1 00:00:05,681 --> 00:00:09,680 Strategies for revealing your scars visible and invisible. 2 00:00:09,681 --> 00:00:10,240 Sometimes. 3 00:00:10,241 --> 00:00:13,160 I hurt myself, but we don't have to talk about it. 4 00:00:13,161 --> 00:00:15,280 I'm on the transplant list. 5 00:00:15,281 --> 00:00:18,440 The heart may come tomorrow or never. 6 00:00:18,441 --> 00:00:22,160 You should both know you won't be in limbo for much longer, but fell shift spot. 7 00:00:22,161 --> 00:00:24,040 I'm deciding by the end of the month. 8 00:00:24,041 --> 00:00:30,800 Every time I think I've built something that feeling fades and I run. 9 00:00:57,080 --> 00:01:00,080 Okay. 10 00:01:00,081 --> 00:01:01,281 Oh my God. 11 00:01:01,420 --> 00:01:02,620 Oh my God. 12 00:01:03,767 --> 00:01:04,967 No. 13 00:01:05,519 --> 00:01:06,719 No. 14 00:01:09,854 --> 00:01:10,853 Did you see that? 15 00:01:10,855 --> 00:01:11,854 Yep. 16 00:01:11,856 --> 00:01:12,855 Bring. 17 00:01:12,857 --> 00:01:14,057 Thank you. 18 00:01:16,535 --> 00:01:17,735 You've got a phone? (?) 19 00:02:11,080 --> 00:02:12,614 Morning, Darkland, I just... 20 00:02:12,616 --> 00:02:13,914 Hi, hi. 21 00:02:13,916 --> 00:02:16,537 I was just looking at the schedule. 22 00:02:16,539 --> 00:02:19,080 Nights, weekends, all the least popular shifts. I know. 23 00:02:19,081 --> 00:02:21,964 - You're feeling gaps for now. - No problem. Totally get it. 24 00:02:21,966 --> 00:02:27,080 Dr. Debbie, I appreciate your faith in me and I plan to earn it. 25 00:02:27,081 --> 00:02:31,080 Let Dr. Bergeron know if you have any questions about shifts or patient assignments. 26 00:02:31,287 --> 00:02:32,487 Sure thing. 27 00:02:33,691 --> 00:02:38,803 My only back because Dr. Wilson's strong after because in my parole meeting, that was the vibe. 28 00:02:38,805 --> 00:02:40,080 I better... 29 00:02:42,453 --> 00:02:44,725 Good luck with all that. 30 00:02:45,204 --> 00:02:47,128 - June? - What's wrong? 31 00:02:47,137 --> 00:02:48,704 Why does something have to be wrong? 32 00:02:48,706 --> 00:02:50,958 We run a department together and merely want to discuss it. 33 00:02:50,959 --> 00:02:51,958 Mm-hm. 34 00:02:51,960 --> 00:02:55,128 Let me guess. It's about the rotating surgery residents that are cycling through. 35 00:02:55,129 --> 00:02:58,255 Oh, by the way, this is Ryan. He's first year general surgery. 36 00:02:58,257 --> 00:02:59,256 Hi, Ryan. 37 00:02:59,258 --> 00:03:02,051 Why would I be concerned about Ryan that has inexperienced milk? 38 00:03:02,053 --> 00:03:05,257 Getting in the way of us doing our jobs just so you can feed your benevolent leader. 39 00:03:05,258 --> 00:03:07,981 We are a teaching hospital and you are CC'd on at least a 40 00:03:07,983 --> 00:03:10,903 dozen emails about justifying the budget by training residents. 41 00:03:10,905 --> 00:03:12,904 Nature of horrors of vacuum, Ryan. 42 00:03:12,906 --> 00:03:16,905 Look, if you are not going to engage in the process, you don't get to be pissy about the results. 43 00:03:16,907 --> 00:03:19,257 Oh, June's been practicing her mantras, Ryan. 44 00:03:19,258 --> 00:03:21,374 Perhaps she'll teach them to you if you ask nicely 45 00:03:21,375 --> 00:03:27,714 or you could do your actual job and help save our incoming patients flattened by a forklift, ETA 10. 46 00:03:27,716 --> 00:03:28,889 You okay? 47 00:03:28,891 --> 00:03:29,890 Yeah, why? 48 00:03:29,892 --> 00:03:30,891 Let's go get set up. 49 00:03:30,893 --> 00:03:32,093 All right. 50 00:03:33,871 --> 00:03:35,071 Hi. 51 00:03:35,483 --> 00:03:36,683 Hi. 52 00:03:38,014 --> 00:03:40,312 Stupiud thing's supposed to be waterproof. 53 00:03:40,314 --> 00:03:42,977 Did you want to talk about it? Because it's been a couple of days. 54 00:03:42,979 --> 00:03:45,736 Well, Debbie said end of the month. That's technically today, right? 55 00:03:45,738 --> 00:03:46,737 Debbie? 56 00:03:46,739 --> 00:03:48,688 Yeah, about the fellowship. I thought you were talking about... 57 00:03:48,689 --> 00:03:52,618 No, I was talking about, um, since... you and I uh... 58 00:03:53,763 --> 00:03:56,422 How is your brain not fixated on the fellowship job? 59 00:03:56,424 --> 00:04:00,653 I mean, it is, but did you want to talk about it? 60 00:04:01,398 --> 00:04:02,397 About us? 61 00:04:02,399 --> 00:04:03,599 Yeah. 62 00:04:03,645 --> 00:04:04,845 Well... 63 00:04:04,937 --> 00:04:06,137 Do you? 64 00:04:06,258 --> 00:04:08,883 Unless you want to wait till today's over, if... 65 00:04:08,885 --> 00:04:12,038 - No, that's not what I... - Mags, I've been texting you. 66 00:04:12,040 --> 00:04:13,039 That's all. 67 00:04:13,041 --> 00:04:15,840 - Oh, okay. Well, we need help in curtains. - Okay. 68 00:04:15,842 --> 00:04:20,045 - Yeah, we'll just... - This is Dominic, he came in unconscious. 69 00:04:20,047 --> 00:04:23,256 Central lives in, Ryan did the Foley cap, and now he's helping me to do Brad. 70 00:04:23,258 --> 00:04:24,524 How long was he crushed for? 71 00:04:24,526 --> 00:04:29,342 EMS says 2 hours. Apparently a forklift, knocked a pellet of bricks onto him, so it took a while to get him out. 72 00:04:29,344 --> 00:04:34,034 He's an open femur fracture, BP still saw, heartrate's erratic. 73 00:04:34,036 --> 00:04:35,739 - Ryan, right here. - Yeah. 74 00:04:35,741 --> 00:04:38,107 And you checked to see that his urine isn't dark, Ryan? 75 00:04:38,109 --> 00:04:39,187 He did, I already asked. 76 00:04:39,189 --> 00:04:41,986 But he has the voice of his own, isn't he? 77 00:04:41,988 --> 00:04:43,653 - Yeah, I checked. - Good. 78 00:04:43,655 --> 00:04:46,126 And what's the mainstay of treatment for a crushed syndrome, Ryan? 79 00:04:46,127 --> 00:04:49,359 Aggressive fluid resuscitation to reverse metabolic acidosis. 80 00:04:49,361 --> 00:04:51,360 Track progress over the next few hours. 81 00:04:51,362 --> 00:04:53,362 Treat, wrap the myelitisis and prevent renal failure. 82 00:04:53,363 --> 00:04:58,577 Oh, he still has a pulse in his lower legs, so as long as ortho agrees, we will debride and clean for now. 83 00:04:58,579 --> 00:05:01,165 Okay, sounds like I'm dismissed. 84 00:05:01,167 --> 00:05:02,951 What do you think, Ryan? 85 00:05:02,953 --> 00:05:06,901 - Um... - His BP's dropping. 86 00:05:08,258 --> 00:05:10,586 Is urine output as dark, Ryan? 87 00:05:10,588 --> 00:05:11,784 Did you check that or not? 88 00:05:11,786 --> 00:05:15,277 After the Foley catheter, remember I told you to tell me his urine was discolored. 89 00:05:15,279 --> 00:05:17,799 And then I asked you again, you said you checked it, and then it was fine. 90 00:05:17,800 --> 00:05:18,799 It was. 91 00:05:18,801 --> 00:05:19,907 I think that it was. 92 00:05:19,909 --> 00:05:21,629 Was it or wasn't it? 93 00:05:21,631 --> 00:05:24,630 He said renal failure was a risk, Ryan, but was that just knee-jerk 94 00:05:24,632 --> 00:05:27,105 memorization because when proteins get released into the bloodstream, 95 00:05:27,106 --> 00:05:30,760 after crush injury, they damage the kidney, which you have allowed to happen. 96 00:05:30,762 --> 00:05:33,137 He's in V-TACH, set up the cardiovert. 97 00:05:33,139 --> 00:05:35,603 Push 20 milligrams fentanyl, 2 of midazolam. 98 00:05:35,605 --> 00:05:36,836 What can I do? 99 00:05:36,838 --> 00:05:38,304 Out of the way, Ryan. 100 00:05:38,306 --> 00:05:39,506 Charging. 101 00:05:40,258 --> 00:05:42,257 - Clear. - Shock advised. 102 00:05:47,153 --> 00:05:49,315 How long have you had the headache, Yuri? 103 00:05:49,317 --> 00:05:52,743 A few weeks, and then I started getting pain here, and 104 00:05:52,744 --> 00:05:55,593 these waves of tires where I can barely keep my eyes open. 105 00:05:55,595 --> 00:05:57,746 - Any loss of appetite? - Yeah. 106 00:05:57,748 --> 00:06:01,501 Has your son gotten sick? We're seeing a stomach bug going through the daycares. 