1 00:00:02,168 --> 00:00:03,086 - You're being pushed out? 2 00:00:03,128 --> 00:00:04,671 - I'll find a way to get the board 3 00:00:04,713 --> 00:00:05,630 back on-side again. 4 00:00:05,672 --> 00:00:07,132 - Dad's dying, Junie. 5 00:00:07,173 --> 00:00:08,425 - I don't know what it changes, so... 6 00:00:08,466 --> 00:00:10,301 - That's cold, even for you. 7 00:00:10,343 --> 00:00:13,054 - Cardiology. I told you I wanted to explore it, 8 00:00:13,096 --> 00:00:14,180 but you didn't hear me. 9 00:00:14,222 --> 00:00:15,473 - Yeah, well, I'm hearing you now. 10 00:00:15,515 --> 00:00:18,518 - Here. - You're giving us your car? 11 00:00:18,560 --> 00:00:19,769 - I need to purge a few things. 12 00:00:19,811 --> 00:00:21,521 - There's a detention order against me. 13 00:00:21,563 --> 00:00:23,189 - It's been two weeks. 14 00:00:23,231 --> 00:00:25,358 You said Khaled would only be in detention one day. 15 00:00:25,400 --> 00:00:27,068 (Kline): He could be deported. 16 00:00:27,110 --> 00:00:29,571 - Sorry won't be good enough, Doctor Hamed. 17 00:00:29,612 --> 00:00:31,531 This is your fault. 18 00:00:32,490 --> 00:00:34,409 (banging) 19 00:00:35,702 --> 00:00:37,579 (door creaking) 20 00:00:44,836 --> 00:00:46,838 (breathing deeply) 21 00:00:55,764 --> 00:00:58,308 (indistinct chatter) 22 00:01:03,646 --> 00:01:05,815 - Mr. Jackson, I have your results from... 23 00:01:05,857 --> 00:01:07,734 - Shh. You'll scare him. 24 00:01:08,360 --> 00:01:10,695 You see him too, right? - I do. 25 00:01:11,279 --> 00:01:13,365 - Good. Then it's not the mushrooms. 26 00:01:13,406 --> 00:01:14,699 (bird chirping) 27 00:01:16,534 --> 00:01:18,536 - I'll be right back. 28 00:01:19,621 --> 00:01:21,498 - The house I bought in Leslieville. 29 00:01:21,539 --> 00:01:23,291 Quick jog to the hospital. 30 00:01:23,333 --> 00:01:25,377 Needs a little work... 31 00:01:25,418 --> 00:01:27,253 Actually, needs a lot of work. 32 00:01:27,295 --> 00:01:29,422 You wouldn't happen to know a contractor, would you? 33 00:01:29,464 --> 00:01:31,257 - Well, my brother-in-law. 34 00:01:31,299 --> 00:01:33,760 He's honest, but he's also kind of a moron. 35 00:01:33,802 --> 00:01:34,928 (chirping) - I'll pa-- 36 00:01:34,969 --> 00:01:36,429 - There you are. 37 00:01:38,348 --> 00:01:40,183 Try not to move... 38 00:01:42,852 --> 00:01:45,438 - So Mr. Lee definitely has gout but doesn't want to admit it 39 00:01:45,480 --> 00:01:47,190 while Mrs. Watson thinks she has everything but actually 40 00:01:47,232 --> 00:01:48,733 just has dyspepsia and... You missed. 41 00:01:48,775 --> 00:01:50,694 If you're gonna practice, pay attention. 42 00:01:50,735 --> 00:01:52,278 - Sorry? - She means me. The vein. 43 00:01:52,320 --> 00:01:54,406 - The trick is to get him to accept a corticosteroid 44 00:01:54,447 --> 00:01:56,866 before he gets a kidney stone. Arnold, you with me? 45 00:01:56,908 --> 00:01:58,451 - Yeah. Right. Corticosteroid. 46 00:01:58,493 --> 00:02:00,161 - Why don't you try tapping the vein, Jake? 47 00:02:00,203 --> 00:02:01,705 - Tapping it? - Yeah, tapping it. 48 00:02:01,746 --> 00:02:02,956 - Like this. 49 00:02:02,997 --> 00:02:04,541 See? - Oh, yeah. 50 00:02:04,582 --> 00:02:06,626 - She needs antacids and a bland diet for a few days. 51 00:02:07,627 --> 00:02:09,629 You got it! - Hey! 52 00:02:09,671 --> 00:02:11,256 That was exhausting. 53 00:02:11,297 --> 00:02:12,465 - No kidding. 54 00:02:12,507 --> 00:02:14,384 - Lightweights, both of you. 55 00:02:14,426 --> 00:02:16,594 So I got your text about lunch, 56 00:02:16,636 --> 00:02:18,805 but my sister's actually coming to meet me. 57 00:02:18,847 --> 00:02:20,515 - She is? 58 00:02:20,557 --> 00:02:22,267 Can I meet her? 59 00:02:23,393 --> 00:02:25,812 - Sure, okay. 60 00:02:25,854 --> 00:02:27,897 But if you thought learning how to put an IV was tough, 61 00:02:27,939 --> 00:02:29,482 I mean... (chuckling) 62 00:02:29,524 --> 00:02:31,234 (Bashir): It flew that way. 63 00:02:31,276 --> 00:02:32,694 - Okay, I gotta go. 64 00:02:32,736 --> 00:02:34,571 - How did it even get in there? 65 00:02:34,612 --> 00:02:37,407 - Oh, hey! What's going on? - Hunting party. 66 00:02:39,451 --> 00:02:41,578 - We need something to coax it down. 67 00:02:41,619 --> 00:02:43,204 - Coax what down? 68 00:02:43,246 --> 00:02:46,332 - The model's an acute care surgical response team. 69 00:02:46,374 --> 00:02:48,585 It would decrease patient waiting times 70 00:02:48,626 --> 00:02:52,505 and expand the scope of procedures that we can do in emergency. 71 00:02:53,673 --> 00:02:55,508 Do I want to know what's going on here? 72 00:02:55,550 --> 00:02:58,553 - It's a bird. We had it, then lost it. 73 00:02:58,970 --> 00:03:01,681 - Shouldn't you be on rounds? - What? 74 00:03:01,723 --> 00:03:05,518 I was on my way. We were just trying to catch it. 75 00:03:05,560 --> 00:03:06,853 - For patient safety. 76 00:03:06,895 --> 00:03:09,689 - And for our own amusement. 77 00:03:09,731 --> 00:03:12,942 - Okay, fun's over. Get maintenance to handle it. 78 00:03:15,695 --> 00:03:17,322 - Sorry about the wait. 79 00:03:17,364 --> 00:03:19,866 Good news: landing on a wrist to break a fall 80 00:03:19,908 --> 00:03:22,827 usually means a fracture, but in your case it's just a sprain. 81 00:03:22,869 --> 00:03:24,662 - Doc, he looked me right into the eyes. 82 00:03:24,704 --> 00:03:27,415 And I swear it felt like he could see through my soul. 83 00:03:27,457 --> 00:03:29,000 - Who, the bird? 84 00:03:29,042 --> 00:03:33,338 We tried freeing him but... it seems he's trapped in here. 85 00:03:34,047 --> 00:03:35,423 - Or maybe we are. 86 00:03:35,465 --> 00:03:37,759 - That might be the mushrooms. 87 00:03:37,801 --> 00:03:40,679 (chuckling) 88 00:03:42,055 --> 00:03:44,557 (hubbub) 89 00:03:50,522 --> 00:03:53,358 (gentle music) 90 00:04:05,537 --> 00:04:07,539 (city rumble) 91 00:04:07,580 --> 00:04:10,583 - Six-month-old with complex CHD choppered in from Timmins. 92 00:04:10,625 --> 00:04:12,502 - Did they say what kind of congenital heart defect? 93 00:04:12,544 --> 00:04:14,421 - No and things can happen fast with infants, Jake, 94 00:04:14,462 --> 00:04:16,923 so if we ask you for something, do it no questions asked, okay? 95 00:04:16,965 --> 00:04:18,675 - Oliver Campbell, tacky at 280. 96 00:04:18,717 --> 00:04:20,719 Stabilized at the regional hospital but thought it best 97 00:04:20,760 --> 00:04:22,762 to fly him down considering his heart history. 98 00:04:22,804 --> 00:04:25,056 Second SVT episode started as we were landing. 99 00:04:25,098 --> 00:04:27,434 We lost his line in transit. - I'm Dr. Hunter, 100 00:04:27,475 --> 00:04:28,601 this is Dr. Leblanc and Jake Cooper. 101 00:04:28,643 --> 00:04:30,603 What's his previous heart status? 102 00:04:30,645 --> 00:04:32,313 - He was born with tricuspid atresia. 103 00:04:32,355 --> 00:04:34,524 We adopted him at 2 months when he was still in the NICU. 104 00:04:34,566 --> 00:04:36,860 - TA means the tricuspid valve is missing or malformed 105 00:04:36,901 --> 00:04:38,611 and blood doesn't flow correctly. 106 00:04:38,653 --> 00:04:40,989 - Any episodes of supraventricular tachycardia before today? 107 00:04:41,031 --> 00:04:44,117 - Nothing like this. - Most TA patients need a shunt put in early on, 108 00:04:44,159 --> 00:04:45,910 has that happened? - Four months ago. 109 00:04:45,952 --> 00:04:48,038 They did it here. They hoped that it would hold him over 110 00:04:48,079 --> 00:04:50,915 until he gets big enough for the more invasive surgery in a few years. 111 00:04:50,957 --> 00:04:52,751 - His little heart's been through so much already. 