1
00:00:00,070 --> 00:00:01,183
You're being pushed out?

2
00:00:01,184 --> 00:00:02,386
I'll find a way to get the board

3
00:00:02,387 --> 00:00:03,636
back on-side again.

4
00:00:03,637 --> 00:00:05,136
Dad's dying, Junie.

5
00:00:05,137 --> 00:00:06,441
I don't know what it changes, so...

6
00:00:06,442 --> 00:00:08,222
That's cold, even for you.

7
00:00:08,223 --> 00:00:10,962
Cardiology. I told you
I wanted to explore it,

8
00:00:10,963 --> 00:00:12,152
but you didn't hear me.

9
00:00:12,153 --> 00:00:13,454
Yeah, well, I'm hearing you now.

10
00:00:13,455 --> 00:00:16,494
- Here.
- You're giving us your car?

11
00:00:16,495 --> 00:00:17,769
I need to purge a few things.

12
00:00:17,770 --> 00:00:19,475
There's a detention order against me.

13
00:00:19,476 --> 00:00:20,847
It's been two weeks.

14
00:00:20,848 --> 00:00:23,153
You said Khaled would only
be in detention one day.

15
00:00:23,154 --> 00:00:25,127
<i>He could be deported.</i>

16
00:00:25,128 --> 00:00:27,865
Sorry won't be good
enough, Doctor Hamed.

17
00:00:27,866 --> 00:00:29,554
This is your fault.

18
00:01:01,798 --> 00:01:03,933
Mr. Jackson, I have your results from...

19
00:01:03,934 --> 00:01:05,835
Shh. You'll scare him.

20
00:01:06,336 --> 00:01:08,838
- You see him too, right?
- I do.

21
00:01:09,206 --> 00:01:11,398
Good. Then it's not the mushrooms.

22
00:01:14,744 --> 00:01:16,828
I'll be right back.

23
00:01:17,728 --> 00:01:19,600
The house I bought in Leslieville.

24
00:01:19,601 --> 00:01:21,306
Quick jog to the hospital.

25
00:01:21,307 --> 00:01:23,015
Needs a little work...

26
00:01:23,374 --> 00:01:25,105
Actually, needs a lot of work.

27
00:01:25,106 --> 00:01:27,343
You wouldn't happen to know
a contractor, would you?

28
00:01:27,344 --> 00:01:29,222
Well, my brother-in-law.

29
00:01:29,223 --> 00:01:31,862
He's honest, but he's
also kind of a moron.

30
00:01:31,863 --> 00:01:33,000
I'll pa...

31
00:01:33,001 --> 00:01:34,435
There you are.

32
00:01:36,400 --> 00:01:38,101
Try not to move...

33
00:01:40,910 --> 00:01:43,382
So Mr. Lee definitely has gout
but doesn't want to admit it

34
00:01:43,383 --> 00:01:44,863
while Mrs. Watson thinks she
has everything but actually

35
00:01:44,864 --> 00:01:47,256
just has dyspepsia and... you missed.

36
00:01:47,257 --> 00:01:48,754
If you're gonna practice, pay attention.

37
00:01:48,755 --> 00:01:50,850
- Sorry?
- She means me. The vein.

38
00:01:50,851 --> 00:01:52,363
The trick is to get him
to accept a corticosteroid

39
00:01:52,364 --> 00:01:54,816
before he gets a kidney
stone. Arnold, you with me?

40
00:01:54,817 --> 00:01:56,618
Yeah. Right. Corticosteroid.

41
00:01:56,619 --> 00:01:57,988
Why don't you try
tapping the vein, Jake?

42
00:01:57,989 --> 00:01:59,527
- Tapping it?
- Yeah, tapping it.

43
00:01:59,528 --> 00:02:00,728
Like this.

44
00:02:01,160 --> 00:02:02,658
- See?
- Oh, yeah.

45
00:02:02,659 --> 00:02:04,993
She needs antacids and
a bland diet for a few days.

46
00:02:05,589 --> 00:02:07,683
- You got it!
- Hey!

47
00:02:07,684 --> 00:02:09,189
That was exhausting.

48
00:02:09,190 --> 00:02:10,327
No kidding.

49
00:02:10,328 --> 00:02:11,882
Lightweights, both of you.

50
00:02:12,379 --> 00:02:14,675
So I got your text about lunch,

51
00:02:14,676 --> 00:02:17,015
but my sister's actually
coming to meet me.

52
00:02:17,016 --> 00:02:18,359
She is?

53
00:02:18,808 --> 00:02:20,414
Can I meet her?

54
00:02:21,611 --> 00:02:23,950
Sure, okay.

55
00:02:23,951 --> 00:02:26,248
But if you thought learning
how to put an IV was tough,

56
00:02:26,249 --> 00:02:27,269
I mean...

57
00:02:27,270 --> 00:02:28,804
It flew that way.

58
00:02:29,419 --> 00:02:30,890
Okay, I gotta go.

59
00:02:30,891 --> 00:02:32,496
How did it even get in there?

60
00:02:32,497 --> 00:02:35,499
- Oh, hey! What's going on?
- Hunting party.

61
00:02:37,560 --> 00:02:39,574
We need something to coax it down.

62
00:02:39,575 --> 00:02:41,052
Coax what down?

63
00:02:41,053 --> 00:02:44,197
The model's an acute care
surgical response team.

64
00:02:44,467 --> 00:02:46,394
It would decrease patient waiting times

65
00:02:46,395 --> 00:02:50,532
and expand the scope of procedures
that we can do in emergency.

66
00:02:51,737 --> 00:02:53,508
Do I want to know what's going on here?

67
00:02:53,509 --> 00:02:56,859
It's a bird. We had it, then lost it.

68
00:02:57,180 --> 00:03:00,264
- Shouldn't you be on rounds?
- What?

69
00:03:00,265 --> 00:03:03,707
I was on my way. We were
just trying to catch it.

70
00:03:03,708 --> 00:03:05,187
For patient safety.

71
00:03:05,188 --> 00:03:07,823
And for our own amusement.

72
00:03:07,824 --> 00:03:11,117
Okay, fun's over. Get
maintenance to handle it.

73
00:03:13,960 --> 00:03:15,316
Sorry about the wait.

74
00:03:15,317 --> 00:03:17,816
Landing on a wrist to break a fall

75
00:03:17,817 --> 00:03:20,558
usually means a fracture, but
in your case it's just a sprain.

76
00:03:20,559 --> 00:03:22,222
Doc, he looked me right into the eyes.

77
00:03:22,223 --> 00:03:25,062
And I swear it felt like he
could see through my soul.

78
00:03:25,063 --> 00:03:26,497
Who, the bird?

79
00:03:26,716 --> 00:03:31,152
We tried freeing him but...
it seems he's trapped in here.

80
00:03:32,132 --> 00:03:33,611
Or maybe we are.

81
00:03:34,054 --> 00:03:36,114
That might be the mushrooms.

82
00:04:05,582 --> 00:04:08,418
Six-month-old with complex
CHD choppered in from Timmins.

83
00:04:08,419 --> 00:04:10,287
Did they say what kind of
congenital heart defect?

84
00:04:10,288 --> 00:04:12,254
No and things can happen
fast with infants, Jake,

85
00:04:12,255 --> 00:04:14,927
so if we ask you for something,
do it no questions asked, okay?

86
00:04:14,928 --> 00:04:16,792
Oliver Campbell, tacky at 280.

87
00:04:16,793 --> 00:04:18,707
Stabilized at the regional
hospital but thought it best

88
00:04:18,708 --> 00:04:20,679
to fly him down considering
his heart history.

89
00:04:20,680 --> 00:04:23,113
Second SVT episode
started as we were landing.

90
00:04:23,114 --> 00:04:25,144
- We lost his line in transit.
- I'm Dr. Hunter,

91
00:04:25,145 --> 00:04:26,738
this is Dr. Leblanc and Jake Cooper.

92
00:04:26,739 --> 00:04:28,214
What's his previous heart status?

93
00:04:28,215 --> 00:04:30,339
He was born with tricuspid atresia.

94
00:04:30,340 --> 00:04:32,608
We adopted him at 2 months
when he was still in the NICU.

95
00:04:32,609 --> 00:04:35,110
TA means the tricuspid
valve is missing or malformed

96
00:04:35,111 --> 00:04:36,616
and blood doesn't flow correctly.

97
00:04:36,617 --> 00:04:38,949
Any episodes of supraventricular
tachycardia before today?

98
00:04:38,950 --> 00:04:41,074
- Nothing like this.
- Most TA patients need

99
00:04:41,075 --> 00:04:42,152
a shunt put in early on,

100
00:04:42,153 --> 00:04:43,558
- has that happened?
- Four months ago.

101
00:04:43,559 --> 00:04:45,661
They did it here. They hoped
that it would hold him over

102
00:04:45,662 --> 00:04:48,855
until he gets big enough for the more
invasive surgery in a few years.

103
00:04:48,856 --> 00:04:50,557
His little heart's been
through so much already.