107 00:06:01,503 --> 00:06:03,248 Alexei is not in daycare. 108 00:06:03,250 --> 00:06:05,755 I starting in my own contracting business. 109 00:06:05,757 --> 00:06:08,029 Most of the time he comes along. 110 00:06:08,031 --> 00:06:09,305 He loves it. 111 00:06:09,307 --> 00:06:12,040 When the job is too messy, neighbor watches him. 112 00:06:12,042 --> 00:06:14,140 It's just a the two of you? 113 00:06:14,142 --> 00:06:16,217 His mother died when he was a baby. 114 00:06:17,677 --> 00:06:20,770 I think there's something in the water in our building. 115 00:06:20,772 --> 00:06:22,072 Lead, maybe. 116 00:06:22,074 --> 00:06:24,654 I told the building manager that the pipes are corroding. 117 00:06:24,656 --> 00:06:28,631 He even offered to fix them, but they'r. Too cheap to pay or even test, 118 00:06:28,632 --> 00:06:31,101 Which is illegal. Not that that stops some. 119 00:06:31,103 --> 00:06:36,755 I stopped giving Alexei tap water, but bottle is expensive, so I boil for me. 120 00:06:36,757 --> 00:06:40,256 - But if it is lead... Hmm. - Well, then boiling won't help. 121 00:06:40,258 --> 00:06:46,832 The city does have a program aimed at identifying and responding to environmental hazards in older buildings. 122 00:06:46,834 --> 00:06:48,437 You mean lower-end ones. 123 00:06:48,439 --> 00:06:52,444 - Well, you could qualify for extensive testing. - But healthcare is free here, No? 124 00:06:52,446 --> 00:06:54,285 You can't just do the tests I need. 125 00:06:54,287 --> 00:06:56,921 Yes, but this program allows us a wider scope. 126 00:06:56,923 --> 00:07:00,923 It moves you to the front of the line. Not to mention, it outs the landlords that tend to cut corners. 127 00:07:00,924 --> 00:07:04,112 But I would have to criticize the country that gave me asylum. 128 00:07:04,114 --> 00:07:06,113 No, it's completely anonymous. 129 00:07:06,618 --> 00:07:11,182 Look, all I want to do is help you and Alexei through this as fast as possible. 130 00:07:12,954 --> 00:07:15,528 He's stable for now, but in trouble with kidney failure. 131 00:07:15,536 --> 00:07:18,411 Amp of bicarb, give manitol, and get his potassium stat. 132 00:07:18,413 --> 00:07:20,501 No, no, you have to think like a field surgeon, June. 133 00:07:20,503 --> 00:07:21,918 The first priority is to flush. 134 00:07:21,920 --> 00:07:23,731 Right, and then react with diuresis. 135 00:07:23,733 --> 00:07:25,557 Okay, I'll, uh, I want to beat. (?) 136 00:07:25,559 --> 00:07:26,997 Shit, should I do something? 137 00:07:26,999 --> 00:07:28,455 You've done enough. 138 00:07:28,457 --> 00:07:31,065 Look, Ryan, we'll debrief later, about what went wrong. Okay? 139 00:07:31,067 --> 00:07:32,066 Why wait? 140 00:07:32,068 --> 00:07:34,830 Started with the abysmal judgment of whoever matched Ryan to 141 00:07:34,832 --> 00:07:37,824 this hospital bringing, to astounding incompetence today. (?) 142 00:07:37,826 --> 00:07:41,237 But since we're debriefing, when your tiny brain can't remember 143 00:07:41,239 --> 00:07:44,041 if you've done something or not, don't lie and say that you have. 144 00:07:44,043 --> 00:07:45,315 Unless you want to kill someone. 145 00:07:45,316 --> 00:07:47,504 Dr. Novak, I'm sorry, look, I just started... 146 00:07:47,506 --> 00:07:51,157 Another mistake, because what you think means nothing in here. 147 00:07:51,159 --> 00:07:55,188 And if you're going to insist on thinking, then why don't you think long and hard about 148 00:07:55,190 --> 00:07:56,925 whether this is the right profession for you? 149 00:07:56,926 --> 00:07:58,925 Dr. Novak, I think you made your point. 150 00:08:00,925 --> 00:08:04,471 Look, you made a mistake in the heat of the moment these things happen, all right? 151 00:08:09,474 --> 00:08:11,037 Uh, he's having a panic attack. 152 00:08:11,039 --> 00:08:14,038 Can someone get him one of those kidney-based things... 153 00:08:14,040 --> 00:08:15,761 No, no, no. 154 00:08:15,763 --> 00:08:17,268 Did any get inside? 155 00:08:17,270 --> 00:08:18,269 All right, I'm going to need to irrigate. 156 00:08:18,271 --> 00:08:21,405 All right, just push as much prophylactic antibiotics as humanly possible. 157 00:08:21,407 --> 00:08:23,986 Hey, hey, are you okay? 158 00:08:24,828 --> 00:08:27,791 Look, but Novak said that was about him, all right? 159 00:08:27,793 --> 00:08:29,792 Just don't make it about you. 160 00:08:34,443 --> 00:08:36,577 Now let's keep irrigating, guys. 161 00:08:41,983 --> 00:08:43,595 This is unacceptable. 162 00:08:44,697 --> 00:08:47,873 I'm reporting both of you for creating an unsafe work environment. 163 00:08:51,538 --> 00:08:55,384 Two months ago, after it happened, Claire said it was a sprain. 164 00:08:55,386 --> 00:08:57,483 Hmm, and now you can't move it at all. 165 00:08:57,485 --> 00:08:58,520 Yeah. 166 00:08:58,522 --> 00:09:00,243 Are you on anything for the pain? 167 00:09:00,245 --> 00:09:01,569 Well, that's the thing. 168 00:09:01,571 --> 00:09:04,194 I'm on something for my blood pressure. 169 00:09:06,296 --> 00:09:07,576 - This one? - Yep. 170 00:09:07,826 --> 00:09:12,283 And, uh, water pills. 171 00:09:12,285 --> 00:09:14,304 And you can't take those with aspirin, apparently. 172 00:09:14,306 --> 00:09:17,551 Yeah, with NSAIDs, depending on what your pressure's at... 173 00:09:17,552 --> 00:09:19,876 Oh, that, I think that's a restaurant receipt. 174 00:09:19,878 --> 00:09:21,256 Oh. 175 00:09:21,258 --> 00:09:28,297 And I'm also on this and also this, for high cholesterol, 176 00:09:28,304 --> 00:09:31,768 but there was some other thing that interacts with those. 177 00:09:31,770 --> 00:09:36,644 Okay, yeah, now you just, um... yeah, keep going. 178 00:09:37,244 --> 00:09:38,790 You don't have a GP? 179 00:09:38,792 --> 00:09:40,415 Oh, not for years. 180 00:09:40,417 --> 00:09:41,867 Claire's been helping me manage. 181 00:09:41,869 --> 00:09:45,135 I try not to overburden her, but I'm a bit of a handful. 182 00:09:46,837 --> 00:09:48,531 150 over 92. 183 00:09:48,533 --> 00:09:52,294 My wife used to keep track of things, but she... Anyway... 184 00:09:53,820 --> 00:09:55,741 Donald, I'm really sorry. 185 00:09:55,743 --> 00:09:57,504 No, no, she's not dead. 186 00:09:57,506 --> 00:09:59,823 She just had enough of me, I guess. 187 00:09:59,825 --> 00:10:03,037 Claire said I could text her if I needed to be looked at. 188 00:10:03,331 --> 00:10:06,330 I... I tripped over an extension cord at work. 189 00:10:06,332 --> 00:10:09,617 Claire said she'd book an X-ray for me, but when I didn't hear anything back, 190 00:10:09,619 --> 00:10:12,195 I figured, "Well, if she's not worried, I shouldn't be." 191 00:10:12,197 --> 00:10:14,356 Only it's gotten to the point where I can't work. 192 00:10:14,358 --> 00:10:18,030 I do plaster, you know, so... I need my wrists. 193 00:10:19,451 --> 00:10:23,450 To admissions committee, I've known Arnold for seven years, actually, at five years. 194 00:10:23,452 --> 00:10:26,038 Wow, it feels so much longer than that. 195 00:10:26,040 --> 00:10:28,415 Hey, can you please stop reading over my shoulder? 196 00:10:28,417 --> 00:10:30,005 It's very annoying. 197 00:10:30,007 --> 00:10:33,384 I can confidently say he possesses all the qualities that are essential for success in the medical field. 198 00:10:33,385 --> 00:10:34,610 Oh, this is sweet. 199 00:10:34,612 --> 00:10:36,809 Hey, I just caught one of Claire's frequent flyers. 200 00:10:36,811 --> 00:10:38,311 Is she running late? 201 00:10:39,145 --> 00:10:41,418 - Guys? - We don't know, Bex, okay? (?) 202 00:10:42,458 --> 00:10:44,932 Dr. LeBlanc, can we talk to my office in 20? 203 00:10:44,934 --> 00:10:46,648 Yes! I mean, yes. 204 00:10:50,119 --> 00:10:52,019 Okay, just let me know once you get in. 205 00:10:52,957 --> 00:10:54,500 - Hey, Dr. Debbie. - Yeah. 206 00:10:54,502 --> 00:10:59,278 So, I started sharing blind data with Toronto Public Health regarding certain environmental hazards. 