990 - No, no, no, don't speak, don't move, 167 00:08:36,037 --> 00:08:37,467 don't even look at me! 168 00:08:37,517 --> 00:08:40,607 - Okay, Tessa, let's try one more big push! 169 00:08:40,650 --> 00:08:42,830 - I can't, I can't, I just can't anymore! 170 00:08:42,870 --> 00:08:44,920 It hurts too much. 171 00:08:44,959 --> 00:08:47,659 Please, can you just cut it out of me. 172 00:08:47,701 --> 00:08:51,101 My stomach's already bleeding, you could use that opening. 173 00:08:51,139 --> 00:08:53,879 - The delivery I remember the most was my youngest. 174 00:08:53,924 --> 00:08:56,364 My wife was up all night with our oldest 175 00:08:56,405 --> 00:08:57,745 who was sick with a stomach flu. 176 00:08:57,798 --> 00:08:59,498 She called me to tell me she was in labour, 177 00:08:59,539 --> 00:09:02,109 but she couldn't leave Abby home alone to come to the hospital. 178 00:09:02,150 --> 00:09:05,460 So I drove like a maniac and got there just in time 179 00:09:05,501 --> 00:09:07,941 to deliver Grace on our kitchen floor. 180 00:09:08,286 --> 00:09:10,156 It was insane, just like this. 181 00:09:10,201 --> 00:09:11,381 - Yeah? - Okay. 182 00:09:11,420 --> 00:09:12,990 When we look back on it now, we laugh. 183 00:09:13,030 --> 00:09:15,560 You two will have the same kind of story! 184 00:09:15,598 --> 00:09:17,508 - I don't know... - Yes, you will. 185 00:09:17,557 --> 00:09:19,817 - But Tessa, believe me. 186 00:09:19,863 --> 00:09:22,953 You've got this. I need you to push. Okay? 187 00:09:22,997 --> 00:09:25,607 - Come on, you can do this. Push. 188 00:09:25,652 --> 00:09:27,352 - Here she is, she's coming. 189 00:09:27,392 --> 00:09:29,132 She's coming, she's coming. 190 00:09:29,177 --> 00:09:32,267 Here she is. Here she is. 191 00:09:33,747 --> 00:09:36,307 Here she is. 192 00:09:40,667 --> 00:09:42,277 - That's a man down. 193 00:09:42,712 --> 00:09:44,932 - Seriously? - We'll check him out. 194 00:09:44,975 --> 00:09:46,885 You did it. 195 00:09:46,934 --> 00:09:48,334 Okay. 196 00:09:49,110 --> 00:09:50,290 Congratulations! 197 00:09:50,328 --> 00:09:51,898 - I already gave her the head laceration. 198 00:09:51,939 --> 00:09:53,639 - The fractured wrist went to imaging, 199 00:09:53,680 --> 00:09:55,420 back pain's on deck, 200 00:09:55,464 --> 00:09:58,734 Bash has a found down in two and... 201 00:09:58,772 --> 00:10:00,952 - Have you been able to find Peter? 202 00:10:00,991 --> 00:10:03,081 - Still looking, love. Dementia. 203 00:10:03,124 --> 00:10:04,914 Doesn't know Peter's last name, or how to reach him. 204 00:10:04,952 --> 00:10:07,432 - Okay. I'll get him back to his room. 205 00:10:07,476 --> 00:10:08,956 Sir? 206 00:10:08,999 --> 00:10:10,869 - Hey. If you guys are swamped, I can grab a patient. 207 00:10:10,914 --> 00:10:13,574 - Nausea in D? Already been there awhile. 208 00:10:13,613 --> 00:10:15,833 York emergency! 209 00:10:15,876 --> 00:10:17,616 - Shouldn't be too long. 210 00:10:18,574 --> 00:10:20,014 - Ms. Crawford? 211 00:10:20,054 --> 00:10:22,674 Hi, I'm Dr. Curtis. I heard you're feeling nauseated. 212 00:10:22,709 --> 00:10:24,749 - Nothing'll stay down. Even water. 213 00:10:24,798 --> 00:10:26,098 I was trying to ride it out. 214 00:10:26,147 --> 00:10:27,927 - She refused to go to the doctor. 215 00:10:27,975 --> 00:10:30,665 - But then the cramping started, and my sister strong-armed me. 216 00:10:30,717 --> 00:10:33,757 - Sometimes severe food poisoning can cause dehydration. 217 00:10:33,807 --> 00:10:36,507 - Actually, I had a gastric bypass three months ago. 218 00:10:36,548 --> 00:10:38,288 I've been sick on and off ever since. 219 00:10:38,333 --> 00:10:41,033 Before you ask, yes, I stick to the diet plan. 220 00:10:41,075 --> 00:10:44,335 Yes, I exercise, no, I don't have high blood pressure, 221 00:10:44,382 --> 00:10:45,822 diabetes, or heart problems. 222 00:10:45,862 --> 00:10:48,432 - So about this bypass, did you have that done here? 223 00:10:48,473 --> 00:10:50,653 - Yes. Dr. Evelyn Roche. 224 00:10:54,175 --> 00:10:56,915 - Okay, well, sometimes, after a bypass, 225 00:10:56,960 --> 00:10:59,920 our stomach will react by rapidly emptying food 226 00:10:59,963 --> 00:11:01,493 in a way that can make you feel sick. 227 00:11:01,530 --> 00:11:03,400 - Dumping syndrome. I'm aware. 228 00:11:03,445 --> 00:11:06,445 That's only supposed to happen if you reintroduce food too fast, 229 00:11:06,491 --> 00:11:09,451 but I've been following the eye-dropper meal plan like a zealot. 230 00:11:09,494 --> 00:11:11,324 - Did you let them know that in your postop visit? 231 00:11:11,366 --> 00:11:14,196 - All Roche said was my system will only adjust 232 00:11:14,238 --> 00:11:17,328 when I commit to the lifestyle. Didn't even run a single test. 233 00:11:17,372 --> 00:11:20,942 - Right. Well, Dr. Roche is a renowned surgeon. 234 00:11:20,984 --> 00:11:23,514 - She's also a jerk, who has a problem with fat people. 235 00:11:23,552 --> 00:11:24,992 - Maya! - What can I say. 236 00:11:25,032 --> 00:11:26,692 The woman contains multitudes. 237 00:11:26,729 --> 00:11:28,339 - I'm gonna order a CT. 238 00:11:28,383 --> 00:11:32,043 - You will? - I can't rule out rapid gastric emptying, 239 00:11:32,082 --> 00:11:34,912 but we should consider other post-surgical complications, 240 00:11:34,955 --> 00:11:38,305 like a bowel obstruction, or another acute digestive problem. 241 00:11:38,349 --> 00:11:40,349 In the meantime, I'm gonna get you some fluids 242 00:11:40,395 --> 00:11:41,475 and an anti-nauseant. 243 00:11:41,526 --> 00:11:43,006 You'll need to change into a gown. 244 00:11:43,050 --> 00:11:44,920 - I'll need a second one to wrap around the back. 245 00:11:44,965 --> 00:11:46,835 - I'll get you one, hon. 246 00:11:50,579 --> 00:11:52,409 You shouldn't have done that. 247 00:11:53,060 --> 00:11:54,800 - Excuse me? - Given her false hope. 248 00:11:54,844 --> 00:11:56,984 - So you wanted me to tell her to exercise and eat right? 