112 00:04:52,792 --> 00:04:54,919 - It's okay. - We'll bring his rate down, try to isolate the cause. 113 00:04:54,961 --> 00:04:56,880 - One, two, three. 114 00:04:56,921 --> 00:04:58,798 (crying) 115 00:04:58,840 --> 00:05:01,343 (siren wailing) 116 00:05:03,511 --> 00:05:06,556 - Malik Lawson, 17 years old, type 1 diabetes 117 00:05:06,598 --> 00:05:07,974 and severe hypoglycemia. 118 00:05:08,016 --> 00:05:09,851 Blood glucose is 3 millimoles per litre. 119 00:05:09,893 --> 00:05:11,353 Had a glucagon shot en route. 120 00:05:11,394 --> 00:05:13,104 - He started slurring his words then passed out! 121 00:05:13,146 --> 00:05:14,981 I couldn't get him to eat or drink anything even though 122 00:05:15,023 --> 00:05:16,566 I know it's what I'm supposed to do! 123 00:05:16,608 --> 00:05:18,151 - Did you get a hold of Mom and Dad? 124 00:05:18,193 --> 00:05:19,694 - We're not related, I'm his girlfriend. 125 00:05:19,736 --> 00:05:22,030 And he's emancipated. We both are. 126 00:05:22,906 --> 00:05:25,450 - No, we need you to stay outside, young lady. 127 00:05:29,704 --> 00:05:31,873 - Rhoda, push 0.7 milligrams of adenosine. 128 00:05:31,915 --> 00:05:33,541 - You have to shock him? 129 00:05:33,583 --> 00:05:35,502 - It's just a precaution in case the meds don't work. 130 00:05:35,543 --> 00:05:37,045 - Veins are flat! Can't get a line. 131 00:05:37,087 --> 00:05:39,547 - Intraosseus infusion then! - 15 mm/15 gauge needle. 132 00:05:39,589 --> 00:05:41,091 - Run that down, Jake. 133 00:05:41,132 --> 00:05:42,842 - Use the medullary cavity in the tibia as 134 00:05:42,884 --> 00:05:45,011 a "non-collapsible vein" when the patient is critical. 135 00:05:45,053 --> 00:05:47,514 But even in a baby this small? - Yeah when we can't wait. 136 00:05:47,555 --> 00:05:49,557 - Will it hurt him? - He may feel it. 137 00:05:49,599 --> 00:05:51,685 But we're gonna make it as quick as we can. 138 00:05:52,644 --> 00:05:54,604 - I can't watch. - Baby, just go. 139 00:05:54,646 --> 00:05:55,980 I'll stay with him. 140 00:05:56,022 --> 00:05:57,816 - Dr. Hunter. Rate's 300! 141 00:05:58,983 --> 00:06:02,028 - Syncope. Non-responsive. - Jake, get on bagging. 142 00:06:02,070 --> 00:06:04,406 Smaller breaths. Thumb and two fingers. 143 00:06:04,447 --> 00:06:06,032 Squeeze on one, release on two-three, got it? 144 00:06:06,074 --> 00:06:07,784 - Yes. - And eyes on me. 145 00:06:07,826 --> 00:06:09,452 Locating the tibial tuberosity, 146 00:06:09,494 --> 00:06:11,746 then 1 cm below, 1 cm medial... 147 00:06:13,164 --> 00:06:15,083 (drilling) I'm in! 148 00:06:15,125 --> 00:06:17,168 - Decreased air entry on his right side. 149 00:06:17,210 --> 00:06:18,878 - That's because of his kidneys? 150 00:06:18,920 --> 00:06:22,799 - Large pleural effusion. He needs the fluid out now. 151 00:06:22,841 --> 00:06:25,010 - 60 cc syringe and a spinal needle! 152 00:06:25,051 --> 00:06:27,137 - Malik has chronic kidney disease caused by his diabetes. 153 00:06:27,178 --> 00:06:29,889 - We told you to wait outside. - And I told you he needs me. 154 00:06:29,931 --> 00:06:32,809 - Joanie, can you please? - No, I need to stay with him! 155 00:06:32,851 --> 00:06:34,894 - It's okay. What's your name? 156 00:06:34,936 --> 00:06:37,939 - Ruby Evans. - Okay Ruby Evans, I'm Dr. Hamed. 157 00:06:37,981 --> 00:06:40,483 I'm going to use this needle now to drain the fluids from his lungs. 158 00:06:40,525 --> 00:06:43,445 If you're going to stay, I need you to take a deep breath 159 00:06:43,486 --> 00:06:44,904 and help him by remaining calm. 160 00:06:44,946 --> 00:06:48,033 - Malik, I'm gonna move your arm above your head. 161 00:06:48,950 --> 00:06:50,493 (panting) 162 00:06:51,828 --> 00:06:54,039 (intense music) 163 00:06:56,791 --> 00:06:58,835 One millimetre to the left... 164 00:06:59,919 --> 00:07:01,588 - Can someone please explain what's happening? 165 00:07:01,629 --> 00:07:03,048 - We are giving medication to Oliver 166 00:07:03,089 --> 00:07:04,758 to help reset his heart rhythm. 167 00:07:04,799 --> 00:07:06,968 - Okay. One, two. 168 00:07:09,262 --> 00:07:12,640 - No change. 1.4 milligrams more, Rhoda. 169 00:07:15,018 --> 00:07:17,604 - We thought we were done after we adopted our third, 170 00:07:17,645 --> 00:07:21,232 but uh, when we heard about Oli we just... 171 00:07:21,983 --> 00:07:24,944 We knew that he needed us. - It's really admirable, 172 00:07:24,986 --> 00:07:27,280 taking on a baby with such a complex heart status. 173 00:07:27,322 --> 00:07:29,157 - It's been really hard for Gary. 174 00:07:29,199 --> 00:07:31,576 He worries so much. 175 00:07:31,618 --> 00:07:34,954 But our little guy is a fighter, right? 176 00:07:34,996 --> 00:07:36,664 - One, two. 177 00:07:38,208 --> 00:07:39,668 - Give him a second. 178 00:07:39,709 --> 00:07:41,795 (machine beeping) 179 00:07:41,836 --> 00:07:43,129 - Heart rate's stabilizing. 180 00:07:43,171 --> 00:07:46,633 We'll get him up to CICU. Mags will take you. Okay? 181 00:07:46,675 --> 00:07:48,218 - Actually, I'll be your resident there too. 182 00:07:48,259 --> 00:07:50,220 We're gonna run some tests and sort out what happened sir. 183 00:07:50,261 --> 00:07:52,555 - Bruce. Thank you, all of you. 184 00:07:52,597 --> 00:07:53,932 Thank you. - Of course. 185 00:07:53,973 --> 00:07:55,850 Good job, little man. 186 00:07:56,643 --> 00:07:58,019 - You did it, huh? 187 00:07:58,061 --> 00:08:00,814 There you are, yes. (giggling) 188 00:08:04,275 --> 00:08:05,985 - Getting fluid now. 189 00:08:07,320 --> 00:08:10,031 We'll do some blood tests and get a urine sample 190 00:08:10,073 --> 00:08:12,158 to check his kidneys, then assess and make a plan. 191 00:08:12,200 --> 00:08:14,869 - We already have one. I'm giving him one of my kidneys. 192 00:08:14,911 --> 00:08:17,831 - That's very generous of you but... 193 00:08:17,872 --> 00:08:20,041 there are multiple complex tests you'd have to do to conf-- 194 00:08:20,083 --> 00:08:23,712 - We did them already. As soon as we learned he had CKD. 195 00:08:24,337 --> 00:08:26,006 - Have we seen you here before Ruby? 196 00:08:26,047 --> 00:08:27,799 - Not here. 197 00:08:27,841 --> 00:08:30,051 We did blood and tissue typing, and serum too. 198 00:08:30,093 --> 00:08:31,970 The doctors said there's no way I'd be a match 199 00:08:32,012 --> 00:08:34,014 but they were wrong. 200 00:08:34,055 --> 00:08:35,807 Mal and I are meant to be. 201 00:08:35,849 --> 00:08:37,851 We won't let anything come between us. 202 00:08:43,690 --> 00:08:46,026 - Elevated heart rate and a slight fever. 203 00:08:46,067 --> 00:08:47,986 - Mr. Garcia, I'm Dr. Curtis. 204 00:08:48,028 --> 00:08:49,696 - Yeah, we've met before. 205 00:08:49,738 --> 00:08:51,990 My fiancee brought me in a couple weeks ago. 206 00:08:52,032 --> 00:08:55,160 - That's right, you had that great story about the... 207 00:08:55,201 --> 00:08:58,705 the jellyfish, right? - In Miami. 208 00:08:58,747 --> 00:09:01,750 I got stung and the first thing I said was, 209 00:09:01,791 --> 00:09:03,626 "Hi, I'm Sam, can you pee on my leg?" 210 00:09:03,668 --> 00:09:06,087 - Oh, yeah. You just need to rub sand on it to mitigate the sting. 211 00:09:06,129 --> 00:09:07,297 - That's what you said last time. 212 00:09:08,965 --> 00:09:10,800 - What brings you here, Mr. Garcia? 213 00:09:10,842 --> 00:09:13,178 - The stomach pains came back yesterday 214 00:09:13,219 --> 00:09:16,765 and then the nausea really hit during our groomsmen photos this morning. 215 00:09:16,806 --> 00:09:20,018 - I remember. You had acute pancreatitis. 216 00:09:20,060 --> 00:09:21,978 It's very rare for a 28-year-old. 217 00:09:22,020 --> 00:09:24,189 We put you on fluids and kept you under observation for a couple hours. 