1
00:00:00,938 --> 00:00:03,906
- (SIRENS)
- You have an epidural hematoma.
2
00:00:04,867 --> 00:00:06,952
Do you know whose head
you drilled into?
3
00:00:06,977 --> 00:00:08,312
I know who Doctor Bishop is.
4
00:00:08,337 --> 00:00:10,069
We have met before, of course.
5
00:00:10,094 --> 00:00:12,605
I interviewed you for a job,
but then didn't hire you.
6
00:00:12,630 --> 00:00:15,042
I think we need to do it again.
7
00:00:15,550 --> 00:00:20,267
(HIP-HOP MUSIC)
8
00:01:07,596 --> 00:01:09,441
Have you eaten anything?!
9
00:01:09,552 --> 00:01:11,523
I can't find my math book.
10
00:01:11,599 --> 00:01:13,125
It's over by the window.
11
00:01:13,150 --> 00:01:16,132
What if everything
is different at the hospital?
12
00:01:16,177 --> 00:01:19,015
Habibti, you're learning
math in a whole new language.
13
00:01:19,391 --> 00:01:21,125
I'll be fine.
14
00:01:22,735 --> 00:01:25,263
(SOFT MUSIC)
15
00:01:35,133 --> 00:01:37,391
_
16
00:01:40,906 --> 00:01:42,992
_
17
00:01:43,017 --> 00:01:44,869
_
18
00:01:45,543 --> 00:01:48,013
I was waiting until I
was a doctor again.
19
00:01:56,609 --> 00:01:58,308
(DOOR SLAMMING)
20
00:02:06,402 --> 00:02:09,512
(HONKING, SIRENS WAILING)
21
00:02:21,438 --> 00:02:24,746
(INDISTINCT CHATTERING)
22
00:02:33,811 --> 00:02:35,596
Sir, you need to get in line.
23
00:02:35,621 --> 00:02:37,404
I'm not a patient, I'm...
24
00:02:37,429 --> 00:02:39,602
We've got a trauma coming in!
25
00:02:39,627 --> 00:02:41,640
(PARAMEDIC): Tim Stafford,
35 years old.
26
00:02:41,665 --> 00:02:44,187
BP's 100 over 60. Pulse 150.
27
00:02:44,531 --> 00:02:45,828
Page Atwater.
28
00:02:45,877 --> 00:02:47,817
Construction site. Scaffolding collapse.
29
00:02:47,842 --> 00:02:49,613
Fell 20 feet. Landed
on a piece of rebar.
30
00:02:49,638 --> 00:02:51,250
We cut it off at the scene.
31
00:02:51,275 --> 00:02:53,742
- Did he get anything for pain?
- (MAN GRUNTING)
32
00:02:53,767 --> 00:02:54,774
You can't be here.
33
00:02:54,799 --> 00:02:56,399
If the rebar punctured
his femoral artery,
34
00:02:56,424 --> 00:02:58,374
- it could be potentially lethal.
- Yeah. I know that.
35
00:02:58,399 --> 00:02:59,539
- You got the hand?
- Got it.
36
00:02:59,564 --> 00:03:01,383
I got the leg. On three.
One, two, three.
37
00:03:01,408 --> 00:03:04,028
- (MAN GROANING IN PAIN)
- I need an X-ray plate.
38
00:03:04,053 --> 00:03:06,211
You can't just show up here
and volunteer as a doctor.
39
00:03:06,236 --> 00:03:07,441
I'm not.
40
00:03:07,466 --> 00:03:10,266
- One, two, three.
- (GRUNTING)
41
00:03:10,681 --> 00:03:13,045
One, two, three.
42
00:03:13,394 --> 00:03:15,103
What the hell do you think
you're doing?
43
00:03:15,128 --> 00:03:17,873
His job. Did you page vascular?
44
00:03:17,898 --> 00:03:19,586
They're on their way.
OR needs five.
45
00:03:19,749 --> 00:03:21,478
Sir, do you know where you are?
46
00:03:21,503 --> 00:03:23,541
Please get that thing out of me!
47
00:03:23,566 --> 00:03:25,805
Not here. First we
have to stabilize you,
48
00:03:25,830 --> 00:03:27,380
then we'll get you down to the OR.
49
00:03:27,405 --> 00:03:29,407
100 mics fentanyl. IV push.
50
00:03:30,359 --> 00:03:32,538
The rebar may have hit
an important artery.
51
00:03:32,563 --> 00:03:34,483
Believe me, you don't want
it bleeding inside you.
52
00:03:34,508 --> 00:03:36,672
Dr. Leblanc is going
to tell us if it is.
53
00:03:36,697 --> 00:03:39,298
- X-ray's up!
- Femoral's great. Good pulses.
54
00:03:39,323 --> 00:03:41,571
It's your lucky day, sir.
55
00:03:41,603 --> 00:03:44,024
(GROANING, SCREAMING)
56
00:03:44,049 --> 00:03:46,434
Not yet. He has a ruptured spleen.
57
00:03:47,750 --> 00:03:49,390
I'll do a scan.
58
00:03:49,422 --> 00:03:51,781
(MACHINES BEEPING RAPIDLY)
59
00:03:52,062 --> 00:03:55,342
(MAN SHOUTING)
60
00:03:58,640 --> 00:04:01,442
- He's right.
- Good. And?
61
00:04:01,467 --> 00:04:03,133
I'd do a splenectomy right now.
62
00:04:03,158 --> 00:04:04,656
Maybe five years ago. Not now.
63
00:04:04,681 --> 00:04:05,837
Dr. Curtis, tell him why.
64
00:04:05,862 --> 00:04:07,195
Because it will be jump at the gun.
65
00:04:07,220 --> 00:04:09,213
First we CT to find
out what grade it is.
66
00:04:09,238 --> 00:04:10,930
Dr. Leblanc? I can see
you're dying to tell us
67
00:04:10,955 --> 00:04:12,402
what happens pending that outcome?
68
00:04:12,427 --> 00:04:14,302
ICU and monitor,
after the rebar's out.
69
00:04:15,029 --> 00:04:16,820
Get him to CT, stat!
70
00:04:17,197 --> 00:04:19,663
There are thousands of pages
of co-curricular reading
71
00:04:19,688 --> 00:04:21,344
and you'll need to catch up.
72
00:04:21,369 --> 00:04:23,303
And next time you come to
work, get changed first
73
00:04:23,328 --> 00:04:25,860
and find out where we
actually want you to be.
74
00:04:29,352 --> 00:04:32,165
You may remember Dr.
Hamed from two weeks ago
75
00:04:32,190 --> 00:04:34,110
when he drilled a hole in my head.
76
00:04:34,135 --> 00:04:36,370
He's one of you now.
77
00:04:41,538 --> 00:04:43,538
(THEME MUSIC)
78
00:04:50,540 --> 00:04:54,506
- Synced and corrected by martythecrazy -
- www.addic7ed.com -
79
00:04:58,214 --> 00:05:00,579
Welcome to the best
Emerge in the country.
80
00:05:01,939 --> 00:05:04,541
Triage nurses assign patients to acute,
81
00:05:04,566 --> 00:05:06,694
intermediate or ambulatory.
82
00:05:06,719 --> 00:05:08,405
Ambulatory's the busiest.
83
00:05:08,604 --> 00:05:10,970
Big waits, small problems, but for them,
84
00:05:10,995 --> 00:05:12,487
it's the worst day of their lives.
85
00:05:12,512 --> 00:05:14,301
They get a headache, go online,
86
00:05:14,326 --> 00:05:16,889
convince themselves
they've got a tumour.
87
00:05:16,914 --> 00:05:18,834
Acute's where the action is.
88
00:05:18,859 --> 00:05:22,592
Traumas, MIs, GSWs,
89
00:05:22,937 --> 00:05:25,487
stabbings, sepsis,
90
00:05:25,512 --> 00:05:27,856
strokes, overdoses.
91
00:05:28,804 --> 00:05:31,285
You were a trauma surgeon
already, but that was in Syria.
92
00:05:31,310 --> 00:05:33,714
In this teaching hospital,
you'll start at the bottom.
93
00:05:33,739 --> 00:05:35,532
Redo your residency,
94
00:05:35,557 --> 00:05:37,032
learn our system from scratch.
95
00:05:37,057 --> 00:05:38,946
- Questions so far?
- No, sir.
96
00:05:39,062 --> 00:05:41,434
I'm sure they'll have plenty
for you.
97
00:05:41,985 --> 00:05:44,025
(INDISTINCT CHATTERING)
98
00:05:44,225 --> 00:05:46,184
Okay, see you soon.
99
00:05:46,706 --> 00:05:48,429
(BISHOP): Come on, then.
100
00:05:49,678 --> 00:05:51,442
Did you know we are hiring him?
101
00:05:51,467 --> 00:05:52,824
It's Dr. Bishop's prerogative.
102
00:05:52,849 --> 00:05:54,366
But I want him shadowing
you today.