104
00:04:50,558 --> 00:04:51,847
- It's okay.
- We'll bring his rate down,

105
00:04:51,848 --> 00:04:52,957
try to isolate the cause.

106
00:04:52,958 --> 00:04:54,926
One, two, three.

107
00:05:01,634 --> 00:05:04,472
Malik Lawson, 17 years old,
type 1 diabetes

108
00:05:04,473 --> 00:05:06,004
and severe hypoglycemia.

109
00:05:06,005 --> 00:05:07,902
Blood glucose is 3 millimoles per litre.

110
00:05:07,903 --> 00:05:09,140
Had a glucagon shot en route.

111
00:05:09,141 --> 00:05:11,312
He started slurring his
words then passed out!

112
00:05:11,313 --> 00:05:13,248
I couldn't get him to eat
or drink anything even though

113
00:05:13,249 --> 00:05:14,693
I know it's what I'm supposed to do!

114
00:05:14,694 --> 00:05:15,886
Did you get a hold of Mom and Dad?

115
00:05:15,887 --> 00:05:17,613
We're not related, I'm his girlfriend.

116
00:05:17,614 --> 00:05:19,742
And he's emancipated. We both are.

117
00:05:20,651 --> 00:05:23,710
No, we need you to stay
outside, young lady.

118
00:05:27,673 --> 00:05:29,945
Rhoda, push 0.7 milligrams of adenosine.

119
00:05:29,946 --> 00:05:31,136
You have to shock him?

120
00:05:31,137 --> 00:05:33,043
It's just a precaution in
case the meds don't work.

121
00:05:33,044 --> 00:05:34,675
Veins are flat! Can't get a line.

122
00:05:34,676 --> 00:05:37,605
- Intraosseus infusion then!
- 15 mm/15 gauge needle.

123
00:05:37,606 --> 00:05:38,769
Run that down, Jake.

124
00:05:38,770 --> 00:05:40,855
Use the medullary cavity in the tibia as

125
00:05:40,856 --> 00:05:43,145
a "non-collapsible vein"
when the patient is critical.

126
00:05:43,146 --> 00:05:45,339
- But even in a baby this small?
- Yeah, when we can't wait.

127
00:05:45,340 --> 00:05:47,379
- Will it hurt him?
- He may feel it.

128
00:05:47,380 --> 00:05:49,367
But we're gonna make
it as quick as we can.

129
00:05:50,709 --> 00:05:52,668
- I can't watch.
- Baby, just go.

130
00:05:52,669 --> 00:05:54,073
I'll stay with him.

131
00:05:54,074 --> 00:05:55,875
Dr. Hunter. Rate's 300!

132
00:05:56,493 --> 00:05:59,492
- Syncope. Non-responsive.
- Jake, get on bagging.

133
00:05:59,841 --> 00:06:02,089
Smaller breaths. Thumb and two fingers.

134
00:06:02,090 --> 00:06:04,136
Squeeze on one, release
on two-three, got it?

135
00:06:04,137 --> 00:06:05,741
- Yes.
- And eyes on me.

136
00:06:05,742 --> 00:06:07,280
Locating the tibial tuberosity,

137
00:06:07,281 --> 00:06:09,749
then 1 cm below, 1 cm medial...

138
00:06:12,031 --> 00:06:13,230
I'm in!

139
00:06:13,231 --> 00:06:15,302
Decreased air entry on his right side.

140
00:06:15,303 --> 00:06:16,804
That's because of his kidneys?

141
00:06:17,320 --> 00:06:20,850
Large pleural effusion.
He needs the fluid out now.

142
00:06:20,851 --> 00:06:22,850
60 cc syringe and a spinal needle!

143
00:06:22,851 --> 00:06:25,020
Malik has chronic kidney
disease caused by his diabetes.

144
00:06:25,021 --> 00:06:27,694
- We told you to wait outside.
- And I told you he needs me.

145
00:06:27,695 --> 00:06:31,026
- Joanie, can you please?
- No, I need to stay with him!

146
00:06:31,027 --> 00:06:32,904
It's okay. What's your name?

147
00:06:32,905 --> 00:06:35,811
- Ruby Evans.
- Okay Ruby Evans, I'm Dr. Hamed.

148
00:06:35,812 --> 00:06:38,727
I'm going to use this needle now
to drain the fluids from his lungs.

149
00:06:38,728 --> 00:06:41,310
If you're going to stay, I need you
to take a deep breath

150
00:06:41,311 --> 00:06:43,038
and help him by remaining calm.

151
00:06:43,039 --> 00:06:46,033
Malik, I'm gonna move
your arm above your head.

152
00:06:54,702 --> 00:06:56,870
One millimetre to the left...

153
00:06:57,826 --> 00:06:59,561
Can someone please
explain what's happening?

154
00:06:59,562 --> 00:07:01,066
We are giving medication to Oliver

155
00:07:01,067 --> 00:07:02,654
to help reset his heart rhythm.

156
00:07:02,655 --> 00:07:04,923
Okay. One, two.

157
00:07:07,588 --> 00:07:10,471
No change. 1.4 milligrams more, Rhoda.

158
00:07:12,972 --> 00:07:15,671
We thought we were done
after we adopted our third,

159
00:07:15,672 --> 00:07:19,541
but uh, when we heard
about Oli we just...

160
00:07:20,138 --> 00:07:23,111
- We knew that he needed us.
- It's really admirable,

161
00:07:23,112 --> 00:07:25,131
taking on a baby with such
a complex heart status.

162
00:07:25,132 --> 00:07:27,004
It's been really hard for Gary.

163
00:07:27,005 --> 00:07:29,100
He worries so much.

164
00:07:29,101 --> 00:07:33,140
But our little guy is a fighter, right?

165
00:07:33,141 --> 00:07:34,775
One, two.

166
00:07:36,369 --> 00:07:37,702
Give him a second.

167
00:07:40,059 --> 00:07:41,720
Heart rate's stabilizing.

168
00:07:41,721 --> 00:07:44,498
We'll get him up to CICU.
Mags will take you. Okay?

169
00:07:44,499 --> 00:07:45,779
Actually, I'll be
your resident there too.

170
00:07:45,780 --> 00:07:47,982
We're gonna run some tests
and sort out what happened, sir.

171
00:07:47,983 --> 00:07:50,514
Bruce. Thank you, all of you.

172
00:07:50,515 --> 00:07:51,952
- Thank you.
- Of course.

173
00:07:51,953 --> 00:07:53,498
Good job, little man.

174
00:07:53,499 --> 00:07:55,564
You did it, huh?

175
00:07:55,967 --> 00:07:58,955
There you are, yes.

176
00:08:02,421 --> 00:08:04,188
Getting fluid now.

177
00:08:05,994 --> 00:08:08,190
We'll do some blood tests
and get a urine sample

178
00:08:08,191 --> 00:08:10,014
to check his kidneys, then
assess and make a plan.

179
00:08:10,015 --> 00:08:13,123
We already have one. I'm
giving him one of my kidneys.

180
00:08:13,124 --> 00:08:15,803
That's very generous of you but...

181
00:08:15,804 --> 00:08:18,200
there are multiple complex
tests you'd have to do to conf...

182
00:08:18,201 --> 00:08:21,947
We did them already. As soon
as we learned he had CKD.

183
00:08:22,463 --> 00:08:24,306
Have we seen you here before Ruby?

184
00:08:24,307 --> 00:08:25,756
Not here.

185
00:08:25,757 --> 00:08:28,243
We did blood and tissue
typing, and serum too.

186
00:08:28,244 --> 00:08:30,084
The doctors said there's
no way I'd be a match

187
00:08:30,085 --> 00:08:31,588
but they were wrong.

188
00:08:32,139 --> 00:08:33,777
Mal and I are meant to be.

189
00:08:33,778 --> 00:08:35,979
We won't let anything come between us.

190
00:08:41,591 --> 00:08:44,101
Elevated heart rate and a slight fever.

191
00:08:44,102 --> 00:08:45,771
Mr. Garcia, I'm Dr. Curtis.

192
00:08:45,772 --> 00:08:46,998
Yeah, we've met before.

193
00:08:46,999 --> 00:08:49,611
My fiancee brought me
in a couple weeks ago.

194
00:08:50,067 --> 00:08:53,189
That's right, you had that
great story about the...

195
00:08:53,465 --> 00:08:56,701
- the jellyfish, right?
- In Miami.

196
00:08:56,702 --> 00:08:59,678
I got stung and the
first thing I said was,

197
00:08:59,679 --> 00:09:01,537
"Hi, I'm Sam, can you pee on my leg?"

198
00:09:01,538 --> 00:09:04,210
Oh, yeah. You just need to rub
sand on it to mitigate the sting.

199
00:09:04,211 --> 00:09:05,611
That's what you said last time.

200
00:09:07,178 --> 00:09:08,685
What brings you here, Mr. Garcia?