218 00:09:24,230 --> 00:09:27,108 - At least your organs made an impression, Sam? 219 00:09:27,150 --> 00:09:28,860 - Can you just do what you did last time 220 00:09:28,902 --> 00:09:30,904 and then get me out of here for my ceremony? 221 00:09:30,945 --> 00:09:33,323 It's supposed to be sunset at Cherry Beach. 222 00:09:33,365 --> 00:09:35,241 - Let's see what your pancreas has to say before 223 00:09:35,283 --> 00:09:37,619 I make you any promises. (sighing) 224 00:09:37,660 --> 00:09:43,625 - So he's gonna need a cbc, chem, lft's, lipase, bbg. 225 00:09:43,667 --> 00:09:45,669 And CT abdo. - Got it. 226 00:09:45,710 --> 00:09:47,087 You really don't remember him? 227 00:09:47,128 --> 00:09:49,714 - I see a lot of patients for a short period of time. 228 00:09:49,756 --> 00:09:51,299 I'm supposed to remember all their stories? 229 00:09:51,341 --> 00:09:54,344 - Okay, what major life event happened to me last week? 230 00:09:54,386 --> 00:09:56,429 - You got promoted? 231 00:09:56,471 --> 00:09:58,807 - I turned 30. 232 00:09:58,848 --> 00:10:00,809 You ate one of the cupcakes. 233 00:10:01,434 --> 00:10:04,854 - Marnie Jensen's asthma symptoms aren't relieving with her inhaler. 234 00:10:04,896 --> 00:10:07,065 She's been fighting a cold, her chest is congested. 235 00:10:07,107 --> 00:10:09,192 Did a peak-flow test and she's in the red. 236 00:10:10,151 --> 00:10:12,028 - Hi Marnie, I'm Theo. 237 00:10:12,070 --> 00:10:13,363 We're gonna take care of you, okay? 238 00:10:13,405 --> 00:10:16,199 Action plan, Jake? - Nebulize with albuterol? 239 00:10:16,241 --> 00:10:18,159 - He just gets to guess? 240 00:10:18,201 --> 00:10:21,246 - This is a teaching hospital and he's a student. 241 00:10:21,287 --> 00:10:23,164 But how is she with nebulizer, Mom? 242 00:10:23,206 --> 00:10:25,208 - Unless you popped out of my uterus seven years ago, 243 00:10:25,250 --> 00:10:26,710 maybe call me Shelley? 244 00:10:26,751 --> 00:10:29,295 And the bronchodilator that works is ipratropium. 245 00:10:29,337 --> 00:10:33,717 Albuterol gives her headaches. - That's... good to know. 246 00:10:33,758 --> 00:10:36,886 Jake will set that up for you right away. 247 00:10:36,928 --> 00:10:38,263 - Thank you. 248 00:10:38,972 --> 00:10:41,016 - Mr. Kline, it's Bashir Hamed again. 249 00:10:41,057 --> 00:10:43,810 It's been two months since Khaled was in immigration hold. 250 00:10:43,852 --> 00:10:45,812 There must be some way I can help. 251 00:10:45,854 --> 00:10:47,397 Please call me back. 252 00:10:50,025 --> 00:10:51,818 You're renovating a house? 253 00:10:51,860 --> 00:10:54,237 Did you manage to sell your place in Sudbury? 254 00:10:55,196 --> 00:10:56,823 - No, not yet. 255 00:10:56,865 --> 00:10:59,159 - And you still have your rental for when you go back home? 256 00:10:59,200 --> 00:11:00,702 - I know what I'm doing, Bash. 257 00:11:01,828 --> 00:11:03,788 You know you can kick Malik back to peds. 258 00:11:03,830 --> 00:11:05,498 - No, he's 17, I'll stay on. 259 00:11:05,540 --> 00:11:09,377 - Hey guys, so I kept thinking I knew Ruby, 260 00:11:09,419 --> 00:11:11,504 maybe she'd been here before. 261 00:11:11,546 --> 00:11:13,965 This has been running on the local news. 262 00:11:14,007 --> 00:11:16,426 Her mother is a school board trustee in Etobicoke. 263 00:11:16,468 --> 00:11:18,511 And she reported her missing three days ago. 264 00:11:18,553 --> 00:11:20,347 - So much for being emancipated. 265 00:11:20,388 --> 00:11:22,182 Does that mean Malik isn't either? 266 00:11:22,223 --> 00:11:23,975 - Iris checked. He is. 267 00:11:24,017 --> 00:11:25,435 Do we call it in? 268 00:11:25,477 --> 00:11:27,520 - She's not a patient so there's no confidentiality issue. 269 00:11:27,562 --> 00:11:29,856 - She's been pretty clear she doesn't want that. 270 00:11:29,898 --> 00:11:31,775 - She's a minor who's been reported missing. 271 00:11:31,816 --> 00:11:34,527 I think we have a duty to let her mother know she's safe. 272 00:11:34,569 --> 00:11:37,447 Keep me in the loop, Bash. 273 00:11:39,115 --> 00:11:41,201 - Bishop wants to see you. 274 00:11:43,953 --> 00:11:46,247 (gentle music) 275 00:11:56,299 --> 00:11:57,884 - So... 276 00:11:57,926 --> 00:11:59,260 this isn't good news. 277 00:11:59,302 --> 00:12:02,347 Ray Grisholm has filed a malpractice suit 278 00:12:02,389 --> 00:12:04,057 for the events which led to his daughter 279 00:12:04,099 --> 00:12:06,851 having to be mechanically ventilated for the rest of her life. 280 00:12:08,353 --> 00:12:10,021 - What, is he... 281 00:12:10,063 --> 00:12:12,524 I mean, is he suing the hospital? Or us? 282 00:12:12,565 --> 00:12:14,818 - All of the above, unfortunately. 283 00:12:14,859 --> 00:12:16,319 He's been given power of attorney 284 00:12:16,361 --> 00:12:18,029 and he's running with it. 285 00:12:18,071 --> 00:12:21,074 I know you weren't there when it happened, Mags, 286 00:12:21,116 --> 00:12:24,494 but the suit names all doctors who were involved in Kelsey's treatment. 287 00:12:25,620 --> 00:12:30,208 We took a necessary action to save her life. 288 00:12:30,250 --> 00:12:33,169 - I took the action. - All our options were tragic. 289 00:12:34,462 --> 00:12:37,132 I stand by the choice we made. 290 00:12:38,591 --> 00:12:41,469 This is happening because a father... 291 00:12:41,511 --> 00:12:44,889 needs somewhere to put his anger. 292 00:12:46,474 --> 00:12:48,143 - What do we do now? 293 00:12:48,184 --> 00:12:50,270 - Contact your insurer, 294 00:12:50,311 --> 00:12:52,022 get them to arrange for a lawyer. 295 00:12:52,063 --> 00:12:53,440 Otherwise, your jobs. 296 00:12:53,481 --> 00:12:57,485 Do not let this get into your heads. 297 00:13:07,495 --> 00:13:10,373 - Sir, I know this is the last thing you need right now. 298 00:13:10,415 --> 00:13:12,125 With you fighting to keep your position. 299 00:13:12,167 --> 00:13:14,252 - Don't worry about me, Bashir. 300 00:13:14,294 --> 00:13:15,920 - Tell me what I can do to manage this? 301 00:13:15,962 --> 00:13:19,049 - You can play it safe. Toe the line. 302 00:13:19,090 --> 00:13:20,550 Toe the line. 303 00:13:22,344 --> 00:13:25,430 Everything you do is going to be scrutinized. 304 00:13:25,472 --> 00:13:27,390 I know it's unfair, 305 00:13:27,432 --> 00:13:30,101 but you already have to be better than everyone else. 306 00:13:30,143 --> 00:13:31,895 Starting now, 307 00:13:31,936 --> 00:13:35,231 you need to go out of your way to follow protocol. 308 00:13:35,273 --> 00:13:38,985 No more pushing the boundaries, no unnecessary risks. 309 00:13:40,195 --> 00:13:42,155 Don't give them any ammunition. 310 00:13:43,198 --> 00:13:44,991 Do you hear me? 311 00:13:53,208 --> 00:13:54,459 - Hey, Gary. 312 00:13:56,419 --> 00:13:59,214 Well, he's looking better. 313 00:13:59,255 --> 00:14:02,133 Is Bruce checking in at home? 314 00:14:03,051 --> 00:14:05,387 - Did you figure out what's wrong? 315 00:14:05,428 --> 00:14:09,933 - Well, Oli has a condition called Wolff-Parkinson-White syndrome. 316 00:14:09,974 --> 00:14:12,644 It's an extra electrical pathway 317 00:14:12,686 --> 00:14:16,106 that can cause dangerously high heart rate like you saw earlier today. 318 00:14:16,147 --> 00:14:17,982 - You mean it wasn't just his heart defect? 319 00:14:18,024 --> 00:14:19,401 He has a new thing? 320 00:14:19,442 --> 00:14:22,028 - He does, yes. 321 00:14:22,737 --> 00:14:24,989 - Can what happened today happen again? 322 00:14:25,031 --> 00:14:27,200 - Potentially regularly. 323 00:14:27,242 --> 00:14:29,077 Or never. 324 00:14:29,119 --> 00:14:31,121 Or somewhere in between... 325 00:14:32,247 --> 00:14:34,708 - All of this is so much harder than we realized. 