103
00:05:54,391 --> 00:05:56,170
And don't just do
everything yourself, Mags.
104
00:05:56,195 --> 00:05:58,077
I need to know what we're
getting with this guy.
105
00:05:58,102 --> 00:06:00,234
Dr. Wendy Atwater
is your attending.
106
00:06:00,259 --> 00:06:02,688
All the residents report
to her, she reports to me.
107
00:06:02,713 --> 00:06:04,848
It's not every day a patient
from one week
108
00:06:04,873 --> 00:06:06,381
becomes a doctor the next.
109
00:06:06,406 --> 00:06:07,846
You'll get scrubs in the lounge,
110
00:06:07,871 --> 00:06:09,759
an ID card's in your mailbox.
111
00:06:09,784 --> 00:06:11,267
What happened in the trauma bay
112
00:06:11,292 --> 00:06:13,191
is not how the rest of
your day is going to go.
113
00:06:13,216 --> 00:06:16,203
You're gonna stick with Dr. Leblanc,
she's gonna teach you the rules.
114
00:06:16,228 --> 00:06:18,617
Scripts, decisions, it
all goes through her.
115
00:06:18,642 --> 00:06:20,547
- Understood?
- Mmm.
116
00:06:21,136 --> 00:06:23,662
Maybe don't show him
where we keep the power tools.
117
00:06:24,909 --> 00:06:26,943
(BACKGROUND COMMOTION)
118
00:06:27,760 --> 00:06:29,827
- Hi.
- Who are you?
119
00:06:30,030 --> 00:06:33,595
I mean, clearly you have experience
and you did save Bishop's life.
120
00:06:33,620 --> 00:06:35,191
This is us moving on.
121
00:06:35,912 --> 00:06:37,864
Uh. Dr. Bishop...
122
00:06:37,889 --> 00:06:41,179
As Chief, does he always oversee
his patients like that?
123
00:06:41,204 --> 00:06:42,891
Whenever he feels like it, yeah.
124
00:06:42,916 --> 00:06:44,591
You're also an emergency resident?
125
00:06:44,616 --> 00:06:46,077
Second year. The ruptured spleen.
126
00:06:46,102 --> 00:06:47,287
How did you know without imaging?
127
00:06:47,312 --> 00:06:49,542
From the way the patient was
clenching his shoulder.
128
00:06:49,567 --> 00:06:51,433
Right. You trained in war
zones, I'm guessing.
129
00:06:51,458 --> 00:06:52,957
Not a lot of equipment or resources.
130
00:06:52,982 --> 00:06:55,631
Do you always just ask
whatever's on your mind?
131
00:06:55,656 --> 00:06:58,369
When I'm being asked to trust
somebody with my patients? Yeah.
132
00:06:59,444 --> 00:07:03,130
Practicing medicine in the dark,
you learn to sharpen other skills.
133
00:07:03,155 --> 00:07:05,021
Yeah, well here we always
rely on imaging.
134
00:07:05,046 --> 00:07:06,637
Oh. I'm sorry.
135
00:07:13,917 --> 00:07:15,334
That one sticks.
136
00:07:15,359 --> 00:07:17,435
Not everything we have
here is state of the art.
137
00:07:17,535 --> 00:07:19,035
(WHISTLING IN THE BACKGROUND)
138
00:07:19,151 --> 00:07:20,412
Thanks.
139
00:07:20,728 --> 00:07:22,788
- Theo Hunter.
- Bashir Hamed.
140
00:07:22,813 --> 00:07:24,602
Welcome aboard.
141
00:07:28,422 --> 00:07:30,936
That looks like it has lived a life.
142
00:07:34,129 --> 00:07:35,614
Was, uh...
143
00:07:35,639 --> 00:07:37,831
Was that your family I saw you with?
144
00:07:37,856 --> 00:07:40,034
Yeah. Saying goodbye for the week.
145
00:07:40,059 --> 00:07:43,248
We live in Sudbury, I'm
here doing my fellowship.
146
00:07:43,273 --> 00:07:45,940
- Pediatric EM.
- Uh. We have a patient waiting.
147
00:07:45,965 --> 00:07:47,398
And those stitches should come out.
148
00:07:47,423 --> 00:07:49,316
Mags here used to be
a hall monitor.
149
00:07:49,341 --> 00:07:50,995
And Theo here was almost a priest.
150
00:07:51,020 --> 00:07:52,202
- Pastor!
- A pastor.
151
00:07:52,227 --> 00:07:53,651
It runs in the family.
152
00:07:53,986 --> 00:07:56,031
(INDISTINCT CHATTERING)
153
00:07:57,501 --> 00:07:59,711
(SOFT MUSIC)
154
00:07:59,918 --> 00:08:01,698
(WOMAN): I was on the bus.
155
00:08:01,930 --> 00:08:03,693
They made me get off.
156
00:08:03,908 --> 00:08:06,123
People don't like it when
you throw up on the bus.
157
00:08:06,148 --> 00:08:07,363
(CHUCKLING)
158
00:08:07,630 --> 00:08:09,717
Um, my purse and phone.
159
00:08:09,742 --> 00:08:11,280
I had them when I talked to that nurse.
160
00:08:11,305 --> 00:08:13,786
- Did she put them somewhere?
- We'll find them.
161
00:08:14,762 --> 00:08:16,455
How long has this been going on?
162
00:08:18,329 --> 00:08:20,084
Ms. Harper?
163
00:08:21,217 --> 00:08:22,587
Irene?
164
00:08:23,267 --> 00:08:25,606
- (IRENE SIGHING)
- The vomiting and the abdominal pain.
165
00:08:25,631 --> 00:08:28,221
- When did it start?
- Few days, I think.
166
00:08:28,848 --> 00:08:30,447
Maybe this morning?
167
00:08:31,093 --> 00:08:32,987
I didn't wanna miss my shift today.
168
00:08:33,012 --> 00:08:35,599
I just... thought it was the flu.
169
00:08:36,720 --> 00:08:38,796
But it's worse, right?
170
00:08:39,108 --> 00:08:41,230
Put your hands out for me,
Ms. Harper?
171
00:08:42,091 --> 00:08:44,067
(SIGHING)
172
00:08:47,474 --> 00:08:48,946
Okay, thank you.
173
00:08:50,698 --> 00:08:51,996
My kid.
174
00:08:52,884 --> 00:08:54,801
I'm supposed to pick her
up from school later.
175
00:08:54,826 --> 00:08:56,705
I need my phone so I can...
176
00:08:57,090 --> 00:08:58,673
My husband doesn't know where I am.
177
00:08:58,698 --> 00:09:00,721
It's okay, we'll take care
of that.
178
00:09:05,527 --> 00:09:08,633
Atwater wants me to let
you weigh in first, so...
179
00:09:08,697 --> 00:09:10,721
She's confused and disoriented.
180
00:09:10,746 --> 00:09:13,339
Hypotensive and tachycardic.
She's jaundiced.
181
00:09:13,364 --> 00:09:15,424
I'd be concerned with liver injury.
182
00:09:15,449 --> 00:09:18,734
Yeah, but those symptoms could
also describe biliary colic?
183
00:09:18,759 --> 00:09:20,471
But not the trembling hands.
184
00:09:20,496 --> 00:09:23,356
The asterixis can mean
acute liver failure.
185
00:09:24,422 --> 00:09:26,011
We should do testing to confirm.
186
00:09:26,036 --> 00:09:27,488
Given her level of consciousness,
187
00:09:27,513 --> 00:09:29,331
I'd suggest an aggressive approach.
188
00:09:29,356 --> 00:09:31,027
Intubation sooner rather than later.
189
00:09:31,052 --> 00:09:33,527
She could go into
multiple organ failure.
190
00:09:34,199 --> 00:09:35,613
But you want to do testing first.
191
00:09:35,638 --> 00:09:37,870
We need blood. CVC, LFT, all of it.
192
00:09:37,895 --> 00:09:39,441
Okay.
193
00:09:39,637 --> 00:09:41,480
(WOMAN): Bashir Hamed?
194
00:09:42,582 --> 00:09:44,784
- Uh, I'll catch up.
- (MAGS): Okay.
195
00:09:44,809 --> 00:09:48,159
Lavondra Kelly, HR. I have
been looking for you.
196
00:09:49,335 --> 00:09:51,534
- Human Resources?
- Uh, yes.
197
00:09:51,559 --> 00:09:52,988
Welcome to the team.
198
00:09:53,013 --> 00:09:54,972
I'm still waiting for your transcripts.
199
00:09:54,997 --> 00:09:56,402
Excuse me?
200
00:09:56,427 --> 00:09:59,394
Your medical school transcripts from...
201
00:10:00,522 --> 00:10:02,300
the University of Aleppo?
202
00:10:02,455 --> 00:10:04,745
I... I sent the PDF.
203
00:10:04,770 --> 00:10:07,331
I know. Didn't somebody
follow up with you on that?
