1 00:00:00,182 --> 00:00:01,265 Look out! 2 00:00:02,112 --> 00:00:03,695 You have an epidural hematoma. 3 00:00:03,700 --> 00:00:05,484 I've specialized as a trauma surgeon 4 00:00:05,489 --> 00:00:07,359 and emergency medical doctor in Syria. 5 00:00:07,364 --> 00:00:08,695 We have met before, of course, 6 00:00:08,700 --> 00:00:10,406 I interviewed you and then didn't hire you. 7 00:00:10,411 --> 00:00:11,757 I think we need to do it again. 8 00:00:11,762 --> 00:00:13,296 I know I screwed up. 9 00:00:13,301 --> 00:00:15,166 Taking that job without telling you was... 10 00:00:15,171 --> 00:00:17,302 You are almost in your fourth year, June. 11 00:00:17,307 --> 00:00:20,239 You should consider applying for the Chief Resident position. 12 00:00:20,244 --> 00:00:22,398 All could hear was your voice in my head. 13 00:00:22,403 --> 00:00:23,797 - Telling you what? - That I'm focusing 14 00:00:23,801 --> 00:00:25,289 on all the wrong things. 15 00:00:25,294 --> 00:00:26,382 Sir! 16 00:00:26,387 --> 00:00:27,860 He collapsed and there's not much pulse. 17 00:00:27,864 --> 00:00:29,351 - Ischemic stroke? - Or hemorrhagic. 18 00:00:29,356 --> 00:00:30,687 Charging! 19 00:00:30,786 --> 00:00:32,531 I knew he still had symptoms. 20 00:00:32,536 --> 00:00:33,921 Oh, Bash. 21 00:00:36,841 --> 00:00:37,921 Bashir. 22 00:00:37,926 --> 00:00:39,260 Rania! 23 00:00:51,543 --> 00:00:53,407 Bashir. 24 00:00:55,654 --> 00:00:56,890 Rania. 25 00:00:57,033 --> 00:00:58,631 You were dead. 26 00:00:58,636 --> 00:01:00,554 Everyone thought so. 27 00:01:02,648 --> 00:01:04,476 _ 28 00:01:07,047 --> 00:01:09,460 _ 29 00:01:12,216 --> 00:01:14,886 Rania was always brutally honest with me. 30 00:01:15,227 --> 00:01:19,867 _ 31 00:01:25,997 --> 00:01:27,406 _ 32 00:01:28,297 --> 00:01:30,101 _ 33 00:01:31,338 --> 00:01:33,242 _ 34 00:01:34,040 --> 00:01:35,648 _ 35 00:01:35,653 --> 00:01:36,721 Amira... 36 00:01:36,726 --> 00:01:38,273 _ 37 00:01:41,509 --> 00:01:44,178 How long have you known we were here? 38 00:01:44,492 --> 00:01:46,296 Since you came. 39 00:01:47,320 --> 00:01:49,437 _ 40 00:01:50,003 --> 00:01:51,546 _ 41 00:01:51,586 --> 00:01:52,953 _ 42 00:01:54,241 --> 00:01:56,703 _ 43 00:01:56,708 --> 00:01:58,043 Bash. 44 00:01:58,497 --> 00:02:01,414 Bash, I know you're already clocked-out but we need hands. 45 00:02:01,419 --> 00:02:03,288 Multi-car MVC, they're about to call it! 46 00:02:04,003 --> 00:02:05,570 They call you Bash? 47 00:02:06,911 --> 00:02:08,164 Did you let them? 48 00:02:08,169 --> 00:02:11,828 - It's growing on me. - Go be a doctor. 49 00:02:15,055 --> 00:02:17,484 _ 50 00:02:17,773 --> 00:02:19,406 _ 51 00:02:25,083 --> 00:02:26,083 You said this place 52 00:02:26,088 --> 00:02:27,956 would swallow me whole if I let it. 53 00:02:29,124 --> 00:02:31,742 And then you went and had a stroke which, let's face it, 54 00:02:31,747 --> 00:02:34,417 is a pretty extreme way to make your point. 55 00:02:36,842 --> 00:02:39,375 "The past is the past, Doctor Leblanc. 56 00:02:39,380 --> 00:02:41,783 What matters now is how you respond." 57 00:02:42,386 --> 00:02:45,322 Mags. Code Orange. All available personnel. 58 00:02:47,644 --> 00:02:49,726 - Mags! - Hey! Do you know what's going on? 59 00:02:49,731 --> 00:02:50,732 Just that they're calling everyone. 60 00:02:50,736 --> 00:02:52,164 - Has he said anything yet? - No... 61 00:02:52,169 --> 00:02:54,046 and the first few hours are critical. 62 00:02:54,051 --> 00:02:55,421 Hopefully he wakes again soon. 63 00:02:55,426 --> 00:02:56,937 - It's Bishop. He will. - Yeah. 64 00:02:56,942 --> 00:02:58,929 Also haven't you been working two days straight? 65 00:02:58,934 --> 00:03:01,332 Hum. Says the girl who's about to double her workload 66 00:03:01,337 --> 00:03:03,202 by throwing in for Chief Surgical Resident. 67 00:03:03,207 --> 00:03:04,992 Okay, look, I became a surgeon 68 00:03:04,997 --> 00:03:06,862 because I prefer my patients unconscious. 69 00:03:07,069 --> 00:03:08,933 I'm not sure I should be managing other people. 70 00:03:08,938 --> 00:03:11,468 Wait! So you're not gonna try because you're afraid to fail? 71 00:03:11,473 --> 00:03:14,673 I'm not afraid, Mags, okay I just know what my skills are 72 00:03:14,678 --> 00:03:16,242 - and what they aren't. - Mm-hmm. 73 00:03:16,247 --> 00:03:18,609 Notify the blood bank, prepare for MTP. 74 00:03:18,614 --> 00:03:20,585 - Where do you want Mr. Kline? - Hallway for now. 75 00:03:20,590 --> 00:03:23,289 We need to make sure all lower-acuity beds are cleared. 76 00:03:23,294 --> 00:03:24,357 Copy that! 77 00:03:24,362 --> 00:03:26,296 See if you can put her on three. Rhoda? 78 00:03:26,301 --> 00:03:29,859 - Who's in two? - Migraine, DHE. Resolving. 79 00:03:29,864 --> 00:03:32,320 Okay, put him somewhere else. Same with the ankle sprain. 80 00:03:32,325 --> 00:03:34,563 Any idea what we're dealing with? I can call ahead to OR. 81 00:03:34,567 --> 00:03:36,843 All I know is a bus went through a guardrail 82 00:03:36,848 --> 00:03:38,981 - on the Bayview extension. - That's not far from here. 83 00:03:38,985 --> 00:03:40,906 - I can go to the site for triage. - Good, good. 84 00:03:40,911 --> 00:03:43,000 There's a trauma team en route from St. Jacobs, Mags 85 00:03:43,005 --> 00:03:45,101 - I'm in. - Update us when you get there. 86 00:03:45,106 --> 00:03:47,267 We run this like he taught us. 87 00:03:54,348 --> 00:03:55,757 Sorry. 88 00:03:58,282 --> 00:03:59,883 Ahem. 89 00:04:04,017 --> 00:04:05,886 So what's going to happen now? 90 00:04:06,317 --> 00:04:08,109 With Doctor Bishop out? 91 00:04:09,600 --> 00:04:11,367 Well, the board appoints an Acting Chief 92 00:04:11,372 --> 00:04:12,973 until they know his status. 93 00:04:14,003 --> 00:04:16,939 If they're smart, it's Atwater. If they're stupid... 94 00:04:16,944 --> 00:04:18,507 Everything changes. 95 00:04:35,424 --> 00:04:37,025 Oh, my God. 96 00:04:48,509 --> 00:04:51,046 Let's assess who's injured then make a plan! 97 00:04:51,324 --> 00:04:53,312 Triage everyone coming out of the bus. 98 00:04:53,317 --> 00:04:54,921 Priority on the quiet ones. 99 00:04:54,926 --> 00:04:56,585 If they're crying, they're breathing. 100 00:04:56,590 --> 00:04:58,455 Help's here, guys. Help's here. 101 00:04:58,460 --> 00:05:00,046 Come on! 102 00:05:03,812 --> 00:05:04,879 Emily! 103 00:05:06,035 --> 00:05:08,359 Emily! She's not moving, she needs help! 104 00:05:08,364 --> 00:05:09,453 Who's not moving? 