1 00:00:00,066 --> 00:00:01,566 I already bought my flight pass, 2 00:00:01,567 --> 00:00:02,949 so I'll be able to go back and forth for 3 00:00:02,950 --> 00:00:04,757 even five times a week. 4 00:00:06,575 --> 00:00:09,812 I want you to know, we don't have to jump into anything. 5 00:00:10,385 --> 00:00:12,214 - What? - Placement was wrong, 6 00:00:12,215 --> 00:00:13,730 I think I perforated an organ. 7 00:00:13,731 --> 00:00:15,332 Call for blood! 8 00:00:45,446 --> 00:00:47,640 Does this man speak to you? 9 00:00:50,903 --> 00:00:52,418 Sometimes. 10 00:00:52,419 --> 00:00:55,622 Are you comfortable discussing why you were arrested? 11 00:00:56,156 --> 00:00:59,359 Doctors who treat rebels, the... 12 00:00:59,728 --> 00:01:01,393 the Regime doesn't like that. 13 00:01:01,394 --> 00:01:02,999 Has there been some kind of change or... 14 00:01:03,000 --> 00:01:05,811 reminder that provoked these memories? 15 00:01:08,035 --> 00:01:10,581 We've spoken before about triggers. 16 00:01:10,582 --> 00:01:13,239 And when they happen, you want to fix things. 17 00:01:13,240 --> 00:01:14,842 I have seen enough to know that. 18 00:01:15,108 --> 00:01:18,049 And your way of doing that is by running into burning buildings 19 00:01:18,050 --> 00:01:19,651 trying to save someone else. 20 00:01:20,177 --> 00:01:22,313 It makes you feel in control. 21 00:01:22,583 --> 00:01:26,155 The thing is, post-traumatic stress is like a faucet. 22 00:01:26,406 --> 00:01:27,744 Once open, 23 00:01:27,745 --> 00:01:30,148 it keeps on flowing, Bash, whether you like it or not. 24 00:01:30,149 --> 00:01:32,191 Are you saying I can't stop it? 25 00:01:32,192 --> 00:01:34,521 You can find healthy ways to live with it. 26 00:01:34,522 --> 00:01:37,462 Like letting yourself feel the memories and talking about it 27 00:01:37,463 --> 00:01:39,598 instead of shouldering it alone. 28 00:01:40,819 --> 00:01:43,388 Hey, this is progress. 29 00:01:43,389 --> 00:01:46,072 All we're doing here is learning to recognize your triggers 30 00:01:46,073 --> 00:01:48,742 so you can control how to react to them. 31 00:01:51,059 --> 00:01:52,394 Hmm. 32 00:01:54,535 --> 00:01:56,407 Are you looking at apartments? 33 00:01:56,408 --> 00:01:58,811 I told you, man, you can stay with me as long as you want. 34 00:01:58,812 --> 00:02:00,150 It's not for me, it's for Rania. 35 00:02:00,151 --> 00:02:02,534 She's still having a hard time finding something. 36 00:02:02,535 --> 00:02:04,407 I didn't see you come home last night. 37 00:02:04,408 --> 00:02:07,154 I was in my room, I was on a very important task. 38 00:02:07,155 --> 00:02:10,893 Mel was wiped, so I covered homework and bedtime 39 00:02:11,264 --> 00:02:12,498 All on video call? 40 00:02:12,499 --> 00:02:15,434 Yeah, we made a game out of it. I was Robot dad. 41 00:02:15,435 --> 00:02:16,847 And it went over really well with Mel. 42 00:02:16,848 --> 00:02:18,612 She's flying in tonight and we're gonna out for dinner. 43 00:02:18,613 --> 00:02:20,773 - That's good. - Did Rania ever find a job? 44 00:02:20,774 --> 00:02:23,709 Not yet. The government helps out for the first year, 45 00:02:23,710 --> 00:02:24,917 but she needs to find a place 46 00:02:24,918 --> 00:02:27,587 and a lot of landlords are hesitant about newcomers. 47 00:02:28,993 --> 00:02:31,018 - Long night? - Yeah. 48 00:02:31,019 --> 00:02:32,624 Are you finished soon? 49 00:02:32,625 --> 00:02:34,227 Another hour. 50 00:02:34,917 --> 00:02:36,785 Remember Sonja Jessup? 51 00:02:37,139 --> 00:02:38,925 You know, when Bishop misread the ultrasound? 52 00:02:38,926 --> 00:02:41,935 And I punctured her spleen. Hard to forget that one. 53 00:02:41,936 --> 00:02:42,940 Well, her case is up 54 00:02:42,941 --> 00:02:45,093 at the Morbidity and Mortality rounds today. 55 00:02:45,094 --> 00:02:47,858 I've sat in on a few M&Ms rounds, but... 56 00:02:47,859 --> 00:02:49,740 never one of my own patients. 57 00:02:49,741 --> 00:02:53,973 Then you know they're purely educational and anonymous. 58 00:02:53,974 --> 00:02:55,707 You have nothing to worry about, Bash. 59 00:02:55,708 --> 00:02:57,310 Does Bishop? 60 00:02:57,611 --> 00:03:00,279 Good morning. Incoming trauma. 61 00:03:00,280 --> 00:03:02,415 - I'm on it. - Ah, you look tired, Leblanc. 62 00:03:02,416 --> 00:03:05,085 Doctor Hamed, get changed, meet me outside. 63 00:03:12,025 --> 00:03:13,984 ETA one minute. 64 00:03:13,985 --> 00:03:17,096 Um, Doctor Novak, assuming I have time between patients, 65 00:03:17,097 --> 00:03:19,231 I'd like to attend the M&M rounds today. 66 00:03:19,232 --> 00:03:22,168 - The case in question is mine... - Oh. No spoilers. 67 00:03:22,169 --> 00:03:25,638 The whole point is an impartial review of adverse outcomes 68 00:03:25,639 --> 00:03:27,240 and I'm the one leading it. 69 00:03:27,586 --> 00:03:30,694 But by all means join us. We'll figure out what went wrong. 70 00:03:32,038 --> 00:03:34,441 A guy sliced his femoral apparently. 71 00:03:34,680 --> 00:03:36,281 It's gonna be bloody. 72 00:03:54,008 --> 00:03:55,801 Please don't let him die! 73 00:03:55,802 --> 00:03:57,559 You need to wait out here. 74 00:03:57,560 --> 00:04:00,229 Heart rate's 135, BP's crashing! 75 00:04:03,010 --> 00:04:05,145 Checking his artery. 76 00:04:06,462 --> 00:04:10,289 Her skate sliced through his femoral, I can clamp it but... 77 00:04:11,377 --> 00:04:13,953 IVC's flat. He's hypovolemic. 78 00:04:13,954 --> 00:04:16,355 That doesn't bode well for what's happening below the knee. 79 00:04:16,356 --> 00:04:17,957 It's bad news for a figure skater. 80 00:04:17,958 --> 00:04:19,558 He's exsanguinating! 81 00:04:19,559 --> 00:04:21,694 Activate MTP, I need two large bore IV's. 82 00:04:21,695 --> 00:04:23,557 Four units, O-neg. Rhoda, page vascular! 83 00:04:23,558 --> 00:04:26,796 Might not be enough. Ever do an intravascular shunt back home? 84 00:04:26,797 --> 00:04:28,634 Yes, but they don't do it here, as a rule. 85 00:04:28,635 --> 00:04:30,114 Then we make a new rule. 86 00:04:30,115 --> 00:04:32,475 The shunt increases the odds when it comes to saving a limb. 87 00:04:33,957 --> 00:04:36,630 Hemorrhagic shock. Pulseless Vfib... 88 00:04:36,631 --> 00:04:39,523 Start bagging and compressing. Rhoda, one shot epi! 89 00:04:39,524 --> 00:04:42,704 If we can save this kid and his leg, why wouldn't we? 90 00:04:43,050 --> 00:04:45,117 Make do with what you can find. 91 00:04:48,793 --> 00:04:50,734 Don't stop compressions, Claire. 92 00:04:50,735 --> 00:04:53,459 Rhoda, prepare to defibrillate. 200 joules. 