204
00:10:08,724 --> 00:10:12,605
Legal still needs certified original
copies of those transcripts.
205
00:10:12,630 --> 00:10:15,370
Without them we won't be able
to verify your credentials.
206
00:10:16,257 --> 00:10:19,925
If I needed some time
to coordinate that?
207
00:10:20,793 --> 00:10:24,222
Last year the Infectious Disease unit
brought in a Somali candidate.
208
00:10:24,373 --> 00:10:28,105
A doctor who pioneered a leading
approach to malaria in his country.
209
00:10:28,130 --> 00:10:30,675
He couldn't get his
documents in order either,
210
00:10:30,700 --> 00:10:34,527
and now he does data entry
at a university lab.
211
00:10:35,111 --> 00:10:36,711
I see. So...
212
00:10:36,866 --> 00:10:38,534
- The transcripts...
- The originals.
213
00:10:38,559 --> 00:10:39,980
Are essential.
214
00:10:40,005 --> 00:10:42,355
If you want to work
as a doctor, they are.
215
00:10:43,167 --> 00:10:46,956
(SUSPENSEFUL MUSIC)
216
00:10:51,775 --> 00:10:54,917
(SIRENS WAILING)
217
00:10:57,040 --> 00:10:59,941
(JUNE): So, how long have you
had this pain?
218
00:11:00,896 --> 00:11:04,197
Two days. But it's getting worse
every hour.
219
00:11:04,376 --> 00:11:07,151
Any other symptoms I should
know about? Fever, vomiting?
220
00:11:07,176 --> 00:11:08,737
Does dry heaving count?
221
00:11:08,762 --> 00:11:10,885
(BREATHING HEAVILY)
222
00:11:10,990 --> 00:11:14,841
Have you ever experienced
these symptoms before, Ms. Bennet?
223
00:11:14,866 --> 00:11:16,132
Cassie.
224
00:11:16,917 --> 00:11:18,547
I have endometriosis.
225
00:11:18,572 --> 00:11:21,849
But this is way worse than normal.
226
00:11:23,523 --> 00:11:25,993
Have you spoken to your OBGYN
about these new symptoms?
227
00:11:26,018 --> 00:11:27,318
Yes, I have,
228
00:11:27,343 --> 00:11:29,384
and they can't see me until next week.
229
00:11:29,409 --> 00:11:32,057
But last time I saw her, she
just told me to get pregnant.
230
00:11:32,082 --> 00:11:34,627
At least then, I'd have
nine months of relief.
231
00:11:34,675 --> 00:11:37,606
Right. Well, I heard that comes
with its own side of side effects.
232
00:11:38,114 --> 00:11:41,911
Look, the adhesions for endometriosis
can cause severe pain.
233
00:11:41,936 --> 00:11:43,442
Unfortunately, it's a chronic issue
234
00:11:43,467 --> 00:11:45,549
and there's really not too
much we can do for a flare-up
235
00:11:45,574 --> 00:11:47,953
- here in the emergency department.
- I know, I know.
236
00:11:47,978 --> 00:11:49,754
Look, and I know what
you're thinking, okay?
237
00:11:49,779 --> 00:11:52,496
Woman with endo comes in
suffering from a flare-up,
238
00:11:52,521 --> 00:11:54,770
is afraid it's something
worse, and it never is
239
00:11:54,795 --> 00:11:56,481
and there's nothing you can do for her.
240
00:11:56,506 --> 00:11:59,699
Look, I've been through this
more times than I can count.
241
00:11:59,724 --> 00:12:01,676
Alright? I've been told to go home,
242
00:12:01,701 --> 00:12:03,699
and take pain meds, and sleep it off,
243
00:12:03,724 --> 00:12:05,465
and I have done all that.
244
00:12:05,490 --> 00:12:08,184
And I... (GROANING)
245
00:12:08,868 --> 00:12:10,902
Are you here by yourself?
246
00:12:14,162 --> 00:12:15,957
My boyfriend's out of town.
247
00:12:16,776 --> 00:12:19,723
Look, you're just gonna have
to trust me on this. Okay?
248
00:12:20,517 --> 00:12:23,481
I know my body, and
this pain is different.
249
00:12:24,547 --> 00:12:26,547
(GROANING)
250
00:12:27,668 --> 00:12:30,467
Irene Harper, INR's 2.1, bili elevated.
251
00:12:30,492 --> 00:12:32,247
Her liver's failing. You
know the procedure?
252
00:12:32,272 --> 00:12:33,984
Screen for hepatitis
and acetaminophen.
253
00:12:34,009 --> 00:12:35,671
- LOC?
- Signs of hepatic encephalopathy.
254
00:12:35,696 --> 00:12:37,070
Her O2 sats are borderline.
255
00:12:37,095 --> 00:12:38,875
If she's unconscious,
you need to intubate.
256
00:12:38,900 --> 00:12:41,132
She could go into
multiple organ failure.
257
00:12:42,112 --> 00:12:44,140
(PHONES RINGING)
258
00:12:45,251 --> 00:12:46,804
We need to pre-oxygenate
259
00:12:46,829 --> 00:12:49,562
then give her a hundred
ketamine and a hundred succs.
260
00:12:51,999 --> 00:12:54,999
(MACHINES BEEPING)
261
00:13:01,817 --> 00:13:03,911
- She's apneic.
- Laryngoscope.
262
00:13:08,217 --> 00:13:10,184
Endotracheal tube.
263
00:13:14,755 --> 00:13:16,089
I can't visualize her cords.
264
00:13:16,114 --> 00:13:17,981
- Airway edema?
- No. Cords are anterior.
265
00:13:18,006 --> 00:13:19,029
(MACHINE BEEPING)
266
00:13:19,054 --> 00:13:21,044
Let's back off and bag her for a second.
267
00:13:21,394 --> 00:13:23,419
I should call Respiratory Therapy.
268
00:13:23,631 --> 00:13:25,731
Do you have light wands in here?
269
00:13:25,756 --> 00:13:28,357
Um, bottom shelf I think,
yeah, why?
270
00:13:29,933 --> 00:13:32,958
With the lighted stylet, you'll be
able to guide it through the tube.
271
00:13:36,584 --> 00:13:38,217
No, I don't have a view.
272
00:13:38,433 --> 00:13:40,059
You will now.
273
00:13:41,246 --> 00:13:43,716
When you said working
in the dark, you meant literally?
274
00:13:43,741 --> 00:13:45,940
Occasionally. Do you need suction?
275
00:13:45,965 --> 00:13:47,130
No.
276
00:13:47,155 --> 00:13:48,622
Could you just...
277
00:13:48,647 --> 00:13:50,198
Okay.
278
00:13:50,594 --> 00:13:53,194
(SOFT MUSIC)
279
00:13:55,178 --> 00:13:58,026
Did you ever think all that
would lead you here?
280
00:14:03,214 --> 00:14:04,955
What led you here?
281
00:14:09,336 --> 00:14:10,847
Everything okay?
282
00:14:10,872 --> 00:14:12,909
Yeah. Tough airway. Just got it.
283
00:14:13,941 --> 00:14:16,242
We don't intubate
with light wands anymore.
284
00:14:16,267 --> 00:14:17,854
I proposed it.
285
00:14:18,993 --> 00:14:20,792
Next time, call RT.
286
00:14:20,817 --> 00:14:23,565
Now let's figure out what's
causing her liver to fail.
287
00:14:31,721 --> 00:14:34,464
The bruising speaks
to rapid deterioration.
288
00:14:34,855 --> 00:14:37,564
She wanted her family. Do you
know if they've been contacted?
289
00:14:37,589 --> 00:14:38,831
No.
290
00:14:38,856 --> 00:14:41,151
Update her chart, then see if
the social worker did that.
291
00:14:41,176 --> 00:14:43,479
I'm gonna run down the rest of her labs.
292
00:14:47,666 --> 00:14:51,026
55-year-old man with adenocarcinoma
of the pancreas.
293
00:14:51,051 --> 00:14:53,235
He had radiation
to reduce the tumour load.
294
00:14:53,260 --> 00:14:55,259
He wants a Whipple?
We'll have to see.
295
00:14:55,284 --> 00:14:57,050
What's your story, Dr. Curtis? Quickly.
296
00:14:57,075 --> 00:14:58,169
Emergency walk-in.
297
00:14:58,194 --> 00:15:00,759
I'd like to do a lab to isolate
the cause of her pain.
298
00:15:00,784 --> 00:15:02,807
Endometriosis. We both know we don't do
299
00:15:02,832 --> 00:15:04,374
elective procedures
for chronic problems.
300
00:15:04,399 --> 00:15:06,118
- Yes, but...
- She's likely having a flare-up.
301
00:15:06,143 --> 00:15:08,141
I did a transvaginal
ultrasound and...
302
00:15:08,166 --> 00:15:09,733
Nothing's conclusive on it.
303
00:15:09,758 --> 00:15:11,556
There have been cases
where imaging has missed
304
00:15:11,581 --> 00:15:13,678
ovarian torsion, even a ruptured cyst.