249 00:11:57,020 --> 00:11:58,760 Because it seems like she's already doing that. 250 00:11:58,805 --> 00:12:00,235 - Maya needs to hear this is normal 251 00:12:00,284 --> 00:12:02,554 and that she just needs to get through the worst of it. 252 00:12:02,591 --> 00:12:04,251 But when you don't find something, 253 00:12:04,288 --> 00:12:07,288 I'll have to pick her up and get her back on track. 254 00:12:08,815 --> 00:12:10,465 - Is there anything else? 255 00:12:10,512 --> 00:12:13,042 - Yes. Who can I ask for a gown? 256 00:12:13,907 --> 00:12:16,297 - Here, this desk. - Okay. 257 00:12:18,172 --> 00:12:20,572 At the end of your message, press 1. 258 00:12:21,697 --> 00:12:23,177 - I know you're screening me, Mel. 259 00:12:23,220 --> 00:12:25,880 We need to talk about you wanting sole custody. 260 00:12:25,919 --> 00:12:27,659 We only speak now through lawyers, 261 00:12:27,703 --> 00:12:29,233 and every time I go for pick up or drop off 262 00:12:29,270 --> 00:12:31,450 your mom's there just glaring at me. 263 00:12:31,838 --> 00:12:34,408 I don't understand why you're treating me like this. 264 00:12:40,977 --> 00:12:42,937 What is it, Jake? 265 00:12:42,979 --> 00:12:46,589 - Ben Lyons is still complaining about left upper quadrant pain. 266 00:12:46,635 --> 00:12:48,635 Chest X-ray for pneumothorax 267 00:12:48,680 --> 00:12:50,330 and broken ribs came back normal. 268 00:12:50,378 --> 00:12:51,598 - Okay? 269 00:12:51,640 --> 00:12:53,080 - You said to rule those two things out. 270 00:12:53,120 --> 00:12:56,120 - Yes, I did. Can you think of any other organs 271 00:12:56,166 --> 00:12:58,906 in that quadrant which might be affected by blunt trauma? 272 00:12:58,952 --> 00:13:00,822 - Kidney, spleen, pancreas. 273 00:13:00,867 --> 00:13:02,557 But you didn't say to rule those out. 274 00:13:04,827 --> 00:13:05,957 Ultrasound? 275 00:13:06,002 --> 00:13:09,312 - CT with contrast. - CT with contrast. 276 00:13:12,704 --> 00:13:16,404 - So what this situation calls for is two of you and none of him? 277 00:13:16,447 --> 00:13:19,447 - You're defending him? - No, I mean... 278 00:13:19,494 --> 00:13:21,804 You know, you could've walked him through your thinking. 279 00:13:21,844 --> 00:13:23,504 - I have, Mags. More than once. 280 00:13:23,541 --> 00:13:26,021 He's gotta start showing up for work, which means 281 00:13:26,066 --> 00:13:28,326 coming to me with answers instead of questions. 282 00:13:28,372 --> 00:13:31,422 - Kelsey Grisholm? - Her bleed's under control, 283 00:13:31,462 --> 00:13:34,292 but her temp's still high. - We're waiting on labs. 284 00:13:34,335 --> 00:13:35,635 - And her father? 285 00:13:35,684 --> 00:13:37,124 - Still insistent about being looped-in. 286 00:13:37,164 --> 00:13:38,864 - I want you both to stay on this. 287 00:13:38,905 --> 00:13:40,945 Ray's pretty senior at Midcrest and eh, 288 00:13:40,994 --> 00:13:43,174 easier for all of us if he's managed. 289 00:13:49,872 --> 00:13:51,482 - Bash? 290 00:13:53,049 --> 00:13:56,099 About the thing that we're not... 291 00:13:56,139 --> 00:13:58,709 About the elevator and like... 292 00:13:58,750 --> 00:14:00,880 That had nothing to do with you. Okay? 293 00:14:02,842 --> 00:14:05,852 The person in there wasn't even me really. 294 00:14:06,671 --> 00:14:08,241 - Who was it? 295 00:14:09,936 --> 00:14:12,546 - Someone who'd had a messed up day and a messed up... 296 00:14:12,590 --> 00:14:14,200 few months. 297 00:14:15,550 --> 00:14:17,640 - You're not alone there. 298 00:14:17,682 --> 00:14:19,252 Listen, I... 299 00:14:19,293 --> 00:14:22,643 I don't want it to get between us either so... 300 00:14:23,863 --> 00:14:26,003 Let's just pretend it never happened. 301 00:14:26,039 --> 00:14:28,559 - Exactly what I was gonna say. 302 00:14:32,045 --> 00:14:35,135 You really gave me a scare, kid. What happened? 303 00:14:35,178 --> 00:14:36,788 - I was painting the crown moulding. 304 00:14:36,832 --> 00:14:38,362 - I told you to call the contractor. 305 00:14:38,399 --> 00:14:40,489 - I told you I wanted to do it myself. 306 00:14:41,054 --> 00:14:42,714 - How are you feeling now? 307 00:14:43,273 --> 00:14:46,453 - Ah headache, neck's a bit stiff, 308 00:14:46,494 --> 00:14:48,984 but I guess that's what happens when you lie 309 00:14:49,018 --> 00:14:50,368 on the concrete for a few hours. 310 00:14:50,411 --> 00:14:53,371 - We did a CT, no intracranial injury. 311 00:14:53,414 --> 00:14:55,764 - So, you just fell? 312 00:14:55,807 --> 00:14:57,677 - Dad. The world is an imperfect place. 313 00:14:57,722 --> 00:14:59,332 People fall. 314 00:14:59,376 --> 00:15:00,676 - There's, uh... 315 00:15:00,725 --> 00:15:03,545 concern because you're maintaining a high fever, 316 00:15:03,598 --> 00:15:05,168 and we'd like to know why. 317 00:15:05,208 --> 00:15:08,858 - Were you feeling unwell before this? Any dizziness? 318 00:15:08,908 --> 00:15:10,688 - She's always run down. 319 00:15:10,735 --> 00:15:12,515 Barely eats, works until 2:00 AM, 320 00:15:12,563 --> 00:15:14,393 pouring all her energy into slinging drinks. 321 00:15:14,435 --> 00:15:15,955 - I'm not bartending, I'm running a business. 322 00:15:16,002 --> 00:15:18,002 - Look, that lifestyle was fine in your 20s, 323 00:15:18,047 --> 00:15:19,267 but it's time to grow up! 324 00:15:19,309 --> 00:15:21,399 - We can give you a minute-- - No, it's fine. 325 00:15:23,052 --> 00:15:25,142 You may as well all hear this. 326 00:15:29,015 --> 00:15:30,835 I have ALS. 327 00:15:30,886 --> 00:15:33,016 That's why I fell. 328 00:15:33,802 --> 00:15:36,112 I found out near the end with Mom. 329 00:15:37,240 --> 00:15:41,240 - No, that can't be right, because... 330 00:15:41,288 --> 00:15:43,588 Wait a minute, you're not showing any of the signs. 331 00:15:43,638 --> 00:15:45,028 - I've been covering. 332 00:15:45,074 --> 00:15:48,774 I noticed I was having a hard time gripping things. 