326 00:14:38,420 --> 00:14:40,130 What do we do now? 327 00:14:42,173 --> 00:14:44,217 - You digest the information. 328 00:14:44,259 --> 00:14:47,137 I'm gonna talk to Dr. Fisher and get back to you. 329 00:14:52,475 --> 00:14:55,478 (gentle music) 330 00:15:04,821 --> 00:15:07,365 - How long did it take you to feel settled here? 331 00:15:09,659 --> 00:15:11,661 - Should that have happened by now? 332 00:15:12,537 --> 00:15:14,664 - I can't imagine... 333 00:15:14,706 --> 00:15:18,043 It's just been so long since I've had to start new anywhere. 334 00:15:18,084 --> 00:15:22,422 - For your nurse practitioner clinical hours, 335 00:15:22,464 --> 00:15:24,591 will you be leaving us? 336 00:15:24,632 --> 00:15:27,302 - Who called about my daughter Ruby? 337 00:15:27,344 --> 00:15:29,763 - That was me, Ms. Evans. I'm Bashir Hamed. 338 00:15:29,804 --> 00:15:31,556 They're actually just down this hallway-- 339 00:15:31,598 --> 00:15:33,183 - Ah okay. 340 00:15:33,224 --> 00:15:35,226 - Thought you weren't going to call. 341 00:15:35,268 --> 00:15:37,771 - Social worker was asking me about my parents, 342 00:15:38,772 --> 00:15:40,482 then suggested a group home. 343 00:15:40,523 --> 00:15:42,567 - You're not going back to a place like that. 344 00:15:42,609 --> 00:15:44,527 You're not alone, babe, you have me. 345 00:15:45,445 --> 00:15:47,530 - Ruby Josephine Evans, 346 00:15:47,572 --> 00:15:49,407 you step away from that boy right this minute! 347 00:15:49,449 --> 00:15:50,742 - Don't upset him! He's sick. 348 00:15:50,784 --> 00:15:53,036 What are you even doing here?! 349 00:15:53,078 --> 00:15:55,663 - How can you ask me that? Ruby, you ran off. 350 00:15:55,705 --> 00:15:58,333 I was afraid you were dead! - Well, I'm not! 351 00:15:58,375 --> 00:16:00,085 I can handle myself! 352 00:16:00,126 --> 00:16:02,295 - And this doctor tells me you said you were emancipated 353 00:16:02,337 --> 00:16:05,507 and you want to give away an organ? Over my dead body! 354 00:16:05,548 --> 00:16:07,676 - It's my body, it's my kidney 355 00:16:07,717 --> 00:16:09,594 and I can do what I want with it! 356 00:16:09,636 --> 00:16:11,846 Explain to her I'm the only one who can help him! 357 00:16:11,888 --> 00:16:14,265 - He knows that you can't make that choice on your own. 358 00:16:14,307 --> 00:16:16,184 Why do you think he called me? 359 00:16:17,227 --> 00:16:20,438 - Parental consent is required for a minor to donate an organ. 360 00:16:21,356 --> 00:16:23,566 - But he could die! 361 00:16:23,608 --> 00:16:26,736 You don't know him or what he's been through! 362 00:16:27,237 --> 00:16:29,781 I love him and I wanna do this for him! 363 00:16:29,823 --> 00:16:32,075 - Spend three weeks with him without a roof over your head 364 00:16:32,117 --> 00:16:34,703 then tell me you love him. This is foolish! 365 00:16:34,744 --> 00:16:37,706 - Just because you got knocked up by the first guy who looked at you 366 00:16:37,747 --> 00:16:40,750 doesn't mean what Malik and I have isn't real! 367 00:16:42,168 --> 00:16:44,587 - You're coming with me, we're phoning the police 368 00:16:44,629 --> 00:16:47,757 and you're gonna apologize for this mess that you created. 369 00:16:48,591 --> 00:16:50,844 - If he dies, it's your fault. 370 00:16:52,595 --> 00:16:54,639 (sighing) 371 00:16:57,559 --> 00:16:59,519 - She's still struggling to breathe. 372 00:16:59,561 --> 00:17:02,230 - I know for a fact ipratropium works for her asthma. 373 00:17:02,272 --> 00:17:04,315 - Which made us think maybe it's not asthma. 374 00:17:04,357 --> 00:17:07,277 - How long has Marnie been fighting a cold for? 375 00:17:07,318 --> 00:17:10,238 - Two weeks. It was maybe four days after she got back. 376 00:17:10,280 --> 00:17:13,283 - Back from where? - Bali. 377 00:17:13,616 --> 00:17:14,868 With her father. 378 00:17:16,786 --> 00:17:18,538 - Would you give us a second? 379 00:17:22,542 --> 00:17:24,753 You always ask about international travel 380 00:17:24,794 --> 00:17:26,254 with a respiratory illness. What-- 381 00:17:26,296 --> 00:17:28,256 - Sometimes, it's okay if I don't know things 382 00:17:28,298 --> 00:17:30,425 because you haven't told me. But other times it's not. 383 00:17:30,467 --> 00:17:31,843 You keep moving the goal posts on me. 384 00:17:31,885 --> 00:17:33,803 - There's also the question of you making it sound like 385 00:17:33,845 --> 00:17:35,513 we don't know what's going on with her kid. 386 00:17:35,555 --> 00:17:37,182 - Does that mean that we do? 387 00:17:37,223 --> 00:17:39,726 - Marnie's X-ray shows some indication of TB. 388 00:17:39,768 --> 00:17:42,395 But that is news that you have to dole out carefully to avoid panic. 389 00:17:42,437 --> 00:17:43,605 - Do I look like I'm panicking? 390 00:17:43,646 --> 00:17:46,149 TB as in tuberculosis? 391 00:17:46,191 --> 00:17:48,401 - It can mimic asthma, 392 00:17:48,443 --> 00:17:50,570 and with Marnie's travel history, 393 00:17:50,612 --> 00:17:51,821 it's something we need to consider. 394 00:17:51,863 --> 00:17:53,823 - Okay. What happens now? 395 00:17:53,865 --> 00:17:56,284 - We'll move her to a negative pressure isolation room 396 00:17:56,326 --> 00:17:57,952 while we work to rule it out. 397 00:17:57,994 --> 00:18:00,955 Your husband, has he been ill? - We're divorced. 398 00:18:00,997 --> 00:18:04,334 I'll call him. Ask about his boys too. 399 00:18:04,376 --> 00:18:06,461 - Jake, can you ask Rhoda to set up the room? 400 00:18:06,503 --> 00:18:08,296 This is just a precaution... 401 00:18:08,338 --> 00:18:10,215 - Do you get a disproportionate amount of panicky moms, 402 00:18:10,256 --> 00:18:11,966 or are you just not a good listener? 403 00:18:12,008 --> 00:18:13,635 I don't need to be bubble-wrapped. 404 00:18:13,677 --> 00:18:17,806 - I'll... I'll let you know when I hear from the lab. 405 00:18:17,847 --> 00:18:19,683 - My hero. 406 00:18:21,810 --> 00:18:23,812 - How's the SVT baby? 407 00:18:23,853 --> 00:18:27,190 - Ugh. He's so tiny and he's been through so much already. 408 00:18:27,232 --> 00:18:29,442 How do you deal with that kind of thing? 409 00:18:29,484 --> 00:18:30,985 - Apparently by irritating 410 00:18:31,027 --> 00:18:32,904 people with aggressive emotional support. 411 00:18:32,946 --> 00:18:34,656 (chuckling) 412 00:18:34,698 --> 00:18:36,574 Mags, are you dating my student? 413 00:18:39,619 --> 00:18:43,456 - I mean it's not like I'm wearing his varsity jacket or anything. 414 00:18:43,498 --> 00:18:45,959 Why, is that a problem? - It's a bit weird, 415 00:18:46,001 --> 00:18:48,336 but whatever. 416 00:18:55,468 --> 00:18:57,429 - I already said yes, Charles. 417 00:19:03,601 --> 00:19:05,687 - CT results for Sam Garcia. 418 00:19:08,523 --> 00:19:10,358 - Pancreatic abscess. 419 00:19:10,400 --> 00:19:12,360 It's not uncommon after acute pancreatitis. 420 00:19:12,402 --> 00:19:13,987 He's gonna need the OR for drainage. 421 00:19:14,029 --> 00:19:16,281 - So, I guess that means no sunset wedding? 422 00:19:16,322 --> 00:19:18,533 - Is he a candidate for percutaneous drainage? 423 00:19:18,575 --> 00:19:20,535 - Possibly. But either way, 424 00:19:20,577 --> 00:19:22,412 I can't get him in before tonight, so. 425 00:19:22,454 --> 00:19:25,248 - Unless we did an endoscopic ultrasound-guided drainage in emerg? 426 00:19:25,832 --> 00:19:27,876 - That's not something we would normally do, is it? 427 00:19:27,917 --> 00:19:29,836 - Not traditionally. But we could 428 00:19:29,878 --> 00:19:31,713 if we had an acute care surgical response team. 429 00:19:31,755 --> 00:19:34,507 - So you want to send less patients up to OR? 430 00:19:34,549 --> 00:19:36,760 - Well, patients who have been surgically diagnosed 431 00:19:36,801 --> 00:19:39,554 spend hours waiting for an OR slot. Often in real pain. 432 00:19:39,596 --> 00:19:41,890 Appendectomies, splenectomies, scopes. 