1 00:00:00,001 --> 00:00:02,202 I'm going through... a split. 2 00:00:03,846 --> 00:00:05,679 Any interest in a part-time resident practice? 3 00:00:05,680 --> 00:00:07,777 Who better than someone who knows what it's like to be a cardiac? 4 00:00:07,778 --> 00:00:08,815 I don't think so. 5 00:00:08,816 --> 00:00:11,118 It's not fair, how you see me. 6 00:00:13,057 --> 00:00:14,972 You're a fighter June, I get that. 7 00:00:14,973 --> 00:00:16,375 What are you telling me to do here? 8 00:00:16,376 --> 00:00:19,070 I'm not, I'm just pointing out the landmines. 9 00:00:19,597 --> 00:00:22,379 - Are you free tonight? - You're asking me on a date? 10 00:00:22,380 --> 00:00:24,662 You had two major health incidents. 11 00:00:24,663 --> 00:00:25,808 They're pushing you out? 12 00:00:25,809 --> 00:00:27,424 I'm not done, Claire. 13 00:00:41,178 --> 00:00:43,584 Welcome Brothers. Couple of quick announcements. 14 00:00:43,585 --> 00:00:46,324 Unfortunately we begin by offering our condolences 15 00:00:46,325 --> 00:00:49,132 to brother Karif Shahid, who recently lost his father. 16 00:00:49,387 --> 00:00:51,926 So we pray that Allah grants him mercy 17 00:00:51,927 --> 00:00:54,228 and gives him the highest place in paradise. 18 00:00:55,060 --> 00:00:57,254 In times of isolation, 19 00:00:57,255 --> 00:01:00,125 we look towards our community for peace. 20 00:01:15,724 --> 00:01:18,692 Hey, those stitches still need to come out. 21 00:01:20,325 --> 00:01:22,945 Maybe tomorrow after school, you stop by the hospital? 22 00:01:23,326 --> 00:01:25,859 Rania's coming to get some things. 23 00:01:27,665 --> 00:01:29,941 We're friends, Amira. 24 00:01:29,942 --> 00:01:32,273 She's still in both of our lives. 25 00:02:02,712 --> 00:02:03,761 What time is it? 26 00:02:03,762 --> 00:02:06,136 It's late or early, 27 00:02:06,137 --> 00:02:08,031 depending on your point of view. 28 00:02:08,393 --> 00:02:10,037 You're working? 29 00:02:10,038 --> 00:02:11,905 Yeah, I'm unwinding. 30 00:02:12,963 --> 00:02:14,530 Unwinding. 31 00:02:15,822 --> 00:02:17,778 With Electro Cardiography Interpretation? 32 00:02:17,779 --> 00:02:19,511 Okay, unless you can show me how to sleep 33 00:02:19,512 --> 00:02:21,348 like a stress-free toddler, yes, that is... 34 00:02:21,349 --> 00:02:23,651 - I have stress! I stress! - Mm-hmm. 35 00:02:23,887 --> 00:02:28,991 But I also just had a really good stress reliever. 36 00:02:32,566 --> 00:02:34,200 Okay. 37 00:02:36,066 --> 00:02:38,400 - Is that you? - Mm-hmm. 38 00:02:38,955 --> 00:02:40,962 What stresses do you have? 39 00:02:41,540 --> 00:02:45,914 Well, still trying to impress Dr. Hunter, that's one. 40 00:02:45,915 --> 00:02:47,186 - Really? - Yeah. 41 00:02:47,187 --> 00:02:49,335 You never seemed to worry about that. 42 00:02:49,336 --> 00:02:51,504 It's future Jake's problem. 43 00:02:52,313 --> 00:02:55,215 Current Jake is worried about how he's gonna sleep 44 00:02:55,216 --> 00:02:56,587 with the light on. 45 00:03:03,732 --> 00:03:05,567 Unless you want me to go? 46 00:03:08,465 --> 00:03:10,243 It's okay, I can go. 47 00:03:14,245 --> 00:03:17,281 Try and get some sleep, weirdo. 48 00:03:38,882 --> 00:03:39,919 Hey. 49 00:03:39,920 --> 00:03:41,239 Oh, do you need your office back? 50 00:03:41,240 --> 00:03:42,853 This isn't my office this morning. 51 00:03:43,115 --> 00:03:44,582 Actually, I'm not even here. 52 00:03:45,759 --> 00:03:47,880 - Soap me. - Excuse me? 53 00:03:47,881 --> 00:03:50,620 Mnemonic device for rapid sequence intubation. 54 00:03:50,621 --> 00:03:53,642 Suction, O2, Airways, Positioning. 55 00:03:54,317 --> 00:03:56,952 Medication and Equipment. 56 00:03:57,496 --> 00:03:59,346 - That's it. - The exam's at noon? 57 00:03:59,347 --> 00:04:01,953 Yes. Oh, I called in for supplementals, 58 00:04:01,954 --> 00:04:03,826 but somebody had to cancel, so I told Rhoda 59 00:04:03,827 --> 00:04:05,255 if she needs anything, just text. 60 00:04:05,256 --> 00:04:06,906 We'll be fine, Claire. 61 00:04:06,907 --> 00:04:08,376 Go kill it. 62 00:04:12,977 --> 00:04:15,673 32-year-old found down, incoming. 63 00:04:17,165 --> 00:04:18,786 - You paged me Rhoda? - Sorry. 64 00:04:18,787 --> 00:04:20,934 By mistake, it's not a pedes trauma. 65 00:04:20,935 --> 00:04:23,115 I'm filling in for Claire and we're just already swamped. 66 00:04:23,116 --> 00:04:24,232 I have a window if you need help. 67 00:04:24,233 --> 00:04:25,638 We're good. 68 00:04:25,639 --> 00:04:27,844 Fall from a ladder, multiple contusions! 69 00:04:27,845 --> 00:04:31,118 BP's 100 over 80, rate's 130. GCS 10. 70 00:04:31,119 --> 00:04:32,780 - You're a doctor? - Yes, Kelsey's my daughter! 71 00:04:32,781 --> 00:04:34,497 I found her on the floor of the bar she owns. 72 00:04:34,498 --> 00:04:35,914 She closed it to renovate. 73 00:04:37,781 --> 00:04:40,583 I did a quick neurological exam, but she'll need a CT. 74 00:04:40,931 --> 00:04:43,190 I don't know how long she's been there. 75 00:04:43,191 --> 00:04:44,654 Two large bore IVs! 76 00:04:44,655 --> 00:04:46,355 E-FAST. Start with her chest? 77 00:04:49,797 --> 00:04:52,099 Ray Grisholm. Internist at Midcrest. 78 00:04:52,100 --> 00:04:53,735 I would've got her there, but it's a 20-minute ride. 79 00:04:53,736 --> 00:04:55,458 This is Dr. Bishop, Chief of our emerg... 80 00:04:55,459 --> 00:04:56,994 I saw you at the Trauma Association conference 81 00:04:56,995 --> 00:04:59,013 a few years ago. Is there any free fluid? 82 00:04:59,014 --> 00:05:01,037 Your daughter is in very good hands, sir. 83 00:05:01,038 --> 00:05:02,709 Fast positive. Belly full of blood. 84 00:05:02,710 --> 00:05:05,060 We'll give her a gram of TXA and activate MTP! 85 00:05:05,061 --> 00:05:06,568 - I'm calling the blood bank! - No, no. 86 00:05:06,569 --> 00:05:08,544 She's AB negative, same as me! You can use mine now! 87 00:05:08,545 --> 00:05:09,780 That's not something that we do. 88 00:05:09,781 --> 00:05:11,837 Well, she's not hemodynamically stable! 89 00:05:12,358 --> 00:05:14,393 Have either one of you ever done a direct transfusion? 90 00:05:14,394 --> 00:05:15,999 - I have. - I've got a donor card 91 00:05:16,000 --> 00:05:18,268 in my wallet if you need to confirm. 92 00:05:19,189 --> 00:05:20,961 Set up for a direct transfusion. 93 00:05:20,962 --> 00:05:23,466 Let's take every step we can, Dr. Grisholm. 94 00:05:23,467 --> 00:05:25,000 Thank you. 95 00:05:25,321 --> 00:05:26,625 Thank you. 96 00:05:26,626 --> 00:05:28,669 Guy brought his wife in after a car accident. 97 00:05:28,670 --> 00:05:31,302 He's dazed, a little bit cut up and she's... 98 00:05:31,303 --> 00:05:32,503 Well... 99 00:05:32,740 --> 00:05:34,424 Displaced leg fracture 100 00:05:34,425 --> 00:05:36,548 and when's the last time you delivered a baby? 101 00:05:37,307 --> 00:05:38,345 Is she okay? 102 00:05:38,346 --> 00:05:39,951 And after you answer that, please, 103 00:05:39,952 --> 00:05:41,723 tell me I can still get the epidural! 104 00:05:41,724 --> 00:05:44,047 Fetal heart rate's 140. I paged OB, but... 105 00:05:44,048 --> 00:05:46,153 It's okay, I'm on it. Contractions are how far apart? 106 00:05:46,154 --> 00:05:49,256 Not very! Ben was supposed to time them, but... 107 00:05:49,854 --> 00:05:52,466 It's really happening now? 108 00:05:52,467 --> 00:05:53,880 I just thought the accident might... 