333 00:15:48,817 --> 00:15:50,947 I ignored it at first, but... 334 00:15:52,342 --> 00:15:55,172 Then I started having weakness in my legs. 335 00:15:55,824 --> 00:15:58,094 - Do you know how advanced it is? 336 00:15:59,480 --> 00:16:02,400 - The neurologist said that I should expect more trouble 337 00:16:02,439 --> 00:16:06,049 with mobility and eating as I enter the mid-stage... 338 00:16:06,095 --> 00:16:09,745 And the average survival rate is two to five years. 339 00:16:09,794 --> 00:16:12,674 So I guess... that's where we are. 340 00:16:13,015 --> 00:16:14,965 - Which neurologist? What's his name? 341 00:16:15,017 --> 00:16:16,627 - Dr. Vedder. She's been great. 342 00:16:16,671 --> 00:16:18,931 - Never heard of her. Joe Yoshida is a great neurologist. 343 00:16:18,978 --> 00:16:20,278 I'll call him and get a second opinion. 344 00:16:20,327 --> 00:16:22,457 - Dr. Vedder's done weeks of tests. She's sure. 345 00:16:22,503 --> 00:16:24,113 - Honey, you gotta trust me here. 346 00:16:24,157 --> 00:16:25,807 I can help us get to the bottom of this. 347 00:16:25,854 --> 00:16:29,164 - Dad. Okay, this is why I haven't told you for so long. 348 00:16:29,466 --> 00:16:31,076 I have doctors. 349 00:16:31,120 --> 00:16:33,600 Just help me by being my dad. 350 00:16:38,258 --> 00:16:40,698 - Let me get Yoshida on the phone. 351 00:16:48,746 --> 00:16:51,266 - Did you discharge the guy in three? The new dad? 352 00:16:51,314 --> 00:16:54,064 - No, actually, I was going to explain his imaging results. 353 00:16:54,100 --> 00:16:56,410 - I found this in his room. I called OB, 354 00:16:56,450 --> 00:16:58,500 and he's not there either. - We lost him? 355 00:16:58,539 --> 00:17:00,319 Are you guys doing okay in there? 356 00:17:00,367 --> 00:17:01,717 - We didn't lose him, he left. 357 00:17:01,759 --> 00:17:04,279 And yes, we're having a small staffing issue, 358 00:17:04,327 --> 00:17:06,157 but we're managing just fine. 359 00:17:06,199 --> 00:17:07,719 - I got it! 360 00:17:07,765 --> 00:17:09,505 Peter's not here yet, sir. 361 00:17:09,550 --> 00:17:11,510 Let's wait in your room, okay? 362 00:17:11,943 --> 00:17:14,033 Did you start her on the antibiotics? 363 00:17:14,076 --> 00:17:15,816 Let me call you back. 364 00:17:15,860 --> 00:17:18,650 - Broad spectrum, until we figure out the cause of her fever. 365 00:17:18,689 --> 00:17:20,599 - Well, that was the neurologist I like. 366 00:17:20,648 --> 00:17:23,648 He advises we run a few exams to rule out ALS. 367 00:17:23,694 --> 00:17:25,484 Spinal tap and EMG. 368 00:17:25,522 --> 00:17:28,002 - Kelsey was pretty firm on not wanting to re-test. 369 00:17:28,047 --> 00:17:30,657 - She's febrile with a headache and soar neck. 370 00:17:30,701 --> 00:17:33,011 An LP will rule out meningitis, would it not? 371 00:17:33,052 --> 00:17:35,232 - Yes, and while meningitis is plausible, 372 00:17:35,271 --> 00:17:38,751 there are less invasive ways of narrowing down a fever. 373 00:17:38,796 --> 00:17:41,056 - My daughter runs on emotion, Dr. Hamed. 374 00:17:41,364 --> 00:17:44,324 She'll make the right choice if we lead her to it. 375 00:17:44,367 --> 00:17:46,017 Your boss said to do everything we can. 376 00:17:46,065 --> 00:17:48,105 If you want to sign-off, he's right over there, 377 00:17:48,154 --> 00:17:50,634 talking to the co-head of emerg at UHN of all people. 378 00:17:55,291 --> 00:17:58,291 - I've got three minutes before a consult if you need me. 379 00:17:58,338 --> 00:18:02,258 - Uh, yeah. Actually, I just caught this patient in emerg. 380 00:18:02,298 --> 00:18:04,778 She's 12 weeks post-op from a gastric bypass, 381 00:18:04,822 --> 00:18:07,482 has nausea and vomiting. But her imaging's clear. 382 00:18:07,521 --> 00:18:08,911 - She's aware of dumping syndrome? 383 00:18:08,957 --> 00:18:10,957 - She is, but it could be something else right, 384 00:18:11,002 --> 00:18:13,702 like a peptic ulcer, an obstruction or Crohn's or-- 385 00:18:13,744 --> 00:18:15,534 - What are you asking me to approve, June? 386 00:18:15,572 --> 00:18:17,532 - A C-scope and a G-scope. 387 00:18:17,574 --> 00:18:20,534 - Okay, but you could have ordered those anyway. 388 00:18:20,577 --> 00:18:22,357 - Right, but not everybody would, 389 00:18:22,405 --> 00:18:23,965 based on her symptoms so... 390 00:18:25,495 --> 00:18:27,625 Okay, you're the one who's always telling me to watch out 391 00:18:27,671 --> 00:18:29,151 for landmines. 392 00:18:29,847 --> 00:18:33,067 - Statistically, you know it's unlikely this is anything 393 00:18:33,112 --> 00:18:35,292 other than side effects from her bypass. 394 00:18:35,331 --> 00:18:37,641 - What I know is that I've made the mistake in the past 395 00:18:37,681 --> 00:18:40,291 of listening to statistics over patients. 396 00:18:41,816 --> 00:18:43,856 - Keep me in the loop. 397 00:18:45,167 --> 00:18:46,947 - Keep you in the loop. 398 00:18:48,214 --> 00:18:51,044 - We're monitoring Kelsey Grisholm closely. 399 00:18:51,086 --> 00:18:53,516 Her father's a handful, but we're on top of it. 400 00:18:53,567 --> 00:18:55,997 - Let me know if you need any input. 401 00:18:56,874 --> 00:18:59,274 Hey, I meant to ask, how's your sister? 402 00:18:59,790 --> 00:19:01,270 Since her head laceration. 403 00:19:01,314 --> 00:19:04,714 - Oh, uh... she's healing fine. 404 00:19:04,752 --> 00:19:07,582 I doubt it'll scar. 405 00:19:07,624 --> 00:19:08,764 - Good. 406 00:19:09,235 --> 00:19:12,925 The woman she came in with, I'm told that's your fiancé? 407 00:19:12,977 --> 00:19:15,107 - She was. Uh... 408 00:19:15,154 --> 00:19:18,164 Now, she's the reason Amira won't talk to me. 409 00:19:18,635 --> 00:19:20,415 - Sorry to hear that. 410 00:19:20,463 --> 00:19:22,943 - Amira, she takes everything on 411 00:19:22,987 --> 00:19:25,817 and I think she learned that from me. 412 00:19:26,817 --> 00:19:29,167 - You're not alone, Bashir. 413 00:19:31,257 --> 00:19:37,387 Sir, that doctor that you were speaking with earlier, 414 00:19:37,437 --> 00:19:39,657 are you hiring a co-chief? 