105 00:05:09,458 --> 00:05:11,589 Emily and the other kids in there who can't get out! 106 00:05:11,594 --> 00:05:12,782 - Are you the bus driver? - Yeah. 107 00:05:12,786 --> 00:05:15,289 I don't know what happened. I think I hit black ice or... 108 00:05:15,294 --> 00:05:17,039 Johnny? She's got a head wound. 109 00:05:17,044 --> 00:05:18,046 Got it! 110 00:05:18,652 --> 00:05:20,406 Here, come with me. 111 00:05:23,697 --> 00:05:26,554 If you can crawl to the window, the firefighters will help you! 112 00:05:26,559 --> 00:05:29,320 - Are you okay? - Yeah, I'm okay. 113 00:05:30,277 --> 00:05:32,187 Emily! 114 00:05:35,145 --> 00:05:37,031 - What's your name? - Lucas. 115 00:05:37,036 --> 00:05:39,789 It's going to be okay, Lucas. Where does it hurt most? 116 00:05:40,161 --> 00:05:42,750 My neck, real bad. 117 00:05:43,530 --> 00:05:45,398 Where are you coming back from, Lucas? 118 00:05:45,634 --> 00:05:47,499 Millwood Arts Camp. 119 00:05:47,948 --> 00:05:50,187 It was winter overnight this weekend, 120 00:05:50,192 --> 00:05:52,323 for the counsellors in training. 121 00:05:52,328 --> 00:05:53,930 Any pain besides your neck? 122 00:05:54,356 --> 00:05:56,726 My hands kinda tingle. 123 00:05:57,261 --> 00:05:59,130 Squeeze my fingers? 124 00:06:00,836 --> 00:06:02,281 Okay. Good job. 125 00:06:02,286 --> 00:06:03,883 Try to stay very still, okay? 126 00:06:03,888 --> 00:06:05,888 - What's his status? - Possible fractured vertebra. 127 00:06:05,893 --> 00:06:07,757 We won't know how bad until we image. 128 00:06:07,762 --> 00:06:10,153 Get him on a spinal board, try to keep him still. 129 00:06:10,158 --> 00:06:12,215 If he decompensates, come and find me. 130 00:06:12,220 --> 00:06:15,051 Okay. Don't move, everything's gonna be okay. 131 00:06:15,056 --> 00:06:16,390 Who needs help? 132 00:06:16,684 --> 00:06:18,754 If you can't speak, raise your hand! 133 00:06:24,693 --> 00:06:26,442 Is your name Emily? 134 00:06:32,176 --> 00:06:33,520 Are you okay? Can you get out? 135 00:06:33,852 --> 00:06:35,817 - Can you get out? - Mags! 136 00:06:35,822 --> 00:06:37,420 She's got a projectile in her neck, 137 00:06:37,425 --> 00:06:38,756 right next to her jugular. 138 00:06:38,761 --> 00:06:41,090 We can't move her and we can't intubate around it. 139 00:06:41,095 --> 00:06:42,356 It has to come out. 140 00:06:42,361 --> 00:06:43,959 It's too risky. We need to protect her airway. 141 00:06:43,963 --> 00:06:45,832 Look, there's no point if she bleeds out. 142 00:06:46,718 --> 00:06:47,879 Hang in there, kiddo. 143 00:06:47,884 --> 00:06:50,043 Even if you remove it cleanly, she's hemorrhaging. 144 00:06:50,048 --> 00:06:51,649 How can you suture a wound that big here? 145 00:06:51,654 --> 00:06:53,523 I don't. Get me the foley cath! 146 00:06:57,126 --> 00:06:58,461 I'll remove the projectile 147 00:06:58,466 --> 00:06:59,943 and you'll stem the bleeding with that. 148 00:06:59,947 --> 00:07:01,545 - How? - I'll talk you through it 149 00:07:01,550 --> 00:07:04,219 but it has to be now. There's no way I'm leaving her like this. 150 00:07:10,473 --> 00:07:14,153 Morphine, forceps, scalpel. 151 00:07:21,582 --> 00:07:23,447 Okay, Emily, 152 00:07:23,452 --> 00:07:24,794 I'm going to remove the obstruction 153 00:07:24,798 --> 00:07:26,434 from your neck to stop the bleeding. 154 00:07:26,439 --> 00:07:29,627 You're gonna feel a sharp pinch and some warm liquid, okay? 155 00:07:41,786 --> 00:07:43,924 When the debris comes out, the cath goes in 156 00:07:43,929 --> 00:07:45,794 - and then inflate with saline. - How much? 157 00:07:45,799 --> 00:07:49,065 Until you feel resistance. Trust your instinct, okay? 158 00:07:49,663 --> 00:07:50,948 - You're ready? - Yeah! 159 00:07:50,953 --> 00:07:52,554 Okay. 160 00:07:56,911 --> 00:07:58,416 Okay, go! 161 00:08:02,574 --> 00:08:04,471 - There! - Okay. 162 00:08:05,139 --> 00:08:06,979 Okay, good. Good. 163 00:08:08,857 --> 00:08:10,049 Emily? 164 00:08:10,218 --> 00:08:13,143 Can you hear me? Emily? Emily? 165 00:08:13,148 --> 00:08:15,518 Open your eyes if you can hear me. Emily? 166 00:08:17,387 --> 00:08:18,985 Okay. 167 00:08:19,192 --> 00:08:21,060 Stay with me, Emily. 168 00:08:32,482 --> 00:08:34,869 Synced & corrected by QueenMaddie www.addic7ed.com 169 00:08:42,910 --> 00:08:45,575 Wow, out like a light. 170 00:08:45,580 --> 00:08:48,512 - Should we move them? - No, no. Just uh... 171 00:08:48,517 --> 00:08:49,848 just leave them a bit longer. 172 00:09:02,727 --> 00:09:04,377 You have to go. 173 00:09:09,917 --> 00:09:11,519 I'm sorry! 174 00:09:15,398 --> 00:09:16,869 - Alright! - Mags! 175 00:09:16,874 --> 00:09:18,209 Yeah? 176 00:09:21,475 --> 00:09:23,010 Lizzie can't move her leg. 177 00:09:23,015 --> 00:09:25,401 Hey, Lizzie! I'm Doctor Leblanc. 178 00:09:25,538 --> 00:09:27,559 How about your toes. Can you wiggle them? 179 00:09:29,345 --> 00:09:31,432 LOC's low. Knee's dislocated. 180 00:09:31,437 --> 00:09:33,301 Leg has no pulse. We're gonna have to reduce 181 00:09:33,306 --> 00:09:34,370 or she could lose it. 182 00:09:34,375 --> 00:09:37,040 My bracelet, I need to find it. 183 00:09:37,045 --> 00:09:39,711 How about we add this one to your collection for now, okay? 184 00:09:39,716 --> 00:09:42,291 Lizzie, we're gonna have to put your knee back into place. 185 00:09:42,296 --> 00:09:45,205 It's gonna hurt but the worst part's over fast. Okay? 186 00:09:45,210 --> 00:09:46,502 You're ready? 187 00:09:47,187 --> 00:09:50,041 On three, two, one. 188 00:09:57,022 --> 00:09:59,471 You're doing great Emily, I'm not going to leave your side. 189 00:09:59,476 --> 00:10:00,969 - Emily? - Madam, please. 190 00:10:00,974 --> 00:10:02,714 - Let me ride with her! - It's fine, officer, 191 00:10:02,718 --> 00:10:04,582 she needs medical attention anyway. 192 00:10:17,138 --> 00:10:18,740 We'll be there soon, okay? 193 00:10:19,626 --> 00:10:21,127 What happens now? 194 00:10:21,132 --> 00:10:23,682 We bought some time, but she lost a lot of blood. 195 00:10:23,687 --> 00:10:26,619 It's okay, M&M, I've got you. Hmm? 196 00:10:26,624 --> 00:10:29,026 I've got you. I've got you. 197 00:10:29,031 --> 00:10:31,608 Why do I feel like you do more than drive the bus? 198 00:10:31,694 --> 00:10:34,363 Hmm... I judge talent shows, 199 00:10:34,368 --> 00:10:37,991 and paint theatre backdrops. 200 00:10:38,186 --> 00:10:40,437 The kids are all so creative, you know? 201 00:10:40,442 --> 00:10:43,749 Her mom owns the camp so, I've watched Em grow up. 202 00:10:43,754 --> 00:10:45,351 All of them, really. 