109 00:05:53,881 --> 00:05:56,096 What, push it back in, Ben? 110 00:05:56,097 --> 00:05:59,614 Go find someone who can get me an epidural! 111 00:05:59,615 --> 00:06:02,035 You two got in an accident on your way to have a baby? 112 00:06:02,036 --> 00:06:04,475 - Ben ran a red... - You were yelling at me! 113 00:06:04,476 --> 00:06:05,864 - Oh. - I'm trying here, Tess. 114 00:06:05,865 --> 00:06:07,499 Jake, ultrasound. 115 00:06:09,774 --> 00:06:12,246 - Oh... - Her stomach's bleeding. 116 00:06:12,247 --> 00:06:13,951 - Tess, oh! - Ben! 117 00:06:13,952 --> 00:06:16,157 Remember, we took those classes 118 00:06:16,158 --> 00:06:18,669 about how your one job is to stay calm? 119 00:06:18,670 --> 00:06:21,905 Yeah? I need you to do your job, Ben! 120 00:06:22,639 --> 00:06:24,958 My baby's gonna be okay, right? 121 00:06:24,959 --> 00:06:26,493 It's not deep, just oozing. 122 00:06:26,927 --> 00:06:30,239 Grab me a pair of forceps and a vacuum just in case, Arnold. 123 00:06:30,240 --> 00:06:32,141 - Got it. - Okay. 124 00:06:32,646 --> 00:06:36,086 Baby's heartrate looks good, but it is sunny-side-up. 125 00:06:36,087 --> 00:06:39,372 - Which is what Jake? - Occiput posterior position. 126 00:06:39,373 --> 00:06:41,686 - Is that bad? - For the baby, no. 127 00:06:41,687 --> 00:06:44,359 For mom, it could mean a tougher delivery, 128 00:06:44,360 --> 00:06:45,931 but to answer your question, Tessa, 129 00:06:45,932 --> 00:06:47,560 I have to get you in position to push, 130 00:06:47,561 --> 00:06:50,934 there's no time for an epidural, this baby is on its way now! 131 00:06:50,935 --> 00:06:53,900 You're ready? And one, two, three! 132 00:07:00,764 --> 00:07:02,892 Sorry about the heavy hand before. 133 00:07:04,392 --> 00:07:07,098 I had a boss who used to say, 134 00:07:07,099 --> 00:07:10,150 "What this situation needs is two of me and none of you." 135 00:07:11,535 --> 00:07:13,357 I maybe followed a little too closely 136 00:07:13,358 --> 00:07:15,931 - in his footsteps. - Pelvic fracture wrapped. 137 00:07:15,932 --> 00:07:17,477 You're both what year? 138 00:07:17,478 --> 00:07:20,651 - I'm emerg PGY-two. - I'm PGY-one. 139 00:07:20,652 --> 00:07:22,169 But this is his second residency. 140 00:07:22,170 --> 00:07:23,641 He was a trauma surgeon in Syria. 141 00:07:23,642 --> 00:07:26,143 Oh so you're ahead of your peers, but also behind them? 142 00:07:27,059 --> 00:07:29,297 It's a good thing Kelsey isn't awake to see this. 143 00:07:29,298 --> 00:07:31,436 She hates it when I insert myself in her life. 144 00:07:31,437 --> 00:07:33,823 I'm guessing this is one time she'd make an exception. 145 00:07:33,824 --> 00:07:36,044 You know, I told her that the bar would be the death of her, 146 00:07:36,045 --> 00:07:37,700 I meant it was a money pit, not this. 147 00:07:37,701 --> 00:07:39,673 You said you didn't know how long she was alone? 148 00:07:39,674 --> 00:07:42,992 I knew she was trying to get the place ready to re-open 149 00:07:42,993 --> 00:07:45,205 and we hadn't talked in a few days. 150 00:07:45,663 --> 00:07:47,698 She used to always call her mom, but... 151 00:07:48,321 --> 00:07:51,321 We buried her a month ago. Ovarian cancer. 152 00:07:51,656 --> 00:07:53,447 I'm sorry. 153 00:07:54,382 --> 00:07:56,316 When it happens, 154 00:07:56,317 --> 00:08:00,087 you're distracted. Then... everybody goes. 155 00:08:01,556 --> 00:08:03,895 We're still figuring out... 156 00:08:03,896 --> 00:08:06,297 not having her mom as our bridge. 157 00:08:08,959 --> 00:08:10,163 Temp's 39. 158 00:08:10,164 --> 00:08:12,099 I'd feel a lot better if her temp wasn't so high. 159 00:08:12,100 --> 00:08:15,272 It could be an inflammatory response due to the trauma. 160 00:08:15,273 --> 00:08:17,812 We'll get Kelsey up to interventional radiology 161 00:08:17,813 --> 00:08:20,786 for an angio-embolization to stop the pelvic bleed, 162 00:08:20,787 --> 00:08:22,888 and after that, just let her rest. 163 00:08:24,798 --> 00:08:26,369 Okay, the baby's crowning, mom. 164 00:08:26,370 --> 00:08:28,672 I just need a couple more pushes, okay? 165 00:08:29,393 --> 00:08:31,544 - Hang in there, Tess. - Shut up. 166 00:08:31,545 --> 00:08:33,149 I thought I was supposed to... 167 00:08:33,150 --> 00:08:35,288 No, no, no, don't speak, don't move, 168 00:08:35,289 --> 00:08:36,757 don't even look at me! 169 00:08:37,344 --> 00:08:39,559 Okay, Tessa, let's try one more big push! 170 00:08:39,560 --> 00:08:42,215 I can't, I can't, I just can't anymore! 171 00:08:42,216 --> 00:08:44,288 It hurts too much. 172 00:08:44,289 --> 00:08:47,029 Please, can you just cut it out of me. 173 00:08:47,030 --> 00:08:50,570 My stomach's already bleeding, you could use that opening. 174 00:08:50,571 --> 00:08:53,369 The delivery I remember the most was my youngest. 175 00:08:53,370 --> 00:08:55,675 My wife was up all night with our oldest 176 00:08:55,676 --> 00:08:57,148 who was sick with a stomach flu. 177 00:08:57,149 --> 00:08:58,717 She called me to tell me she was in labour, 178 00:08:58,718 --> 00:09:01,424 but she couldn't leave Abby home alone to come to the hospital. 179 00:09:01,425 --> 00:09:04,981 So I drove like a maniac and got there just in time 180 00:09:04,982 --> 00:09:07,420 to deliver Grace on our kitchen floor. 181 00:09:07,421 --> 00:09:09,519 It was insane, just like this. 182 00:09:09,520 --> 00:09:10,524 - Yeah? - Okay. 183 00:09:10,525 --> 00:09:12,160 When we look back on it now, we laugh. 184 00:09:12,161 --> 00:09:14,746 You two will have the same kind of story! 185 00:09:14,747 --> 00:09:16,752 - I don't know... - Yes, you will. 186 00:09:16,753 --> 00:09:19,058 But Tessa, believe me. 187 00:09:19,059 --> 00:09:22,465 You've got this. I need you to push. Okay? 188 00:09:22,466 --> 00:09:24,971 Come on, you can do this. Push. 189 00:09:24,972 --> 00:09:26,644 Here she is, she's coming. 190 00:09:26,645 --> 00:09:28,642 She's coming, she's coming. 191 00:09:28,643 --> 00:09:31,383 Here she is. Here she is. 192 00:09:33,181 --> 00:09:35,125 Here she is. 193 00:09:39,724 --> 00:09:41,224 That's a man down. 194 00:09:42,086 --> 00:09:44,291 - Seriously? - We'll check him out. 195 00:09:44,292 --> 00:09:45,937 You did it. 196 00:09:46,227 --> 00:09:47,794 Okay. 197 00:09:48,247 --> 00:09:49,529 Congratulations! 198 00:09:49,530 --> 00:09:51,302 I already gave her the head laceration. 199 00:09:51,303 --> 00:09:53,075 The fractured wrist went to imaging, 200 00:09:53,076 --> 00:09:54,614 back pain's on deck, 201 00:09:54,615 --> 00:09:57,445 Bash has a found down in two and... 202 00:09:57,982 --> 00:10:00,254 Have you been able to find Peter? 203 00:10:00,255 --> 00:10:02,542 Still looking, love. Dementia. 204 00:10:02,543 --> 00:10:04,311 Doesn't know Peter's last name, or how to reach him. 205 00:10:04,312 --> 00:10:06,851 Okay. I'll get him back to his room. 206 00:10:06,852 --> 00:10:08,056 Sir? 207 00:10:08,057 --> 00:10:10,051 Hey. If you guys are swamped, I can grab a patient. 208 00:10:10,052 --> 00:10:12,654 Nausea in D? Already been there awhile. 209 00:10:13,812 --> 00:10:15,106 York emergency! 210 00:10:15,107 --> 00:10:16,674 Shouldn't be too long. 211 00:10:17,732 --> 00:10:19,003 Ms. Crawford? 212 00:10:19,004 --> 00:10:22,004 Hi, I'm Dr. Curtis. I heard you're feeling nauseated. 213 00:10:22,005 --> 00:10:23,934 Nothing'll stay down. Even water. 