1 00:00:00,006 --> 00:00:02,011 As a Canadian citizen... 2 00:00:02,012 --> 00:00:03,812 I'm moving back home, okay? 3 00:00:03,813 --> 00:00:05,630 - I need a doctor - It's okay. I am a doctor. 4 00:00:05,631 --> 00:00:07,372 - No, get off me. - Ah! 5 00:00:07,373 --> 00:00:10,610 You know, I do feel things Mags, more that I want to. 6 00:00:10,611 --> 00:00:12,679 Remember that night the group of us went out? 7 00:00:12,680 --> 00:00:14,948 I was a first-year resident. You were a 4th... 8 00:00:14,949 --> 00:00:16,950 And you wound up in my place, you were married but 9 00:00:16,951 --> 00:00:18,284 was leaving what you really wanted? 10 00:00:18,285 --> 00:00:19,786 Every time we get somewhere, you reset. 11 00:00:19,787 --> 00:00:21,854 - Look, I'm trying. - You're hiding yourself again, 12 00:00:21,855 --> 00:00:23,623 which you know makes me need to chase you. 13 00:00:23,624 --> 00:00:25,091 Then don't! Just stop. 14 00:00:25,092 --> 00:00:28,640 What if I'm not capable of separating damaged from good. 15 00:00:28,641 --> 00:00:31,553 I've decided to go to Lebanon to a refugee camp 16 00:00:31,554 --> 00:00:33,626 - that needs doctors. - That's what we worked so hard 17 00:00:33,627 --> 00:00:35,629 - to get away from. - I know it is. 18 00:00:53,853 --> 00:00:55,989 - Hamed? - Yes. 19 00:00:55,990 --> 00:00:59,455 - Bash. Bashir. - Denise Garneau. 20 00:00:59,456 --> 00:01:02,434 We could've used you yesterday when you were supposed to be here. 21 00:01:02,435 --> 00:01:04,697 A GI bug ran through a cluster of families, 22 00:01:04,698 --> 00:01:06,666 and I've been on call every night. 23 00:01:06,667 --> 00:01:09,356 Are they okay? I'm sorry. My connecting flight got cancelled. 24 00:01:09,357 --> 00:01:11,738 It took us a while but we got them hydrated. 25 00:01:11,739 --> 00:01:13,906 - Munich or Frankfurt? - Frankfurt. 26 00:01:13,907 --> 00:01:16,943 Oh the gate chairs suck for sleeping there, 27 00:01:16,944 --> 00:01:19,545 you done a stint like this before? 28 00:01:19,546 --> 00:01:21,581 Where'd you say you were coming from? 29 00:01:21,582 --> 00:01:24,243 Toronto. And no, not exactly like this. 30 00:01:25,452 --> 00:01:27,620 Well, it's pretty straightforward. 31 00:01:27,621 --> 00:01:30,556 We have one medical tent, some staff, like me, stay put, 32 00:01:30,557 --> 00:01:32,959 others go between camps. 33 00:01:32,960 --> 00:01:36,863 The unofficial ones, which this is, have less resources. 34 00:01:36,864 --> 00:01:41,200 We have about 2500 displaced residents, give or take, 35 00:01:41,201 --> 00:01:45,004 mostly Syrian, some from other parts of the region. 36 00:01:45,005 --> 00:01:47,206 The government curbed registration 37 00:01:47,207 --> 00:01:49,502 meaning they can't access social services. 38 00:01:50,537 --> 00:01:54,914 We have two physicians, six nurses rotating in pairs. 39 00:01:54,915 --> 00:01:59,018 We see a lot of mental health issues, NCDs like diabetes, 40 00:01:59,019 --> 00:02:01,621 hypertension, family planning. 41 00:02:01,622 --> 00:02:03,723 You can stop me if you already know all this. 42 00:02:03,724 --> 00:02:04,958 No, no, this is good. 43 00:02:09,273 --> 00:02:11,331 Good you speak the language, 44 00:02:11,332 --> 00:02:13,171 though it's afternoon now. 45 00:02:15,182 --> 00:02:16,502 Toronto via where? 46 00:02:16,503 --> 00:02:19,372 Syria. Just over the border a few hours from here. 47 00:02:19,373 --> 00:02:21,809 Ah, that's a story I'd like to hear. 48 00:02:23,057 --> 00:02:24,758 Here's your tent. 49 00:02:24,759 --> 00:02:26,913 If there's something you need, we... 50 00:02:26,914 --> 00:02:28,515 probably don't have it. 51 00:02:30,258 --> 00:02:32,218 - Hamed, you with me? - Hmm? 52 00:02:34,321 --> 00:02:36,280 Yeah, it's just the uh... 53 00:02:36,281 --> 00:02:38,924 The travel it has a way of taking away your bearings. 54 00:02:39,194 --> 00:02:41,375 Hmm. Get some sleep. 55 00:02:42,096 --> 00:02:44,439 Come find me when you remember who you are. 56 00:03:25,506 --> 00:03:26,773 What's that? 57 00:03:26,774 --> 00:03:29,588 Ah. It reads data from my pacemaker. 58 00:03:29,589 --> 00:03:32,212 Cardiologists use them to keep logs of rhythms, and vitals 59 00:03:32,213 --> 00:03:35,193 and it's supposed to automatically upload to my tablet 60 00:03:35,194 --> 00:03:38,017 - but it's just... - Shouldn't that be going to your cardiologist? 61 00:03:38,018 --> 00:03:40,103 Yes, it will be, once I find one. 62 00:03:40,104 --> 00:03:42,697 - You still haven't? - Why do you look so nice? 63 00:03:42,698 --> 00:03:45,425 Oh, um, I have a meeting. 64 00:03:45,426 --> 00:03:47,093 Remember about a month ago, there was this... 65 00:03:47,094 --> 00:03:49,228 What do you mean, you can't sync?! 66 00:03:49,229 --> 00:03:52,296 - Woman who pushed me. - Like what do you mean? 67 00:04:26,987 --> 00:04:29,428 A little game on our way to our morning classes. 68 00:04:33,086 --> 00:04:34,187 Elie. 69 00:04:34,188 --> 00:04:35,388 Hamed Bashir. 70 00:04:36,183 --> 00:04:37,483 Salaam Aleikum 71 00:04:53,914 --> 00:04:55,561 Hi, Mr. Spurling? 72 00:04:55,562 --> 00:04:58,675 I'm a nurse calling from York Memorial emergency department. 73 00:04:58,676 --> 00:05:01,200 You registered yesterday with abdominal pain 74 00:05:01,201 --> 00:05:02,735 but left before seeing a doctor? 75 00:05:02,736 --> 00:05:04,779 Hey! When are we going to get helped? 76 00:05:05,539 --> 00:05:08,841 Yes, no, I'm aware the waits were very long... 77 00:05:08,842 --> 00:05:12,044 No, it's just as busy today. I'm trying to make sure 78 00:05:12,045 --> 00:05:14,447 that you're in a position to receive care elsewhere. 79 00:05:14,448 --> 00:05:16,115 Yeah, you were telling us that you... 80 00:05:16,116 --> 00:05:18,167 Yeah. Where are the labs for Mr. Rusinsky? 81 00:05:18,168 --> 00:05:20,219 Because what came up is urinalysis not chem 7... 82 00:05:20,220 --> 00:05:22,990 Okay, well I can give you the number for a walk-in clinic. 83 00:05:23,410 --> 00:05:25,458 Oh! Or you can hang up on me. 84 00:05:25,459 --> 00:05:27,193 Oh, sorry what? Wrong labs? 85 00:05:27,194 --> 00:05:29,262 - I have been here five minutes. - How is there an already 86 00:05:29,263 --> 00:05:30,997 "impossible to get to everything" pile of patients? 87 00:05:30,998 --> 00:05:33,032 Okay no, you do not get to be cranky yet, 88 00:05:33,033 --> 00:05:35,902 I have been trying to take a single bite of this protein bar for hours, 89 00:05:35,903 --> 00:05:38,861 - every time I go to unwrap it... - Does anybody actually work here? 90 00:05:39,673 --> 00:05:41,340 I know you've been waiting, sir. 91 00:05:41,341 --> 00:05:42,842 We have the results of your EKG 92 00:05:42,843 --> 00:05:44,877 but the doctor hasn't had a chance to look at them yet, 93 00:05:44,878 --> 00:05:47,337 - but I'll check again. - Okay, thanks but I think they need help. 94 00:05:47,338 --> 00:05:50,616 Right. Stomach pain lady, who's been in agony by the way, 95 00:05:50,617 --> 00:05:53,019 finally puked, and then this lady here tried to help 96 00:05:53,020 --> 00:05:54,654 clean up the mess but something's wrong with her knee 97 00:05:54,655 --> 00:05:56,389 - so she can't get up. - Hey, what's your name? 98 00:05:56,390 --> 00:05:58,357 Lenore Callahan. Audrey here is really burning up. 99 00:05:58,358 --> 00:05:59,959 Please, just call me a taxi. 100 00:05:59,960 --> 00:06:01,861 I'll be better off at home than here. 101 00:06:01,862 --> 00:06:03,963 Audrey, I'm sorry we can't let you go by yourself, 102 00:06:03,964 --> 00:06:07,400 but I will change your fluids and I will try calling your sister again. 