201
00:09:08,686 --> 00:09:11,249
The stomach pains came back yesterday

202
00:09:11,651 --> 00:09:13,498
and then the nausea really hit during

203
00:09:13,499 --> 00:09:14,810
our groomsmen photos this morning.

204
00:09:14,811 --> 00:09:18,067
I remember. You had acute pancreatitis.

205
00:09:18,068 --> 00:09:19,482
It's very rare for a 28-year-old.

206
00:09:19,483 --> 00:09:22,364
We put you on fluids and kept you
under observation for a couple hours.

207
00:09:22,365 --> 00:09:24,892
At least your organs
made an impression, Sam?

208
00:09:25,396 --> 00:09:26,771
Can you just do what you did last time

209
00:09:26,772 --> 00:09:29,070
and then get me out of
here for my ceremony?

210
00:09:29,071 --> 00:09:31,146
It's supposed to be
sunset at Cherry Beach.

211
00:09:31,147 --> 00:09:33,051
Let's see what your
pancreas has to say before

212
00:09:33,052 --> 00:09:34,994
I make you any promises.

213
00:09:35,708 --> 00:09:41,623
So he's gonna need a cbc,
chem, lft's, lipase, bbg.

214
00:09:41,624 --> 00:09:43,562
- And CT abdo.
- Got it.

215
00:09:43,563 --> 00:09:45,100
You really don't remember him?

216
00:09:45,101 --> 00:09:47,514
I see a lot of patients
for a short period of time.

217
00:09:47,515 --> 00:09:48,865
I'm supposed to remember
all their stories?

218
00:09:48,866 --> 00:09:52,694
Okay, what major life event
happened to me last week?

219
00:09:52,695 --> 00:09:54,685
You got promoted?

220
00:09:54,686 --> 00:09:56,825
I turned 30.

221
00:09:56,826 --> 00:09:58,727
You ate one of the cupcakes.

222
00:09:59,814 --> 00:10:02,685
Marnie Jensen's asthma symptoms
aren't relieving with her inhaler.

223
00:10:02,686 --> 00:10:04,889
She's been fighting a cold,
her chest is congested.

224
00:10:04,890 --> 00:10:07,225
Did a peak-flow test
and she's in the red.

225
00:10:08,200 --> 00:10:09,826
Hi Marnie, I'm Theo.

226
00:10:09,827 --> 00:10:11,350
We're gonna take care of you, okay?

227
00:10:11,351 --> 00:10:14,516
- Action plan, Jake?
- Nebulize with albuterol?

228
00:10:14,517 --> 00:10:16,041
He just gets to guess?

229
00:10:16,588 --> 00:10:19,550
This is a teaching
hospital and he's a student.

230
00:10:19,551 --> 00:10:21,323
But how is she with nebulizer, Mom?

231
00:10:21,324 --> 00:10:23,479
Unless you popped out of
my uterus seven years ago,

232
00:10:23,480 --> 00:10:24,651
maybe call me Shelley?

233
00:10:24,652 --> 00:10:27,495
And the bronchodilator
that works is ipratropium.

234
00:10:27,496 --> 00:10:31,796
- Albuterol gives her headaches.
- That's... good to know.

235
00:10:32,335 --> 00:10:34,776
Jake will set that up
for you right away.

236
00:10:34,777 --> 00:10:36,211
Thank you.

237
00:10:36,830 --> 00:10:38,801
Mr. Kline, it's Bashir Hamed again.

238
00:10:38,802 --> 00:10:41,608
It's been two months since
Khaled was in immigration hold.

239
00:10:41,609 --> 00:10:43,576
There must be some way I can help.

240
00:10:44,013 --> 00:10:45,847
Please call me back.

241
00:10:48,113 --> 00:10:49,918
You're renovating a house?

242
00:10:49,919 --> 00:10:52,303
Did you manage to sell
your place in Sudbury?

243
00:10:53,294 --> 00:10:54,632
No, not yet.

244
00:10:54,633 --> 00:10:57,182
And you still have your rental
for when you go back home?

245
00:10:57,183 --> 00:10:58,952
I know what I'm doing, Bash.

246
00:10:59,753 --> 00:11:01,758
You know you can kick
Malik back to peds.

247
00:11:01,759 --> 00:11:03,728
No, he's 17, I'll stay on.

248
00:11:04,226 --> 00:11:07,542
Hey guys, so I kept
thinking I knew Ruby,

249
00:11:07,543 --> 00:11:09,155
maybe she'd been here before.

250
00:11:09,835 --> 00:11:12,225
This has been running on the local news.

251
00:11:12,226 --> 00:11:14,676
Her mother is a school
board trustee in Etobicoke.

252
00:11:14,677 --> 00:11:16,682
And she reported her
missing three days ago.

253
00:11:16,683 --> 00:11:18,206
So much for being emancipated.

254
00:11:18,207 --> 00:11:19,596
Does that mean Malik isn't either?

255
00:11:19,597 --> 00:11:21,298
Iris checked. He is.

256
00:11:22,054 --> 00:11:23,358
Do we call it in?

257
00:11:23,359 --> 00:11:25,528
She's not a patient so there's
no confidentiality issue.

258
00:11:25,529 --> 00:11:27,620
She's been pretty clear
she doesn't want that.

259
00:11:27,621 --> 00:11:29,518
She's a minor who's
been reported missing.

260
00:11:29,519 --> 00:11:32,506
I think we have a duty to let
her mother know she's safe.

261
00:11:33,751 --> 00:11:35,522
Keep me in the loop, Bash.

262
00:11:37,224 --> 00:11:38,881
Bishop wants to see you.

263
00:11:54,171 --> 00:11:55,605
So...

264
00:11:55,868 --> 00:11:57,548
this isn't good news.

265
00:11:57,549 --> 00:12:00,554
Ray Grisholm has filed
a malpractice suit

266
00:12:00,555 --> 00:12:02,123
for the events which led to his daughter

267
00:12:02,124 --> 00:12:05,126
having to be mechanically
ventilated for the rest of her life.

268
00:12:06,505 --> 00:12:07,943
What, is he...

269
00:12:07,944 --> 00:12:10,635
I mean, is he suing the hospital? Or us?

270
00:12:10,636 --> 00:12:12,785
All of the above, unfortunately.

271
00:12:12,786 --> 00:12:14,174
He's been given power of attorney

272
00:12:14,175 --> 00:12:15,643
and he's running with it.

273
00:12:16,138 --> 00:12:18,831
I know you weren't there
when it happened, Mags,

274
00:12:18,832 --> 00:12:22,635
but the suit names all doctors who
were involved in Kelsey's treatment.

275
00:12:23,876 --> 00:12:28,350
We took a necessary
action to save her life.

276
00:12:28,351 --> 00:12:31,519
- I took the action.
- All our options were tragic.

277
00:12:32,807 --> 00:12:35,022
I stand by the choice we made.

278
00:12:36,684 --> 00:12:39,556
This is happening because a father...

279
00:12:39,557 --> 00:12:42,701
needs somewhere to put his anger.

280
00:12:44,882 --> 00:12:46,397
What do we do now?

281
00:12:46,881 --> 00:12:48,237
Contact your insurer,

282
00:12:48,238 --> 00:12:50,018
get them to arrange for a lawyer.

283
00:12:50,019 --> 00:12:51,694
Otherwise, your jobs.

284
00:12:52,303 --> 00:12:55,428
Do not let this get into your heads.

285
00:13:05,717 --> 00:13:08,417
Sir, I know this is the last
thing you need right now.

286
00:13:08,418 --> 00:13:09,721
With you fighting to keep your position.

287
00:13:09,722 --> 00:13:12,135
Don't worry about me, Bashir.

288
00:13:12,136 --> 00:13:14,029
Tell me what I can do to manage this?

289
00:13:14,030 --> 00:13:17,298
You can play it safe. Toe the line.

290
00:13:17,299 --> 00:13:19,000
Toe the line.

291
00:13:20,320 --> 00:13:22,991
Everything you do is
going to be scrutinized.

292
00:13:23,739 --> 00:13:25,548
I know it's unfair,

293
00:13:25,549 --> 00:13:28,288
but you already have to be
better than everyone else.

294
00:13:28,289 --> 00:13:29,827
Starting now,

295
00:13:29,828 --> 00:13:33,168
you need to go out of your
way to follow protocol.

296
00:13:33,169 --> 00:13:36,905
No more pushing the boundaries,
no unnecessary risks.

297
00:13:38,229 --> 00:13:40,330
Don't give them any ammunition.

298
00:13:41,530 --> 00:13:43,398
Do you hear me?

299
00:13:49,541 --> 00:13:50,941
Hey, Gary.

300
00:13:52,309 --> 00:13:54,978
Well, he's looking better.

301
00:13:56,212 --> 00:13:58,281
Is Bruce checking in at home?

302
00:13:58,672 --> 00:14:00,758
Did you figure out what's wrong?

303
00:14:01,612 --> 00:14:06,067
Well, Oli has a condition called
Wolff-Parkinson-White syndrome.