214 00:10:23,935 --> 00:10:25,441 I was trying to ride it out. 215 00:10:25,442 --> 00:10:27,152 She refused to go to the doctor. 216 00:10:27,153 --> 00:10:30,147 But then the cramping started, and my sister strong-armed me. 217 00:10:30,148 --> 00:10:33,106 Sometimes severe food poisoning can cause dehydration. 218 00:10:33,107 --> 00:10:35,652 Actually, I had a gastric bypass three months ago. 219 00:10:35,653 --> 00:10:37,807 I've been sick on and off ever since. 220 00:10:37,808 --> 00:10:40,447 Before you ask, yes, I stick to the diet plan. 221 00:10:40,448 --> 00:10:43,348 Yes, I exercise, no, I don't have high blood pressure, 222 00:10:43,349 --> 00:10:45,185 diabetes, or heart problems. 223 00:10:45,186 --> 00:10:47,629 So about this bypass, did you have that done here? 224 00:10:47,630 --> 00:10:49,798 Yes. Dr. Evelyn Roche. 225 00:10:53,526 --> 00:10:56,145 Okay, well, sometimes, after a bypass, 226 00:10:56,146 --> 00:10:59,152 our stomach will react by rapidly emptying food 227 00:10:59,153 --> 00:11:00,800 in a way that can make you feel sick. 228 00:11:00,801 --> 00:11:02,723 Dumping syndrome. I'm aware. 229 00:11:02,724 --> 00:11:05,872 That's only supposed to happen if you reintroduce food too fast, 230 00:11:05,873 --> 00:11:08,785 but I've been following the eye-dropper meal plan like a zealot. 231 00:11:08,786 --> 00:11:10,844 Did you let them know that in your postop visit? 232 00:11:10,845 --> 00:11:13,584 All Roche said was my system will only adjust 233 00:11:13,585 --> 00:11:16,791 when I commit to the lifestyle. Didn't even run a single test. 234 00:11:16,792 --> 00:11:19,926 Right. Well, Dr. Roche is a renowned surgeon. 235 00:11:19,927 --> 00:11:22,559 She's also a jerk, who has a problem with fat people. 236 00:11:22,560 --> 00:11:24,340 - Maya! - What can I say. 237 00:11:24,341 --> 00:11:25,908 The woman contains multitudes. 238 00:11:26,157 --> 00:11:27,936 I'm gonna order a CT. 239 00:11:27,937 --> 00:11:29,707 - You will? - I can't rule out 240 00:11:29,708 --> 00:11:31,356 rapid gastric emptying, 241 00:11:31,357 --> 00:11:34,163 but we should consider other post-surgical complications, 242 00:11:34,164 --> 00:11:37,637 like a bowel obstruction, or another acute digestive problem. 243 00:11:37,638 --> 00:11:39,363 In the meantime, I'm gonna get you some fluids 244 00:11:39,364 --> 00:11:40,803 and an anti-nauseant. 245 00:11:40,804 --> 00:11:42,285 You'll need to change into a gown. 246 00:11:42,286 --> 00:11:44,248 I'll need a second one to wrap around the back. 247 00:11:44,249 --> 00:11:45,950 I'll get you one, hon. 248 00:11:49,735 --> 00:11:51,636 You shouldn't have done that. 249 00:11:52,449 --> 00:11:54,280 - Excuse me? - Given her false hope. 250 00:11:54,281 --> 00:11:56,199 So you wanted me to tell her to exercise and eat right? 251 00:11:56,200 --> 00:11:58,002 Because it seems like she's already doing that. 252 00:11:58,003 --> 00:11:59,593 Maya needs to hear this is normal 253 00:11:59,594 --> 00:12:01,582 and that she just needs to get through the worst of it. 254 00:12:01,583 --> 00:12:03,970 But when you don't find something, 255 00:12:03,971 --> 00:12:06,453 I'll have to pick her up and get her back on track. 256 00:12:08,047 --> 00:12:09,769 Is there anything else? 257 00:12:09,770 --> 00:12:12,008 Yes. Who can I ask for a gown? 258 00:12:13,445 --> 00:12:15,492 - Here, this desk. - Okay. 259 00:12:17,511 --> 00:12:19,980 At the end of your message, press 1. 260 00:12:20,703 --> 00:12:22,374 I know you're screening me, Mel. 261 00:12:22,375 --> 00:12:25,043 We need to talk about you wanting sole custody. 262 00:12:25,319 --> 00:12:26,924 We only speak now through lawyers, 263 00:12:26,925 --> 00:12:28,301 and every time I go for pick up or drop off 264 00:12:28,302 --> 00:12:30,236 your mom's there just glaring at me. 265 00:12:31,092 --> 00:12:33,633 I don't understand why you're treating me like this. 266 00:12:40,529 --> 00:12:42,319 What is it, Jake? 267 00:12:42,320 --> 00:12:45,972 Ben Lyons is still complaining about left upper quadrant pain. 268 00:12:45,973 --> 00:12:47,945 Chest X-ray for pneumothorax 269 00:12:47,946 --> 00:12:49,743 and broken ribs came back normal. 270 00:12:49,744 --> 00:12:50,848 Okay? 271 00:12:50,849 --> 00:12:52,541 You said to rule those two things out. 272 00:12:52,542 --> 00:12:55,515 Yes, I did. Can you think of any other organs 273 00:12:55,516 --> 00:12:58,207 in that quadrant which might be affected by blunt trauma? 274 00:12:58,208 --> 00:13:00,186 Kidney, spleen, pancreas. 275 00:13:00,187 --> 00:13:02,022 But you didn't say to rule those out. 276 00:13:04,255 --> 00:13:05,392 Ultrasound? 277 00:13:05,393 --> 00:13:08,695 - CT with contrast. - CT with contrast. 278 00:13:11,991 --> 00:13:15,727 So what this situation calls for is two of you and none of him? 279 00:13:16,336 --> 00:13:18,746 - You're defending him? - No, I mean... 280 00:13:18,747 --> 00:13:20,986 You know, you could've walked him through your thinking. 281 00:13:20,987 --> 00:13:22,976 I have, Mags. More than once. 282 00:13:22,977 --> 00:13:24,777 He's gotta start showing up for work, which means 283 00:13:24,778 --> 00:13:27,477 coming to me with answers instead of questions. 284 00:13:27,744 --> 00:13:30,884 - Kelsey Grisholm? - Her bleed's under control, 285 00:13:30,885 --> 00:13:33,371 - but her temp's still high. - We're waiting on labs. 286 00:13:33,372 --> 00:13:34,610 And her father? 287 00:13:34,611 --> 00:13:36,426 Still insistent about being looped-in. 288 00:13:36,427 --> 00:13:38,031 I want you both to stay on this. 289 00:13:38,032 --> 00:13:40,285 Ray's pretty senior at Midcrest and eh, 290 00:13:40,286 --> 00:13:42,487 easier for all of us if he's managed. 291 00:13:49,013 --> 00:13:50,614 Bash? 292 00:13:52,199 --> 00:13:55,268 About the thing that we're not... 293 00:13:55,605 --> 00:13:57,871 About the elevator and like... 294 00:13:57,872 --> 00:14:00,207 That had nothing to do with you. Okay? 295 00:14:01,885 --> 00:14:04,920 The person in there wasn't even me really. 296 00:14:05,902 --> 00:14:07,502 Who was it? 297 00:14:08,892 --> 00:14:11,631 Someone who'd had a messed up day and a messed up... 298 00:14:11,632 --> 00:14:13,266 few months. 299 00:14:14,273 --> 00:14:16,474 You're not alone there. 300 00:14:17,093 --> 00:14:18,698 Listen, I... 301 00:14:18,699 --> 00:14:22,102 I don't want it to get between us either so... 302 00:14:23,137 --> 00:14:25,442 Let's just pretend it never happened. 303 00:14:25,443 --> 00:14:27,680 Exactly what I was gonna say. 304 00:14:31,409 --> 00:14:34,270 You really gave me a scare, kid. What happened? 305 00:14:34,271 --> 00:14:36,116 I was painting the crown moulding. 306 00:14:36,117 --> 00:14:37,738 I told you to call the contractor. 307 00:14:37,739 --> 00:14:39,664 I told you I wanted to do it myself. 308 00:14:40,092 --> 00:14:41,759 How are you feeling now? 309 00:14:42,599 --> 00:14:45,955 Ah headache, neck's a bit stiff, 310 00:14:45,956 --> 00:14:48,160 but I guess that's what happens when you lie 311 00:14:48,161 --> 00:14:49,598 on the concrete for a few hours. 312 00:14:49,599 --> 00:14:52,761 We did a CT, no intracranial injury. 313 00:14:52,762 --> 00:14:55,101 So, you just fell? 314 00:14:55,102 --> 00:14:57,074 Dad. The world is an imperfect place. 