103 00:06:07,401 --> 00:06:10,136 And Miss Callahan, you need to stay on your gurney, okay? 104 00:06:10,137 --> 00:06:11,837 Are you okay? 105 00:06:11,838 --> 00:06:14,140 Yeah, you don't need to worry about me. 106 00:06:14,141 --> 00:06:16,842 Um, I know the waits are long, 107 00:06:16,843 --> 00:06:20,046 but everybody has been triaged according to how acute 108 00:06:20,047 --> 00:06:22,615 their situation is and you will all get seen, 109 00:06:22,616 --> 00:06:24,816 we're just asking for some patience. 110 00:06:32,190 --> 00:06:34,460 So, feel more like yourself? 111 00:06:34,461 --> 00:06:35,691 Yeah. 112 00:06:36,943 --> 00:06:38,978 You been in a camp like this before? 113 00:06:38,979 --> 00:06:41,475 Yeah and practiced there. 114 00:06:41,476 --> 00:06:43,436 And in your Canadian hospital? 115 00:06:43,437 --> 00:06:47,038 Uh, emergency medicine and trauma surgery residence. 116 00:06:47,039 --> 00:06:49,290 - Right. - So why'd you come back? 117 00:06:51,445 --> 00:06:54,685 Um, I got a passport and I can travel again so, 118 00:06:54,686 --> 00:06:56,549 the timing seemed right. 119 00:06:56,550 --> 00:06:58,284 So you don't really know. 120 00:06:59,653 --> 00:07:02,221 Westerners come for all sorts of reasons. 121 00:07:02,222 --> 00:07:05,978 Adrenaline. Conviction. Curiosity. Being on the lam. 122 00:07:05,979 --> 00:07:08,028 Not sure I qualify as a westerner. 123 00:07:08,441 --> 00:07:10,953 - Hm. - And what about you? 124 00:07:10,954 --> 00:07:13,257 Neurology in Lyon and hated it. 125 00:07:13,258 --> 00:07:15,794 Got married to an internist and hated that too. 126 00:07:15,795 --> 00:07:19,398 Met someone in an airport five years ago who got me into this. 127 00:07:19,399 --> 00:07:21,273 And you've been doing it ever since? 128 00:07:21,274 --> 00:07:23,462 Well, it's easier when nothing ties you home. 129 00:07:25,898 --> 00:07:27,535 Don't forget to hydrate. 130 00:07:32,702 --> 00:07:35,901 So, I know that uh, coming forward wasn't easy. 131 00:07:35,902 --> 00:07:38,591 Did Doctor Devi explain why I wanted to... to sit with you? 132 00:07:38,592 --> 00:07:43,415 Yes, she said so that I would know the surgical department... 133 00:07:43,416 --> 00:07:46,351 - has my back. - As does hospital admin. 134 00:07:46,352 --> 00:07:49,215 We take prejudicial behaviour directed at our staff 135 00:07:49,216 --> 00:07:52,653 very seriously. The instigator has been suspended without pay. 136 00:07:52,654 --> 00:07:55,139 Uh, I mean I didn't mean for her to lose her job, 137 00:07:55,140 --> 00:07:57,410 I really just want to move on and put this behind me. 138 00:07:57,411 --> 00:07:59,612 Oh well, we didn't fire her but we told her very clearly 139 00:07:59,613 --> 00:08:01,580 that she will not be getting a second chance. 140 00:08:01,581 --> 00:08:03,389 - Okay. - June, 141 00:08:03,390 --> 00:08:05,752 you did not deserve to be treated that way. 142 00:08:07,287 --> 00:08:09,630 - Thank you. - Uh, sorry. I have to ask, 143 00:08:09,631 --> 00:08:14,837 are you, um, satisfied with the action that we have taken on this matter? 144 00:08:16,202 --> 00:08:19,777 I'm sorry are you asking me for like a star rating or...? 145 00:08:19,778 --> 00:08:21,031 Fair enough. 146 00:08:21,635 --> 00:08:25,867 So while we have you here, there is another piece of business. 147 00:08:25,868 --> 00:08:27,603 Mark, could you um... 148 00:08:27,604 --> 00:08:30,407 Yes! Well, in light of your recent work 149 00:08:30,408 --> 00:08:32,410 in this novel specialized residency, 150 00:08:32,411 --> 00:08:35,836 we have created a title, Acute Care Surgical Response Fellow. 151 00:08:35,837 --> 00:08:40,019 And it comes with a bursary 6,400 $ to be precise. 152 00:08:40,020 --> 00:08:42,608 - Uh, sorry. - I'm still a resident. 153 00:08:42,609 --> 00:08:45,324 - Just for a few more months. - We're jump-starting next steps. 154 00:08:45,325 --> 00:08:48,752 Let's just consider it an investment in keeping you on. 155 00:08:48,753 --> 00:08:49,991 Um... 156 00:08:51,712 --> 00:08:53,299 Ah, pelvic fracture. 157 00:08:53,300 --> 00:08:56,194 Just saved me tracking down the on-call orthopedic surgeon. 158 00:08:56,195 --> 00:08:57,491 With me, June. 159 00:09:01,027 --> 00:09:02,762 EMT says you fell off your roof? 160 00:09:02,763 --> 00:09:06,371 Trying to adjust my uh TV antenna to pick up the ballgame. 161 00:09:06,372 --> 00:09:09,324 You know the cable company could solve that problem for you, right? 162 00:09:09,325 --> 00:09:12,038 I'm just gonna lower your trousers a little bit here, okay? 163 00:09:12,872 --> 00:09:15,947 - June? - FAST shows an enlarged spleen. 164 00:09:15,948 --> 00:09:18,049 Let's get sharper eyes. 165 00:09:18,050 --> 00:09:21,594 - Get me up to speed, Mark. - Abdomen and pelvic pain, 166 00:09:21,595 --> 00:09:23,376 lower extremity numbness and tingling. 167 00:09:23,377 --> 00:09:26,266 Major ecchymosis visible. No hypovolemia, fluids at the scene. 168 00:09:26,267 --> 00:09:28,759 - What'd the neuro say? - Is Babinski up or down? 169 00:09:28,760 --> 00:09:29,991 June? 170 00:09:30,792 --> 00:09:34,006 Okay, open book fracture with retroperitoneal bleeding. 171 00:09:34,007 --> 00:09:35,407 External fixation? 172 00:09:35,408 --> 00:09:37,601 Was thinking open reduction with internal fixation, 173 00:09:37,602 --> 00:09:40,330 - am I set up? - I would want to fix that bleed first. 174 00:09:40,331 --> 00:09:41,564 Obviously. 175 00:09:41,565 --> 00:09:44,033 Uh, June can you rewrap that sling? 176 00:09:44,584 --> 00:09:46,841 Hi. Babinski's negative. 177 00:09:46,842 --> 00:09:49,368 Uh, but about the spleen, I do think it's a concern. 178 00:09:49,369 --> 00:09:51,957 One that's way down our list of priorities. 179 00:09:51,958 --> 00:09:53,859 I disagree, sir. 180 00:09:53,860 --> 00:09:56,061 - Okay. - Which has been noted, June. 181 00:09:56,062 --> 00:09:58,750 Well how about, you let us do our thing 182 00:09:58,751 --> 00:10:01,421 and we will have you ambulatory, uh, 183 00:10:01,422 --> 00:10:03,019 that means walking again faster. 184 00:10:03,020 --> 00:10:05,312 If that's okay with Dr. Curtis, of course? 185 00:10:06,354 --> 00:10:08,841 I yield to your obvious expertise. 186 00:10:08,842 --> 00:10:11,602 - Fantastic. - 5mg of midazolam please. 187 00:10:14,447 --> 00:10:17,883 I cross-checked results from 50 labs we sent out 188 00:10:17,884 --> 00:10:21,084 in the last few hours and 35 are wrong. 189 00:10:21,085 --> 00:10:24,089 - Wrong how? - Wrong test, wrong patient. 190 00:10:24,090 --> 00:10:27,359 Sometimes it's obvious who got whose but even then... 191 00:10:27,360 --> 00:10:29,361 So they all need to be redone? 192 00:10:29,362 --> 00:10:31,997 Claire, could you look after Mr. Maxwell? 193 00:10:31,998 --> 00:10:34,346 - He just got out of Trauma OR. - Notes are on the chart. 194 00:10:35,435 --> 00:10:38,904 Doctor Devi, you look different? 195 00:10:38,905 --> 00:10:42,528 I was at a concert when Claire called about this system glitch. 196 00:10:42,529 --> 00:10:45,553 Doctor Olsen, have you had any reports from other departments? 197 00:10:45,554 --> 00:10:47,923 No must be ED specific, 198 00:10:47,924 --> 00:10:50,861 you better hope that one of the tech guys answers the phone. 