304
00:14:06,068 --> 00:14:08,707
It's an extra electrical pathway

305
00:14:08,708 --> 00:14:11,825
that can cause dangerously high
heart rate like you saw earlier today.

306
00:14:11,826 --> 00:14:13,698
You mean it wasn't
just his heart defect?

307
00:14:13,699 --> 00:14:15,227
He has a new thing?

308
00:14:16,036 --> 00:14:18,125
He does, yes.

309
00:14:18,744 --> 00:14:21,031
Can what happened today happen again?

310
00:14:21,032 --> 00:14:22,692
Potentially regularly.

311
00:14:22,693 --> 00:14:24,672
Or never.

312
00:14:25,001 --> 00:14:27,136
Or somewhere in between...

313
00:14:27,907 --> 00:14:30,742
All of this is so much
harder than we realized.

314
00:14:34,505 --> 00:14:36,306
What do we do now?

315
00:14:37,557 --> 00:14:40,106
You digest the information.

316
00:14:40,107 --> 00:14:43,243
I'm gonna talk to Dr. Fisher
and get back to you.

317
00:15:00,653 --> 00:15:03,355
How long did it take
you to feel settled here?

318
00:15:05,765 --> 00:15:07,999
Should that have happened by now?

319
00:15:08,602 --> 00:15:10,137
I can't imagine...

320
00:15:10,138 --> 00:15:13,825
It's just been so long since
I've had to start new anywhere.

321
00:15:13,826 --> 00:15:18,334
For your nurse
practitioner clinical hours,

322
00:15:18,335 --> 00:15:19,844
will you be leaving us?

323
00:15:20,324 --> 00:15:23,013
Who called about my daughter Ruby?

324
00:15:23,014 --> 00:15:25,707
That was me, Ms. Evans.
I'm Bashir Hamed.

325
00:15:25,708 --> 00:15:27,137
They're actually just
down this hallway...

326
00:15:27,138 --> 00:15:28,509
Ah okay.

327
00:15:28,510 --> 00:15:30,444
Thought you weren't going to call.

328
00:15:30,968 --> 00:15:33,836
Social worker was asking
me about my parents,

329
00:15:34,617 --> 00:15:36,122
then suggested a group home.

330
00:15:36,123 --> 00:15:38,224
You're not going back
to a place like that.

331
00:15:38,462 --> 00:15:40,564
You're not alone, babe, you have me.

332
00:15:41,755 --> 00:15:43,215
Ruby Josephine Evans,

333
00:15:43,216 --> 00:15:45,043
you step away from that
boy right this minute!

334
00:15:45,044 --> 00:15:46,965
Don't upset him! He's sick.

335
00:15:46,966 --> 00:15:48,938
What are you even doing here?!

336
00:15:48,939 --> 00:15:51,678
How can you ask me
that? Ruby, you ran off.

337
00:15:51,679 --> 00:15:54,318
- I was afraid you were dead!
- Well, I'm not!

338
00:15:54,319 --> 00:15:55,543
I can handle myself!

339
00:15:55,544 --> 00:15:57,749
And this doctor tells me
you said you were emancipated

340
00:15:57,750 --> 00:16:01,023
and you want to give away
an organ? Over my dead body!

341
00:16:01,024 --> 00:16:03,196
It's my body, it's my kidney

342
00:16:03,197 --> 00:16:05,136
and I can do what I want with it!

343
00:16:05,137 --> 00:16:07,700
Explain to her I'm the only
one who can help him!

344
00:16:07,701 --> 00:16:10,040
He knows that you can't
make that choice on your own.

345
00:16:10,041 --> 00:16:11,942
Why do you think he called me?

346
00:16:12,773 --> 00:16:16,342
Parental consent is required
for a minor to donate an organ.

347
00:16:17,291 --> 00:16:19,425
But he could die!

348
00:16:19,945 --> 00:16:22,719
You don't know him or
what he's been through!

349
00:16:23,006 --> 00:16:25,611
I love him and I wanna do this for him!

350
00:16:25,612 --> 00:16:27,814
Spend three weeks with him
without a roof over your head

351
00:16:27,815 --> 00:16:30,770
then tell me you love him.
This is foolish!

352
00:16:30,771 --> 00:16:33,811
Just because you got knocked up
by the first guy who looked at you

353
00:16:33,812 --> 00:16:36,867
doesn't mean what Malik
and I have isn't real!

354
00:16:38,037 --> 00:16:40,476
You're coming with me,
we're phoning the police

355
00:16:40,477 --> 00:16:43,913
and you're gonna apologize
for this mess that you created.

356
00:16:44,455 --> 00:16:46,956
If he dies, it's your fault.

357
00:16:53,240 --> 00:16:55,074
She's still struggling to breathe.

358
00:16:55,338 --> 00:16:57,901
I know for a fact ipratropium
works for her asthma.

359
00:16:57,902 --> 00:17:00,203
Which made us think
maybe it's not asthma.

360
00:17:00,612 --> 00:17:03,278
How long has Marnie
been fighting a cold for?

361
00:17:03,279 --> 00:17:06,314
Two weeks. It was maybe
four days after she got back.

362
00:17:06,516 --> 00:17:09,344
- Back from where?
- Bali.

363
00:17:09,603 --> 00:17:11,003
With her father.

364
00:17:12,691 --> 00:17:14,558
Would you give us a second?

365
00:17:18,261 --> 00:17:20,533
You always ask about
international travel

366
00:17:20,534 --> 00:17:21,869
with a respiratory illness. What...

367
00:17:21,870 --> 00:17:23,774
Sometimes, it's okay
if I don't know things

368
00:17:23,775 --> 00:17:26,097
because you haven't told
me. But other times it's not.

369
00:17:26,098 --> 00:17:27,926
You keep moving the goal posts on me.

370
00:17:27,927 --> 00:17:29,785
There's also the question
of you making it sound like

371
00:17:29,786 --> 00:17:31,200
we don't know what's
going on with her kid.

372
00:17:31,201 --> 00:17:32,817
Does that mean that we do?

373
00:17:32,818 --> 00:17:35,542
Marnie's X-ray shows
some indication of TB.

374
00:17:35,543 --> 00:17:38,249
But that is news that you have to
dole out carefully to avoid panic.

375
00:17:38,250 --> 00:17:39,895
Do I look like I'm panicking?

376
00:17:39,896 --> 00:17:42,362
TB as in tuberculosis?

377
00:17:42,363 --> 00:17:44,535
It can mimic asthma,

378
00:17:44,536 --> 00:17:46,674
and with Marnie's travel history,

379
00:17:46,675 --> 00:17:48,043
it's something we need to consider.

380
00:17:48,044 --> 00:17:50,098
Okay. What happens now?

381
00:17:50,099 --> 00:17:52,145
We'll move her to a negative
pressure isolation room

382
00:17:52,146 --> 00:17:53,880
while we work to rule it out.

383
00:17:53,881 --> 00:17:57,465
- Your husband, has he been ill?
- We're divorced.

384
00:17:57,466 --> 00:18:00,317
I'll call him. Ask about his boys too.

385
00:18:00,318 --> 00:18:02,332
Jake, can you ask Rhoda
to set up the room?

386
00:18:02,333 --> 00:18:03,778
This is just a precaution...

387
00:18:03,779 --> 00:18:05,781
Do you get a disproportionate
amount of panicky moms,

388
00:18:05,782 --> 00:18:07,879
or are you just not a good listener?

389
00:18:07,880 --> 00:18:09,418
I don't need to be bubble-wrapped.

390
00:18:09,419 --> 00:18:14,137
I'll... I'll let you know
when I hear from the lab.

391
00:18:14,138 --> 00:18:15,797
My hero.

392
00:18:17,873 --> 00:18:19,840
How's the SVT baby?

393
00:18:19,841 --> 00:18:23,114
Ugh. He's so tiny and he's
been through so much already.

394
00:18:23,115 --> 00:18:25,147
How do you deal with that kind of thing?

395
00:18:25,148 --> 00:18:26,520
Apparently by irritating

396
00:18:26,521 --> 00:18:28,875
people with aggressive
emotional support.

397
00:18:30,754 --> 00:18:32,822
Mags, are you dating my student?

398
00:18:35,494 --> 00:18:39,367
I mean it's not like I'm wearing
his varsity jacket or anything.

399
00:18:39,368 --> 00:18:42,156
- Why, is that a problem?
- It's a bit weird,

400
00:18:42,660 --> 00:18:44,281
but whatever.

401
00:18:51,406 --> 00:18:53,541
I already said yes, Charles.

402
00:18:59,576 --> 00:19:01,633
CT results for Sam Garcia.

403
00:19:04,400 --> 00:19:05,957
Pancreatic abscess.

404
00:19:05,958 --> 00:19:07,963
It's not uncommon after
acute pancreatitis.

405
00:19:07,964 --> 00:19:09,635
He's gonna need the OR for drainage.

406
00:19:09,636 --> 00:19:11,840
So, I guess that means
no sunset wedding?

407
00:19:11,841 --> 00:19:14,520
Is he a candidate for
percutaneous drainage?

