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Amira,�you�forged my�signature!
If�I�don't�get�in,
none�of�this�will�matter�anyway.
I�passed�my�citizenship�exam
but I still have the interview to go through.
You�don't�want�me�to�be�happy!
While we can't always control the wait,
we can improve how the patient experiences it.
We�were�maxed�out�before these�policy�changes.
ED�nurses�are�moving to�work�to�rule.
Fix�this.�Today.
If�we�revert�to�status�quo,
will�you�take�your�demands off�the�table?
Well,�I�get�no�satisfaction from�being�right.
Do�you�think�a�guy�like�me's gonna�survive�her�politics?
- Incredible. - And�if�I�go,
what�happens�to�you?
What�happened?�What�is�this?
You�just�ignored my�direct�instructions?
I�will�not�have�surgeons who�don't�tell�me
the�whole�story. Dr.�Curtis,�take�over.
Dr.�Esfahani?
What�I�said�to�him�about
not�wanting�to�be a�victim�anymore,
you're�right. Uh,�it�did�get�personal.
I�know�it�did,�Bashir.
Do�you�think�you�can�help�me?
Just�one�more�minute, Mister,�uh...�Ham-Hamed.
Those�are�for�me.
I�guess�this�is�the�end of�a�long�journey,�huh?
Quite�the�feat,�getting�all your�original�documents
from an entire lifetime in order,
translated�from�Arabic.
Then�photocopying,�scanning,
cross-checking.�Let�me�guess,
you�colonized�a�Kinkos.
It was a doctor's lounge, actually.
So�you�just�answer any�question�he�asks?
I'll�be�as�transparent as�I�can.
Your�favourite�way�to�be.
- It's�next�Monday,�right? - Mmm.
Why�can't�I�connect to�the�printer?
Is�this�Memorial�6�or�14?
- I�thought�it�was�lounge�two... - Ugh!
Where�is�my�old�passport?
They're not out to get you, right?
This�is�just�like�a�normal checklist�thing?
Well,�he�has�power, I�have�no�idea�how
- he's�planning�on�using�it. - PR�card.
They�know�you�don't�have your�med�school�transcripts?
I�am�providing�everything I�had�when�I�left.
Oh,�found�it.
Thank�you.
All�I�have�to�do�now is�tell�the�truth
and�hope�they�like�me.
- I�called�you�Mr.�Hamed. - You're�a�doctor.
Yes,�a�medical�resident.
Ah.
Is�this�why�emergency wait�times�are�so�long?
Staff�taking�long�breaks to�use�the�office�printer?
Do�you�even�get�breaks?
Um,�they�usually�last about�five�minutes
- before�you�get�called�away. - Huh.
- Mags!�Mags! - I�know!�I�know!�I'm�sorry!
- Uh. - Ah.
It's�just...�A�ripped�corner won't�define�you.
We�can�fix�that.�That's�it.
Hamed!�Are�you�on?
There's�multiple�victims from�an�apartment�fire.
What�is�this?
Um,�yeah,�I'll�be�right�there.
Um...�it's�a�casualty of�an�incoming�trauma.
Oh.�What�was�it?
Not�an�official�question, but�I�just...
I�do�feel�I�get�a�better�sense
of�someone�if�this�process is�um,�conversational.
A�patient�jumped through�a�third-story�window
to�escape�a�fire.
So�you�make�life�and�death
decisions�all�day�for�a�living.
I�guess�we�both�do.
Welcome�to�your�citizenship interview,�Bashir�Hamed.
What�year�did�you�leave�Syria?
- Uh... - I�am�aware�it's�all�over
your�file,�but�my�job is�to�re-ask�these�questions.
Uh,�we�left�uh�Syria for�Turkey
in�March�of�2016, and�it�took�two�years
to�come�to�Canada.
We.�Right.
You're�not�the�only�one looking�to�become�a�Canadian,
there's�also�the�minor, Amira...�Hamed?
Mm.
They�told�me�only�I�needed to�come�to�the�interview.
They�were�correct, they�were�correct.
Um,�Amira's�your�sister, she�resides�with�you
at�623�Gormley�Street, Toronto,�Ontario,
apartment�one-B?
Yes,�she�does.
Though�she's�staying with�a�friend.
A�family�friend.
It's...
it's�just�for�a�change�of�pace.
It's...�it's�only�temporary.
Bashir,�this�isn't an�interrogation.
If�your�case�didn't�have�merit,
you wouldn't have made it to this point.
But�many�applicants become�citizens
without�being�asked�to�do this�kind�of�interview,�so...
for�some�people, this�is�as�far�as�they�get.
Well,�in�most�cases, it's�because�we�find�things
that�we�can't�reconcile. I�mean,�for�example,
why�do�you�have�two�residency program�confirmations?
I'm�doing�a�dual�residency,
uh,�trauma�surgery and�emergency�medicine.
I'm�embarrassed�to�admit I�don't�know�the�difference.
Uh,�as�an�ED�doctor, I�treat�ill�or�injured�patients
until�they�can�go�home or�are�admitted.
And�as�a�trauma�surgeon, I�operate�on�them�also.