415 00:19:44,400 --> 00:19:45,920 - No. 416 00:19:46,924 --> 00:19:49,234 I've been asked to meet candidates 417 00:19:49,275 --> 00:19:52,015 and lead the transition to a new chief. 418 00:19:53,409 --> 00:19:55,799 - You're being pushed out? 419 00:19:56,717 --> 00:19:59,197 - Well, let's just keep this between us for now. 420 00:19:59,241 --> 00:20:01,291 It's not something I wanted, and to be frank, 421 00:20:01,330 --> 00:20:02,510 I don't know where it goes. 422 00:20:02,549 --> 00:20:04,159 - There must be something that we can do. 423 00:20:04,203 --> 00:20:06,213 - Let me handle, okay. I'll find a way to get 424 00:20:06,248 --> 00:20:07,988 the board on side again. 425 00:20:11,862 --> 00:20:14,602 I know you think you're only here because of me, 426 00:20:14,648 --> 00:20:16,348 but you're not. 427 00:20:16,389 --> 00:20:18,169 You're here because of you. 428 00:20:18,217 --> 00:20:19,867 Do you understand? 429 00:20:23,961 --> 00:20:25,701 - Can we put her oxygen up to eight litres 430 00:20:25,746 --> 00:20:27,836 and find out where her chest X-ray is? 431 00:20:27,878 --> 00:20:31,058 Any nausea? Cold extremities at all? 432 00:20:31,969 --> 00:20:33,969 - Just a bit short of breath. 433 00:20:34,798 --> 00:20:36,838 I assumed it was a touch of the flu. 434 00:20:36,887 --> 00:20:39,797 - Which could be more dangerous for ALS patients. 435 00:20:39,847 --> 00:20:41,457 - You sound like my dad. 436 00:20:43,590 --> 00:20:45,200 He's not a bad guy. 437 00:20:45,244 --> 00:20:49,074 I know how badly he wants to fix me. 438 00:20:49,987 --> 00:20:51,417 Fix this. 439 00:20:51,467 --> 00:20:53,687 But when it comes to relating to me? 440 00:20:53,730 --> 00:20:55,780 That's all he's ever known. 441 00:20:55,819 --> 00:20:58,169 - And what about you? 442 00:20:58,213 --> 00:20:59,913 What do you want? 443 00:21:01,085 --> 00:21:03,475 - To somehow meet this on my own terms? 444 00:21:05,699 --> 00:21:07,659 Buying that bar was a dream come true 445 00:21:07,701 --> 00:21:11,271 and I want to run it for as long as I can. 446 00:21:15,752 --> 00:21:17,362 - Her temp's up again. 447 00:21:20,409 --> 00:21:21,759 - Um... 448 00:21:21,802 --> 00:21:23,892 I was wondering if you would consider letting us 449 00:21:23,934 --> 00:21:25,554 do a lumbar puncture? 450 00:21:25,588 --> 00:21:28,418 It would help us rule out meningitis, source your fever and... 451 00:21:28,461 --> 00:21:31,031 - Re-confirm my ALS diagnosis? 452 00:21:31,638 --> 00:21:33,858 My father ask you to float that? 453 00:21:34,249 --> 00:21:35,729 - Yes, he did. 454 00:21:35,772 --> 00:21:38,122 - Resistance is futile with Ray. 455 00:21:39,123 --> 00:21:41,213 Is that true about my fever? 456 00:21:41,996 --> 00:21:43,386 - Wait, you're in control here. 457 00:21:43,432 --> 00:21:45,912 Nothing's gonna happen without your consent. 458 00:21:45,956 --> 00:21:48,916 Okay? - Okay. 459 00:22:01,711 --> 00:22:03,801 - The maternity ward's the other way. 460 00:22:05,672 --> 00:22:07,062 - I can't go up there. 461 00:22:07,108 --> 00:22:09,278 - So you-- Uh, you're just... 462 00:22:09,328 --> 00:22:10,888 You're leaving? 463 00:22:10,938 --> 00:22:12,898 - But then, I remembered I totalled our car. 464 00:22:12,940 --> 00:22:15,770 I just finished paying it off last month too, 465 00:22:15,812 --> 00:22:17,512 after nine years. 466 00:22:17,553 --> 00:22:19,253 I don't even have a job right now. 467 00:22:19,294 --> 00:22:21,044 - Ben, why don't you come with me? 468 00:22:21,078 --> 00:22:23,388 - I didn't want a baby, Dr. Hunter. 469 00:22:23,429 --> 00:22:24,729 It kinda just happened. 470 00:22:24,778 --> 00:22:26,818 I thought if I cut my losses now, 471 00:22:26,867 --> 00:22:29,127 I'd be doing that kid a favour. 472 00:22:31,785 --> 00:22:34,085 I can see you judging me. 473 00:22:34,135 --> 00:22:37,265 - Look I would never say running out on a new-born baby 474 00:22:37,312 --> 00:22:40,362 is a good idea, but that's not why I'm here. 475 00:22:40,402 --> 00:22:42,712 You spleen is ruptured. 476 00:22:42,752 --> 00:22:44,282 You need surgery. 477 00:22:44,319 --> 00:22:45,449 - What? 478 00:22:46,408 --> 00:22:49,278 So I guess... - Yeah. 479 00:22:49,324 --> 00:22:50,544 - Oh, okay. 480 00:22:57,941 --> 00:22:59,861 - Imaging's up. 481 00:23:04,034 --> 00:23:05,994 - Guys, what's happening? 482 00:23:06,559 --> 00:23:07,999 Just tell me, I can take it. 483 00:23:08,038 --> 00:23:09,908 - I'm hearing crackles in your lungs. 484 00:23:09,953 --> 00:23:11,483 - Crackles? From what? 485 00:23:11,520 --> 00:23:14,480 - Based on your chest X-rays, it's likely pneumonia. 486 00:23:14,523 --> 00:23:15,663 - Wouldn't I be coughing? 487 00:23:15,698 --> 00:23:17,218 - ALS makes it hard to cough 488 00:23:17,265 --> 00:23:19,175 due to the degeneration of the airway. 489 00:23:19,223 --> 00:23:20,753 - Then you accept my diagnosis? 490 00:23:20,790 --> 00:23:22,970 - Until we get the results back from the lumbar puncture, 491 00:23:23,010 --> 00:23:24,190 we have to assume-- - She's not... 492 00:23:24,228 --> 00:23:26,878 doing a lumbar puncture, Dr. Grisholm. 493 00:23:28,755 --> 00:23:30,405 - Stop trying to work him, Dad. 494 00:23:30,452 --> 00:23:32,412 I've done the tests. 495 00:23:32,933 --> 00:23:36,113 I've come to terms-- - Let me talk next steps. 496 00:23:36,676 --> 00:23:39,106 - Well, we'll continue O2 therapy, 497 00:23:39,156 --> 00:23:41,676 target the pneumonia with macrolide antibiotics 498 00:23:41,724 --> 00:23:43,124 and monitor her levels carefully. 499 00:23:43,160 --> 00:23:46,030 - Also, we should consider mechanical ventilation. 500 00:23:46,076 --> 00:23:48,426 - What does that mean? Is that intubation? 501 00:23:48,470 --> 00:23:51,300 - Yes. You're not coughing due to the ALS, 502 00:23:51,342 --> 00:23:53,872 which means that without help your body might not be able 503 00:23:53,910 --> 00:23:55,740 to clear the secretions caused by pneumonia. 504 00:23:55,782 --> 00:23:57,522 - Dr. Hamed's right. It's aggressive, 505 00:23:57,566 --> 00:23:59,386 but it's the best way to prevent hypoxia. 