203 00:10:45,356 --> 00:10:46,954 How long have you worked there? 204 00:10:46,959 --> 00:10:49,628 Hmm, seven years. 205 00:10:49,984 --> 00:10:53,280 It's near Midland, where I'm from so, not much to see. 206 00:10:53,285 --> 00:10:56,882 I haven't seen anything in Canada outside of Toronto, so... 207 00:10:58,002 --> 00:11:00,569 Hey! Hey! 208 00:11:00,574 --> 00:11:02,172 It's okay. 209 00:11:02,177 --> 00:11:03,775 I got one for you. 210 00:11:03,780 --> 00:11:06,712 Why should you never trust atoms? 211 00:11:07,495 --> 00:11:10,101 No, no, no, don't. Don't tell me now. 212 00:11:10,106 --> 00:11:12,504 Tell me later, when you're better, okay? 213 00:11:12,509 --> 00:11:13,844 Ooh. 214 00:11:14,388 --> 00:11:15,452 Are you okay? 215 00:11:15,457 --> 00:11:18,390 Hum, yeah I'm okay, I'm just, uh... dizzy. 216 00:11:18,395 --> 00:11:20,375 You might have a concussion, we'll check you out too 217 00:11:20,379 --> 00:11:21,977 - once we get there. - Mm-hmm. 218 00:11:24,020 --> 00:11:26,614 What's wrong? What's happening? 219 00:11:26,727 --> 00:11:28,106 What is it? 220 00:11:29,119 --> 00:11:30,989 Hey, it's okay... 221 00:11:31,189 --> 00:11:32,790 I'm right here. 222 00:11:42,455 --> 00:11:44,653 Lucas? Oh, my God. 223 00:11:45,765 --> 00:11:46,778 Lucas West. 224 00:11:46,783 --> 00:11:48,662 Impact trauma with potential spinal complications. 225 00:11:48,666 --> 00:11:50,264 Alright! I've gotta get him to CT! 226 00:11:50,269 --> 00:11:52,133 Emily Parker, projectile removed from her neck 227 00:11:52,138 --> 00:11:54,302 to address massive blood loss. BP's 90 over 60, 228 00:11:54,307 --> 00:11:56,278 rate's 90, O2's 80 and dropping. 229 00:11:56,283 --> 00:11:58,152 - Trauma one! - Doctor Hamed, what's happening? 230 00:11:58,157 --> 00:12:00,052 Arnold? She might have a concussion. 231 00:12:00,057 --> 00:12:02,153 Oh. Ma'am, why don't you come with me? 232 00:12:02,158 --> 00:12:04,817 Female, impact trauma, dislocated knee reduced on-site. 233 00:12:04,822 --> 00:12:06,723 Rate's stable, BP's 110 over 80. 234 00:12:06,876 --> 00:12:09,684 Come on. It's gonna be fine, okay? 235 00:12:12,429 --> 00:12:16,162 I need one more large bore IV. Activate MTP. One gram TXA. 236 00:12:16,167 --> 00:12:17,544 Blood stats are falling fast! 237 00:12:17,549 --> 00:12:19,684 One unit O neg, level one! 238 00:12:19,689 --> 00:12:21,670 We need to maintain her airway but I'll tell you right now, 239 00:12:21,674 --> 00:12:23,273 it will be difficult to visualize her cords. 240 00:12:23,277 --> 00:12:25,802 Get RT on standby. I will intubate. 241 00:12:25,807 --> 00:12:28,153 - I can handle that, Wendy. - Hello, Mark. 242 00:12:28,539 --> 00:12:30,141 Rough night here, huh? 243 00:12:30,307 --> 00:12:33,364 - Slow up in the ICU? - Not really. 244 00:12:35,370 --> 00:12:36,942 Tube. 245 00:12:42,601 --> 00:12:44,989 And... connecting the vent. 246 00:12:44,994 --> 00:12:47,393 Blood's helping, MAP's at 65. 247 00:12:47,398 --> 00:12:49,533 She's stabilizing O2's coming up. 248 00:12:49,917 --> 00:12:52,319 I'll call vascular, she'll need the OR. 249 00:12:52,324 --> 00:12:54,193 She's gonna need a lot more than that. 250 00:12:54,678 --> 00:12:56,536 Who rigged up the tamponade balloon? 251 00:12:56,541 --> 00:12:58,139 - I did. - Protocol would be 252 00:12:58,144 --> 00:13:00,542 to leave the shrapnel in place until she got into surgery. 253 00:13:00,547 --> 00:13:01,966 Protocol would have killed her. 254 00:13:01,971 --> 00:13:04,102 Well, let's just agree then, it was a ballsy move 255 00:13:04,107 --> 00:13:05,232 that may have saved her life. 256 00:13:05,236 --> 00:13:07,731 But, still damaged her airway when you blew up the balloon 257 00:13:07,736 --> 00:13:09,868 and that's not gonna be good. What is your name, doctor? 258 00:13:09,872 --> 00:13:11,239 Bashir Hamed. 259 00:13:11,244 --> 00:13:13,559 Why don't you get her cleaned up, Dr Bashir Hamed, 260 00:13:13,564 --> 00:13:17,030 and we'll... let the surgeons tell us what the damage is. 261 00:13:17,035 --> 00:13:19,434 - I'm sorry but who are you? - Mark Novak. 262 00:13:19,439 --> 00:13:21,973 I'm the Acting Chief of this emergency department. 263 00:13:31,799 --> 00:13:34,770 Lucas started gasping for air on the way back from CT. 264 00:13:34,775 --> 00:13:36,466 - Can I get the ultrasound? - Yeah. 265 00:13:37,807 --> 00:13:39,638 I can't breathe! I can't breathe! 266 00:13:39,643 --> 00:13:41,512 We're gonna find out what's going on, okay? 267 00:13:43,660 --> 00:13:45,240 There's no lung sliding on the right side. 268 00:13:45,244 --> 00:13:47,108 Traumatic pneumothorax. Can I get a 24 French 269 00:13:47,113 --> 00:13:48,448 and a chest tube tray? 270 00:13:49,186 --> 00:13:50,645 We're gonna keep you really still. 271 00:13:50,650 --> 00:13:51,857 Just gonna get your arm out of the way. 272 00:13:51,861 --> 00:13:53,726 It's gonna help you breathe better. 273 00:13:53,731 --> 00:13:55,333 Alright, there you go. 274 00:13:55,338 --> 00:13:56,940 Can I get that tube? 275 00:13:57,709 --> 00:13:59,310 Okay. 276 00:14:00,055 --> 00:14:01,055 What's happening? 277 00:14:01,060 --> 00:14:02,380 You have a collapsed lung. 278 00:14:02,385 --> 00:14:04,489 But Doctor Curtis is gonna fix that. 279 00:14:04,494 --> 00:14:06,363 Inserting chest tube now. 280 00:14:07,247 --> 00:14:08,927 So what are we looking at, here? 281 00:14:08,939 --> 00:14:10,808 And... we're in! 282 00:14:11,786 --> 00:14:13,169 Hemo-pneumo. 283 00:14:14,235 --> 00:14:16,103 How does that feel Lucas, is that better? 284 00:14:16,432 --> 00:14:20,552 My neck really hurts and my feet are tingling. 285 00:14:30,188 --> 00:14:32,247 Positive Babinski sign. 286 00:14:32,252 --> 00:14:33,892 What, you're thinking neuro-dysfunction? 287 00:14:34,222 --> 00:14:36,353 His CT should be up by now. 288 00:14:36,576 --> 00:14:38,131 Hey, Lucas, that pain you're talking about 289 00:14:38,135 --> 00:14:39,736 is it sharp or dull? 290 00:14:39,741 --> 00:14:42,669 - Sharp, it's sharp. - Okay. 291 00:14:42,674 --> 00:14:44,114 I'm scared. 292 00:14:45,192 --> 00:14:48,658 Hey, Lucas, what's your favorite thing to do at camp? 293 00:14:48,926 --> 00:14:50,638 I'm learning drums. 294 00:14:50,643 --> 00:14:53,045 Drums? Okay. What kind of music do you like? 295 00:14:53,417 --> 00:14:54,700 Loud. 296 00:14:57,705 --> 00:14:59,497 I'll be right back. 297 00:14:59,920 --> 00:15:01,251 What do you got? 298 00:15:01,583 --> 00:15:03,145 Look at this. 299 00:15:03,150 --> 00:15:05,014 It's an atlanto-occipital dislocation. 