All language subtitles for Transplant.S02E02.WEBRip.x265-ION265

I'm sorry
but who are you?
- Rick Novak.

I'm the acting chief
of this emergency department.

You've been on
for two days straight.

- How's the new guy
already telling me
I put too much on my plate?

- How long have you known
we were here?

- Since you came.

I need a surgeon's
eyes on something, June.

Car crash. Impact wound,
lower right quadrant.

- How far are you from
a hospital?

- Half an hour at least.

I tried to find a consult,
but we're stretched thin.

- Inter-abdominal pressure?
- Increasing.

And his pressure is rapidly
decreasing.

- One more dose of morphine,
Saleh.

- I see bowel protrusion.

- Abdominal evisceration.

- A tear in the peritoneum
can release pressure.

It has nowhere to go,
so it pushes the organs
to the surface.

- Yeah, don't push them back in.

Just douse a towel in saline,
cover them,

and handle them
as little as possible.

- There's an arterial bleed!

Find it, tie it off
then seal it.

You need to keep the pressure up
or he won't make it.

- We're out of sealant.

- Um...

Do you have electrodes?
- What's that?

- Yes, we have some.
Hold it.

Okay, take the adhesive,
seal off the wound.

- Yeah!

Okay.

- He did it.

- Trick I learned on a ride
along from hell.

- Thank you, Doctor...?

- Oh! June.
- I'm Saleh.

- Where'd you learn to tie off
an artery that fast?

- Ask the man beside you.

- Thank you for this, June.

- Oh, yeah.

Anytime.

So much has happened
for the both of us.

- The last time I thrilled
a woman by standing on my own,

I was a child.

- And my comparisons
to your mother end there?

- Fiona was a handsome woman.

- That will do, pal.

- You're fussing around me.

Don't you have an exam
to study for?

- I'm ready for it.

Your rehab team wants to see you
today at 4 PM.

- They say I'm making
fast progress.

Could be on my feet soon.

- You just had a stroke,
four days ago.

Okay?

Now you gotta pace yourself.

And come up with
a long-term strategy
to build your strength.

- I do happen to have a little
expertise on this subject,

both professionally
and personally.

- Hm, okay. I will give you
professionally.

But personally?

Your previous strategy
of racing back to work

while I aided
with your self-medication
did not exactly help.

- It helped get us back
together.

- Hm.

What are you worried about?

This place is gonna fall apart
without you?

Or that maybe, it won't?

- Ooh!
- Wait, vulture!

- I made this for you!

- Hmm.

Ah, bravo, Amira.

- Did you figure out
the streetcar?

- I'm getting there.

- I will show it to you.
Eat!

What will you do today?

- How long can you stay
at the hotel?

- They said until I find
something.

- Hey, guys!
- Oh, there he is.

- Sorry to interrupt.
Don't get up.

- Theo, this is Rania.
- Hey.

- Thank you for having me
in your home.

I promise to leave.
Unlike those two.

- He barely notices us
anymore.

He's almost never around.

- Theo was just made
an attending.

- Congratulations!

I also hear you have
two daughters?

- Yes! Who I'll only have time
to put to bed

if I can catch the 9 PM flight
back to Sudbury.

- That can't be easy,
living apart from your family.

- Champagne problems.
We're making it work.

I have to go!

It was nice meeting you.

Bye!

- Oh, that reminds me,
I'm on until 8 today,

so straight home
after school, okay?

- I have hip hop.
The after-school dance program.

I told you yesterday.
It goes to 7.

- Amira, I don't want you
taking the bus alone at night.

- Maybe Rania could come?

- Let's not put her to work
just yet.

Ask Sadie if Herman
can drive you and let me know.

- These remind me of that picnic
in the park.

The pigeons wouldn't
leave us alone,

so Bashir threw olives
at them.

- Wallah,Amira,
if you saw these pigeons!

- Was that the last time
you two saw each other?

- No, um...

No.