Okay.�So�if�I�needed confirmation
from�one�of�your�superiors,
do�I�speak�to�Neeta�Devi or�Mark�Novak?
You�want�to�take�out a�lobe�of�his�lung?
He�has�a�hemopneumo
likely�from�the�shards of�glass�in�his�lower�lung.
Doesn't�justify�you�going�to extreme�lengths�to�rip�it�out.
Uh,�Dr.�Devi,�imaging�showing that�his�injuries�are�extensive,
it�does�warrant aggressive�action.
O2�sats�88�and�falling.
Subcutaneous�emphysema,
uh,�Dr.�Curtis,�is�there bruising�on�that�side?
- Yes,�there�is. - Ecchymosis.
Let's�start�the�transfusion.
My�gut�tells�me�if�we don't�do�a�lobectomy�now,
he's�just�gonna�need�one�later.
Dr. Hamed, talk us through
the�conservative�treatment for�an�emerg�patient
- with�this�kind�of�lung�trauma. - Chest�tube�stabilization,
monitoring, and�thoracic�consult.
- Exactly. - Yes�but�if�we�went�down
that�road,�we�would�be worried�about�what,�June?
Hemorrhaging,�and�respiratory distress�could�kill�him.
And we don't want our patient dying, right?
It's�the�first�thing they�teach�you�in�med�school.
But�that's�not�definitely what's�happening�here.
It's�just�a�possibility.
- Without�further�assessment... - Which�we�would�do.
- We�have�the�technology. - Well,�we�can't�know�for�sure.
Okay,�what�Dr.�Hamed should�know�for�sure
is�that�this�is�his�chance to�get�in�on�more
than surgical scut after Dr. Curtis
- sold�him�out�upstairs. - I�don't�agree
- with�your�choice�of�words. - Oh,�fine,
then�you�rightfully�lambasted him�for�disobeying�you.
My�point�is�this�is�Trauma�OR and�it�requires�bold�action.
Just�do�the�chest�tube,�Mark.
Even�with�Bashir's cowardly�abstention,
you�are�outvoted,�Neeta.
I�want�an�update as�soon�as�he's�stable.
Don't�you�technically have�to�listen�to�her?
Is it just me or is she uncharacteristically
punchy�today?�I�suppose publicly�losing�a�labour�fight
will�do�that.
Uh,�where�am�I?
Hey.�You're�at York�Memorial�Hospital.
You�fell�out�of your�apartment�window
and�sustained a�serious�lung�trauma.
Not�my�apartment.
And�I�jumped.
The�building�was�on�fire. Ah...
Can�we�push�morphine five�milligrams?
Ezra,�is�there�anybody�we�can call�to�be�here�with�you?
I�was�caulking�a�tub.
The clients saved themselves and left me,
can�you�believe�that?
Sir,�do�you�have�asthma, COPD�or�any�lung�d...
And�he's�out�again.
Uh...�Yeah,�go�ahead and�uh,�prep�a�chest�tube.
What?�Five�seconds�ago you�were�adamant
- about�doing�a�lobectomy. - He'll�likely�still�need�one,
but�his�sudden�burst of�consciousness
is�giving�me�pause�and�I�am nothing�if�not�flexible.
Maybe...�yes.
Dr.�Hamed,�call�around,�see�if you�can�get�a�family�history
so�we�can�give�him the�best�chance�possible.
He�didn't�seem�to�want�that.
Okay,�he�also�jumped through�broken�glass
of�a�third-story�window, he's�a�survivor.
Alright,�alright, to�your�corners,�residents.
Bash?�Uh,�I�need�you.
Guess�I'm�on�phone�duty. Joyce?
Seemed�tense�in�there.
Novak's�just�on�edge
because�Devi's�trying to�rein�him�in.
Yeah,�she's�still licking�her�wounds.
That�is�crossfire you�want�to�avoid.
Yeah,�but�with�everything that�happened�with�Singh
and�June,�I�don't�know�when I'll�get�operative�time�again.
Is�this�a�surgical�consult?
Uh,�no,�actually,�cultural?
Paramedics�brought�a�kid in�from�the�fire,�but�he�bolted.
A�triage�nurse�found�him�here.
He�hasn't�said�much, but�I�did�recognize
a�few�words�in�Arabic. I�just�need�to�convince�him
to�let�us�take�a�look at�the�burn�on�his�arm.
Hey,�buddy.
Think�you're�ready�to�let�me take�a�look�at�your�arm?
Farid.
No.
Um,�we�haven't�been�able to�track�down�any�family...
That�building�fire that�your�patient�jumped
to�escape,�was�anyone�else�hurt?
None�as�notable�as�him.
Do�these�things�get�to�you or�you're�pretty�numb�by�now?
You�find�ways to�compartmentalize.
Still�easier�than�dissecting your�entire�life
to�a�complete�stranger,�hm?
I�know�how�lucky�I�am to�be�here,�sir.
And�how�fortunate�I�am to�get�this�opportunity.
Do you know how defeatist that sounds?
Like�you�don't�deserve�it, like�it's�fated�to�go�badly?
I'm�just�prepping�for the�possibility�that�it�might.