300 00:15:05,019 --> 00:15:06,178 It happens during impact trauma. 301 00:15:06,182 --> 00:15:08,513 His head is only holding on by muscle and skin. 302 00:15:08,970 --> 00:15:11,122 Yeah. Internal decapitation? 303 00:15:11,127 --> 00:15:13,083 He's lucky we didn't intubate. 304 00:15:15,439 --> 00:15:16,888 It's gonna be okay. 305 00:15:16,893 --> 00:15:19,029 We're gonna fix it. You'll see. 306 00:15:20,701 --> 00:15:22,356 _ 307 00:15:22,361 --> 00:15:23,695 Bash! 308 00:15:24,242 --> 00:15:25,684 Didn't you fly home a few hours ago? 309 00:15:25,689 --> 00:15:27,934 Yeah, long enough to put the kids to bed. 310 00:15:27,939 --> 00:15:29,981 Hitched a ride back on a patient transpo chopper. 311 00:15:29,986 --> 00:15:31,911 Perks of being an attending now. 312 00:15:31,916 --> 00:15:33,247 How did Mel take you leaving? 313 00:15:33,252 --> 00:15:35,927 Hard to argue when a bus full of kids crashes. 314 00:15:36,261 --> 00:15:38,942 That's brutal. Pedes from all three shifts were called in. 315 00:15:38,947 --> 00:15:40,545 Hey, I heard what you did for Emily Parker. 316 00:15:40,549 --> 00:15:41,629 She's lucky you were there. 317 00:15:41,634 --> 00:15:43,231 Let me know if you need anything. 318 00:15:43,236 --> 00:15:45,101 Oh, sorry, here! Doctor Hunter. 319 00:15:45,462 --> 00:15:48,177 Hey, so three's waiting on casting for her ankle. 320 00:15:48,182 --> 00:15:50,669 She's allergic to morphine so acetaminophen only. 321 00:15:50,674 --> 00:15:53,403 Make sure whoever does Malia's sutures knows to use a five-O, 322 00:15:53,408 --> 00:15:54,740 - nothing larger, and uh... - Okay. 323 00:15:54,744 --> 00:15:56,608 The boy in four keeps taking his dressings off 324 00:15:56,613 --> 00:15:58,434 to post videos so just keep an eye on that. 325 00:15:58,439 --> 00:16:01,356 Okay. Oh, hey, um... 326 00:16:01,361 --> 00:16:02,764 what do you know about the new Acting Chief? 327 00:16:02,768 --> 00:16:06,458 Uh, he did his residency at Memorial back in 05 under Bishop. 328 00:16:06,463 --> 00:16:11,037 Um, joint specialty in ED-ICU, I believe, then went overseas. 329 00:16:11,042 --> 00:16:13,786 Got back and he's been an attending in our ICU for about a month. 330 00:16:13,791 --> 00:16:16,189 Works mostly nights. That's Janie, three broken ribs 331 00:16:16,194 --> 00:16:17,685 but she's asthmatic so keep her on albuterol 332 00:16:17,689 --> 00:16:19,083 and check her breathing every ten. 333 00:16:19,088 --> 00:16:20,689 Every ten... 334 00:16:21,090 --> 00:16:22,286 Oh! Bash? 335 00:16:22,291 --> 00:16:25,341 Radiologist said to tell you that CT on Allie Watson is normal. 336 00:16:25,346 --> 00:16:27,744 No sign of fracture or bleeding but she did vomit. 337 00:16:27,749 --> 00:16:30,325 Could still have a concussion. Thanks. 338 00:16:31,539 --> 00:16:32,723 Arnold? 339 00:16:32,728 --> 00:16:34,684 Ahem. Tech wasn't positive, 340 00:16:34,689 --> 00:16:36,820 but he said he might have smelled alcohol. 341 00:16:37,145 --> 00:16:38,591 You think she was drinking? 342 00:16:38,596 --> 00:16:41,265 I'm just passing along the info. 343 00:16:52,400 --> 00:16:53,468 How's Em? 344 00:16:53,473 --> 00:16:55,067 They're prepping her for surgery. 345 00:16:55,072 --> 00:16:56,403 How's your head feeling? 346 00:16:56,408 --> 00:16:58,817 I'm okay. What about the others? 347 00:16:58,822 --> 00:17:01,794 I gave the social worker my phone so she could call the parents. 348 00:17:01,799 --> 00:17:05,269 We're on it. So what about you, Allie? 349 00:17:05,274 --> 00:17:06,606 Is there anyone we can call for you? 350 00:17:06,610 --> 00:17:08,153 Family you want down here? 351 00:17:08,158 --> 00:17:11,184 Mm... It's just my mom and her boyfriend, 352 00:17:11,189 --> 00:17:13,325 but we don't... we don't talk anymore. 353 00:17:14,054 --> 00:17:16,452 I never really fit in with anyone from home. 354 00:17:16,457 --> 00:17:20,669 But Sandra built this world for kids like I was and... 355 00:17:21,448 --> 00:17:22,783 and made me a part of it. 356 00:17:22,788 --> 00:17:24,567 She's the one I'd call. 357 00:17:26,515 --> 00:17:29,985 Allie, did you have anything to drink tonight? 358 00:17:31,889 --> 00:17:35,520 Coffee before we left and some water. 359 00:17:35,525 --> 00:17:37,317 No alcohol? 360 00:17:37,322 --> 00:17:39,997 - A beer with dinner? - No, no, no! 361 00:17:40,315 --> 00:17:41,913 You think I was drunk? 362 00:17:41,918 --> 00:17:43,515 Because I threw up? 363 00:17:43,520 --> 00:17:46,453 No, vomiting can happen as a result of a head injury, 364 00:17:46,458 --> 00:17:48,528 but our tech said he smelled alcohol? 365 00:17:48,533 --> 00:17:51,469 I'm allergic to alcohol. I never touch it. 366 00:17:52,224 --> 00:17:56,228 Maybe he mistook disinfectant or hand sanitizer. 367 00:17:56,233 --> 00:17:57,297 Yeah. 368 00:17:57,634 --> 00:17:59,502 The police said they have to do a blood test, 369 00:17:59,507 --> 00:18:01,138 so check it if you don't believe me! 370 00:18:01,143 --> 00:18:03,008 It's not that, it's... the tech smelled it, 371 00:18:03,013 --> 00:18:04,614 so I had to ask, okay? 372 00:18:07,330 --> 00:18:09,317 So, how angry are you? 373 00:18:09,565 --> 00:18:12,505 Oh, maybe he's different now. 374 00:18:12,510 --> 00:18:14,192 You found Lizzie Stahl in the field? 375 00:18:14,197 --> 00:18:16,747 - Yeah, her knee was dislocated. - Do we need to page vascular? 376 00:18:16,752 --> 00:18:18,885 She's stabilized after I reduced and we gave her morphine 377 00:18:18,889 --> 00:18:21,076 - which really knocked her out. - Well, BP's ticked down 378 00:18:21,080 --> 00:18:22,080 since she got in. 379 00:18:22,085 --> 00:18:23,591 - Was there a lot of blood? - External injuries were scrapes 380 00:18:23,595 --> 00:18:25,341 and bruises but it could be the knee? 381 00:18:25,346 --> 00:18:26,947 Hematoma from reduction? 382 00:18:30,569 --> 00:18:33,598 That is a lot of bruising for a dislocation. 383 00:18:33,603 --> 00:18:34,603 Yeah. 384 00:18:34,608 --> 00:18:36,395 Is she on blood thinners or anemic? 385 00:18:36,400 --> 00:18:38,265 She was worried about a bracelet. 386 00:18:38,474 --> 00:18:41,263 I thought she meant a friendship bracelet but... 387 00:18:41,268 --> 00:18:42,599 Lizzie? 388 00:18:42,604 --> 00:18:44,200 Lizzie, can you look at me? 389 00:18:44,597 --> 00:18:46,255 Lizzie, can you hear me? 390 00:18:46,260 --> 00:18:47,966 Hi, Lizzie. 391 00:18:47,971 --> 00:18:50,809 Was your bracelet the medic-alert kind? 392 00:18:51,405 --> 00:18:52,739 Am I bleeding? 