All language subtitles for Transplant.S02E08.WEBRip.x265-ION265

- I'll find a way
to get the board

back on-side again.

- Dad's dying, Junie.

- I don't know what it
changes, so...

- That's cold, even for you.

- Cardiology. I told you
I wanted to explore it,

but you didn't hear me.

- Yeah, well,
I'm hearing you now.

- Here.
- You're giving us your car?

- I need to purge a few things.

- There's a detention order
against me.

- It's been two weeks.

You said Khaled would only be
in detention one day.

He could be deported.

- Sorry won't be good enough,
Doctor Hamed.

This is your fault.

- Mr. Jackson, I have your
results from...

- Shh.
You'll scare him.

You see him too, right?
- I do.

- Good. Then it's not
the mushrooms.

- I'll be right back.

- The house I bought
in Leslieville.

Quick jog to the hospital.

Needs a little work...

Actually, needs a lot
of work.

You wouldn't happen to know
a contractor, would you?

- Well, my brother-in-law.

He's honest, but he's also
kind of a moron.

- I'll pa--

- There you are.

Try not to move...

- So Mr. Lee definitely has gout
but doesn't want to admit it

while Mrs. Watson thinks she has
everything but actually

just has dyspepsia and...
You missed.

If you're gonna practice,
pay attention.

- Sorry?
- She means me. The vein.

- The trick is to get him to
accept a corticosteroid

before he gets a kidney stone.
Arnold, you with me?

- Yeah. Right.
Corticosteroid.

- Why don't you try tapping
the vein, Jake?

- Tapping it?
- Yeah, tapping it.

- Like this.

See?
- Oh, yeah.

- She needs antacids and
a bland diet for a few days.

You got it!
- Hey!

That was exhausting.

- No kidding.

- Lightweights, both of you.

So I got your text
about lunch,

but my sister's actually
coming to meet me.

- She is?

Can I meet her?

- Sure, okay.

But if you thought learning how
to put an IV was tough,

I mean...

It flew that way.

- Okay, I gotta go.

- How did it even get
in there?

- Oh, hey! What's going on?
- Hunting party.

- We need something
to coax it down.

- Coax what down?

- The model's an acute
care surgical response team.

It would decrease patient
waiting times

and expand the scope
of procedures that we can
do in emergency.

Do I want to know what's going
on here?

- It's a bird.
We had it, then lost it.

- Shouldn't you be on rounds?
- What?

I was on my way.
We were just trying to catch it.

- For patient safety.

- And for our own amusement.

- Okay, fun's over.
Get maintenance to handle it.

- Sorry about the wait.

Good news: landing on a wrist
to break a fall

usually means a fracture, but
in your case it's just a sprain.

- Doc, he looked me
right into the eyes.

And I swear it felt like
he could see through my soul.

- Who, the bird?

We tried freeing him but...
it seems he's trapped in here.

- Or maybe we are.

- That might be the mushrooms.

- Six-month-old with complex
CHD choppered in from Timmins.

- Did they say what kind
of congenital heart defect?

- No and things can happen fast
with infants, Jake,

so if we ask you for something,
do it no questions asked, okay?

- Oliver Campbell,
tacky at 280.

Stabilized at the regional
hospital but thought it best

to fly him down considering
his heart history.

Second SVT episode started
as we were landing.

We lost his line in transit.
- I'm Dr. Hunter,

this is Dr. Leblanc and
Jake Cooper.

What's his previous heart
status?

- He was born with tricuspid
atresia.

We adopted him at 2 months
when he was still in the NICU.

- TA means the tricuspid valve
is missing or malformed

and blood doesn't flow
correctly.

- Any episodes of
supraventricular tachycardia
before today?

- Nothing like this.
- Most TA patients need a shunt
put in early on,

has that happened?
- Four months ago.

They did it here. They hoped
that it would hold him over

until he gets big enough
for the more invasive surgery
in a few years.

- His little heart's been
through so much already.