305
00:15:13,703 --> 00:15:15,548
Her abdomen's distended,
she's in extreme pain,
306
00:15:15,573 --> 00:15:18,491
and I'm concerned it could be
more than endometriosis...
307
00:15:18,516 --> 00:15:19,743
Are you?
308
00:15:20,359 --> 00:15:22,626
Or are you fishing for OR time.
309
00:15:22,651 --> 00:15:24,548
You know I want
the operative time.
310
00:15:24,580 --> 00:15:26,533
But that doesn't mean
my patient is wrong
311
00:15:26,558 --> 00:15:27,961
about her pain being acute.
312
00:15:27,986 --> 00:15:29,227
Dr. Curtis...
313
00:15:29,520 --> 00:15:31,095
Endo's tricky.
314
00:15:31,240 --> 00:15:34,033
Women can feel one thing one day,
315
00:15:34,058 --> 00:15:35,798
and something completely
different the next.
316
00:15:35,823 --> 00:15:38,649
The pathophysiology of uterine nerves...
317
00:15:38,674 --> 00:15:39,705
They're complex.
318
00:15:39,730 --> 00:15:43,447
And often don't correspond to
what's happening internally.
319
00:15:43,510 --> 00:15:45,042
And every time we go in there,
320
00:15:45,067 --> 00:15:47,737
we run the risk of doing
more harm than good.
321
00:15:47,762 --> 00:15:49,479
Surgical intervention is not an option
322
00:15:49,504 --> 00:15:52,772
in the absence of
extremely clear evidence,
323
00:15:52,897 --> 00:15:55,057
which you simply do not have here.
324
00:15:55,442 --> 00:15:57,463
She should follow up with her OBGYN.
325
00:15:57,488 --> 00:15:58,534
Send them the ultrasound.
326
00:15:58,559 --> 00:16:01,437
Otherwise, give her Toradol
and send her home to rest.
327
00:16:01,462 --> 00:16:04,119
64-year-old female, arteriogram.
328
00:16:04,144 --> 00:16:06,213
Aneurism at four centimeters.
329
00:16:06,238 --> 00:16:07,814
Let's keep her under observation.
330
00:16:07,839 --> 00:16:10,572
- It's okay, we're just gonna ask...
- (MAN): You can't do this again!
331
00:16:10,597 --> 00:16:12,461
Mr. Harper, calm down. Layla...
332
00:16:12,486 --> 00:16:14,020
- Don't you touch her!
- (GIRL): Daddy!
333
00:16:14,045 --> 00:16:16,221
Layla, the nurse just wants
to ask you some questions.
334
00:16:16,246 --> 00:16:17,874
I told you before
to leave her alone!
335
00:16:17,899 --> 00:16:19,970
- You have no right to do this!
- Actually, I do!
336
00:16:19,995 --> 00:16:21,619
And for your daughter's sake,
why don't we calm down?
337
00:16:21,644 --> 00:16:23,127
You tell me that my wife is sick,
338
00:16:23,152 --> 00:16:24,636
and you take one look
at me and decide what?
339
00:16:24,661 --> 00:16:26,847
- That I am a threat to my family?
- That's not what's happening, here!
340
00:16:26,872 --> 00:16:28,144
You don't know me!
341
00:16:28,169 --> 00:16:29,925
Is this Irene Harper's family?
342
00:16:29,950 --> 00:16:31,495
I'm Dr. Hamed. She's my patient.
343
00:16:31,520 --> 00:16:32,761
You're Irene's doctor?
344
00:16:32,786 --> 00:16:34,969
Please tell me you can explain
what is wrong with her.
345
00:16:34,994 --> 00:16:37,448
He will. But first, I need
to talk to your daughter
346
00:16:37,473 --> 00:16:40,729
- and make sure that she's okay.
- Daddy, I wanna stay with you!
347
00:16:40,754 --> 00:16:42,921
Baby, it's okay.
348
00:16:42,946 --> 00:16:44,752
Is everything okay here, sir?
349
00:16:44,883 --> 00:16:47,713
Yeah, we're okay, alright?
350
00:16:48,161 --> 00:16:52,627
- We're okay.
- Lou, gimme a sec? Doctor.
351
00:16:55,601 --> 00:16:57,563
Vivian Barnes, staff social worker.
352
00:16:57,588 --> 00:16:59,448
Can you talk to me about
the bruising on Irene?
353
00:16:59,473 --> 00:17:01,557
I need to know what we're
dealing with, here.
354
00:17:01,582 --> 00:17:04,698
You wrote suspicious
bruising on her chart. Why?
355
00:17:04,757 --> 00:17:07,215
You think that the bruising
was caused by her husband?
356
00:17:07,240 --> 00:17:08,224
You don't?
357
00:17:08,249 --> 00:17:10,021
Well, if she's suffering
from liver failure,
358
00:17:10,046 --> 00:17:12,307
possible kidney failure,
either could cause bruising.
359
00:17:12,332 --> 00:17:14,021
This family has a flag.
360
00:17:14,046 --> 00:17:15,763
A history with Children's Aid Society.
361
00:17:15,788 --> 00:17:17,696
There was an incident two years ago.
362
00:17:17,721 --> 00:17:19,520
Layla fell down the stairs,
363
00:17:19,545 --> 00:17:22,115
and CAS intervened for her protection.
364
00:17:22,333 --> 00:17:23,934
(SUSPENSEFUL MUSIC)
365
00:17:24,181 --> 00:17:26,948
I meant medically
undetermined. Not intentional...
366
00:17:26,973 --> 00:17:29,340
You wrote suspicious,
so I have to investigate.
367
00:17:29,365 --> 00:17:30,797
It's protocol.
368
00:17:30,822 --> 00:17:33,365
And the father's behaviour
isn't helping the situation.
369
00:17:33,390 --> 00:17:35,732
- People act out when they get scared.
- I know.
370
00:17:35,757 --> 00:17:37,178
But Layla's safety is my priority.
371
00:17:37,188 --> 00:17:38,849
I'll interview her, and
we'll go from there.
372
00:17:38,874 --> 00:17:40,237
What will happen to her?
373
00:17:40,262 --> 00:17:42,849
If we have reason to believe
that he's abusive,
374
00:17:42,874 --> 00:17:45,341
- we can remove her.
- Wait, no, I can change the wording!
375
00:17:45,366 --> 00:17:47,083
It's too late for that now.
376
00:17:47,379 --> 00:17:49,379
(INDISTINCT CHATTERING)
377
00:17:49,518 --> 00:17:51,052
(SUSPENSEFUL MUSIC)
378
00:17:51,093 --> 00:17:53,537
Layla, it's time to go, okay?
379
00:17:53,562 --> 00:17:55,841
(MR. HARPER): It's okay,
baby girl, I'll see you soon.
380
00:17:55,866 --> 00:17:57,566
I promise.
381
00:18:08,615 --> 00:18:10,677
Ms. Bennett.
382
00:18:11,520 --> 00:18:13,152
You're sending me home.
383
00:18:13,430 --> 00:18:16,177
Uh, well your imaging
didn't, uh...
384
00:18:16,202 --> 00:18:17,931
didn't warrant further action.
385
00:18:18,055 --> 00:18:20,495
But we will forward it to
your OBGYN for a follow up.
386
00:18:20,520 --> 00:18:22,191
In the meantime, I did...
387
00:18:22,216 --> 00:18:24,550
I did give you some
anti-inflammatories for the pain.
388
00:18:24,583 --> 00:18:27,718
- So, if it gets any worse...
- What, come back?
389
00:18:27,776 --> 00:18:29,583
It's already worse.
390
00:18:29,775 --> 00:18:32,821
Please, please don't be
like the rest of them.
391
00:18:33,191 --> 00:18:34,824
Don't do this.
392
00:18:37,551 --> 00:18:40,161
You can take your time getting
dressed.
393
00:18:48,585 --> 00:18:50,285
(MR. HARPER): How's my wife?
How's Irene?
394
00:18:50,310 --> 00:18:52,373
Well, she doesn't have hepatitis,
395
00:18:52,398 --> 00:18:54,607
which means the differential
is wider than we thought.
396
00:18:54,632 --> 00:18:55,912
We're keeping her stable,
397
00:18:55,937 --> 00:18:58,106
but we need to know if she's
been exposed to any toxins
398
00:18:58,131 --> 00:19:00,379
- which could be affecting her liver.
- Does she drink?
399
00:19:00,404 --> 00:19:02,959
- No more than anyone.
- Any drug use?
400
00:19:02,984 --> 00:19:05,352
You think she's on drugs? No!
401
00:19:05,377 --> 00:19:06,827
What about something she ate?
402
00:19:07,053 --> 00:19:09,249
She ate what we always eat.
403
00:19:09,274 --> 00:19:12,342
Chicken... Salad, I don't know. Okay?
404
00:19:12,367 --> 00:19:15,045
Irene takes care of herself.