93 00:04:53,460 --> 00:04:55,393 Be ready on my mark. 94 00:04:55,394 --> 00:04:58,531 Doctor Hamed's going to build us a bridge, 95 00:04:58,532 --> 00:05:01,739 delivering blood from above Vince's injury to below it. 96 00:05:01,740 --> 00:05:03,975 Here? Without vascular? 97 00:05:03,976 --> 00:05:05,445 Exciting, right? 98 00:05:10,272 --> 00:05:12,407 - Charged! - Clear! 99 00:05:16,084 --> 00:05:19,274 - Sinus rhythm. - Let's hope it flows... 100 00:05:21,047 --> 00:05:22,649 Beautiful. 101 00:05:28,512 --> 00:05:30,649 Good job, everybody. 102 00:05:46,046 --> 00:05:48,982 I haven't thrown up this much since university. 103 00:05:49,290 --> 00:05:51,163 Should have brought a toothbrush. 104 00:05:51,164 --> 00:05:52,718 We've got some mouthwash once you're done. 105 00:05:52,719 --> 00:05:56,703 Don't hold your breath. It's been non-stop for two hours. 106 00:05:57,367 --> 00:05:59,585 Anything to eat or drink this morning beforehand? 107 00:05:59,586 --> 00:06:02,718 I've been trying to drink more milk, for the calcium. 108 00:06:02,719 --> 00:06:05,531 I was on my phone so I wasn't paying attention when I poured it. 109 00:06:05,532 --> 00:06:08,468 - It had already expired. - No, but... 110 00:06:08,775 --> 00:06:10,603 something else had. 111 00:06:10,604 --> 00:06:12,204 Is that a mouse? 112 00:06:12,205 --> 00:06:15,141 A very dead mouse. In the milk. 113 00:06:15,142 --> 00:06:16,654 That I drank. 114 00:06:16,655 --> 00:06:19,679 - You seem remarkably calm. - Trust me, I wasn't. 115 00:06:20,248 --> 00:06:23,949 Screamed so loud that my cute neighbour came to check on me. 116 00:06:23,950 --> 00:06:27,186 Which is when the puking started. 117 00:06:27,412 --> 00:06:29,021 Well, it's essentially food poisoning. 118 00:06:29,022 --> 00:06:33,021 Your body's natural reaction of expelling what you've ingested. 119 00:06:33,022 --> 00:06:35,962 We'll run some blood work and get you rehydrated. 120 00:06:38,365 --> 00:06:40,233 Thank you so much! 121 00:06:40,900 --> 00:06:42,897 Hey, I'm not on the board. 122 00:06:43,155 --> 00:06:45,030 Because the board is yours. 123 00:06:45,533 --> 00:06:47,396 Congratulations, Doctor Curtis. 124 00:06:47,397 --> 00:06:49,565 - I got Chief Resident? - It wasn't unanimous, 125 00:06:49,566 --> 00:06:52,507 but your surgical record swayed a few holdouts. 126 00:06:52,710 --> 00:06:54,914 That internal decapitation you caught, 127 00:06:54,915 --> 00:06:57,583 the team you put together for that aggressive abdominal tumour, 128 00:06:57,584 --> 00:06:59,719 those were things people noticed. 129 00:07:00,253 --> 00:07:02,918 One year term, first review in three months. 130 00:07:03,185 --> 00:07:04,790 You'll lead morning rounds today. 131 00:07:04,791 --> 00:07:07,193 Get a sense of who's got what on their plate, 132 00:07:07,194 --> 00:07:08,794 make assignments and... any patient 133 00:07:08,795 --> 00:07:11,197 that's coming through emerg is your responsibility 134 00:07:11,198 --> 00:07:13,333 whether you're covering it or not. 135 00:07:13,867 --> 00:07:16,073 - Oh, I start now? - Best way to learn. 136 00:07:16,074 --> 00:07:19,015 Also you should know that the competition was stiff 137 00:07:19,016 --> 00:07:21,952 and will be... unhappy. 138 00:07:22,676 --> 00:07:24,544 Welcome to the deep end. 139 00:07:40,026 --> 00:07:42,429 It doesn't matter where I took him, Matt. 140 00:07:43,163 --> 00:07:45,365 Well, you gave up the right to know how he is. 141 00:07:45,582 --> 00:07:47,984 No. He... I'm hanging up now! 142 00:07:50,444 --> 00:07:53,105 I'm sorry, I didn't, ah... You're the mother? 143 00:07:53,106 --> 00:07:54,824 That room was empty. 144 00:07:54,825 --> 00:07:57,302 He was finally asleep. 145 00:07:57,303 --> 00:07:59,241 I've been trying to get the school to stop calling his father 146 00:07:59,242 --> 00:08:00,265 when he's absent, but they keep 147 00:08:00,266 --> 00:08:01,683 forgetting to take him off the damn list 148 00:08:01,684 --> 00:08:03,819 even though he doesn't have custody. 149 00:08:04,647 --> 00:08:08,053 - When did his fever start? - A couple days ago. 150 00:08:08,054 --> 00:08:10,189 It keeps coming back when the Tylenol wears off. 151 00:08:10,190 --> 00:08:11,874 At first I thought he was just tired, 152 00:08:11,875 --> 00:08:14,068 but then, he didn't sleep at all last night. 153 00:08:14,069 --> 00:08:15,867 We went to two walk-ins this morning 154 00:08:15,868 --> 00:08:17,110 and they said the wait was gonna be hours 155 00:08:17,111 --> 00:08:19,281 - and I'm supposed to be at work. - He shouldn't be at school 156 00:08:19,282 --> 00:08:20,946 with a temperature over 38 anyway. 157 00:08:20,947 --> 00:08:24,336 You also said to our triage nurse something about a toothache? 158 00:08:24,337 --> 00:08:27,006 Yeah. He had a cold and then he said 159 00:08:27,007 --> 00:08:29,578 one of his bottom teeth was bugging him. 160 00:08:29,579 --> 00:08:31,718 He stopped mentioning it, but I figured I should tell them. 161 00:08:31,719 --> 00:08:33,145 What did his dentist say? 162 00:08:33,947 --> 00:08:36,516 Well, I switched jobs, and my benefits don't kick in 163 00:08:36,517 --> 00:08:38,120 for another month... 164 00:08:38,121 --> 00:08:42,222 Matt, Eamon's father, he has better dental, but... 165 00:08:42,619 --> 00:08:44,885 We can't use that anymore. 166 00:08:44,886 --> 00:08:47,026 Eamon? I'm Theo. 167 00:08:47,027 --> 00:08:49,695 Mind if I take a quick peek in your mouth there? 168 00:08:49,696 --> 00:08:51,170 Yeah? Roll over for me. 169 00:08:51,171 --> 00:08:53,310 Perfect, alright, open wide. 170 00:08:53,311 --> 00:08:54,646 Good. 171 00:08:55,302 --> 00:08:56,903 Okay. 172 00:08:58,505 --> 00:09:01,708 I'm gonna go talk to your mom for a second, okay? 173 00:09:04,372 --> 00:09:06,512 We'll have to check his white blood cell count 174 00:09:06,513 --> 00:09:07,741 and have a dentist weigh in, 175 00:09:07,742 --> 00:09:11,213 but it could be that an abscess led to an infection. 176 00:09:12,788 --> 00:09:16,117 I figured it was just a cavity that could wait a couple weeks. 177 00:09:16,468 --> 00:09:19,059 He needed a new winter coat, so... 178 00:09:19,675 --> 00:09:21,131 Did I screw up? 179 00:09:21,132 --> 00:09:23,329 We have an oral surgeon on call. 180 00:09:23,330 --> 00:09:24,668 She'll take a look. 181 00:09:24,669 --> 00:09:26,913 If she has to drain the abscess, 182 00:09:26,914 --> 00:09:28,960 it'll be covered under provincial health care. 183 00:09:34,148 --> 00:09:35,749 Doctor Bishop. 184 00:09:36,676 --> 00:09:38,169 How are you feeling? 185 00:09:38,170 --> 00:09:40,576 Fine, gathering strength. 186 00:09:40,577 --> 00:09:43,025 I wasn't sure you'd make it in today, I'm glad you did. 187 00:09:43,026 --> 00:09:45,699 I'm not here for the M&M if that's what you mean. 188 00:09:45,700 --> 00:09:47,568 I'm here as a patient. 