433 00:19:41,931 --> 00:19:44,768 All things that we can handle in a trauma OR. 434 00:19:46,895 --> 00:19:49,272 Your groom would be a compelling example. 435 00:19:50,732 --> 00:19:54,277 - So do I tell him that there's a chance he's getting married today? 436 00:19:54,319 --> 00:19:57,739 - I have to get a radiologist to agree to do guidance first 437 00:19:57,781 --> 00:20:00,075 and of course, Dr. Singh's sign off. 438 00:20:00,116 --> 00:20:02,285 - Interrogate and let me know. 439 00:20:06,790 --> 00:20:08,541 - Where's Ruby? 440 00:20:08,583 --> 00:20:11,294 - She's with her mother. 441 00:20:11,336 --> 00:20:13,380 I know the plan was to give you a kidney but-- 442 00:20:13,421 --> 00:20:16,424 - I don't care about that! I just want her to be okay. 443 00:20:16,466 --> 00:20:18,468 - Malik, we tested your renal function. 444 00:20:18,510 --> 00:20:20,303 And you've lost 90 %. 445 00:20:23,765 --> 00:20:27,102 - Okay. - I'll start you on fluids. 446 00:20:27,143 --> 00:20:28,978 And we'll get you on a transplant list, 447 00:20:29,020 --> 00:20:33,817 but realistically that could take five years. 448 00:20:35,026 --> 00:20:38,321 - So until then I just... 449 00:20:38,363 --> 00:20:40,323 survive. 450 00:20:41,116 --> 00:20:42,701 - You'll start dialysis 451 00:20:42,742 --> 00:20:44,994 and it will become a regular part of your life. 452 00:20:48,164 --> 00:20:50,000 (gentle music) 453 00:20:53,461 --> 00:20:55,672 Where have you been staying? 454 00:20:58,633 --> 00:21:00,010 - Friends' couches. 455 00:21:01,052 --> 00:21:05,348 After that, Ruby rented a room with her savings. 456 00:21:05,390 --> 00:21:07,100 I tried saying no but... 457 00:21:08,810 --> 00:21:10,353 Ruby. 458 00:21:11,730 --> 00:21:14,524 If I were her mom, I'd hate me too. 459 00:21:15,608 --> 00:21:18,862 - Look, it must be difficult trying to maintain 460 00:21:18,903 --> 00:21:21,489 your diet and blood sugar levels, moving around so much. 461 00:21:21,531 --> 00:21:23,158 - I keep up with my insulin. 462 00:21:23,199 --> 00:21:25,410 - I know, but our social worker has resources-- 463 00:21:25,452 --> 00:21:28,121 - I tried that when I left home. It was just as bad. 464 00:21:28,163 --> 00:21:31,541 - Malik, you can't do this-- - I don't have to talk to you about this! 465 00:21:35,211 --> 00:21:38,965 Look, I get you just wanna help 466 00:21:39,007 --> 00:21:43,511 but there's nothing you can do about this. 467 00:21:53,188 --> 00:21:55,523 - Oliver Campbell has Wolff-Parkinson-White Syndrome 468 00:21:55,565 --> 00:21:57,025 on top of his heart defect? 469 00:21:57,067 --> 00:21:59,027 - And this was the first onset of it. 470 00:21:59,069 --> 00:22:00,695 - Will they have a decision today? 471 00:22:00,737 --> 00:22:02,822 I assume you gave the parents the surgical option. 472 00:22:02,864 --> 00:22:05,533 - Radio frequency ablation? I... 473 00:22:05,575 --> 00:22:08,703 Not yet, I didn't think I should raise it without asking you. 474 00:22:08,745 --> 00:22:11,498 - It's either that or wait and see. 475 00:22:11,539 --> 00:22:13,541 - Well, ablation is risky. 476 00:22:13,583 --> 00:22:15,126 He could have a stroke, or sustain damage 477 00:22:15,168 --> 00:22:18,171 that could hurt his chances of open heart surgery later. 478 00:22:18,213 --> 00:22:21,424 - A surgery he might not make it to if SVT events 479 00:22:21,466 --> 00:22:23,968 like the one he had today lead to sudden cardiac death. 480 00:22:24,010 --> 00:22:26,054 - Then you think they should ablate? 481 00:22:26,846 --> 00:22:29,099 - I think they need to know all their options 482 00:22:29,140 --> 00:22:30,725 to make an informed choice. 483 00:22:30,767 --> 00:22:32,560 - They're going to ask me what to do. 484 00:22:32,602 --> 00:22:33,728 - And you should answer them. 485 00:22:33,770 --> 00:22:35,772 Mags, you lived their reality. 486 00:22:35,814 --> 00:22:38,108 - Tricuspid atresia wasn't my issue. 487 00:22:38,149 --> 00:22:40,735 - But you know what that little boy is going through. 488 00:22:40,777 --> 00:22:43,029 What all of them are. 489 00:22:46,741 --> 00:22:49,703 - Sam Garcia meets the criteria for endoscopic drainage. 490 00:22:49,744 --> 00:22:51,788 - Taking a liberal view, maybe. 491 00:22:51,830 --> 00:22:54,791 He's still at risk for sepsis, and necrotizing pancreatitis 492 00:22:54,833 --> 00:22:56,459 always needs multidisciplinary management. 493 00:22:56,501 --> 00:22:57,919 - His wedding's today. 494 00:22:57,961 --> 00:22:59,754 sIf we did it in emerg, maybe he'd make it? 495 00:22:59,796 --> 00:23:02,757 - And maybe Bishop told you he wants to start operating 496 00:23:02,799 --> 00:23:05,677 in trauma and you saw a chance to step up? 497 00:23:06,177 --> 00:23:08,930 - I'd be getting in on cutting-edge procedures. 498 00:23:08,972 --> 00:23:11,933 - And diverting patients and therefore funding from OR. 499 00:23:11,975 --> 00:23:14,102 (scoffing) You have to be smart. 500 00:23:14,144 --> 00:23:15,645 - I know I do, that's why I'm here. 501 00:23:15,687 --> 00:23:17,814 - Except this is becoming a bad habit. 502 00:23:17,856 --> 00:23:19,774 You come to me before you walk into something. 503 00:23:19,816 --> 00:23:21,985 I flag the risks and you do it anyway. 504 00:23:22,027 --> 00:23:25,155 If you don't trust my advice, don't waste my time. 505 00:23:32,162 --> 00:23:36,499 - Hey, about what Bishop said earlier. 506 00:23:36,916 --> 00:23:39,919 - Yeah, well I called my insurer 507 00:23:39,961 --> 00:23:41,963 and they put me in touch with a lawyer. 508 00:23:42,005 --> 00:23:44,549 - Do they think we could lose our license? 509 00:23:44,591 --> 00:23:47,761 - Well, she did say to prepare for it to take a minute. 510 00:23:47,802 --> 00:23:49,596 And that it's a rite of passage. 511 00:23:49,637 --> 00:23:51,014 But, most doctors come through fine. 512 00:23:51,806 --> 00:23:53,975 I know you're not most doctors. 513 00:23:54,017 --> 00:23:58,146 - Look, it's unfair you're wrapped up in all of this. 514 00:23:58,188 --> 00:24:00,690 - Well, I am. I am. 515 00:24:01,232 --> 00:24:03,735 And I'm trying to follow Bishop's advice 516 00:24:03,777 --> 00:24:05,987 and stay focused on the job. You should too. 517 00:24:10,325 --> 00:24:12,077 (bird chirping) 518 00:24:15,330 --> 00:24:17,540 - The bird, he's in the ducts. 519 00:24:25,173 --> 00:24:27,008 (rattling) 520 00:24:31,680 --> 00:24:33,556 (heavy breathing) 521 00:24:38,103 --> 00:24:40,105 (door creaking) 522 00:24:43,024 --> 00:24:45,110 (panting, groaning) 523 00:24:45,944 --> 00:24:47,737 (in Arabic): 524 00:24:57,914 --> 00:25:00,166 (whimpering) 525 00:25:04,921 --> 00:25:07,799 - Ruby? - I think I cut too deep. 526 00:25:07,841 --> 00:25:09,926 (sobbing) 527 00:25:18,351 --> 00:25:19,728 - He's young. 528 00:25:19,769 --> 00:25:21,688 - He's only two years younger than me. 529 00:25:21,730 --> 00:25:23,106 - But still a student? 530 00:25:23,148 --> 00:25:25,150 - I took a couple years to travel. 531 00:25:25,191 --> 00:25:28,361 - Nothing wrong with some real world experience. 532 00:25:28,403 --> 00:25:30,280 - Oh. She's defending you. She likes you. 533 00:25:30,321 --> 00:25:32,866 (laughing) Don't get too excited. 534 00:25:32,907 --> 00:25:36,369 She once carried a sock around for months telling us it was her soulmate. 535 00:25:36,411 --> 00:25:38,329 - I was four! I was four! 536 00:25:38,371 --> 00:25:40,206 And it was a really cute sock, okay? 537 00:25:40,248 --> 00:25:42,000 (pager beeping) - You already have to go? 538 00:25:42,042 --> 00:25:43,710 - It's just an update. 