- It's okay.
- We'll bring his rate down,
try to isolate the cause.

- One, two, three.

- Malik Lawson, 17 years old,
type 1 diabetes

and severe hypoglycemia.

Blood glucose is 3 millimoles
per litre.

Had a glucagon shot en route.

- He started slurring his words
then passed out!

I couldn't get him to eat
or drink anything even though

I know it's what I'm supposed
to do!

- Did you get a hold of Mom
and Dad?

- We're not related,
I'm his girlfriend.

And he's emancipated.
We both are.

- No, we need you to stay
outside, young lady.

- Rhoda, push 0.7 milligrams
of adenosine.

- You have to shock him?

- It's just a precaution
in case the meds don't work.

- Veins are flat! Can't get
a line.

- Intraosseus infusion then!
- 15 mm/15 gauge needle.

- Run that down, Jake.

- Use the medullary cavity
in the tibia as

a "non-collapsible vein"
when the patient is critical.

But even in a baby this small?
- Yeah when we can't wait.

- Will it hurt him?
- He may feel it.

But we're gonna make it
as quick as we can.

- I can't watch.
- Baby, just go.

I'll stay with him.

- Dr. Hunter. Rate's 300!

- Syncope. Non-responsive.
- Jake, get on bagging.

Smaller breaths.
Thumb and two fingers.

Squeeze on one, release on
two-three, got it?

- Yes.
- And eyes on me.

Locating the tibial
tuberosity,

then 1 cm below, 1 cm medial...

I'm in!

- Decreased air entry on
his right side.

- That's because of his kidneys?

- Large pleural effusion.
He needs the fluid out now.

- 60 cc syringe
and a spinal needle!

- Malik has chronic kidney
disease caused by his diabetes.

- We told you to wait outside.
- And I told you he needs me.

- Joanie, can you please?
- No, I need to stay with him!

- It's okay.
What's your name?

- Ruby Evans.
- Okay Ruby Evans,
I'm Dr. Hamed.

I'm going to use this needle
now to drain the fluids from
his lungs.

If you're going to stay,
I need you to take a deep breath

and help him by remaining calm.

- Malik, I'm gonna move
your arm above your head.

One millimetre to the left...

- Can someone please explain
what's happening?

- We are giving medication
to Oliver

to help reset his heart rhythm.

- Okay. One, two.

- No change. 1.4 milligrams
more, Rhoda.

- We thought we were done
after we adopted our third,

but uh, when we heard about
Oli we just...

We knew that he needed us.
- It's really admirable,

taking on a baby with such
a complex heart status.

- It's been really hard
for Gary.

He worries so much.

But our little guy
is a fighter, right?

- One, two.

- Give him a second.

- Heart rate's stabilizing.

We'll get him up to CICU.
Mags will take you. Okay?

- Actually, I'll be
your resident there too.

We're gonna run some tests
and sort out what happened sir.

- Bruce.
Thank you, all of you.

Thank you.
- Of course.

Good job, little man.

- You did it, huh?

There you are, yes.

- Getting fluid now.

We'll do some blood tests and
get a urine sample

to check his kidneys,
then assess and make a plan.

- We already have one. I'm
giving him one of my kidneys.

- That's very generous
of you but...

there are multiple complex tests
you'd have to do to conf--

- We did them already. As soon
as we learned he had CKD.

- Have we seen you here
before Ruby?

- Not here.

We did blood and tissue typing,
and serum too.

The doctors said there's
no way I'd be a match

but they were wrong.

Mal and I are meant to be.

We won't let anything come
between us.

- Elevated heart rate and
a slight fever.

- Mr. Garcia,
I'm Dr. Curtis.

- Yeah, we've met before.

My fiancee brought me in
a couple weeks ago.

- That's right, you had
that great story about the...

the jellyfish, right?
- In Miami.

I got stung and
the first thing I said was,

"Hi, I'm Sam,
can you pee on my leg?"