408
00:19:14,521 --> 00:19:16,309
Possibly. But either way,

409
00:19:16,310 --> 00:19:17,629
I can't get him in before tonight, so.

410
00:19:17,630 --> 00:19:21,367
Unless we did an endoscopic
ultrasound-guided drainage in emerg?

411
00:19:21,607 --> 00:19:23,825
That's not something we
would normally do, is it?

412
00:19:23,826 --> 00:19:25,301
Not traditionally. But we could

413
00:19:25,302 --> 00:19:27,903
if we had an acute care
surgical response team.

414
00:19:27,904 --> 00:19:30,325
So you want to send
less patients up to OR?

415
00:19:30,326 --> 00:19:32,598
Well, patients who have
been surgically diagnosed

416
00:19:32,599 --> 00:19:35,305
spend hours waiting for
an OR slot. Often in real pain.

417
00:19:35,306 --> 00:19:37,598
Appendectomies, splenectomies, scopes.

418
00:19:37,599 --> 00:19:40,601
All things that we can
handle in a trauma OR.

419
00:19:42,726 --> 00:19:45,161
Your groom would be
a compelling example.

420
00:19:46,583 --> 00:19:49,926
So do I tell him that there's
a chance he's getting married today?

421
00:19:49,927 --> 00:19:53,534
I have to get a radiologist
to agree to do guidance first

422
00:19:53,535 --> 00:19:55,957
and of course, Dr. Singh's sign off.

423
00:19:55,958 --> 00:19:58,126
Interrogate and let me know.

424
00:20:02,875 --> 00:20:04,383
Where's Ruby?

425
00:20:04,927 --> 00:20:07,137
She's with her mother.

426
00:20:07,138 --> 00:20:09,143
I know the plan was to
give you a kidney but...

427
00:20:09,144 --> 00:20:11,778
I don't care about that!
I just want her to be okay.

428
00:20:11,779 --> 00:20:14,176
Malik, we tested your renal function.

429
00:20:14,177 --> 00:20:16,045
And you've lost 90%.

430
00:20:19,617 --> 00:20:22,715
- Okay.
- I'll start you on fluids.

431
00:20:22,716 --> 00:20:24,521
And we'll get you on a transplant list,

432
00:20:24,522 --> 00:20:29,460
but realistically that
could take five years.

433
00:20:30,934 --> 00:20:34,136
So until then I just...

434
00:20:34,556 --> 00:20:36,336
survive.

435
00:20:37,033 --> 00:20:38,404
You'll start dialysis

436
00:20:38,405 --> 00:20:40,973
and it will become
a regular part of your life.

437
00:20:49,827 --> 00:20:51,930
Where have you been staying?

438
00:20:54,723 --> 00:20:56,290
Friends' couches.

439
00:20:57,212 --> 00:21:01,418
After that, Ruby rented
a room with her savings.

440
00:21:01,419 --> 00:21:03,031
I tried saying no but...

441
00:21:04,789 --> 00:21:06,257
Ruby.

442
00:21:07,941 --> 00:21:10,047
If I were her mom, I'd hate me too.

443
00:21:11,793 --> 00:21:14,590
Look, it must be difficult
trying to maintain

444
00:21:14,591 --> 00:21:17,197
your diet and blood sugar
levels, moving around so much.

445
00:21:17,198 --> 00:21:18,926
I keep up with my insulin.

446
00:21:18,927 --> 00:21:20,932
I know, but our social
worker has resources...

447
00:21:20,933 --> 00:21:23,840
I tried that when I left
home. It was just as bad.

448
00:21:23,841 --> 00:21:25,176
- Malik, you can't do this...
- I don't have to

449
00:21:25,177 --> 00:21:26,857
talk to you about this!

450
00:21:31,250 --> 00:21:34,793
Look, I get you just wanna help

451
00:21:34,794 --> 00:21:39,397
but there's nothing
you can do about this.

452
00:21:49,273 --> 00:21:51,285
<i>Oliver Campbell has
Wolff-Parkinson-White Syndrome</i>

453
00:21:51,286 --> 00:21:52,457
on top of his heart defect?

454
00:21:52,458 --> 00:21:54,392
And this was the first onset of it.

455
00:21:54,769 --> 00:21:56,348
Will they have a decision today?

456
00:21:56,349 --> 00:21:58,442
I assume you gave the
parents the surgical option.

457
00:21:58,443 --> 00:22:00,860
Radio frequency ablation? I...

458
00:22:01,130 --> 00:22:04,365
Not yet, I didn't think I should
raise it without asking you.

459
00:22:04,596 --> 00:22:07,331
It's either that or wait and see.

460
00:22:07,579 --> 00:22:09,285
Well, ablation is risky.

461
00:22:09,286 --> 00:22:10,890
He could have a stroke,
or sustain damage

462
00:22:10,891 --> 00:22:13,617
that could hurt his chances
of open heart surgery later.

463
00:22:14,129 --> 00:22:17,135
A surgery he might not
make it to if SVT events

464
00:22:17,136 --> 00:22:19,805
like the one he had today
lead to sudden cardiac death.

465
00:22:20,036 --> 00:22:21,969
Then you think they should ablate?

466
00:22:22,884 --> 00:22:25,012
I think they need to
know all their options

467
00:22:25,013 --> 00:22:26,873
to make an informed choice.

468
00:22:26,874 --> 00:22:28,473
They're going to ask me what to do.

469
00:22:28,474 --> 00:22:29,739
And you should answer them.

470
00:22:29,740 --> 00:22:31,678
Mags, you lived their reality.

471
00:22:31,679 --> 00:22:33,629
Tricuspid atresia wasn't my issue.

472
00:22:33,630 --> 00:22:36,231
But you know what that
little boy is going through.

473
00:22:37,367 --> 00:22:39,110
What all of them are.

474
00:22:42,180 --> 00:22:45,645
Sam Garcia meets the criteria
for endoscopic drainage.

475
00:22:45,646 --> 00:22:47,584
Taking a liberal view, maybe.

476
00:22:47,585 --> 00:22:50,591
He's still at risk for sepsis,
and necrotizing pancreatitis

477
00:22:50,592 --> 00:22:52,236
always needs
multidisciplinary management.

478
00:22:52,237 --> 00:22:53,302
His wedding's today.

479
00:22:53,303 --> 00:22:55,739
And iif we did it in emerg,
maybe he'd make it?

480
00:22:55,740 --> 00:22:58,395
And maybe Bishop told you
he wants to start operating

481
00:22:58,396 --> 00:23:01,680
in trauma and you saw
a chance to step up?

482
00:23:02,461 --> 00:23:04,746
I'd be getting in on
cutting-edge procedures.

483
00:23:04,747 --> 00:23:08,254
And diverting patients and
therefore funding from OR.

484
00:23:08,255 --> 00:23:09,981
You have to be smart.

485
00:23:09,982 --> 00:23:11,660
I know I do, that's why I'm here.

486
00:23:11,661 --> 00:23:13,739
Except this is becoming a bad habit.

487
00:23:13,740 --> 00:23:15,611
You come to me before
you walk into something.

488
00:23:15,612 --> 00:23:17,469
I flag the risks and you do it anyway.

489
00:23:17,993 --> 00:23:21,164
If you don't trust my advice,
don't waste my time.

490
00:23:28,010 --> 00:23:32,313
Hey, about what Bishop said earlier.

491
00:23:32,842 --> 00:23:35,781
Yeah, well I called my insurer

492
00:23:35,782 --> 00:23:37,783
and they put me in touch with a lawyer.

493
00:23:38,178 --> 00:23:40,722
Do they think we could lose our license?

494
00:23:40,723 --> 00:23:43,707
Well, she did say to prepare
for it to take a minute.

495
00:23:43,708 --> 00:23:45,412
And that it's a rite of passage.

496
00:23:45,413 --> 00:23:47,081
But, most doctors come through fine.

497
00:23:47,947 --> 00:23:50,082
I know you're not most doctors.

498
00:23:50,083 --> 00:23:54,223
Look, it's unfair you're
wrapped up in all of this.

499
00:23:54,224 --> 00:23:56,659
Well, I am. I am.

500
00:23:57,183 --> 00:23:59,522
And I'm trying to follow Bishop's advice

501
00:23:59,523 --> 00:24:02,016
and stay focused on
the job. You should too.

502
00:24:10,728 --> 00:24:13,297
The bird, he's in the ducts.

503
00:25:00,491 --> 00:25:03,460
- Ruby?
- I think I cut too deep.

504
00:25:11,805 --> 00:25:12,913
He's young.

505
00:25:12,914 --> 00:25:14,653
He's only two years younger than me.

506
00:25:14,654 --> 00:25:16,432
But still a student?

507
00:25:16,433 --> 00:25:18,463
I took a couple years to travel.

508
00:25:18,929 --> 00:25:21,207
Nothing wrong with some
real world experience.

509
00:25:21,208 --> 00:25:23,635
Oh. She's defending you. She likes you.