189 00:09:50,290 --> 00:09:53,222 You know, Doctor Novak, he's running the session. And he's... 190 00:09:53,223 --> 00:09:55,892 Yes, yes, we've established. Wants my job. 191 00:09:57,366 --> 00:09:59,098 He's picked a good case to take up, 192 00:09:59,099 --> 00:10:00,966 plenty to learn from what happened. 193 00:10:00,967 --> 00:10:02,623 So, how come you won't... 194 00:10:02,624 --> 00:10:05,237 If I'm there, others won't feel free to speak openly. 195 00:10:05,238 --> 00:10:06,706 But if you're not, then... 196 00:10:06,707 --> 00:10:08,842 Novak might malign my good name? 197 00:10:10,538 --> 00:10:12,410 My name can take it. 198 00:10:12,411 --> 00:10:14,547 It's not your fight, Doctor Hamed. 199 00:10:22,055 --> 00:10:24,037 - Congrats, June. - Thanks, Erica. 200 00:10:24,038 --> 00:10:27,116 - Hopefully, we can work together. - Don't we already? 201 00:10:27,546 --> 00:10:30,596 And hey, I asked Alex to show me his system 202 00:10:30,597 --> 00:10:35,124 on consults and OR assignments in case I got the job but... 203 00:10:35,343 --> 00:10:37,269 I don't mind walking you through it. 204 00:10:37,270 --> 00:10:40,740 I'll figure it out, but thank you. 205 00:10:45,674 --> 00:10:47,154 What the hell is that? 206 00:10:47,155 --> 00:10:49,281 I'm asking Public Health to test it. 207 00:10:49,282 --> 00:10:51,170 Patient found it in a bag of milk. 208 00:10:51,171 --> 00:10:52,636 Like, after they drank from it? 209 00:10:52,637 --> 00:10:54,777 - Mm-hmm. - Argh... 210 00:10:54,778 --> 00:10:57,022 - Oh, my God! June! - What? 211 00:10:57,023 --> 00:10:58,358 You got the job! 212 00:10:58,999 --> 00:11:00,492 Chief Resident! 213 00:11:00,493 --> 00:11:02,628 - Oh, my God! It's amazing! - Thank you. 214 00:11:02,629 --> 00:11:04,229 Any blowback from the other applicants? 215 00:11:04,230 --> 00:11:06,811 If there is I'll just have to tune it out and do the work. 216 00:11:11,157 --> 00:11:13,620 Something I feel like you might know all about? 217 00:11:13,621 --> 00:11:15,493 Is he still keeping you out of traumas? 218 00:11:15,494 --> 00:11:17,363 Or telling me I'm doing them wrong. 219 00:11:17,839 --> 00:11:21,046 Anyway as soon as Public Health is on board, my shift's over. 220 00:11:21,047 --> 00:11:23,449 You should know Mr. Conor in three needs a scope. 221 00:11:23,450 --> 00:11:25,317 - Possible ulcer. - Oh, okay. 222 00:11:25,318 --> 00:11:27,987 - I'm so happy for you, June... - Are you gonna hug me again? 223 00:11:29,429 --> 00:11:31,499 Boundaries, please. 224 00:11:39,171 --> 00:11:40,371 Trish? 225 00:11:40,487 --> 00:11:41,826 How's Vincent? 226 00:11:41,827 --> 00:11:44,804 He's doing well, he's stable and about to go into surgery. 227 00:11:45,382 --> 00:11:47,944 Nothing like this has ever happened to us before. 228 00:11:49,337 --> 00:11:52,499 How long have you two been... 229 00:11:53,241 --> 00:11:54,441 Together? 230 00:11:54,948 --> 00:11:56,281 Ten years. 231 00:11:56,282 --> 00:11:58,150 People always ask if we're a couple but... 232 00:11:58,151 --> 00:12:00,819 we basically grew up on the ice, so more like siblings, 233 00:12:00,820 --> 00:12:02,155 partners. 234 00:12:02,417 --> 00:12:03,717 It's hard to explain. 235 00:12:03,718 --> 00:12:05,891 One of the nurses recognized your names. 236 00:12:05,892 --> 00:12:07,759 You skate for the country? 237 00:12:07,760 --> 00:12:09,684 I'm sorry, I'm not familiar with the sport. 238 00:12:09,685 --> 00:12:11,230 It's not like we're famous. 239 00:12:11,231 --> 00:12:13,365 You need to be ranked 25th or better in the world 240 00:12:13,366 --> 00:12:16,170 to make it on the National team and qualify for the Olympics. 241 00:12:16,171 --> 00:12:17,903 Right now we're 42nd. 242 00:12:17,904 --> 00:12:19,772 That's still very impressive. 243 00:12:21,701 --> 00:12:24,139 Vincent's been asking for you. 244 00:12:28,179 --> 00:12:30,021 He looks so pale... 245 00:12:30,022 --> 00:12:32,852 That's normal for someone who lost so much blood. 246 00:12:34,130 --> 00:12:35,648 It's okay. 247 00:12:40,703 --> 00:12:41,932 Are you okay? 248 00:12:41,933 --> 00:12:43,753 Are you seriously asking me that? 249 00:12:43,754 --> 00:12:46,461 - My blade almost killed you. - Because I dropped you! 250 00:12:46,664 --> 00:12:48,600 - What went wrong, T? - I don't know. 251 00:12:48,601 --> 00:12:49,925 But I've been running it through in my head 252 00:12:49,926 --> 00:12:51,003 so when we get back out there... 253 00:12:51,004 --> 00:12:52,152 - Trish. - Coming into that turn, 254 00:12:52,153 --> 00:12:54,238 if my freeside's forward and yours is out... 255 00:12:54,239 --> 00:12:55,439 Trish. 256 00:12:57,054 --> 00:12:59,951 Doctor Hamed's saying this operation could put me out for six months. 257 00:12:59,952 --> 00:13:01,821 Six months? 258 00:13:02,992 --> 00:13:06,752 The blade sliced very deep, severing tissue and muscle, 259 00:13:06,753 --> 00:13:09,154 and our vascular surgeons might have to take more 260 00:13:09,155 --> 00:13:11,464 to permanently repair Vincent's artery. 261 00:13:11,465 --> 00:13:13,592 We won't know the extent until they go in. 262 00:13:13,593 --> 00:13:16,094 But everything we've worked for. This was our shot. 263 00:13:16,095 --> 00:13:17,970 And if we miss the whole season... 264 00:13:17,971 --> 00:13:19,671 This can't be happening. 265 00:13:20,628 --> 00:13:22,764 I'll get it right this time... 266 00:13:23,187 --> 00:13:24,387 Get what right? 267 00:13:24,820 --> 00:13:27,039 Roland says we should be extensions of each other 268 00:13:27,040 --> 00:13:29,092 so I need to keep practicing. 269 00:13:29,093 --> 00:13:30,776 What? He was our first coach, when we were kids. 270 00:13:30,777 --> 00:13:32,655 - We haven't seen him in years. - Trish? 271 00:13:32,656 --> 00:13:33,914 I need help in here! 272 00:13:33,915 --> 00:13:35,058 What's wrong with her? 273 00:13:35,059 --> 00:13:36,664 She may have fallen on her head. 274 00:13:36,665 --> 00:13:38,160 We need to get her to CT, 275 00:13:38,161 --> 00:13:40,380 check for signs of concussion or skull fracture. 276 00:13:40,381 --> 00:13:41,987 Find us a stretcher. 277 00:13:41,988 --> 00:13:44,389 - Doctor Hamed, wait. - What is it, Vincent? 278 00:13:44,390 --> 00:13:46,062 She's been taking something. 279 00:13:46,642 --> 00:13:48,789 She doesn't know that I know. 280 00:13:51,104 --> 00:13:52,601 - Doctor Curtis? - Yeah? 281 00:13:53,108 --> 00:13:56,324 Mr. Conor was asking about us sending him home 282 00:13:56,325 --> 00:13:58,128 when this happened. 283 00:13:58,129 --> 00:13:59,730 Did your stomach pain get worse? 