506 00:23:59,438 --> 00:24:01,698 - Yes, but it's not your only option here, Kelsey. 507 00:24:01,744 --> 00:24:04,234 We can try BIPAP for supplemental O2. 508 00:24:04,268 --> 00:24:06,528 There's also postural drainage and percussion-- 509 00:24:06,575 --> 00:24:08,655 - Which might not be enough to keep dangerous amounts 510 00:24:08,708 --> 00:24:09,928 of fluids from building. 511 00:24:09,970 --> 00:24:11,750 - But there's a chance I could still 512 00:24:11,798 --> 00:24:13,228 recover on my own, right? 513 00:24:13,277 --> 00:24:15,577 - Yes. This is your choice. 514 00:24:15,628 --> 00:24:18,238 - And intubation is the right one. 515 00:24:26,465 --> 00:24:28,285 - I've done my homework. 516 00:24:30,077 --> 00:24:31,507 If I'm intubated, 517 00:24:31,557 --> 00:24:33,247 I may never come off the ventilator, right? 518 00:24:33,297 --> 00:24:35,207 That's what happens with ALS, right? 519 00:24:35,256 --> 00:24:36,996 - No, this is an end-stage, Kel. 520 00:24:37,040 --> 00:24:39,220 It'll only help you breathe until you fight off the pneumonia, 521 00:24:39,260 --> 00:24:41,350 then they extubate you in a day or two. 522 00:24:45,048 --> 00:24:47,438 - No. - Come on, Kel. 523 00:24:47,486 --> 00:24:49,396 - I said no. I don't want to be intubated. 524 00:24:49,444 --> 00:24:52,454 - Dammit, Kelsey! You need a plan to deal with this! 525 00:24:52,491 --> 00:24:54,101 This is what I do! Why can't you trust me? 526 00:24:54,144 --> 00:24:55,584 - Because you're not hearing me! 527 00:24:57,147 --> 00:24:59,497 Just stop and listen for once! 528 00:25:02,544 --> 00:25:05,464 You are doing exactly what you did with Mom. 529 00:25:06,156 --> 00:25:08,806 And not just when she was sick, her whole life. 530 00:25:09,159 --> 00:25:11,639 Your voice is always the loudest. 531 00:25:12,423 --> 00:25:14,123 If I'm intubated, 532 00:25:14,164 --> 00:25:15,994 then you get to call all the shots. 533 00:25:16,036 --> 00:25:17,906 You get to make all my choices 534 00:25:17,951 --> 00:25:19,911 and I can't give that kind of power to someone 535 00:25:19,953 --> 00:25:22,263 who's never listened to me. 536 00:25:44,717 --> 00:25:46,757 - Oh, apparently, he wandered into an exam room 537 00:25:46,806 --> 00:25:48,626 while a patient was getting changed? 538 00:25:48,677 --> 00:25:50,507 - Not intentionally. He's just confused about-- 539 00:25:50,549 --> 00:25:53,199 - We should've located his people by now. What's the hold up, Arnold? 540 00:25:53,247 --> 00:25:54,547 - We're trying. 541 00:25:55,510 --> 00:25:57,990 - The reason I put both of you on Kelsey Grisholm 542 00:25:58,034 --> 00:26:01,304 was to make sure things went smoothly. 543 00:26:02,212 --> 00:26:04,652 - Well, I know it took a while to catch the pneumonia, 544 00:26:04,693 --> 00:26:06,613 but that's because she didn't show the regular signs-- 545 00:26:06,652 --> 00:26:08,002 - No, I understand the diagnosis. 546 00:26:08,044 --> 00:26:10,704 What I don't understand is why people I report to 547 00:26:10,743 --> 00:26:13,353 are telling me that my resident is standing in the way 548 00:26:13,397 --> 00:26:15,567 of a patient getting the care she needs. 549 00:26:17,227 --> 00:26:18,787 Ray has friends in high places. 550 00:26:18,838 --> 00:26:20,538 - No, that's not at all how it happened. 551 00:26:20,579 --> 00:26:22,619 He was steamrolling his daughter into intubating-- 552 00:26:22,668 --> 00:26:24,708 - I recommended mechanical ventilation 553 00:26:24,757 --> 00:26:26,627 because I think Kelsey should consider it. 554 00:26:26,672 --> 00:26:29,242 Dr. Grisholm agreed and made a strong case for it. 555 00:26:29,283 --> 00:26:31,893 - By ignoring hers. - We are never going to intubate 556 00:26:31,938 --> 00:26:34,108 a patient against their will, Mags, you know that, 557 00:26:34,157 --> 00:26:36,857 but there's no law against giving an opinion 558 00:26:36,899 --> 00:26:39,509 and Ray feels that you weren't legitimately considering 559 00:26:39,554 --> 00:26:41,034 all the options. 560 00:26:42,426 --> 00:26:43,646 - Fine. 561 00:26:43,689 --> 00:26:45,869 Fine, I'll tread more carefully. 562 00:26:47,910 --> 00:26:49,430 - Can you handle this on your own? 563 00:26:49,782 --> 00:26:52,132 - What? You're taking me off? 564 00:26:52,175 --> 00:26:54,655 - I'm ensuring there are no more calls from upstairs. 565 00:26:54,700 --> 00:26:56,790 - Doctor Bishop, that is not-- - Mags! 566 00:26:57,180 --> 00:26:58,880 Don't push it. 567 00:26:59,835 --> 00:27:01,615 - Since when does Bishop let politics 568 00:27:01,663 --> 00:27:03,363 get in the way of a patient? 569 00:27:03,404 --> 00:27:05,104 - That's not what he's doing. 570 00:27:23,250 --> 00:27:24,690 - Dr. Roche. - Dr. Curtis. 571 00:27:24,730 --> 00:27:27,250 Why is one of my post-op patients in the endoscopy suite? 572 00:27:27,863 --> 00:27:31,213 - Maya Crawford presented in emerg with significant discomfort, 573 00:27:31,258 --> 00:27:33,388 thought it warranted investigation, so I-- 574 00:27:33,434 --> 00:27:34,874 - Decided to waste time and resources? 575 00:27:34,914 --> 00:27:36,704 Ms. Crawford was here two weeks ago. 576 00:27:36,742 --> 00:27:38,702 Her issue was diet. She's my patient 577 00:27:38,744 --> 00:27:41,314 and I'm telling you this procedure isn't necessary. 578 00:27:41,355 --> 00:27:44,355 - With respect, Dr. Roche, Maya's following her diet. 579 00:27:44,401 --> 00:27:46,801 - With respect, they all say that. 580 00:27:47,143 --> 00:27:49,023 And when you've been doing this as long as I have, 581 00:27:49,058 --> 00:27:50,928 you learn to see the patterns, right? 582 00:27:53,759 --> 00:27:55,589 - She's not a pattern, she's a person. 583 00:27:55,630 --> 00:27:58,630 Doesn't she warrant the same investigation as any other patient? 584 00:27:58,677 --> 00:28:00,157 - Put her back on a liquid diet. 585 00:28:00,200 --> 00:28:02,250 If there's no change, I'll be happy to see her again 586 00:28:02,289 --> 00:28:04,729 in four to six weeks. - She doesn't want to see you. 587 00:28:04,770 --> 00:28:06,210 - You're out of line, June. 588 00:28:06,249 --> 00:28:09,379 - It's fine, Aajay. Let's see what she turns up. 589 00:28:28,315 --> 00:28:30,055 - Awn, she looks peaceful. 