In�other�words,�doomsaying.
Yeah,�I'll�float�that in�group�therapy�today.
I�have�so�many�theories about�what�you�say�in�that�room.
No,�it's�just�a�few�of�us from�similar�backgrounds
examining�our�collective�issues.
Or�probably�don't�say.
Ms.�Webber,�hi. This�is�Dr.�Hamed,
he's�our�surgical�resident.
I�asked�him�to�come and�talk�to�you.
'Cause�I�swallowed a�set�of�keys
and�you�have�no�clue how�to�get�them�out?
How�did�this�happen?
I�sleepwalk.
Usually,�I�just�open�the�fridge,
rifle�through�cupboards trying�to�fill�cravings.
Last night, I-I guess I just got creative.
So,�just�two�keys�on�the�ring?
House,�classroom,
mercifully�no�novelty keychains�or�anything.
I�was�hoping�that�they�would pass�before�I�had�to�get�to�work
but�oh!�The�stomach�pain.�Yeah.
You're�a�teacher?
Yeah,�uh,�adult�ed.
Well,�you'll�need an�endoscopy�procedure,
so�we'll�sedate�you and�put�a�flexible�tube
down�your�throat to�get�the�keys�out.
Uh,�does�that mean�painkillers?
Yeah,�don't�worry, you�won't�feel�anything.
- You�don't�understand. - I�can't�go�near�that�stuff.
See?�One�for�every�time I�tried�to�get�clean.
I don't know why the last try took, but it did.
I�can't�start�all�over�again.
- Yeah,�we�understand,�Kit. - We're�gonna�make�sure
that�you're�comfortable before�administering�medication
of�any�kind,�right?
Absolutely,�I'll�uh, clarify�on�your�chart
not�to�prescribe�any�opioids
and�I'll�speak to�the�surgeon�myself.
I�spent�so�many�years apologizing
for�the�stupid�mistakes I�made�while�using.
I just can't let something I did while I was asleep
ruin�my�progress.
Alright.�Of�course.
Uh,�does�everything�look�okay?
We'll�know�more once�we�dig�in.
You're�a�doctor�after�landing here�only�five�years�ago.
You�are�building�a�life for�your�sister.
Honestly,�Bashir,�on�paper, you're�a�model�citizen.
What�we�do�now is�just�confirm
that�the�data�matches�the�man.
- I'll�need�that. - Oh.
Ezra?
Ezra.�How�could�you be�out�of�bed?
Oh,�I'm�Liam.�Ezra's�brother.
Yeah.�Liam�got�a�call
about�us�needing a�family�medical�history.
Yeah, I'm not sure I'm gonna be much help there,
we�were�adopted�into different�families.
I�only�found�out�that�Ezra existed�a�few�months�ago.
I'm�certain�he'll�be relieved�you're�here.
I'm... not so sure about that.
The�first�and�only�time�we�met,
he�said�he�never�wanted to�see�me�again.
That...�that�could be�a�problem.
What�did�you�say�the�name of�that�document�was�again?
IMM-1000�Record�of�Landing.
They�would�have�handed�it to�you�at�the�airport
when�you�arrived�in�Canada.
Uh,�in�all�my�instructions
to�prepare�for�this�interview,
I-I�don't�remember seeing�that�one.
Well,�we�do�say everything�pertinent
to�encourage�the�widest�possible interpretation�of�what�you�need.
I�do�remember�being�handed papers�when�our�plane�landed,
but�uh,�it�was�hectic, maybe�that�one�got�missed.
No,�trust�me, nobody�lands�without�one.
You�know,�it�probably�got buried�in�some�box
in�some�storage�locker in�the�basement
of�your�apartment.
Maybe,�though�uh,
we've�lived�in�eight�different apartments�since�then,�so...
Eight�places�in�five�years.
Yes,�um,�newcomers often�have�a�hard�time
getting�landlords�to�trust�them.
We�moved�four�times the�first�year
- and�then,�every�year�since. - Well...
I mean, they should've told you at the airport
that�the�IMM-1000...
it's�basically�your�new birth�certificate.
In other words, it is a document you hold on to.
It�was�a�long�process.
I�had�to�apply�for�access to�the�adoption�record,
which�is�how�I�found�out that�we�were�only
three�months�old when�we�were�separated.
There's�something�wrong with�his�lungs,�isn't�there?
Uh...�I�know�how�this�sounds, but�I�could�feel�it
this�morning.
Yeah,�it's�similar to�the�feelings�I've�had
my�whole�life, like�a�phantom�limb?
Uh,�Liam,�Ezra�hasn't been�conscious�for�very�long
and�we�haven't�been�able to�get�a�medical�history.
Well,�like�I�say, I�don't�really�know�him.
But�you�have�identical�DNA, so�even�your�own�medical�history
could�shed�some�light if�you're�comfortable?
There's�not�much�to�tell, I've�been�pretty�healthy,
I'm�allergic�to�peanuts.
Uh, I had pneumonia, twice, as a kid.
My�parents�said�I�was�colicky.
I�wonder�if�he�was�too.
Must�have�been quite�the�shock,
- learning�you�were�a�twin. - Oh,�the�best�kind.