539 00:25:43,752 --> 00:25:45,420 - Is it the patient this morning? 540 00:25:45,462 --> 00:25:47,380 You should've seen her. 541 00:25:47,422 --> 00:25:49,716 She saved a baby's life. 542 00:25:49,758 --> 00:25:52,927 - Yes, she's a force of nature and always has been. 543 00:25:53,345 --> 00:25:55,847 Okay, you can go now. - Oh my God, Cam! 544 00:25:55,889 --> 00:25:57,474 - What? You'll have to run off, 545 00:25:57,515 --> 00:25:59,976 and I can't talk about him if he's here. 546 00:26:00,018 --> 00:26:01,353 (laughing) 547 00:26:01,394 --> 00:26:04,064 - Okay, that's fine. 548 00:26:04,105 --> 00:26:05,982 Very nice to meet you, Camille. 549 00:26:06,024 --> 00:26:08,902 I look forward to hearing 550 00:26:08,943 --> 00:26:10,779 if I'm good enough for your sister. 551 00:26:10,820 --> 00:26:12,030 (in French): 552 00:26:12,072 --> 00:26:13,323 But nobody is. 553 00:26:19,037 --> 00:26:20,413 (in French): 554 00:26:21,498 --> 00:26:24,042 - You can't honestly tell me you see yourself with him. 555 00:26:24,084 --> 00:26:27,045 - He's sweet. He's funny. He's smart. 556 00:26:27,087 --> 00:26:29,172 - And he will do anything you want to make you happy. 557 00:26:30,507 --> 00:26:32,759 At least he's in keeping with your pattern. 558 00:26:32,801 --> 00:26:35,220 - No, he's not! What pattern? What are you talking about? 559 00:26:35,261 --> 00:26:38,723 - It's either someone who withholds validation 560 00:26:38,765 --> 00:26:40,350 or someone who worships you. 561 00:26:40,392 --> 00:26:42,477 You honestly don't see that? 562 00:26:43,228 --> 00:26:46,022 Look I get it. You've had a terrible few months. 563 00:26:46,064 --> 00:26:47,857 But letting this boy fall in love with you 564 00:26:47,899 --> 00:26:49,984 so you can feel better about yourself, 565 00:26:50,026 --> 00:26:51,736 it's the wrong answer, Mag. 566 00:26:53,029 --> 00:26:55,865 - Just once I wish you could tell me what I want to hear. 567 00:27:03,415 --> 00:27:05,083 - Do we have a patient with bedsores? 568 00:27:05,125 --> 00:27:06,918 Because I'm an expert, if you want advice. 569 00:27:06,960 --> 00:27:08,545 - Did you need me for something, Arnold? 570 00:27:08,586 --> 00:27:11,297 - Sam's pain's is at an 8. 571 00:27:11,339 --> 00:27:13,425 And not just because he finally told his fiancee 572 00:27:13,466 --> 00:27:15,218 he can't make their wedding. 573 00:27:15,260 --> 00:27:17,178 - Give him another 10 milligrams of morphine. 574 00:27:17,220 --> 00:27:19,139 It's gonna be a few hours before his surgery. 575 00:27:20,265 --> 00:27:22,142 How do you know so much about bedsores? 576 00:27:22,183 --> 00:27:24,978 - Before I came to emerg, I was a hospice nurse. 577 00:27:25,020 --> 00:27:26,771 Hard to avoid them in that field. 578 00:27:26,813 --> 00:27:28,440 Why? 579 00:27:36,197 --> 00:27:38,199 (phones ringing) 580 00:27:43,872 --> 00:27:46,082 - Oh, baby-- - Don't, okay? 581 00:27:46,124 --> 00:27:47,625 I already know what you're thinking. 582 00:27:47,667 --> 00:27:51,171 - Baby, I was afraid to ask if this was starting up again. 583 00:27:51,212 --> 00:27:53,506 - You have experience with this? 584 00:27:53,548 --> 00:27:56,176 - When I was little, it was just pinching and scratching. 585 00:27:56,217 --> 00:27:57,469 Then it got worse. 586 00:27:57,510 --> 00:27:59,012 - Seeing a psychologist has helped. 587 00:27:59,054 --> 00:28:01,097 - Yeah, once you accepted I needed to. 588 00:28:01,139 --> 00:28:03,475 - I wasn't raised to reach out for help 589 00:28:03,516 --> 00:28:05,435 with these problems like these. 590 00:28:05,477 --> 00:28:07,020 - Many people aren't. 591 00:28:07,062 --> 00:28:10,523 - She's given me some good tools, but sometimes it's... 592 00:28:10,565 --> 00:28:12,400 I don't know. 593 00:28:12,442 --> 00:28:14,444 - A hard pattern to break? 594 00:28:14,486 --> 00:28:17,906 - This is why Malik's bad for you, honey. 595 00:28:17,947 --> 00:28:21,034 He's too unstable. - You're wrong, Mom. 596 00:28:21,076 --> 00:28:23,411 Sharing our burdens makes us stronger. 597 00:28:23,453 --> 00:28:26,915 I know his and he knows mine. And look... 598 00:28:28,375 --> 00:28:30,168 No fresh cuts, 599 00:28:31,378 --> 00:28:33,171 just old scars. 600 00:28:34,547 --> 00:28:37,092 Today was the first time in months. 601 00:28:37,884 --> 00:28:41,388 He helps me, you need to let me help him back. 602 00:28:45,392 --> 00:28:47,477 - Those are the only options? 603 00:28:47,519 --> 00:28:52,107 Do this ablation procedure or wait and see if the SVT recurs? 604 00:28:52,148 --> 00:28:54,984 - There's medication that we can try to prevent future episodes, 605 00:28:55,026 --> 00:28:56,152 but there's no guarantee. 606 00:28:56,194 --> 00:28:57,987 - No. No surgery. 607 00:28:58,029 --> 00:28:59,406 - You heard her. 608 00:28:59,447 --> 00:29:01,241 These episodes could keep happening if we don't do it. 609 00:29:01,282 --> 00:29:02,492 - It could. Not will. 610 00:29:02,534 --> 00:29:04,411 The medication might help. We should wait. 611 00:29:04,452 --> 00:29:06,079 - You wanted to wait to chopper him here, 612 00:29:06,121 --> 00:29:08,164 but if we hadn't brought him-- - He's just a baby, Bruce! 613 00:29:08,206 --> 00:29:09,916 How much more can we ask him to go through? 614 00:29:13,211 --> 00:29:14,546 - What about you? 615 00:29:15,922 --> 00:29:18,383 What would you do if he was yours? 616 00:29:22,012 --> 00:29:23,513 - I don't know. 617 00:29:23,555 --> 00:29:25,640 - Because both options are terrible! 618 00:29:25,682 --> 00:29:27,475 - I'm sorry. 619 00:29:27,517 --> 00:29:29,352 - Do we... 620 00:29:29,394 --> 00:29:31,521 Do we need to decide this second? 621 00:29:31,563 --> 00:29:34,024 - No. And if you do choose the ablation, 622 00:29:34,065 --> 00:29:36,526 it won't be today. So... 623 00:29:36,568 --> 00:29:40,363 Take your time, think about it. 624 00:29:46,036 --> 00:29:47,912 (gentle music) 625 00:29:49,622 --> 00:29:51,332 - What's happened to Malik? 626 00:29:51,374 --> 00:29:53,918 - We were about to start dialysis when his breathing worsened. 627 00:29:56,463 --> 00:29:59,049 - What's going on? - Fluid in his lungs again. 628 00:29:59,090 --> 00:30:00,342 Claire? - On it. 629 00:30:01,468 --> 00:30:03,636 (machine beeping rapidly) 630 00:30:03,678 --> 00:30:05,180 - What do you need, Bash? 631 00:30:05,221 --> 00:30:07,265 - Help with thoracentesis. Guide placement. 632 00:30:11,227 --> 00:30:12,687 Puncturing now. 633 00:30:12,729 --> 00:30:14,481 - About to enter pleural cavity. 634 00:30:16,149 --> 00:30:17,442 Good. 635 00:30:19,319 --> 00:30:21,529 - O2 sats aren't really moving. - This is the second time 636 00:30:21,571 --> 00:30:23,448 this has happened to him, he's in kidney failure. 637 00:30:23,490 --> 00:30:25,408 - The fluid's gonna continue to accumulate. 638 00:30:25,450 --> 00:30:26,951 - He needs the OR - VATS pleurodesis. 639 00:30:26,993 --> 00:30:28,953 - What does that mean? - It's a surgical procedure 640 00:30:28,995 --> 00:30:30,747 that seals up the space between his chest and his lungs, 641 00:30:30,789 --> 00:30:32,374 or this will keep happening. 642 00:30:32,415 --> 00:30:34,542 - Thoracics can't take him for at least another 8 hours. 643 00:30:34,584 --> 00:30:36,461 Excuse me. - Can he wait that long? 644 00:30:36,503 --> 00:30:38,630 - He'll have to. I'll put a drain in, 645 00:30:38,672 --> 00:30:40,090 and we'll monitor him until they have time. 646 00:30:40,131 --> 00:30:42,175 - Unless we do a chemical pleurodesis here. 647 00:30:42,217 --> 00:30:46,054 - That's a risk in emerg. - It's talc in a chest tube. 648 00:30:46,096 --> 00:30:48,098 It'll expedite dialysis. We know he needs it. 649 00:30:48,139 --> 00:30:49,599 It makes sense, Bash. 650 00:30:49,641 --> 00:30:51,142 - Call an attending? 