199 00:10:50,862 --> 00:10:52,497 Um, but before you call. 200 00:10:52,498 --> 00:10:53,968 Can you walk with me? 201 00:11:01,061 --> 00:11:03,996 Province is releasing data on ED waiting times 202 00:11:03,997 --> 00:11:06,797 and ours are... frankly embarrassing. 203 00:11:07,334 --> 00:11:09,935 One of the reasons we brought you in Neeta was to... 204 00:11:09,936 --> 00:11:12,195 help us with this exact issue. So... 205 00:11:12,196 --> 00:11:14,165 I'd like to see comps from other hospitals, 206 00:11:14,166 --> 00:11:16,701 - I bet they're similar. - And irrelevant. 207 00:11:16,702 --> 00:11:19,749 We are a level one trauma centre with a reputation to uphold, 208 00:11:19,750 --> 00:11:22,128 so I am going to need you to do better. 209 00:11:23,130 --> 00:11:27,534 There's a nationwide shortage of both funding and staff 210 00:11:27,535 --> 00:11:29,470 that's been 10 years in the making. 211 00:11:29,471 --> 00:11:32,640 So it's not the free healthcare utopia that you expected, is it? 212 00:11:33,126 --> 00:11:35,757 Well the one saving grace is Trauma OR, 213 00:11:35,758 --> 00:11:37,899 it's proving to be the cutting-edge tool 214 00:11:37,900 --> 00:11:40,842 that Jed Bishop said it would be so, Nice work Mark. 215 00:11:40,843 --> 00:11:42,778 - Thanks, Neil. - What concert? 216 00:11:42,779 --> 00:11:45,344 What? Oh, it's this punk band that I... 217 00:11:45,345 --> 00:11:46,996 Oh. Then I won't know them. 218 00:12:00,743 --> 00:12:02,108 Fever's high. 219 00:12:02,109 --> 00:12:03,722 What's your protocol on IV hydration? 220 00:12:03,723 --> 00:12:06,025 If they can drink, we try to conserve saline. 221 00:12:06,026 --> 00:12:07,493 I think it's chicken pox. 222 00:12:07,494 --> 00:12:10,129 Yeah, you see it from time to time. Have you had it? 223 00:12:10,130 --> 00:12:11,362 Mm-hmm. 224 00:12:11,363 --> 00:12:13,032 Basil? What happened? 225 00:12:16,983 --> 00:12:18,251 Okay. 226 00:12:19,493 --> 00:12:20,761 Put him here. 227 00:12:27,085 --> 00:12:28,953 Okay guys, we'll take it from here. 228 00:12:35,018 --> 00:12:36,322 Tourniquets? 229 00:12:36,323 --> 00:12:37,811 Trauma bag, behind you. 230 00:12:53,106 --> 00:12:54,326 Okay. 231 00:12:55,709 --> 00:12:57,666 - Get me the bone saw. - No, no, no, 232 00:12:57,667 --> 00:12:59,645 we can do a vascular shunt. 233 00:12:59,646 --> 00:13:02,214 - You have cannula? - No, we're not set up for that. 234 00:13:02,215 --> 00:13:03,615 It needs to come off. 235 00:13:03,616 --> 00:13:05,250 But, if we reconstruct the brachial artery, 236 00:13:05,251 --> 00:13:06,719 then we can save at least some function. 237 00:13:06,720 --> 00:13:07,987 And cause him to bleed out? 238 00:13:07,988 --> 00:13:09,855 We have three units of O-neg at best! 239 00:13:09,856 --> 00:13:11,290 So we'll cycle his back through. 240 00:13:11,291 --> 00:13:12,624 What about a sterile field? 241 00:13:12,625 --> 00:13:14,760 We sacrifice sterility for efficacy when necessary. 242 00:13:14,761 --> 00:13:16,395 But he would need one to one monitoring. 243 00:13:16,396 --> 00:13:18,063 We could save his arm! 244 00:13:18,064 --> 00:13:20,232 Maybe you forgot how it works in a camp. 245 00:13:20,233 --> 00:13:22,643 We need to save his life. Bone saw. 246 00:13:25,070 --> 00:13:27,205 My house, my call. 247 00:13:43,723 --> 00:13:45,524 Assistant teacher. 248 00:13:45,525 --> 00:13:49,695 But next week I start university to become a real one. In Beirut. 249 00:13:49,696 --> 00:13:51,678 You're leaving this place. 250 00:13:51,679 --> 00:13:53,748 - I'm Bashir. - Bayan. 251 00:13:54,700 --> 00:13:56,696 Do you have a medical question, Bayan? 252 00:13:56,697 --> 00:13:58,395 Yes, but not for me. 253 00:13:59,912 --> 00:14:01,141 Talia. 254 00:14:19,275 --> 00:14:22,647 I don't know, but she gets nauseous and dizzy a lot. 255 00:14:22,648 --> 00:14:26,267 And she can't walk five minutes without needing to sit down. 256 00:14:27,073 --> 00:14:29,432 I told her that I wanted to ask you questions 257 00:14:29,433 --> 00:14:31,282 about getting to Canada, 258 00:14:31,283 --> 00:14:33,384 so she's not suspicious that I'm worried. 259 00:14:33,385 --> 00:14:35,686 I thought maybe this way you could observe her? 260 00:14:35,687 --> 00:14:38,918 - I'd be happy to. - Give me one minute, please. 261 00:14:48,040 --> 00:14:50,543 - I came to see you. - I have your wedding gift. 262 00:15:05,018 --> 00:15:07,287 We were best friends at 16. 263 00:15:07,288 --> 00:15:11,706 You know, to go from that to lovers to everything else. 264 00:15:13,579 --> 00:15:17,627 Anyway, we just, we made plans so young. 265 00:15:17,628 --> 00:15:20,552 Lovers is not a word you should ever be using. 266 00:15:20,553 --> 00:15:22,721 What about you and Jonathan? 267 00:15:22,722 --> 00:15:24,256 Where did things go wrong there? 268 00:15:24,257 --> 00:15:26,325 Let's not talk about our ex-lovers. 269 00:15:26,326 --> 00:15:28,193 Oh, so you get to say. 270 00:15:28,194 --> 00:15:30,094 - I get to say whatever I want. - Hmm. 271 00:15:34,016 --> 00:15:36,935 Don't take it too close. I like it scruffy. 272 00:15:36,936 --> 00:15:39,399 Now would it be the worst thing in the world 273 00:15:39,400 --> 00:15:41,640 if I got back from work and you were still here? 274 00:15:42,075 --> 00:15:46,352 I-I know that when we started this up we said we'd just... 275 00:15:46,353 --> 00:15:48,880 But I... We should be more. 276 00:15:48,881 --> 00:15:50,983 - Theo - I'm serious. 277 00:15:50,984 --> 00:15:53,580 Theo, you're the first to admit you haven't exactly been 278 00:15:53,581 --> 00:15:55,578 making level choices recently. 279 00:15:55,579 --> 00:15:59,158 Yeah, but this is not what this is. 280 00:15:59,159 --> 00:16:01,093 And with you, there is clarity. 281 00:16:01,094 --> 00:16:05,597 Or you've had one 20-year relationship and then me. 282 00:16:05,598 --> 00:16:09,078 And you're more comfortable as a serial monogamist. 283 00:16:09,079 --> 00:16:10,858 Okay. 284 00:16:10,859 --> 00:16:13,806 Well, I will be back in the morning. 285 00:16:13,807 --> 00:16:16,175 And if you're here, then I'll know. 286 00:16:16,176 --> 00:16:19,135 And for the record, you do not get a say in my beard 287 00:16:19,136 --> 00:16:20,938 until I get an answer. 288 00:16:31,831 --> 00:16:33,531 - Antivirals. - Are those for us? 289 00:16:43,403 --> 00:16:45,934 She's uh, she's resigned to my convictions. 290 00:16:46,559 --> 00:16:48,814 Hey. Tell her that's the toll of knowing you. 291 00:17:00,953 --> 00:17:02,821 Maybe it's for the best, Saleh. 292 00:17:02,822 --> 00:17:05,137 - Starting over isn't easy. - I know that, 293 00:17:06,065 --> 00:17:07,523 - but... - Shoot. 294 00:17:14,823 --> 00:17:16,456 The teacher here. 295 00:17:16,457 --> 00:17:20,739 Um. I've been invited for a house call pretending to be tea. 296 00:17:20,740 --> 00:17:22,264 Want company? 297 00:17:22,265 --> 00:17:24,134 More like an accomplice. 298 00:17:29,816 --> 00:17:31,328 Turn around. Seriously. 299 00:17:31,329 --> 00:17:33,574 Run as fast as you can away from this place. 300 00:17:33,575 --> 00:17:36,688 Who are you and what have you done with Mags? 301 00:17:36,689 --> 00:17:39,689 - Hey! Hey! He just got here! - How come she's seeing him? 302 00:17:39,690 --> 00:17:42,305 - I'm a doctor, sir. - Oh, well then stop flirting 303 00:17:42,306 --> 00:17:44,562 and help me! If I can't get a break from my pain 304 00:17:44,563 --> 00:17:47,666 why should you? Hey. You said you'd get me something! 