- Oh, yeah. You just need
to rub sand on it to mitigate
the sting.

- That's what you said
last time.

- What brings you here,
Mr. Garcia?

- The stomach pains came back
yesterday

and then the nausea really hit
during our groomsmen photos
this morning.

- I remember.
You had acute pancreatitis.

It's very rare
for a 28-year-old.

We put you on fluids and
kept you under observation
for a couple hours.

- At least your organs made
an impression, Sam?

- Can you just do
what you did last time

and then get me out of here
for my ceremony?

It's supposed to be sunset
at Cherry Beach.

- Let's see what your pancreas
has to say before

I make you any promises.

- So he's gonna need a cbc,
chem, lft's, lipase, bbg.

And CT abdo.
- Got it.

You really
don't remember him?

- I see a lot of patients
for a short period of time.

I'm supposed to remember
all their stories?

- Okay, what major life event
happened to me last week?

- You got promoted?

- I turned 30.

You ate one of the cupcakes.

- Marnie Jensen's asthma
symptoms aren't relieving
with her inhaler.

She's been fighting a cold,
her chest is congested.

Did a peak-flow test and
she's in the red.

- Hi Marnie, I'm Theo.

We're gonna take care
of you, okay?

Action plan, Jake?
- Nebulize with albuterol?

- He just gets to guess?

- This is a teaching hospital
and he's a student.

But how is she with nebulizer,
Mom?

- Unless you popped out
of my uterus seven years ago,

maybe call me Shelley?

And the bronchodilator
that works is ipratropium.

Albuterol gives her headaches.
- That's... good to know.

Jake will set that up for
you right away.

- Thank you.

- Mr. Kline,
it's Bashir Hamed again.

It's been two months since
Khaled was in immigration hold.

There must be some way
I can help.

Please call me back.

You're renovating a house?

Did you manage to sell your
place in Sudbury?

- No, not yet.

- And you still have your rental
for when you go back home?

- I know what I'm doing, Bash.

You know you can kick Malik
back to peds.

- No, he's 17, I'll stay on.

- Hey guys, so I kept thinking
I knew Ruby,

maybe she'd been here
before.

This has been running on
the local news.

Her mother is a school board
trustee in Etobicoke.

And she reported her missing
three days ago.

- So much for being
emancipated.

Does that mean Malik
isn't either?

- Iris checked. He is.

Do we call it in?

- She's not a patient so there's
no confidentiality issue.

- She's been pretty clear
she doesn't want that.

- She's a minor who's been
reported missing.

I think we have a duty to
let her mother know she's safe.

Keep me in the loop, Bash.

- Bishop wants to see you.

- So...

this isn't good news.

Ray Grisholm has filed
a malpractice suit

for the events which led
to his daughter

having to be mechanically
ventilated for the rest of
her life.

- What, is he...

I mean, is he suing
the hospital? Or us?

- All of the above,
unfortunately.

He's been given power
of attorney

and he's running with it.

I know you weren't there
when it happened, Mags,

but the suit names
all doctors who were involved
in Kelsey's treatment.

We took a necessary action
to save her life.

- I took the action.
- All our options were tragic.

I stand by the choice
we made.

This is happening because
a father...

needs somewhere to put
his anger.

- What do we do now?

- Contact your insurer,

get them to arrange
for a lawyer.

Otherwise, your jobs.

Do not let this get into
your heads.

- Sir, I know this is the last
thing you need right now.

With you fighting to keep
your position.

- Don't worry about me,
Bashir.

- Tell me what I can do
to manage this?

- You can play it safe.
Toe the line.

Toe the line.

Everything you do
is going to be scrutinized.

I know it's unfair,

but you already have to
be better than everyone else.

Starting now,

you need to go out of your way
to follow protocol.

No more pushing the boundaries,
no unnecessary risks.

Don't give them any
ammunition.

Do you hear me?

- Hey, Gary.

Well, he's looking better.

Is Bruce checking in at home?

