Original subtitles

surgeon back home. ow were a trauma

What do you say to specializing in that here?

I'm not sure that's even an option.

You deserve to be here.

All you have to do is accept it.

Plans are underway to build a permanent Trauma OR.

- Congratulations, Jed. - I resigned this morning.

Today is my last day.

I'm switching residencies.

I know what Bishop meant to you.

It's actually not about him, it's about me.

You're telling me that Marcus had a stepdaughter

that I've never heard of. How is that possible?

I just told my father's 17-year-old stepdaughter

that she could come live with me. So...

I know of an organization that matches specialists

with communities up north, and flies them up there,

and they're always looking for doctors.

Tonight, with Amira, that's how I remember you.

I mean, I know I'm busy working, but...

All you do is survive.

What else is in your life?

Hi.

Please wait until your number is called.

Is it true we have to take a test?

I do.

But only if we qualify, which we'll find out today.

Are you nervous?

I'm excited.

You should be too, habibti.

If we becoming citizens, you can vote and get a passport.

You could even run for office one day.

Is she okay?

Thank you for your patience...

Bashir, what's wrong with her?

They're working on power lines

and our network keeps crashing.

Careful, ma'am.

We need to try and stop the bleeding.

- Stop! - He's not even breathing.

- Don't touch him. - I know CPR.

Then you know the first thing to do is look and listen.

- I called it in. - That's a live power line.

It could be carrying a current.

His chest is moving. It's shallow, but he's breathing.

And his heart is still pumping based on the way his blood

is pooling, so we have time. - You're a doctor.

Paramedics are coming.

Best thing we can do until we have all the facts

is absolutely nothing.

Uh, excuse me, ma'am, I noticed you're having difficulty breathing.

I was wondering if you needed any help. I'm a doctor.

I take medication for high blood pressure.

Okay. Are you having any pain in your chest?

- Yes. - Why don't you drink this

and I can check your pulse? I'm Bashir.

- I'm Rose. - Hey, Rose.

How long have you been waiting? - Hmm! All morning.

I'm supposed to take my citizenship test.

Uh, my sister and I are just starting the process.

We came here from Syria. - Jamaica.

But I came in 1993.

Why did it take you so long to apply?

Uh... I'm sorry, that's none of my business.

I raised a family here, I'm totally assimilated.

But being in this room...

Reminds you that you aren't.

Mm.

There was nothing you could've done to save his life.

- Everyone says that. - I mean it.

I'm a psychiatrist, but I'm also an MD.

His neck broke on impact. There was no fixing that.

Uh, my therapist in Sudbury

thinks I'm ready to see patients again.

Well, you're not running from what happened.

A good sign. Coming back is the right call,

as long as you're vigilant. - Vigilant?

I mean, I'm...

I'm doing everything I can to process what happened.

A man died.

And you spent nine days alone in the woods.

It'll take longer than a month to work through that.

So if you find yourself needing help, speak up.

Ah, what a mess.

His blood vessels are a pretty abstract arrangement.

You good? - I can figure it out.

Retracting the mesenteric portal vein.

Easy does it. Watch the ducts.

Good. Now start dissecting.

With technique like that, Ajay should be begging you

to stay on as Chief Resident.

Well, I mean one term is standard.

I guess he just figured someone else was up.

Lost interest, you mean.

I will too, if you don't apply for my GI fellowship spot.

Is that even open to fourth years?

If they deserve it.

Okay, let's close.

Internal cardiac defibrillator.

Test model versus grapefruit. 80 joules.

Holy!

Mags?

Do we need to get you a med student

to help organize this...

What are you doing? - I'm comparing the ICD device

we're studying to the ones already on the market.

Ours delivers a more consistent shock

while leaving a smaller physical footprint,

but the leads are prone to shifting--

We're not adding a citrus column to our study data.

And that would be "no" to the med student.

I have my own system.

Uh-huh.

- Is she okay? - Yeah, she'll be fine.

That's it?

You're not even gonna tell me what's wrong with her?

It wasn't her heart, she's just afraid.

Of what?

Dr. Curtis?

Did your security company reach you?

Apparently, your alarm went off.

No, but I think I know who the intruder is.

- Everything okay? - Yeah.

Okay. Do you mind?

Um, Mr. Lee here presented with nausea

and a fever after feeling ill at work.