But it was the last time
I let a pigeon push me around.

Let's eat.

- Mags?

- Ephraim!
- It's so good to see you.

- Hey, Deena. You're in another
cycle of chemo?

- Three of seven. I didn't wanna
bug you this time, Mags.

- But the pain
was too much today.

And we couldn't get into
the oncologist last minute.

- Hm. Are you taking something
for the pain?

- Yeah, McKinney gave us
a pharmacy of analgesics.

- That I barely get
to enjoy,

since I spend all my time
hugging the toilet.

- Any other side effects?
- Huh, joint stiffness.

And I have been sending
some strongly worded emails

to the people in my life
who have disappointed me,

because at this point,
I figured who gives a crap?

- Well, that one's widely
reported in the literature.

Alright, well, let's get you
to baseline and we'll take it
from there.

I'll start fluids
and something for the pain.

- Yeah but they told us
you're not our doctor.

I wanted to request you but--

- But I told them
you're busy saving people
with an actual future.

- I'm your doctor.

- We never got the chance
to thank you properly.

No, last time you stayed on
after your shift to help us.

- Thank you!
- No thanks necessary.

Meanwhile if you need
anything?

- Press the call button.
- Yeah.

- No, no, you're not listening
to me, okay?

You tell your clients,
if they didn't want this
getting bloody

they shouldn't have brought
a knife to a gun fight alright?

See you in court!

- Everything okay?

- Aah! Corporate law,
figure of speech.

- You told our triage nurse
that you could hear your heart?

Does that mean beating fast
in your chest?

Because it sounds normal.
- No, I can actually hear it.

Like a stethoscope in my ear.

- When did this start?
- Today.

I know, I've got a lot
on my plate, alright?

But I don't get panic attacks.

- Okay, well, I've seen
the symptom you're describing

accompany an inner ear
infection or--

- Alright, an infection.
It's minor then.

- That's one possibility.

Okay, I don't see any redness.

Have you experienced
any dizziness at all?

- Yeah, actually.

So, what's that,
just an antibiotic
to clear it up?

- No! We need to rule out
anything serious
with a range of tests.

- Fine. How long
is this gonna be?

I need to get back
to the office like an hour ago.

- I'll be back
as soon as I can.

- The lady in five is
on your list, but do you mind
if I take her?

I have a broken ankle
if you wanted to swap?

- And good morning to you too,
Mags.

- It's not a buffet, Leblanc.

You have to get sign-off
to trade patients.

- But... this is a woman
I treat regularly
for chemo side effects.

- And do the two of you
have some kind
of exclusivity contract

that I don't know about?
What about you, Doctor Hamed,

do you have any interesting
patients this morning?

- I just saw a man in E
who's presenting--

- Yeah, I read the chart.

That usually describes tinnitus,
the cause of which is,

generally
a fishing expedition,

but I already called an ENT
and in the meanwhile,

you can order an EKG and bloods
just to be on the safe side,
heart-wise.

- Deena Kaplan has a terminal
diagnosis of lymphoma.

She's in a fierce battle
to extend her life

but the pain and the nausea
keep sending her here.

I have a short-hand with her
and her husband.

- Are these people your friends?
- Right. Right.

You'd prefer I'd see my patients
as needy bags of meat,

as you put it, right?

- You don't have to sound
so callous about it!

- Since I know their history,

it'll be more efficient for me
to help them.

This is about continuity
of care.

- Okay.

- Okay... that's it?

- Why not?

I'm interested to see
what you can offer

that your other residents
can't.

- No, that's not what I--

Okay, that's not what I was
saying at all.

- Does your attending have you
doing paperwork again?

- No, why would he need?

- Oh, nothing.
Just conversation.

- Actually, I was taking it
upon myself to propose

some workflow efficiencies
to Singh for the surgical
calendar.

- Oh! Good for you.

Never apologize for playing
the game, Doctor Curtis.

- Is that how Novak beat you
to the Acting Chief position?