- Did you figure out
what's wrong?

- Well, Oli has a condition
called Wolff-Parkinson-White
syndrome.

It's an extra electrical
pathway

that can cause dangerously
high heart rate like you saw
earlier today.

- You mean it wasn't just
his heart defect?

He has a new thing?

- He does, yes.

- Can what happened today
happen again?

- Potentially regularly.

Or never.

Or somewhere in between...

- All of this is so much harder
than we realized.

What do we do now?

- You digest the information.

I'm gonna talk to Dr. Fisher
and get back to you.

- How long did it take you to
feel settled here?

- Should that have happened
by now?

- I can't imagine...

It's just been so long
since I've had to start new
anywhere.

- For your nurse practitioner
clinical hours,

will you be leaving us?

- Who called
about my daughter Ruby?

- That was me, Ms. Evans.
I'm Bashir Hamed.

They're actually just down
this hallway--

- Ah okay.

- Thought you weren't
going to call.

- Social worker was asking me
about my parents,

then suggested a group home.

- You're not going back
to a place like that.

You're not alone, babe,
you have me.

- Ruby Josephine Evans,

you step away from that boy
right this minute!

- Don't upset him!
He's sick.

What are you even doing here?!

- How can you ask me that?
Ruby, you ran off.

I was afraid you were dead!
- Well, I'm not!

I can handle myself!

- And this doctor tells me
you said you were emancipated

and you want to give away
an organ? Over my dead body!

- It's my body,
it's my kidney

and I can do what I want
with it!

Explain to her I'm the only one
who can help him!

- He knows that you can't make
that choice on your own.

Why do you think he called me?

- Parental consent is required
for a minor to donate an organ.

- But he could die!

You don't know him
or what he's been through!

I love him and I wanna do
this for him!

- Spend three weeks with him
without a roof over your head

then tell me you love him.
This is foolish!

- Just because you got
knocked up by the first guy
who looked at you

doesn't mean what Malik and I
have isn't real!

- You're coming with me,
we're phoning the police

and you're gonna apologize
for this mess that you created.

- If he dies, it's your fault.

- She's still struggling
to breathe.

- I know for a fact ipratropium
works for her asthma.

- Which made us think maybe
it's not asthma.

- How long has Marnie been
fighting a cold for?

- Two weeks. It was maybe
four days after she got back.

- Back from where?
- Bali.

With her father.

- Would you give us
a second?

You always ask
about international travel

with a respiratory illness.
What--

- Sometimes, it's okay
if I don't know things

because you haven't told me.
But other times it's not.

You keep moving
the goal posts on me.

- There's also the question of
you making it sound like

we don't know what's going on
with her kid.

- Does that mean that we do?

- Marnie's X-ray shows some
indication of TB.

But that is news that
you have to dole out carefully
to avoid panic.

- Do I look like I'm panicking?

TB as in tuberculosis?

- It can mimic asthma,

and with Marnie's
travel history,

it's something
we need to consider.

- Okay.
What happens now?

- We'll move her to a negative
pressure isolation room

while we work to rule it out.

Your husband, has he been ill?
- We're divorced.

I'll call him.
Ask about his boys too.

- Jake, can you ask Rhoda
to set up the room?

This is just a precaution...

- Do you get a disproportionate
amount of panicky moms,

or are you just not
a good listener?

I don't need
to be bubble-wrapped.

- I'll... I'll let you know
when I hear from the lab.

- My hero.

- How's the SVT baby?

- Ugh. He's so tiny and he's
been through so much already.

How do you deal
with that kind of thing?

- Apparently by irritating

people with aggressive
emotional support.

Mags, are you dating
my student?

- I mean it's not like
I'm wearing his varsity jacket
or anything.

Why, is that a problem?
- It's a bit weird,

but whatever.

- I already said yes, Charles.

- CT results for
Sam Garcia.

- Pancreatic abscess.

It's not uncommon after acute
pancreatitis.