Immediately,�I�made�this huge�list�of�questions.
You�know,�did�he�put�ketchup on�his�grilled�cheese?
Does�he�cry�easily�too?
It�was�just�so�exciting to�get�to�discover
this�like,�missing�piece? You�know?
But�then�when�I�finally tracked�him�down,
he�didn't�wanna�meet.
Sir,�do�you�drink�or�smoke?
It's�just�that�there�are�some studies�that�link�twin�DNA
to�uh,�lifestyle�choices?
I�drink�socially.
Um,�I�tried�smoking�at�17,
but�my�father scared�me�straight.
I�won�the�lottery with�my�family�but...
it�wasn't�the�same�with�Ezra.
He�told�you�that when�you�met�in�person?
It�was�more�like, when�I�saw�how�he�was
eking�out�a�life, I�could�kind�of�tell.
Things�really�went�south when�I�offered�to�help.
I don't know, I was so excited to meet him,
I got carried away, and I guess he felt like.
I�was�judging�him, and�maybe�I�was.�I�don't...
I�just�wanted�him�to�be�okay, you�know?
He's�tachycardic.
- What's�going�on?�Is�he�okay? - Just�wait�there,�Liam.
900�CC's�in�less�than�an�hour, he's�losing�too�much�blood.
Okay,�milk�the�tube�for�clots, I'm�gonna�start�a�central�line.
I�think�Novak�was�right, his�lung�is�too�damaged�to�save.
Instead�of�removing�it,�we�can try�repairing�it�surgically?
A�pulmonary�tractotomy could�stop�the�bleed.
If I say no, you just going to ignore me?
Go�behind�my�back?�Again?
I�know�I�let�my�instincts take�over.
I'm�sorry�about�that,�June.
Is�this�you�trying�to�get�back on�track�with�operating�hours?
- I'm�not�working�you. - I'm�not�Novak.
What's�that�supposed�to�mean?
It's�just�the�way the�two�of�you
were�undermining�Devi�earlier?
Oh!�So�when�I�do�it, it's�careerist,
and�when�you�do�it, it's�what,�passion?
No,�Bash,�you�work�the�system
just�like�the�rest�of�us.
You�betrayed�me! All�of�you!
- You�got�this? - Yeah,�I�got�it.
I�wanna�talk�to�the�doctors that�let�this�happen!
- Kit... - You!
You�promised�that�I�would have�options!
That�someone�would�make�sure!
- Kit,�slow�down,�please. - No!
They�gave�me�fentanyl! You�said�they�wouldn't,
but�they�did!�But�hey, at�least�they�got�rid�of�these!
That's�all�that�matters,�right?!
Okay,�okay,�what�is�this?
- The�road�to�hell! - And�don't�try�telling�me
that�I'm�wrong, because�when�I�woke,
I saw the meds that they gave me on my chart!
You�just�came�out of�an�endoscopy,
- you�should�be�upstairs. - You�don't�understand.
Even�when�I'm�asleep, my�body�is�trying�to�find�a�hit.
You�asked�for�no�opioids and�we�disregarded�that?
Or forgot, or didn't give a flying...
No,�no,�no,�I�made specifications�on�her�chart,
I�called�the�surgeon. I�should've�followed�up.
And�I�should've�been�with�her.
Look,�Ms.�Webber,
if�the�surgeons�had�trouble controlling�your�pain
or�your�heart�rate, they�may�have�added
a�small�infusion�of�fentanyl to�your�IV.�I'm�very�sorry.
I�don't�care�about your�reasons!
I�worked�so�hard�to�forget�what it's�like�to�feel�this�good.
- Oh!�Okay,�okay! - We�need�a�gurney�over�here!
I've�got�you,�I've�got�you.
- Okay. - The�endoscopy�could've�caused
a�small�gastric�tear. We�need�to�get�her�to�imaging.
- We're�better�than�this. - We�have�to�be.
Dr.�Hamed, we�need�to�move�on.
Um,�so�the�uh...
Um,�the�uh,�IMM-1000,
what�happens if�I�don't�find�it?
Mm.�And�so�it�goes.
In�the�interest�of�progress then,�let's�talk�through
the�uh,�entry�exit�date�stamps on�your�expired�Syrian�passport.
One�of�my�jobs�is�to�confirm that�you've�been
physically�present in�the�country�1,095�days
out�of�the�last�five�years.
That�won't�be�hard.�I...
I�haven't�left�once since�arriving.
We'll�also�be�looking at�the�date�stamps
before�you�came.
So,�you�do�have those�uh,�translated?
- Yes.�Mm-hmm. - Notarized?
I�do.�Uh,�though, I�was�unclear
as�to�how�they�are�relevant.
Well,�we�don't�just want�to�know�who�you�are.
We�need�to�know�who�you�were.
During�the�war�in�Syria�then, you�trained�as�a�doctor.
While�finishing�my�residency
and�uh,�working at�my�parents'�clinic.
They�were�both�physicians.
Okay.�So�it�was a�family�business.
'Kay,�let's�see.
October�2011,�you�crossed the�border�to�Jordan?