207 00:10:59,280 --> 00:11:03,224 In low-income housing after that patient of yours died from carbon monoxide exposure. 208 00:11:03,226 --> 00:11:06,491 Well, it turns out over the last year they've been piloting in action, 209 00:11:06,493 --> 00:11:09,326 designated the two health patients before that kind of thing happened. 210 00:11:09,328 --> 00:11:11,445 - Red safe. I'm on any malice. - Mm-hmm. 211 00:11:11,447 --> 00:11:14,195 I was wondering if that's something that we could incorporate to ED. 212 00:11:14,197 --> 00:11:18,196 A man came in this morning who qualifies as suspected lead poisoning, 213 00:11:18,198 --> 00:11:22,560 and also like long-blown radiography to check density for chronic exposure. 214 00:11:22,568 --> 00:11:26,499 - If we push him forward and they agree, then they... - It cuts a ton of red tape. 215 00:11:26,501 --> 00:11:28,112 You'd need his consent first. 216 00:11:28,114 --> 00:11:30,906 Well, he's with his young son, so moving faster is great incentive. 217 00:11:30,908 --> 00:11:32,684 The kid's fine, thankfully. 218 00:11:32,686 --> 00:11:33,964 Do I need that? 219 00:11:35,109 --> 00:11:36,982 It's nice to see you engaging in this. 220 00:11:36,984 --> 00:11:39,553 I know you went to Lebanon to do relief work, but 221 00:11:39,554 --> 00:11:42,204 I wasn't sure if it was personal or professional. 222 00:11:43,768 --> 00:11:47,134 Um... I think it was both. 223 00:11:47,651 --> 00:11:50,401 Marrying your vocation with your avocation? 224 00:11:50,403 --> 00:11:52,192 Good for you, Bashir. 225 00:11:52,194 --> 00:11:54,581 - Let me know how I'll second support. (?) - Thank you. 226 00:12:01,364 --> 00:12:02,564 Hi. 227 00:12:02,646 --> 00:12:04,340 Hi, I'm sorry the door was open. 228 00:12:04,342 --> 00:12:06,648 - I wasn't sure if you wanted me to come in. - Definitely. 229 00:12:06,650 --> 00:12:08,597 - You, sit. - Okay. 230 00:12:08,599 --> 00:12:10,727 Just give me a minute here. 231 00:12:15,288 --> 00:12:17,963 Thanks for bearing with me through this process. 232 00:12:17,965 --> 00:12:19,248 Yeah, for sure. 233 00:12:19,250 --> 00:12:24,467 So, you're my first meeting, Mags, because this is good news. 234 00:12:24,469 --> 00:12:25,947 Congratulations. 235 00:12:25,949 --> 00:12:30,208 Congratulations, you mean, like, I got the job, congratulations? 236 00:12:30,210 --> 00:12:31,209 You did. 237 00:12:31,211 --> 00:12:36,758 In a few months, when your residency ends, we'd like you to stay on as our emergency department fellow. 238 00:12:39,104 --> 00:12:41,850 Financials in here, all the logistics. 239 00:12:41,852 --> 00:12:46,555 I hope you know, Mags, that you are the essential fit for what I'm trying to do in this department. 240 00:12:46,557 --> 00:12:47,703 You're patient-focused. 241 00:12:47,705 --> 00:12:49,133 You lead with empathy. 242 00:12:49,135 --> 00:12:51,382 You put all of yourself into everything that you do, 243 00:12:51,383 --> 00:12:54,256 and I know your residency hasn't been exactly linear. 244 00:12:54,258 --> 00:12:56,993 And you've been dealt with some health challenges, but getting to 245 00:12:56,995 --> 00:13:01,289 know you over this last year, I have no doubt that you belong here. 246 00:13:02,817 --> 00:13:06,816 Now, obviously, this is a big commitment and a major decision. 247 00:13:06,818 --> 00:13:09,757 So, if you need some time or you have any doubts or concerns. 248 00:13:09,758 --> 00:13:12,340 No, no. No, no doubts, no. 249 00:13:12,342 --> 00:13:13,627 - Okay. - Yeah. 250 00:13:13,629 --> 00:13:16,011 - Yes, I want it, absolutely. - Good. 251 00:13:16,013 --> 00:13:17,833 Would it be weird if we hug? 252 00:13:19,777 --> 00:13:20,977 Thank you. 253 00:13:21,737 --> 00:13:26,390 I just ask that you not tell anyone until I've had a chance to let your colleagues know. 254 00:13:26,392 --> 00:13:28,146 It should be by the end of day. 255 00:13:28,148 --> 00:13:29,348 Okay. 256 00:13:32,530 --> 00:13:33,803 Where are we, June? 257 00:13:33,805 --> 00:13:35,804 I'm using negative pressure wound therapy. 258 00:13:35,806 --> 00:13:37,269 I'm just getting the foam ready. 259 00:13:37,271 --> 00:13:38,369 Is this your labrik Aleman? (?) 260 00:13:38,371 --> 00:13:39,773 Andy's BP's way too low. 261 00:13:39,775 --> 00:13:43,230 Actually, the only good news is that I debrided twice, so the wound looks fantastic. 262 00:13:43,232 --> 00:13:44,777 Free from Ryan's vomit, you mean. 263 00:13:44,779 --> 00:13:47,556 I'm using the back with insulation because the last thing I need is sepsis. 264 00:13:47,557 --> 00:13:50,113 Aside from that, sweet and see how his kidneys recover. 265 00:13:50,115 --> 00:13:51,965 Which the kid is blaming us for. 266 00:13:51,967 --> 00:13:53,924 Olsen's requested an audience. 267 00:13:53,926 --> 00:13:55,390 Entitled little troll. 268 00:13:55,392 --> 00:13:57,207 I told you, residents, are a bad idea. 269 00:13:57,209 --> 00:13:58,389 I'm just laying here on the foam. 270 00:13:58,391 --> 00:14:00,751 Not my opinion, you develop it here. 271 00:14:00,753 --> 00:14:02,136 What is up with you? 272 00:14:02,138 --> 00:14:03,268 Don't compress. 273 00:14:03,270 --> 00:14:04,402 I know... 274 00:14:04,404 --> 00:14:05,736 what I'm doing. 275 00:14:05,738 --> 00:14:10,111 Look, I know things between us have been tricky, but it seems like there's more bothering you than me having power. 276 00:14:10,112 --> 00:14:12,954 If you can't handle my friendly responding to you, then that's on you. 277 00:14:12,956 --> 00:14:16,448 The way we work in here, enter the knife, I need that. 278 00:14:16,450 --> 00:14:19,445 Okay, as weird as that is for me to say, but not everyone can handle it. 279 00:14:20,652 --> 00:14:22,482 Can you respond, at least? 280 00:14:22,484 --> 00:14:24,352 Are you going to play nice with the Ryan thing? 281 00:14:24,354 --> 00:14:25,532 I've got to know who. (?) 282 00:14:25,534 --> 00:14:26,734 Mark. 283 00:14:27,205 --> 00:14:30,072 Don't put your stability on me, June. I never asked for that. 284 00:14:33,991 --> 00:14:35,990 We're all sucking it up today. 285 00:14:39,564 --> 00:14:41,563 It's a scapoid fracture. 286 00:14:41,565 --> 00:14:45,725 If you would have done the X-ray two months ago, we would have put it in a cast to avoid the situation. 287 00:14:45,727 --> 00:14:47,473 That has been broken the whole time? 288 00:14:47,475 --> 00:14:49,274 I'm sorry to say so, yes. 289 00:14:49,276 --> 00:14:51,771 When this happens, the pieces don't properly fuse. 290 00:14:51,773 --> 00:14:53,384 It's called nonunion. 291 00:14:53,386 --> 00:14:55,548 You seem happy that this is happening to me. 292 00:14:55,550 --> 00:14:57,133 No. No, no. 293 00:14:57,135 --> 00:15:00,912 I'm just, no, I'm glad that we're on top of it now. 294 00:15:00,914 --> 00:15:02,260 So now what? 295 00:15:02,262 --> 00:15:06,281 Ah, a surgeon might need a bone stimulator or maybe even graft. 296 00:15:06,283 --> 00:15:07,471 An operation? 297 00:15:07,473 --> 00:15:09,571 And then how many more weeks off work? 298 00:15:09,573 --> 00:15:10,572 Donald. 299 00:15:10,574 --> 00:15:12,022 I just saw your text. 300 00:15:12,024 --> 00:15:14,226 My wrist has been broken for two months, Claire. 301 00:15:14,228 --> 00:15:16,244 You were supposed to call me about that X-ray. 302 00:15:16,866 --> 00:15:18,177 I did. 303 00:15:19,258 --> 00:15:22,912 I bet somewhere in your bag there you will find the requisition. 304 00:15:23,837 --> 00:15:25,837 You're right. I'm sorry, it was me. 305 00:15:25,839 --> 00:15:28,122 I didn't mean to accuse you, Claire. 306 00:15:28,124 --> 00:15:31,148 Let's get Dr. LeBlanc back to her regular scheduled 307 00:15:31,150 --> 00:15:34,006 programming and you and I can talk to a surgeon about next steps. 