He's gonna need the OR
for drainage.

- So, I guess that means
no sunset wedding?

- Is he a candidate
for percutaneous drainage?

- Possibly. But either way,

I can't get him in before
tonight, so.

- Unless we did an endoscopic
ultrasound-guided drainage
in emerg?

- That's not something
we would normally do, is it?

- Not traditionally.
But we could

if we had an acute care surgical
response team.

- So you want to send less
patients up to OR?

- Well, patients who have been
surgically diagnosed

spend hours waiting for
an OR slot. Often in real pain.

Appendectomies,
splenectomies, scopes.

All things that we can handle
in a trauma OR.

Your groom would be
a compelling example.

- So do I tell him that
there's a chance he's getting
married today?

- I have to get a radiologist to
agree to do guidance first

and of course,
Dr. Singh's sign off.

- Interrogate and let me know.

- Where's Ruby?

- She's with her mother.

I know the plan was to give
you a kidney but--

- I don't care about that!
I just want her to be okay.

- Malik, we tested
your renal function.

And you've lost 90 %.

- Okay.
- I'll start you on fluids.

And we'll get you
on a transplant list,

but realistically that could
take five years.

- So until then I just...

survive.

- You'll start dialysis

and it will become
a regular part of your life.

Where have you been staying?

- Friends' couches.

After that, Ruby rented a room
with her savings.

I tried saying no but...

Ruby.

If I were her mom,
I'd hate me too.

- Look, it must be difficult
trying to maintain

your diet and blood sugar
levels, moving around so much.

- I keep up with my insulin.

- I know, but our social worker
has resources--

- I tried that when I left home.
It was just as bad.

- Malik, you can't do this--
- I don't have to talk to you
about this!

Look, I get you just
wanna help

but there's nothing
you can do about this.

- Oliver Campbell has
Wolff-Parkinson-White Syndrome

on top of his heart defect?

- And this was the first
onset of it.

- Will they have a decision
today?

I assume you gave the parents
the surgical option.

- Radio frequency ablation? I...

Not yet, I didn't think
I should raise it without
asking you.

- It's either that or wait
and see.

- Well, ablation is risky.

He could have a stroke,
or sustain damage

that could hurt his chances of
open heart surgery later.

- A surgery he might not make
it to if SVT events

like the one he had today lead
to sudden cardiac death.

- Then you think they should
ablate?

- I think they need to know
all their options

to make an informed choice.

- They're going to ask me
what to do.

- And you should answer them.

Mags, you lived their
reality.

- Tricuspid atresia wasn't
my issue.

- But you know what that little
boy is going through.

What all of them are.

- Sam Garcia meets the criteria
for endoscopic drainage.

- Taking a liberal view,
maybe.

He's still at risk for sepsis,
and necrotizing pancreatitis

always needs multidisciplinary
management.

- His wedding's today.

sIf we did it in emerg,
maybe he'd make it?

- And maybe Bishop told you he
wants to start operating

in trauma and you saw a chance
to step up?

- I'd be getting in
on cutting-edge procedures.

- And diverting patients
and therefore funding from OR.

You have to be smart.

- I know I do,
that's why I'm here.

- Except this is becoming
a bad habit.

You come to me before you walk
into something.

I flag the risks
and you do it anyway.

If you don't trust my advice,
don't waste my time.

- Hey, about what Bishop
said earlier.

- Yeah, well I called
my insurer

and they put me in touch
with a lawyer.

- Do they think we could lose
our license?

- Well, she did say to prepare
for it to take a minute.

And that it's a rite
of passage.

But, most doctors come
through fine.

I know you're not most
doctors.

- Look, it's unfair you're
wrapped up in all of this.

- Well, I am. I am.

And I'm trying to follow
Bishop's advice

and stay focused
on the job. You should too.

- The bird,
he's in the ducts.

- Ruby?
- I think I cut too deep.

- He's young.

- He's only two years
younger than me.