Meaning I threw up during the sales presentation

I flew into town to make. Some business trip...

Do you still have your appendix, Mr. Lee?

I thought that too, but there was no guarding when I pressed on the right.

- Ah! - Mm.

Don't forget Rovsing's sign.

Sometimes, when you press on the left and the appendix reveals itself--

Referred pain. So imaging to confirm and call up to OR?

You know what, they're wall to wall right now,

so what if you see how long the wait is and get back to me?

Thank you.

Bash? Action out front.

Some kind of accident down the street.

Excuse me.

Alexander Gordon, 42 years old,

electrocuted on a power line.

BP 80 over 60, rate's 130. GCS 10.

His 02 Sats are 80 %. He's tachy, and his temp's way up.

Hyperthermia is common with electrical burns.

No evidence of surface burns,

I did a quick neurological exam, but he'll need CT.

His femur's shattered and I don't know for sure,

but I think there's fluid in his belly.

I'll call ortho for the femur

and tell Dr. Novak we need Trauma OR.

Dr. Devi, are you okay?

People don't fall from the sky every day.

I'll meet you in there.

C-arm's in position. Everyone, hands off.

We'll need 2 large bore IVs.

Activate MTP and prep one gram TXA.

Sats are falling!

- 32 French, Claire, hemopneumo. - Where am I?

You're at York Memorial Hospital, Alex. Try not to move.

- Pack with fresh gauze. - Why does it hurt to breathe?

Probably for a lot of reasons. At a minimum, it's because your lung is collapsed.

We're going to put in something called a chest tube.

How are you doing, Alex?

It hurts! Why does it hurt so bad?

10mg morphine.

We're going to give you something for the pain, Alex,

try to remain as still as possible.

Waiting on film and putting in a chest tube, boss.

Your call in Trauma OR, Dr. Novak.

Image is up.

That explains the fluid in his abdomen.

Looks like his pancreas is melting.

The current needed somewhere to land.

It has to come out here. Now.

Any less invasive options to consider before major surgery?

Not if we want to avoid the infection due to dead tissue.

Well, let's get him prepped. Dr. Hamed, you're gonna assist.

Claire, see if Ortiz from General's available,

or if he knows anybody good who is.

You've resected a pancreas before?

We'll walk him through it.

Okay, you got your hands full, Claire.

I will page Ortiz.

Alex, the electrical current

caused severe damage to your pancreas.

We need to take it out right now, okay?

No, no, no! I need Callum, where's Callum?

If we don't do this right now, you're going to die.

Do you und... - He's seizing!

Hypocalcaemia from the pancreatic injury can cause seizures.

I have to intubate. Dr. Novak, this can't wait.

Okay, let's get Ativan and calcium to calm the seizure.

Let's go!

Yeah, I apologize, it was a mistake.

It's just that my... new roommate

forgot her alarm codes.

So, yeah, you know, it's fine.

Just, uh, send me the bill.

Does Shay know you're calling her your roommate?

Well, it's that or father-stepdaughter, so...

What about "sister"?

So that's going well.

You know she's in university, right?

- Mm-hmm. - I mean, by then,

I'd been alone for years.

I feel like she should be fully formed.

Why do I think you were born fully formed?

- You miss the action down here? - Yeah, sometimes.

But in cardiology, when I learn a patient's name,

I actually get to use it again.

That's right! You know, I keep forgetting.

Not everyone prefers their patients unconscious.

Nope.

Talk about a life-changing shock.

Hm?

Pancreas guy. You removed the whole thing?

- Yeah, had to. - Crazy.

- There he is. Hey! - No welcome back banner?

Nice to see your face, Habibi.

Theo! Oh my God!

- Oh! Hey, June. - Hey.

Alright, fire away.

I promise after three weeks with my parents

and my children taking care of me,

I can answer all of your questions.

Okay, so the hair and the beard, is that really a good idea?

Rhoda?

Can I get a word? - Oh, yeah, sure.

Anyone know her story?

I'm not an emerg doc anymore, you know.

She's not even my chief, why should I know, you know?

Her residency was in hospital medicine.

But her last job was in Portland, where she worked for the state,

overhauling patient records... She has a PhD in public health,

strong policy background. And most of her publishing

has been on patient-led approaches to care.

Bishop was here 30 years and she's never even run an ED?