284 00:14:00,126 --> 00:14:01,441 - Yeah. - Okay. 285 00:14:01,442 --> 00:14:05,446 Based on your history, it's probably a bleeding ulcer or gastritis. 286 00:14:06,218 --> 00:14:09,050 Hey, I called for a scope for him like an hour ago. 287 00:14:09,051 --> 00:14:10,597 Any idea why no one came to get him? 288 00:14:10,598 --> 00:14:13,000 A resident needs to be assigned for that. 289 00:14:13,513 --> 00:14:15,652 I'm gonna take you up myself. 290 00:14:15,653 --> 00:14:19,127 And I will ask Erica Harris to cover me in emerg. 291 00:14:19,128 --> 00:14:20,558 Can you get us a chair? 292 00:14:20,559 --> 00:14:23,495 We'll give your wife a call, let her know what's going on, okay? 293 00:14:25,924 --> 00:14:27,324 Heard you were looking for me? 294 00:14:27,325 --> 00:14:29,198 He started breathing heavy a few minutes ago 295 00:14:29,199 --> 00:14:30,738 - and saying his head hurts? - Okay. 296 00:14:30,739 --> 00:14:32,940 Eamon, could you sit up for me? 297 00:14:32,941 --> 00:14:34,814 Okay, good. 298 00:14:34,815 --> 00:14:36,950 Take some big breaths, buddy. 299 00:14:41,103 --> 00:14:44,306 Okay. You can sit back down. Perfect. 300 00:14:44,823 --> 00:14:46,429 I heard from the oral surgeon. 301 00:14:46,430 --> 00:14:48,569 She says there was a ruptured abscess 302 00:14:48,570 --> 00:14:50,705 which likely led to the infection. 303 00:14:52,232 --> 00:14:54,214 How long's he had these marks? 304 00:14:54,215 --> 00:14:56,617 I don't know. I've never noticed them. 305 00:15:06,595 --> 00:15:10,320 Arnold? EKG. Page cardio stat. 306 00:15:10,321 --> 00:15:11,691 Copy that. 307 00:15:13,682 --> 00:15:17,953 Eamon, I need you to take a big breath and hold it for me, okay? 308 00:15:18,920 --> 00:15:20,777 What's happening to him? 309 00:15:24,124 --> 00:15:25,993 Good job. 310 00:15:26,841 --> 00:15:30,969 Those marks on his hands and feet are called Janeway lesions. 311 00:15:30,970 --> 00:15:32,484 What that tells me is that Eamon's heart 312 00:15:32,485 --> 00:15:34,750 is throwing out tiny little blood clots. 313 00:15:34,751 --> 00:15:36,356 And I heard a murmur when I listened. 314 00:15:36,357 --> 00:15:38,760 In his heart?! What does that have to do with a toothache? 315 00:15:38,761 --> 00:15:40,633 Mommy, I'm scared. 316 00:15:40,634 --> 00:15:42,236 That's okay, baby. 317 00:15:42,599 --> 00:15:44,180 What do we do when we feel afraid? 318 00:15:44,181 --> 00:15:45,832 Huh? Take a deep breath, 319 00:15:46,432 --> 00:15:48,953 we put our scariest face and we say... 320 00:15:48,954 --> 00:15:50,859 Go away fear! 321 00:15:50,860 --> 00:15:52,995 Okay, that's good. 322 00:15:54,398 --> 00:15:56,537 Eamon may have something called endocarditis, 323 00:15:56,538 --> 00:16:00,542 it's an infection in one or more of the valves of the heart. 324 00:16:00,842 --> 00:16:04,477 Sometimes, oral infections can travel to other parts of the body 325 00:16:04,478 --> 00:16:06,084 when left unchecked. 326 00:16:06,085 --> 00:16:09,227 - When left unchecked. - We'll do X-rays to confirm 327 00:16:09,228 --> 00:16:12,168 and an echo to see if or... 328 00:16:12,169 --> 00:16:14,734 how it affected his heart function. 329 00:16:14,735 --> 00:16:16,340 And if it has, how do you fix it? 330 00:16:16,341 --> 00:16:18,214 That depends on how far it's progressed. 331 00:16:18,215 --> 00:16:20,937 Cardiology will tell us if he needs surgery 332 00:16:20,938 --> 00:16:23,051 or if it can be managed with medication. 333 00:16:23,313 --> 00:16:24,648 Hi. 334 00:16:25,606 --> 00:16:30,188 Arnold here is going to put some stickers on your chest, okay, Eamon? 335 00:16:30,189 --> 00:16:32,328 I promise you, it won't hurt one bit. 336 00:16:32,329 --> 00:16:34,114 But it might tickle a little bit. 337 00:16:43,686 --> 00:16:45,813 You think I'm a bad mom for leaving it so long. 338 00:16:45,814 --> 00:16:48,614 - I never meant to imply... - Maybe not. But you did. 339 00:16:50,485 --> 00:16:52,035 Look, 340 00:16:52,873 --> 00:16:54,895 Eamon's dad was abusive. 341 00:16:55,446 --> 00:17:00,251 And about six months ago, it got real bad, so we got out. 342 00:17:00,669 --> 00:17:03,338 And I don't want him to know where we are. Ever. 343 00:17:03,611 --> 00:17:06,453 But that also means not taking his money, 344 00:17:06,454 --> 00:17:09,539 so that means Eamon has to live with less because 345 00:17:09,540 --> 00:17:11,965 I can't give him everything he needs. 346 00:17:13,301 --> 00:17:15,970 And now my little boy's heart... 347 00:17:22,941 --> 00:17:24,809 Please help him. 348 00:17:35,072 --> 00:17:36,674 Hey, Cam! 349 00:17:37,577 --> 00:17:40,766 I'm sorry! I know you only have 45 minutes, I'm sorry! 350 00:17:40,767 --> 00:17:42,636 I lied. I have 90. 351 00:17:43,297 --> 00:17:45,844 - You ordered anyway? - I was starving, sorry. 352 00:17:45,845 --> 00:17:47,750 And you're actually earlier than I thought. 353 00:17:47,751 --> 00:17:49,625 Oh, my God, this woman drank an entire bag of milk 354 00:17:49,626 --> 00:17:51,407 before she realized there was a dead mouse in it. 355 00:17:51,408 --> 00:17:52,891 I had to stay and fill out paperwork 356 00:17:52,892 --> 00:17:54,578 and it just took me way longer to convince Public Health 357 00:17:54,579 --> 00:17:57,028 to get it tested for hantavirus, just forever. 358 00:17:57,029 --> 00:18:00,414 Well, there's my appetite. My sister, Magalie, James. 359 00:18:00,415 --> 00:18:02,399 And that's on the low end of weird for her. 360 00:18:02,400 --> 00:18:04,268 Just a coffee for now, James, thank you. 361 00:18:04,539 --> 00:18:06,223 This is for you. 362 00:18:08,711 --> 00:18:10,824 Their war against clutter continues. 363 00:18:37,842 --> 00:18:39,710 Doctor Mann. 364 00:18:43,329 --> 00:18:44,529 Twelve. 365 00:18:57,728 --> 00:18:59,625 It's just, you know, when... 366 00:18:59,626 --> 00:19:03,097 like the entire essence of your being offends someone? 367 00:19:03,493 --> 00:19:06,051 It's kind of hard not to start believing it. 368 00:19:07,241 --> 00:19:08,868 You can't just tell him off? 369 00:19:08,869 --> 00:19:12,110 No! No, that would really make things worse for me. 370 00:19:12,111 --> 00:19:14,285 Are you gonna eat that? You're not gonna eat that. 371 00:19:20,541 --> 00:19:22,677 More labs on Trish Albrecht. 372 00:19:22,889 --> 00:19:24,757 Head CT's normal. 373 00:19:27,435 --> 00:19:29,575 Her transaminase levels are way too high. 374 00:19:29,576 --> 00:19:31,839 There's something in her system. 375 00:19:31,840 --> 00:19:34,133 Maybe what her partner said might explain that. 376 00:19:34,134 --> 00:19:36,536 But I can't just come out and accuse her. 377 00:19:40,090 --> 00:19:41,801 M&M rounds today. 