Of all of us.
405
00:19:15,070 --> 00:19:17,733
Okay? No fast food, no junk.
406
00:19:17,758 --> 00:19:19,858
What about her workplace.
Is she employed?
407
00:19:19,883 --> 00:19:23,219
Yes, she's employed.
Okay? She cuts hair.
408
00:19:23,455 --> 00:19:25,021
Hair dyes, chemicals?
409
00:19:25,046 --> 00:19:27,365
- If we can narrow down the tox screen...
- Can you help her?
410
00:19:27,390 --> 00:19:29,923
First we need to determine
why your wife is sick.
411
00:19:30,565 --> 00:19:34,162
And I can't get my kid back until
I prove that I didn't hurt Irene.
412
00:19:34,187 --> 00:19:36,522
Because I didn't, and I never would.
413
00:19:36,547 --> 00:19:37,912
Or Layla.
414
00:19:37,937 --> 00:19:40,129
That fall two years ago was an accident.
415
00:19:40,154 --> 00:19:42,722
Sir, the social worker
is just following protocol here.
416
00:19:42,830 --> 00:19:44,498
The last time this happened,
417
00:19:44,523 --> 00:19:46,656
she thought she was going to lose us.
418
00:19:46,687 --> 00:19:47,851
Then they kept coming back,
419
00:19:47,876 --> 00:19:49,623
until they finally decide
to leave us alone.
420
00:19:49,648 --> 00:19:53,670
But Layla wouldn't sleep
in her own bed for months.
421
00:19:53,695 --> 00:19:55,628
And now it's happening again.
422
00:19:55,653 --> 00:19:58,287
It wasn't my intention
to suggest abuse.
423
00:19:58,654 --> 00:20:00,139
I heard you.
424
00:20:00,164 --> 00:20:02,764
Suspicious bruising,
that's what you said.
425
00:20:02,789 --> 00:20:05,905
So I'm losing my family because you
don't know how to speak English?
426
00:20:13,825 --> 00:20:16,480
(CARS HONKING, SIRENS)
427
00:20:16,560 --> 00:20:17,975
_
428
00:20:18,000 --> 00:20:19,787
_
429
00:20:19,812 --> 00:20:21,662
_
430
00:20:21,710 --> 00:20:23,842
_
431
00:20:23,912 --> 00:20:25,772
_
432
00:20:25,921 --> 00:20:27,662
_
433
00:20:27,795 --> 00:20:29,717
_
434
00:20:29,742 --> 00:20:30,960
_
435
00:20:30,985 --> 00:20:33,491
_
436
00:20:33,950 --> 00:20:37,264
_
437
00:20:38,131 --> 00:20:41,123
_
438
00:20:41,429 --> 00:20:42,881
_
439
00:20:43,576 --> 00:20:45,701
(IN ENGLISH): Couldn't be worse
than my last ones.
440
00:20:46,256 --> 00:20:48,660
Saleh, Salaam alaikum.
441
00:20:48,685 --> 00:20:51,030
W'alaikum Al-salaam, Bashir.
442
00:20:51,817 --> 00:20:53,944
(SOFT PIANO MUSIC)
443
00:21:12,615 --> 00:21:14,649
(SIGHING)
444
00:21:14,733 --> 00:21:17,397
(REPORTER ON CELL PHONE):
The many airstrikes targeted
445
00:21:17,422 --> 00:21:19,914
homes hospitals and market
446
00:21:19,939 --> 00:21:22,793
shattering the daily lives
of the local population.
447
00:21:22,818 --> 00:21:25,680
Hundreds of thousands
of people fled north
448
00:21:25,705 --> 00:21:28,159
to the overflowing Turkish border.
449
00:21:28,184 --> 00:21:30,285
What started as a peaceful protest
450
00:21:30,310 --> 00:21:33,260
against the Assad regime
in the spring of 2011
451
00:21:33,285 --> 00:21:34,983
has turned into one
of the bloodiest...
452
00:21:35,008 --> 00:21:36,317
Bash.
453
00:21:37,199 --> 00:21:39,432
- Have you eaten?
- No.
454
00:21:39,597 --> 00:21:41,124
If there's any
advice I can give you
455
00:21:41,149 --> 00:21:42,833
about making it
through your day here
456
00:21:42,948 --> 00:21:44,881
is always remember to eat.
457
00:21:45,899 --> 00:21:47,433
Come on!
458
00:21:50,377 --> 00:21:53,177
Yeah, I gotta ask. That drill.
459
00:21:53,202 --> 00:21:55,140
Was that standard operating
procedure for you?
460
00:21:55,165 --> 00:21:56,926
You should see what I can do
with a hammer.
461
00:21:56,951 --> 00:21:58,996
(LAUGHING) So were you already
in medicine
462
00:21:59,021 --> 00:22:01,416
- before the war broke out?
- I was doing my residency.
463
00:22:01,441 --> 00:22:02,730
My first residency.
464
00:22:02,755 --> 00:22:05,379
- Mmm. Come here with family?
- My sister. She's 12.
465
00:22:05,404 --> 00:22:06,771
How's she handling everything?
466
00:22:06,796 --> 00:22:08,362
She's adjusting.
467
00:22:08,387 --> 00:22:11,113
You said your family lives
in a different city?
468
00:22:11,138 --> 00:22:13,203
Sudbury. Much smaller town.
469
00:22:13,228 --> 00:22:15,098
We didn't want to displace the girls.
470
00:22:15,123 --> 00:22:16,661
My father-in-law has a family practice
471
00:22:16,686 --> 00:22:18,652
waiting for me when I'm done.
So...
472
00:22:18,677 --> 00:22:20,066
You must miss them.
473
00:22:20,398 --> 00:22:21,597
Terribly.
474
00:22:21,622 --> 00:22:24,199
I try not to let myself
think that my absence
475
00:22:24,224 --> 00:22:26,465
will be permanently scarring.
476
00:22:28,591 --> 00:22:29,991
I, uh...
477
00:22:30,016 --> 00:22:33,574
I have a patient who has a
child here today, and, uh...
478
00:22:33,599 --> 00:22:36,480
- This social worker intervened...
- Layla Harper?
479
00:22:36,505 --> 00:22:38,371
Yeah, Viv asked me to examine her.
480
00:22:38,439 --> 00:22:39,771
No signs of physical abuse.
481
00:22:39,796 --> 00:22:42,096
But her family's
still being separated? Why?
482
00:22:42,121 --> 00:22:44,021
It's hard to overcome
a history like theirs.
483
00:22:44,046 --> 00:22:45,378
Even if it's not true?
484
00:22:45,403 --> 00:22:47,371
The father said he was
cleared of all wrong-doing.
485
00:22:47,396 --> 00:22:49,504
Yeah. Doesn't seem fair, but...
486
00:22:49,529 --> 00:22:51,795
he'll always be seen
with suspicion first.
487
00:22:51,820 --> 00:22:53,902
(PAGER BEEPING) Oh!
488
00:22:53,927 --> 00:22:57,660
So much for my own advice! Gotta go!
489
00:23:01,082 --> 00:23:03,129
(CARS HONKING)
490
00:23:04,072 --> 00:23:06,894
(DISTANT SIRENS)
491
00:23:07,219 --> 00:23:09,113
(INDISTINCT CHATTERING)
492
00:23:09,392 --> 00:23:11,809
My wife. Have you seen her?
493
00:23:12,054 --> 00:23:14,051
I've been here six hours!
494
00:23:14,164 --> 00:23:16,629
Unfortunately, your wife's
condition hasn't changed but...
495
00:23:16,654 --> 00:23:19,751
What I said to you before.
I'm not racist.
496
00:23:19,776 --> 00:23:22,787
That's not who I am. I'm just...
just scared.
497
00:23:22,812 --> 00:23:23,812
I know.
498
00:23:23,837 --> 00:23:25,042
(GAGGING)
499
00:23:25,067 --> 00:23:27,418
Mr. Harper, are you feeling okay?
Do you need to sit down?
500
00:23:27,443 --> 00:23:29,488
No, no, I'm fine, I'm fine. Listen.
501
00:23:29,513 --> 00:23:30,926
When can I see my daughter?
502
00:23:30,951 --> 00:23:32,753
Sir? Can you hear me?
503
00:23:33,795 --> 00:23:35,434
Arnold!
504
00:23:35,459 --> 00:23:38,051
(SUSPENSEFUL MUSIC)
505
00:23:40,348 --> 00:23:42,381
(CRYING)
506
00:23:44,441 --> 00:23:45,772
What happened?
507
00:23:45,797 --> 00:23:48,031
I got two blocks away
and threw up.
508
00:23:48,551 --> 00:23:50,832
You told me to come
back if it got worse.
509
00:23:51,035 --> 00:23:52,207
They just...
510
00:23:52,232 --> 00:23:55,074
They just gave me the bucket
and told me to wait here.