315 00:14:57,075 --> 00:14:58,613 People fall. 316 00:14:58,614 --> 00:15:00,102 There's, uh... 317 00:15:00,103 --> 00:15:02,909 concern because you're maintaining a high fever, 318 00:15:02,910 --> 00:15:04,515 and we'd like to know why. 319 00:15:04,516 --> 00:15:08,281 Were you feeling unwell before this? Any dizziness? 320 00:15:08,282 --> 00:15:09,762 She's always run down. 321 00:15:09,763 --> 00:15:11,793 Barely eats, works until 2:00 AM, 322 00:15:11,794 --> 00:15:13,599 pouring all her energy into slinging drinks. 323 00:15:13,600 --> 00:15:15,101 I'm not bartending, I'm running a business. 324 00:15:15,102 --> 00:15:17,207 Look, that lifestyle was fine in your 20s, 325 00:15:17,208 --> 00:15:18,512 but it's time to grow up! 326 00:15:18,513 --> 00:15:21,211 - We can give you a minute... - No, it's fine. 327 00:15:22,463 --> 00:15:24,497 You may as well all hear this. 328 00:15:28,156 --> 00:15:29,923 I have ALS. 329 00:15:30,271 --> 00:15:32,338 That's why I fell. 330 00:15:33,107 --> 00:15:35,408 I found out near the end with Mom. 331 00:15:36,640 --> 00:15:40,641 No, that can't be right, because... 332 00:15:40,937 --> 00:15:42,738 Wait a minute, you're not showing any of the signs. 333 00:15:42,739 --> 00:15:44,039 I've been covering. 334 00:15:44,654 --> 00:15:47,637 I noticed I was having a hard time gripping things. 335 00:15:47,638 --> 00:15:49,739 I ignored it at first, but... 336 00:15:51,445 --> 00:15:54,180 Then I started having weakness in my legs. 337 00:15:54,933 --> 00:15:57,201 Do you know how advanced it is? 338 00:15:59,250 --> 00:16:01,734 The neurologist said that I should expect more trouble 339 00:16:01,735 --> 00:16:04,945 with mobility and eating as I enter the mid-stage... 340 00:16:06,008 --> 00:16:08,473 And the average survival rate is two to five years. 341 00:16:08,474 --> 00:16:11,687 So I guess... that's where we are. 342 00:16:12,228 --> 00:16:14,233 Which neurologist? What's his name? 343 00:16:14,234 --> 00:16:15,949 Dr. Vedder. She's been great. 344 00:16:15,950 --> 00:16:18,222 Never heard of her. Joe Yoshida is a great neurologist. 345 00:16:18,223 --> 00:16:19,691 I'll call him and get a second opinion. 346 00:16:19,692 --> 00:16:21,660 Dr. Vedder's done weeks of tests. She's sure. 347 00:16:21,661 --> 00:16:23,523 Honey, you gotta trust me here. 348 00:16:23,524 --> 00:16:25,295 I can help us get to the bottom of this. 349 00:16:25,296 --> 00:16:28,431 Dad. Okay, this is why I haven't told you for so long. 350 00:16:28,795 --> 00:16:30,020 I have doctors. 351 00:16:30,021 --> 00:16:32,522 Just help me by being my dad. 352 00:16:37,671 --> 00:16:40,139 Let me get Yoshida on the phone. 353 00:16:47,173 --> 00:16:49,845 Did you discharge the guy in three? The new dad? 354 00:16:49,846 --> 00:16:52,644 No, actually, I was going to explain his imaging results. 355 00:16:52,645 --> 00:16:54,817 I found this in his room. I called OB, 356 00:16:54,818 --> 00:16:56,956 - and he's not there either. - We lost him? 357 00:16:56,957 --> 00:16:58,728 Are you guys doing okay in there? 358 00:16:58,729 --> 00:17:00,089 We didn't lose him, he left. 359 00:17:00,090 --> 00:17:02,410 And yes, we're having a small staffing issue, 360 00:17:02,411 --> 00:17:04,337 but we're managing just fine. 361 00:17:04,661 --> 00:17:06,292 I got it! 362 00:17:06,293 --> 00:17:07,997 Peter's not here yet, sir. 363 00:17:07,998 --> 00:17:09,965 Let's wait in your room, okay? 364 00:17:10,422 --> 00:17:12,435 Did you start her on the antibiotics? 365 00:17:12,436 --> 00:17:13,907 Let me call you back. 366 00:17:13,908 --> 00:17:17,043 Broad spectrum, until we figure out the cause of her fever. 367 00:17:17,354 --> 00:17:19,460 Well, that was the neurologist I like. 368 00:17:19,461 --> 00:17:22,148 He advises we run a few exams to rule out ALS. 369 00:17:22,149 --> 00:17:23,908 Spinal tap and EMG. 370 00:17:23,909 --> 00:17:26,593 Kelsey was pretty firm on not wanting to re-test. 371 00:17:26,594 --> 00:17:29,088 She's febrile with a headache and soar neck. 372 00:17:29,089 --> 00:17:31,583 An LP will rule out meningitis, would it not? 373 00:17:31,584 --> 00:17:33,789 Yes, and while meningitis is plausible, 374 00:17:33,790 --> 00:17:37,197 there are less invasive ways of narrowing down a fever. 375 00:17:37,198 --> 00:17:39,533 My daughter runs on emotion, Dr. Hamed. 376 00:17:40,078 --> 00:17:42,765 She'll make the right choice if we lead her to it. 377 00:17:42,766 --> 00:17:44,921 Your boss said to do everything we can. 378 00:17:44,922 --> 00:17:46,759 If you want to sign-off, he's right over there, 379 00:17:46,760 --> 00:17:49,596 talking to the co-head of emerg at UHN of all people. 380 00:17:54,101 --> 00:17:56,936 I've got three minutes before a consult if you need me. 381 00:17:56,937 --> 00:18:00,753 Uh, yeah. Actually, I just caught this patient in emerg. 382 00:18:00,754 --> 00:18:03,193 She's 12 weeks post-op from a gastric bypass, 383 00:18:03,194 --> 00:18:05,921 has nausea and vomiting. But her imaging's clear. 384 00:18:05,922 --> 00:18:07,360 She's aware of dumping syndrome? 385 00:18:07,361 --> 00:18:09,366 She is, but it could be something else right, 386 00:18:09,367 --> 00:18:12,161 like a peptic ulcer, an obstruction or Crohn's or... 387 00:18:12,162 --> 00:18:13,967 What are you asking me to approve, June? 388 00:18:13,968 --> 00:18:15,836 A C-scope and a G-scope. 389 00:18:16,187 --> 00:18:19,031 Okay, but you could have ordered those anyway. 390 00:18:19,032 --> 00:18:20,803 Right, but not everybody would, 391 00:18:20,804 --> 00:18:22,633 based on her symptoms so... 392 00:18:23,936 --> 00:18:26,043 Okay, you're the one who's always telling me to watch out 393 00:18:26,044 --> 00:18:27,378 for landmines. 394 00:18:28,240 --> 00:18:31,580 Statistically, you know it's unlikely this is anything 395 00:18:31,581 --> 00:18:34,147 other than side effects from her bypass. 396 00:18:34,148 --> 00:18:36,055 What I know is that I've made the mistake in the past 397 00:18:36,056 --> 00:18:38,824 of listening to statistics over patients. 398 00:18:40,357 --> 00:18:42,258 Keep me in the loop. 399 00:18:43,523 --> 00:18:45,351 Keep you in the loop. 400 00:18:47,242 --> 00:18:49,532 We're monitoring Kelsey Grisholm closely. 401 00:18:49,533 --> 00:18:51,901 Her father's a handful, but we're on top of it. 402 00:18:52,232 --> 00:18:54,733 Let me know if you need any input. 403 00:18:55,397 --> 00:18:57,898 Hey, I meant to ask, how's your sister? 404 00:18:58,308 --> 00:18:59,646 Since her head laceration. 405 00:18:59,647 --> 00:19:03,245 Oh, uh... she's healing fine. 406 00:19:03,246 --> 00:19:05,977 I doubt it'll scar. 407 00:19:05,978 --> 00:19:07,178 Good. 408 00:19:07,684 --> 00:19:11,349 The woman she came in with, I'm told that's your fiancé? 409 00:19:11,350 --> 00:19:13,585 She was. Uh... 410 00:19:13,817 --> 00:19:16,659 Now, she's the reason Amira won't talk to me. 411 00:19:17,459 --> 00:19:18,827 Sorry to hear that. 412 00:19:18,828 --> 00:19:21,681 Amira, she takes everything on 413 00:19:21,682 --> 00:19:24,238 and I think she learned that from me. 414 00:19:25,335 --> 00:19:27,670 You're not alone, Bashir. 415 00:19:29,735 --> 00:19:35,703 Sir, that doctor that you were speaking with earlier, 416 00:19:35,704 --> 00:19:37,872 are you hiring a co-chief? 417 00:19:42,886 --> 00:19:44,320 No. 418 00:19:45,392 --> 00:19:47,823 I've been asked to meet candidates 419 00:19:47,824 --> 00:19:50,426 and lead the transition to a new chief. 