305 00:17:47,667 --> 00:17:51,817 - Hold on. Miss Porchnick? - Is there a Miss Porchnick here? 306 00:17:51,818 --> 00:17:54,612 It's malware, also called ransomware. 307 00:17:54,613 --> 00:17:57,409 Meaning they want money so we can access our system? 308 00:17:57,410 --> 00:17:59,811 - Who'd do that? - They said it's always cross-border. 309 00:17:59,812 --> 00:18:02,080 So, untraceable. It's a new epidemic. 310 00:18:02,081 --> 00:18:04,519 Now joke's on them, we clearly can't afford to pay. 311 00:18:04,520 --> 00:18:06,754 Yeah, IT says it started down here 312 00:18:06,755 --> 00:18:09,428 so they want to sever us off and contain the damage. 313 00:18:09,429 --> 00:18:11,698 Our entire department has a virus. 314 00:18:11,699 --> 00:18:13,525 Which means we revert to paper. 315 00:18:13,526 --> 00:18:16,161 Ugh. Flying blind with labs and imaging 316 00:18:16,162 --> 00:18:18,830 is only going to add to our already insane wait times. 317 00:18:18,831 --> 00:18:20,499 Can we just call in more staff? 318 00:18:20,500 --> 00:18:22,201 - For a last-minute night shift? - Good luck. 319 00:18:22,202 --> 00:18:23,969 On the bright side, fax still works. 320 00:18:23,970 --> 00:18:26,102 Did one of you call for a list of cardiologists 321 00:18:26,103 --> 00:18:28,407 accepting new patients at the big five? 322 00:18:28,408 --> 00:18:30,209 - Yeah. That's me. - Well, hopefully 323 00:18:30,210 --> 00:18:31,777 your patient is patient because each one of them 324 00:18:31,778 --> 00:18:33,278 has a six-month waiting list. 325 00:18:33,279 --> 00:18:36,886 Okay, she just called a lady who got here way after me! 326 00:18:36,887 --> 00:18:39,170 If y'all don't start getting your asses in gear, 327 00:18:39,171 --> 00:18:40,448 - I'm gonna... - Sir! 328 00:18:40,449 --> 00:18:43,218 I understand that you're frustrated but one more threat like that 329 00:18:43,219 --> 00:18:45,321 and you'll have to leave, understood? 330 00:18:45,322 --> 00:18:49,496 What you're gonna herd me like a common criminal? Fine! 331 00:18:55,788 --> 00:18:57,323 It's you, isn't it? 332 00:18:57,876 --> 00:19:00,011 The patient who needs a cardiologist? 333 00:19:00,012 --> 00:19:01,807 One of them is on mat leave. 334 00:19:01,808 --> 00:19:03,408 Two others are not taking any referrals. 335 00:19:03,409 --> 00:19:04,977 So what are you going to do? 336 00:19:04,978 --> 00:19:06,678 Handle it on my own apparently, 337 00:19:06,679 --> 00:19:08,914 because as evidenced by tonight, our entire system collapses 338 00:19:08,915 --> 00:19:10,649 if we don't put everything in our lives second. 339 00:19:10,650 --> 00:19:12,287 Well, hang in there? 340 00:19:12,288 --> 00:19:14,319 Sorry about the wait Miss Callahan. 341 00:19:14,320 --> 00:19:17,173 The sickest go first. If you think I should come back another day. 342 00:19:17,174 --> 00:19:20,631 You are here for arthritic knee pain, right? May I? 343 00:19:20,632 --> 00:19:22,945 I've been on the elective surgery list 18 months, 344 00:19:22,946 --> 00:19:24,448 only I fell and I twisted it, 345 00:19:24,449 --> 00:19:26,951 and the nurse on the hotline said to come in. 346 00:19:26,952 --> 00:19:29,406 - Okay, yeah. - It is pretty swollen. 347 00:19:29,407 --> 00:19:30,992 Were you alone when you fell? 348 00:19:30,993 --> 00:19:33,171 - Well, my husband was with me. - Okay. 349 00:19:33,172 --> 00:19:35,345 Is he here now? Because he may want to hear this. 350 00:19:35,346 --> 00:19:37,181 - He is. - Though not how you mean. 351 00:19:37,182 --> 00:19:39,678 I'm in a committed relationship with the Lord. 352 00:19:39,679 --> 00:19:43,313 - Ah, with the... Okay. - Open your mouth for me, please. 353 00:19:43,710 --> 00:19:45,412 Thank you. 354 00:19:45,413 --> 00:19:46,881 Thank you. 355 00:19:46,882 --> 00:19:49,724 I'm sure it sounds ridiculous to a woman of science, 356 00:19:49,725 --> 00:19:52,094 but it just means that I've chosen to centre my life 357 00:19:52,095 --> 00:19:54,564 - according to doing good works. - Yeah. Well I gotta tell you, 358 00:19:54,565 --> 00:19:56,667 the line for imaging is long and even if it wasn't, 359 00:19:56,668 --> 00:19:58,570 getting a radiologist to actually look 360 00:19:58,571 --> 00:20:00,507 at a non-acute X-ray during a night shift is... 361 00:20:00,508 --> 00:20:04,111 Not a priority. I see resource crunches every day in our church mission. 362 00:20:04,112 --> 00:20:06,527 Well, you are running a bit of a fever, which can happen 363 00:20:06,528 --> 00:20:08,197 when arthritic fluid gets infected. 364 00:20:08,198 --> 00:20:11,101 I'm just lightheaded. I guess I haven't eaten since I got here. 365 00:20:11,102 --> 00:20:13,004 Yeah... Not even from the vending machine? 366 00:20:13,005 --> 00:20:15,407 Oh, I was afraid I'd miss my turn and then, 367 00:20:15,408 --> 00:20:17,872 I'd just add to the chaos you're already dealing with, so. 368 00:20:20,402 --> 00:20:23,569 Yeah, I shouldn't have said that about no one reading your X-ray. 369 00:20:23,570 --> 00:20:25,993 If you are willing to wait a little bit longer, 370 00:20:25,994 --> 00:20:28,606 I will make it happen. And in the meantime, 371 00:20:28,607 --> 00:20:30,476 we will also get you something to eat. 372 00:20:30,477 --> 00:20:32,912 - Oh thanks, that's very kind. - Of course. 373 00:20:36,369 --> 00:20:39,422 - English please, doctor. - Auntie, my English is fine. 374 00:20:39,423 --> 00:20:41,609 Because we practice, practice, practice. 375 00:20:41,610 --> 00:20:44,242 She needs it for university. 376 00:20:44,243 --> 00:20:46,609 Do you still have family in Aleppo, Bashir? 377 00:20:46,610 --> 00:20:48,945 Only a brother from another mother. 378 00:20:48,946 --> 00:20:51,889 Um, my parents, they uh, 379 00:20:51,890 --> 00:20:54,499 they were doctors there before the war. 380 00:20:54,500 --> 00:20:56,767 I didn't realize you two lived together. 381 00:20:56,768 --> 00:20:59,337 My husband and I never had children. 382 00:21:00,393 --> 00:21:02,820 When he passed, the war was slowing 383 00:21:02,821 --> 00:21:05,484 and I thought I would go live with my sister in Douma, 384 00:21:05,485 --> 00:21:09,116 but then Bayan came and she needed to learn English. 385 00:21:09,117 --> 00:21:11,819 - You came alone? - How old were you? 386 00:21:11,820 --> 00:21:14,849 I was 10, and Talia took me in. 387 00:21:14,850 --> 00:21:17,909 We hoped to get an apartment in the city but, 388 00:21:17,910 --> 00:21:21,079 - the jobs don't pay enough. - And the children here need us! 389 00:21:21,080 --> 00:21:24,617 You're going to be a success story. No more living in tents. 390 00:21:28,259 --> 00:21:29,654 Are you parents? 391 00:21:29,655 --> 00:21:32,724 My wife and I are waiting 392 00:21:32,725 --> 00:21:35,325 until we can build a life somewhere else. 393 00:21:35,326 --> 00:21:36,827 And you? 394 00:21:36,828 --> 00:21:39,994 You built a new life but where's the family to show for it? 395 00:21:39,995 --> 00:21:41,772 My hands are full with my sister. 396 00:21:41,773 --> 00:21:43,765 Uh, does she like Toronto? 397 00:21:43,766 --> 00:21:47,351 In some ways, I think she feels more at home there than I do. 398 00:21:47,352 --> 00:21:49,655 Almost time for afternoon class. 