I think that's the point. 30 years of the same system.

My guess is they're trying to think more progressive.

All I know is that I was gone a month

and the world is upside down.

New boss, Mags left the emerg

and Bash, is it true you're leaving to become a surgeon?

Uh, I'd be doing a dual residency, half in emerg,

half in Trauma OR with Dr. Novak.

Yeah, about that, are they making you start

in surgery as a first year? - Well, they better not.

He was a trauma surgeon before he came here

and he's more than proved himself.

Hey, Rhoda, do you have a 20 on Faye Conrad?

She's the patient from our study

whose ICD went off and triage paged me down.

Oh yeah, waiting in Exam Four.

And Bash? Recovery's asking for you.

Pancreas guy woke up and the nurses are saying

that he doesn't "feel" like himself.

Welcome back, Theo.

Good to be back.

Hey, did it work out at immigration?

That was today, right?

Yeah, they'll uh, they'll let us know if we qualify.

And the surgery thing, I wasn't, you know...

Like, I don't even know if that's how you feel.

Seems like you usually have a pretty clear idea.

Well, sometimes. And other times,

you're like a brick wall, and I never know which version to expect.

Once you figure it out, let me know.

Mr. Gordon, how are you feeling?

Like a person who can't get enough air.

Uh, your lung re-collapsed during surgery.

Oh...

Are you the doctor who operated?

One of them.

Then you should know, you made it worse by removing our pancreas.

Your lung was injured during the fall.

It wasn't affected by the surgery.

We're easing you onto medication that will supplement

the pancreatic function you lost when we removed the organ.

Which he didn't want you to do.

Alex, the nurses tell me

you're not feeling like yourself?

Are you feeling confused?

Uh, you had a seizure, that could be a common side-effect.

I'm not confused and I'm not Alex.

- You're not. - I'm Callum.

Callum, that's who you were asking for before the surgery.

No, that's who Alex was asking for.

You should've waited for me to get here before removing

an organ we both now have to live without.

Thanks for doing this, Claire.

I'll send you a bill.

As an American, the fact that you can't is still wild to me.

Hey, if I was a civilian, not the chief,

how long do you think I would've waited?

Today?

Uh, five hours maybe.

That's hard to estimate. - Claire? Uh, Mr. Lee?

Upstairs is full, and uh, Novak wants you in Trauma OR.

Alright, thank you.

You manage the nurses, assist in trauma OR,

and still have time to see your own patients?

When I qualified as a nurse practitioner,

I was encouraged to carve out my own role.

I just wanna make sure we're not spreading you too thin.

One minute I'm browsing frying pans,

the next I'm on the floor looking up at a store manager

who's convinced I'm dead, poor thing.

Well, poor you too. What does 80 joules feel like?

Like getting kicked by a horse from the inside.

Well, according to your remote monitoring,

the device read an unstable rhythm

and sent a shock to correct it. How do you feel now?

Honestly, relieved.

When my doctor first told me I had this heart condition,

he made it seem like I could drop dead any second.

Well, left ventricle failure is a daunting diagnosis, Faye.

One that took ten years to get.

It wasn't until he referred me to Dr. Fisher's study

that I finally felt some sense of hope.

And now... this thing saved my life.

And with that privilege, you get to answer

a slew of questions for me.

Starting with: were there any warning signs

before the device went off? - Um, maybe a slight headache.

- Okay. - And this morning,

I felt a bit dizzy and faint, but no more than usual.

Okay, do you normally feel dizzy and faint?

On and off for the last few weeks.

I thought it was my body getting used to the ICD.

Why didn't you call or come in?

You know how it is, by the time you actually see someone,

you feel better and you've lost six hours of your life

and annoyed the doctors.

Faye, you have a direct line to us now.

The whole point of being in the study is so we can track

your reaction to the device. - Sorry.

After ten years of being told to go away,

I guess I have a bit of unlearning to do.

Well, you better start now, because I'm sending you up

for labs to make sure everything's okay.

I slept late and you put the alarm on when you left.

When I opened the door, it went off

and I couldn't find my code or my phone!

- So you just decided to bail? - I panicked!

I thought you could just turn it off remotely or something.

Shay, I was in surgery. I'm not just lounging around here

waiting to fix your mistakes. - Sorry, okay?