- But still a student?

- I took a couple years
to travel.

- Nothing wrong with
some real world experience.

- Oh. She's defending you.
She likes you.

Don't get too excited.

She once carried a sock
around for months telling us
it was her soulmate.

- I was four! I was four!

And it was a really cute sock,
okay?

- You already have to go?

- It's just an update.

- Is it the patient
this morning?

You should've seen her.

She saved a baby's life.

- Yes, she's a force of nature
and always has been.

Okay, you can go now.
- Oh my God, Cam!

- What? You'll have
to run off,

and I can't talk about him
if he's here.

- Okay, that's fine.

Very nice to meet you,
Camille.

I look forward to hearing

if I'm good enough for
your sister.

But nobody is.

- You can't honestly tell me
you see yourself with him.

- He's sweet. He's funny.
He's smart.

- And he will do anything
you want to make you happy.

At least he's in keeping
with your pattern.

- No, he's not! What pattern?
What are you talking about?

- It's either someone
who withholds validation

or someone
who worships you.

You honestly don't see that?

Look I get it. You've had
a terrible few months.

But letting this boy fall
in love with you

so you can feel better
about yourself,

it's the wrong answer, Mag.

- Just once I wish you could
tell me what I want to hear.

- Do we have a patient
with bedsores?

Because I'm an expert,
if you want advice.

- Did you need me for something,
Arnold?

- Sam's pain's is at an 8.

And not just because
he finally told his fiancee

he can't make their wedding.

- Give him another 10 milligrams
of morphine.

It's gonna be a few hours before
his surgery.

How do you know so much
about bedsores?

- Before I came to emerg, I was
a hospice nurse.

Hard to avoid them in
that field.

Why?

- Oh, baby--
- Don't, okay?

I already know what
you're thinking.

- Baby, I was afraid to ask
if this was starting up again.

- You have experience
with this?

- When I was little, it was just
pinching and scratching.

Then it got worse.

- Seeing a psychologist
has helped.

- Yeah, once you accepted
I needed to.

- I wasn't raised
to reach out for help

with these problems
like these.

- Many people aren't.

- She's given me some good
tools, but sometimes it's...

I don't know.

- A hard pattern to break?

- This is why Malik's bad
for you, honey.

He's too unstable.
- You're wrong, Mom.

Sharing our burdens
makes us stronger.

I know his and he knows mine.
And look...

No fresh cuts,

just old scars.

Today was the first time
in months.

He helps me, you need
to let me help him back.

- Those are the only options?

Do this ablation procedure or
wait and see if the SVT recurs?

- There's medication that we can
try to prevent future episodes,

but there's no guarantee.

- No. No surgery.

- You heard her.

These episodes could keep
happening if we don't do it.

- It could. Not will.

The medication might help.
We should wait.

- You wanted to wait
to chopper him here,

but if we hadn't brought him--
- He's just a baby, Bruce!

How much more can we ask him
to go through?

- What about you?

What would you do if
he was yours?

- I don't know.

- Because both options are
terrible!

- I'm sorry.

- Do we...

Do we need to decide
this second?

- No. And if you do choose
the ablation,

it won't be today.
So...

Take your time,
think about it.

- What's happened to Malik?

- We were about to start
dialysis when his breathing
worsened.

- What's going on?
- Fluid in his lungs again.

Claire?
- On it.

- What do you need, Bash?

- Help with thoracentesis.
Guide placement.

Puncturing now.

- About to enter pleural
cavity.

Good.

- O2 sats aren't really moving.
- This is the second time

this has happened to him,
he's in kidney failure.

- The fluid's gonna continue
to accumulate.

- He needs the OR - VATS
pleurodesis.

- What does that mean?
- It's a surgical procedure

that seals up the space between
his chest and his lungs,

or this will keep happening.

- Thoracics can't take him
for at least another 8 hours.

Excuse me.
- Can he wait that long?