399 00:21:50,312 --> 00:21:52,511 Auntie, stay, we will get it. 400 00:21:52,512 --> 00:21:54,668 There is a wash station down the path. 401 00:22:54,273 --> 00:22:56,842 Whatever you think is wrong with me, 402 00:22:56,843 --> 00:22:58,622 you need to lie to her. 403 00:22:58,623 --> 00:23:01,148 I don't want anything to get in the way of her chance 404 00:23:01,149 --> 00:23:03,023 - to make her own life. - Ah. 405 00:23:04,363 --> 00:23:07,366 Have you been experiencing any joints pain? 406 00:23:17,710 --> 00:23:19,412 So your pelvis has been reduced 407 00:23:19,413 --> 00:23:22,101 and your internal bleeding is under control. 408 00:23:22,102 --> 00:23:24,642 And the gods among men don't even show up to allow us 409 00:23:24,643 --> 00:23:27,078 to bask in their reflected glory? 410 00:23:27,079 --> 00:23:29,724 Seeing your enlarged spleen I was actually able to get labs 411 00:23:29,725 --> 00:23:31,792 which trust me, tonight is a miracle. 412 00:23:31,793 --> 00:23:34,279 - Hah. - Turns out you have thrombocytopenia, 413 00:23:34,280 --> 00:23:36,433 which means a low platelet count. 414 00:23:36,434 --> 00:23:38,826 You should also know that it's been associated 415 00:23:38,827 --> 00:23:40,596 with some other underlying conditions. 416 00:23:40,597 --> 00:23:42,532 Like Non-Hodgkin's lymphoma. 417 00:23:43,089 --> 00:23:45,425 - Yeah. Do you... - Stage 4. 418 00:23:45,426 --> 00:23:48,827 I'd chalk the blood disorder up to my recent chemo which failed, 419 00:23:48,828 --> 00:23:52,810 and by the sounds of it caused my platelets to throw a party in my spleen? 420 00:23:52,811 --> 00:23:54,192 That would make sense. 421 00:23:54,193 --> 00:23:56,143 Yeah. It also means you were right earlier. 422 00:23:56,144 --> 00:23:58,653 I'm impressed you got there, it's the kind of differential 423 00:23:58,654 --> 00:24:01,339 that can get lost in the noise. 424 00:24:01,340 --> 00:24:03,610 - Are you a doctor? - Oncologist. 425 00:24:03,611 --> 00:24:05,703 20 years at Western. And before you ask, 426 00:24:05,704 --> 00:24:08,047 no friends or family you should be calling. 427 00:24:08,992 --> 00:24:10,994 You didn't want to go to your own hospital? 428 00:24:10,995 --> 00:24:13,452 Why'd you back down in there whatever your name is? 429 00:24:13,453 --> 00:24:15,654 - June Curtis. - Hm. 430 00:24:15,655 --> 00:24:17,823 - You know how this works. - I'm a resident. 431 00:24:17,824 --> 00:24:19,991 Promise me you won't go looking for self-worth 432 00:24:19,992 --> 00:24:23,413 in their opinions, Curtis. You won't find it. 433 00:24:23,414 --> 00:24:25,931 I never really helped any of my patients, 434 00:24:25,932 --> 00:24:27,432 at least let me help you. 435 00:24:27,433 --> 00:24:29,680 I don't mean to be rude, but I don't even know you. 436 00:24:29,681 --> 00:24:32,637 Yeah, but I know you. And a hundred other residents like you, 437 00:24:32,638 --> 00:24:36,441 ones I ground down just like those onanistic clowns 438 00:24:36,442 --> 00:24:38,043 that call themselves your bosses. 439 00:24:38,044 --> 00:24:39,945 Is that really how you view your life's work? 440 00:24:39,946 --> 00:24:42,047 - You didn't help anyone? - When I look back, 441 00:24:42,048 --> 00:24:44,468 all I did was tell people they were dying 442 00:24:44,469 --> 00:24:46,095 or saddled with terrible options. 443 00:24:46,096 --> 00:24:47,563 Transfusions, 444 00:24:48,061 --> 00:24:50,357 that could get you strong enough for another round of treatment. 445 00:24:50,358 --> 00:24:52,607 I cancelled my cable because I thought watching TV 446 00:24:52,608 --> 00:24:56,010 was the wrong thing to do with my remaining time. 447 00:24:56,280 --> 00:24:59,878 Turns out ballgames and movies are all I want. 448 00:24:59,879 --> 00:25:02,647 You can't save me Curtis. So don't waste your energy. 449 00:25:02,648 --> 00:25:05,876 Maybe, but at least I can buy you some time. 450 00:25:05,877 --> 00:25:07,303 I said no. 451 00:25:20,138 --> 00:25:22,274 Any idea what's wrong with Talia? 452 00:25:23,398 --> 00:25:26,620 Fever, crackling lungs, low pulse. 453 00:25:26,621 --> 00:25:29,423 She's bradycardic, it could be endocarditis. 454 00:25:29,424 --> 00:25:32,898 I'd want to do an ECG but I'm worried about heart block. 455 00:25:32,899 --> 00:25:35,559 - Talia's heart is blocked? - From what? 456 00:25:36,161 --> 00:25:38,159 We don't know anything for sure. 457 00:25:42,675 --> 00:25:44,242 But she didn't tell me anything. 458 00:25:44,243 --> 00:25:47,212 - Because I didn't tell her. - Because you can't help her? 459 00:25:47,213 --> 00:25:49,484 We can give her antibiotics for an infection. 460 00:25:49,485 --> 00:25:51,491 But we don't have a pacemaker to keep her heart... 461 00:25:51,492 --> 00:25:54,352 Okay, so get one. You can call your fancy hospital, right? 462 00:25:54,353 --> 00:25:56,107 Bayan, it doesn't work like that. 463 00:25:56,108 --> 00:25:58,677 - Well it should! - You have to do something! 464 00:25:58,678 --> 00:26:00,929 I promise we'll find a way to help, okay? 465 00:26:03,796 --> 00:26:05,038 What? 466 00:26:06,224 --> 00:26:07,826 It doesn't work like that? 467 00:26:09,035 --> 00:26:11,877 You won't even try asking your colleagues? 468 00:26:11,878 --> 00:26:14,247 I can't just make a pacemaker fall off the supply shelf, 469 00:26:14,248 --> 00:26:17,603 - I'm still only a resident. - With a direct line you've used for me more than once. 470 00:26:17,604 --> 00:26:19,977 - It's not the right solution. - What's going on, Bashir? 471 00:26:19,978 --> 00:26:22,485 - What's wrong? - Why are you really here? 472 00:26:22,486 --> 00:26:23,687 I... 473 00:26:24,549 --> 00:26:26,849 I just don't want to get their hopes up. 474 00:26:45,550 --> 00:26:47,280 Hi, I'm Doctor Hunter. 475 00:26:47,281 --> 00:26:49,922 Um, I know you've been waiting a while, sir. 476 00:26:49,923 --> 00:26:51,927 Look, all I know is a million hours ago, 477 00:26:51,928 --> 00:26:54,038 they said they were waiting for a doctor to read me my tests. 478 00:26:54,039 --> 00:26:56,715 It's been hectic with the system glitches but fortunately, 479 00:26:56,716 --> 00:26:58,777 I was able to track down your results manually. 480 00:26:58,778 --> 00:27:00,847 So you can tell me why my heart was racing? 481 00:27:00,848 --> 00:27:02,850 My co-workers forced me to take an ambulance, 482 00:27:02,851 --> 00:27:05,010 saying I looked so pale and nauseous. 483 00:27:05,011 --> 00:27:07,447 They also said anything heart-related gets seen first, 484 00:27:07,448 --> 00:27:09,016 but that's clearly not true. 485 00:27:09,017 --> 00:27:12,087 Well, our neurologist looked over your EEG 486 00:27:12,088 --> 00:27:15,087 and your blood work and concluded that you have epilepsy. 487 00:27:16,869 --> 00:27:18,334 Epilepsy? 488 00:27:19,144 --> 00:27:21,558 - Oh, my God. - I know it may seem frightening 489 00:27:21,559 --> 00:27:24,510 but many people do live with the disease, it is manageable. 490 00:27:24,511 --> 00:27:26,230 Wait, doesn't that mean seizures? 491 00:27:26,231 --> 00:27:28,070 What does that have to do with my heart? 492 00:27:28,071 --> 00:27:30,029 Right, well uh, 493 00:27:31,037 --> 00:27:34,689 heart palpitations can be a marker of uh... 494 00:27:35,314 --> 00:27:36,930 Do you have somewhere else better to be? 495 00:27:36,931 --> 00:27:39,567 - Uh no, sorry. - I'm sorry, Mister Bertrand. 496 00:27:39,568 --> 00:27:42,715 What we'll do is refer you to a specialist. 497 00:27:42,716 --> 00:27:45,807 - Braunstein. - Bertrand's my first name. 498 00:27:46,905 --> 00:27:49,872 - Your name isn't uh... - Shaun Bertrand? 499 00:27:49,873 --> 00:27:52,677 - No, man. - My name's Bertrand Braunstein. 500 00:27:52,678 --> 00:27:54,752 Did you just read me the wrong results?! 