Don't you have friends at school, phones,

you're always on your phone! - I didn't see my friends

'cause I didn't exactly get to school.

- I'm sorry, what? - I was studying for this exam

last night, then I realized what's the point to get a career

coding apps for corporations destroying the climate

so I can afford a betta fish and a studio apartment?

- You're dropping out? - No, no!

I don't know! I'm just upset today

and I'm trying to explain to you why I screwed up with the alarm.

Look, if this living arrangement thing

is gonna work, you're gonna have to put

all that aside for long enough to learn an alarm code.

Easy for you to say, your life's already under control.

Mine's chaos.

What is that?

I als... I also forgot my keys.

So I tried to get the window open to get back inside,

but then, it broke-- - Seriously?!

I know, it was stupid.

Unbelievable.

No, don't do that.

Okay look, it's fine. It's fine. You're...

Gonna have a nurse redress that, properly.

Then you can meet me at home.

We have to go downstairs. - Mm.

Jackson Tate. 20.

BP is 140 over 110, saturation is 90% and falling.

Airway obstruction. We tried to tube him,

but whatever he ingested got in the way.

What the hell is that?

Jackson, can you squeeze my hand? It's okay, it's okay.

O2's down to 82. He's cyanotic and hypoxic.

I'll page RT.

Every second gets us closer to brain damage, alright?

We tube him now. - Unsedated?

Dr. Hunter! - Let's get him up.

I need an intubation kit and three "medas".

Alright, good. Let's get this down all the way.

Jackson? Jackson. Look at me.

I'm gonna put a tube in your throat.

To help you breathe, okay?

It will hurt, but it will be fast.

Okay.

Theo, we're hurting him.

I'm almost in.

I'm in!

Guess some adrenaline kicked in.

Uh, let's get him sedated and on a vent.

Try to figure out what he swallowed.

Your uh, your lung keeps collapsing.

The pancrectomy was more urgent,

but you need an intervention called--

VATS pleurodesis. I heard the nurses. No.

No more surgeries.

Alex, you have to understand...

- Callum. - Sorry.

Callum, you're straining to breathe.

If we don't do this now, it's only going to get worse.

You see? He won't hear me.

Callum, we weren't aware of you at first,

we were working with the part of you that goes by Alex.

Now you were both in danger and Dr. Hamed acted

on the best information he had at the time.

And now, I want him to stop.

Callum, without surgery, you won't be able to breath

on your own, we'll have to intubate you

and ventilate you-- - Stop threatening me!

Dissociative identity disorder is forged by trauma.

Alex had a tough fight with leukemia as a kid.

Out of the system since 2010.

Now people who heal from DID work in co-operation with their parts,

like an internal family. He likely has a number of parts

and what happened today caused someone else to front.

Meaning, re-fracture?

That must be terrifying. Will Alex come back?

Maybe. Eh, it's impossible to know.

But if Callum can't breath, why won't he let me help him?

Although Alex may have been building a functional life,

triggers can send patients back to the bottom of the pyramid.

Maslow's hierarchy.

And Callum's role is just basic survival.

Protecting the family from the trauma.

It's all he'll allow himself to want.

Callum's a bit like...

any loved one advocating for a patient

who thinks we aren't hearing him.

The system takes a while to get used to you.

Speaking of interesting puzzles,

Mark Novak wants you skipping two years of training,

but the surgeons upstairs want you at square one.

Where are you with all this?

'Cause I know you've already started over once.

I'm just grateful for the opportunity.

Well, Callum Gordon is telling us exactly what he wants.

I say we listen. - No, but refusing the surgery

means risking his life, is he capable of making that decision?

Dr. Mitchell seems to think so.

So you want me doing nothing,

even though we know how to help him.

Callum is here to protect Alex,

and you are the enemy who re-traumatized him.

I did what I had to do to save his life.

Callum's... Alex's... You were there!

Yes! And I've been watching

and you are a "lose-the-limb-to-save-the-life" kind of doctor.

Our patient is alive because of that.

But at the cost of not trusting you.

If he's telling us that, we're gonna respect it.

Some day trip, the guy didn't even bring a change of clothes.

Metz.

Okay, I've divided the obliques,

can I get a retractor, please, Claire?

Entering the peritoneum...

Bowel's clear.

You're having some trouble with exposure.