To�visit�family.
In�those�days,�the�border was�easier�to�manage.
In�2012,�you�went�over multiple�times
but�always�to�Turkey?
Fighting�had�started,
so�you�had�to�be smuggled�across,
and�uh,�Syrian�Free�Army stamped�your�passport
every�time�you�came�back. It�was�always�a�risk.
What�about�August�2013?
Bashir.
Hey.
You�were�smuggling�medical supplies�into�the�country.
Um,�medicine,�syringes, gauze,�um...
When�rebels�or�protesters
needed�care at�the�state�hospital,
they�would�be�arrested.
And�your�family hospital�was...
- it�was�underground. - It�was�both.
We�treated�the�regular�patients business�as�usual,
but�my�parents�found quieter�spots
to�treat�those�who�were wounded�in�the�conflict,
until�the�rebels took�over�Aleppo.
Dr.�Hamed,�you're�a�war�hero.
I...
I-I�was�just�doing what�many�others�did.
Forgive�me,�I�have�to�ask.
What�is�it�like�for�someone who�cut�his�teeth
as�a�revolutionary to�get�used�to�the�um,
endless�bureaucracy�I�assume he�finds�in�a�hospital�here?
Fentanyl,�IV�push.
Okay. Full�and�partial�thickness.
We�should�be�able to�avoid�escharotomy
if�we're�thorough with�the�debridement.
- Agreed. - Cauterization's�painful,
especially�for�kids. Did�he�tell�you�how�old�he�was?
I'm�guessing�around�11.
It's�young�to�be�on�your�own.
Well,�he�told�me his�mother�works,
and�there's�no�school�today. The�neighbour�that�usually
watches�over�him got�called�away.
Can you remove the excess tissue here?
You�know,�Bash,�the�uh, firemen�think
the�blaze�started in�Farid's�unit
when�he�was�making�some�food.
Did�he�tell�you anything�like�that?
Careful�you�don't�go too�deep�there.
It's�necessary to�avoid�infection.
They�know�it�was�an�accident.
When�Children's�Aid�gets�here,
maybe�you�can�help�him explain�it�to�them.
You�called�CAS?�Why?
Because�I�had�to.
He's... He's an unsupervised kid who started a fire
with�no�word�from�his�parents. We�have�a�duty�of�care.
- Theo,�you�don't�understand. - How�can�I�understand
when�you're�not�telling�me what�he's�saying?
They're�not�documented.
He knew there would be questions about it,
that's�why�he�didn't want�to�call�his�mother.
I�promised�I�wouldn't tell�anybody,
but�if�CAS�finds�out,
then�the�system�could�find�out, and�they�could�get�deported.
I�didn't...�I�didn't�know.
I�walked�him�right�into the�thing�he�was�afraid�of.
Ezra,�your�lung is�still�bleeding
so�we're�going�to�have to�intubate�you.
What,�so�someone�else can�make�these�decisions?
No�way.�What�are�my�options?
Okay,�well,�we�can�do a�surgical�repair
called�a�pulmonary�tractotomy.
- Okay. - Or�we�can�do�a�lobectomy,
which�means�removing the�lobe�of�your�lung,�or...
Wait.�So�I�can�live without�a�lobe�of�my�lung?
In�theory,�yes,�but�you�had pneumonia�as�a�child?
How�did�you�know�that?
There�was�scarring on�the�other�lung,
and�we�made�the�assumption because�Liam
also�had�pneumonia�as�a�child.
And�I�bet�your�lungs healed�just�perfectly,�right?
Why�are�you�even�still�here?
So�you're�telling�me I've�got�no�good�options?
Our�most�aggressive�approach is�a�transplant.
Now,�usually�it's�difficult to�find�suitable�donors...
Unless�your�exact genetic�match
happens�to�be�standing in�front�of�you.
Why�would�you�do�that?
- You�don't�know�me. - I�want�to.
You�won't�let�me.
So�this�is�what, emotional�blackmail?
- For�a�lung? - Ezra...
Stop�trying�to�save�me.
- Look,�I�get�it,�okay? - I�pushed�too�hard�when�we�met.
I�never�meant�to�make�you feel�bad�about�yourself.
If�I�want�him�to�leave, you�have�to�make�him,�right?
- Ezra... - I�would�do�anything
to�just�take�that�back and�try�again.
I�was�happy�with�my�life until�I�knew�you�existed.
And�now,�I�wish I�could�forget�you.
There are no border crossings between 2013
and when you finally left the country for good in 2016.
You�want�to�know about�my�time�in�prison.
Yes.
I've�been�very�open about�that�part�of�my�life
since�I�made�my�first refugee�claim,�sir.
Think�of�it�like�this.
When�my�father�had his�heart�attack,
I�had�to�keep�explaining his�uh,�symptoms
from�the�beginning�to�every doctor�that�came�by�our�room.
The�good�news�is, I'm�the�last�doctor.
Were�your�trips�over�the�border the�reason�for�your�arrest?
Not�directly.
One�of�the�conditions of�citizenship
is not having been convicted of a crime
in�the�years�leading�to�coming,
meaning�I�am�going�to�need more�information
on�what�happened,�Dr.�Hamed.