501 00:27:54,753 --> 00:27:59,611 - Ah, you... - You got an EKG. Not an EEG. 502 00:27:59,612 --> 00:28:01,809 - What's the difference? - I mean the good news would be 503 00:28:01,810 --> 00:28:05,424 that your brain is fine. And uh, and your EKG's normal as well. 504 00:28:05,425 --> 00:28:07,802 I'm very sorry about this the mix-up. 505 00:28:07,803 --> 00:28:09,874 It's just, it's been a day. 506 00:28:09,875 --> 00:28:12,809 - W-wait that's it?! - I sat around here all night 507 00:28:12,810 --> 00:28:15,078 for you to tell me nothing happened? I felt something! 508 00:28:15,079 --> 00:28:18,739 Okay, but your blood work doesn't show any signs of an MI, 509 00:28:18,740 --> 00:28:22,712 so unless anything concrete showed up during the EKG, 510 00:28:22,713 --> 00:28:25,032 which it didn't, all we can do is recommend 511 00:28:25,033 --> 00:28:27,353 - that you follow up with your GP. - And I just go home praying 512 00:28:27,354 --> 00:28:28,722 that I don't die in my sleep? 513 00:28:28,723 --> 00:28:30,995 You really expect me to live with that uncertainty? 514 00:28:35,541 --> 00:28:37,649 So the teacher has endocarditis? 515 00:28:37,650 --> 00:28:40,761 - Roth spots, Janeway lesions? - Classic presentation. 516 00:28:40,762 --> 00:28:43,262 I'd have to confirm with echo but she could need pacing. 517 00:28:43,263 --> 00:28:45,065 I was wondering what the odds are... 518 00:28:45,066 --> 00:28:46,435 Slim to nil. 519 00:28:46,436 --> 00:28:48,622 There's no way an NGO could get their hands on a pacemaker? 520 00:28:48,623 --> 00:28:51,161 Well, maybe if you applied the right pressure, kept it up for weeks 521 00:28:51,162 --> 00:28:53,331 and gave up something else they don't have funding for? 522 00:28:53,332 --> 00:28:55,167 What about a hospital in Beirut? 523 00:28:55,168 --> 00:28:57,833 One might take her but only if an NGO foots the bill. 524 00:28:57,834 --> 00:28:59,859 So, same dance. 525 00:29:05,812 --> 00:29:08,503 How the hell did anyone keep track of patients before computers? 526 00:29:08,504 --> 00:29:10,758 Yeah, speaking of chaos, what would you say if I asked 527 00:29:10,759 --> 00:29:13,599 to borrow the C-Arm in Trauma OR for a non-acute injury? 528 00:29:13,600 --> 00:29:17,726 I'd say I just let you move in and you're already trying to get me fired? 529 00:29:17,727 --> 00:29:20,784 I know you were trying to tell me about this big meeting earlier and I just wasn't... 530 00:29:20,785 --> 00:29:23,770 - Turns out it wasn't a meeting. - Just a piece of performance art. 531 00:29:34,073 --> 00:29:35,441 Come on, Mags. 532 00:29:39,916 --> 00:29:41,146 What? 533 00:29:41,147 --> 00:29:42,885 I know she doesn't want to speak with me right now. 534 00:29:42,886 --> 00:29:44,321 Then why are you bothering her? 535 00:29:44,322 --> 00:29:46,518 - I need advice, heart patient. - Seriously? 536 00:29:46,519 --> 00:29:48,690 You just bailed on her to fly halfway around the world 537 00:29:48,691 --> 00:29:50,956 and she takes it in stride to create some distance 538 00:29:50,957 --> 00:29:52,824 and now you can't even let her have that? 539 00:29:52,825 --> 00:29:54,157 Call someone else. 540 00:29:59,756 --> 00:30:01,200 Yeah, that's not what I meant. 541 00:30:01,201 --> 00:30:03,824 Look. A 60-year-old woman with endocarditis, 542 00:30:03,825 --> 00:30:06,638 it could be causing a heart block. We have broad spectrum antibiotics 543 00:30:06,639 --> 00:30:08,307 but I can't get my hands on a pacemaker. 544 00:30:08,308 --> 00:30:09,875 It's a 30,000 $-piece of equipment. 545 00:30:09,876 --> 00:30:12,277 I was thinking I could stop gap with external pacing 546 00:30:12,278 --> 00:30:14,112 - until it gets here. - What? 547 00:30:14,113 --> 00:30:17,049 Externally pacing for more than 12 hours risks electrical burns. 548 00:30:17,050 --> 00:30:19,218 On the other hand, the body will view 549 00:30:19,219 --> 00:30:20,919 the intravenous pacer as a foreign object 550 00:30:20,920 --> 00:30:23,288 and it'll collect infection just like the heart valve. 551 00:30:23,289 --> 00:30:25,824 She probably needs surgical valve repair not pacing. 552 00:30:25,825 --> 00:30:27,291 Did you get that? 553 00:30:27,292 --> 00:30:29,261 - Yeah. Yeah. I did. - Thanks. 554 00:30:29,262 --> 00:30:31,663 - How is she? - Just don't do anything stupid over there. 555 00:30:31,664 --> 00:30:33,966 Hey I was trying to freeze him out for you! 556 00:30:33,967 --> 00:30:35,601 You could've held the line. 557 00:30:35,602 --> 00:30:38,070 Yeah, I can't let a stranger suffer, I'm just incapable of that. 558 00:30:38,071 --> 00:30:40,195 - You're allowed to feel upset. - Yeah and I am! 559 00:30:40,196 --> 00:30:43,759 I'm sad and hurt and confused. But it's not just all about him. 560 00:30:43,760 --> 00:30:48,180 Okay, so how do you process these feelings? 561 00:30:48,181 --> 00:30:51,315 - Uh, lately? - By talking it out with him. 562 00:30:51,316 --> 00:30:53,936 But since I can't do that, I guess... 563 00:30:53,937 --> 00:30:56,521 I'm right back at pouring it all into this place. 564 00:30:56,522 --> 00:30:58,030 Why, how do you...? 565 00:30:58,031 --> 00:31:00,837 Oh I just push it all down until it rears up 566 00:31:00,838 --> 00:31:03,989 in destructive ways. Like letting you use the C-arm. 567 00:31:11,004 --> 00:31:12,620 I need help here! 568 00:31:13,573 --> 00:31:15,140 - She's not breathing. - Okay. 569 00:31:15,141 --> 00:31:17,309 - Maybe she aspirated? - Help me turn her. 570 00:31:17,310 --> 00:31:19,544 Yeah. One, two. 571 00:31:19,545 --> 00:31:22,543 Okay, I'll get something to suction. 572 00:31:22,544 --> 00:31:24,688 Did anybody see her choking? 573 00:31:26,011 --> 00:31:27,275 Alright. 574 00:31:31,470 --> 00:31:33,405 Hold on, I think I... 575 00:31:41,400 --> 00:31:43,435 Says she was supposed to be sent to OR. 576 00:31:43,436 --> 00:31:46,332 - Did we lose track of her? - We have no way of knowing that. 577 00:31:46,333 --> 00:31:49,431 Doctor Devi, if it keeps on like this, someone is gonna die. 578 00:31:50,235 --> 00:31:51,435 Hey. 579 00:31:57,529 --> 00:31:59,431 Can I have your attention, please? 580 00:31:59,432 --> 00:32:02,661 Due to a systems failure beyond our control, 581 00:32:02,662 --> 00:32:05,168 effective immediately unless you're a patient 582 00:32:05,169 --> 00:32:09,249 requiring level one care, this department is closed. 583 00:32:10,577 --> 00:32:13,587 Our triage nurses will be going through who can stay, 584 00:32:13,588 --> 00:32:16,167 who should go, and they'll be handing out lists 585 00:32:16,168 --> 00:32:19,093 of the closest available EDs and clinics. 586 00:32:20,920 --> 00:32:23,289 Are we really closing to new patients? 587 00:32:23,290 --> 00:32:26,144 And sending less acute to other hospitals until our systems are back? 588 00:32:26,145 --> 00:32:28,908 IT is saying it could take all night to get our systems back online, 589 00:32:28,909 --> 00:32:31,196 call the other EDs let them know we're diverting. 590 00:32:31,197 --> 00:32:33,397 We're supposed to call them before we close. 591 00:32:33,952 --> 00:32:36,687 I'll do my best but, we're not the only ones with a bed shortage. 592 00:32:36,688 --> 00:32:39,324 Yet according to Olsen, this massive structural problem is on me. 593 00:32:39,325 --> 00:32:41,393 Are you even allowed to do what you just did? 594 00:32:41,394 --> 00:32:43,895 Claire can you do another EKG on the guy in Exam room D? 595 00:32:43,896 --> 00:32:46,767 And if it's clear go ahead and discharge, I'll sign off later. 