Because you've been Bishop's
second forever and...

I just...
thought it should be you.

Since you've been here
for so long.

Nice talk, June.
Nice...

- Code blue in E!

- He's in V-fib! Mags!
- Got it!

- Prep one amp of epi!
Charge the defib two hundred J!

- Is that the guy with tinnitus?
- His EKG was normal.

We're waiting on bloods
but he was stable.

- Charged!

- Clear!

Resume compressions.

- EMS incoming!

- You need to take it, Arnold!

- Carly Miller, 16 years old.

BP is 105 over 80,
rate's 140.

Severe blood loss,
we've tried multiple lines

but her veins are flat,
so we've intubated
to secure the airway.

- Carly was home for lunch
and then started coughing

and then there was bleeding
and it wouldn't stop!

- This is Hannah, her sister.

- I'm Theo, Hannah.
Where are Mom and Dad?

- Huh. They're on their way
to Chile for work.

What's happening to her?
Is she gonna be okay?

- We'll find out.

- Epi in.

Charge at five!

- Mags!

- She's lost a significant
amount of blood
and the clock is ticking.

- I'm seeing fresh scabs
where her tonsils used to be.

- Recent tonsillectomy?

- Her sister didn't say

but I've seen this before.

Post-op fibrin clot
sloughs off

the tonsillar pillar
and ruptures.

- We have to get her stable and
put pressure on the bleeding.

- Activating MTP. Arnold,
we need blood and lots of it.

- Take over,
I can't find the vein.

- June, where are we
on that line?

- It's a difficult stick.
It keeps collapsing.

- She needs to have the blood.

Without blood she won't make it.
What's your plan, Doctor Curtis?

- Bone gun?
- Okay.

- What about it?
- Doctor Curtis is proposing

an interosseous transfusion.

Peripheral access
isn't happening.

- The humeral's IO it is.
Allow me.

- It's okay, I've got it.
- Good. By all means.

- Give me a line, Arnold.

- Airway entry both sides?

- Placement.

- Oxygen 98.
CO2 40.

- Blood's coming in!

- Stabilizing
but she'll need the OR.

- I'll call up.

- I think you can take it
from here, Wendy.

Clear!

Mags.

Go again, one more epi.

- How long's this guy been down?
- 19 minutes.

- Who's running this code?
- I am!

- Leblanc is slowing down.
Doctor Hamed, take over.

- Epi in.

- Hold compressions.

No, he's not responsive.

It's time to call it.

- He's only 37 years old.
Came in with
a minor hearing issue,

otherwise he's healthy.

- He's dead, Doctor Hamed.

Asystole, prolonged downtime.
No correctable causes.

No cardiac activity
after eight rounds of CPR.

Did I miss anything?

- No.
- In that case...

Time of death?

- 11:38 AM.

Let's take a moment to
acknowledge the loss of a life,

and the efforts of our team
to save it.

- Rate's climbing.
Is that possible?

- That's something
you don't see every day.

- He's alive.

- Swift work with that bone gun.

Heard your bleeder needs
an embolization?

- Yeah.
- I called Doctor Yong
in vascular.

We went to med school together.

I told him you should be
the one assisting him today.

So get ready.
- Uh...

Doctor Singh is my attending,
he's in general surgery.

- I know Aajay.

Is he still in love with
the sound of his own voice?

- I just mean that I wouldn't
normally be scrubbing in

as part of
the vascular team. So--

- Don't all surgical residents
want a cross-section
of experience?

No one ever done you
a favour before?

- Definitely not someone
I barely know.

- When a member of my team
does good work like you did,
in trauma,

I like to see them
get rewarded for it.

You're welcome.

Why isn't Carly awake?

Why does she still have
the breathing tube?

What's happening to her?

- A tiny blood clot ruptured

and tore a hole
in Carly's carotid artery.

Normally a surgeon would just
make an incision and repair it,

but the location of the tear...

puts your sister
at a higher risk.