590 00:28:30,099 --> 00:28:31,619 - Now, she does. 591 00:28:31,666 --> 00:28:33,886 We just fought over my boob for an hour. 592 00:28:33,929 --> 00:28:37,109 She refuses to latch, even though I know she's starving. 593 00:28:37,716 --> 00:28:39,536 - You want them to be fighters. 594 00:28:39,587 --> 00:28:41,107 - Well, you've met her parents. 595 00:28:41,154 --> 00:28:43,554 Speaking of, there was an ER nurse that came looking 596 00:28:43,591 --> 00:28:45,641 for Ben earlier. Have you seen him? 597 00:28:45,680 --> 00:28:47,640 - He's in surgery. 598 00:28:47,682 --> 00:28:49,732 - What? - He had a ruptured spleen, 599 00:28:49,771 --> 00:28:51,381 but he's gonna be fine. 600 00:28:51,425 --> 00:28:53,115 - Why didn't he tell me? 601 00:28:53,166 --> 00:28:55,996 Or respond to my texts? 602 00:28:56,865 --> 00:28:58,165 I know we're that couple. 603 00:28:58,214 --> 00:29:00,784 You know, that breaks up a thousand times and... 604 00:29:00,826 --> 00:29:03,476 gets married to try to save the relationship, 605 00:29:03,524 --> 00:29:05,794 and then when that doesn't work... 606 00:29:09,660 --> 00:29:12,930 The nurse that was looking for him didn't know where he was. 607 00:29:14,622 --> 00:29:16,322 He was gonna leave, wasn't he? 608 00:29:17,103 --> 00:29:18,543 - I'm sorry. 609 00:29:20,454 --> 00:29:23,334 That's probably because... 610 00:29:23,979 --> 00:29:27,329 I didn't exactly let Ben in on my decision 611 00:29:27,374 --> 00:29:28,814 to forget taking the pill. 612 00:29:28,854 --> 00:29:32,644 But I'm 36 and I wanted a baby. 613 00:29:32,683 --> 00:29:34,823 - So you planned to get pregnant? 614 00:29:34,860 --> 00:29:36,820 - I know, I'm the worst. 615 00:29:37,906 --> 00:29:40,426 Money's tight, things have been hard. 616 00:29:40,474 --> 00:29:41,954 I know I should probably end things, 617 00:29:41,997 --> 00:29:43,827 but every time I think about doing this on my own, 618 00:29:43,869 --> 00:29:45,779 I just chicken out. 619 00:29:49,526 --> 00:29:51,436 Time for round two. 620 00:29:51,485 --> 00:29:53,225 - Let me help. 621 00:29:57,012 --> 00:29:58,192 Oh, yes. 622 00:30:02,757 --> 00:30:03,797 - Arnold. 623 00:30:03,845 --> 00:30:05,105 - Her BP dropped so I came to check. 624 00:30:05,151 --> 00:30:06,591 She'd vomited bright red blood. 625 00:30:06,630 --> 00:30:08,370 - Hematemesis. I'll ultrasound! 626 00:30:08,415 --> 00:30:09,845 - A bleed from pneumonia? 627 00:30:09,895 --> 00:30:12,545 - What's happening? - Possible esophageal bleed. 628 00:30:12,593 --> 00:30:14,333 - From what? - Blunt force trauma 629 00:30:14,377 --> 00:30:17,337 can cause portal vein thrombosis. Could she have genetic varices? 630 00:30:17,380 --> 00:30:18,950 - It's possible. 631 00:30:19,730 --> 00:30:20,990 - Talk to me! 632 00:30:21,036 --> 00:30:22,856 - She's going into hemorrhagic shock. 633 00:30:22,908 --> 00:30:25,868 We need to stop the bleed. - Rhythm's erratic. 634 00:30:25,911 --> 00:30:28,521 - Give her her own fluids and activate MTP. 635 00:30:29,784 --> 00:30:31,534 Unstable V-tach, we need to cardiovert! 636 00:30:31,568 --> 00:30:33,528 - Stay with me, kid. Stay with me. 637 00:30:45,844 --> 00:30:47,674 - Charging up to 100 J. 638 00:30:47,715 --> 00:30:49,055 Clear! 639 00:30:50,631 --> 00:30:52,071 - Charge it to 200, try again. 640 00:30:52,111 --> 00:30:54,331 Her rhythm's going nowhere. - Charging. 641 00:30:54,374 --> 00:30:56,204 Clear! 642 00:30:56,724 --> 00:30:58,994 - We're losing her! We have to do something! 643 00:30:59,031 --> 00:31:00,421 - I could do a Blakemore. - It's risky, 644 00:31:00,467 --> 00:31:02,637 considering the ALS. Could damage her airway. 645 00:31:02,686 --> 00:31:03,986 - We don't even train for that anymore! 646 00:31:04,036 --> 00:31:05,856 - No, I know how and we need to stop the bleed. 647 00:31:05,907 --> 00:31:07,467 - You do it. 648 00:31:07,517 --> 00:31:09,297 - It has to be Dr. Hamed. 649 00:31:09,998 --> 00:31:12,388 - Please. Save my little girl. 650 00:31:14,133 --> 00:31:15,923 - Give us room to work, Dr. Grisholm. 651 00:31:15,961 --> 00:31:17,881 - I'll prep the Blakemore kit. I'll need a laryngoscope 652 00:31:17,919 --> 00:31:19,089 and portable X-ray to confirm placement! 653 00:31:19,138 --> 00:31:20,918 And have 50 mics of octreotide 654 00:31:20,966 --> 00:31:22,356 and a gram of ceftriaxone ready. 655 00:31:22,402 --> 00:31:23,882 - On it! 656 00:31:40,115 --> 00:31:41,375 - Mags. - What? 657 00:31:41,421 --> 00:31:43,901 - You almost done? - There's other terminals. 658 00:31:49,646 --> 00:31:51,166 - What's up? 659 00:31:51,213 --> 00:31:53,563 - I think I hate everybody we work with. 660 00:31:53,999 --> 00:31:55,829 Except you, obviously. 661 00:31:57,219 --> 00:31:59,089 - Well, give it time. 662 00:31:59,134 --> 00:32:00,964 If there's one thing that I've learned, 663 00:32:01,006 --> 00:32:03,746 it's that everyone disappoints you eventually. 664 00:32:19,807 --> 00:32:21,457 - Dr. Grisholm? 665 00:32:22,027 --> 00:32:25,067 The surgeons will update us as soon as they know more, 666 00:32:25,117 --> 00:32:28,027 but we stopped the bleed long enough to get Kelsey to the OR. 667 00:32:28,076 --> 00:32:29,636 - Thank you. 668 00:32:30,078 --> 00:32:32,118 Thank you, Dr. Hamed. 669 00:32:32,820 --> 00:32:36,560 My daughter didn't even want to tell me she had this horrible disease. 670 00:32:37,868 --> 00:32:40,998 She needs to know I'm listening now. 671 00:32:47,095 --> 00:32:49,705 - Why would Mel play my voice mail for her lawyer? 672 00:32:49,750 --> 00:32:51,620 So he could play it for yours, 673 00:32:51,665 --> 00:32:54,015 before we all have to hear it in front of a judge. 674 00:32:54,059 --> 00:32:56,629 All you're doing is making this worse, Theo. 675 00:32:56,670 --> 00:32:59,020 - It's her lawyers that are making this worse! 