308 00:15:35,114 --> 00:15:37,247 - I'll just get changed and call upstairs. - Yeah. 309 00:15:37,249 --> 00:15:39,083 I'll write up a few hydromoraphone for his pain. 310 00:15:39,084 --> 00:15:41,225 - He should tolerate them fine. - Okay, thanks. 311 00:15:42,746 --> 00:15:47,678 Collation therapy should counteract the toxicity over the next two days of infusions that will bind 312 00:15:47,679 --> 00:15:52,142 with the lead in your bloodstream and form a compound that can be excreted from your body through your... 313 00:15:52,144 --> 00:15:53,623 Then Alexei will stay too. 314 00:15:53,625 --> 00:15:54,965 He won't be in any trouble. 315 00:15:54,967 --> 00:15:57,256 You'll be hooked up to monitors and IVs. 316 00:15:57,258 --> 00:16:00,013 There's no way to run after an energetic toddler. 317 00:16:00,022 --> 00:16:04,179 And as much as we'd love to, we just don't have the staff to look out for him. 318 00:16:04,457 --> 00:16:06,072 I know. Excuse me. 319 00:16:07,244 --> 00:16:09,842 - Hey. - Would you care to fill me in, Dr. Hamid? 320 00:16:09,844 --> 00:16:11,298 It's Yuri Zalinger. 321 00:16:11,300 --> 00:16:13,475 He came in with symptoms of lead poisoning. 322 00:16:13,477 --> 00:16:15,337 And yet he's had a bone scan and an MRI. 323 00:16:15,339 --> 00:16:18,746 There seems like an expensive way to get somewhere that basic blood sort of taken us. 324 00:16:18,748 --> 00:16:22,391 If you're concerned about resources, I believe it falls under the public health budget. 325 00:16:22,393 --> 00:16:25,860 So I heard, but I don't remember approving any patient sharing initiatives. 326 00:16:25,862 --> 00:16:27,123 Dr. Debbie did. 327 00:16:27,125 --> 00:16:31,839 Well, I asked her to... I have experienced working in refugee camps in Turkey, Syria, Lebanon. 328 00:16:31,841 --> 00:16:34,867 And if we had programs like this available, we would have saved a lot more lives. 329 00:16:34,868 --> 00:16:35,972 Smart. 330 00:16:35,974 --> 00:16:38,280 Not everyone has the personal experience to leverage. 331 00:16:38,282 --> 00:16:41,281 Makes it harder for us to say no to that kind of pitch. 332 00:16:41,283 --> 00:16:44,227 These programs are good in theory, Dr. Hamed. 333 00:16:44,229 --> 00:16:49,327 But I doubt we'll ever see a dime from public health, which means that we will be eating the extra costs. 334 00:16:49,329 --> 00:16:51,075 Are you asking me to pull Yuri? 335 00:16:51,077 --> 00:16:52,888 Bad optics. It's too late. 336 00:16:55,351 --> 00:16:56,883 We have a wrinkle. 337 00:16:57,443 --> 00:17:00,782 Did he just accuse me of using my life story to get ahead? 338 00:17:00,784 --> 00:17:02,106 You did. 339 00:17:02,108 --> 00:17:04,141 I'm not saying it isn't offensive. 340 00:17:04,143 --> 00:17:07,382 But he's not wrong about public funding being unreliable. 341 00:17:07,384 --> 00:17:11,181 He okays programs like this one, he risks losing money we need elsewhere. 342 00:17:11,183 --> 00:17:14,939 And if he doesn't, then he looks like an uncaring racist. 343 00:17:14,941 --> 00:17:18,060 Dr. Debbie made it seem like I was on the exact right page, 344 00:17:18,061 --> 00:17:22,570 but Olson thinks the same idea makes me look like I have no clue how things work here. 345 00:17:22,572 --> 00:17:25,258 The Gulf between those two is above our pay grade. 346 00:17:26,881 --> 00:17:29,235 You said we had a wrinkle? 347 00:17:29,237 --> 00:17:33,030 Yuri won't let me place Alexei with a family while he's in treatment. 348 00:17:33,032 --> 00:17:37,418 I get it, I'm a stranger, but the kid can't stay here. 349 00:17:37,420 --> 00:17:40,363 I don't blame him, I wouldn't trust us either in his shoes. 350 00:17:40,365 --> 00:17:42,016 But you do now, right? 351 00:17:43,258 --> 00:17:44,959 You see yourself in Yuri? 352 00:17:44,961 --> 00:17:46,960 Help him get to where you are. 353 00:17:50,150 --> 00:17:51,966 Let's say this is him, choose up. (?) 354 00:17:53,124 --> 00:17:55,438 - Are you sure about that, Arnold? - Yep. 355 00:17:59,643 --> 00:18:00,843 Okay. 356 00:18:03,119 --> 00:18:05,412 Hi, I'm Theo Hunter. 357 00:18:05,414 --> 00:18:06,613 Theo Hunter. 358 00:18:06,615 --> 00:18:07,946 The Theo Hunter. 359 00:18:07,948 --> 00:18:08,947 Okay. 360 00:18:08,949 --> 00:18:10,813 You're Jonathan, right? 361 00:18:10,815 --> 00:18:12,859 Liz's live in acts. 362 00:18:12,861 --> 00:18:14,493 This is Ash. 363 00:18:14,495 --> 00:18:17,055 Hi. Yeah, if you'd like I could go get Liz. 364 00:18:17,057 --> 00:18:21,536 She never sees us herself when we come. Protocol, she says. 365 00:18:21,538 --> 00:18:25,420 Also we've already been waiting an hour and Ash is straining for air. 366 00:18:25,422 --> 00:18:27,520 You're asthmanic aren't you Ash? 367 00:18:28,466 --> 00:18:29,666 Yeah. 368 00:18:30,350 --> 00:18:32,109 It's been pretty bad today. 369 00:18:32,111 --> 00:18:35,415 Ash texted from school saying they could barely brief. 370 00:18:35,417 --> 00:18:38,481 All right, well let's get a big breath in and out, okay? 371 00:18:40,840 --> 00:18:46,893 Any triggers, exercise, allergens, what meds are you on? 372 00:18:46,895 --> 00:18:50,422 Big bad purple every morning, little boy blue for attacks. 373 00:18:50,424 --> 00:18:53,219 Selmetarol and to selbutymol. 374 00:18:53,221 --> 00:18:54,378 Oh. 375 00:18:54,380 --> 00:18:58,530 And little boy blue hasn't done anything to help with the wheezing today? 376 00:18:58,532 --> 00:19:05,074 They lost it and are aware that since insurance only covers so many, the next one's coming out of their allowance. 377 00:19:05,076 --> 00:19:12,008 Okay, well, we'll be able to get your breathing sorted, but I would like to do a chest X-ray just to be sure. 378 00:19:12,010 --> 00:19:13,675 X-Ray's not necessary. 379 00:19:13,677 --> 00:19:15,676 Nebulaizer's normally enough. 380 00:19:15,678 --> 00:19:17,256 Ash, you okay? 381 00:19:17,258 --> 00:19:21,840 John, are you sure this was DEFCON enough to take them out of school? 382 00:19:21,842 --> 00:19:24,733 You could have answered one of my 30 calls and decided yourself. 383 00:19:24,735 --> 00:19:28,127 Your boyfriend thinks it's serious enough, if he wants to be getting an X-ray. 384 00:19:31,146 --> 00:19:37,020 Okay, well, I'm gonna go run down that nebulizer and I'll let you guys talk. 385 00:19:39,046 --> 00:19:40,500 Be right back. 386 00:19:42,733 --> 00:19:45,723 Well, first meeting could have gone worse, right? 387 00:19:45,725 --> 00:19:48,724 A week ago you wouldn't even let me in the car for a pickup. 388 00:19:48,726 --> 00:19:51,725 Now you're assigning them to me without even a heads up? 389 00:19:52,144 --> 00:19:53,522 Okay, fine. 390 00:19:53,918 --> 00:19:57,763 But I can't treat them and you're a person I trust. 391 00:19:57,765 --> 00:20:00,456 And yet you're overruling an X-ray. 392 00:20:00,458 --> 00:20:02,116 Look, Ash does this. 393 00:20:02,118 --> 00:20:07,177 You know, when they came to us a few years ago, they were always sick and they settled in and it got better. 394 00:20:07,179 --> 00:20:10,764 But now the John and I, you... 395 00:20:11,131 --> 00:20:14,326 Trust me, all Ash needs to hear they're fine. 396 00:20:14,791 --> 00:20:16,790 All right, nebulizer, it is, boss. 397 00:20:16,792 --> 00:20:17,992 Thank you. 398 00:20:19,549 --> 00:20:22,815 Well, there is a way we're going to fix your dad. (?) 399 00:20:23,224 --> 00:20:24,838 - Doctor Hamed. - Hi. 400 00:20:24,840 --> 00:20:25,839 Who's this? 401 00:20:25,841 --> 00:20:31,525 This is Alexei, his father had to make a call to arrange childcare, so we are on a tour. 402 00:20:31,527 --> 00:20:33,671 Hi, Alexei, I'm Nita. 403 00:20:35,498 --> 00:20:37,647 I got your note about Olson. 404 00:20:37,964 --> 00:20:43,156 Let me worry about him. But when you have a moment, I do want to speak in my office. 