378 00:19:41,802 --> 00:19:43,731 You heard about what's being discussed? 379 00:19:45,262 --> 00:19:47,106 I tried to tell him. 380 00:19:54,136 --> 00:19:58,052 There is a toxin in your body, Trish. 381 00:19:58,053 --> 00:20:00,184 It's damaging your liver. 382 00:20:01,609 --> 00:20:05,884 We need to know if there's anything you've taken or ingested. 383 00:20:05,885 --> 00:20:08,535 Even too much acetaminophen can lead to this. 384 00:20:08,920 --> 00:20:12,008 We won't know if we can reverse or stop the damage 385 00:20:12,009 --> 00:20:13,878 if we can't isolate the cause. 386 00:20:15,993 --> 00:20:17,649 Supplements. 387 00:20:17,650 --> 00:20:20,323 They're supposed to be natural. 388 00:20:20,324 --> 00:20:22,196 Supplements from a pharmacy? 389 00:20:22,197 --> 00:20:25,078 One of the trainers at our club gets them online. 390 00:20:25,079 --> 00:20:26,685 Do you know what's in them? 391 00:20:26,686 --> 00:20:30,711 Muscle proteins, beta-alines. Nothing illegal. 392 00:20:30,712 --> 00:20:32,680 - Performance enhancers? - No! 393 00:20:32,681 --> 00:20:38,287 No HGH. Nothing banned that would show up on a drug test. 394 00:20:41,563 --> 00:20:43,169 Vincent doesn't know. 395 00:20:43,170 --> 00:20:46,644 How long have you been taking these? 396 00:20:46,645 --> 00:20:48,246 A few months. 397 00:20:48,636 --> 00:20:51,039 After I fell and hurt my knee. 398 00:20:51,479 --> 00:20:55,141 But... I'm gonna be okay, right? 399 00:20:55,142 --> 00:20:57,360 The IV fluids are flushing your system. 400 00:20:57,361 --> 00:20:58,700 Now that we know the cause, 401 00:20:58,701 --> 00:21:00,992 we'll look for a way to stop the damage. 402 00:21:00,993 --> 00:21:03,138 And if you can't? 403 00:21:03,139 --> 00:21:05,961 Let's take it one step at a time. 404 00:21:05,962 --> 00:21:07,711 We'll see how you respond to treatment 405 00:21:07,712 --> 00:21:09,649 and we'll take it from there. 406 00:21:09,650 --> 00:21:16,056 We're 22. And I know that sounds young but... 407 00:21:16,884 --> 00:21:20,199 There's always stronger skaters coming up behind you. 408 00:21:21,319 --> 00:21:23,988 And if we don't make it this season... 409 00:21:28,087 --> 00:21:30,223 I did this to us. 410 00:21:32,850 --> 00:21:36,587 34-year-old patient with multiple undiagnosed AVMs. 411 00:21:36,943 --> 00:21:38,782 Pleural effusion required a chest tube. 412 00:21:38,783 --> 00:21:41,723 The attending physician guided placement via ultrasound 413 00:21:41,724 --> 00:21:43,848 while the Resident managed insertion, after which 414 00:21:43,849 --> 00:21:45,455 there was a sudden withdrawal of frank blood, 415 00:21:45,456 --> 00:21:47,379 indicative of splenic laceration. 416 00:21:48,116 --> 00:21:51,407 Our agenda with these rounds is to examine what happened 417 00:21:51,408 --> 00:21:54,341 and to invite discussion about how to prevent 418 00:21:54,342 --> 00:21:56,176 similar outcomes in the future. 419 00:21:56,415 --> 00:21:58,555 Seems simple enough. 420 00:21:58,556 --> 00:22:00,695 The Attending misread the ultrasound. 421 00:22:00,696 --> 00:22:02,188 Thanks, Doctor Singh. Yes. 422 00:22:02,189 --> 00:22:04,735 There was a lapse in vision 423 00:22:04,736 --> 00:22:06,832 caused by a medical condition... 424 00:22:10,851 --> 00:22:12,586 Keep going. 425 00:22:12,587 --> 00:22:14,994 After which the Resident misplaced the tube. 426 00:22:14,995 --> 00:22:17,688 That's addressed in the chart, and the case notes. 427 00:22:17,689 --> 00:22:20,055 Human fallibility. So, in other words, 428 00:22:20,056 --> 00:22:22,477 it's pretty dull from a clinical perspective. 429 00:22:22,478 --> 00:22:26,118 Why then, Doctor Novak, did you want us taking up this case today? 430 00:22:26,119 --> 00:22:28,328 You're asking the right question, Wendy. 431 00:22:28,329 --> 00:22:30,574 We know how it happened, but not why. 432 00:22:31,061 --> 00:22:35,065 And when you tug that particular thread, things get interesting. 433 00:22:36,158 --> 00:22:38,294 Systemic failure of leadership 434 00:22:38,928 --> 00:22:42,398 led to this entirely preventable incident. 435 00:22:45,498 --> 00:22:47,028 How'd I do, Sunita? 436 00:22:47,637 --> 00:22:48,782 You know the drill when it comes 437 00:22:48,783 --> 00:22:51,032 to the Motor Assessment Scale, Doctor Bishop. 438 00:22:51,033 --> 00:22:52,902 You get your score at the end. 439 00:22:53,117 --> 00:22:55,352 Now, this next one's timed. 440 00:22:55,353 --> 00:22:57,595 What I'd like you to do now is pinch 441 00:22:57,596 --> 00:22:59,462 between your thumb and forefinger, 442 00:22:59,463 --> 00:23:03,911 then middle, ring, and little finger, as fast as you can. 443 00:23:03,912 --> 00:23:05,514 Okay. Are you ready to start? 444 00:23:09,396 --> 00:23:11,196 As fast as you can, Doctor Bishop. 445 00:23:11,197 --> 00:23:13,349 Then change hands, please. 446 00:23:18,705 --> 00:23:20,622 That's fine, you can rest. 447 00:23:22,150 --> 00:23:24,552 This shouldn't have happened. 448 00:23:24,932 --> 00:23:27,071 It's on record that the Attending suffered 449 00:23:27,072 --> 00:23:28,775 a significant brain injury months earlier. 450 00:23:28,776 --> 00:23:31,712 Doctor Novak, as you acknowledged, 451 00:23:31,713 --> 00:23:35,376 the Attending physician admitted that his medical condition 452 00:23:35,377 --> 00:23:38,318 led to the error. Acute vision loss. 453 00:23:38,319 --> 00:23:41,900 Unless you're saying his vision loss wasn't just "in the moment"? 454 00:23:41,901 --> 00:23:43,415 No, I think since you're asking that question, 455 00:23:43,416 --> 00:23:45,018 it's worth exploring. 456 00:23:45,724 --> 00:23:47,427 Is that for all my hard work? 457 00:23:48,565 --> 00:23:50,407 Now with your right arm, 458 00:23:50,408 --> 00:23:54,145 take a jellybean from one cup, and place it in the next. 459 00:24:01,241 --> 00:24:02,842 Now with your left. 460 00:24:10,095 --> 00:24:11,696 Bugger. 461 00:24:14,563 --> 00:24:15,901 I can't... 462 00:24:15,902 --> 00:24:18,170 We'll try this one again next time. 463 00:24:19,155 --> 00:24:21,829 You're suggesting the Attending 464 00:24:21,830 --> 00:24:23,478 was aware of his deficiencies 465 00:24:23,479 --> 00:24:25,882 and risked patients anyway? 466 00:24:26,394 --> 00:24:28,400 That's a hell of an allegation. 467 00:24:28,401 --> 00:24:30,328 And not the point of this forum. 468 00:24:30,329 --> 00:24:32,108 Logging my failures? 469 00:24:32,109 --> 00:24:34,779 In this room, we call them opportunities. 