676 00:32:59,064 --> 00:33:01,984 They're acting like nothing good ever happened between us! 677 00:33:02,023 --> 00:33:05,553 Suddenly, I'm this villain who isn't worthy 678 00:33:05,592 --> 00:33:07,162 of parenting his own kids! 679 00:33:07,202 --> 00:33:08,812 - Theo. 680 00:33:08,856 --> 00:33:11,636 You chose to take a job in a different city from your family. 681 00:33:11,685 --> 00:33:13,295 You can't erase that. 682 00:33:13,339 --> 00:33:15,119 Of course, she was going to ask for custody. 683 00:33:15,167 --> 00:33:18,167 And as your lawyer, I'm telling you that if you don't stop 684 00:33:18,213 --> 00:33:21,003 being so stubborn then you could lose everything. 685 00:33:22,870 --> 00:33:24,180 - Dr. Curtis! 686 00:33:24,219 --> 00:33:26,399 Maya's having some kind of episode! 687 00:33:30,878 --> 00:33:32,398 - She said her heart's racing, 688 00:33:32,445 --> 00:33:34,655 she's shaking like a leaf, so I'm putting her on a monitor. 689 00:33:34,708 --> 00:33:36,708 - Can you do a bedside glucose? 690 00:33:38,233 --> 00:33:40,063 - What's wrong with her? 691 00:33:41,410 --> 00:33:42,800 - She's tachycardic. 692 00:33:42,846 --> 00:33:44,936 - Maya, if you can hear me, can you say something? 693 00:33:44,979 --> 00:33:46,719 - Something. 694 00:33:48,548 --> 00:33:50,418 - So there is a problem? 695 00:33:50,898 --> 00:33:52,938 The testing. What did you find? 696 00:33:54,249 --> 00:33:57,209 - Nothing. - Yeah. There's no blockage. 697 00:33:57,252 --> 00:33:59,042 No polyps. No ulcer. 698 00:33:59,080 --> 00:34:00,390 - Glucose is 3,4. 699 00:34:00,429 --> 00:34:02,559 - Alright, she gonna need one amp of D-50, 700 00:34:02,605 --> 00:34:04,555 then could you just give us a second? 701 00:34:04,607 --> 00:34:06,607 - What does that mean? The glucose? 702 00:34:06,653 --> 00:34:09,963 - Well, rapid emptying can cause acute episodes of hypoglycemia. 703 00:34:10,004 --> 00:34:11,754 It's hard to keep your sugars stable when your body 704 00:34:11,788 --> 00:34:13,268 rejects everything you put in it. 705 00:34:13,312 --> 00:34:15,362 - So, we're back where we started, 706 00:34:15,401 --> 00:34:16,661 with you telling me to eat less. 707 00:34:16,706 --> 00:34:18,396 - No, Maya. It's not what I'm saying. 708 00:34:18,447 --> 00:34:20,057 You haven't done anything wrong. 709 00:34:20,101 --> 00:34:21,801 - Then why is this happening? 710 00:34:22,712 --> 00:34:25,592 - I don't know if Dr. Roche made this clear, 711 00:34:25,628 --> 00:34:28,278 but gastric bypass is a complex surgery 712 00:34:28,327 --> 00:34:30,017 that can have various outcomes. 713 00:34:30,068 --> 00:34:31,678 - And mine varied into hell. 714 00:34:31,721 --> 00:34:34,291 - You had an extreme reaction and it's gonna take some time 715 00:34:34,333 --> 00:34:36,903 for your stomach to recover so you can intake normally. 716 00:34:38,206 --> 00:34:41,296 - I didn't even want the damn surgery in the first place. 717 00:34:41,340 --> 00:34:43,910 If I'd know it would be this bad... 718 00:34:44,430 --> 00:34:46,210 - There's nothing else you can do? 719 00:34:46,649 --> 00:34:48,389 - Well, there are some medications we can try. 720 00:34:48,434 --> 00:34:51,834 They slow the emptying from the stomach into the intestine. 721 00:34:51,872 --> 00:34:54,532 And I can find a nutritionist who's committed 722 00:34:54,570 --> 00:34:56,440 to something called Health at Any Size, 723 00:34:56,485 --> 00:34:58,435 and they help you manage meals and side effects. 724 00:34:58,487 --> 00:35:01,577 - What if I never adjust? I just live like this? 725 00:35:02,143 --> 00:35:04,453 - You come back here when things get bad again 726 00:35:04,493 --> 00:35:06,583 and bypass reversal is an option. 727 00:35:06,626 --> 00:35:08,926 - Reversal. You mean more surgery. 728 00:35:08,976 --> 00:35:11,666 - If you're serious about wanting another choice, then yeah. 729 00:35:11,718 --> 00:35:14,108 - Could that make things worse? 730 00:35:14,982 --> 00:35:17,902 - It's an open surgery, so it can have complications, 731 00:35:17,941 --> 00:35:19,731 I would talk it over carefully with your surgeon. 732 00:35:19,769 --> 00:35:24,029 But I can refer you to someone who is not Dr. Roche. 733 00:35:24,992 --> 00:35:28,002 Think about it, Maya. I'm here if you need me. 734 00:35:32,652 --> 00:35:34,652 - The surgeons have managed to repair your spleen. 735 00:35:34,697 --> 00:35:36,997 A couple more days and you'll be up and around. 736 00:35:38,223 --> 00:35:41,103 Ben, I didn't mean to judge you before... 737 00:35:41,139 --> 00:35:43,399 - I thought we could call her Crash? 738 00:35:43,445 --> 00:35:46,485 Dr. Hunter, do you mind bringing her over to her daddy? 739 00:35:46,535 --> 00:35:48,055 - Of course. 740 00:36:03,030 --> 00:36:04,550 - Hello, there. 741 00:36:06,555 --> 00:36:08,165 Oh my God, hi. 742 00:36:09,558 --> 00:36:11,258 Welcome to the world. 743 00:36:15,695 --> 00:36:17,175 - She has your eyes. 744 00:36:19,002 --> 00:36:20,482 - I love you, Tess. 745 00:36:20,526 --> 00:36:21,876 - I love you too. 746 00:36:22,354 --> 00:36:24,754 We can make it work, I know it. 747 00:36:31,580 --> 00:36:33,280 - Here. Uh... 748 00:36:34,192 --> 00:36:36,242 It's a beat-up 2013 Sedan, 749 00:36:36,281 --> 00:36:38,541 but she's got some good miles left in her 750 00:36:38,587 --> 00:36:40,757 and there's an old car seat in the trunk. 751 00:36:40,807 --> 00:36:42,417 - You're giving us your car? 752 00:36:42,461 --> 00:36:44,851 Dr. Hunter, I mean, thanks, but-- 753 00:36:44,898 --> 00:36:46,328 - You're gonna need one. 754 00:36:46,378 --> 00:36:47,898 - That is so generous, but we can't accept. 755 00:36:47,944 --> 00:36:49,694 - You have to. I... 756 00:36:49,729 --> 00:36:51,989 I need to purge a few things. 757 00:36:52,427 --> 00:36:54,947 And I'll start jogging to work, 758 00:36:54,995 --> 00:36:57,035 so I mean, really, you're doing me a favour. 