405 00:20:43,385 --> 00:20:45,333 Okay, great. 406 00:20:49,107 --> 00:20:51,244 Doctor, we have to go to the street. (?) 407 00:20:52,258 --> 00:20:54,989 Hey, Donald, has the surgeon not been in? 408 00:20:54,991 --> 00:20:56,762 Not since you left before. 409 00:20:58,244 --> 00:21:02,097 I have been through every paper and I can't find that X-ray or requisition 410 00:21:02,098 --> 00:21:04,492 and no mis-calls or texts from Claire either. 411 00:21:04,494 --> 00:21:07,185 I don't want to make things worse and I know I'm scattered. 412 00:21:07,911 --> 00:21:11,441 But I don't think this was my fault, and Claire tried to say it was. 413 00:21:11,697 --> 00:21:17,696 Okay, well, maybe there was a system glitch or some kind of human error. 414 00:21:17,698 --> 00:21:18,697 Let me just go check. 415 00:21:18,699 --> 00:21:22,531 Then maybe give me something for the pain because I'm still waiting for that, too. 416 00:21:28,770 --> 00:21:30,042 Thanks for meeting. 417 00:21:30,044 --> 00:21:32,806 No, anything to asuage hurt feelings. 418 00:21:32,808 --> 00:21:34,242 Poor guy, doesn't know where he is? 419 00:21:34,244 --> 00:21:36,416 No, he came in unconscious and we had to intubate. 420 00:21:36,418 --> 00:21:39,492 He has a family member who's driving down but still about a day away. 421 00:21:40,418 --> 00:21:42,572 I heard about the residence complaint. 422 00:21:42,574 --> 00:21:46,078 As this came to me through surgical channels, Dr. Debbie, I'm on it. 423 00:21:46,080 --> 00:21:49,609 Maybe so, but the incident happened in my department, so my purview. 424 00:21:49,611 --> 00:21:50,850 Incident? 425 00:21:51,374 --> 00:21:52,530 Seriously? 426 00:21:52,532 --> 00:21:56,057 The young man feels that a gentler language could have been used. 427 00:21:56,059 --> 00:21:59,385 He lied about vital information. Twice. 428 00:21:59,387 --> 00:22:01,054 You gonna back me up on this June? 429 00:22:01,056 --> 00:22:03,006 Uh, he did. 430 00:22:03,008 --> 00:22:04,342 Yes. 431 00:22:04,344 --> 00:22:09,493 Ryan claims that an environment of fear incited his mistake. 432 00:22:09,495 --> 00:22:10,942 That's crap. 433 00:22:11,966 --> 00:22:13,551 Patient's life was in danger. 434 00:22:13,553 --> 00:22:16,113 He's going to have to face way more intense situations than that. 435 00:22:16,114 --> 00:22:17,946 And if he crumbles, what good is he? 436 00:22:17,948 --> 00:22:20,570 Even so, that justification has fallen out of favor, Mark. 437 00:22:20,572 --> 00:22:24,698 Okay. Let's coddle them because that'll work out so well for people who've been crushed by forklifts. 438 00:22:25,502 --> 00:22:27,975 Well, what is that even supposed to mean? 439 00:22:27,977 --> 00:22:32,270 That it used to be permissible to berate residents into panic attacks? 440 00:22:32,272 --> 00:22:34,122 It was practically a sport for my attending. 441 00:22:34,124 --> 00:22:39,066 It's a radical thought, but it might be nice for new residents to come up without being repeatedly traumatized. 442 00:22:39,068 --> 00:22:40,776 It's hard to disagree with that. 443 00:22:40,778 --> 00:22:44,737 Then again, Mark makes a fair point about coddling, like saying yes to 444 00:22:44,739 --> 00:22:49,248 ill-advised public health initiatives to keep from offending a resident. 445 00:22:49,250 --> 00:22:52,732 That was about encouraging a valid holistic interest. 446 00:22:52,734 --> 00:22:58,734 And Hamed's enthusiasm is not going to pay for unnecessary diagnostics, which as you'll recall, is my purview. 447 00:23:00,816 --> 00:23:02,835 He needs increased presidoses. (?) 448 00:23:02,837 --> 00:23:05,163 It could be worsening sepsis, but it's hard to tell. 449 00:23:05,165 --> 00:23:08,517 This mess is not a good look for trauma OR. 450 00:23:08,519 --> 00:23:11,080 So whatever your personal feelings, I need the two of you to make 451 00:23:11,082 --> 00:23:14,447 sure that Ryan feels supported and the patient is stabilized. 452 00:23:14,449 --> 00:23:15,649 Isn't that over? 453 00:23:16,752 --> 00:23:19,026 In that case, you can have the future. 454 00:23:19,028 --> 00:23:22,178 Do, say whatever you want to Ryan, I am out. 455 00:23:23,538 --> 00:23:25,231 Godspeed, Dr. Curtis. 456 00:23:26,817 --> 00:23:28,480 Do you have a minute? 457 00:23:28,482 --> 00:23:30,935 You do not need to hold the bag for Novak. 458 00:23:30,937 --> 00:23:32,754 I know he's great in trauma OR. 459 00:23:32,756 --> 00:23:34,149 He is trauma OR. 460 00:23:34,151 --> 00:23:35,719 Someone's got to do it. 461 00:23:36,084 --> 00:23:39,430 Anyways, I, uh, got it. 462 00:23:41,596 --> 00:23:43,350 That was spirited? 463 00:23:43,352 --> 00:23:47,654 You should know I've chosen the Maggie Leblanc for the Emerge Fellowship. 464 00:23:47,656 --> 00:23:49,416 Why don't you walk me through your thinking? 465 00:23:49,418 --> 00:23:50,838 I've already told her. 466 00:23:50,840 --> 00:23:52,749 It's my decision, so I made it. 467 00:23:52,751 --> 00:23:54,938 Once I tell the others, we can announce. 468 00:23:54,940 --> 00:23:56,881 Sounds good to me. 469 00:23:57,298 --> 00:23:59,839 Yury, only for two nights, you said you'd try. 470 00:23:59,841 --> 00:24:04,349 I did, neighbor who watches him when I can't take him on jobs has her brother this week. 471 00:24:04,351 --> 00:24:06,199 And he's been in and out of jail. 472 00:24:06,201 --> 00:24:07,200 Not an option. 473 00:24:07,202 --> 00:24:09,285 - But that's only one person. - There's nobody else. 474 00:24:09,287 --> 00:24:12,117 Yes, there is. Lucy would not put him with someone who isn't safe. 475 00:24:12,119 --> 00:24:14,884 If I can't keep him with me, then there's nothing left to say. 476 00:24:14,886 --> 00:24:16,093 But you need treatment. 477 00:24:16,095 --> 00:24:20,743 You keep saying that, but beyond the stomach pain in headaches, which I can handle, I'm fine. 478 00:24:20,745 --> 00:24:21,930 No, you're not. 479 00:24:21,932 --> 00:24:23,723 Your blood pressure is through the roof. 480 00:24:23,725 --> 00:24:26,437 You could have a stroke. Then what would happen to Alexi? Hmm? 481 00:24:26,878 --> 00:24:30,603 Um, when I first got here, I would have said no, too. 482 00:24:31,178 --> 00:24:34,331 I would have taken it all out myself and it would have been a mistake. 483 00:24:34,878 --> 00:24:37,544 I have made so many mistakes. 484 00:24:37,546 --> 00:24:38,908 Then take him. 485 00:24:38,910 --> 00:24:42,691 If you watch Alexi, I'll know he's safe and stay here for treatment. 486 00:24:42,693 --> 00:24:44,131 I would, Yuri. 487 00:24:44,133 --> 00:24:45,903 I would, but they don't allow that. 488 00:24:45,905 --> 00:24:47,708 I could lose my job, I'm sorry. 489 00:24:50,748 --> 00:24:52,358 Then let us go. 490 00:24:53,791 --> 00:24:55,790 We're survivors, him and me. 491 00:24:55,792 --> 00:24:57,241 We will manage. 492 00:25:08,031 --> 00:25:12,552 Mags, did you ask the social worker to help keep them organized? (?) 493 00:25:12,554 --> 00:25:14,210 Because I was on that. 494 00:25:14,212 --> 00:25:17,211 Yeah, it's just because you just started full time again today. 495 00:25:17,213 --> 00:25:20,629 Right. So you can go above and beyond with every patient, but I'm in over my head? 496 00:25:20,631 --> 00:25:28,068 That's not what I... You didn't order the X-ray and there's no record of a requisition or any follow-up. 497 00:25:28,070 --> 00:25:32,180 Donald's in pain. I can fit him in tonight. He 's going to need Aurith in a bone graft. (?) 498 00:25:32,182 --> 00:25:34,909 How long until he goes back to work? 499 00:25:34,911 --> 00:25:38,952 Eight weeks and it'll be a while tonight, so stay on top of this pain management, he's in discomfort. 500 00:25:41,884 --> 00:25:46,232 Oh, and Dr. Leblanc, I understand that congratulations are in order. 