393 00:18:52,913 --> 00:18:54,782 Are you hemophiliac? 394 00:18:58,958 --> 00:19:01,841 I took it off. I know it was wrong but... 395 00:19:01,846 --> 00:19:03,817 I'm Doctor Hunter, Lizzie. 396 00:19:04,200 --> 00:19:05,278 Don't worry. 397 00:19:05,283 --> 00:19:07,419 We're gonna get your bleeding under control. 398 00:19:08,299 --> 00:19:10,536 I'm supposed to tell you I'm type B which means... 399 00:19:10,541 --> 00:19:12,075 You need clotting factor nine. 400 00:19:12,404 --> 00:19:13,735 - Are you Leblanc? - Yes. 401 00:19:13,740 --> 00:19:15,338 - We need you back out there. - Right. 402 00:19:15,343 --> 00:19:17,317 Copy that, it's just that we just confirmed 403 00:19:17,322 --> 00:19:19,987 that this patient's a hemophiliac so I'm gonna track down her team. 404 00:19:19,992 --> 00:19:22,392 Short of cloning yourself, I don't see how you're gonna do that 405 00:19:22,396 --> 00:19:23,740 and clear the orange and green tags. 406 00:19:23,744 --> 00:19:25,609 Also your schedule says that you've been on 407 00:19:25,614 --> 00:19:27,212 for two days straight. 408 00:19:27,217 --> 00:19:29,615 - Right, but uh, Doctor Hunter... - Will be fine. 409 00:19:29,620 --> 00:19:31,459 Unless he thinks he can't hack this on his own? 410 00:19:31,463 --> 00:19:33,332 - He does not. - Yeah. 411 00:19:38,504 --> 00:19:42,237 Hey, that tamponade balloon, where did you learn that trick? 412 00:19:42,242 --> 00:19:45,263 We used that when we couldn't get hospital transport. 413 00:19:45,268 --> 00:19:47,848 I was a trauma surgeon back in Syria. 414 00:19:47,922 --> 00:19:50,309 And now you're a first-year resident here? 415 00:19:50,512 --> 00:19:53,552 I ran field hospitals in Gaza, Libya, and Yemen 416 00:19:53,557 --> 00:19:57,294 for Doctors Without Borders but, I never made it to Syria. 417 00:19:58,170 --> 00:19:59,767 I know what you're thinking. 418 00:19:59,772 --> 00:20:02,705 Privileged westerner gets to indulge his adrenaline addiction. 419 00:20:02,710 --> 00:20:04,786 And yeah, you wouldn't be wrong but... 420 00:20:04,791 --> 00:20:06,393 They do important work. 421 00:20:07,928 --> 00:20:11,128 Sir, back in trauma, if I was short with you 422 00:20:11,133 --> 00:20:12,778 it's only because I... 423 00:20:12,783 --> 00:20:15,716 You took a risk to save a kid's life 424 00:20:16,044 --> 00:20:18,325 and you didn't realize you were talking to your new boss. 425 00:20:18,330 --> 00:20:21,153 And now you don't know where you stand 426 00:20:21,158 --> 00:20:23,023 after breaking protocol... 427 00:20:23,309 --> 00:20:25,707 Well. I would say, 428 00:20:25,712 --> 00:20:28,552 somewhere between the choice you made and the outcome. 429 00:20:28,929 --> 00:20:32,255 So, let's see how the kid does. 430 00:20:36,197 --> 00:20:37,442 Oh, let me guess. 431 00:20:37,447 --> 00:20:39,845 You want me to rush labs for Lizzie Stahl? 432 00:20:39,850 --> 00:20:42,787 Nope. She is not my patient anymore. 433 00:20:43,369 --> 00:20:46,568 How is the new guy already telling me I got too much on my plate? 434 00:20:46,573 --> 00:20:48,705 And you know nothing against Theo, but I'm just saying. 435 00:20:48,709 --> 00:20:50,040 He flew back on a helicopter, 436 00:20:50,045 --> 00:20:51,723 after being home for like three hours, 437 00:20:51,728 --> 00:20:54,270 and have you ever heard anyone ask him how much sleep he got? 438 00:20:54,626 --> 00:20:57,247 - I never have. - No, exactly. Geez. 439 00:20:57,471 --> 00:20:59,489 What is it about me that makes people so concerned 440 00:20:59,494 --> 00:21:00,826 with how much I take on, you know? 441 00:21:00,830 --> 00:21:02,432 It's infantilizing. 442 00:21:03,615 --> 00:21:04,950 What? 443 00:21:05,768 --> 00:21:08,153 - You need their approval. - I don't. 444 00:21:08,158 --> 00:21:09,645 I saw you in Bishop's room, 445 00:21:09,650 --> 00:21:11,249 you're wanting him to tell you what to do 446 00:21:11,253 --> 00:21:12,958 even when he can't talk. 447 00:21:13,356 --> 00:21:16,614 You look up to him, Mags, but I know him. 448 00:21:16,619 --> 00:21:17,950 He's not God. 449 00:21:17,955 --> 00:21:19,880 He's just another messy human being who is wrong 450 00:21:19,885 --> 00:21:21,754 as much as he is right. 451 00:21:24,641 --> 00:21:26,510 That's some light reading. 452 00:21:27,130 --> 00:21:29,261 Studying to be a nurse practitioner. 453 00:21:29,756 --> 00:21:32,425 Masters at Night school, and then a year of clinical. 454 00:21:32,430 --> 00:21:34,396 That's amazing. You'll be able to order prescriptions, 455 00:21:34,400 --> 00:21:35,536 and make diagnoses. 456 00:21:35,541 --> 00:21:37,944 Without needing sign-off on what I already know. 457 00:21:41,583 --> 00:21:42,914 That's nice. 458 00:21:43,324 --> 00:21:44,381 Maybe I should be looking into that... 459 00:21:44,385 --> 00:21:46,669 Lucas, I'm Doctor Singh. 460 00:21:46,674 --> 00:21:48,552 When you were thrown from your seat, 461 00:21:48,557 --> 00:21:50,159 you injured your spinal cord. 462 00:21:50,164 --> 00:21:52,684 Can you undo these? Please. 463 00:21:52,689 --> 00:21:54,544 Uh, you need to keep perfectly still. 464 00:21:54,549 --> 00:21:56,809 No, I can't. I need to move. 465 00:21:56,814 --> 00:21:59,114 Okay, Lucas, this is really important, okay? 466 00:21:59,119 --> 00:22:01,044 Two of the vertebrae in your neck are broken. 467 00:22:01,049 --> 00:22:03,036 So if you move, the part of your spinal cord 468 00:22:03,041 --> 00:22:04,371 that's still attached will sever. 469 00:22:04,376 --> 00:22:06,287 Does that mean that if I can't stay still, 470 00:22:06,292 --> 00:22:08,575 - it could kill me? - What we're saying, son, 471 00:22:08,580 --> 00:22:10,712 is we're gonna take you to surgery to fix this. 472 00:22:10,717 --> 00:22:12,318 - But until we get there... - No, no, no, no. 473 00:22:12,322 --> 00:22:13,723 I can't, I can't, I can't. 474 00:22:13,728 --> 00:22:15,177 Prepare two milligrams of Ativan. 475 00:22:15,182 --> 00:22:18,278 Okay, I understand, Lucas, okay, I get it. 476 00:22:18,283 --> 00:22:20,388 Trust me, I hate staying still also 477 00:22:20,393 --> 00:22:23,326 and it makes my skin crawls when someone tells me that I have to. 478 00:22:23,331 --> 00:22:25,770 My mother says I never stop moving. 479 00:22:25,775 --> 00:22:28,763 My mom says the same thing. And then I became a surgeon 480 00:22:28,768 --> 00:22:30,559 and other people's lives in my hands, 481 00:22:30,564 --> 00:22:32,856 just... there's just no room for wrong moves. 