596 00:32:46,768 --> 00:32:49,901 I'm not saying that she should be doing my job for me, it's just that... 597 00:32:49,902 --> 00:32:53,036 - No, you trust her judgment. - And why should he wait hours for me 598 00:32:53,037 --> 00:32:57,196 when you can get him out sooner. Oh and it's Bertrand Braunstein. 599 00:32:57,197 --> 00:32:59,435 - Not Shaun Bertrand. - Okay. 600 00:32:59,436 --> 00:33:01,761 - He might have a point. - About my judgment? 601 00:33:01,762 --> 00:33:04,799 Claire, um how comfortable are you with the C-arm in Trauma OR? 602 00:33:04,800 --> 00:33:06,968 Because June says I can use it for Miss Callahan's knee 603 00:33:06,969 --> 00:33:09,405 but all the techs are busy and I'm like... 604 00:33:09,406 --> 00:33:12,032 If no help is coming, we help ourselves. 605 00:33:17,751 --> 00:33:18,977 Please. 606 00:33:24,811 --> 00:33:27,825 Bayan, I was wrong. Talia needs surgery. 607 00:33:27,826 --> 00:33:29,928 One that she can't get here. 608 00:33:29,929 --> 00:33:32,231 It has to be in a proper hospital. 609 00:33:32,232 --> 00:33:34,884 I'll advocate for resources to get her there. 610 00:33:35,614 --> 00:33:37,844 - Until then... - Good thing I'm not leaving. 611 00:33:41,748 --> 00:33:43,508 You should undo that. 612 00:33:43,509 --> 00:33:45,472 Hey, there are others who can help. 613 00:33:45,473 --> 00:33:48,318 - Who? You? - You will leave eventually. 614 00:33:48,319 --> 00:33:50,334 And if I don't stay, she could die. 615 00:33:53,867 --> 00:33:55,237 Okay... 616 00:33:56,918 --> 00:33:59,084 - It might take a minute. - Quick pinch. 617 00:33:59,085 --> 00:34:01,416 One, two, three. 618 00:34:03,743 --> 00:34:05,678 It's not right, skipping the line, 619 00:34:05,679 --> 00:34:08,456 I can still hear Audrey crying for help when I close my eyes. 620 00:34:08,457 --> 00:34:11,468 You need help too. The colour of the fluid does suggest infection. 621 00:34:11,469 --> 00:34:12,973 - Mags! - Yeah? 622 00:34:12,974 --> 00:34:14,632 I think you should... 623 00:34:17,278 --> 00:34:20,492 Lenore, you don't drink alcohol, do you? Or overuse painkillers? 624 00:34:20,493 --> 00:34:24,663 No alcohol. And I only use pain pills the way my doctor says, why? 625 00:34:24,664 --> 00:34:26,772 Well, there is scarring on your liver. 626 00:34:26,773 --> 00:34:29,235 My liver? I thought you were looking at my knee. 627 00:34:29,236 --> 00:34:32,704 Yeah, we checked a wider area given your lightheadedness and jaundice. 628 00:34:32,705 --> 00:34:35,713 Cirrhosis primarily comes from toxins but it can also come 629 00:34:35,714 --> 00:34:37,776 from the kind of mission work that you do. 630 00:34:37,777 --> 00:34:39,645 I'm not sure I follow. 631 00:34:39,646 --> 00:34:42,915 Well, we see hepatitis in unhoused communities, 632 00:34:42,916 --> 00:34:45,614 it is transmissible and it can cause loss of appetite, 633 00:34:45,615 --> 00:34:48,838 bruising and eventually liver injury. 634 00:34:48,839 --> 00:34:50,289 Can you treat it? 635 00:34:50,290 --> 00:34:52,391 Well, we'll need to do typing once our labs are up. 636 00:34:52,392 --> 00:34:54,627 But Lenore, for your liver to get this bad, 637 00:34:54,628 --> 00:34:57,263 it would have taken a long time. You doctor didn't notice anything? 638 00:34:57,264 --> 00:34:58,831 I mentioned some tiredness and bloating 639 00:34:58,832 --> 00:35:01,367 and she just told me to slow down but, you know it's not my... 640 00:35:01,368 --> 00:35:03,144 Incoming! Parking cop! 641 00:35:03,145 --> 00:35:05,507 Some guy snapped and ran him over on purpose. 642 00:35:06,272 --> 00:35:08,707 - Hello? - Doctor Novak, my patient needed an imaging 643 00:35:08,708 --> 00:35:10,809 and everything was backed up. We'll get out of your way. 644 00:35:10,810 --> 00:35:12,544 - Forget it, no time! - Trauma Bay's open. 645 00:35:12,545 --> 00:35:15,314 Thought we weaned you off this kind of excess, Leblanc. 646 00:35:15,315 --> 00:35:17,182 Will that man be okay? 647 00:35:17,183 --> 00:35:20,136 Your doctor should have caught this! You should file a complaint. 648 00:35:20,137 --> 00:35:22,040 She's busy and I didn't press it... 649 00:35:22,041 --> 00:35:24,142 Well you should start since you can't rely on her. 650 00:35:24,143 --> 00:35:26,431 - I don't need to, I have God. - Lenore, 651 00:35:26,432 --> 00:35:28,467 isn't that kind of thinking what landed you here? 652 00:35:28,468 --> 00:35:30,829 - Mags! - I've devoted my whole life to Him 653 00:35:30,830 --> 00:35:33,065 and I trust Him to take care of me too. 654 00:35:33,066 --> 00:35:35,601 Yeah, except what if a life of service isn't enough anymore? 655 00:35:35,602 --> 00:35:37,399 Mags! I think you made your point. 656 00:35:44,480 --> 00:35:46,612 What happened to you either waiting at my place 657 00:35:46,613 --> 00:35:48,539 or going home to yours. 658 00:35:49,292 --> 00:35:51,189 I'm still married Theo. 659 00:35:51,663 --> 00:35:54,037 As like, you're still legally married? 660 00:35:54,038 --> 00:35:56,355 Because plenty of couples let that linger. 661 00:35:56,356 --> 00:35:57,732 No. 662 00:35:57,733 --> 00:36:00,876 I mean, according to Jonathan we're still together. 663 00:36:01,394 --> 00:36:03,896 Six months ago, you were telling people he moved out. 664 00:36:03,897 --> 00:36:06,576 - Six months ago he did. - And then he moved back, 665 00:36:06,577 --> 00:36:09,930 ostensibly because the cost of two households was bleeding us dry. 666 00:36:10,941 --> 00:36:14,056 But, full transparency, he also thinks we're working on it. 667 00:36:14,057 --> 00:36:15,528 Full transparency? 668 00:36:16,241 --> 00:36:18,310 Well he thinks you're working on it because you are or... 669 00:36:18,311 --> 00:36:21,647 - We sleep in separate rooms. - We've been on a few dates 670 00:36:21,648 --> 00:36:23,937 Liz, you guys have a kid, okay? 671 00:36:23,938 --> 00:36:25,817 I can't be the one who comes between that. 672 00:36:25,818 --> 00:36:28,353 Theo, I haven't done anything wrong here 673 00:36:28,855 --> 00:36:30,451 and neither have you. 674 00:36:32,144 --> 00:36:35,875 Does this change what you said earlier? 675 00:36:36,982 --> 00:36:38,962 Do you want to fix things with him? 676 00:36:40,900 --> 00:36:42,209 I don't know! 677 00:36:47,173 --> 00:36:49,475 You paged me up here why? 678 00:36:49,476 --> 00:36:51,376 I couldn't take him to Trauma OR 679 00:36:51,377 --> 00:36:53,806 because of a woman with knee problems. 680 00:36:53,807 --> 00:36:56,438 And that is an act of compassion I understand that you sanctioned? 681 00:36:56,439 --> 00:36:59,823 Yeah, well your guy was stabilized and rushed into surgery, so? 682 00:36:59,824 --> 00:37:01,459 Okay, that's not my point. 683 00:37:01,460 --> 00:37:04,362 Then what is your point, that you get to use your gut and I don't? 684 00:37:04,824 --> 00:37:08,160 You do understand that we bill O-HIP like 685 00:37:08,161 --> 00:37:10,766 5,000 $ a minute for Trauma OR, right? 686 00:37:10,767 --> 00:37:13,372 So maybe you should use my bursary blood to money to pay for that! 687 00:37:13,373 --> 00:37:15,608 Yeah, I'll even write you a check for the balance! 688 00:37:18,271 --> 00:37:20,972 Okay, June, I see that you are upset. 689 00:37:20,973 --> 00:37:24,097 And uh, to be honest I wasn't expecting it... 690 00:37:24,098 --> 00:37:26,534 You guys cooked up this fake position to try to pacify me 691 00:37:26,535 --> 00:37:29,554 and you made me feel like I shouldn't have even reported the stupid incident. 