501 00:25:46,697 --> 00:25:48,696 The Emergency Medicine Fellowship. 502 00:25:49,384 --> 00:25:51,271 Yeah, I wasn't aware that that was out. 503 00:25:51,273 --> 00:25:52,272 Yeah, thank you. 504 00:25:52,274 --> 00:25:54,274 Mags, that's amazing. Way to go. 505 00:25:54,276 --> 00:25:55,906 I'm going to suck up to you more intensely. 506 00:25:55,907 --> 00:25:56,906 Yeah, you better. 507 00:25:56,908 --> 00:25:57,907 Congrats. 508 00:25:57,909 --> 00:25:58,908 Thanks. 509 00:25:58,910 --> 00:26:00,078 Happy for you, Mags. 510 00:26:00,080 --> 00:26:02,562 That's a nice feeling being at the beginning of something. 511 00:26:02,564 --> 00:26:03,563 Thank you. 512 00:26:03,565 --> 00:26:07,596 I do think that you and I have that in common the way that we prioritize this place. 513 00:26:07,598 --> 00:26:12,726 And I am living proof that you can both work here and manage our health issues, but I'm not doing it all. 514 00:26:12,734 --> 00:26:13,963 I'm fine. 515 00:26:13,965 --> 00:26:15,120 Claire. 516 00:26:15,122 --> 00:26:16,257 Claire. 517 00:26:16,258 --> 00:26:17,933 Can I make one mistake? 518 00:26:17,935 --> 00:26:23,174 I will apologize to Donald, but I will not advertise my health problems for sympathy just because it worked for you. 519 00:26:23,176 --> 00:26:25,545 So you do your job and let me do mine, please. 520 00:26:39,864 --> 00:26:41,952 Hey, first day back, how'd it go? 521 00:26:41,954 --> 00:26:42,953 Awkward. 522 00:26:42,955 --> 00:26:43,954 Yours too, I hear? 523 00:26:43,956 --> 00:26:44,955 Buy you a drink later? 524 00:26:44,957 --> 00:26:45,956 Uh, sure. 525 00:26:45,958 --> 00:26:46,957 Only, why? 526 00:26:46,959 --> 00:26:48,838 Just, I know how much one of that job. 527 00:26:48,840 --> 00:26:50,861 You know, great for my Mags, but still. 528 00:26:50,869 --> 00:26:52,113 Sorry, man. 529 00:26:52,115 --> 00:26:54,782 Ah, wait, you, you, you knew already, right? 530 00:26:55,584 --> 00:26:58,470 Yeah, I'll let you know later about that drink, okay? 531 00:27:35,323 --> 00:27:36,523 Ash, 532 00:27:37,244 --> 00:27:40,400 I told Jonathan that you two could go, when the nebulizer ran through. 533 00:27:40,401 --> 00:27:41,929 Somebody should have came and got you. 534 00:27:42,356 --> 00:27:45,849 John had a work thing. Liz is driving me home when she's finished. 535 00:27:47,258 --> 00:27:49,279 Something you want to say to me, Ash? 536 00:27:50,206 --> 00:27:52,413 Are you the reason she and John split up? 537 00:27:52,781 --> 00:27:56,946 It's more complicated than that and something you should probably talk to her about. 538 00:27:56,948 --> 00:27:59,429 Liz is the only mom I have. 539 00:27:59,989 --> 00:28:03,259 So, if you hurt her, you're gonna regret it. 540 00:28:03,261 --> 00:28:04,655 Fair enough. 541 00:28:05,685 --> 00:28:06,998 Feel better? 542 00:28:10,844 --> 00:28:12,044 Ash? 543 00:28:12,271 --> 00:28:14,451 Hey, Ash, what's going on? 544 00:28:15,230 --> 00:28:17,127 All right, come on. 545 00:28:19,817 --> 00:28:21,553 All right, hey. 546 00:28:23,223 --> 00:28:24,499 Hey, Ash? 547 00:28:24,837 --> 00:28:26,037 Ash? 548 00:28:26,332 --> 00:28:29,035 Hey, you're having a reaction to one of the drugs in the nebulizer. 549 00:28:29,037 --> 00:28:32,563 Hey, Ash, hey, hey, what'd you call it? Uh... 550 00:28:32,565 --> 00:28:34,104 Uh, little boy blue? 551 00:28:34,386 --> 00:28:37,378 You had a reaction to a little boy blue before I need to know Ash. 552 00:28:37,635 --> 00:28:38,873 I lied. 553 00:28:39,533 --> 00:28:42,414 I ran out because I take extra sometimes. 554 00:28:42,416 --> 00:28:44,064 Did you do that today? Hey? 555 00:28:44,066 --> 00:28:47,127 Extra meaning what more than two or four puffs? 556 00:28:47,340 --> 00:28:48,800 No, like 40. 557 00:28:50,131 --> 00:28:51,879 I like the way it feels. 558 00:28:51,881 --> 00:28:54,585 Well, that combined with the nebulizer, that's way to much albutamol. 559 00:28:54,586 --> 00:28:57,384 All right, it's making your heart work way too hard, okay? 560 00:28:57,386 --> 00:28:59,385 Can somebody get me a wheelchair? 561 00:29:03,310 --> 00:29:05,633 Are you hungry, Alexi? 562 00:29:06,151 --> 00:29:07,730 You want some apples? 563 00:29:08,074 --> 00:29:09,274 Apples. 564 00:29:09,879 --> 00:29:11,243 He's so cute. 565 00:29:11,245 --> 00:29:12,890 What did you say he belongs to? 566 00:29:12,892 --> 00:29:14,891 Just a friend in a bind. 567 00:29:14,893 --> 00:29:18,758 Yeah, you don't have any friends with kids who aren't the... 568 00:29:18,760 --> 00:29:20,974 Oh, we haven't met all of my friends. 569 00:29:20,976 --> 00:29:24,061 Because this one's actually a patient. 570 00:29:24,063 --> 00:29:25,997 Look, his dad needed treatment, 571 00:29:25,999 --> 00:29:29,686 So, I picked Alexi up and now we're babysitting for two nights. Hmm? 572 00:29:30,778 --> 00:29:34,016 Bashir, are you even allowed to do that? 573 00:29:34,018 --> 00:29:38,530 Why not you and Alexi sit on the new couch, hm? 574 00:29:38,532 --> 00:29:40,015 Yeah, right. 575 00:29:40,017 --> 00:29:43,335 Then him or probably me spills food 576 00:29:43,336 --> 00:29:47,674 and you freak out because you're not able to return it if you don't get that job. 577 00:29:49,438 --> 00:29:50,724 I didn't. 578 00:29:50,891 --> 00:29:52,471 I found out today. 579 00:29:54,862 --> 00:29:57,479 So what does that mean? Nothing. 580 00:29:57,481 --> 00:30:01,333 There is almost six months left of my residency, so I'm still employed. 581 00:30:01,335 --> 00:30:04,810 But you can't stay where you are after. Can you? 582 00:30:05,951 --> 00:30:07,601 You like it there. 583 00:30:07,971 --> 00:30:09,483 Are you okay? 584 00:30:09,867 --> 00:30:11,583 Are we okay? 585 00:30:11,585 --> 00:30:13,180 You know, we're fine. 586 00:30:13,182 --> 00:30:15,478 We're starting over as nothing new for us. 587 00:30:15,480 --> 00:30:17,996 Well, I'm staying on the floor just in case. 588 00:30:17,998 --> 00:30:20,349 Just sit on the couch. 589 00:30:24,677 --> 00:30:26,296 I wrote a prep adenosine. (?) 590 00:30:26,298 --> 00:30:27,491 Veins are flat. 591 00:30:27,493 --> 00:30:29,493 Then find me the I/O I'll get access to the left tibia. 592 00:30:29,494 --> 00:30:31,888 Now, hold on. I found an entry in the hand. I can make this word. 593 00:30:31,889 --> 00:30:33,890 - Daroda, we don't have time? - Can you just trust me, please? 594 00:30:33,891 --> 00:30:34,890 What happened? 595 00:30:34,892 --> 00:30:37,687 SVT from an overdose of sibutamol. 596 00:30:37,689 --> 00:30:40,109 How is that possible? Did you dose the nebulizer wrong? 597 00:30:40,111 --> 00:30:42,355 No. Ash told me and I've seen this before. 598 00:30:42,357 --> 00:30:44,881 They get a body stone if they hit the inhaler enough times. (?) 599 00:30:44,883 --> 00:30:46,264 Why would they do that? 600 00:30:46,266 --> 00:30:47,573 Adenosine's prepped. 601 00:30:47,575 --> 00:30:49,199 You want to stop their heart? 602 00:30:49,201 --> 00:30:50,532 Line's in, ready to push. 603 00:30:50,534 --> 00:30:54,172 Liz, we need to get the heart rate under control and we have to do it now, okay? 604 00:30:54,174 --> 00:30:55,374 Okay. 605 00:30:55,489 --> 00:30:56,689 Push in. 606 00:31:01,811 --> 00:31:03,240 Come on, come on, come on. 607 00:31:06,724 --> 00:31:07,924 Ash. 608 00:31:11,864 --> 00:31:13,083 Nice stick. 609 00:31:13,085 --> 00:31:15,217 Try to have fate next time, son. 610 00:31:17,531 --> 00:31:18,731 You okay? 611 00:31:24,670 --> 00:31:26,808 It's been hard since my promotion. 612 00:31:26,810 --> 00:31:29,240 Being everything to everyone at home too. 613 00:31:30,577 --> 00:31:32,542 Should have trusted your instincts. 