482 00:22:32,861 --> 00:22:37,132 So I had to learn how to control that panicky feeling. 483 00:22:37,631 --> 00:22:40,296 I'm pretty sure that if I can do it, you can do it too. 484 00:22:41,876 --> 00:22:43,905 - How? - How? 485 00:22:43,910 --> 00:22:46,655 Well, uh, we start by setting the mood. 486 00:22:46,660 --> 00:22:48,499 Get the lights, Doctor Singh. 487 00:22:49,736 --> 00:22:51,071 Please. 488 00:22:53,554 --> 00:22:55,773 So, uh, no talking. 489 00:22:55,778 --> 00:22:57,648 Focus on what you can hear. 490 00:22:57,885 --> 00:22:59,273 Can you hear your heart beating? 491 00:22:59,278 --> 00:23:01,142 It sounds like drums, right? 492 00:23:01,340 --> 00:23:04,543 Focus on that rhythm, it's a little fast right now. 493 00:23:04,903 --> 00:23:06,226 You need to bring that down. 494 00:23:06,231 --> 00:23:08,095 So see if you can use your breathing, 495 00:23:08,100 --> 00:23:11,304 to slow down the rhythm of that beat. 496 00:23:12,427 --> 00:23:14,296 Focus on that rhythm. 497 00:23:14,301 --> 00:23:16,436 Slow down that beat. 498 00:23:17,382 --> 00:23:18,984 You're nailing it. 499 00:23:37,697 --> 00:23:39,566 How is she? 500 00:23:39,709 --> 00:23:41,040 You're hurt! 501 00:23:41,130 --> 00:23:42,728 They didn't tell me. 502 00:23:42,919 --> 00:23:46,327 I'm okay. Maybe a small concussion. 503 00:23:47,990 --> 00:23:50,126 I'm so glad you're alright. 504 00:23:50,488 --> 00:23:54,702 Allie, what happened? 505 00:23:55,349 --> 00:23:57,217 I don't know. 506 00:23:58,286 --> 00:24:00,780 It was... it was all so fast. 507 00:24:00,785 --> 00:24:04,351 Everything was fine and then... then it wasn't. 508 00:24:04,879 --> 00:24:09,413 We must have hit ice or... Sandra, I'm so sorry. 509 00:24:09,418 --> 00:24:12,476 I'll talk to the parents, okay? 510 00:24:14,458 --> 00:24:16,741 Um, Allie, you should be off your feet. 511 00:24:16,746 --> 00:24:19,412 This is the doctor who saved Em. 512 00:24:20,069 --> 00:24:22,046 This is Sandra, Emily's mom. 513 00:24:22,051 --> 00:24:23,460 She owns the camp. 514 00:24:23,465 --> 00:24:25,863 They said that you had to take drastic measures 515 00:24:25,868 --> 00:24:28,804 - to save her life. - Emily was extremely brave. 516 00:24:32,008 --> 00:24:33,555 Uh, Allie, can I speak with you for a moment? 517 00:24:33,559 --> 00:24:35,694 I know you said to rest but I... 518 00:24:38,338 --> 00:24:40,206 I had to see her. 519 00:24:40,741 --> 00:24:42,610 - Allie? - Are you okay? 520 00:24:43,411 --> 00:24:44,930 It's weird, my... 521 00:24:44,934 --> 00:24:45,935 Okay, come with me, Allie. 522 00:24:45,939 --> 00:24:48,335 - What's happening? Is she okay? - My throat feels full. 523 00:24:48,340 --> 00:24:50,445 It's hard to swallow. 524 00:24:50,450 --> 00:24:52,585 Okay, Arnold point three milligrams epi right now. 525 00:24:53,450 --> 00:24:54,514 Sit... 526 00:24:54,767 --> 00:24:56,635 Breathe calmly, okay? 527 00:25:04,908 --> 00:25:06,812 I'm giving you an injection of epinephrine. 528 00:25:06,817 --> 00:25:09,070 You're having an allergic reaction, 529 00:25:09,075 --> 00:25:10,940 this will help with the symptoms. 530 00:25:10,945 --> 00:25:12,813 An allergic reaction to what? 531 00:25:12,818 --> 00:25:15,718 - Um... - Is she okay? 532 00:25:15,723 --> 00:25:17,546 Um... She will be. She'll be fine. 533 00:25:17,551 --> 00:25:20,757 She's only allergic to alcohol and she doesn't drink. 534 00:25:21,686 --> 00:25:23,327 She was drinking? 535 00:25:23,332 --> 00:25:25,366 Why don't we just let Allie get... 536 00:25:25,973 --> 00:25:27,788 What happened, Doctor Hamed? 537 00:25:27,793 --> 00:25:30,101 Allie, you were drinking? 538 00:25:30,106 --> 00:25:31,741 When you knew you were driving our kids? 539 00:25:31,746 --> 00:25:32,810 No! 540 00:25:32,815 --> 00:25:34,684 No! I would never. 541 00:25:35,748 --> 00:25:38,929 You did a blood test, tell her what it said! 542 00:25:40,988 --> 00:25:43,648 He came looking for you because of what it said. 543 00:25:43,653 --> 00:25:44,716 Allie, how could you? 544 00:25:44,721 --> 00:25:47,023 There has to be another explanation! 545 00:25:47,028 --> 00:25:48,601 - I'm sorry, Allie. - No! 546 00:25:48,606 --> 00:25:50,738 Emily, the kids are everything to me! 547 00:25:50,743 --> 00:25:52,874 - You know me! - No! Not anymore! 548 00:25:52,879 --> 00:25:54,477 Not the way I thought! 549 00:25:54,482 --> 00:25:55,812 Sandra! 550 00:25:55,957 --> 00:25:57,826 I can't, I can't even look at you. 551 00:25:57,831 --> 00:25:59,898 Please! Please. 552 00:26:10,145 --> 00:26:12,014 Hey, we're almost there. 553 00:26:12,541 --> 00:26:14,138 Curtis is scrubbing in. 554 00:26:14,143 --> 00:26:16,275 It's... There's three teams, Aajay. 555 00:26:16,280 --> 00:26:17,421 It's already pretty crowded. 556 00:26:17,426 --> 00:26:18,757 June made the diagnosis, 557 00:26:18,762 --> 00:26:20,893 and the patient is asking for her personally. 558 00:26:20,898 --> 00:26:23,301 Fine. Observation only. 559 00:26:25,212 --> 00:26:27,991 I'm gonna be with you the whole time. You're doing great. 560 00:26:29,608 --> 00:26:32,163 Sutton gets a vote on Chief Resident. 561 00:26:32,804 --> 00:26:34,405 Don't keep him waiting. 562 00:26:37,450 --> 00:26:39,273 Admitting needs a detailed projection 563 00:26:39,278 --> 00:26:40,879 - of who you're keeping. - I know. 564 00:26:40,884 --> 00:26:44,077 Just after I get to the four sets of parents waiting for me. 565 00:26:44,082 --> 00:26:47,018 I'll find out what Novak wants for paperwork. 566 00:26:47,658 --> 00:26:50,327 Doctor Bishop likes every intake, every discharge 567 00:26:50,332 --> 00:26:52,796 on his desk an hour after your shift. 568 00:26:52,801 --> 00:26:54,131 How's he doing? 569 00:26:54,136 --> 00:26:57,072 - Bishop. - Well, too early to say. 570 00:26:58,540 --> 00:27:00,054 Long night? 571 00:27:00,059 --> 00:27:01,656 Emily Parker's in surgery 572 00:27:01,926 --> 00:27:04,329 - I'll keep you in the loop. - Thanks. 573 00:27:09,560 --> 00:27:10,628 You like it? 574 00:27:10,633 --> 00:27:12,249 Just like Mama's. 575 00:27:12,363 --> 00:27:14,874 Amira, it's so late. You have school tomorrow. 576 00:27:15,179 --> 00:27:16,726 _ 577 00:27:17,288 --> 00:27:20,757 _ 578 00:27:21,790 --> 00:27:24,097 _ 579 00:27:25,174 --> 00:27:28,635 I... I have to stay here a little while longer. 580 00:27:28,640 --> 00:27:30,149 You can bring her to the hospital if... 581 00:27:30,153 --> 00:27:31,221 We're fine. 582 00:27:31,576 --> 00:27:33,721 I promise she'll get some sleep. 