So we're looking at something
called a transcatheter
embolization,

where instead of opening up
her neck,

we'll reach the wound
by going through her leg.

-I don't understand.

Are you saying that one of these
options could kill her?

- I'm saying it won't heal
on its own.

Carly's life is on the line
either way.

We're recommending what
we believe is the safer option

but since your parents
aren't here to weigh in...

- You're asking me to decide?

No. No way.
You can't put this on me.

- Hannah, I'm not putting
anything on you.

We'll do this together, okay?

But it's important that
your sister has an advocate.

Okay? Someone who knows her,
who can weigh in

on the decision-making process.
For example,

if we knew about
her tonsillectomy,
that would've helped us.

- Oh, my God. We... I...

I told the paramedics
about that, didn't I?

Is that why this happened?

I mean that surgery was like
a month ago.

The doctors said that
my mom and dad could go--

- Hannah, Hannah, it's okay,
we reached out to the surgeon--

- No, no, no, it's not okay.
Look, you gotta understand.

Carly is everything to them.

I mean, to me!

They would never want me
involved and--

- I know that's not true.
They left you in charge when--

- I just got fired
from my retail job.

Three engineers and one girl
who can't fold a sweater.

That's our family.

Carly's younger than me
but she's the responsible one.

I mean they were expecting her
to take care of me.

- Look, Carly's in the OR queue,

so there's a little more time.

We'll keep trying to reach
your parents for now, okay?

- You're saying I was dead.

Not unconscious.
Dead.

- Auto-resuscitation is
a rare phenomenon

where the body responds
to CPR after death.

- For how long?

- You had a weak
but shockable rhythm

without pulse for 19 minutes,
and then, nothing.

- Isn't that extremely bad?

- It can be, but your vitals
are normal again.

You're very lucky.

- Okay. I'm lucky.

What happens now?

- We need to do
some more tests,

to understand
why this happened.

- No kidding.

You said it was
an ear infection,

then a few minutes later,
I die?

- Is there someone
you want me to call,

anybody you want to come down
here to stay with you?

- What I want is for you
to not make the same mistake
you made before.

Just figure out what's going on
and tell me what to do about it.

- Navin, none of your tests
presented any indication
of cardiac abnormality.

We're widening our search
but it will take some time
to figure out exactly--

- You're a resident, right?

- Yes.
- Yeah. Why don't you just admit
you're in over your head

and send me
whoever you report to.

Maybe I won't have to die
this time to get some help
around here.

- Hey!
Pain meds helping?

- The IV drip means at least
I'm not throwing them up.

I think that nurse wants
to strangle me.

- Trust me, she's seen worse.

You're halfway through
a chemo cycle.

Your nausea's normally
progressive.

- We knew it was an aggressive
course.

They said if I make it through,
it can buy six months.

So that's where we're at.

- Speaking of that nurse
who definitely does not want
to strangle you,

I asked her how often
you've emptied your bladder

and she says not once?
- I haven't needed to go.

- Well, we've been loading you
with fluids.

Can you sit up for me, please?
And just raise your arms.

There's a few things
I want to rule out.

Here we go.

- Level with me, Mags.
What are we worried about?

- The usual. Infection,

kidney and liver function,
things we've looked into before.

We'll run blood work,
just to be safe.

You can lie back down.

Is Ephraim nearby
to take you to the lab?

- I made him take a walk.

He won't like this.

- I can explain it to him
when he gets back

- You can try!

McKinney's been clear that
my body can only take so much.

I hear that when she says it,
but Eph thinks

we're gonna make it to our
10th anniversary to New Zealand.

- Why don't I take you
to the lab.

Can I get a wheelchair
in here?

- Don't you have a thousand more
patients to see?

- Yes.
But it's on the way.

- Liar.

But it saves that poor nurse
from having to come back.

Can you walk?

- Heard you were looking
for me?

- Hum. Navin Kutty.

We did two ECGs,
both inconclusive.