470 00:24:35,987 --> 00:24:38,689 Not sure a trauma patient needing treatment would see it that way. 471 00:24:38,690 --> 00:24:40,791 There's still work to do, sir, 472 00:24:40,792 --> 00:24:42,661 but it's nothing to be afraid of. 473 00:24:42,966 --> 00:24:45,306 What are the odds that this was the first time 474 00:24:45,307 --> 00:24:47,175 he presented the symptom? 475 00:24:47,535 --> 00:24:49,408 And yet no one on his team 476 00:24:49,409 --> 00:24:51,811 raised any objection to him practicing? 477 00:24:52,255 --> 00:24:54,064 I mean, we're not a shy bunch. 478 00:24:54,065 --> 00:24:55,472 Why not speak up? 479 00:24:55,473 --> 00:24:57,599 Did people fear repercussions? 480 00:25:00,011 --> 00:25:03,752 Was there a culture of fear in our emergency department? 481 00:25:03,753 --> 00:25:05,889 That's not what happened. 482 00:25:06,445 --> 00:25:08,947 The Attending, and... 483 00:25:08,948 --> 00:25:10,994 everyone knows you mean Doctor Bishop, 484 00:25:10,995 --> 00:25:14,420 fosters an environment of open communication. 485 00:25:15,250 --> 00:25:18,191 And as the aforementioned Resident in this case, 486 00:25:18,192 --> 00:25:20,861 I can confirm that he invites us to push back. 487 00:25:21,576 --> 00:25:23,328 Then why didn't you? 488 00:25:23,768 --> 00:25:26,463 How was it that a staff of fully trained physicians, 489 00:25:26,464 --> 00:25:30,455 who diagnose patients that they've just met every day, 490 00:25:30,456 --> 00:25:32,862 couldn't spot even the tiniest indication 491 00:25:32,863 --> 00:25:34,465 that something was wrong with him? 492 00:25:35,247 --> 00:25:37,302 Because he was hiding it. 493 00:25:37,862 --> 00:25:40,564 He knew he wasn't recovering properly from his head injury 494 00:25:40,565 --> 00:25:42,438 though he did know how bad it was. 495 00:25:42,439 --> 00:25:45,375 But that lack of judgment was his. 496 00:25:46,196 --> 00:25:48,177 No one else's. 497 00:26:05,709 --> 00:26:07,193 What the hell, June. 498 00:26:07,593 --> 00:26:10,486 I was just in surgery. Scoping some bloody ulcers. 499 00:26:10,487 --> 00:26:13,427 The guy's fine. GI's in there, sealing them up now. 500 00:26:13,428 --> 00:26:14,572 Just got to keep him overnight. 501 00:26:14,573 --> 00:26:16,283 A patient I know nothing about. 502 00:26:16,284 --> 00:26:19,491 Okay, I thought I was responsible for assigning the residents to OR's? 503 00:26:19,492 --> 00:26:21,056 So you assigned yourself? 504 00:26:21,057 --> 00:26:23,072 Without finding anyone to cover emerg? 505 00:26:23,073 --> 00:26:25,502 I know it's your first day but, man! 506 00:26:25,503 --> 00:26:26,842 Harris said she was on it. 507 00:26:26,843 --> 00:26:29,669 Doctor Harris is in OR seven on a whipple. 508 00:26:29,670 --> 00:26:32,339 I can't be micromanaging you like this, June. 509 00:26:32,637 --> 00:26:35,318 You've been given a team, use it. 510 00:26:41,455 --> 00:26:43,061 Hey. Everything okay? 511 00:26:43,062 --> 00:26:45,666 With me, yes. But you sound upset. 512 00:26:45,667 --> 00:26:47,619 - What's wrong? - Just a busy day... 513 00:26:47,620 --> 00:26:49,226 I'm fine. 514 00:26:49,227 --> 00:26:51,362 Uh, the place I found. Did you go see it? 515 00:26:58,518 --> 00:27:00,732 But they said they'd take care of the references. 516 00:27:06,096 --> 00:27:07,877 Okay, well, let me call them back. 517 00:27:07,878 --> 00:27:10,285 Actually I have found something else. 518 00:27:10,286 --> 00:27:14,294 A Syrian friend from class has an extra room. 519 00:27:14,295 --> 00:27:17,765 Near Keele and Lawrence. 520 00:27:23,925 --> 00:27:25,588 And the people you'll be living with? 521 00:27:25,589 --> 00:27:29,211 I just met them. Three women and two men. 522 00:27:29,212 --> 00:27:33,012 One of whom may or may not already want to marry me. 523 00:27:37,217 --> 00:27:38,668 I'm kidding. 524 00:27:39,099 --> 00:27:41,164 What, about him wanting to marry you? 525 00:27:41,165 --> 00:27:43,922 Or that you'll be living with people you don't know? 526 00:27:43,923 --> 00:27:45,242 Bashir, 527 00:27:45,243 --> 00:27:47,344 I can take care of myself. 528 00:27:47,345 --> 00:27:50,015 I know. It's just... 529 00:27:50,315 --> 00:27:51,916 Yes. Of course. 530 00:28:01,587 --> 00:28:05,591 Ah, yes. Singing and crude jokes. You'll love it. 531 00:28:08,817 --> 00:28:12,198 Ah, Rania, I have to go. 532 00:28:18,872 --> 00:28:20,744 She's in and out, still confused. 533 00:28:20,745 --> 00:28:23,655 Her sats are low and her blood ammonia level came back high. 534 00:28:26,743 --> 00:28:31,018 Hypotensive, tachycardic. AST, ALT, bilirubin all spiking. 535 00:28:31,019 --> 00:28:32,891 She's in acute liver failure. 536 00:28:32,892 --> 00:28:37,167 Encephalopathy grade 3, that's the threshold for intubation, right? 537 00:28:37,168 --> 00:28:39,570 Otherwise she's at risk of not protecting her airway? 538 00:28:40,044 --> 00:28:42,184 Yes. I'll sedate her, 539 00:28:42,185 --> 00:28:45,571 and you call RT for intubation and... 540 00:28:45,572 --> 00:28:48,245 insert an OG tube for lactulose. 541 00:28:48,246 --> 00:28:49,581 Claire? 542 00:28:50,306 --> 00:28:52,174 What you said in there... 543 00:28:52,582 --> 00:28:54,985 Did Doctor Bishop ask you to do that? 544 00:28:57,197 --> 00:28:59,561 I'll let you know when she's intubated. 545 00:29:03,251 --> 00:29:05,390 - How are you feeling, Vincent? - Can I see Trish? 546 00:29:05,391 --> 00:29:09,395 She's not awake. We're doing our best to look after her. 547 00:29:09,861 --> 00:29:11,195 Was it her head? 548 00:29:11,196 --> 00:29:13,217 - No. - Then I was right. 549 00:29:14,272 --> 00:29:16,267 What did those things do to her? 550 00:29:16,605 --> 00:29:19,275 Trish is in acute liver failure. 551 00:29:19,694 --> 00:29:22,420 No, don't tell me that. 552 00:29:22,729 --> 00:29:24,597 I didn't say anything. 553 00:29:25,124 --> 00:29:26,690 I could have stopped her from taking them. 554 00:29:26,691 --> 00:29:29,924 But she was getting stronger and we were having our best year. 555 00:29:29,925 --> 00:29:31,065 Can you help her? 556 00:29:31,066 --> 00:29:32,885 We're doing everything we can, 557 00:29:32,886 --> 00:29:35,604 but if we don't slow the toxicity down soon... 558 00:29:35,605 --> 00:29:37,207 She could die? 559 00:29:38,205 --> 00:29:40,874 I'm sorry, Vincent. It's a possibility. 560 00:29:42,967 --> 00:29:45,788 She's always had to work harder physically... 561 00:29:47,499 --> 00:29:51,255 But we joke that she's the artist and I keep us tethered to reality. 562 00:29:53,732 --> 00:29:55,716 And I let her fall. 563 00:29:58,538 --> 00:30:00,139 You got an early flight? 564 00:30:04,873 --> 00:30:06,595 The girls've probably already talked your folks 565 00:30:06,596 --> 00:30:08,196 into buying them an armload of candy. 