583 00:27:33,726 --> 00:27:35,604 Okay, I'll come get you as soon as I'm done. 584 00:27:35,609 --> 00:27:36,944 Go to sleep. 585 00:27:42,583 --> 00:27:43,583 _ 586 00:27:43,588 --> 00:27:45,189 Bashir... 587 00:27:51,827 --> 00:27:55,041 The surgeons were able to repair the wound to Emily's artery. 588 00:27:55,046 --> 00:27:57,731 But her trachea was damaged when our doctor stopped her bleeding. 589 00:27:57,735 --> 00:27:59,600 Why? Why would he do that? 590 00:27:59,883 --> 00:28:01,747 There wasn't any other way? 591 00:28:01,752 --> 00:28:04,422 If he'd waited any longer, she would have bled to death. 592 00:28:05,471 --> 00:28:07,874 We've done everything possible to repair the damage. 593 00:28:07,879 --> 00:28:11,082 Now it's up to her to... see how she recovers. 594 00:28:12,776 --> 00:28:15,445 I'm sorry I have to say this. 595 00:28:16,420 --> 00:28:19,490 But if her airway doesn't heal, there's a chance 596 00:28:19,495 --> 00:28:22,431 that Emily won't be able to breathe on her own again. 597 00:28:23,501 --> 00:28:25,636 The next few hours are critical. 598 00:28:29,027 --> 00:28:30,851 I know it's a lot to take in. 599 00:28:31,758 --> 00:28:34,160 I don't accept any of it. 600 00:28:42,046 --> 00:28:43,382 Hey, Lizzie. 601 00:28:43,597 --> 00:28:45,195 The firemen found this. 602 00:28:45,782 --> 00:28:47,380 Are your parents around? 603 00:28:47,385 --> 00:28:49,783 Probably with my hemophilia team somewhere, 604 00:28:49,787 --> 00:28:52,027 deciding all the things I won't be allowed to do anymore. 605 00:28:52,032 --> 00:28:53,519 They only want you to be safe. 606 00:28:53,524 --> 00:28:55,656 The Cabin Five girls were doing a play. 607 00:28:55,952 --> 00:28:58,596 They always say mine are too weird but, 608 00:28:59,153 --> 00:29:00,671 this year they chose it. 609 00:29:01,023 --> 00:29:02,596 They all wore five bracelets and... 610 00:29:02,600 --> 00:29:03,930 You had six. 611 00:29:04,124 --> 00:29:06,210 I just liked to feel normal for once. 612 00:29:06,215 --> 00:29:09,140 Let me tell you something, Lizzie. Normal is boring. 613 00:29:09,467 --> 00:29:12,447 I know it's hard to see this now or ever, really, but... 614 00:29:12,452 --> 00:29:15,142 but you know, the things that set you apart, 615 00:29:15,146 --> 00:29:17,009 even the hard ones, 616 00:29:17,123 --> 00:29:19,218 they're the ones that make you strong. 617 00:29:21,364 --> 00:29:22,695 You okay? 618 00:29:22,887 --> 00:29:24,752 I think something's wrong. 619 00:29:24,756 --> 00:29:26,891 Chest hurts. I can't... 620 00:29:27,161 --> 00:29:28,763 Claire! 621 00:29:32,497 --> 00:29:33,827 Okay. 622 00:29:34,362 --> 00:29:36,796 I need to look at the site of your bleeding. 623 00:29:40,021 --> 00:29:41,885 Okay, I need a large dose of rtPA, 624 00:29:41,890 --> 00:29:43,453 point five milligrams per kilo per hour. 625 00:29:43,457 --> 00:29:44,905 Then page Theo and Heme! 626 00:29:45,352 --> 00:29:46,820 What's happening? 627 00:29:46,825 --> 00:29:48,956 So a large blood clot formed after your injury. 628 00:29:48,961 --> 00:29:50,563 And it's now travelled to your lungs. 629 00:29:50,568 --> 00:29:52,171 So I'm gonna need to use something called 630 00:29:52,176 --> 00:29:54,058 a thrombolytic agent to dissolve it. 631 00:29:54,063 --> 00:29:55,982 A clot-buster? But if we do that, 632 00:29:55,987 --> 00:29:57,851 my blood thins, won't that make me bleed more? 633 00:29:57,855 --> 00:29:59,987 A clot's a bigger risk. You can handle this, Lizzie. 634 00:29:59,991 --> 00:30:01,393 Okay? You need to. 635 00:30:01,398 --> 00:30:03,101 - Theo? - Nothing yet. 636 00:30:06,587 --> 00:30:08,320 It's okay! It's just blood. 637 00:30:08,325 --> 00:30:09,862 We need to do this now. 638 00:30:10,381 --> 00:30:11,716 We can't wait. 639 00:30:12,390 --> 00:30:14,400 Okay, give me your arm. Lie back. 640 00:30:14,405 --> 00:30:16,537 - Here we go. - Like this. 641 00:30:16,541 --> 00:30:18,507 Okay? Good. 642 00:30:18,676 --> 00:30:20,007 What now? 643 00:30:20,390 --> 00:30:22,142 We wait. 644 00:30:22,325 --> 00:30:23,927 Together. 645 00:30:33,832 --> 00:30:36,265 Hey! New labs on Allie Watson. 646 00:30:36,270 --> 00:30:37,605 But it's weird. 647 00:30:37,610 --> 00:30:39,499 - What? - Her blood alcohol level went up? 648 00:30:39,504 --> 00:30:41,369 Like I said. Weird. 649 00:30:41,374 --> 00:30:44,374 Um. No way she's had a drink while she's been here. 650 00:30:45,428 --> 00:30:47,559 She may not have had to. 651 00:30:47,805 --> 00:30:49,937 There's a rare bacterial reaction 652 00:30:49,942 --> 00:30:52,437 where your GI system creates its own alcohol. 653 00:30:52,442 --> 00:30:54,573 It's called auto brewery syndrome. 654 00:30:54,578 --> 00:30:57,226 Did you have any bread tonight? Pasta? 655 00:30:57,231 --> 00:30:58,390 Pizza. 656 00:30:58,395 --> 00:31:00,260 Well, the right carbs at the wrong time 657 00:31:00,265 --> 00:31:02,129 and you basically become your own distillery. 658 00:31:02,134 --> 00:31:05,334 But why now? I've always eaten those things. 659 00:31:05,339 --> 00:31:08,004 There are emergent digestive conditions that can trigger it. 660 00:31:08,009 --> 00:31:10,489 Even being on antibiotics for a really long time. 661 00:31:10,494 --> 00:31:13,687 Yeah. I've been on and off them for sinus infections. 662 00:31:13,692 --> 00:31:16,090 Your stomach continued to produce its own alcohol, 663 00:31:16,095 --> 00:31:19,031 which is why your reaction was delayed in the first place. 664 00:31:19,416 --> 00:31:21,812 Thanks, Arnold. You're on an epi drip now, 665 00:31:21,817 --> 00:31:24,215 and we're gonna give you some activated charcoal to drink 666 00:31:24,220 --> 00:31:26,772 so that should stop the reaction completely. 667 00:31:26,777 --> 00:31:29,609 It doesn't look very appetizing but I promise it will help. 668 00:31:37,621 --> 00:31:39,756 Then I was drunk. 669 00:31:40,024 --> 00:31:42,689 Maybe, I didn't realize. 670 00:31:43,004 --> 00:31:44,606 How could I have known? 671 00:31:44,611 --> 00:31:45,851 This isn't your fault, Allie. 672 00:31:45,856 --> 00:31:48,484 Okay? And I'm gonna make sure Sandra knows that. 673 00:31:52,027 --> 00:31:54,280 - You must be exhausted. - Huh. 674 00:31:54,555 --> 00:31:57,492 Were the girls upset I wasn't there when they woke up? 675 00:31:57,692 --> 00:31:58,859 Uh... 676 00:31:58,864 --> 00:32:00,466 A little, but... 677 00:32:00,471 --> 00:32:03,710 you know a bus full of kids, that has to be more important. 678 00:32:03,715 --> 00:32:05,851 Mel, that's not, that's not what I meant. 