759 00:36:57,084 --> 00:36:59,484 - We don't know what to say. 760 00:37:00,392 --> 00:37:02,662 - Just say you'll give that kid a great life. 761 00:37:29,725 --> 00:37:32,245 - They stopped the bleed, but... 762 00:37:32,293 --> 00:37:34,993 apparently, the Blakemore tube damaged the airway. 763 00:37:35,035 --> 00:37:36,775 They had to do a tracheotomy. 764 00:37:37,951 --> 00:37:39,521 - I was careful with the inflation. 765 00:37:39,561 --> 00:37:40,611 - I know. 766 00:37:40,649 --> 00:37:41,909 And the surgeons agree, 767 00:37:41,955 --> 00:37:43,605 if you hadn't acted, she would have died. 768 00:37:43,652 --> 00:37:47,702 But her body's weak and couldn't take the pressure. 769 00:37:49,092 --> 00:37:51,662 Kelsey will live, but she'll be attached to a ventilator 770 00:37:51,704 --> 00:37:53,974 for the rest of her life and unable to speak. 771 00:37:54,010 --> 00:37:55,800 - Oh, my God... 772 00:37:57,405 --> 00:37:59,885 - This is exactly what she didn't want to happen. 773 00:37:59,929 --> 00:38:01,799 - I'm sorry, Bash. 774 00:38:09,765 --> 00:38:11,545 - We made the call together. 775 00:38:12,115 --> 00:38:15,285 A lot of doctors would've been paralyzed, you stopped the bleed. 776 00:38:15,336 --> 00:38:17,636 - And then, ruined this woman's life. 777 00:38:20,167 --> 00:38:22,427 - It could've easily rolled the other way. 778 00:38:27,827 --> 00:38:29,347 - But it didn't. 779 00:38:47,499 --> 00:38:49,149 - You wanted to see me? 780 00:38:49,631 --> 00:38:51,631 - You're called into a meeting. 781 00:38:52,068 --> 00:38:55,028 Roche isn't happy about your little dispute over Maya Crawford 782 00:38:55,071 --> 00:38:57,161 and she's making it known to the division heads. 783 00:38:58,466 --> 00:39:00,556 - I came to you for advice. 784 00:39:01,077 --> 00:39:02,597 You just let me walk right into that. 785 00:39:02,644 --> 00:39:05,524 - I didn't tell you to go toe-to-toe with the head of GI. 786 00:39:05,560 --> 00:39:06,910 - But you stood there and watched it happen. 787 00:39:06,953 --> 00:39:08,653 I just-- I thought you had my back. 788 00:39:10,304 --> 00:39:13,264 - You made an enemy of the wrong person today. 789 00:39:14,134 --> 00:39:16,354 Maybe stop at one. 790 00:39:32,282 --> 00:39:34,072 - This is my last coin. 791 00:39:35,285 --> 00:39:36,765 - Sir, we need to talk. 792 00:39:37,897 --> 00:39:40,247 - You're never wrong to fight for your patients, Mags. 793 00:39:40,682 --> 00:39:41,812 - Thank you. 794 00:39:42,423 --> 00:39:45,693 Although, I'm not sure that actually counts as an apology. 795 00:39:48,473 --> 00:39:50,823 - Ray was out of line, as was I. 796 00:39:51,519 --> 00:39:53,699 Why do I get the impression you're here to register 797 00:39:53,739 --> 00:39:55,089 another complaint? 798 00:39:55,131 --> 00:39:56,701 - Cardiology. 799 00:39:56,742 --> 00:39:58,832 I told you I wanted to explore it. 800 00:39:58,874 --> 00:40:00,274 But you didn't hear me. 801 00:40:00,310 --> 00:40:01,570 - You also told me emerg 802 00:40:01,616 --> 00:40:02,916 was the only thing you ever wanted. 803 00:40:02,965 --> 00:40:05,225 What's changed? - I don't know. 804 00:40:06,229 --> 00:40:07,489 I don't know. 805 00:40:07,535 --> 00:40:10,575 I just know that I can't get it out of my head 806 00:40:10,625 --> 00:40:13,445 and you need to let me explore my future. 807 00:40:13,498 --> 00:40:15,238 Even if I mess it up. 808 00:40:17,197 --> 00:40:19,287 - Okay, well, I'm hearing you now. 809 00:40:20,461 --> 00:40:23,511 I don't like the idea of sharing you with another department, 810 00:40:23,551 --> 00:40:25,381 but if it's what you want... 811 00:40:27,555 --> 00:40:29,465 I'll talk to Dr. Fisher. 812 00:40:29,514 --> 00:40:30,864 - Appreciate that. 813 00:40:30,906 --> 00:40:33,336 You should really watch your sugar intake. 814 00:40:36,912 --> 00:40:41,742 - His eyes are green, actually they're sometimes blue. 815 00:40:41,787 --> 00:40:43,827 And he's funny. 816 00:40:43,876 --> 00:40:46,876 - I'm sorry. Sir-- - No, this is important. 817 00:40:46,922 --> 00:40:49,932 He gets very frightened when he's on his own. 818 00:40:49,969 --> 00:40:52,539 - Gilbert? - Claire! 819 00:40:52,580 --> 00:40:54,930 Where've you been all day? 820 00:40:56,149 --> 00:40:58,759 When did I get to the hospital? 821 00:40:58,804 --> 00:41:00,334 - This morning, sir. 822 00:41:00,893 --> 00:41:02,723 - Ah, right. 823 00:41:02,764 --> 00:41:04,944 I'm looking for Peter. 824 00:41:04,984 --> 00:41:06,814 We've lost him again. 825 00:41:06,855 --> 00:41:09,595 - Your cat lives with your son in Belleville. 826 00:41:09,641 --> 00:41:12,431 Andre takes very good care of him. 827 00:41:12,470 --> 00:41:14,430 - Peter's a cat? - Mm-hmm. 828 00:41:14,472 --> 00:41:16,132 - You never mentioned that. 829 00:41:16,474 --> 00:41:18,524 - You never asked. 830 00:41:19,477 --> 00:41:21,997 - I think I have your son's number in my phone, 831 00:41:22,044 --> 00:41:24,004 should I give him a ring? - Never leave again. 832 00:41:24,046 --> 00:41:26,916 Also, Bishop needs to see you in his office. 833 00:41:27,310 --> 00:41:29,700 How about you tell me more about your cat? 834 00:41:29,748 --> 00:41:31,228 - Okay. 835 00:41:39,192 --> 00:41:41,372 - Oh wow! 836 00:41:48,375 --> 00:41:49,935 - Ta-da! - What? 837 00:41:49,985 --> 00:41:51,325 - Congratulations, Claire. 838 00:42:00,169 --> 00:42:02,299 - You're going to feel really bad if I failed. 839 00:42:04,522 --> 00:42:06,482 Oh, thank you. 840 00:42:27,545 --> 00:42:29,585 - I had a chance to fix things. 841 00:42:31,810 --> 00:42:34,200 To get to know her the way I should have. 842 00:42:34,726 --> 00:42:38,336 Now, I never will. 843 00:42:40,079 --> 00:42:42,599 - I'm very sorry that it went this way. 844 00:42:45,127 --> 00:42:47,907 - After what you took from us... 845 00:42:48,827 --> 00:42:51,437 ...sorry won't be good enough, Dr. Hamed. 846 00:42:52,700 --> 00:42:54,570 This is your fault. 847 00:42:59,664 --> 00:43:02,884 Subtitling: difuze 61227

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