651 00:30:52,185 --> 00:30:53,561 - You guys should wait outside. 652 00:30:53,603 --> 00:30:57,065 - I wanna stay. Please! - Baby. Let's let them work. 653 00:30:57,107 --> 00:31:01,319 - We need talc - 10 grams in a 250 ml sterile isotonic 654 00:31:01,361 --> 00:31:03,071 sodium chloride solution. 655 00:31:03,113 --> 00:31:04,989 I'll start on the tube, you wanna prep the agent? 656 00:31:06,032 --> 00:31:07,617 - Bash? - What's happening? 657 00:31:07,659 --> 00:31:09,994 - He needs a chemical pleurodesis. 658 00:31:10,036 --> 00:31:12,163 Are you sure you don't want in on this? 659 00:31:12,205 --> 00:31:13,748 - You guys have it. 660 00:31:14,499 --> 00:31:16,626 - I need a 28 French and two guarded clamps. 661 00:31:16,668 --> 00:31:19,129 (dramatic music) 662 00:31:25,260 --> 00:31:28,847 - So, scale of one to Titanic? 663 00:31:28,888 --> 00:31:31,057 - You were fine. Cam is insane. 664 00:31:31,099 --> 00:31:34,060 - Because if I said anything-- - No. 665 00:31:34,102 --> 00:31:36,187 - Marnie is negative for TB. 666 00:31:36,855 --> 00:31:38,523 - That's a relief. 667 00:31:38,565 --> 00:31:40,650 Although I guess it means that we're back to not knowing. 668 00:31:40,692 --> 00:31:42,318 Did you want me to work up a differential? 669 00:31:42,360 --> 00:31:45,321 - Sure, but respirology will have to weigh in. 670 00:31:45,363 --> 00:31:48,658 And this is complex - so you're aware of the expectations. 671 00:31:51,745 --> 00:31:54,622 - You know certain fungal infections can mimic TB. 672 00:31:54,664 --> 00:31:57,417 I'd look into any environmental exposures if I were you. 673 00:31:57,459 --> 00:32:00,211 - She did say that she was playing on a compost pile 674 00:32:00,253 --> 00:32:02,172 with her brothers. 675 00:32:02,213 --> 00:32:03,548 You're incredible. 676 00:32:03,590 --> 00:32:05,383 - Why are you still here? 677 00:32:05,425 --> 00:32:07,093 Go, go cross-reference with her symptoms. 678 00:32:13,183 --> 00:32:15,518 (indistinct chatter) 679 00:32:16,770 --> 00:32:18,146 - The wedding came to him? 680 00:32:18,188 --> 00:32:19,647 - We didn't think Sam was a good candidate 681 00:32:19,689 --> 00:32:21,191 for draining in trauma. 682 00:32:21,232 --> 00:32:24,402 - Hmm. Not to mention Dr. Singh detested my idea 683 00:32:24,444 --> 00:32:26,613 of an acute care surgical response team. 684 00:32:26,654 --> 00:32:28,323 - Yeah, passionately. 685 00:32:28,365 --> 00:32:31,242 - And the kidney failure patient? The ED pleurodesis? 686 00:32:31,284 --> 00:32:32,869 What will he make of that? 687 00:32:32,911 --> 00:32:34,746 - I haven't mentioned it yet but-- 688 00:32:34,788 --> 00:32:35,830 - That patient was a candidate, 689 00:32:35,872 --> 00:32:37,749 and I'll defend it to any surgeons 690 00:32:37,791 --> 00:32:39,793 that wants to take issue. 691 00:32:41,753 --> 00:32:43,630 How are you doing, June? 692 00:32:43,672 --> 00:32:47,133 Being Chief Resident, caught between the egos and the politics... 693 00:32:47,175 --> 00:32:49,260 - It's just hard to know whose interests you're serving, 694 00:32:49,302 --> 00:32:50,595 you know, who you can trust. 695 00:32:50,637 --> 00:32:54,265 - All I know is patient first is our true north. 696 00:32:55,642 --> 00:32:58,269 Keep an open mind about what I'm proposing. 697 00:32:58,311 --> 00:33:01,439 If you find a candidate that fits the bill, I'll have your back. 698 00:33:04,401 --> 00:33:06,611 - Khaled appealed his asylum case 699 00:33:06,653 --> 00:33:07,904 because you said he had a chance. 700 00:33:07,946 --> 00:33:09,698 Now he's stuck in jail! 701 00:33:09,739 --> 00:33:12,534 (Kline): I've been trying to argue for his conditional release. 702 00:33:12,575 --> 00:33:14,661 Beyond that-- - Don't say there's nothing I can do. 703 00:33:14,703 --> 00:33:17,414 (Kline): I'm sorry doctor, but it is the case. 704 00:33:17,455 --> 00:33:19,541 Listen, I'll call if anything changes. 705 00:33:20,917 --> 00:33:25,338 - Dr. Hamed, how long do these sessions usually take? 706 00:33:25,380 --> 00:33:27,298 His dialysis. 707 00:33:27,340 --> 00:33:28,800 - Three hours, four times a week. 708 00:33:28,842 --> 00:33:30,802 - Well, I feel for him, 709 00:33:30,844 --> 00:33:33,471 but he's gonna have to learn to make health his priority. 710 00:33:33,513 --> 00:33:36,516 - What alone? Without any support? 711 00:33:36,558 --> 00:33:38,935 - She's just a child! - Your daughter got him to do 712 00:33:38,977 --> 00:33:42,313 what apparently no one else can, confide in her. 713 00:33:42,355 --> 00:33:44,566 And like it or not, she trusts him too. 714 00:33:45,316 --> 00:33:47,444 - This is none of your damn business. 715 00:33:51,698 --> 00:33:53,783 - She got sick from my compost pile? 716 00:33:53,825 --> 00:33:55,952 - I'll have Jake here explain it 717 00:33:55,994 --> 00:33:58,496 since we have him to thank for the revelation. 718 00:33:58,538 --> 00:34:00,665 - Yeah, well, Marnie likely has 719 00:34:00,707 --> 00:34:02,584 "allergic bronchopulmonary aspergillosis". 720 00:34:02,625 --> 00:34:05,920 It's an infection from a fungus commonly found in compost bins. 721 00:34:05,962 --> 00:34:09,507 And the effects resemble asthma, or TB. 722 00:34:09,549 --> 00:34:12,510 But the good new is, it's not contagious and totally treatable. 723 00:34:12,552 --> 00:34:16,264 - Wow. Okay. So what are the next steps? 724 00:34:16,306 --> 00:34:18,350 - Well, we'll swab to confirm, 725 00:34:18,391 --> 00:34:20,352 but Marnie will be on the mend for a few days. 726 00:34:20,393 --> 00:34:21,895 - Shall I go fix you boys some cocktails 727 00:34:21,936 --> 00:34:23,480 while you finish chatting? 728 00:34:23,521 --> 00:34:25,815 Wow, the second a man's in the room. 729 00:34:25,857 --> 00:34:29,235 - Stand down, soldier. I have a magnetic presence. 730 00:34:29,277 --> 00:34:31,488 It's why you fell for me. - And why I left you. 731 00:34:31,529 --> 00:34:33,281 - Have you been doing this all day? 732 00:34:33,323 --> 00:34:34,783 Stop terrifying the doctors. 733 00:34:34,824 --> 00:34:36,785 - You're not scared of me, are you, Dr. Hunter? 734 00:34:42,290 --> 00:34:44,876 (machine beeping rapidly) 735 00:34:44,918 --> 00:34:46,378 - It's happening again! 736 00:34:46,419 --> 00:34:47,796 He was awake and smiling and then-- 737 00:34:47,837 --> 00:34:50,423 - Let's give him 0.7 milligrams of adenosine, Nelly. 738 00:34:52,926 --> 00:34:54,678 Okay. One, two. 739 00:34:56,971 --> 00:34:58,890 - Why isn't it working? - He's still at 300 bpm. 740 00:34:58,932 --> 00:35:00,558 We need to cardiovert. 3.5 joules. 741 00:35:01,017 --> 00:35:03,895 On my mark. Ready, and clear! 742 00:35:03,937 --> 00:35:06,648 (thump) (sobbing) 743 00:35:07,941 --> 00:35:09,275 Again. 7 joules. 744 00:35:09,317 --> 00:35:11,569 Ready, and clear! (thump) 745 00:35:12,362 --> 00:35:13,988 (beeping) 746 00:35:16,574 --> 00:35:18,410 Give him a minute. 747 00:35:18,451 --> 00:35:20,370 Come on, come on, Oli. 748 00:35:22,080 --> 00:35:23,707 Okay, he's stabilizing. 749 00:35:23,748 --> 00:35:25,458 (sighing) 750 00:35:37,887 --> 00:35:39,931 - This isn't going to stop, is it? 751 00:35:42,142 --> 00:35:44,019 - I think you should do the ablation. 752 00:35:44,060 --> 00:35:46,896 - You said it could kill him! - There are risks either way. 753 00:35:46,938 --> 00:35:49,858 But your son is a fighter, 754 00:35:49,899 --> 00:35:51,526 and it gives him the best chance. 