614 00:31:32,544 --> 00:31:34,241 Don't worry about it. 615 00:31:34,242 --> 00:31:37,488 Ash likes you, which is kind of a big deal. 616 00:31:37,490 --> 00:31:39,023 Very picky kid. 617 00:31:39,025 --> 00:31:43,371 Good to know, especially after the talk I got and I'm not hurting you. 618 00:31:45,383 --> 00:31:46,839 You should come to the house. 619 00:31:47,485 --> 00:31:49,532 For dinner with all of us this weekend. 620 00:31:53,369 --> 00:31:56,410 In addition, Arnold has a natural curiosity about the human body 621 00:31:56,412 --> 00:31:59,528 and his functions and his passion for learning is evident. 622 00:31:59,530 --> 00:32:02,241 Does natural curiosity about the human body sound weird or sexual? 623 00:32:02,242 --> 00:32:05,241 Mm, yeah, try anatomy instead. 624 00:32:07,782 --> 00:32:09,532 We're off the clock. 625 00:32:10,985 --> 00:32:16,241 Boss, you told Arnold you would write him a reference letter for med school weeks ago? 626 00:32:16,242 --> 00:32:17,952 It's due tomorrow. 627 00:32:17,954 --> 00:32:19,241 It is? 628 00:32:19,557 --> 00:32:21,953 Arnold, why didn't you say anything? 629 00:32:21,955 --> 00:32:26,831 We were just writing that draft and I figured maybe you could read it and sign off. 630 00:32:28,389 --> 00:32:30,417 You haven't been easy to talk to. 631 00:32:31,388 --> 00:32:33,024 You're right, sorry. 632 00:32:33,026 --> 00:32:35,522 Uhm... Yeah, send it. 633 00:32:35,856 --> 00:32:38,085 - I'll get to it before I go. - Thanks. 634 00:32:55,681 --> 00:32:58,365 Bleeding gums after lower body crush injury. 635 00:32:58,367 --> 00:33:00,241 I really want the poor guy to pull through. 636 00:33:00,242 --> 00:33:03,241 And if he doesn't, then you're under scrutiny because of the resident. 637 00:33:03,242 --> 00:33:05,750 Well, I needed was for Novak to just... 638 00:33:05,751 --> 00:33:08,680 He couldn't just admit that the kid didn't need to be demeaned. 639 00:33:08,682 --> 00:33:11,579 Yeah, did Ryan really lie about checking his urine? 640 00:33:11,581 --> 00:33:14,630 Because no doctor I've ever worked for would take that lightly. 641 00:33:14,632 --> 00:33:17,978 Okay, look, I remember when I was in first year, we hid a file behind the surgical desk. 642 00:33:17,979 --> 00:33:19,492 Days without humiliation. 643 00:33:19,494 --> 00:33:22,241 The number always hovered around two, now I guess I'm back down to zero. 644 00:33:22,242 --> 00:33:23,241 Same. 645 00:33:23,242 --> 00:33:25,241 I think the bar's close enough for us to walk. 646 00:33:25,242 --> 00:33:27,106 - No, you don't have to buy me a drink. - I do. 647 00:33:27,108 --> 00:33:28,946 You just beat out a tough crew for that job. 648 00:33:28,948 --> 00:33:33,449 Yeah, including my ex-boyfriend who's probably now spiraling into a pit of existential despair 649 00:33:33,451 --> 00:33:36,554 about how he's eternally unemployable and will never be able 650 00:33:36,556 --> 00:33:38,739 to give his sister the light that she deserves. 651 00:33:41,753 --> 00:33:44,129 I think we might be on the wrong block. 652 00:33:44,131 --> 00:33:45,867 I'm not supposed to be drinking anyway. 653 00:33:45,869 --> 00:33:47,465 Why can't you just let us celebrate? 654 00:33:47,467 --> 00:33:49,354 Because you feel guilty about Bash? 655 00:33:50,021 --> 00:33:53,860 Claire told me I only got the job because Debbie pities me for my health issues. 656 00:33:53,862 --> 00:33:56,862 What? No, Meg, you got the job because you deserve it. 657 00:33:56,864 --> 00:33:58,559 Yeah, you should have seen her today. 658 00:33:58,561 --> 00:34:03,972 Claire, first she was late, then she missed a patient's X-ray, now he's surgical intervention. 659 00:34:03,974 --> 00:34:08,024 One minute, she's her sweet old self, and then I offered to help, and she just blew up on me. 660 00:34:08,026 --> 00:34:09,936 Yeah, like with Bash. 661 00:34:09,938 --> 00:34:12,403 You know myth about the five stages being linear, 662 00:34:12,404 --> 00:34:16,335 but in reality, you either experience them all at the same time or just completely out of order. 663 00:34:17,049 --> 00:34:19,090 - June. - What, I can't evolve. 664 00:34:19,092 --> 00:34:20,292 Okay. 665 00:34:21,410 --> 00:34:24,915 Except I ordered her patient pain meds, and I don't think they ever got to help. 666 00:34:25,721 --> 00:34:28,241 But you think Claire took his pain meds? 667 00:34:30,271 --> 00:34:33,948 I guess that if she has something to hide, that would explain her pushing you away. 668 00:34:33,950 --> 00:34:36,241 What are you going to do? About Novak. 669 00:34:36,242 --> 00:34:40,600 I need him, so what I always do is suck it up and apologize on his behalf. 670 00:34:42,058 --> 00:34:45,993 For our 50 days, no cutting, too, so that means we're not only celebrating you. We're... 671 00:34:45,995 --> 00:34:47,233 June! 672 00:34:47,694 --> 00:34:50,586 Oh. How are you feeling? 673 00:34:51,281 --> 00:34:53,279 - Down? - Yeah? 674 00:34:54,761 --> 00:34:56,475 - Think I'm scared. - Hmm. 675 00:34:57,568 --> 00:34:59,479 Like, what's going to happen without the cutting? 676 00:34:59,480 --> 00:35:03,154 My ability to handle things, my endless capacity for pain and suffering. 677 00:35:03,156 --> 00:35:07,640 Maybe you don't deserve endless pain and suffering, and I don't think that you won't be able to handle things. 678 00:35:07,642 --> 00:35:09,642 You're right. About evolving. 679 00:35:10,326 --> 00:35:13,811 Wait. Did you see your patient's gums were bleeding? 680 00:35:13,813 --> 00:35:14,971 Yeah, why? 681 00:35:14,973 --> 00:35:18,352 Because damaged tissue after crushing tree can pump cellular debris 682 00:35:18,354 --> 00:35:20,967 into the bloodstream and send his clotting system into overdrive. 683 00:35:20,969 --> 00:35:21,968 DIC. 684 00:35:21,970 --> 00:35:25,892 If it's consuming clotting factors and platelets faster than they can be replaced... 685 00:35:26,169 --> 00:35:28,216 Go. Go if you need to take care. 686 00:35:29,242 --> 00:35:30,386 Thanks. 687 00:35:30,388 --> 00:35:32,241 Congratulations, seriously. 688 00:35:33,689 --> 00:35:35,356 Yes, see you. (?) 689 00:35:48,793 --> 00:35:50,050 Hello? 690 00:35:50,052 --> 00:35:52,858 You forgive me if I don't apologize for waking you. 691 00:35:52,860 --> 00:35:56,725 I drove out to Branson last night, only to scare the hell out of Yuri's neighbor, 692 00:35:56,727 --> 00:35:59,832 who had no idea why he was checking on a child who wasn't staying with her. 693 00:35:59,834 --> 00:36:04,394 And then I drove all the way back for Yuri to tell me that you took Alexi. 694 00:36:05,034 --> 00:36:06,864 Only for a night or two. 695 00:36:06,866 --> 00:36:08,469 Except it won't be. 696 00:36:08,471 --> 00:36:11,586 Yuri crashed, started seizing from hypocalcemia. 697 00:36:11,588 --> 00:36:13,991 But we can regulate that. 698 00:36:13,993 --> 00:36:16,124 You might just need slower dosage. 699 00:36:16,126 --> 00:36:20,289 They moved him into ICU, they're saying he'll need to stay impatient two weeks now. 700 00:36:20,291 --> 00:36:22,549 Okay, well then let me keep him. 701 00:36:22,551 --> 00:36:25,658 You said to reach Yuri, this is how I'm doing it. 702 00:36:25,660 --> 00:36:28,241 I told you to get him to trust us. 703 00:36:28,242 --> 00:36:30,369 But all you've done is prove that he can't, and now I have 704 00:36:30,370 --> 00:36:33,845 to place his son with strangers without the father's buy-in. 705 00:36:35,585 --> 00:36:37,309 You're right. You're right. 706 00:36:37,311 --> 00:36:40,241 I'll, I'll, I'll, I'll come in. 707 00:36:40,242 --> 00:36:41,241 I'm sorry. 708 00:36:41,242 --> 00:36:43,241 It's not me you should be apologizing to. 709 00:36:54,424 --> 00:36:58,999 Mr. Cassavelli's suffered an industrial accident and crush injury yesterday. 710 00:36:59,415 --> 00:37:03,762 He has fought through kidney failure and cascading complications. 