566 00:30:08,197 --> 00:30:11,861 - I'm sure they have. - I know I said I could duck out early, 567 00:30:11,862 --> 00:30:13,464 but it's been busy today. 568 00:30:13,731 --> 00:30:16,938 I did, however, snag us a 9PM table. 569 00:30:16,939 --> 00:30:20,409 You could go early, sit with a glass of wine. 570 00:30:24,146 --> 00:30:26,015 Mel, what's wrong? 571 00:30:26,503 --> 00:30:29,439 It's not working, Theo. 572 00:30:30,742 --> 00:30:32,343 Since when? 573 00:30:34,055 --> 00:30:37,262 I've been trying so hard to make this work for us. 574 00:30:37,263 --> 00:30:39,048 I know you have. 575 00:30:39,049 --> 00:30:40,383 I do. 576 00:30:41,168 --> 00:30:43,037 But it's... 577 00:30:43,971 --> 00:30:45,573 not enough. 578 00:30:46,029 --> 00:30:48,164 It'll get better. 579 00:30:48,461 --> 00:30:51,402 I promise. Once I settle in, I'll be less scattered. 580 00:30:51,403 --> 00:30:54,073 We'll have more time to figure this all out. 581 00:30:54,862 --> 00:30:57,531 I'm not happy, Theo. 582 00:30:58,920 --> 00:31:00,254 No. Mel. 583 00:31:02,845 --> 00:31:04,842 I can fix that, 584 00:31:04,843 --> 00:31:06,449 I know I can. 585 00:31:06,450 --> 00:31:08,051 You can't. 586 00:31:11,731 --> 00:31:16,536 Because when you chose this, you didn't choose me. 587 00:31:19,018 --> 00:31:20,619 Okay. 588 00:31:24,027 --> 00:31:25,366 Okay, so... 589 00:31:25,367 --> 00:31:27,802 Then I un-choose it. 590 00:31:29,083 --> 00:31:31,489 I'll come home and we'll go back to the original plan. 591 00:31:31,490 --> 00:31:33,897 Please don't try telling me you want to come home. 592 00:31:33,898 --> 00:31:35,766 It's too late for that. 593 00:31:37,242 --> 00:31:39,381 The past month, you doing this job, 594 00:31:39,382 --> 00:31:42,586 it's the happiest I've seen you for so long. 595 00:31:49,583 --> 00:31:52,982 You can still be a great dad to your daughters. 596 00:31:56,858 --> 00:31:58,727 I'm sorry. 597 00:32:00,502 --> 00:32:02,162 Me too. 598 00:32:07,372 --> 00:32:08,973 I'm going to go. 599 00:32:18,978 --> 00:32:21,113 Where have you been, Doctor Curtis? 600 00:32:22,125 --> 00:32:25,065 We can't be left scrambling for surgical consults 601 00:32:25,066 --> 00:32:27,431 - when you're not here. - I know, I'm sorry. 602 00:32:27,432 --> 00:32:30,854 We managed, you'll learn. 603 00:32:30,855 --> 00:32:33,466 It's good to see you coming up in the world, Doctor Curtis. 604 00:32:37,822 --> 00:32:40,208 Did he really say all that stuff about Bishop? 605 00:32:40,683 --> 00:32:42,552 I just... 606 00:32:43,262 --> 00:32:46,130 hate that man. 607 00:32:46,958 --> 00:32:51,331 Doctor Curtis to ICU. Doctor Curtis, ICU. 608 00:32:51,332 --> 00:32:52,937 Go. Better hurry. 609 00:32:52,938 --> 00:32:55,341 Okay. 610 00:32:59,768 --> 00:33:02,171 She needs mannitol and hypertonic saline. 611 00:33:02,916 --> 00:33:04,775 She just started convulsing. 612 00:33:05,162 --> 00:33:08,026 A decorticate posturing. You're thinking cerebral edema? 613 00:33:08,027 --> 00:33:09,644 - Mm-hmm. - Well... 614 00:33:09,645 --> 00:33:13,386 I mean, it is a statistical complication of liver injury. 615 00:33:13,387 --> 00:33:15,523 I'll get a CT to confirm. But if we're right, 616 00:33:15,524 --> 00:33:17,620 she'll need a craniotomy to drain the fluid from her brain. 617 00:33:17,621 --> 00:33:19,749 Okay. I'll prime a neurosurgeon. 618 00:33:34,062 --> 00:33:35,986 What the hell, Erica? 619 00:33:35,987 --> 00:33:37,909 I thought I asked you to cover for emerg. 620 00:33:37,910 --> 00:33:40,433 A senior oncologist needed me in surgery. 621 00:33:40,434 --> 00:33:41,667 I was supposed to say no? 622 00:33:41,668 --> 00:33:44,573 You could have asked somebody else, you could've paged me! 623 00:33:44,574 --> 00:33:47,155 You told me you didn't need help learning the system. 624 00:33:47,416 --> 00:33:50,619 You know you need backups for your backups, right? 625 00:33:52,198 --> 00:33:54,868 Is that the emergency craniotomy? 626 00:33:55,724 --> 00:33:57,097 Who's assisting? 627 00:33:57,098 --> 00:33:58,788 I assigned another resident. 628 00:34:00,136 --> 00:34:01,738 But you can be the backup. 629 00:34:07,132 --> 00:34:08,733 Hey! 630 00:34:10,500 --> 00:34:12,214 Heard about the other figure skater. 631 00:34:12,215 --> 00:34:14,601 Quite the pair, those two. 632 00:34:16,898 --> 00:34:19,394 Listen, I'm glad you punched back earlier. 633 00:34:19,395 --> 00:34:21,267 It's how those sessions are supposed to be. 634 00:34:21,268 --> 00:34:23,147 Lively. Illuminating. 635 00:34:25,551 --> 00:34:27,153 You look up to Bishop. 636 00:34:27,701 --> 00:34:30,212 I get that. He's a brilliant guy. 637 00:34:30,213 --> 00:34:32,300 He took a chance on me. 638 00:34:32,301 --> 00:34:35,038 Now you feel like your survival here depends on him. 639 00:34:36,910 --> 00:34:39,050 I know what it's like to need his approval. 640 00:34:39,051 --> 00:34:41,394 It's like his residents are starving, 641 00:34:41,395 --> 00:34:43,535 and he controls the food supply. 642 00:34:43,536 --> 00:34:45,730 That may have been your experience with him, 643 00:34:45,731 --> 00:34:47,311 it's not mine. 644 00:34:49,550 --> 00:34:50,714 Doctors from your country, 645 00:34:50,715 --> 00:34:53,546 it's not easy to get your credentials out. 646 00:34:57,354 --> 00:34:59,678 I looked into your file. 647 00:34:59,679 --> 00:35:01,843 There's no medical transcripts there. 648 00:35:02,324 --> 00:35:04,565 There's just a sworn statement from Bishop saying he... 649 00:35:04,566 --> 00:35:06,366 swears they exist. 650 00:35:06,367 --> 00:35:07,968 They do. 651 00:35:09,517 --> 00:35:11,119 What are you saying? 652 00:35:11,651 --> 00:35:13,256 Just that I know how it feels 653 00:35:13,257 --> 00:35:15,126 when his approval doesn't come. 654 00:35:18,152 --> 00:35:20,291 If you need anybody else in your corner, 655 00:35:20,292 --> 00:35:21,627 I'm there. 656 00:35:22,171 --> 00:35:24,085 Remember that, Doctor Hamed. 657 00:35:27,311 --> 00:35:28,630 Hey, hey! 658 00:35:28,631 --> 00:35:31,834 - You're back. - And you're still here. 659 00:35:32,165 --> 00:35:35,737 Why does it feel like the last 12 hours since I've seen you 660 00:35:35,738 --> 00:35:37,076 have been one minute? 661 00:35:37,077 --> 00:35:38,886 Does that mean it was a good first day? 662 00:35:38,887 --> 00:35:42,581 More like an ongoing ordeal of just disappointing everyone? 663 00:35:42,582 --> 00:35:44,069 - June. - Oh, yeah. 664 00:35:45,316 --> 00:35:46,847 It's Doctor Singh. 665 00:35:46,848 --> 00:35:48,871 I wonder what else I messed up. 666 00:35:48,872 --> 00:35:50,741 It will be okay. 667 00:36:00,202 --> 00:36:02,124 This came back for you. 668 00:36:03,439 --> 00:36:05,683 But Public Health is supposed to be testing it. 669 00:36:05,684 --> 00:36:07,753 I spent an hour on hold and I talked to two people. 