Maybe the appendix is retroperitoneal?

Not a test, Dr. Curtis.

No, I found it, I'm just trying to bring it out.

- Mm-hmm. - End tidal's good,

hemodynamics stable. How much longer?

I think we need about 20.

- Is that good for you, Dr...? - Svensson.

I need some labs. My eyes are on the monitor.

Alright, I'm just about ready to ligate.

Stapler.

Dr. Curtis?

Look.

- Uh, he's awake? - What?

That's not possible.

Is he feeling everything I'm doing?

Everyone, just stay calm. June, especially you.

Svensson? - On it.

It's okay, Alvin.

It's gonna be fine. - No. No, no. We have to stop.

No, the last thing he needs is for us to start over.

Svensson, get him under. Deep under.

Claire, we need dedicated eyes on him until we close.

June?

Will you need me to take over?

No, I'm fine, just...

Let me know when we're ready to go back in.

Okay.

"Pericarditis" made my heart stop?

It means inflammation of the sac that surrounds your heart.

That's never happened to me before.

What causes it? - Sometimes infection,

sometimes an autoimmune disorder.

And your bloodwork is showing a positive ANA marker,

which points to the latter. - I have a heart condition

and an autoimmune disorder? - Well, that's the thing.

It looks like your heart condition was actually

just a side effect of your autoimmune disorder.

Why has nobody caught this before?

Because you had such a wide array of symptoms.

I mean, these things can take years to get narrowed down

and yours still isn't. - What Dr. Leblanc is saying

is you have the marker, but you'll need a whole new

testing regimen to isolate what's actually wrong.

Can we start that now? What does this mean for me?

Unfortunately, Faye, what we've learned disqualifies you from our study.

We have to refer you to a rheumatologist

to find a diagnosis-- - No! I had a diagnosis!

I know this is so frustrating,

but the parameters of our study are limited to heart condition.

You'll keep the ICD.

We'll report any remote monitoring

to your rheumatologist or your family doctor.

Do you know what he said when you signed me on?

That he was relieved,

because he didn't know what else to do with me.

Like I was some piece of paper he didn't know where to file.

Is there anything you can do for me?

I'm so sorry, Faye.

Care to explain why you asked me

to schedule a surgery your patient's refusing?

I just thought if he heard it coming from you...

Oh.

What, he still won't agree?

Even though he's on the road to cyanosis.

And not a fan of yours or any procedure you've recommended.

Then there's the fact that all of this stems from Trauma OR.

Dr. Curtis is well aware of my feelings on the topic,

aren't you, June? - Oh, yeah.

"Messes downstairs for surgery to clean up."

Like an appendectomy patient waking up on the table?

We re-sedated and we closed.

Anyways, this is an "us" problem, not a "you" problem.

You better put distance between yourself

and that circus while trying to land a specialization.

Dr. Singh...

If I ask psych to reconsider a hold, would you sign off?

You really want to fight that and force this guy into surgery?

I don't want to fight, but we have to do something.

And a man looking to re-invent himself as a surgeon

should be coming to me with solutions,

not creating more problems.

With me, June!

Oh, June.

It means walk apace.

That was a complete mess before.

It happens 1 in every 600 times in the OR.

In the OR, we have workflow and consistency! Okay?

Here, it's like every time there's a new anesthesiologist or radiology tech,

we have no procedures in place. - It's early days.

We're working out the kinks.

Every time, there's a "kink",

my reputation with my surgical bosses takes a hit.

Oh! Yeah, you care about that!

Whatever. Are you going to tell him?

You know, the patient who woke up to us slicing through his organs.

No, we both are.

Our new boss wants us to listen to him

"process the experience," whatever that means.

Hence, with me, June.

Dr. Novak, code blue. Dr. Novak...

Actually, with me later, June!

Talk to me. - Faye Conrad!

She was being monitored for pericarditis.

She was fine, then she stopped breathing.

Push one mg Epi.

- How long? - Two minutes!

What's going on here?

Massive pericardial effusion and no activity on the monitor.

- Pressure's 70 over 30! - Cardiac tamponade.

There isn't enough time to drain her. She needs a thoracotomy.

You wanna crack her? You gotta back that up.

Faster access, faster drainage.

She'll bleed out if we don't.

Call RT for intubation and let's find out whose patient this is.