His blood proteins look normal,
echo looks normal,

so I think we should give him
a MRI just in case--

- How does he feel
about being alive?

- Sir?

- I'm curious. How's the guy
feel, coming back from the dead?

- He's more focused on the fact
that we let him die

than the mystery
of being alive.

- I wasn't wrong
to terminate CPR when I did.

- I didn't say you were.

- And his being alive isn't
a mystery.

It's... lingering
electrical current and luck.

- I'd like to order an MRI
in case of pulmonary AVM.

Circulatory problems can result
a hearing issues--

- Nah, I'd rather you get him
to the cath lab
for electrophysiology.

And do that soon,
we need answers.

- But sir, that's a very
invasive test.

- I'd also be interested to know
where that patient is from.

- Well, I would assume Canada.

- His lineage, Doctor Hamed.
- Why is that relevant?

- It's not, potentially,
but then again maybe it is.

So find out, do the tests
and let me know.

- Well, he doesn't want to speak
with me, Doctor Novak,

he'd rather speak with you.
- No.

I think you've got it handled.

It's interesting to see
Doctor Bishop training

his residents to push back.

It wasn't my experience
with him.

Or maybe he doesn't
and that's just you.

A good leader isn't afraid
to be challenged.

And since we don't know
how long he's gonna be out for,

it's good we get along.

- Carly Miller, 16 years old.
Arrived via ambulance

with oral hemorrhage associated
with a tonsillectomy
clot rupture

and secondary lacerated
arterial wall.

I referred to vascular
for embolization.

- But kept a little piece
for yourself.

- We'll circle back post-op.
What's up next?

- We've got a discectomy
in B.

- You want me to send her
to the corner for that?

- I earned a spot
on vascular for this.

I'm not gonna feel bad
because some resident
thinks I skipped the line.

- You're a fighter, June.
I get that.

And while you do need in
on as many complex surgeries
as possible,

if you want to make
Chief Resident...

- What? I need to be liked?

- Respected.

There's a difference.

- Does that not apply
to Harris?

Because she wants the job
as much as I do.

- Doctor Harris isn't the only
Black surgical resident

we've had here in three years.

- So I both need the operative
time but I shouldn't take it?

What are you telling me
to do here?

- I'm not. I'm just pointing out
the landmines.

- I was just...

down the hall talking to a tech
about electrophysiology.

- Is this for your
auto-resuscitation patient
from this morning?

The nurses have been talking
about it.

- Have you ever had one?

- Yeah once, when I was doing
my residency.

We did CPR on a newborn.

Electrophysiology is not a test
you order every day,

it's pretty invasive.
- It wasn't my call.

Doctor Novak.
He was one of your residents?

- He's a gifted doctor.

- Did you know him long
before he joined
Doctors Without Borders?

It's an interesting transition
to the kind of structure
you find here.

- You'd know better
than I would.

- He's your Chief, Doctor Hamed.
Not me.

- It's just, in his mind,
sir...

He thinks this is
a permanent position.

- So he wants my job.

He'd be an idiot not to.
It's a great job.

- The, uh... newborn
who came back to life.

- We called her Baby Lazarus.

- And would you explain
that as

lingering electrical
current and luck?

- Yeah, I would.

Although the current was
only lingering

because we did more than
20 minutes of CPR.

But then, what some call luck,
others call a miracle.

- My patient's not exactly
moved by his.

- Maybe because
they tend to scare you
as much as save you.

It's easier to ignore that fear
than face it.

But then, look at me.

- Talk to me about shift change
transition, Leblanc?

- Uh... I'm still on
another hour.

I cleared the food poisoning
in six,

broken ribs in three's
being discharged,

and my cancer patient in five
still waiting on labs.

- Which the next shift
will handle.

- Mm-hmm.

- Do we not pay porters

to take the patients
up to the blood lab?

- Yes.

- So your escorting Miss Kaplan
up there earlier,

that's the reason why
you wanted to trade patients?