711 00:37:03,764 --> 00:37:05,241 How are you feeling, Dom? 712 00:37:05,242 --> 00:37:07,664 I couldn't be alive, Dr. Curtis, thank you. 713 00:37:07,666 --> 00:37:12,962 Ryan, can you please walk us through the clotting disorder that this patient was treated for? 714 00:37:12,964 --> 00:37:15,954 I hadn't had a chance to review the chart. 715 00:37:15,956 --> 00:37:17,207 Oh. 716 00:37:19,242 --> 00:37:21,491 Let's move on to patient room C. 717 00:37:24,415 --> 00:37:27,414 Ryan, can you walk with me this way? 718 00:37:27,662 --> 00:37:28,862 Yeah. 719 00:37:35,522 --> 00:37:36,667 Look. 720 00:37:36,669 --> 00:37:39,860 The way you were treated the other day was unacceptable and I apologize. 721 00:37:40,455 --> 00:37:43,413 Shouldn't Dr. Novak be here for this too? 722 00:37:43,415 --> 00:37:46,883 You had the right to make a complaint and this is just addressing it? 723 00:37:46,885 --> 00:37:48,070 Okay. 724 00:37:48,072 --> 00:37:50,755 I thought there was going to be more of a formal meeting. 725 00:37:51,575 --> 00:37:53,241 I'm a little blindsided. 726 00:37:53,242 --> 00:37:57,072 Okay. You feel blindsided because I'm apologizing to you or because 727 00:37:57,074 --> 00:37:59,425 I called you out for being unprepared for your rounds, Ryan? 728 00:37:59,426 --> 00:38:04,241 I asked my supervising doctor if I could be excused from that patient because of how it affected me. 729 00:38:04,242 --> 00:38:06,241 That's not exactly how this works, Ryan. 730 00:38:06,242 --> 00:38:08,389 You don't get to pick and choose so you can hide from your mistakes. 731 00:38:08,390 --> 00:38:10,567 You knew it was your mistake, not mine. 732 00:38:10,569 --> 00:38:13,721 And now you're giving me a fake apology and trying to retrometize. 733 00:38:13,723 --> 00:38:16,241 You need to shut up, you entitled little troll. 734 00:38:16,740 --> 00:38:19,466 You know, Ryan, if you knew anything about real trauma, 735 00:38:19,468 --> 00:38:23,071 you would get it together, face your mess, and do the damn work. 736 00:38:31,201 --> 00:38:32,401 Claire. 737 00:38:34,536 --> 00:38:38,241 I know doctors aren't supposed to be in here, but I just wanted to see if Donald had his surgery. 738 00:38:38,242 --> 00:38:40,241 Yeah, he came through fine. 739 00:38:40,242 --> 00:38:44,633 And he told me about our social workers plan to get his healthcare under control. 740 00:38:46,294 --> 00:38:48,799 Yeah, that was the right move, Mags. 741 00:38:48,801 --> 00:38:50,511 How long do you think that'll stick? 742 00:38:50,513 --> 00:38:55,241 Yeah, knowing Donald, I have a feeling he'll still need help from time to time. 743 00:38:55,242 --> 00:38:56,806 Yeah, we all do. 744 00:39:04,828 --> 00:39:06,492 Hydromorphone. 745 00:39:08,044 --> 00:39:09,241 Mags, what is this? 746 00:39:09,242 --> 00:39:11,997 If you have pain, Claire, that pain should be managed. 747 00:39:12,511 --> 00:39:16,172 We both know the harm prevention protocols when it comes to opioid use 748 00:39:16,174 --> 00:39:21,608 tend to shut out people who meet them and know how to use them responsibly. 749 00:39:21,610 --> 00:39:25,071 Based on my actions lately, are you sure that's the word you want to use? 750 00:39:25,073 --> 00:39:26,273 Yeah. 751 00:39:28,328 --> 00:39:29,954 I know you, Claire. 752 00:39:34,242 --> 00:39:36,356 There is physical pain, yeah. 753 00:39:36,649 --> 00:39:42,768 But every patient I see, I think, is this the person who stabbed me? 754 00:39:44,415 --> 00:39:47,414 I never saw their face and I am so angry. 755 00:39:50,242 --> 00:39:52,785 And I hear myself being terrible to people. 756 00:39:53,879 --> 00:40:00,241 I just can't stop and I, how do I know which pain I'm medicating? 757 00:40:04,242 --> 00:40:07,884 We're going to make an accountability plan for the painkillers. 758 00:40:07,886 --> 00:40:11,615 So that they stay under control and find you a counselor. 759 00:40:12,875 --> 00:40:14,558 You're not alone with this. 760 00:40:15,842 --> 00:40:17,042 Claire. 761 00:40:17,668 --> 00:40:18,868 Thank you. 762 00:40:26,592 --> 00:40:29,241 Sorry, you found out about the job the way you did. 763 00:40:29,242 --> 00:40:32,241 That was unprofessional. 764 00:40:33,309 --> 00:40:35,423 I tried to find you, but. 765 00:40:35,425 --> 00:40:37,314 Yeah, I had to. 766 00:40:37,316 --> 00:40:43,425 Rush off with a patient's child and prove Olson's point about using your background in public health to work us. 767 00:40:43,427 --> 00:40:46,347 I didn't mean to make things more complicated for you. 768 00:40:46,349 --> 00:40:47,549 No, you did. 769 00:40:47,551 --> 00:40:52,241 And while you're a skilled doctor in so many ways, this is an example of why you didn't get the fellowship. 770 00:40:52,243 --> 00:40:58,018 This instinct to leap blindly, you just can't seem to shake it. 771 00:40:59,935 --> 00:41:01,596 What happens now? 772 00:41:02,242 --> 00:41:08,404 You try not to abscond with any more children and hopefully leave here with a glowing recommendation. 773 00:41:10,688 --> 00:41:16,677 They live close. They promised to bring Alexi by to see me every day I'm here. 774 00:41:17,410 --> 00:41:20,125 I want to believe them, but I can't. 775 00:41:20,127 --> 00:41:22,126 I'm so sorry about all of this. 776 00:41:22,128 --> 00:41:23,328 Yuri. 777 00:41:24,350 --> 00:41:29,235 But if you Lucy trusts this families, then we can too. Hmm? 778 00:41:29,702 --> 00:41:36,241 You know, you may not be able to see it now, but eventually all of this will be behind you. 779 00:41:40,434 --> 00:41:43,240 You should have seen Ryan's face. Kid's so smug. 780 00:41:43,242 --> 00:41:44,595 Saw myself simmering. 781 00:41:44,597 --> 00:41:46,241 And then you just lost it on him. 782 00:41:46,243 --> 00:41:49,241 Yeah, but it did help you get to the end of day 50. 783 00:41:49,243 --> 00:41:50,598 Mm-hmm. 784 00:41:50,600 --> 00:41:52,067 Did you want white or red? 785 00:41:52,069 --> 00:41:54,377 Actually, before you open that, I... 786 00:41:54,379 --> 00:41:58,812 Yeah, dinner is going to have a little extra husband and there are two kids, one of them... 787 00:41:58,814 --> 00:42:00,701 June... 788 00:42:00,703 --> 00:42:03,241 It's hard not to feel like I'm being collected, you know? 789 00:42:03,242 --> 00:42:04,241 Yeah. 790 00:42:04,242 --> 00:42:06,241 This sounds complicated. 791 00:42:06,242 --> 00:42:07,524 Hi. Hey. 792 00:42:07,526 --> 00:42:08,671 Congrats. 793 00:42:08,673 --> 00:42:10,240 No, you didn't have to do that. 794 00:42:10,242 --> 00:42:11,442 Yeah, he did. 795 00:42:14,710 --> 00:42:16,894 Guys, it's not ornamental, you want to make it eat? 796 00:42:16,896 --> 00:42:18,294 No, yeah, I got it. 797 00:42:19,835 --> 00:42:21,006 Is that you? 798 00:42:21,008 --> 00:42:22,340 I don't know. 799 00:42:22,342 --> 00:42:23,721 Uh, no. 800 00:42:25,703 --> 00:42:27,241 Oh, that's my phone. 801 00:42:28,540 --> 00:42:32,183 Yeah, the screen's garbled, but... that's... 802 00:42:32,184 --> 00:42:33,928 - Hello? - Hello? 803 00:42:33,930 --> 00:42:35,241 Magily, is that you? 804 00:42:35,242 --> 00:42:36,442 Yes. 805 00:42:36,444 --> 00:42:39,241 Mags, this is Connie from your transplant team. 806 00:42:39,242 --> 00:42:40,241 I've been trying to reach you. 807 00:42:40,242 --> 00:42:44,038 Yeah, I'm sorry, my phone died, is everything all right? 808 00:42:44,040 --> 00:42:47,003 There's a heart waiting and it's a perfect match. 809 00:42:47,005 --> 00:42:50,297 If you decide to take it, we need you at the hospital now, basically. 810 00:42:51,048 --> 00:42:53,240 Mags, I need you to confirm. 811 00:42:53,242 --> 00:42:55,181 Are you accepting this heart? 812 00:43:03,242 --> 00:43:09,241 Welcome to the Ultimate Murder Mystery Game, where players in celebrity contestants are out to win big. 813 00:43:09,242 --> 00:43:12,241 Who can you trust? 814 00:43:12,242 --> 00:43:18,043 The Traders Canada, new episode, Monday at 10/8 Mountain on CTV.