511
00:23:56,560 --> 00:24:00,441
I was trying to make it to the
bathroom, but I-I couldn't.
512
00:24:00,466 --> 00:24:02,762
- (CRYING)
- Come on.
513
00:24:09,643 --> 00:24:12,192
I need someone to fight for me.
514
00:24:14,768 --> 00:24:17,101
Just, uh...
515
00:24:17,974 --> 00:24:20,699
(SNIFFLING)
516
00:24:20,724 --> 00:24:22,491
Okay.
517
00:24:23,712 --> 00:24:25,434
- You okay?
- Yeah.
518
00:24:25,459 --> 00:24:27,668
Alright. Let's go.
519
00:24:33,799 --> 00:24:35,587
Doctor Singh?
520
00:24:35,952 --> 00:24:37,085
Doctor Singh.
521
00:24:37,110 --> 00:24:39,287
The endometriosis patient
I brought you earlier...
522
00:24:39,312 --> 00:24:40,549
I thought we sent her home.
523
00:24:40,574 --> 00:24:41,994
We did, and she's back. In agony.
524
00:24:42,019 --> 00:24:43,369
She's vomiting, she's hemorrhaging
525
00:24:43,394 --> 00:24:45,190
which we both know are
signs of a ruptured cyst
526
00:24:45,215 --> 00:24:46,509
and not just chronic endo pain.
527
00:24:46,534 --> 00:24:48,384
She needs surgery now.
528
00:24:50,967 --> 00:24:52,532
Book an OR. Stat.
529
00:24:52,557 --> 00:24:55,290
And I wanna stay on
and see this patient through.
530
00:24:56,066 --> 00:24:57,332
It's your call.
531
00:24:57,357 --> 00:25:00,705
If it is ruptured, it's good
we caught it when we did.
532
00:25:02,010 --> 00:25:03,810
(SUSPENSEFUL MUSIC)
533
00:25:04,744 --> 00:25:06,299
He was starting to look jaundiced,
534
00:25:06,324 --> 00:25:07,956
and losing consciousness, like his wife.
535
00:25:07,981 --> 00:25:09,383
And his airway is compromised.
536
00:25:09,408 --> 00:25:10,795
We should resuscitate and intubate.
537
00:25:10,820 --> 00:25:14,267
- 100 ketamine, 100 succs.
- Heart rate's 110, BP's crashing.
538
00:25:14,292 --> 00:25:17,557
I need two large bore IVs. Let's
get this patient 2 liters of NS
539
00:25:17,582 --> 00:25:19,947
stats, CPC, chem, coags, LFTs,
540
00:25:19,972 --> 00:25:21,890
and cross-match four units red cells.
541
00:25:21,915 --> 00:25:23,976
(MACHINES BEEPING)
542
00:25:24,776 --> 00:25:27,736
IVC's flat. He's hypovolemic
but no signs of free fluid.
543
00:25:31,113 --> 00:25:33,048
- (SPITTING)
- Hematemesis.
544
00:25:33,167 --> 00:25:34,884
If he has genetic varices,
545
00:25:34,909 --> 00:25:38,017
elevated INR will cause this
kind of sudden bleeding.
546
00:25:38,367 --> 00:25:40,462
Which would mean his liver's
also failing?
547
00:25:40,487 --> 00:25:43,900
And whatever caused Irene's
problem is affecting them both.
548
00:25:44,001 --> 00:25:45,822
Get Dr. Hunter to check on the daughter.
549
00:25:45,847 --> 00:25:47,432
- On it.
- Where is Atwater.
550
00:25:47,457 --> 00:25:48,925
She's with a patient on six.
551
00:25:48,950 --> 00:25:51,861
- I need a Blakemore kit.
- What?
552
00:25:51,886 --> 00:25:54,392
This man will bleed to death
if we don't get a Blakemore now!
553
00:25:54,417 --> 00:25:55,487
Okay. Got it.
554
00:25:55,512 --> 00:25:57,565
We can't put in a Blakemore
without an attending.
555
00:25:57,590 --> 00:26:00,500
- Atwater's on her way.
- His heart rate is through the roof!
556
00:26:00,525 --> 00:26:02,837
Blakemores are incredibly
risky, we don't use them except...
557
00:26:02,862 --> 00:26:03,876
As a last resort?
558
00:26:03,901 --> 00:26:06,250
And if we don't do something
now this man is going to die.
559
00:26:06,275 --> 00:26:08,198
- Have you ever seen one work?
- Yes.
560
00:26:08,223 --> 00:26:11,285
And if this one's going to, we don't
have another second to waste.
561
00:26:11,310 --> 00:26:12,409
(MACHINES BEEPING)
562
00:26:12,434 --> 00:26:14,315
Four units, O-negative!
563
00:26:15,141 --> 00:26:16,608
No pulse. He's in cardiac arrest.
564
00:26:16,633 --> 00:26:18,500
I need a board. On three.
565
00:26:18,525 --> 00:26:20,494
One, two, three.
566
00:26:20,519 --> 00:26:22,456
One, two, three.
567
00:26:23,879 --> 00:26:26,680
1 amp epi,
keep giving packed cells.
568
00:26:26,705 --> 00:26:28,339
When I inflate it in his stomach,
569
00:26:28,364 --> 00:26:30,839
it should stop the bleeding.
570
00:26:34,193 --> 00:26:36,917
Okay, he's been down
for 25 seconds!
571
00:26:38,105 --> 00:26:39,770
What the hell's happening here?
572
00:26:39,795 --> 00:26:41,800
(HAMED): Massive hematemesis
and hemorrhagic shock.
573
00:26:41,825 --> 00:26:43,206
He just lost his pulse.
574
00:26:43,231 --> 00:26:45,988
- You sanctioned this?
- He wasn't protecting his airway
575
00:26:46,013 --> 00:26:47,894
- so I put in the Blakemore.
- Okay.
576
00:26:47,919 --> 00:26:49,336
Packed cells through the Level one.
577
00:26:49,361 --> 00:26:51,643
Pass me the OG tube, and
get out of the way.
578
00:26:52,322 --> 00:26:54,542
He needs the proximal
balloon up as well.
579
00:26:54,951 --> 00:26:56,784
Dr. Leblanc, you stay.
580
00:26:57,315 --> 00:27:00,495
- One gram TXA.
- 50 mics of octreotide.
581
00:27:00,520 --> 00:27:01,952
Go!
582
00:27:02,268 --> 00:27:05,776
(SUSPENSEFUL MUSIC)
583
00:27:12,894 --> 00:27:14,727
Is Robbie alive?
584
00:27:15,005 --> 00:27:17,417
He's hanging on by a thread
in ICU.
585
00:27:17,442 --> 00:27:19,333
Dr. Hunter checked the daughter,
586
00:27:19,358 --> 00:27:21,512
took blood, her vitals look good.
587
00:27:21,879 --> 00:27:23,481
I couldn't let her
lose both her parents.
588
00:27:23,512 --> 00:27:25,987
Yeah. You didn't build consensus.
You just did whatever you wanted
589
00:27:26,012 --> 00:27:27,737
and those decisions have consequences.
590
00:27:27,762 --> 00:27:28,817
If I'd asked you permission,
591
00:27:28,842 --> 00:27:30,142
you would have said
it's against the rules.
592
00:27:30,167 --> 00:27:33,356
If you want me to trust you,
I need to know who you are first.
593
00:27:33,957 --> 00:27:36,965
If you're here long enough
for that to happen.
594
00:27:38,801 --> 00:27:40,573
(SOFT MUSIC)
595
00:27:46,006 --> 00:27:48,097
(TUBES HISSING)
596
00:27:58,698 --> 00:28:00,164
Layla?
597
00:28:00,545 --> 00:28:02,128
Where is Vivian?
598
00:28:04,808 --> 00:28:06,597
You wanted to see your mom.
599
00:28:07,964 --> 00:28:09,549
Is that hers?
600
00:28:09,758 --> 00:28:13,589
- I can put it somewhere safe.
- I don't want it to get lost.
601
00:28:16,791 --> 00:28:18,323
Good idea.
602
00:28:20,935 --> 00:28:23,276
Do you want to put a bandage on me?
603
00:28:23,541 --> 00:28:25,722
I know I could use one, too.
604
00:28:31,489 --> 00:28:34,547
(SOFT MUSIC)
605
00:28:42,734 --> 00:28:45,699
You should still
be at home, resting.
606
00:28:45,777 --> 00:28:48,527
Relax. I've been cleared for work.
607
00:28:48,552 --> 00:28:49,980
Mm.
608
00:28:52,152 --> 00:28:53,376
There's only a bit nausea.
609
00:28:53,401 --> 00:28:55,244
Four milligrams will be plenty.
610
00:28:55,269 --> 00:28:57,964
- I'm not a chemo patient, Claire.
- Mm.
611
00:28:57,989 --> 00:29:00,371
Something tells me you haven't
even told your neurosurgeon
612
00:29:00,396 --> 00:29:02,029
about your nausea.