- I mean, can't a doctor go
the extra mile?

You know like I said earlier,
I like to--

- Yeah, you have a shorthand
but, what I don't understand

is why that makes you
the only person capable

of properly
treating the patient.

You can't cure her cancer.

Unless you have some kind
of superpower

that you haven't told me about.

- Of course not. But if I can
make it easier for her,

I think I should do that,
I think I should do that.

- Feeling like the patients
need you.

Like if you aren't the one
taking care of them,

then they won't be okay?

That's ego, Leblanc.

Do you not trust your colleagues
on the evening shift?

Does nothing really get done
around here
without you doing it?

- Of course, I trust them.
- Good.

Then let them do their jobs.
You go home,

you preserve yourself
for tomorrow's patients.

- Mm-hmm.

- Please if you could
just explain to your supervisor

this is a question of life
and death.

Si muerte. Vida y muerte.

Necesitamos hablar
con el piloto?

Gracias.

Okay, huh...

the parents have switched
to a regional airline
within Argentina,

we're doing our best
to find somebody who can radio
the pilot directly,

but this...
this could take ages.

Si.

No, el piloto.

- I saw so many places,
it's only ever people
bidding up the rent.

- You know it was the same
for us.

We didn't find anything until
after I started washing dishes

and the owner knew someone
with a vacancy.

- Then I better hurry up
and meet some people.

- Knowing you, that won't be
too hard.

- Bashir, I got this for you.

- Hey...

Right before they took you.

- Bashir?

Where did you just go?

- I... um...

Um, I have to get back.

- Uh, Bashir,
I want you to know

we don't have to jump
into anything.

We can take our time.

- Thank you for the plant.

- Amira texted me about needing
a chaperone home from dance.

I know it's not what
you wanted this morning,

but she was so excited.

- You said yes.
- Yeah.

- Doctor Atwater? Hi!

So, huh...

it's none of my business
why you did or didn't get
the Acting Chief position.

And I shouldn't have asked.

- But you still wanna know.

All they told me...

was that the role would be
going to someone more suited

to the leadership
opportunity.

- So in other words, a man.

- When I was where you are now,
Doctor Curtis,

that was my curse.

Now it's being too old.

But, uh...
there is a silver lining.

There is a freedom
in not having to worry

about playing
the game anymore.

But if you have bigger goals
for yourself, Doctor Curtis,

don't make my mistakes.

I played by everyone else's
rules and look where it got me.

- Navin's MRI was negative
for AVM,

but the electrophysiology
did detect a rare abnormal
heart pattern so,

my hunch was wrong,
but yours was correct.

- Differential, Doctor Hamed?
- Well, taking his rhythm

within the context
of his wider symptoms,

arrhythmogenic cardiomyopathy
is an option.

- But then, wouldn't we have
seen scarring on imaging
of his myocardium?

- Most likely we're looking
at a range of genetic disorders.

Not DND, Romano-Ward syndrome
is possible but, uh...

something is...

- For those kinds
of inherited disorders,
we'd need genetic testing.

- Unless there was another
marker to narrow it down.

- What about his lineage?
- I did ask.

He's Canadian, but his parents
are from Kerala, India.

- Huh... After my residency
I did a stint
in northern Sri Lanka.

Based out of a refugee camp

which was overflowing
with displaced people.

Malnutrition, infection,
dysentery.

But there were
some doctors here that told me
about this young man

who presented with one,
remarkably hyper-dramatic
symptom.

Sudden cardiac death.

- Brugada Syndrome,
prevalent in South Asian men.

- Well done, doctor.

Won't be as much fun
telling the patient though.

- No, but my mother and father
are completely healthy.

- You can live asymptomatic
your whole life.

That's why it's so dangerous.

- Okay. The beating sounds
I was hearing in my ears.

- Might have been your body
warning you.

Or could just as easily
be unrelated and temporary, like
tinnitus usually is.

- Genetic. That means this heart
defect can't be cured?