670 00:36:07,754 --> 00:36:09,599 When did you have the time to do that? 671 00:36:09,600 --> 00:36:12,164 This morning after my shift. And I know, I know. 672 00:36:12,165 --> 00:36:13,589 You think it was a waste of energy. 673 00:36:13,590 --> 00:36:15,459 And the person who makes the final decision 674 00:36:15,460 --> 00:36:16,847 at Public Health agrees. 675 00:36:16,848 --> 00:36:19,417 Unless the patient's symptomatic for hantavirus, 676 00:36:19,418 --> 00:36:20,749 which yours was not, 677 00:36:20,750 --> 00:36:23,691 they're not gonna test the mouse because she isn't at risk. 678 00:36:23,692 --> 00:36:25,828 Okay, then why are you giving it back to me? 679 00:36:26,336 --> 00:36:29,472 Oh, I thought, knowing you, you might want to... 680 00:36:29,473 --> 00:36:31,315 dissect it and test it yourself? 681 00:36:31,316 --> 00:36:34,308 Or at least give it a proper burial. 682 00:36:34,309 --> 00:36:36,800 Listeria outbreak in a U of T dorm. 683 00:36:36,801 --> 00:36:38,620 Curtains are starting to line up. 684 00:36:38,621 --> 00:36:40,117 Sorry, Mags. 685 00:36:40,118 --> 00:36:41,987 Have a fun night. 686 00:37:00,810 --> 00:37:04,718 I spoke with the cardiologist again. 687 00:37:05,192 --> 00:37:07,394 Everyone's confident that he'll be able 688 00:37:07,395 --> 00:37:09,624 to fight off the infection without surgery 689 00:37:10,175 --> 00:37:12,327 and avoid any damage to his heart. 690 00:37:14,756 --> 00:37:19,256 Um, they said he could be here on IV antibiotics for weeks. 691 00:37:19,257 --> 00:37:21,129 Is there someone else who can help you manage? 692 00:37:21,130 --> 00:37:22,999 Grandparents or...? 693 00:37:24,152 --> 00:37:26,555 No, we're alone together, 694 00:37:27,334 --> 00:37:29,202 him and me. 695 00:37:31,086 --> 00:37:33,488 You didn't do anything wrong, Christie. 696 00:37:35,922 --> 00:37:38,592 He needed a dentist and I bought him a coat. 697 00:37:39,689 --> 00:37:42,415 And I'm supposed to know what's best for him, but, 698 00:37:42,416 --> 00:37:45,085 every decision has consequences. 699 00:37:47,892 --> 00:37:50,294 We don't know what they are when we make them. 700 00:37:54,331 --> 00:37:56,199 You're an amazing mom. 701 00:38:07,823 --> 00:38:09,467 What was the last thing that he said 702 00:38:09,468 --> 00:38:11,560 after asking about your transcripts. 703 00:38:11,561 --> 00:38:13,962 That if I needed an ally and you weren't around, 704 00:38:13,963 --> 00:38:15,831 I could turn to him. 705 00:38:16,460 --> 00:38:19,509 Why do you think I sent Claire in there today? 706 00:38:19,510 --> 00:38:22,493 I was protecting my team, taking responsibility. 707 00:38:22,494 --> 00:38:25,404 All you did by getting involved was make things worse. 708 00:38:25,405 --> 00:38:27,764 - For both of us! - But you were not defending yourself! 709 00:38:27,765 --> 00:38:30,435 I told you this was not your fight! 710 00:38:30,744 --> 00:38:32,648 I know. It's yours. 711 00:38:33,983 --> 00:38:36,119 So why won't you fight it? 712 00:38:51,842 --> 00:38:53,176 Trish. 713 00:39:00,084 --> 00:39:02,486 They said you came through okay. 714 00:39:03,751 --> 00:39:06,549 - I did this to us, Vin. - And I let you. 715 00:39:07,803 --> 00:39:10,205 I knew what you were doing, and I didn't say anything. 716 00:39:10,502 --> 00:39:12,904 How did we get so out of sync? 717 00:39:13,174 --> 00:39:14,776 Fear? 718 00:39:16,080 --> 00:39:19,799 I know I was afraid of all of this being for nothing. 719 00:39:21,134 --> 00:39:24,071 I had to find a way to keep going for us. 720 00:39:26,619 --> 00:39:28,642 You know, I've been sitting here, Trish, 721 00:39:29,855 --> 00:39:32,257 hoping you'd survive and thinking. 722 00:39:33,708 --> 00:39:36,557 We've been picking each other up since we were kids, 723 00:39:38,797 --> 00:39:40,932 we can get up from this too. 724 00:39:45,901 --> 00:39:47,507 Where does this leave us? 725 00:39:47,508 --> 00:39:50,444 Vincent's surgeons said 12 weeks, 726 00:39:50,777 --> 00:39:54,158 and I could try to give you a specific timeframe, but... 727 00:39:55,661 --> 00:39:58,455 You two have been beating the odds all day. 728 00:40:10,179 --> 00:40:11,518 Hey. 729 00:40:11,519 --> 00:40:14,188 Doctor Harris told me about you losing your temper. 730 00:40:14,745 --> 00:40:17,228 Of course she did. Is that why you paged me? 731 00:40:17,463 --> 00:40:19,811 She wasn't wrong to leave emerg. 732 00:40:19,812 --> 00:40:21,947 Someone with more weight needed her. 733 00:40:22,432 --> 00:40:25,178 One of the things you learn as a boss, even in middle management, 734 00:40:25,179 --> 00:40:27,131 is how to live with people not liking you. 735 00:40:27,132 --> 00:40:29,332 Uh, yeah, I'm fine with people not liking me. 736 00:40:29,333 --> 00:40:31,443 You're the one who keeps telling me that I need to politick, 737 00:40:31,444 --> 00:40:34,186 and delegate and what was it? Yeah, trust them. 738 00:40:34,187 --> 00:40:36,326 I didn't say it would be easy. 739 00:40:36,327 --> 00:40:39,531 Anyway. This is why I paged you. Two please. 740 00:40:39,792 --> 00:40:42,561 Actually, I have to get back, Doctor Singh. 741 00:40:42,562 --> 00:40:44,701 Oh, come on, it's a rite of passage. 742 00:40:44,702 --> 00:40:48,173 And the dinner of overworked doctors everywhere. 743 00:40:54,623 --> 00:40:57,292 Today's mistakes are over. 744 00:41:03,256 --> 00:41:05,124 Got any onions? 745 00:41:13,019 --> 00:41:17,123 So, this would be the first place I rented in this city 746 00:41:17,124 --> 00:41:19,260 with two bedrooms. 747 00:41:30,250 --> 00:41:32,386 Since now. 748 00:41:33,085 --> 00:41:37,623 But Theo's was always going to be temporary. 749 00:41:48,081 --> 00:41:52,352 Actually, I was thinking you could move in here, 750 00:41:52,633 --> 00:41:54,064 with me and Amira. 751 00:41:57,757 --> 00:41:59,811 The bedroom. 752 00:41:59,812 --> 00:42:01,150 I'll take the couch. 753 00:42:01,151 --> 00:42:03,558 You just finished telling me this is the first place 754 00:42:03,559 --> 00:42:05,961 you've rented with two bedrooms 755 00:42:06,419 --> 00:42:08,896 and you're already back to sleeping on the couch? 756 00:42:08,897 --> 00:42:10,766 I don't mind. 757 00:42:12,066 --> 00:42:14,201 Rania, I'm serious. 758 00:42:14,563 --> 00:42:16,702 You don't think it's a little fast? 759 00:42:16,703 --> 00:42:19,907 Fast. We've already lost so much time. 760 00:42:40,808 --> 00:42:43,478 I don't need to be saved, Bashir. 761 00:42:44,747 --> 00:42:46,883 Maybe I do.