Soldiers...
stopped�me at�a�checkpoint.
Then they took me to one of the regime's secret prisons.
My�family�didn't�even know�where�I�was.
Alright,�enrollment�affidavit signed�and�witnessed.
I�have�officially�attended
the�same�boring�school through�most�of�grade�eight.
Did�they�give�you�any�trouble about�your�registration�papers?
Mrs.�Gerwitch�said�they�get
a�lot�of�these�immigration requests�from�kids.
- Report�card. - Um,�I�don't�think
they�need�your�grades,�but...
Wait�you�got�a�92�in�science?
And�a�93�in�math.
Ooh!�Slay�queen.
I'm�not�gonna�say�that�again.
Habibti,�I'm�proud�of�you.
Uh,�Bash,�Lucy�from�CAS is�on�her�way.
- I'll�meet�you�at�Farid's�room? - Okay.
Amira,�you�know�you�can come�home�whenever�you�want.
And you can still be mad at me when you do.
I�like�mac�and�cheese�too.
But�sometimes�when�I�cook,
I�leave�the�stove�on.
Do�you�think�that's what�happened,�Farid?
No,�he�already said�he�turned�it�off.
The�appliances�are�spotty
in�those�old apartment�buildings.
You�know,�getting�a�landlord in�there�to�fix�anything
is�like�pulling�teeth.
Do�you�go�to�school in�Toronto?
And�your�parents,�what�kind of�job�do�they�work?
Uh,�his�mother�cleans�offices
and�uh,�his�father doesn't�live�here.
Where�does�Dad�live?
Um,�why�do�you need�to�know�that?
Just�trying�to�build a�better�picture
of�his�situation, to�know�how�we�can�best�help.
- Dr.�Hamed? - Look,�he's�scared.
He�doesn't�want�to�answer any�more�questions,�okay?
Uh,�maybe�we�can try�again�later.
Fine.
I'll keep looking for his mother and I'll circle back.
And�uh,�what�if�uh, you�can't�find�her?
At�some�point�we'd�have to�place�Farid�in�foster�care
until we can make a more detailed assessment.
The�more�facts�we�have, the�better,�guys.
You�asked�Farid�not�to�answer any�more�of�her�questions.
He�should�not�have�to�talk about�his�family�status,
it's�too�much�for�him�to�carry.
Hey,�Bash,�I�get�that you�feel�for�this�kid,
but�you're�basically just�telling�him
not�to�trust�any�of�us.
- Well,�what�if�it�was�Amira? - But�it�isn't.
She�wants�to�come�home.
But�she�thinks if�she�gives�in,
it�means�that�she�didn't get�through�to�you.
And�I�said�she�did,�and�that she�needs�to�stop�being�stubborn
and�that�as�the�person responsible�for�her,
- you�have�to�have�rules. - Theo,�look,
you're�betraying her�confidence,�so,�just...
Should�he�still�be�here?
He�asked�if�he�could stay�in�the�hallway
if�he�stayed�out�of�the�way.
And�what's�this�I�hear about�you�lobbying
for�pulmonary�tractotomy�instead of�lobectomy�for�the�brother?
Well,�given�his�history of�lung�weakness,
keeping�more�of�the�lung gives�Ezra�the�best�chance.
We see this one differently, you and me.
Well, yeah, it's your call, Dr. Novak.
Really?
Is�that�all�you�have�to�say on�the�subject?
Shouldn't�you�be�empathically following�your�instincts
and�not�resting�until you're�proving�me�wrong?
- Sorry? - Don't�be.
Unlike�Curtis,�who�finds that�behaviour�off-putting,
it's�what�I�like�about�you. So�please,�tell�me
how�you�really�feel, because�I�know�it's�not
what�you're�saying. You�disagree�with�me�because?
Because�I�think�your�agenda
to�prove�the�capability of�Trauma�OR
is�clouding�your�judgment.
There�it�is.
Told�me�the�truth.
That�means�I�will�too.
It's�happening�by�degree, but�I�think�you're�becoming
more�worried�about protecting�your�job
than�taking�the�kind�of�risks that�we�need�to�take.
And�you�should�know
that�all�I�care�about are�the�patients'�lives.
Okay,�Mom.
Bashir?
These�experiences,�they�gut�us
in�ways�we're�never prepared�for.
And�processing�them, it�isn't�linear.
In�business�school, they�put�us�in�small�teams
for�case�studies.
Everyone is 20 years younger than me, but uh...
whenever�I�try to�tell�them�what�I�know,
all�they�hear is�the�old�guy�with�the�accent
and�just...�shrug�it�off.
Must�annoy�the�living crap�out�of�you.
My�daughter�has�this game�on�her�phone.
A�cookie�that�chases other�cookies�and�eats�them,
getting�fatter�each�time it�catches�one.
That's�how�I�feel.
Do�you...�feel�like the�cookie�who�eats?
Or�are�you�one�of�the�cookies that�gets�eaten?
The�cookie�who�eats.
As�if...
the�anger�inside�of�me...
consumes�everything.
And�it�is�affecting all�of�my�relationships.