613
00:29:02,416 --> 00:29:04,464
Are you still getting those headaches?
614
00:29:04,528 --> 00:29:06,562
Normal symptoms after my surgery.
615
00:29:06,587 --> 00:29:07,783
Yeah?
616
00:29:07,808 --> 00:29:10,141
What about questionable decision-making?
617
00:29:11,308 --> 00:29:14,376
Come on, are you sure hiring this
guy was the right move, Jed?
618
00:29:14,401 --> 00:29:15,600
Ugh.
619
00:29:19,190 --> 00:29:20,652
Hey.
620
00:29:21,040 --> 00:29:22,807
How's your son handling all this?
621
00:29:23,086 --> 00:29:24,495
He's fine.
622
00:29:25,825 --> 00:29:28,158
Have you even told him
about the accident?
623
00:29:28,453 --> 00:29:31,433
Mm, well,
managing your concern is enough.
624
00:29:31,482 --> 00:29:33,503
You're welcome.
625
00:29:39,619 --> 00:29:41,938
(SIGHING, CHUCKLING)
626
00:29:47,333 --> 00:29:50,584
(INDISTINCT CHATTERING)
627
00:30:01,852 --> 00:30:03,752
We need to keep Layla
overnight and monitor.
628
00:30:03,777 --> 00:30:05,954
Otherwise they'll send
her alone to strangers.
629
00:30:05,979 --> 00:30:06,979
Well she can't go home
630
00:30:07,004 --> 00:30:08,914
because there's obviously
some kind of exposure.
631
00:30:08,939 --> 00:30:12,775
But she's not symptomatic, so it
can't be airborne or water, but...
632
00:30:15,144 --> 00:30:16,954
Could it be food?
633
00:30:17,136 --> 00:30:19,136
The father says they eat healthy.
634
00:30:20,030 --> 00:30:21,829
Produce has pesticides?
635
00:30:22,143 --> 00:30:24,634
Maybe. Although Layla is not sick.
636
00:30:25,610 --> 00:30:27,010
What are you thinking?
637
00:30:27,035 --> 00:30:29,478
She picked off
all the vegetables on her pizza.
638
00:30:29,511 --> 00:30:31,189
So what did they eat
that she didn't?
639
00:30:31,214 --> 00:30:32,799
- Let's find out.
- No, no, no you can't.
640
00:30:32,824 --> 00:30:34,589
After what you did, they
want you in the suture room
641
00:30:34,614 --> 00:30:36,048
for the rest of your shift.
642
00:30:36,073 --> 00:30:37,172
Dr. Leblanc.
643
00:30:37,386 --> 00:30:38,860
Layla's all alone.
644
00:30:38,885 --> 00:30:40,683
She's afraid of losing everything,
645
00:30:40,708 --> 00:30:43,174
so if you push too
hard she'll shut down.
646
00:30:43,789 --> 00:30:45,619
Everybody calls me Mags.
647
00:30:47,737 --> 00:30:49,570
(SOFT MUSIC)
648
00:30:53,495 --> 00:30:55,279
Hey, Layla.
649
00:30:55,304 --> 00:30:57,087
I'm Dr. Leblanc.
650
00:30:57,825 --> 00:30:59,611
(COLOURING)
651
00:30:59,839 --> 00:31:02,236
Layla's feeling pretty quiet
right now.
652
00:31:03,813 --> 00:31:07,478
I need help narrowing down
what her parents might've eaten.
653
00:31:08,825 --> 00:31:10,017
Layla?
654
00:31:10,244 --> 00:31:12,564
Could you answer a few more questions
655
00:31:12,589 --> 00:31:15,150
about your mom and dad for Dr. Leblanc?
656
00:31:17,576 --> 00:31:19,175
Can I colour with you?
657
00:31:19,200 --> 00:31:21,337
I'll go get her some water.
658
00:31:24,053 --> 00:31:25,900
That's a nice tree.
659
00:31:31,331 --> 00:31:34,065
This hospital's really
big and scary, huh?
660
00:31:34,477 --> 00:31:36,079
Hm?
661
00:31:37,256 --> 00:31:39,022
I want to go home.
662
00:31:39,047 --> 00:31:40,546
I know.
663
00:31:42,158 --> 00:31:46,158
When I was your age, I had to spend
the night in the hospital too.
664
00:31:47,510 --> 00:31:49,727
Lots of times, actually.
665
00:31:52,118 --> 00:31:53,767
But you know what?
666
00:31:54,061 --> 00:31:57,392
I found out hospitals are full
of people that want to help.
667
00:31:57,708 --> 00:31:59,541
So when I grew up, I...
668
00:31:59,985 --> 00:32:02,517
I became one of the helpers.
669
00:32:04,728 --> 00:32:07,798
And Layla there are maybe something
that your parents like to eat
670
00:32:07,823 --> 00:32:10,923
that you don't, and that's
what's making them sick.
671
00:32:11,612 --> 00:32:14,146
And if we can just find
that one little thing,
672
00:32:14,391 --> 00:32:16,579
maybe I could help them feel better.
673
00:32:17,226 --> 00:32:19,345
Do you think you can help me do that?
674
00:32:21,982 --> 00:32:24,149
(SOFT PIANO MUSIC)
675
00:32:27,372 --> 00:32:30,663
Layla picked out vegetables with
her father at a community garden.
676
00:32:30,688 --> 00:32:32,692
Layla doesn't like mushrooms.
677
00:32:32,717 --> 00:32:34,671
Her parents do.
678
00:32:42,855 --> 00:32:44,955
(INDISTINCT CHATTERING)
679
00:32:51,364 --> 00:32:52,896
It was a, uh...
680
00:32:53,703 --> 00:32:55,502
It was a difficult surgery.
681
00:32:56,369 --> 00:32:59,018
In addition to the extensive
scarring from endometriosis,
682
00:32:59,043 --> 00:33:00,810
you also had a...
683
00:33:01,029 --> 00:33:03,511
hemorrhaging, ruptured cyst.
684
00:33:03,959 --> 00:33:05,315
And...
685
00:33:05,340 --> 00:33:07,926
as a result of the damage,
686
00:33:07,951 --> 00:33:10,917
we had to remove one of your ovaries.
687
00:33:12,497 --> 00:33:13,996
I lost an ovary?
688
00:33:14,119 --> 00:33:17,589
Well, the good news is we got
in in time to save the other one.
689
00:33:20,706 --> 00:33:22,239
You...
690
00:33:23,551 --> 00:33:25,088
You told us
691
00:33:25,268 --> 00:33:27,292
that it was more serious all along,
692
00:33:27,472 --> 00:33:30,503
and the system's just not good
at dealing with chronic pain,
693
00:33:30,528 --> 00:33:32,713
- so...
- You don't know what it's like
694
00:33:32,738 --> 00:33:35,120
to be dismissed and ignored.
695
00:33:35,624 --> 00:33:38,025
Told what you feel isn't real.
696
00:33:39,583 --> 00:33:42,557
(SOFT MUSIC, CRYING)
697
00:33:43,597 --> 00:33:47,589
Cassie, I just wanted you to hear
someone say that you were right.
698
00:33:49,255 --> 00:33:51,214
I know I was.
699
00:34:00,566 --> 00:34:04,133
(CRYING)
700
00:34:16,883 --> 00:34:19,053
Didn't your shift end
20 minutes ago?
701
00:34:19,738 --> 00:34:21,803
Yes. But I, um...
702
00:34:22,193 --> 00:34:23,552
I was just...
703
00:34:23,577 --> 00:34:26,474
Waiting for Bishop to tell
you if you still work here?
704
00:34:27,170 --> 00:34:28,560
He's gone.
705
00:34:28,585 --> 00:34:32,896
Which means you get to spend
all night dreaming up plan B.
706
00:34:33,053 --> 00:34:34,428
Hmm.
707
00:34:35,895 --> 00:34:37,559
This is my plan B.
708
00:34:39,732 --> 00:34:41,412
You should go home.
709
00:34:48,325 --> 00:34:51,303
(INDISTINCT CHATTERING,
DOG BARKING)
710
00:34:51,930 --> 00:34:54,295
How is it feeling? The arm?
711
00:34:54,385 --> 00:34:57,084
- Much better, thanks to you.
- Can you raise it?
712
00:35:01,321 --> 00:35:02,615
Open.
713
00:35:02,859 --> 00:35:04,084
Okay.
714
00:35:04,109 --> 00:35:05,990
The sling can come off.
715
00:35:06,015 --> 00:35:07,959
Favour your other side
if you need to work.
716
00:35:07,984 --> 00:35:09,521
_
717
00:35:09,616 --> 00:35:11,420
_
718
00:35:11,445 --> 00:35:13,474
_
719
00:35:13,506 --> 00:35:15,131
_
720
00:35:15,155 --> 00:35:16,998
_
721
00:35:17,154 --> 00:35:18,740
_
722
00:35:19,045 --> 00:35:22,232
_
723
00:35:22,412 --> 00:35:23,490
_
724
00:35:23,515 --> 00:35:25,013
I wish I could.
