All language subtitles for Transplant s03e08 And So it Goes.eng

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Original subtitles

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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