Dr.�Hamed.
- Dr.�Hamed. - Hm?
I�thought�I�lost�you for�a�second.
I�wasn't�convicted of�any�crimes,�sir.
They�had�me�for�almost�a�year,
tortured�me, and�then�just�let�me�go
without�any�explanation.
All�because�one�of my�best�friends�from�childhood
gave�my�name�as�a�doctor supporting�the�rebellion
to�save�his�own�life.
You�stuck�with�Kit through�imaging?
Yeah.�I�didn't�let�her out�of�my�sight.
Contrast�CT�confirms�a�tear.
Probably exacerbated by her coming down here post-op.
Radiologist�agrees, it's�a�slow�bleed,
- but�we�gotta�get�on�it. - She�needs�surgery
- to�repair�it. - Which�she�won't�consent�to,
and�she's�refusing any�kind�of�pain�relief
even�though she's�really�hurting.
If�my�status�on�the�surgical floor�was�better,
they�would�have�taken my�chart�notes�more�seriously.
Yeah,�I�agree, it's�all�your�fault.
Or our system has failed Kit at every level,
and�I've�already�asked the�hospital�to�look�into�how,
but�if�you�would�be�happier blaming�yourself,
I�can�just�cancel�it.
Bash.�They�can't�find�Farid.
Go.
- Somebody�come�get�him? - A�parent?
No,�he�was�just�here, he�was�sleeping.
Get�security�to�look in�every�room�on�the�floor.
- Yeah. - And�outside.
Yeah.�Got�it.
He�couldn't�be�far.
What?
Did�you�sneak�him�out?
Of�course�not,�Theo.
Well,�maybe�the�CAS worker�took�him.
Lucy�wouldn't�have�done�that without�telling�us.
And�I�would?!
He�must�have�ran�off.
Okay,�well, then�you�were�right,
I...�I�scared�him.
We�have�to�tell�her the�whole�story.
- No,�no,�no,�Theo,�we�can't... - I�know�how�important�it�is
for you to protect Farid, Bash, but sometimes,
especially�with�kids, in�order�to�help�them,
you�have�to�betray their�confidence.
Code�blue, Trauma OR. Code�blue, Trauma OR.
- Hey!�What's�going�on�in�there? - I'll�find�out!
- Can�you�wait?! - Please,�please,�please.
A�second�before that�page�happened,
my�heart�started�racing.
Now,�I�don't�care about�his�anger
or�that�he�wants nothing�to�do�with�me,
even�if�he�never�wants to�see�me�again,
he's�my�brother,
and I'll do whatever I can to help him.
- Charging,�20�J. - Pausing�compressions.
Clear.
- Still in v-fib. Resume compressions. - What happened?
Midway�through�lobectomy, he�went�into�v-fib.
- Try�him�at�25. - Charging.
Only�option�now is�pneumonectomy.
You're�going�to�take out�the�whole�lung?
- If�we�can�get�him�back. - Charged.
Clear!
Sinus�rhythm.
We�have�a�pulse.
This�is�why I�ruled�out�tractotomy.
His entire lung is bleeding. Half measures
aren't�gonna�cut�it. We�have�to�go�all�the�way
or�we�lose�him,�so�if�you can't�handle�it...
Okay,�so�let's�go�all�the�way!
- Transplant. - The�brother?
- He's�still�here. - Pressure's�ticking�down.
- Are�we�holding�or�moving? - Hold�on�a�second,�please.
Even�if�he�were�to�say�yes,
we're�in�here�now,
there's�no�time to�stop�and�change�plans.
Look,�even�if�you�could remove�his�injured�lung
without�him�coding�again, his�remaining�lung
isn't strong enough to keep him alive on his own.
Listen,�Bash,�he's�already given�us�a�pretty�firm�no
to�his�brother's�lung. He's�been�an�architect
- of�his�own�misfortune.�All�day. - I�will�talk�to�him.
Ninety�over�seventy.�Guys?
- What�about�Liam? - Giving�up�a�lung
- for�someone�he�barely�knows? - He�felt�his�own�heart�racing
before�you�called�the�code. He�will�do�it.
- Bashir... - Dr.�Novak,�you�wanted�me
to�speak�my�mind, I'm�speaking�it.
Liam�has�to�be�the�solution.
It�doesn't�matter�if�any one�of�us�believes
he�feels�Ezra's�pain.
Okay?�They�are�tied�together.
Two�parts�of�a�whole.
It's�the�only�way�Ezra�is�going to�pull�through.�Please.
Okay,�look,�we�can�deal with�the�most�severe�bleeds,
so�let's�just�put�him on�awake�ECMO
and�give�him�the�chance to�consent.
You're�buying�into�this,�June?
Looks�like you're�outnumbered,�Mark.
You�really�think�you�can get�them�both�to�say�yes?
I�know�I�have�to�try.
Okay.�Let's�go.
Sorry�about�that.�It's�just something�I�needed�to�dig�up.
It�occurred�to�me�uh,
you�left�me�hanging on�the�anecdote.
The�guy�who�fell�out of�the�window.
You're�obviously�under no�obligation,
but�I�feel�like�I�need to�know�what�happened�to�him.