420 00:19:51,828 --> 00:19:54,129 You're being pushed out? 421 00:19:55,027 --> 00:19:57,939 Well, let's just keep this between us for now. 422 00:19:57,940 --> 00:19:59,407 It's not something I wanted, and to be frank, 423 00:19:59,408 --> 00:20:00,578 I don't know where it goes. 424 00:20:00,579 --> 00:20:02,638 There must be something that we can do. 425 00:20:02,639 --> 00:20:04,577 Let me handle, okay. I'll find a way to get 426 00:20:04,578 --> 00:20:06,345 the board on side again. 427 00:20:10,417 --> 00:20:12,952 I know you think you're only here because of me, 428 00:20:12,953 --> 00:20:14,587 but you're not. 429 00:20:14,813 --> 00:20:16,585 You're here because of you. 430 00:20:16,586 --> 00:20:18,287 Do you understand? 431 00:20:22,212 --> 00:20:23,950 Can we put her oxygen up to eight litres 432 00:20:23,951 --> 00:20:26,328 and find out where her chest X-ray is? 433 00:20:26,329 --> 00:20:29,498 Any nausea? Cold extremities at all? 434 00:20:30,467 --> 00:20:32,368 Just a bit short of breath. 435 00:20:33,161 --> 00:20:35,200 I assumed it was a touch of the flu. 436 00:20:35,201 --> 00:20:38,274 Which could be more dangerous for ALS patients. 437 00:20:38,275 --> 00:20:40,098 You sound like my dad. 438 00:20:42,075 --> 00:20:43,742 He's not a bad guy. 439 00:20:44,262 --> 00:20:47,516 I know how badly he wants to fix me. 440 00:20:48,347 --> 00:20:49,814 Fix this. 441 00:20:50,136 --> 00:20:52,184 But when it comes to relating to me? 442 00:20:52,185 --> 00:20:54,487 That's all he's ever known. 443 00:20:54,488 --> 00:20:56,525 And what about you? 444 00:20:56,847 --> 00:20:58,615 What do you want? 445 00:20:59,639 --> 00:21:02,108 To somehow meet this on my own terms? 446 00:21:04,067 --> 00:21:06,239 Buying that bar was a dream come true 447 00:21:06,240 --> 00:21:09,606 and I want to run it for as long as I can. 448 00:21:14,007 --> 00:21:15,675 Her temp's up again. 449 00:21:18,877 --> 00:21:20,015 Um... 450 00:21:20,016 --> 00:21:22,388 I was wondering if you would consider letting us 451 00:21:22,389 --> 00:21:23,986 do a lumbar puncture? 452 00:21:23,987 --> 00:21:26,826 It would help us rule out meningitis, source your fever and... 453 00:21:26,827 --> 00:21:29,362 Re-confirm my ALS diagnosis? 454 00:21:29,959 --> 00:21:32,227 My father ask you to float that? 455 00:21:32,831 --> 00:21:34,378 Yes, he did. 456 00:21:34,379 --> 00:21:36,565 Resistance is futile with Ray. 457 00:21:37,667 --> 00:21:39,635 Is that true about my fever? 458 00:21:40,590 --> 00:21:42,352 Wait, you're in control here. 459 00:21:42,353 --> 00:21:44,502 Nothing's gonna happen without your consent. 460 00:21:44,843 --> 00:21:46,770 - Okay? - Okay. 461 00:22:00,090 --> 00:22:02,418 The maternity ward's the other way. 462 00:22:04,156 --> 00:22:05,594 I can't go up there. 463 00:22:05,595 --> 00:22:07,629 So you... Uh, you're just... 464 00:22:07,894 --> 00:22:09,208 You're leaving? 465 00:22:09,209 --> 00:22:11,714 But then, I remembered I totalled our car. 466 00:22:11,715 --> 00:22:14,162 I just finished paying it off last month too, 467 00:22:14,163 --> 00:22:15,933 after nine years. 468 00:22:15,934 --> 00:22:17,773 I don't even have a job right now. 469 00:22:17,774 --> 00:22:19,512 Ben, why don't you come with me? 470 00:22:19,513 --> 00:22:21,719 I didn't want a baby, Dr. Hunter. 471 00:22:21,720 --> 00:22:23,208 It kinda just happened. 472 00:22:23,209 --> 00:22:25,314 I thought if I cut my losses now, 473 00:22:25,315 --> 00:22:27,516 I'd be doing that kid a favour. 474 00:22:30,249 --> 00:22:32,266 I can see you judging me. 475 00:22:32,267 --> 00:22:35,473 Look I would never say running out on a new-born baby 476 00:22:35,474 --> 00:22:38,727 is a good idea, but that's not why I'm here. 477 00:22:38,728 --> 00:22:41,260 You spleen is ruptured. 478 00:22:41,261 --> 00:22:42,877 You need surgery. 479 00:22:42,878 --> 00:22:44,145 What? 480 00:22:44,763 --> 00:22:47,407 - So I guess... - Yeah. 481 00:22:47,408 --> 00:22:48,775 Oh, okay. 482 00:22:56,231 --> 00:22:57,832 Imaging's up. 483 00:23:02,519 --> 00:23:04,353 Guys, what's happening? 484 00:23:04,918 --> 00:23:06,455 Just tell me, I can take it. 485 00:23:06,456 --> 00:23:08,427 I'm hearing crackles in your lungs. 486 00:23:08,428 --> 00:23:09,999 Crackles? From what? 487 00:23:10,000 --> 00:23:12,840 Based on your chest X-rays, it's likely pneumonia. 488 00:23:12,841 --> 00:23:13,978 Wouldn't I be coughing? 489 00:23:13,979 --> 00:23:15,583 ALS makes it hard to cough 490 00:23:15,584 --> 00:23:17,729 due to the degeneration of the airway. 491 00:23:17,730 --> 00:23:19,101 Then you accept my diagnosis? 492 00:23:19,102 --> 00:23:21,407 Until we get the results back from the lumbar puncture, 493 00:23:21,408 --> 00:23:22,805 - we have to assume... - She's not... 494 00:23:22,806 --> 00:23:25,308 doing a lumbar puncture, Dr. Grisholm. 495 00:23:27,207 --> 00:23:28,807 Stop trying to work him, Dad. 496 00:23:29,342 --> 00:23:31,276 I've done the tests. 497 00:23:31,527 --> 00:23:34,441 - I've come to terms... - Let me talk next steps. 498 00:23:35,014 --> 00:23:37,722 Well, we'll continue O2 therapy, 499 00:23:37,723 --> 00:23:39,907 target the pneumonia with macrolide antibiotics 500 00:23:39,908 --> 00:23:41,628 and monitor her levels carefully. 501 00:23:41,629 --> 00:23:44,730 Also, we should consider mechanical ventilation. 502 00:23:44,731 --> 00:23:46,991 What does that mean? Is that intubation? 503 00:23:46,992 --> 00:23:49,731 Yes. You're not coughing due to the ALS, 504 00:23:49,732 --> 00:23:52,238 which means that without help your body might not be able 505 00:23:52,239 --> 00:23:54,107 to clear the secretions caused by pneumonia. 506 00:23:54,335 --> 00:23:56,104 Dr. Hamed's right. It's aggressive, 507 00:23:56,105 --> 00:23:57,902 but it's the best way to prevent hypoxia. 508 00:23:57,903 --> 00:24:00,108 Yes, but it's not your only option here, Kelsey. 509 00:24:00,109 --> 00:24:02,682 We can try BIPAP for supplemental O2. 510 00:24:02,683 --> 00:24:05,055 There's also postural drainage and percussion... 511 00:24:05,056 --> 00:24:07,058 Which might not be enough to keep dangerous amounts 512 00:24:07,059 --> 00:24:08,412 of fluids from building. 513 00:24:08,413 --> 00:24:10,252 But there's a chance I could still 514 00:24:10,253 --> 00:24:11,904 recover on my own, right? 515 00:24:11,905 --> 00:24:13,989 Yes. This is your choice. 516 00:24:13,990 --> 00:24:16,625 And intubation is the right one. 517 00:24:24,648 --> 00:24:26,583 I've done my homework. 518 00:24:28,526 --> 00:24:29,930 If I'm intubated, 519 00:24:29,931 --> 00:24:31,836 I may never come off the ventilator, right? 520 00:24:31,837 --> 00:24:33,628 That's what happens with ALS, right? 521 00:24:33,629 --> 00:24:35,134 No, this is an end-stage, Kel. 522 00:24:35,135 --> 00:24:37,571 It'll only help you breathe until you fight off the pneumonia, 523 00:24:37,572 --> 00:24:39,639 then they extubate you in a day or two. 524 00:24:43,544 --> 00:24:46,268 - No. - Come on, Kel. 525 00:24:46,269 --> 00:24:47,948 I said no. I don't want to be intubated. 