O-neg! Four more units, Rhoda! - On it.

What is this?!

Welcome to the party, Dr. Leblanc.

Making an incision through the pericardium from apex to base,

medial to the phrenic nerve. - Your patient was in tamponade!

Pericardial effusion. - Her ICD kicked in,

but there was too much fluid for it to do its job properly.

Did you even try draining first?!

We were too busy trying to save her life.

She's arresting!

Starting cardiac massage!

Pressure's not coming up!

Can I get a light, Rhoda?

Suction.

You're gonna let us in on your thinking?

You shifted one of the ledes when you opened her.

It's piercing a ventrical wall.

Can you reach the perforation?

It's a single wound, I think.

Plugging it with my finger.

Don't stop compressions!

Pressure's coming up. Quick thinking, Dr. Leblanc.

Rhoda. - We're gonna need

a proper cardiac surgeon to patch the hole in the ventricle.

- Mags... - What the hell, Bash!

I acted on instinct! I was trying to save her life!

Without even thinking about the risks,

and now, you have her heart in your hands!

You two, don't move. Let's get her prepped to go upstairs.

I don't know how long I was awake,

I just... I couldn't talk, or move.

That's the paralytic that we give you to make sure

that you don't accidentally shift when we're operating.

At first, it felt like pressure,

but then it was searing pain.

Like... Like being on fire.

Unfortunately, sir, you had a non-standard response

to a standard anesthesia dosage.

Hold on, Mark... We're here to listen to Mr. Lee.

I tried to... say something.

Tell you to stop, but I... couldn't.

I had to lay there, trapped...

feeling every cut until one of you noticed.

Hi, Faye.

How are you feeling?

They told me you saved my life.

The cardiac surgeon said the repair went well.

But you still don't know what's really wrong with me?

No, not yet. No.

You know I'm a teacher, right?

Yeah. Yeah, uh, eight-grade English.

In our unit on mythology, we do Prometheus.

Sentenced to have his liver pecked out each day

by an eagle. - Faye, don't--

He must've prayed for death.

You don't know what it's like

to be the person people give up on.

Actually, I do, though.

I've been right where you are, as a patient, with my own heart.

That's why I turned my whole career upside down

to do this kind of work. So I know.

How can you say that when you're giving up on me?!

You said you'd be there for me.

I guess that was never real.

No more retro challenges, guys.

It was pretty scary, but I made it.

Jackson, you unhooked the pulse ox

and took your oxygen off yourself?!

Just needed a better angle.

Your throat suffered a trauma,

and we're still monitoring your oxygen.

Guys, say hi to the doctor who just pulled

a full pack of slime from my throat.

Hey! - This is why this happened?

You were eating slime for likes? You could've died!

I know! I'm trying not to think about it! Okay?

By putting yourself at risk for the validation of strangers?

I took the pulse thing off for a second.

And they're not strangers! Even if it is stupid, they care!

Hey. Is everything okay in here?

Just... keep this on,

so we know you're circulating oxygen.

And no more filming.

Hospital policy.

I... I was calm during the conscious intubation.

Just something about seeing him remove his monitoring

to post some video, it just sort of set me off.

I get it. Just the word "influencer"

is enough to enrage me.

Thank you for sitting down with our psychiatrist.

Most doctors are piss poor at self-care.

Clearly, I can't afford to be.

Let me know if you need anything else.

- Yes, yeah. - Great.

- Salam, Bashir. - Salam, Saleh.

Okay, so things are still quiet?

Yeah, things are still quiet.

Almost no bombings or fighting in months.

I mean... no.

I might be able to travel again soon, so I thought...

Home?

Bashir, I was kidding.

Even with the ceasefire, they can still arrest you.

I know. I guess I just liked

the idea of letting my mind wander...

I'll call you later, khouya.

Hey. You wanted to know about Callum Gordon.

He's still refusing surgery,

but the intensivist says that they can't wait much longer.

So they're going to intubate him?

When he loses consciousness, they will.

Sounds like maybe... 20 minutes?

- Okay, thank you. - Mm-hmm.

Hey, look...

You were right earlier when you said I didn't hear you.

Okay, I wasn't listening,

so you came out to protect Alex

and I understand why you did that, because...

Look, there's a part of me too that...

There's a part of me too

that all it knows is how to survive.