755 00:36:00,076 --> 00:36:02,954 Okay. It'll take a few days to schedule 756 00:36:02,996 --> 00:36:05,123 and Dr. Fisher will do the procedure, but I promise 757 00:36:05,165 --> 00:36:07,375 that I'll be with you every step of the way. 758 00:36:14,841 --> 00:36:17,469 (gentle music) 759 00:36:29,689 --> 00:36:31,107 (deep exhale) 760 00:36:36,780 --> 00:36:39,407 (sirens blaring in the distance) 761 00:36:41,159 --> 00:36:44,412 - You didn't mention me that you treated Ruby for cutting herself. 762 00:36:45,497 --> 00:36:48,041 I'm just going over today's patient intakes. 763 00:36:48,083 --> 00:36:51,503 - It was right before Malik crashed again. I'm sorry. 764 00:36:51,544 --> 00:36:53,546 - It's not that. It's just, you realize that 765 00:36:53,588 --> 00:36:55,048 with her history of self-harm, 766 00:36:55,090 --> 00:36:57,092 it's unlikely she'll be able to donate a kidney. 767 00:36:57,133 --> 00:36:58,718 - Even if she keeps it under control? 768 00:36:58,760 --> 00:37:00,428 - Still a tough sell. 769 00:37:00,470 --> 00:37:02,555 Donors often experience depression post-op. 770 00:37:02,597 --> 00:37:04,557 There's pretty strict rules on mental health. 771 00:37:04,599 --> 00:37:06,893 - Then it's a death sentence for this kid, Theo. 772 00:37:08,770 --> 00:37:10,897 - Look, man, I heard about the lawsuit. 773 00:37:10,939 --> 00:37:12,524 I know what it's like. 774 00:37:12,565 --> 00:37:14,776 - You've been sued? - I'm being sued. 775 00:37:15,902 --> 00:37:17,779 For custody. 776 00:37:20,573 --> 00:37:23,451 - Theo, I... - Just-- You have to tell them. 777 00:37:23,493 --> 00:37:24,911 Ruby and Malik. 778 00:37:24,953 --> 00:37:26,955 They need to know what they're facing. 779 00:37:33,670 --> 00:37:36,923 - Since when did you start drinking fancy apricot beer, anyways? 780 00:37:36,965 --> 00:37:39,759 - You're free to buy your own. 781 00:37:39,801 --> 00:37:43,013 - I feel like I'm 16 again and you're bootlegging for me. 782 00:37:43,054 --> 00:37:44,931 - I did that one time. 783 00:37:44,973 --> 00:37:46,975 You ended up throwing up all over Taneesha's car. 784 00:37:47,017 --> 00:37:48,643 Which she made me pay to have it cleaned. 785 00:37:48,685 --> 00:37:51,563 - You're the one who insisted I go camping with you guys. 786 00:37:51,604 --> 00:37:53,648 Remember? - I had no choice. 787 00:37:53,690 --> 00:37:55,567 - What do you mean, you had no choice? 788 00:37:57,569 --> 00:38:00,739 - Dad took out a second mortgage on the house without telling Mom. 789 00:38:00,780 --> 00:38:02,949 I came home, she's screaming, packing up all his stuff. 790 00:38:04,743 --> 00:38:07,162 So I had to get you out of the house for the weekend. 791 00:38:07,203 --> 00:38:09,831 - When we got back, she was fine. 792 00:38:10,540 --> 00:38:12,625 - And Dad was "on the road" for a month. 793 00:38:12,667 --> 00:38:14,252 - Yeah, but he was a management consultant! 794 00:38:14,294 --> 00:38:15,962 He always travelled for-- 795 00:38:18,340 --> 00:38:20,258 That one wasn't for work. 796 00:38:20,884 --> 00:38:24,763 - She threw him out and he wormed his way back in. 797 00:38:24,804 --> 00:38:26,556 Again. 798 00:38:29,559 --> 00:38:31,519 - What else am I remembering wrong? 799 00:38:32,687 --> 00:38:34,898 (gentle music) 800 00:38:34,939 --> 00:38:38,735 I'm sorry that you had to build those walls, June. 801 00:38:38,777 --> 00:38:40,695 - I have enough bad memories, you know. 802 00:38:40,737 --> 00:38:42,655 I just wanted you to have good ones. 803 00:38:45,909 --> 00:38:47,660 - Well, you're off the hook. 804 00:38:47,702 --> 00:38:49,245 It's time for Dad's night meds. 805 00:38:49,287 --> 00:38:50,914 - You should change his mattress. 806 00:38:50,955 --> 00:38:52,707 Gel or foam will help the bedsores. 807 00:38:55,293 --> 00:38:58,213 - Isn't that kind of helpful advice against the rules? 808 00:38:59,255 --> 00:39:01,091 - I'm giving you advice, not him. 809 00:39:01,132 --> 00:39:04,177 And trusting you not to tell me whether or not you take it. 810 00:39:04,219 --> 00:39:05,929 - Thanks, Junie. 811 00:39:05,970 --> 00:39:07,639 - Yeah. 812 00:39:15,271 --> 00:39:17,107 - Is that your secret identity? 813 00:39:17,148 --> 00:39:19,776 - Yeah I keep the cape in the bag. 814 00:39:19,818 --> 00:39:22,862 You know, in case I see a cat in a tree on my way home. 815 00:39:23,780 --> 00:39:25,824 - So, Marnie's in respirology now 816 00:39:25,865 --> 00:39:27,951 with a much less accommodating doctor. 817 00:39:29,244 --> 00:39:32,205 Justin's gonna spend the night with her since I took the day. 818 00:39:33,415 --> 00:39:34,833 So? 819 00:39:38,253 --> 00:39:41,923 Wow, you're really going to make me ask you, huh? 820 00:39:41,965 --> 00:39:44,384 - Ask what? 821 00:39:44,426 --> 00:39:46,302 - If you wanna come home with me. 822 00:39:47,303 --> 00:39:50,140 To be clear, if you wanna have sex with me. 823 00:39:50,181 --> 00:39:53,143 (chuckling) - Yeah. Um... 824 00:39:53,184 --> 00:39:55,937 What about your husband? - Ex-husband. 825 00:39:55,979 --> 00:39:57,856 Though I'm sure he'd be delighted if you felt compelled 826 00:39:57,897 --> 00:39:59,065 to ask him for his blessing. 827 00:39:59,107 --> 00:40:02,277 - I'm your daughter's doctor. - Ex-doctor. 828 00:40:02,318 --> 00:40:03,987 What else you got? 829 00:40:05,739 --> 00:40:08,742 - I thought you hated me. - Don't overthink it. 830 00:40:19,878 --> 00:40:22,213 - I'm sorry. I know this isn't what you wanted to hear. 831 00:40:23,840 --> 00:40:26,009 - There must be something you can do! 832 00:40:26,051 --> 00:40:27,761 - There isn't. 833 00:40:27,802 --> 00:40:29,763 It's okay, babe. - No! 834 00:40:29,804 --> 00:40:31,931 We'll make dialysis work until you get a kidney. 835 00:40:31,973 --> 00:40:34,267 I'll find us a place to live, get a part-time job. 836 00:40:34,309 --> 00:40:37,228 - I'll go to one of the group homes if the social worker's still around. 837 00:40:37,270 --> 00:40:39,022 - I can reach out if you think you're ready. 838 00:40:39,064 --> 00:40:41,316 - Mal, you don't want that! - Ruby, it's better this way. 839 00:40:41,358 --> 00:40:42,817 I'm not dragging you down with me. 840 00:40:42,859 --> 00:40:44,903 - Stop this foolishness, both of you. 841 00:40:46,363 --> 00:40:48,406 - He'll come and live with us. 842 00:40:49,324 --> 00:40:50,825 He can stay in our guest room. 843 00:40:50,867 --> 00:40:53,161 I'll make sure he gets to dialysis. 844 00:40:53,203 --> 00:40:55,997 - No, Ms. Evans, I couldn't do that. 845 00:40:56,039 --> 00:40:58,875 - You deserve a fair chance to fight this off. 846 00:41:00,877 --> 00:41:02,837 I'm not taking no for an answer. 847 00:41:03,505 --> 00:41:06,341 If I can't convince you, I know Ruby can. 848 00:41:13,390 --> 00:41:15,266 - You don't know how much this means to me. 849 00:41:16,017 --> 00:41:17,894 - We'll find a way to get through. 850 00:41:19,396 --> 00:41:21,398 (soft music) 851 00:41:38,206 --> 00:41:40,250 - It's a good thing you're doing. 852 00:41:41,001 --> 00:41:42,752 - What choice did I have? 853 00:41:43,128 --> 00:41:45,171 Turn my back and lose my daughter? 854 00:41:45,213 --> 00:41:47,215 I don't like this thing between them. 855 00:41:47,257 --> 00:41:49,009 But I can't stop it. 856 00:41:49,926 --> 00:41:52,429 All I can do now is let it happen. 857 00:42:00,437 --> 00:42:02,313 (bird chirping) 858 00:42:11,072 --> 00:42:13,074 (wings fluttering) 859 00:42:18,204 --> 00:42:20,373 (rumbling) 860 00:42:21,916 --> 00:42:23,543 (man panting) 861 00:42:27,964 --> 00:42:29,466 (in Arabic): 862 00:42:52,489 --> 00:42:54,282 (squeaking) 863 00:42:59,871 --> 00:43:02,499 (dramatic music) 864 00:43:26,356 --> 00:43:27,857 Subtitling: difuze