- He'll have to.
I'll put a drain in,

and we'll monitor him
until they have time.

- Unless we do a chemical
pleurodesis here.

- That's a risk in emerg.
- It's talc in a chest tube.

It'll expedite dialysis.
We know he needs it.

It makes sense, Bash.

- Call an attending?

- You guys should wait outside.

- I wanna stay. Please!
- Baby. Let's let them work.

- We need talc - 10 grams
in a 250 ml sterile isotonic

sodium chloride solution.

I'll start on the tube,
you wanna prep the agent?

- Bash?
- What's happening?

- He needs a chemical
pleurodesis.

Are you sure you
don't want in on this?

- You guys have it.

- I need a 28 French
and two guarded clamps.

- So, scale of one
to Titanic?

- You were fine.
Cam is insane.

- Because if I said anything--
- No.

- Marnie is negative for TB.

- That's a relief.

Although I guess it means
that we're back to not knowing.

Did you want me to work up
a differential?

- Sure, but respirology will
have to weigh in.

And this is complex - so you're
aware of the expectations.

- You know certain
fungal infections can mimic TB.

I'd look into any environmental
exposures if I were you.

- She did say that she was
playing on a compost pile

with her brothers.

You're incredible.

- Why are you still here?

Go, go cross-reference with
her symptoms.

- The wedding came to him?

- We didn't think Sam
was a good candidate

for draining in trauma.

- Hmm. Not to mention
Dr. Singh detested my idea

of an acute care surgical
response team.

- Yeah, passionately.

- And the kidney failure
patient? The ED pleurodesis?

What will he make of that?

- I haven't mentioned it
yet but--

- That patient was a candidate,

and I'll defend it to any
surgeons

that wants to take issue.

How are you doing, June?

Being Chief Resident,
caught between the egos and
the politics...

- It's just hard to know whose
interests you're serving,

you know, who you can trust.

- All I know is patient first
is our true north.

Keep an open mind about what
I'm proposing.

If you find a candidate
that fits the bill, I'll have
your back.

- Khaled appealed his
asylum case

because you said he had
a chance.

Now he's stuck in jail!

I've been trying
to argue for his conditional
release.

Beyond that--
- Don't say there's nothing
I can do.

I'm sorry doctor,
but it is the case.

Listen, I'll call if anything
changes.

- Dr. Hamed, how long do
these sessions usually take?

His dialysis.

- Three hours, four times
a week.

- Well, I feel for him,

but he's gonna have to learn to
make health his priority.

- What alone?
Without any support?

- She's just a child!
- Your daughter got him to do

what apparently no one else can,
confide in her.

And like it or not,
she trusts him too.

- This is none of your damn
business.

- She got sick
from my compost pile?

- I'll have Jake here
explain it

since we have him to thank
for the revelation.

- Yeah, well, Marnie likely has

"allergic bronchopulmonary
aspergillosis".

It's an infection
from a fungus commonly
found in compost bins.

And the effects resemble
asthma, or TB.

But the good new is,
it's not contagious and
totally treatable.

- Wow. Okay.
So what are the next steps?

- Well, we'll swab to confirm,

but Marnie will be on
the mend for a few days.

- Shall I go fix you boys
some cocktails

while you finish chatting?

Wow, the second a man's
in the room.

- Stand down, soldier.
I have a magnetic presence.

It's why you fell for me.
- And why I left you.

- Have you been doing this
all day?

Stop terrifying the doctors.

- You're not scared of me,
are you, Dr. Hunter?

- It's happening again!

He was awake and smiling
and then--

- Let's give him 0.7 milligrams
of adenosine, Nelly.

Okay. One, two.

- Why isn't it working?
- He's still at 300 bpm.

We need to cardiovert.
3.5 joules.

On my mark.
Ready, and clear!

Again. 7 joules.

Ready, and clear!

Give him a minute.

Come on, come on, Oli.

Okay, he's stabilizing.

- This isn't going to stop,
is it?