526 00:24:47,949 --> 00:24:50,804 Dammit, Kelsey! You need a plan to deal with this! 527 00:24:50,805 --> 00:24:52,440 This is what I do! Why can't you trust me? 528 00:24:52,441 --> 00:24:54,058 Because you're not hearing me! 529 00:24:55,602 --> 00:24:57,952 Just stop and listen for once! 530 00:25:01,038 --> 00:25:03,906 You are doing exactly what you did with Mom. 531 00:25:04,474 --> 00:25:07,276 And not just when she was sick, her whole life. 532 00:25:07,644 --> 00:25:10,178 Your voice is always the loudest. 533 00:25:10,747 --> 00:25:12,585 If I'm intubated, 534 00:25:12,586 --> 00:25:14,424 then you get to call all the shots. 535 00:25:14,425 --> 00:25:16,065 You get to make all my choices 536 00:25:16,066 --> 00:25:18,387 and I can't give that kind of power to someone 537 00:25:18,388 --> 00:25:20,656 who's never listened to me. 538 00:25:42,403 --> 00:25:44,541 Oh, apparently, he wandered into an exam room 539 00:25:44,542 --> 00:25:46,141 while a patient was getting changed? 540 00:25:46,142 --> 00:25:48,044 Not intentionally. He's just confused about... 541 00:25:48,045 --> 00:25:50,680 We should've located his people by now. What's the hold up, Arnold? 542 00:25:50,681 --> 00:25:51,914 We're trying. 543 00:25:53,402 --> 00:25:56,138 The reason I put both of you on Kelsey Grisholm 544 00:25:56,139 --> 00:25:58,981 was to make sure things went smoothly. 545 00:26:00,317 --> 00:26:02,610 Well, I know it took a while to catch the pneumonia, 546 00:26:02,611 --> 00:26:04,164 but that's because she didn't show the regular signs... 547 00:26:04,165 --> 00:26:05,735 No, I understand the diagnosis. 548 00:26:05,736 --> 00:26:08,610 What I don't understand is why people I report to 549 00:26:08,611 --> 00:26:11,184 are telling me that my resident is standing in the way 550 00:26:11,185 --> 00:26:13,420 of a patient getting the care she needs. 551 00:26:15,081 --> 00:26:16,594 Ray has friends in high places. 552 00:26:16,595 --> 00:26:18,159 No, that's not at all how it happened. 553 00:26:18,160 --> 00:26:20,332 He was steamrolling his daughter into intubating... 554 00:26:20,333 --> 00:26:22,110 I recommended mechanical ventilation 555 00:26:22,111 --> 00:26:24,274 because I think Kelsey should consider it. 556 00:26:24,275 --> 00:26:27,206 Dr. Grisholm agreed and made a strong case for it. 557 00:26:27,207 --> 00:26:29,586 - By ignoring hers. - We are never going to intubate 558 00:26:29,587 --> 00:26:31,855 a patient against their will, Mags, you know that, 559 00:26:32,143 --> 00:26:34,649 but there's no law against giving an opinion 560 00:26:34,650 --> 00:26:37,289 and Ray feels that you weren't legitimately considering 561 00:26:37,290 --> 00:26:38,790 all the options. 562 00:26:40,174 --> 00:26:41,544 Fine. 563 00:26:41,545 --> 00:26:43,746 Fine, I'll tread more carefully. 564 00:26:45,891 --> 00:26:47,358 Can you handle this on your own? 565 00:26:47,950 --> 00:26:50,024 What? You're taking me off? 566 00:26:50,025 --> 00:26:52,477 I'm ensuring there are no more calls from upstairs. 567 00:26:52,478 --> 00:26:54,606 - Doctor Bishop, that is not... - Mags! 568 00:26:55,080 --> 00:26:56,814 Don't push it. 569 00:26:57,657 --> 00:26:59,361 Since when does Bishop let politics 570 00:26:59,362 --> 00:27:00,844 get in the way of a patient? 571 00:27:00,845 --> 00:27:02,646 That's not what he's doing. 572 00:27:20,811 --> 00:27:22,391 - Dr. Roche. - Dr. Curtis. 573 00:27:22,392 --> 00:27:25,027 Why is one of my post-op patients in the endoscopy suite? 574 00:27:25,638 --> 00:27:29,211 Maya Crawford presented in emerg with significant discomfort, 575 00:27:29,212 --> 00:27:31,150 thought it warranted investigation, so I... 576 00:27:31,151 --> 00:27:32,756 Decided to waste time and resources? 577 00:27:32,757 --> 00:27:34,495 Ms. Crawford was here two weeks ago. 578 00:27:34,496 --> 00:27:36,401 Her issue was diet. She's my patient 579 00:27:36,402 --> 00:27:39,137 and I'm telling you this procedure isn't necessary. 580 00:27:39,553 --> 00:27:42,242 With respect, Dr. Roche, Maya's following her diet. 581 00:27:42,243 --> 00:27:44,887 With respect, they all say that. 582 00:27:44,888 --> 00:27:46,823 And when you've been doing this as long as I have, 583 00:27:46,824 --> 00:27:48,658 you learn to see the patterns, right? 584 00:27:51,440 --> 00:27:53,539 She's not a pattern, she's a person. 585 00:27:53,540 --> 00:27:56,137 Doesn't she warrant the same investigation as any other patient? 586 00:27:56,546 --> 00:27:58,084 Put her back on a liquid diet. 587 00:27:58,085 --> 00:28:00,087 If there's no change, I'll be happy to see her again 588 00:28:00,088 --> 00:28:02,798 - in four to six weeks. - She doesn't want to see you. 589 00:28:02,799 --> 00:28:04,444 You're out of line, June. 590 00:28:04,445 --> 00:28:07,027 It's fine, Aajay. Let's see what she turns up. 591 00:28:25,999 --> 00:28:27,860 Awn, she looks peaceful. 592 00:28:27,861 --> 00:28:29,398 Now, she does. 593 00:28:29,399 --> 00:28:31,680 We just fought over my boob for an hour. 594 00:28:31,681 --> 00:28:34,916 She refuses to latch, even though I know she's starving. 595 00:28:35,475 --> 00:28:37,280 You want them to be fighters. 596 00:28:37,281 --> 00:28:38,852 Well, you've met her parents. 597 00:28:38,853 --> 00:28:41,225 Speaking of, there was an ER nurse that came looking 598 00:28:41,226 --> 00:28:43,469 for Ben earlier. Have you seen him? 599 00:28:43,470 --> 00:28:45,374 He's in surgery. 600 00:28:45,375 --> 00:28:47,513 - What? - He had a ruptured spleen, 601 00:28:47,514 --> 00:28:48,891 but he's gonna be fine. 602 00:28:48,892 --> 00:28:51,090 Why didn't he tell me? 603 00:28:51,091 --> 00:28:53,993 Or respond to my texts? 604 00:28:54,666 --> 00:28:56,031 I know we're that couple. 605 00:28:56,032 --> 00:28:58,965 You know, that breaks up a thousand times and... 606 00:28:58,966 --> 00:29:01,289 gets married to try to save the relationship, 607 00:29:01,290 --> 00:29:03,558 and then when that doesn't work... 608 00:29:07,687 --> 00:29:10,856 The nurse that was looking for him didn't know where he was. 609 00:29:12,048 --> 00:29:13,849 He was gonna leave, wasn't he? 610 00:29:14,869 --> 00:29:16,348 I'm sorry. 611 00:29:18,097 --> 00:29:21,024 That's probably because... 612 00:29:21,721 --> 00:29:25,027 I didn't exactly let Ben in on my decision 613 00:29:25,028 --> 00:29:26,632 to forget taking the pill. 614 00:29:26,633 --> 00:29:30,578 But I'm 36 and I wanted a baby. 615 00:29:30,579 --> 00:29:32,727 So you planned to get pregnant? 616 00:29:32,728 --> 00:29:34,596 I know, I'm the worst. 617 00:29:35,502 --> 00:29:38,169 Money's tight, things have been hard. 618 00:29:38,170 --> 00:29:39,741 I know I should probably end things, 619 00:29:39,742 --> 00:29:41,508 but every time I think about doing this on my own, 620 00:29:41,509 --> 00:29:43,209 I just chicken out. 621 00:29:47,337 --> 00:29:49,141 Time for round two. 622 00:29:49,142 --> 00:29:50,942 Let me help. 623 00:29:54,636 --> 00:29:56,285 Oh, yes. 624 00:30:00,574 --> 00:30:01,578 Arnold. 625 00:30:01,579 --> 00:30:02,891 Her BP dropped so I came to check. 626 00:30:02,892 --> 00:30:04,196 She'd vomited bright red blood. 627 00:30:04,197 --> 00:30:06,024 Hematemesis. I'll ultrasound! 628 00:30:06,025 --> 00:30:07,492 A bleed from pneumonia? 629 00:30:07,997 --> 00:30:10,453 - What's happening? - Possible esophageal bleed. 630 00:30:10,454 --> 00:30:12,259 - From what? - Blunt force trauma 631 00:30:12,260 --> 00:30:15,326 can cause portal vein thrombosis. Could she have genetic varices? 632 00:30:15,327 --> 00:30:16,927 It's possible. 