510
00:25:24,087 --> 00:25:25,975
Don't get too excited.

511
00:25:25,976 --> 00:25:28,117
She once carried a sock
around for months

512
00:25:28,118 --> 00:25:29,575
telling us it was her soulmate.

513
00:25:29,576 --> 00:25:31,380
I was four! I was four!

514
00:25:31,381 --> 00:25:33,549
And it was a really cute sock, okay?

515
00:25:33,550 --> 00:25:35,322
You already have to go?

516
00:25:35,323 --> 00:25:36,700
It's just an update.

517
00:25:36,701 --> 00:25:38,219
Is it the patient this morning?

518
00:25:38,630 --> 00:25:40,535
You should've seen her.

519
00:25:40,536 --> 00:25:42,731
She saved a baby's life.

520
00:25:42,732 --> 00:25:46,101
Yes, she's a force of
nature and always has been.

521
00:25:46,631 --> 00:25:49,067
- Okay, you can go now.
- Oh my God, Cam!

522
00:25:49,068 --> 00:25:50,582
What? You'll have to run off,

523
00:25:50,583 --> 00:25:52,602
and I can't talk about him if he's here.

524
00:25:54,439 --> 00:25:57,245
Okay, that's fine.

525
00:25:57,246 --> 00:25:59,085
Very nice to meet you, Camille.

526
00:25:59,086 --> 00:26:02,178
I look forward to hearing

527
00:26:02,179 --> 00:26:04,109
if I'm good enough for your sister.

528
00:26:05,193 --> 00:26:06,867
But nobody is.

529
00:26:14,666 --> 00:26:17,168
You can't honestly tell me
you see yourself with him.

530
00:26:17,424 --> 00:26:20,075
He's sweet. He's funny. He's smart.

531
00:26:20,076 --> 00:26:22,444
And he will do anything
you want to make you happy.

532
00:26:23,568 --> 00:26:25,573
At least he's in keeping
with your pattern.

533
00:26:25,574 --> 00:26:28,387
No, he's not! What pattern?
What are you talking about?

534
00:26:28,388 --> 00:26:31,795
It's either someone
who withholds validation

535
00:26:31,796 --> 00:26:33,739
or someone who worships you.

536
00:26:34,156 --> 00:26:35,945
You honestly don't see that?

537
00:26:36,318 --> 00:26:38,817
Look I get it. You've
had a terrible few months.

538
00:26:38,818 --> 00:26:40,793
But letting this boy
fall in love with you

539
00:26:40,794 --> 00:26:42,962
so you can feel better about yourself,

540
00:26:43,171 --> 00:26:44,972
it's the wrong answer, Mag.

541
00:26:46,189 --> 00:26:49,258
Just once I wish you could
tell me what I want to hear.

542
00:26:56,594 --> 00:26:58,184
Do we have a patient with bedsores?

543
00:26:58,185 --> 00:26:59,746
Because I'm an expert,
if you want advice.

544
00:26:59,747 --> 00:27:01,515
Did you need me for something, Arnold?

545
00:27:02,766 --> 00:27:04,607
Sam's pain's is at an 8.

546
00:27:04,608 --> 00:27:06,813
And not just because he
finally told his fiancee

547
00:27:06,814 --> 00:27:08,278
he can't make their wedding.

548
00:27:08,279 --> 00:27:10,184
Give him another
10 milligrams of morphine.

549
00:27:10,185 --> 00:27:12,320
It's gonna be a few
hours before his surgery.

550
00:27:13,316 --> 00:27:14,996
How do you know so much about bedsores?

551
00:27:14,997 --> 00:27:18,254
Before I came to emerg,
I was a hospice nurse.

552
00:27:18,255 --> 00:27:20,152
Hard to avoid them in that field.

553
00:27:20,571 --> 00:27:21,771
Why?

554
00:27:37,170 --> 00:27:38,996
- Oh, baby...
- Don't, okay?

555
00:27:38,997 --> 00:27:40,614
I already know what you're thinking.

556
00:27:40,615 --> 00:27:44,336
Baby, I was afraid to ask if
this was starting up again.

557
00:27:44,906 --> 00:27:46,849
You have experience with this?

558
00:27:46,850 --> 00:27:49,418
When I was little, it was
just pinching and scratching.

559
00:27:49,419 --> 00:27:50,615
Then it got worse.

560
00:27:50,616 --> 00:27:51,987
Seeing a psychologist has helped.

561
00:27:51,988 --> 00:27:54,153
Yeah, once you accepted I needed to.

562
00:27:54,154 --> 00:27:56,626
I wasn't raised to reach out for help

563
00:27:56,627 --> 00:27:58,340
with problems like these.

564
00:27:58,341 --> 00:28:00,067
Many people aren't.

565
00:28:00,068 --> 00:28:03,804
She's given me some good
tools, but sometimes it's...

566
00:28:04,096 --> 00:28:05,960
I don't know.

567
00:28:05,961 --> 00:28:07,770
A hard pattern to break?

568
00:28:08,125 --> 00:28:10,778
This is why Malik's bad for you, honey.

569
00:28:10,779 --> 00:28:14,310
- He's too unstable.
- You're wrong, Mom.

570
00:28:14,311 --> 00:28:16,913
Sharing our burdens makes us stronger.

571
00:28:16,914 --> 00:28:20,316
I know his and he knows mine.
And, look...

572
00:28:21,863 --> 00:28:23,730
No fresh cuts,

573
00:28:24,788 --> 00:28:26,655
just old scars.

574
00:28:28,198 --> 00:28:30,707
Today was the first time in months.

575
00:28:31,136 --> 00:28:35,005
He helps me, you need
to let me help him back.

576
00:28:38,735 --> 00:28:41,017
<i>Those are the only options?</i>

577
00:28:41,018 --> 00:28:45,211
Do this ablation procedure or
wait and see if the SVT recurs?

578
00:28:45,212 --> 00:28:48,022
There's medication that we can
try to prevent future episodes,

579
00:28:48,023 --> 00:28:49,444
but there's no guarantee.

580
00:28:49,445 --> 00:28:51,117
No. No surgery.

581
00:28:51,118 --> 00:28:52,356
You heard her.

582
00:28:52,357 --> 00:28:54,359
These episodes could keep
happening if we don't do it.

583
00:28:54,360 --> 00:28:55,522
It could. Not will.

584
00:28:55,523 --> 00:28:57,272
The medication might
help. We should wait.

585
00:28:57,273 --> 00:28:58,775
You wanted to wait to chopper him here,

586
00:28:58,776 --> 00:29:00,569
- but if we hadn't brought him...
- He's just a baby, Bruce!

587
00:29:00,570 --> 00:29:02,437
How much more can we
ask him to go through?

588
00:29:06,530 --> 00:29:08,097
What about you?

589
00:29:09,132 --> 00:29:11,667
What would you do if he was yours?

590
00:29:15,148 --> 00:29:16,569
I don't know.

591
00:29:16,570 --> 00:29:18,772
Because both options are terrible!

592
00:29:18,773 --> 00:29:20,507
I'm sorry.

593
00:29:20,764 --> 00:29:22,469
Do we...

594
00:29:22,470 --> 00:29:24,679
Do we need to decide this second?

595
00:29:24,680 --> 00:29:27,339
No. And if you do choose the ablation,

596
00:29:27,753 --> 00:29:29,885
it won't be today. So...

597
00:29:30,612 --> 00:29:33,856
Take your time, think about it.

598
00:29:42,743 --> 00:29:44,181
What's happened to Malik?

599
00:29:44,182 --> 00:29:46,951
We were about to start dialysis
when his breathing worsened.

600
00:29:50,034 --> 00:29:52,155
- What's going on?
- Fluid in his lungs again.

601
00:29:52,156 --> 00:29:53,392
- Claire?
- On it.

602
00:29:56,848 --> 00:29:58,249
What do you need, Bash?

603
00:29:58,250 --> 00:30:00,518
Help with thoracentesis.
Guide placement.

604
00:30:04,617 --> 00:30:06,261
Puncturing now.

605
00:30:06,262 --> 00:30:08,129
About to enter pleural cavity.

606
00:30:09,166 --> 00:30:10,600
Good.

607
00:30:12,222 --> 00:30:14,830
- O2 sats aren't really moving.
- This is the second time

608
00:30:14,831 --> 00:30:16,702
this has happened to him,
he's in kidney failure.

609
00:30:16,703 --> 00:30:18,272
The fluid's gonna
continue to accumulate.

610
00:30:18,273 --> 00:30:20,136
He needs the OR VATS pleurodesis.

611
00:30:20,137 --> 00:30:22,104
- What does that mean?
- It's a surgical procedure

612
00:30:22,105 --> 00:30:24,332
that seals up the space
between his chest and his lungs,

613
00:30:24,333 --> 00:30:25,671
or this will keep happening.

614
00:30:25,672 --> 00:30:27,910
Thoracics can't take him
for at least another 8 hours.