- I think you should do
the ablation.

- You said it could kill him!
- There are risks either way.

But your son is a fighter,

and it gives him
the best chance.

Okay. It'll take a few days
to schedule

and Dr. Fisher will do
the procedure, but I promise

that I'll be with you every
step of the way.

- You didn't mention me
that you treated Ruby
for cutting herself.

I'm just going over today's
patient intakes.

- It was right before
Malik crashed again. I'm sorry.

- It's not that. It's just,
you realize that

with her history of
self-harm,

it's unlikely she'll be able
to donate a kidney.

- Even if she keeps it
under control?

- Still a tough sell.

Donors often experience
depression post-op.

There's pretty strict rules
on mental health.

- Then it's a death sentence
for this kid, Theo.

- Look, man, I heard about
the lawsuit.

I know what it's like.

- You've been sued?
- I'm being sued.

For custody.

- Theo, I...
- Just-- You have to tell them.

Ruby and Malik.

They need to know what
they're facing.

- Since when did you start
drinking fancy apricot beer,
anyways?

- You're free to buy
your own.

- I feel like I'm 16 again
and you're bootlegging for me.

- I did that one time.

You ended up throwing up
all over Taneesha's car.

Which she made me pay
to have it cleaned.

- You're the one who insisted
I go camping with you guys.

Remember?
- I had no choice.

- What do you mean,
you had no choice?

- Dad took out a second
mortgage on the house
without telling Mom.

I came home, she's screaming,
packing up all his stuff.

So I had to get you out
of the house for the weekend.

- When we got back,
she was fine.

- And Dad was "on the road"
for a month.

- Yeah, but he was a management
consultant!

He always travelled for--

That one wasn't for work.

- She threw him out
and he wormed his way back in.

Again.

- What else am I
remembering wrong?

I'm sorry that you had
to build those walls, June.

- I have enough bad memories,
you know.

I just wanted you to have
good ones.

- Well, you're off the hook.

It's time for Dad's
night meds.

- You should change his
mattress.

Gel or foam will help
the bedsores.

- Isn't that kind of helpful
advice against the rules?

- I'm giving you advice,
not him.

And trusting you not to tell me
whether or not you take it.

- Thanks, Junie.

- Yeah.

- Is that your secret identity?

- Yeah I keep the cape
in the bag.

You know, in case I see a cat
in a tree on my way home.

- So, Marnie's
in respirology now

with a much less
accommodating doctor.

Justin's gonna spend the night
with her since I took the day.

So?

Wow, you're really going
to make me ask you, huh?

- Ask what?

- If you wanna come home
with me.

To be clear, if you wanna have
sex with me.

- Yeah. Um...

What about your husband?
- Ex-husband.

Though I'm sure he'd be
delighted if you felt compelled

to ask him for his blessing.

- I'm your daughter's doctor.
- Ex-doctor.

What else you got?

- I thought you hated me.
- Don't overthink it.

- I'm sorry. I know this isn't
what you wanted to hear.

- There must be something
you can do!

- There isn't.

It's okay, babe.
- No!

We'll make dialysis work
until you get a kidney.

I'll find us a place to live,
get a part-time job.

- I'll go to one of the group
homes if the social worker's
still around.

- I can reach out
if you think you're ready.

- Mal, you don't want that!
- Ruby, it's better this way.

I'm not dragging you down
with me.

- Stop this foolishness,
both of you.

- He'll come and live
with us.

He can stay in our guest room.

I'll make sure he gets
to dialysis.

- No, Ms. Evans,
I couldn't do that.

- You deserve a fair chance
to fight this off.

I'm not taking no for
an answer.

If I can't convince you,
I know Ruby can.

- You don't know how much this
means to me.

- We'll find a way to get
through.

- It's a good thing
you're doing.

- What choice did I have?

Turn my back and lose
my daughter?

I don't like this thing
between them.

But I can't stop it.

All I can do now
is let it happen.

Subtitling: difuze