633 00:30:17,599 --> 00:30:18,870 Talk to me! 634 00:30:18,871 --> 00:30:20,805 She's going into hemorrhagic shock. 635 00:30:20,806 --> 00:30:23,766 - We need to stop the bleed. - Rhythm's erratic. 636 00:30:23,767 --> 00:30:26,059 Give her her own fluids and activate MTP. 637 00:30:27,182 --> 00:30:29,031 Unstable V-tach, we need to cardiovert! 638 00:30:29,032 --> 00:30:31,324 Stay with me, kid. Stay with me. 639 00:30:43,660 --> 00:30:45,532 Charging up to 100 J. 640 00:30:45,533 --> 00:30:46,800 Clear! 641 00:30:48,394 --> 00:30:49,867 Charge it to 200, try again. 642 00:30:49,868 --> 00:30:52,069 - Her rhythm's going nowhere. - Charging. 643 00:30:52,364 --> 00:30:54,098 Clear! 644 00:30:54,777 --> 00:30:56,805 We're losing her! We have to do something! 645 00:30:56,806 --> 00:30:58,308 - I could do a Blakemore. - It's risky, 646 00:30:58,309 --> 00:31:00,347 considering the ALS. Could damage her airway. 647 00:31:00,348 --> 00:31:01,602 We don't even train for that anymore! 648 00:31:01,603 --> 00:31:03,740 No, I know how and we need to stop the bleed. 649 00:31:03,741 --> 00:31:05,366 You do it. 650 00:31:05,367 --> 00:31:07,234 It has to be Dr. Hamed. 651 00:31:07,635 --> 00:31:10,104 Please. Save my little girl. 652 00:31:12,363 --> 00:31:13,836 Give us room to work, Dr. Grisholm. 653 00:31:13,837 --> 00:31:15,531 I'll prep the Blakemore kit. I'll need a laryngoscope 654 00:31:15,532 --> 00:31:16,900 and portable X-ray to confirm placement! 655 00:31:16,901 --> 00:31:18,639 And have 50 mics of octreotide 656 00:31:18,640 --> 00:31:20,000 and a gram of ceftriaxone ready. 657 00:31:20,001 --> 00:31:21,201 On it! 658 00:31:36,989 --> 00:31:38,194 - Mags. - What? 659 00:31:38,195 --> 00:31:40,763 - You almost done? - There's other terminals. 660 00:31:46,399 --> 00:31:47,966 What's up? 661 00:31:48,234 --> 00:31:50,737 I think I hate everybody we work with. 662 00:31:50,738 --> 00:31:52,671 Except you, obviously. 663 00:31:54,103 --> 00:31:55,870 Well, give it time. 664 00:31:56,104 --> 00:31:57,570 If there's one thing that I've learned, 665 00:31:57,571 --> 00:32:00,770 it's that everyone disappoints you eventually. 666 00:32:16,562 --> 00:32:18,330 Dr. Grisholm? 667 00:32:19,340 --> 00:32:22,000 The surgeons will update us as soon as they know more, 668 00:32:22,001 --> 00:32:24,695 but we stopped the bleed long enough to get Kelsey to the OR. 669 00:32:24,696 --> 00:32:26,197 Thank you. 670 00:32:27,192 --> 00:32:29,227 Thank you, Dr. Hamed. 671 00:32:29,879 --> 00:32:33,074 My daughter didn't even want to tell me she had this horrible disease. 672 00:32:35,184 --> 00:32:37,809 She needs to know I'm listening now. 673 00:32:44,339 --> 00:32:46,878 Why would Mel play my voice mail for her lawyer? 674 00:32:46,879 --> 00:32:48,658 So he could play it for yours, 675 00:32:48,659 --> 00:32:51,097 before we all have to hear it in front of a judge. 676 00:32:51,098 --> 00:32:53,469 All you're doing is making this worse, Theo. 677 00:32:53,470 --> 00:32:56,230 It's her lawyers that are making this worse! 678 00:32:56,231 --> 00:32:58,807 They're acting like nothing good ever happened between us! 679 00:32:58,808 --> 00:33:02,445 Suddenly, I'm this villain who isn't worthy 680 00:33:02,446 --> 00:33:04,142 of parenting his own kids! 681 00:33:04,143 --> 00:33:05,447 Theo. 682 00:33:05,448 --> 00:33:08,554 You chose to take a job in a different city from your family. 683 00:33:08,555 --> 00:33:09,993 You can't erase that. 684 00:33:09,994 --> 00:33:12,276 Of course, she was going to ask for custody. 685 00:33:12,277 --> 00:33:15,153 And as your lawyer, I'm telling you that if you don't stop 686 00:33:15,154 --> 00:33:17,889 being so stubborn then you could lose everything. 687 00:33:19,655 --> 00:33:20,959 Dr. Curtis! 688 00:33:20,960 --> 00:33:23,161 Maya's having some kind of episode! 689 00:33:27,797 --> 00:33:29,134 She said her heart's racing, 690 00:33:29,135 --> 00:33:31,573 she's shaking like a leaf, so I'm putting her on a monitor. 691 00:33:31,574 --> 00:33:33,475 Can you do a bedside glucose? 692 00:33:35,137 --> 00:33:36,871 What's wrong with her? 693 00:33:38,596 --> 00:33:39,866 She's tachycardic. 694 00:33:39,867 --> 00:33:41,920 Maya, if you can hear me, can you say something? 695 00:33:41,921 --> 00:33:43,655 Something. 696 00:33:45,630 --> 00:33:47,531 So there is a problem? 697 00:33:47,859 --> 00:33:49,860 The testing. What did you find? 698 00:33:51,209 --> 00:33:54,125 - Nothing. - Yeah. There's no blockage. 699 00:33:54,126 --> 00:33:55,831 No polyps. No ulcer. 700 00:33:55,832 --> 00:33:57,530 Glucose is 3,4. 701 00:33:57,531 --> 00:33:59,401 Alright, she gonna need one amp of D-50, 702 00:33:59,402 --> 00:34:01,407 then could you just give us a second? 703 00:34:01,408 --> 00:34:03,686 What does that mean? The glucose? 704 00:34:03,687 --> 00:34:06,842 Well, rapid emptying can cause acute episodes of hypoglycemia. 705 00:34:06,843 --> 00:34:08,645 It's hard to keep your sugars stable when your body 706 00:34:08,646 --> 00:34:10,170 rejects everything you put in it. 707 00:34:10,171 --> 00:34:12,012 So, we're back where we started, 708 00:34:12,013 --> 00:34:13,607 with you telling me to eat less. 709 00:34:13,608 --> 00:34:15,246 No, Maya. It's not what I'm saying. 710 00:34:15,247 --> 00:34:16,527 You haven't done anything wrong. 711 00:34:16,528 --> 00:34:18,328 Then why is this happening? 712 00:34:20,254 --> 00:34:22,800 I don't know if Dr. Roche made this clear, 713 00:34:22,801 --> 00:34:25,304 but gastric bypass is a complex surgery 714 00:34:25,305 --> 00:34:26,926 that can have various outcomes. 715 00:34:27,199 --> 00:34:28,839 And mine varied into hell. 716 00:34:28,840 --> 00:34:31,296 You had an extreme reaction and it's gonna take some time 717 00:34:31,297 --> 00:34:33,732 for your stomach to recover so you can intake normally. 718 00:34:35,231 --> 00:34:38,136 I didn't even want the damn surgery in the first place. 719 00:34:38,137 --> 00:34:40,672 If I'd know it would be this bad... 720 00:34:41,434 --> 00:34:43,041 There's nothing else you can do? 721 00:34:43,684 --> 00:34:45,706 Well, there are some medications we can try. 722 00:34:45,707 --> 00:34:48,722 They slow the emptying from the stomach into the intestine. 723 00:34:48,723 --> 00:34:51,323 And I can find a nutritionist who's committed 724 00:34:51,324 --> 00:34:52,883 to something called Health at Any Size, 725 00:34:52,884 --> 00:34:55,286 and they help you manage meals and side effects. 726 00:34:55,287 --> 00:34:58,953 What if I never adjust? I just live like this? 727 00:34:59,196 --> 00:35:01,292 You come back here when things get bad again 728 00:35:01,293 --> 00:35:03,578 and bypass reversal is an option. 729 00:35:03,579 --> 00:35:06,085 Reversal. You mean more surgery. 730 00:35:06,086 --> 00:35:08,596 If you're serious about wanting another choice, then yeah. 731 00:35:08,938 --> 00:35:11,407 Could that make things worse? 732 00:35:12,249 --> 00:35:14,773 It's an open surgery, so it can have complications, 733 00:35:14,774 --> 00:35:16,574 I would talk it over carefully with your surgeon. 734 00:35:16,575 --> 00:35:20,879 But I can refer you to someone who is not Dr. Roche. 735 00:35:21,985 --> 00:35:25,020 Think about it, Maya. I'm here if you need me. 736 00:35:28,811 --> 00:35:31,365 The surgeons have managed to repair your spleen. 