615
00:30:27,911 --> 00:30:29,749
- Excuse me.
- Can he wait that long?

616
00:30:29,750 --> 00:30:31,780
He'll have to. I'll put a drain in,

617
00:30:31,781 --> 00:30:33,147
and we'll monitor him
until they have time.

618
00:30:33,148 --> 00:30:35,443
Unless we do a chemical
pleurodesis here.

619
00:30:35,933 --> 00:30:39,194
- That's a risk in emerg.
- It's talc in a chest tube.

620
00:30:39,195 --> 00:30:41,266
It'll expedite dialysis.
We know he needs it.

621
00:30:41,267 --> 00:30:42,558
It makes sense, Bash.

622
00:30:43,103 --> 00:30:44,604
Call an attending?

623
00:30:45,525 --> 00:30:46,862
You guys should wait outside.

624
00:30:46,863 --> 00:30:50,232
- I wanna stay. Please!
- Baby. Let's let them work.

625
00:30:50,233 --> 00:30:54,414
We need talc, 10 grams in
a 250 ml sterile isotonic

626
00:30:54,415 --> 00:30:55,562
sodium chloride solution.

627
00:30:55,563 --> 00:30:58,175
I'll start on the tube,
you wanna prep the agent?

628
00:30:59,132 --> 00:31:01,027
- Bash?
- What's happening?

629
00:31:01,574 --> 00:31:02,898
He needs a chemical pleurodesis.

630
00:31:02,899 --> 00:31:05,133
Are you sure you don't want in on this?

631
00:31:05,515 --> 00:31:07,216
You guys have it.

632
00:31:07,782 --> 00:31:10,050
I need a 28 French
and two guarded clamps.

633
00:31:16,028 --> 00:31:19,570
So, scale of one to Titanic?

634
00:31:19,571 --> 00:31:21,803
You were fine. Cam is insane.

635
00:31:21,804 --> 00:31:24,742
- Because if I said anything...
- No.

636
00:31:24,743 --> 00:31:26,911
Marnie is negative for TB.

637
00:31:27,907 --> 00:31:29,244
That's a relief.

638
00:31:29,245 --> 00:31:31,265
Although I guess it means
that we're back to not knowing.

639
00:31:31,266 --> 00:31:33,081
Did you want me to
work up a differential?

640
00:31:33,082 --> 00:31:35,750
Sure, but respirology
will have to weigh in.

641
00:31:35,751 --> 00:31:39,693
And this is complex
so you're aware of the expectations.

642
00:31:42,521 --> 00:31:45,427
You know certain fungal
infections can mimic TB.

643
00:31:45,428 --> 00:31:48,193
I'd look into any environmental
exposures if I were you.

644
00:31:48,194 --> 00:31:51,033
She did say that she was
playing on a compost pile

645
00:31:51,034 --> 00:31:52,451
with her brothers.

646
00:31:53,219 --> 00:31:54,503
You're incredible.

647
00:31:54,504 --> 00:31:56,071
Why are you still here?

648
00:31:56,072 --> 00:31:58,255
Go, go cross-reference
with her symptoms.

649
00:32:07,646 --> 00:32:09,012
The wedding came to him?

650
00:32:09,013 --> 00:32:10,306
We didn't think Sam was a good candidate

651
00:32:10,307 --> 00:32:11,544
for draining in trauma.

652
00:32:11,545 --> 00:32:15,157
Hmm. Not to mention
Dr. Singh detested my idea

653
00:32:15,158 --> 00:32:17,559
of an acute care surgical response team.

654
00:32:17,560 --> 00:32:18,869
Yeah, passionately.

655
00:32:18,870 --> 00:32:22,473
And the kidney failure
patient? The ED pleurodesis?

656
00:32:22,474 --> 00:32:23,769
What will he make of that?

657
00:32:23,770 --> 00:32:25,441
I haven't mentioned it yet but...

658
00:32:25,442 --> 00:32:26,643
That patient was a candidate,

659
00:32:26,644 --> 00:32:28,416
and I'll defend it to any surgeons

660
00:32:28,417 --> 00:32:30,240
that wants to take issue.

661
00:32:32,526 --> 00:32:34,276
How are you doing, June?

662
00:32:34,277 --> 00:32:37,416
Being Chief Resident, caught
between the egos and the politics...

663
00:32:37,417 --> 00:32:39,586
It's just hard to know whose
interests you're serving,

664
00:32:39,587 --> 00:32:41,383
you know, who you can trust.

665
00:32:41,384 --> 00:32:45,187
All I know is patient
first is our true north.

666
00:32:46,495 --> 00:32:48,958
Keep an open mind about
what I'm proposing.

667
00:32:48,959 --> 00:32:52,495
If you find a candidate that fits
the bill, I'll have your back.

668
00:32:55,513 --> 00:32:57,119
Khaled appealed his asylum case

669
00:32:57,120 --> 00:32:58,862
because you said he had a chance.

670
00:32:58,863 --> 00:33:00,435
Now he's stuck in jail!

671
00:33:00,436 --> 00:33:03,127
<i>I've been trying to argue
for his conditional release.</i>

672
00:33:03,128 --> 00:33:05,330
- <i>Beyond that...</i>
- Don't say there's nothing I can do.

673
00:33:05,331 --> 00:33:08,110
<i>I'm sorry doctor, but it is the case.</i>

674
00:33:08,111 --> 00:33:10,545
<i>Listen, I'll call if anything changes.</i>

675
00:33:12,037 --> 00:33:16,442
Dr. Hamed, how long do
these sessions usually take?

676
00:33:16,443 --> 00:33:17,957
His dialysis.

677
00:33:17,958 --> 00:33:19,841
Three hours, four times a week.

678
00:33:20,115 --> 00:33:21,556
Well, I feel for him,

679
00:33:21,557 --> 00:33:24,230
but he's gonna have to learn
to make health his priority.

680
00:33:24,231 --> 00:33:27,171
What alone? Without any support?

681
00:33:27,172 --> 00:33:29,544
- She's just a child!
- Your daughter got him to do

682
00:33:29,545 --> 00:33:32,747
what apparently no one
else can, confide in her.

683
00:33:33,150 --> 00:33:35,618
And like it or not, she trusts him too.

684
00:33:35,938 --> 00:33:38,099
This is none of your damn business.

685
00:33:42,459 --> 00:33:44,741
She got sick from my compost pile?

686
00:33:44,742 --> 00:33:46,431
I'll have Jake here explain it

687
00:33:46,432 --> 00:33:48,800
since we have him to
thank for the revelation.

688
00:33:49,348 --> 00:33:51,228
Yeah, well, Marnie likely has

689
00:33:51,229 --> 00:33:53,384
"allergic bronchopulmonary
aspergillosis".

690
00:33:53,385 --> 00:33:56,758
It's an infection from a fungus
commonly found in compost bins.

691
00:33:56,759 --> 00:33:59,865
And the effects resemble asthma, or TB.

692
00:34:00,259 --> 00:34:03,198
But the good new is, it's not
contagious and totally treatable.

693
00:34:03,199 --> 00:34:07,111
Wow. Okay. So what are the next steps?

694
00:34:07,112 --> 00:34:08,655
Well, we'll swab to confirm,

695
00:34:08,656 --> 00:34:11,006
but Marnie will be on
the mend for a few days.

696
00:34:11,007 --> 00:34:12,585
Shall I go fix you boys some cocktails

697
00:34:12,586 --> 00:34:13,839
while you finish chatting?

698
00:34:14,077 --> 00:34:16,545
Wow, the second a man's in the room.

699
00:34:16,546 --> 00:34:19,978
Stand down, soldier.
I have a magnetic presence.

700
00:34:19,979 --> 00:34:22,022
- It's why you fell for me.
- And why I left you.

701
00:34:22,023 --> 00:34:23,514
Have you been doing this all day?

702
00:34:23,515 --> 00:34:25,428
Stop terrifying the doctors.

703
00:34:25,429 --> 00:34:27,697
You're not scared of
me, are you, Dr. Hunter?

704
00:34:35,669 --> 00:34:36,940
It's happening again!

705
00:34:36,941 --> 00:34:38,936
He was awake and smiling and then...

706
00:34:38,937 --> 00:34:41,772
Let's give him 0.7 milligrams
of adenosine, Nelly.

707
00:34:43,506 --> 00:34:45,307
Okay. One, two.

708
00:34:47,705 --> 00:34:49,623
- Why isn't it working?
- He's still at 300 bpm.

709
00:34:49,624 --> 00:34:51,502
We need to cardiovert. 3.5 joules.

710
00:34:51,910 --> 00:34:54,912
On my mark. Ready, and clear!

711
00:34:58,951 --> 00:35:00,088
Again. 7 joules.

712
00:35:00,089 --> 00:35:02,236
Ready, and clear!

713
00:35:07,297 --> 00:35:08,998
Give him a minute.

714
00:35:09,479 --> 00:35:11,580
Come on, come on, Oli.

715
00:35:12,754 --> 00:35:14,255
Okay, he's stabilizing.