- Unfortunately no.

But it can be managed.

And there is somebody
from Cardiology coming later

to talk to you about an
implanted defibrillator device

to avoid another episode.

- Do you know what I did today,
after coming back to life?

I... sat here,

hooked up to these wires,

and I sent work emails
and I managed files.

- After what you went through,
it's normal...

to want a distraction.

- What if my whole life was
the distraction?

There wasn't a single person
that I could think of

to ask down here.

Why would they come?

I never made space for anyone.

Dammit.
What?

- They cancelled the 9 PM.

And even if I could
get out of here for the 7,

which I can't, it's full.

- You can't fly home tomorrow?

- I'm supposed to be back
tomorrow.

Okay. I'll just...
it's fine.

I'll drive.

Which means I need to finish
my reports before I go.

- You sure you can keep
this pace up?

- I chose this, so it's, uh...

on me to make it work
for my family.

- Okay but this solution?
You running yourself empty?

Is that really what they need
or is it just about you?

- If you're saying I should stop
trying to see my kids--

- I don't know
what I'm saying.

I gotta go.

- Deena, Deena! Hey.

I'm right here, come on.
Come back to me, Deena.

- Her labs?
- Her breath is short.

Like she's gasping for air.
- Deena, can you hear me?

Nod if you can hear me.

- She was confused
and then I couldn't wake her.

- I can hear arrhythmia,
pulmonary edema. Labs?

- Come on, Deena!

- Her creatinine levels spiked.
Potassium's at eight.

- What does that mean?
- Acute kidney failure.

She needs them flushed.
Call dialysis. We'll be there
in 60 seconds!

I need help!
- Deena, come on!

- Alright, we're ready!

- I'm right here, Deena,
I'm right here!

It's okay! It's okay!
I'm right here.

- We've done everything we can
to try to reach your folks.

- It should be them here,
not me.

- It's not about that, okay?
It's about what Carly needs.

- I don't know what she needs!

You're her doctor,
you should know.

- I can help treat her,
Hannah,

but Carly doesn't have a voice
right now.

And she needs one
and that voice is you.

So clear your head.
Let's talk this through.

And I'd do the same thing
with your parents
if they were here right now.

- The trans-cath-thing...

- Transcatheter embolization.

- So that means that
you get to the wound
through her blood vessels.

- Exactly, yeah.
You, uh...

the coils are threaded
through her femoral--

- Where you cauterize it,
instead of opening

and sewing because
there could be too much blood.

- Yeah, that's right.

You looked it up?

- Um...

And you think that
that's the best option?

- I do. The risks are primarily
around...

bleeding in the brain
and stroke,

but Carly's young,
she's strong.

We've heard from
her pediatrician
about her medical history,

but you might know about
other risk factors
that run in the family.

High blood pressure?
Heart disease?

- My grandpa had a stroke.

He used to get bad migraines.
Carly does too.

- That's exactly the kind
of thing we need to know. Good!

- Does that mean
she can't have the surgery?

- No, it just means that
the surgeons now know
to look out for that risk.

- Okay.

Okay.

- Doctor Bishop?

Claire said I should take you
to rehab?

- Your services will not be
necessary.

- Claire also said
you might say that

and I should remind you
that--

Never mind.

- What happened to Navin?

- His vitals tanked out
of nowhere

and he started crashing.

- Clear!

Resuming compressions.

- I want to see you make it into
the artery on your first stick,
Doctor Harris, let's go.

- Catheter.

- That's the doctor
from before, right?

Why isn't she doing
the operation?

She's the one who helped
when Carly came in.

- Doctor Curtis isn't part of
the vascular team.

She's there in case
there's a complication.

- When will we know?
If it worked?

- Not until it's over.

- Stopping compressions.

No, we're not giving up
on this guy.

Not yet.
- How long?

- 27 minutes.

- Come on, Navin.

- From like ninth grade,

people are asking you
to make these big decisions
about your life.