725
00:35:26,816 --> 00:35:29,107
Not the kind of place
willing to pay under the table.
726
00:35:29,132 --> 00:35:31,730
Even for me,
it's going to be difficult
727
00:35:31,755 --> 00:35:33,592
getting them the papers they asked for.
728
00:35:33,893 --> 00:35:36,766
- Which papers?
- My university transcripts.
729
00:35:36,791 --> 00:35:38,740
I have copies,
they need the originals.
730
00:35:39,982 --> 00:35:43,037
I got your sister a phone.
Maybe I can get you these too.
731
00:35:43,062 --> 00:35:44,895
Yeah, you mean forgeries, Khaled.
732
00:35:44,920 --> 00:35:46,474
It would only prove
who you already are.
733
00:35:46,499 --> 00:35:48,717
No, there must be another way.
734
00:35:50,326 --> 00:35:53,381
In case there isn't, I know
a man who makes documents.
735
00:35:53,477 --> 00:35:55,420
You say the word, I will ask him.
736
00:36:01,407 --> 00:36:02,988
Amira!
737
00:36:03,720 --> 00:36:05,503
Are you here?
738
00:36:15,865 --> 00:36:18,860
(SOFT MUSIC)
739
00:36:21,345 --> 00:36:24,579
_
740
00:36:25,399 --> 00:36:27,805
_
741
00:36:30,285 --> 00:36:33,688
- (FLOORBOARDS CREAKING)
- How was your first day?
742
00:36:34,164 --> 00:36:35,931
It was fine.
743
00:36:43,761 --> 00:36:45,563
(SIGHING)
744
00:36:47,752 --> 00:36:50,235
(SOFT CLASSICAL MUSIC)
745
00:37:25,892 --> 00:37:28,452
Baba used to let me listen
to his heartbeat.
746
00:37:28,477 --> 00:37:31,345
It always helped me fall asleep.
747
00:37:33,469 --> 00:37:35,735
(CHUCKLING)
748
00:37:42,453 --> 00:37:45,517
How was your first day, really?
749
00:37:46,759 --> 00:37:48,524
(SIGHING)
750
00:37:51,320 --> 00:37:52,837
I loved it.
751
00:37:54,966 --> 00:37:58,446
(SOFT MUSIC CONTINUES)
752
00:38:13,145 --> 00:38:16,253
(CARS HONKING, BRAKES SQUEALING)
753
00:38:17,106 --> 00:38:18,805
(DISTANT SIRENS)
754
00:38:19,273 --> 00:38:21,741
(INDISTINCT CHATTERING)
755
00:38:32,944 --> 00:38:37,983
(AMBIENT NOISE FADING,
HIGH-PITCHED RINGING)
756
00:38:38,780 --> 00:38:40,652
(RINGING STOPS)
757
00:38:47,819 --> 00:38:49,661
(ELEVATOR DINGING)
758
00:38:50,003 --> 00:38:52,704
Ah, you're supposed to find
Bishop before changing.
759
00:38:52,853 --> 00:38:55,667
Don't apologize, he hates that.
760
00:38:58,689 --> 00:39:01,256
(SIGHING, INDISTINCT CHATTERING)
761
00:39:02,011 --> 00:39:04,908
- (KNOCKING)
- You wanted to see me, sir?
762
00:39:04,933 --> 00:39:06,154
(BISHOP SIGHING)
763
00:39:06,179 --> 00:39:07,986
The Blakemore.
764
00:39:08,234 --> 00:39:10,640
It better not have been the first
time you pulled that move.
765
00:39:14,328 --> 00:39:17,062
Dr. Leblanc thinks you
saved that man's life.
766
00:39:17,439 --> 00:39:19,190
You could just as
easily have killed him.
767
00:39:19,215 --> 00:39:21,609
Most emergent Blakemores
end in the morgue.
768
00:39:26,675 --> 00:39:29,369
I did say to find your place, here.
769
00:39:33,203 --> 00:39:34,703
Dr. Bishop?
770
00:39:36,451 --> 00:39:39,072
I've been asked to provide
the original copies
771
00:39:39,097 --> 00:39:40,764
of my medical school transcripts.
772
00:39:40,789 --> 00:39:42,523
But I need you to know
773
00:39:42,548 --> 00:39:45,103
my university might never release them.
774
00:39:45,768 --> 00:39:47,182
But sir, I did earn my degree.
775
00:39:47,207 --> 00:39:49,627
I am the doctor I told you I was.
776
00:39:53,670 --> 00:39:55,564
Close the door on your way out.
777
00:40:04,931 --> 00:40:06,528
We were able to confirm
778
00:40:06,553 --> 00:40:08,584
that the toxin you and
your wife ingested
779
00:40:08,609 --> 00:40:10,224
came from wild mushrooms.
780
00:40:10,249 --> 00:40:11,920
I picked those mushrooms.
781
00:40:11,945 --> 00:40:13,362
This was all my fault.
782
00:40:13,387 --> 00:40:15,131
Well, you're both responding
to treatment well.
783
00:40:15,156 --> 00:40:17,423
- It will take some time, but...
- Maybe...
784
00:40:18,531 --> 00:40:20,302
they were right to judge me.
785
00:40:20,327 --> 00:40:21,452
No they weren't.
786
00:40:21,477 --> 00:40:23,101
People can think what
they want to think,
787
00:40:23,126 --> 00:40:24,679
but you know who you are.
788
00:40:24,761 --> 00:40:26,248
A man who loves his family.
789
00:40:26,359 --> 00:40:27,599
(RAPID FOOTSTEPS APPROACHING)
790
00:40:27,738 --> 00:40:29,287
Daddy!
791
00:40:29,792 --> 00:40:33,381
Hey. There's my brave girl.
792
00:40:34,942 --> 00:40:37,459
- Hey, baby.
- Hi.
793
00:40:39,737 --> 00:40:41,403
We're okay, now.
794
00:40:41,939 --> 00:40:43,803
Mom's gonna be okay.
795
00:40:43,828 --> 00:40:45,883
(IRENE): Can you believe
it was the mushrooms?
796
00:40:45,908 --> 00:40:48,037
You stayed with her all night?
797
00:40:48,062 --> 00:40:50,263
(MR. HARPER): Mushrooms, I know.
798
00:40:50,617 --> 00:40:52,284
(SOFT MUSIC)
799
00:40:52,788 --> 00:40:55,420
- (IRENE): I'm glad you're okay.
- Your stitches should come out.
800
00:40:55,445 --> 00:40:59,560
(MR. HARPER): I love you guys.
I love you guys so much.
801
00:41:07,924 --> 00:41:10,409
Both my parents were doctors.
802
00:41:14,183 --> 00:41:16,425
It was all I was ever going to be.
803
00:41:20,744 --> 00:41:22,605
I lost them in the war.
804
00:41:24,306 --> 00:41:26,597
And that's why I don't talk about it.
805
00:41:29,815 --> 00:41:31,863
The scars will fade.
806
00:41:38,946 --> 00:41:43,647
(BACKGROUND COMMOTION)
807
00:41:49,328 --> 00:41:53,964
(INDISTINCT CHATTERING)
808
00:41:59,388 --> 00:42:01,687
(SOFT PIANO MUSIC)
809
00:42:08,356 --> 00:42:10,110
Dr. Hamed?
810
00:42:10,791 --> 00:42:12,158
Detective Greggs.
811
00:42:12,263 --> 00:42:13,635
I'm sorry to bother you at work.
812
00:42:13,660 --> 00:42:15,930
- I know you have a lot on your plate.
- Mm-hmm.
813
00:42:15,955 --> 00:42:18,822
You were involved in a major vehicle
incident a couple of weeks ago?
814
00:42:18,847 --> 00:42:19,867
Mm-hmm.
815
00:42:19,892 --> 00:42:21,954
I'd like to ask you a few
questions about that.
816
00:42:21,979 --> 00:42:24,188
Uh, but I already spoke
to the police.
817
00:42:24,213 --> 00:42:26,480
Uh, I'm here about
your former colleague.
818
00:42:26,785 --> 00:42:28,687
Khaled Abdullah.
819
00:42:29,400 --> 00:42:31,400
Emergency personnel took his name,
820
00:42:31,425 --> 00:42:32,752
but then lost track of him
821
00:42:32,777 --> 00:42:34,650
when he fled the scene of the accident.
822
00:42:35,112 --> 00:42:36,751
Do you know where he is?
823
00:42:37,814 --> 00:42:41,748
Mr. Abdullah is wanted for
an immigration violation.
824
00:42:42,248 --> 00:42:44,248
I need to locate him, so...
825
00:42:44,646 --> 00:42:47,891
if you see him, call me.
826
00:42:52,827 --> 00:42:54,991
(SUSPENSEFUL MUSIC)
827
00:42:55,218 --> 00:43:00,217
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