716
00:35:28,651 --> 00:35:30,799
This isn't going to stop, is it?

717
00:35:32,985 --> 00:35:34,852
I think you should do the ablation.

718
00:35:35,307 --> 00:35:37,826
- You said it could kill him!
- There are risks either way.

719
00:35:37,827 --> 00:35:40,817
But your son is a fighter,

720
00:35:40,818 --> 00:35:42,652
and it gives him the best chance.

721
00:35:50,931 --> 00:35:53,522
Okay. It'll take a few days to schedule

722
00:35:53,523 --> 00:35:56,083
and Dr. Fisher will do
the procedure, but I promise

723
00:35:56,084 --> 00:35:58,352
that I'll be with you
every step of the way.

724
00:36:29,774 --> 00:36:32,697
You didn't mention me that you
treated Ruby for cutting herself.

725
00:36:34,118 --> 00:36:36,537
I'm just going over
today's patient intakes.

726
00:36:36,538 --> 00:36:39,811
It was right before Malik
crashed again. I'm sorry.

727
00:36:39,812 --> 00:36:41,884
It's not that. It's just,
you realize that

728
00:36:41,885 --> 00:36:43,392
with her history of self-harm,

729
00:36:43,393 --> 00:36:45,469
it's unlikely she'll be
able to donate a kidney.

730
00:36:45,470 --> 00:36:47,209
Even if she keeps it under control?

731
00:36:47,210 --> 00:36:48,647
Still a tough sell.

732
00:36:48,648 --> 00:36:50,720
Donors often experience
depression post-op.

733
00:36:50,721 --> 00:36:52,660
There's pretty strict
rules on mental health.

734
00:36:52,661 --> 00:36:55,296
Then it's a death sentence
for this kid, Theo.

735
00:36:57,379 --> 00:36:59,170
Look, man, I heard about the lawsuit.

736
00:36:59,171 --> 00:37:00,951
I know what it's like.

737
00:37:00,952 --> 00:37:03,454
- You've been sued?
- I'm being sued.

738
00:37:04,631 --> 00:37:06,566
For custody.

739
00:37:09,093 --> 00:37:11,842
- Theo, I...
- Just... You have to tell them.

740
00:37:11,843 --> 00:37:13,240
Ruby and Malik.

741
00:37:13,241 --> 00:37:15,229
They need to know what they're facing.

742
00:37:21,982 --> 00:37:25,498
Since when did you start drinking
fancy apricot beer, anyways?

743
00:37:25,499 --> 00:37:27,299
You're free to buy your own.

744
00:37:28,578 --> 00:37:31,225
I feel like I'm 16 again and
you're bootlegging for me.

745
00:37:31,226 --> 00:37:32,927
I did that one time.

746
00:37:33,373 --> 00:37:35,201
You ended up throwing up
all over Taneesha's car.

747
00:37:35,202 --> 00:37:36,971
Which she made me pay
to have it cleaned.

748
00:37:36,972 --> 00:37:39,911
You're the one who insisted
I go camping with you guys.

749
00:37:39,912 --> 00:37:41,483
- Remember?
- I had no choice.

750
00:37:41,484 --> 00:37:43,551
What do you mean, you had no choice?

751
00:37:46,025 --> 00:37:48,709
Dad took out a second mortgage
on the house without telling Mom.

752
00:37:48,710 --> 00:37:51,541
I came home, she's screaming,
packing up all his stuff.

753
00:37:53,537 --> 00:37:56,142
So I had to get you out of
the house for the weekend.

754
00:37:56,143 --> 00:37:58,143
When we got back, she was fine.

755
00:37:58,904 --> 00:38:00,943
And Dad was "on the road" for a month.

756
00:38:00,944 --> 00:38:02,483
Yeah, but he was
a management consultant!

757
00:38:02,484 --> 00:38:04,219
He always travelled for...

758
00:38:06,743 --> 00:38:08,644
That one wasn't for work.

759
00:38:09,468 --> 00:38:12,814
She threw him out and he
wormed his way back in.

760
00:38:13,398 --> 00:38:15,199
Again.

761
00:38:17,996 --> 00:38:20,097
What else am I remembering wrong?

762
00:38:23,266 --> 00:38:27,069
I'm sorry that you had to
build those walls, June.

763
00:38:27,410 --> 00:38:28,983
I have enough bad memories, you know.

764
00:38:28,984 --> 00:38:31,052
I just wanted you to have good ones.

765
00:38:34,329 --> 00:38:36,154
Well, you're off the hook.

766
00:38:36,155 --> 00:38:37,772
It's time for Dad's night meds.

767
00:38:37,773 --> 00:38:39,084
You should change his mattress.

768
00:38:39,085 --> 00:38:41,252
Gel or foam will help the bedsores.

769
00:38:44,158 --> 00:38:46,932
Isn't that kind of helpful
advice against the rules?

770
00:38:47,656 --> 00:38:49,682
I'm giving you advice, not him.

771
00:38:49,897 --> 00:38:52,643
And trusting you not to tell
me whether or not you take it.

772
00:38:52,889 --> 00:38:54,523
Thanks, Junie.

773
00:38:54,935 --> 00:38:56,602
Yeah.

774
00:39:01,738 --> 00:39:03,476
Is that your secret identity?

775
00:39:03,477 --> 00:39:05,916
Yeah I keep the cape in the bag.

776
00:39:05,917 --> 00:39:09,252
You know, in case I see
a cat in a tree on my way home.

777
00:39:10,080 --> 00:39:12,115
So, Marnie's in respirology now

778
00:39:12,116 --> 00:39:14,384
with a much less accommodating doctor.

779
00:39:15,614 --> 00:39:18,883
Justin's gonna spend the night
with her since I took the day.

780
00:39:19,990 --> 00:39:21,357
So?

781
00:39:24,456 --> 00:39:28,431
Wow, you're really going
to make me ask you, huh?

782
00:39:28,432 --> 00:39:30,900
Ask what?

783
00:39:30,901 --> 00:39:32,868
If you wanna come home with me.

784
00:39:33,767 --> 00:39:36,767
To be clear, if you
wanna have sex with me.

785
00:39:36,768 --> 00:39:39,575
Yeah. Um...

786
00:39:39,576 --> 00:39:42,148
- What about your husband?
- Ex-husband.

787
00:39:42,149 --> 00:39:44,108
Though I'm sure he'd be
delighted if you felt compelled

788
00:39:44,109 --> 00:39:45,511
to ask him for his blessing.

789
00:39:45,512 --> 00:39:48,649
- You know, I'm your daughter's doctor.
- Ex-doctor.

790
00:39:48,650 --> 00:39:50,315
What else you got?

791
00:39:51,845 --> 00:39:55,114
- I thought you hated me.
- Don't overthink it.

792
00:40:05,932 --> 00:40:08,600
I'm sorry. I know this isn't
what you wanted to hear.

793
00:40:10,170 --> 00:40:12,124
There must be something you can do!

794
00:40:12,125 --> 00:40:13,690
There isn't.

795
00:40:13,894 --> 00:40:15,577
- It's okay, babe.
- No!

796
00:40:15,578 --> 00:40:17,944
We'll make dialysis work
until you get a kidney.

797
00:40:17,945 --> 00:40:20,549
I'll find us a place to
live, get a part-time job.

798
00:40:20,550 --> 00:40:23,358
I'll go to one of the group homes
if the social worker's still around.

799
00:40:23,359 --> 00:40:24,772
I can reach out if
you think you're ready.

800
00:40:24,773 --> 00:40:27,288
- Mal, you don't want that!
- Ruby, it's better this way.

801
00:40:27,289 --> 00:40:28,608
I'm not dragging you down with me.

802
00:40:28,609 --> 00:40:30,844
Stop this foolishness, both of you.

803
00:40:32,881 --> 00:40:35,149
He'll come and live with us.

804
00:40:35,609 --> 00:40:37,195
He can stay in our guest room.

805
00:40:37,706 --> 00:40:39,358
I'll make sure he gets to dialysis.

806
00:40:39,359 --> 00:40:42,334
No, Ms. Evans, I couldn't do that.

807
00:40:42,729 --> 00:40:45,408
You deserve a fair
chance to fight this off.

808
00:40:47,177 --> 00:40:49,278
I'm not taking no for an answer.

809
00:40:50,188 --> 00:40:52,954
If I can't convince you,
I know Ruby can.

810
00:40:59,568 --> 00:41:01,636
You don't know how
much this means to me.

811
00:41:02,359 --> 00:41:04,427
We'll find a way to get through.

812
00:41:24,689 --> 00:41:26,957
It's a good thing you're doing.

813
00:41:27,384 --> 00:41:29,118
What choice did I have?

814
00:41:29,549 --> 00:41:31,550
Turn my back and lose my daughter?

815
00:41:32,142 --> 00:41:33,490
I don't like this thing between them.

816
00:41:33,491 --> 00:41:35,064
But I can't stop it.

817
00:41:35,970 --> 00:41:38,772
All I can do now is let it happen.