Carly's lucky,

she always knew
exactly what she wanted.

What if I don't?

- There's nothing wrong
with not having it all together.

In fact being able to admit
that you don't?

That's its own kind of skill.

- Come on, Navin.

- There's nothing more
we could have done for him.

Fate was coming for this guy.

- Time of death, 4:25 PM.

- What's that?

Your friend needs
another consult?

- Uh, no, we lost a patient.

His phone has locked and
I have no idea who to call.

- Social worker.

Ask the social worker.

- Thank you.

- I heard your bleeder
came through.

How was that,
making the vascular save?

- It wasn't.

- Doctor Curtis.
You can't turn down

an opportunity to show
the bosses what you're made of.

You keep waiting in the line

and your chance is never
gonna come.

You gotta believe in yourself.
- Yeah, I know what I need.

- You did me a huge favour
and I really appreciate it.

It's just that other residents
were promised

OR time ahead of me
and I need to respect that.

- Carry on, then.

- Surgeons needed to thread
this tiny coil

through Carly's artery so they
could cauterize the bleeding.

But they said she came through
like a star.

Oh, thank God. I'm so relieved.

- She's so brave, Mom,
so strong.

- So are you, honey.

- I was a pretty big mess
actually.

- But you did it.

Your sister is lucky
you were there for her today.

I am so proud of you.

- Uh, her doctor should
explain the rest.

- Hannah has it covered,
Miss Miller,

she's almost ready
to take over for me.

- They never should have
had to do this without us.

- But they got through it
together.

You have two great kids here.

- Carly.

Hi.

- You responded quickly
to the dialysis.

Which is good news.

The chemotherapy poisons
your body,

which is what it's supposed
to do to fight the cancer,

but sometimes the kidneys,
they just can't keep up.

- We knew it was a risk.

- So we're keeping you
overnight

and I spoke
with your oncologist

and she says that Deena's
treatment will have
to be suspended.

- McKinney's taking us off
chemo?

When can she go back on?

- That's something you'll need
to discuss with her.

- Are you saying
there's a possibility
she can't get back on?

- She's saying
it's not her call.

- I'm sorry, guys.

I'm gonna give you some time.

- Mags?

Mags.
Can you come back?

We need you to talk us
through this.

- I know this is difficult,
I'm sorry.

But Doctor McKinney will be
here in the morning
with next steps.

- I'm worried that she's not
gonna want to keep fighting
through this.

I know you can make her
see reason.

- She doesn't need me, Ephraim.

She needs you.

Now the night shift
has Deena's med plan

and they know to call me
if anything is unclear.

Go be with her.

- Okay.

Okay.

- It's gonna take me five hours
with traffic.

- Oh, hey.
Are you technically still here?

Kid with the asthma attack
just...

I can get a resident,
it's totally okay.

- I'm here.

- Hey.
- Everything okay?

- Oh, just...

Just preserving myself
for tomorrow's patients.

- Should I be nervous
for them?

- I just left my bag in here,
but I just...

- Are you actually going home
before the sun sets today?

- Yep.

Even though all I'm gonna
be doing there

is think about what else
I could be doing here.

- Long day?
- Yeah.

Did you figure out why
your auto-resus patient coded?

- Brugada Syndrome.

But uh, it...
it happened again.

- He died?

I'm so sorry, Bash.

- You know he didn't even
realize what his life was
missing until today.

- It's a nice plant.
- Yeah.

Jasmines.
They're loved in Syria.

A friend gave it to me.

- Pretty.

- She was my fiancée
back home.

And... she's here now.

- Oh, wow.

That's incredible.

- I, uh, I haven't really told
anyone yet so...

- No, I mean, yeah.

Yeah, of course.

Well, congratulations.
I'm really happy for you.

I'm gonna go before I...

you know, talk myself
into picking up another shift.

- Mags.

Try to keep your mind
off work tonight?

- Yeah.

- Bashir Hamed.