It�was�actually pretty�intense.
His�lung�failed and�his�estranged
identical�twin�brother�showed�up
and�offered�to�donate one�of�his�own.
Wow.
But�he�didn't�want�it.
He'd�rather�die than�take�a�lung?�Why?
I�think�meeting�his�twin,
my�patient�felt�that�his�future was�somehow�stolen�from�him.
That�his�brother was�a�version�of�him
that�he�could�have�been,
had�his�life�gone a�different�way.
What�do�you�say to�a�person�like�that
to�convince�him to�want�to�help�himself?
Ezra?
I�say�what�I�always end�up�saying�to�people
when�they�lose�hope.
It's�never�too�late to�start�again.
Firefighters�are�on�their�way to�check�out�Farid's�unit.
I'll�go�speak�to�all his�neighbours
and�his�teachers�too.
We'll�find�him.�I�promise.
All�I�care�about is�keeping�Farid�safe.
I already told Dr. Leblanc, no way.
I�understand you're�nervous,�Kit.
But�how�do�you�feel?�Right�now?
- Still�angry. - Deservedly.
We�haven't�done�a�great�job at�earning�your�trust.
What�else?
Dizzy.�Tired.�Nauseated.
All�normal�after�a�procedure.
- Or�early�withdrawal. - That's�a�possibility.�Yes.
The�dosage�they�gave�you has�likely�worn�off�by�now,
so�we're�gonna�keep�you on�IV�fluids
and�an�anti-nauseant.
It's�also�a�possibility that�everything�you're�feeling
is�due�only�to�your stomach�injury.
They're�saying�I�have
to�go�through�it�again,
and�it's�actually surgery�this�time?
You�scratched�off your�sobriety�mark.
I�asked�the�nurse�for�a�pen.
I�failed.
And�the�sooner I�face�that,�the�better.
No,�Kit,�you�did�not�fail.
We�failed�you,�okay?
And�that�mark�is�not�scratched off�in�permanent�ink.
What�if�her�surgery didn't�involve
any�painkillers�or�sedatives?
Well,�I'm�not�sure that's�an�option,
given�the�location of�her�rupture.
Unless�we�use�a�spinal�block.
- An�epidural�for�an�open�lap. - Yeah,�that�could�work.
- Yeah. - Can�somebody�translate?
Dr.�Leblanc�is�proposing a�procedure
closer�to�a�cesarian�section.
We�keep�you�awake, we�give�you�an�IV
that�blocks�the�nerves from�your�spine�to�numb�you.
Well,�how�do�I�know what�happened�last�time
won't�happen�again?
Mark?�A�second?
Yeah?�What's�up?
Ms.�Webber�has�a�gastric�tear.
- It's�a�small�tear. - Uh,�it's�manageable.
Okay.�You�want�me�to�send�her upstairs�for�a�laparoscopy?
What�would�you�say to�an�open�lap�in�Trauma�OR
but�it�has�to�be�an�epidural,
and�no�painkillers, no�fentanyl,�no�ketamine.
I�would�say,�um...
What�is�your�favourite�sport, Ms.�Webber?
Uh.�Baseball?
Great.�We'll�discuss the�pennant�race
to�distract�you. Bash,�show�me�the�imaging?
Mm.
This�is�gonna�work?
- You�know�what? - I�think�it�will.
- You�want�to�talk�her�through�it? - Yeah.
Let's�go�set�that�up.
He�says�he's�thrilled for�the�challenge,
especially�since�they�proved
they�couldn't�hack�it�upstairs.
The...
letter�of�employment
for�your�citizenship application.
Thank�you.
You know, my wife and son are dual,
and�I'm�the�lone�holdout.
Is�it�really�worth the�agony�of�the�process?
- I'll�let�you�know. - Right.
I've�been�meaning�to�ask
how you've been adjusting to life here.
Oh,�it's�good.
- And�hard. - Mm-hmm.
Yeah,�sometimes�I'm�not�sure which�comes�out�ahead.
You�made�this�happen, Dr.�Devi.
It's�a�little�thing.
Not�to�Kit.
Okay,�well...
Thanks.
That's�it?
You�want�me�to�keep�going?
No,�I-I�just...
Thank�you.
I�um,�I�had�someone in�the�office�call�Customs
and�dig�up�the�duplicate while�we�were�chatting.
Your�IMM-1000�record�of�landing.
Consider�it�the�birth certificate
of�a�new�Canadian,�Dr.�Hamed.
Amira.
- Hi. - Hi.
Was�I...
Your�brother�texted�me to�be�here�at�this�exact�time.
Me�too.
I�think�maybe�he�wanted�us to�be�here�together?
And�he�decided to�keep�that�to�himself
until�we�both�needed�to�know.
Hm.
His�interview�was�supposed to�be�done�like�an�hour�ago.
Did he tell you if it went okay?
- No,�I�don't...�I�don't�know. - You?
Nope.
Celebratory�cupcakes?
Or�condolence�cupcakes?
Guess�we'll�see.
Are�you�nervous?
It's�kind�of�your�thing�too.
Yeah.
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