Okay, I'm trying to move pass that, but sometimes...

I can't.

I meant to save Alex, but I hurt him.

I tried to go around you to get to him.

And that was wrong.

But if you let me try,

I promise I'll do everything I can to help you protect him.

Do I have time to check with everybody else?

Take all the time you need.

We can't disqualify Faye Conrad.

Mags, we talked about this.

The autoimmune disorder rules her out.

If she came to us now, yes. But she was undiagnosed before,

and our ethics board approval

says anything that develops during the course

of our study has to be included.

Meaning side effects from the device,

not pre-existing conditions.

You're asking me to keep her on a technicality?

No, I'm asking you to admit this is a moral grey area

and that this woman needs us.

Fine.

Is this going to be a problem?

This desire you have to go all in?

I just want what's best for the patients.

And I don't like being backed into a corner.

New intakes on your desk, all need comprehensive histories.

On it.

Hey.

- Hey. - Tough first day back?

I mean, the new chief let me off the hook

for losing it on a patient because I'm a victim.

Theo, you did almost die.

I just walked...

...through the woods. Nine days. That's it.

There was no animals to fight-off, no...

no rock faces to climb, I just...

Worst part was the cold at night.

Walked until my phone found a signal.

What if I just... I don't...

know how to feel anymore.

I'm modifying a protocol guide from another Trauma OR.

Oh yeah? Are you being proactive for Dr. Devi?

Prostrating us like that was ridiculous.

I mean, I don't envy our new boss.

She's only here because the hospital has to pay

lip service to progress.

What do you want, June? - What do you mean?

- What's next for you? - Well, I keep saying

that I'm in a "one more year" residency,

but really, I'm just ignoring the fact that I do have

to pick a specialty, so I think I'm just gonna go with Roche.

Man, they really did a number on you.

You've forgotten what it's like to be on the surgical floor?

Walking on eggshells around egos,

eating it day in day out until you're one giant callous.

Yeah, pretty much.

You know, if you're looking for a mentor, that is not me.

But if you want a place a little less malignant,

why not Trauma OR?

Like as a specialization?

We're one of only a handful of Trauma ORs

in all of North America. You'll be getting in on the ground floor.

It's not gonna be a sterile pristine fellowship or anything,

but I watched you muscle through a pretty rough situation today.

I don't know,

I thought maybe you'd be down for some chaos.

Hmm.

Maybe I am.

Wow.

Biting on the hard sell.

Alright. Why don't you look over these protocols,

while I figure out if I can actually offer you the job?

Oh, Devi's gonna want to see them by tomorrow.

- Thought you were off! - No. The overnight RN manager

called in sick, so round two. - Oh!

- What are those? - Patient satisfaction survey.

Dr. Devi wants us handing them out at every discharge.

Oh, and you told her that that would place a time-consuming burden

on nurses beyond our contractual duties. Right?

Sounds like a job for the RN manager.

See you tomorrow, Claire. - See you.

Come in, Dr. Hamed. Um... Find a place to...

Here, let me.

Oh no, that's okay.

Callum Gordon agreed to surgery.

And I hear that's because of you.

I don't tend to give up.

I know you and my predecessor were close.

Dr. Bishop is the reason I'm a doctor here.

You know, I grew up with "grateful for the opportunity".

My parents came to California from the Fiji Islands

where my mother was an engineer which was very unusual

for women in those days, and she'd say the exact same thing,

even though it was soul-sucking,

just re-proving the skills she already had.

I know you want to be a trauma surgeon again.

I am... a trauma surgeon.

Everything changed when I came here

and I'm just trying to reclaim some of it.

Trauma OR's a place for bold action,

and that is a skill you clearly have.

But taking time to listen before you jump in,

that's where you have things to learn.

- Dr. Devi-- - I want us re-thinking

our entire approach to patient interaction,

and that means making some changes, and I'm...

I'm sorry, Bashir, but for you, that means

not training as a surgeon.

You know you can send these digitally now, right?

Where's the fun in that?

So?

There are some hoops to jump through still,

but... we qualify.

Oh my God, that's amazing, right?

- Yeah. - So are we like celebrating

on an actual date? Is that...

I feel like we should see the world outside of your apartment.

Because I need to be sure...

You know, a person could make a romantic assumption

about a movie ticket.

difuze