692 00:37:29,555 --> 00:37:32,050 Our timing was justifiably terrible, 693 00:37:32,051 --> 00:37:34,870 but Olsen approached me months ago about it and I wanted to wait 694 00:37:34,871 --> 00:37:36,836 until I was sure you liked working with me. 695 00:37:38,019 --> 00:37:39,910 Why can't you see this for what it is? 696 00:37:39,911 --> 00:37:42,415 It's a reflection of your ability. 697 00:37:47,880 --> 00:37:50,516 You're taking Talia home, to Douma? 698 00:37:50,517 --> 00:37:53,172 Yeah. As a Syrian, the hospitals will treat her. 699 00:37:53,173 --> 00:37:54,940 And she has a sister there. 700 00:37:54,941 --> 00:37:56,708 That area is regime controlled. 701 00:37:56,709 --> 00:37:58,243 I wouldn't even risk going there. 702 00:37:58,244 --> 00:38:00,479 I know that's why I'm asking to borrow your truck, I'll go... 703 00:38:00,480 --> 00:38:04,386 You could be arrested! If we try to help everybody, we help nobody. 704 00:38:04,387 --> 00:38:06,812 Look, I made a mess, this is the only way I know to fix it. 705 00:38:06,813 --> 00:38:09,734 Can't you just once stop taking everything on yourself! 706 00:38:11,824 --> 00:38:14,993 You say you're here for me? Why? 707 00:38:14,994 --> 00:38:17,129 To talk me out of leaving because you're worried 708 00:38:17,130 --> 00:38:19,351 - that I can't make my own life? - No, no, it's not... 709 00:38:19,352 --> 00:38:21,591 Look, you don't know what it's like... 710 00:38:21,592 --> 00:38:23,224 Being the one that left. 711 00:38:24,703 --> 00:38:26,739 Whatever part of you is missing, 712 00:38:26,740 --> 00:38:28,514 it's not in Douma, Bashir. 713 00:38:35,081 --> 00:38:37,489 You told me not to seek validation in their opinion of me 714 00:38:37,490 --> 00:38:39,526 but this is how this entire ecosystem is built. 715 00:38:39,527 --> 00:38:42,062 - Then you have to resist it. - Except every time I try, 716 00:38:42,063 --> 00:38:44,656 it's the same garbage cycle. Either people end up hating me 717 00:38:44,657 --> 00:38:47,122 - or they tell me not to help them! - So give up. 718 00:38:47,848 --> 00:38:49,583 Enough already, right? 719 00:38:50,523 --> 00:38:53,990 Right, like that's why you were on your roof. 720 00:38:54,827 --> 00:38:56,894 You don't care what happens to you, anymore? 721 00:38:57,891 --> 00:39:00,173 You know what? You wanna die so badly, fine! 722 00:39:00,914 --> 00:39:02,993 You know, we're not so different. 723 00:39:03,703 --> 00:39:06,580 I used to think the problem was everyone else, 724 00:39:07,234 --> 00:39:08,948 but the problem is me... 725 00:39:09,972 --> 00:39:11,644 Hating myself. 726 00:39:11,645 --> 00:39:13,712 Listen, I do not... 727 00:39:20,160 --> 00:39:23,913 - It's not that I want to die. - But I am. 728 00:39:23,914 --> 00:39:26,117 So if you really want to help me, 729 00:39:26,118 --> 00:39:28,485 - you can distract me from that. - Hm? 730 00:39:37,869 --> 00:39:41,046 Asthma attack admitted and stable. 731 00:39:41,047 --> 00:39:43,215 And the kid with the glass in his eye 732 00:39:43,216 --> 00:39:47,019 is waiting for ophthalmology who still insists he's on his way. 733 00:39:47,020 --> 00:39:48,540 Uh, sorry. 734 00:39:48,541 --> 00:39:51,731 You know anything about curtain five? Can't find the intake. 735 00:39:51,732 --> 00:39:55,161 Um. Give me five seconds. I'm just gonna change an infusion in E first. 736 00:39:55,162 --> 00:39:57,786 Well, looks like we weathered the storm. 737 00:39:59,871 --> 00:40:02,269 You're going to take heat for closing those doors though. 738 00:40:02,270 --> 00:40:03,897 I am aware. 739 00:40:04,464 --> 00:40:08,455 But hey, Olsen was out of line before. 740 00:40:08,456 --> 00:40:11,673 Ah, the cavalry arrives after the battle is lost. 741 00:40:14,227 --> 00:40:16,107 Arnold you said five, right? 742 00:40:16,108 --> 00:40:17,720 Yes, Claire. It's five. 743 00:40:22,162 --> 00:40:24,633 - How's Mother Theresa? - She has hepatitis 744 00:40:24,634 --> 00:40:26,942 which wasn't caught for who knows how long. 745 00:40:26,943 --> 00:40:29,395 I hope we didn't screw you up with our little stunt thing. 746 00:40:29,396 --> 00:40:31,530 No. Actually, they tried to promote me. 747 00:40:31,531 --> 00:40:33,985 - What? - Help! Help! She's bleeding! 748 00:40:33,986 --> 00:40:36,073 Someone! Someone help! 749 00:40:36,726 --> 00:40:39,451 - Oh my God, it's Claire! It's Claire! - Call a code blue! 750 00:40:39,452 --> 00:40:42,989 - Pulse is faint. - Multiple stab wounds! 751 00:40:42,990 --> 00:40:45,150 - Gauze! Gauze! Gauze! - Now, Arnold! 752 00:40:46,179 --> 00:40:48,441 We need her in trauma OR now! 753 00:40:48,442 --> 00:40:50,562 - Move! - Did anybody see who did this? 754 00:40:50,563 --> 00:40:53,038 - Claire, can you hear us? - Got the board! 755 00:40:53,039 --> 00:40:56,481 Board roll on three. One, two, three. 756 00:40:57,102 --> 00:41:00,419 Lift on three. One, two, three. 757 00:41:03,964 --> 00:41:06,197 Out of the way, out of the way, out of the way. 758 00:41:06,198 --> 00:41:08,250 - We've got you, Claire. - Clear! Clear the way! 759 00:41:12,879 --> 00:41:16,633 I told her if she didn't leave, I won't accept any treatment. 760 00:41:17,170 --> 00:41:19,659 I'm not going to let her stay for me. 761 00:41:21,881 --> 00:41:23,963 Okay look, when I left home... 762 00:41:26,199 --> 00:41:30,584 I left with this weight, to live for those who couldn't. 763 00:41:32,991 --> 00:41:36,529 And if you make Bayan do the same, she'll have to carry it too. 764 00:41:51,204 --> 00:41:54,060 Doctor Garneau. Will you introduce me to the NGO reps? 765 00:41:54,061 --> 00:41:56,363 Talia needs resources and a trip to the hospital. 766 00:41:56,364 --> 00:41:58,956 They're coming to test the water chlorination. 767 00:41:58,957 --> 00:42:01,333 Those gastroenteritis cases I mentioned? 768 00:42:01,901 --> 00:42:03,768 They're looking more like cholera. 769 00:42:04,311 --> 00:42:05,843 An outbreak? Are you sure? 770 00:42:05,844 --> 00:42:07,813 I sent samples to the lab in Beirut. 771 00:42:07,814 --> 00:42:09,880 If I'm right, we'll know in a few days. 772 00:42:15,025 --> 00:42:17,703 There's a lot of fluid, likely organ perforation. 773 00:42:17,704 --> 00:42:19,272 - Which one? - C-arm. 774 00:42:19,273 --> 00:42:21,440 - Heart rate's rising. - She's showing signs of shock. 775 00:42:21,441 --> 00:42:22,909 BP's on rapid decline. MTP? 776 00:42:22,910 --> 00:42:24,544 Yeah, let's hang as many units as we can. 777 00:42:24,545 --> 00:42:27,404 One gram TXA, we really need to figure out what organ got hit. 778 00:42:27,405 --> 00:42:31,550 Imaging confirms free fluid, spleen and right kidney. 779 00:42:31,551 --> 00:42:34,153 I need more gauze, I can't get a handle on this bleed. 780 00:42:34,154 --> 00:42:36,223 - What about her left? - She doesn't have one. 781 00:42:36,224 --> 00:42:37,954 - No left kidney? - Claire only has one? 782 00:42:37,955 --> 00:42:39,423 Does anyone know why? 783 00:42:39,424 --> 00:42:41,927 No. She doesn't really talk about personal stuff like that. 784 00:42:41,928 --> 00:42:44,286 - V-tach! - She's hemodynamically unstable. 785 00:42:44,287 --> 00:42:47,222 - Rhoda, crash cart! - We gotta to open her now, source the damage. 786 00:42:47,223 --> 00:42:49,451 Yeah, I'm going to start a central line. 787 00:42:49,452 --> 00:42:52,508 V-fib. She's in v-fib, we need to shock. 788 00:42:52,509 --> 00:42:53,894 Charge 200. 789 00:42:55,113 --> 00:42:56,340 Clear!