737 00:35:31,366 --> 00:35:33,334 A couple more days and you'll be up and around. 738 00:35:34,587 --> 00:35:37,677 Ben, I didn't mean to judge you before... 739 00:35:37,678 --> 00:35:39,783 I thought we could call her Crash? 740 00:35:39,784 --> 00:35:42,690 Dr. Hunter, do you mind bringing her over to her daddy? 741 00:35:42,691 --> 00:35:44,159 Of course. 742 00:35:59,321 --> 00:36:00,889 Hello, there. 743 00:36:02,378 --> 00:36:03,945 Oh my God, hi. 744 00:36:05,660 --> 00:36:07,294 Welcome to the world. 745 00:36:11,817 --> 00:36:13,509 She has your eyes. 746 00:36:15,225 --> 00:36:16,796 I love you, Tess. 747 00:36:16,797 --> 00:36:18,562 I love you too. 748 00:36:18,563 --> 00:36:21,031 We can make it work, I know it. 749 00:36:27,762 --> 00:36:29,496 Here. Uh... 750 00:36:30,126 --> 00:36:32,165 It's a beat-up 2013 Sedan, 751 00:36:32,166 --> 00:36:34,534 but she's got some good miles left in her 752 00:36:35,341 --> 00:36:37,118 and there's an old car seat in the trunk. 753 00:36:37,119 --> 00:36:38,891 You're giving us your car? 754 00:36:38,892 --> 00:36:40,810 Dr. Hunter, I mean, thanks, but... 755 00:36:40,811 --> 00:36:42,083 You're gonna need one. 756 00:36:42,084 --> 00:36:44,060 That is so generous, but we can't accept. 757 00:36:44,061 --> 00:36:46,057 You have to. I... 758 00:36:46,397 --> 00:36:48,415 I need to purge a few things. 759 00:36:48,747 --> 00:36:51,083 And I'll start jogging to work, 760 00:36:51,084 --> 00:36:53,468 so I mean, really, you're doing me a favour. 761 00:36:53,469 --> 00:36:55,571 We don't know what to say. 762 00:36:56,566 --> 00:36:58,934 Just say you'll give that kid a great life. 763 00:37:25,758 --> 00:37:27,884 They stopped the bleed, but... 764 00:37:28,375 --> 00:37:31,147 apparently, the Blakemore tube damaged the airway. 765 00:37:31,148 --> 00:37:33,016 They had to do a tracheotomy. 766 00:37:34,017 --> 00:37:35,708 I was careful with the inflation. 767 00:37:35,709 --> 00:37:36,713 I know. 768 00:37:36,714 --> 00:37:37,985 And the surgeons agree, 769 00:37:37,986 --> 00:37:40,081 if you hadn't acted, she would have died. 770 00:37:40,082 --> 00:37:43,681 But her body's weak and couldn't take the pressure. 771 00:37:45,341 --> 00:37:47,947 Kelsey will live, but she'll be attached to a ventilator 772 00:37:47,948 --> 00:37:50,271 for the rest of her life and unable to speak. 773 00:37:50,272 --> 00:37:52,106 Oh, my God... 774 00:37:53,528 --> 00:37:55,884 This is exactly what she didn't want to happen. 775 00:37:56,196 --> 00:37:58,131 I'm sorry, Bash. 776 00:38:05,876 --> 00:38:07,877 We made the call together. 777 00:38:08,577 --> 00:38:11,365 A lot of doctors would've been paralyzed, you stopped the bleed. 778 00:38:11,366 --> 00:38:13,734 And then, ruined this woman's life. 779 00:38:16,219 --> 00:38:18,574 It could've easily rolled the other way. 780 00:38:23,866 --> 00:38:25,367 But it didn't. 781 00:38:43,176 --> 00:38:44,777 You wanted to see me? 782 00:38:45,212 --> 00:38:47,246 You're called into a meeting. 783 00:38:47,477 --> 00:38:50,497 Roche isn't happy about your little dispute over Maya Crawford 784 00:38:50,498 --> 00:38:52,566 and she's making it known to the division heads. 785 00:38:54,120 --> 00:38:56,437 I came to you for advice. 786 00:38:56,438 --> 00:38:58,219 You just let me walk right into that. 787 00:38:58,220 --> 00:39:00,747 I didn't tell you to go toe-to-toe with the head of GI. 788 00:39:00,748 --> 00:39:02,250 But you stood there and watched it happen. 789 00:39:02,251 --> 00:39:03,818 I just... I thought you had my back. 790 00:39:05,569 --> 00:39:08,538 You made an enemy of the wrong person today. 791 00:39:09,160 --> 00:39:11,628 Maybe stop at one. 792 00:39:27,368 --> 00:39:29,229 This is my last coin. 793 00:39:30,169 --> 00:39:31,670 Sir, we need to talk. 794 00:39:33,304 --> 00:39:35,772 You're never wrong to fight for your patients, Mags. 795 00:39:36,128 --> 00:39:37,328 Thank you. 796 00:39:37,962 --> 00:39:41,048 Although, I'm not sure that actually counts as an apology. 797 00:39:43,857 --> 00:39:46,392 Ray was out of line, as was I. 798 00:39:47,270 --> 00:39:49,161 Why do I get the impression you're here to register 799 00:39:49,162 --> 00:39:50,709 another complaint? 800 00:39:50,710 --> 00:39:52,407 Cardiology. 801 00:39:52,408 --> 00:39:54,286 I told you I wanted to explore it. 802 00:39:54,287 --> 00:39:55,685 But you didn't hear me. 803 00:39:55,686 --> 00:39:57,024 You also told me emerg 804 00:39:57,025 --> 00:39:58,427 was the only thing you ever wanted. 805 00:39:58,428 --> 00:40:00,695 - What's changed? - I don't know. 806 00:40:01,491 --> 00:40:02,729 I don't know. 807 00:40:02,730 --> 00:40:05,869 I just know that I can't get it out of my head 808 00:40:05,870 --> 00:40:08,927 and you need to let me explore my future. 809 00:40:08,928 --> 00:40:10,665 Even if I mess it up. 810 00:40:12,750 --> 00:40:14,818 Okay, well, I'm hearing you now. 811 00:40:16,131 --> 00:40:18,794 I don't like the idea of sharing you with another department, 812 00:40:18,795 --> 00:40:20,663 but if it's what you want... 813 00:40:23,040 --> 00:40:24,810 I'll talk to Dr. Fisher. 814 00:40:24,811 --> 00:40:26,178 Appreciate that. 815 00:40:26,702 --> 00:40:28,876 You should really watch your sugar intake. 816 00:40:32,188 --> 00:40:37,523 His eyes are green, actually they're sometimes blue. 817 00:40:37,524 --> 00:40:39,232 And he's funny. 818 00:40:39,233 --> 00:40:42,255 - I'm sorry. Sir... - No, this is important. 819 00:40:42,256 --> 00:40:45,392 He gets very frightened when he's on his own. 820 00:40:45,732 --> 00:40:48,172 - Gilbert? - Claire! 821 00:40:48,173 --> 00:40:50,509 Where've you been all day? 822 00:40:51,662 --> 00:40:54,267 When did I get to the hospital? 823 00:40:54,268 --> 00:40:55,735 This morning, sir. 824 00:40:56,223 --> 00:40:58,091 Ah, right. 825 00:40:58,376 --> 00:41:00,560 I'm looking for Peter. 826 00:41:00,561 --> 00:41:02,232 We've lost him again. 827 00:41:02,233 --> 00:41:05,001 Your cat lives with your son in Belleville. 828 00:41:05,251 --> 00:41:08,021 Andre takes very good care of him. 829 00:41:08,022 --> 00:41:10,027 - Peter's a cat? - Mm-hmm. 830 00:41:10,028 --> 00:41:11,768 You never mentioned that. 831 00:41:11,769 --> 00:41:13,970 You never asked. 832 00:41:14,833 --> 00:41:17,339 I think I have your son's number in my phone, 833 00:41:17,340 --> 00:41:19,698 - should I give him a ring? - Never leave again. 834 00:41:19,699 --> 00:41:22,634 Also, Bishop needs to see you in his office. 835 00:41:23,032 --> 00:41:25,471 How about you tell me more about your cat? 836 00:41:25,472 --> 00:41:26,805 Okay. 837 00:41:34,689 --> 00:41:36,957 Oh, wow! 838 00:41:43,816 --> 00:41:45,175 - Ta-da! - What? 839 00:41:45,176 --> 00:41:47,077 Congratulations, Claire. 840 00:41:55,585 --> 00:41:57,620 You're going to feel really bad if I failed. 841 00:41:59,798 --> 00:42:02,312 Oh, thank you. 842 00:42:22,866 --> 00:42:25,161 I had a chance to fix things. 843 00:42:27,087 --> 00:42:29,555 To get to know her the way I should have. 844 00:42:30,336 --> 00:42:34,006 Now, I never will. 845 00:42:35,742 --> 00:42:37,905 I'm very sorry that it went this way. 846 00:42:40,532 --> 00:42:42,819 After what you took from us... 847 00:42:44,119 --> 00:42:46,854 Sorry won't be good enough, Dr. Hamed. 848 00:42:48,166 --> 00:42:50,101 This is your fault.