679 00:32:06,803 --> 00:32:09,695 Look, good news is, I've already bought my flight pass 680 00:32:09,700 --> 00:32:11,235 so I'll be able to go back and forth four, 681 00:32:11,239 --> 00:32:13,638 even five times a week. 682 00:32:13,726 --> 00:32:14,773 Theo. 683 00:32:14,778 --> 00:32:16,643 No, I've got it all planned out. Okay? 684 00:32:16,648 --> 00:32:19,288 I'm gonna do my scheduling, and... 685 00:32:19,293 --> 00:32:21,312 and my charts, I'm gonna do them all on the plane 686 00:32:21,317 --> 00:32:22,780 so when I get home, there's no work. 687 00:32:22,785 --> 00:32:25,603 Half the doctors here they commute from the suburbs. 688 00:32:25,608 --> 00:32:27,273 It's like a two-hour drive with traffic, 689 00:32:27,278 --> 00:32:28,999 so I mean, this is... it's no different. 690 00:32:29,441 --> 00:32:31,843 I'm just not sure that's realistic. 691 00:32:32,977 --> 00:32:34,163 - Look. - Mel, what... 692 00:32:34,168 --> 00:32:36,273 I've gotta go. We'll talk about it later? 693 00:32:36,424 --> 00:32:38,026 Okay? 694 00:32:38,349 --> 00:32:39,757 - Okay? - Yeah. Okay. 695 00:32:39,762 --> 00:32:40,802 Bye. 696 00:32:50,202 --> 00:32:52,195 You heard about Allie? 697 00:32:53,210 --> 00:32:55,612 Maybe she didn't drink but... 698 00:32:56,546 --> 00:32:58,681 she must have felt something. 699 00:32:59,207 --> 00:33:01,343 She should have pulled over. 700 00:33:01,348 --> 00:33:02,682 Stopped driving. 701 00:33:03,312 --> 00:33:06,591 I only found Emily in time to save her because of Allie. 702 00:33:06,596 --> 00:33:08,194 She loves her. 703 00:33:08,479 --> 00:33:11,286 She's terrified of losing the life that she's built with you. 704 00:33:11,291 --> 00:33:13,318 I care about her too but... 705 00:33:13,787 --> 00:33:15,922 She'll have to find a new job. 706 00:33:16,213 --> 00:33:18,239 This is my daughter, 707 00:33:21,543 --> 00:33:23,099 who may never breathe on her own again 708 00:33:23,104 --> 00:33:25,653 because of what both of you did. 709 00:33:30,172 --> 00:33:32,177 We need to talk about you giving Lizzie Stahl 710 00:33:32,182 --> 00:33:34,693 - a thrombolytic agent. - Well, we paged you. 711 00:33:34,698 --> 00:33:36,296 And we both know that if I'd waited... 712 00:33:36,301 --> 00:33:38,105 There are two hematologists here from her team, 713 00:33:38,109 --> 00:33:39,710 plus two very worried parents... 714 00:33:39,715 --> 00:33:41,046 - Theo! - And a new acting chief 715 00:33:41,051 --> 00:33:42,382 and I had to explain to all of them 716 00:33:42,386 --> 00:33:43,608 why this happened without their input. 717 00:33:43,612 --> 00:33:45,744 Theo, I went in to return her backpack 718 00:33:45,749 --> 00:33:48,247 - and she crashed because... - If I wanted your help 719 00:33:48,252 --> 00:33:51,989 and I wanted you to check on my patients, I will ask you! 720 00:34:01,791 --> 00:34:04,403 Was Doctor Bishop here during your residency? 721 00:34:04,408 --> 00:34:06,543 Has he ever not been here? 722 00:34:10,048 --> 00:34:12,052 Doctor Novak, Emily Parker, she's... 723 00:34:12,057 --> 00:34:13,922 She's touch and go yeah. I heard. 724 00:34:14,084 --> 00:34:15,681 I also heard what you did for him. 725 00:34:15,686 --> 00:34:17,555 How you saved his life. 726 00:34:18,259 --> 00:34:19,958 You've made some hard choices. 727 00:34:19,963 --> 00:34:21,982 Friends I've had, doctors from overseas 728 00:34:21,987 --> 00:34:23,321 who tried to make it over here, 729 00:34:23,326 --> 00:34:25,462 those skills, they don't always translate. 730 00:34:26,635 --> 00:34:29,572 You're one of the lucky ones, Bashir Hamed. 731 00:34:45,705 --> 00:34:48,521 I heard Lucas is gonna recover completely. 732 00:34:48,526 --> 00:34:51,191 Yeah, just this kid is like a millimeter from death, 733 00:34:51,196 --> 00:34:53,862 and somehow he still manages to hold it all together. 734 00:34:54,144 --> 00:34:55,958 He had some help. 735 00:34:56,437 --> 00:34:59,369 I've been thinking about all the reasons 736 00:34:59,374 --> 00:35:01,777 I've been afraid to throw in for Chief Resident. 737 00:35:01,895 --> 00:35:04,849 And... I don't know, I guess tonight 738 00:35:04,854 --> 00:35:06,452 I realized that none of that really matters. 739 00:35:06,456 --> 00:35:08,058 I want it, you know? So... 740 00:35:08,787 --> 00:35:11,599 I don't know whatever, I guess I'll just have to... 741 00:35:11,604 --> 00:35:13,473 learn as I go. 742 00:35:14,089 --> 00:35:15,957 If you get it. 743 00:35:24,959 --> 00:35:26,403 Come in, Leblanc. 744 00:35:27,300 --> 00:35:28,898 You changed the lamp. 745 00:35:28,903 --> 00:35:30,036 You moved it. 746 00:35:30,385 --> 00:35:32,364 - There's something you needed? - Um... 747 00:35:32,369 --> 00:35:34,693 I wanted to tell you that I made the call 748 00:35:34,698 --> 00:35:36,286 to give Lizzie Stahl thrombolytics 749 00:35:36,291 --> 00:35:38,162 without consulting Doctor Hunter first because... 750 00:35:38,166 --> 00:35:39,496 It was the right call. 751 00:35:39,665 --> 00:35:40,935 I know. 752 00:35:40,940 --> 00:35:42,008 Okay. 753 00:35:43,331 --> 00:35:46,208 So did you just come here to apologize for making the right call? 754 00:35:46,213 --> 00:35:47,403 No. 755 00:35:47,408 --> 00:35:50,396 I heard you when you said that Lizzie was Theo's patient. 756 00:35:50,401 --> 00:35:52,536 But I still went in to check on her because... 757 00:35:52,683 --> 00:35:54,281 I know doctors like you. 758 00:35:54,286 --> 00:35:57,349 You stay late. You over-invest, 759 00:35:57,354 --> 00:35:59,825 you really truly care about the patients 760 00:35:59,830 --> 00:36:03,033 instead of looking at them like they're needy bags of meat. 761 00:36:03,227 --> 00:36:05,359 - And that's admirable. - Look if you're gonna tell me 762 00:36:05,364 --> 00:36:07,044 that I need to find some kind of balance... 763 00:36:07,049 --> 00:36:09,630 No, I don't care if you work four days straight 764 00:36:09,635 --> 00:36:12,037 and don't sleep. You're a grown-up. 765 00:36:12,953 --> 00:36:15,036 But it doesn't make you any better or smarter 766 00:36:15,041 --> 00:36:17,711 - than anyone else here. - No, I never said that it did. 767 00:36:17,846 --> 00:36:19,513 But you think it. 768 00:36:20,568 --> 00:36:22,166 Don't try to tell me you don't. 769 00:36:22,171 --> 00:36:24,573 And the truth is if you weren't in Lizzie's room... 770 00:36:24,578 --> 00:36:26,578 Her vitals monitor would have alerted somebody else 771 00:36:26,583 --> 00:36:28,880 and they would have made the same call as you did. 772 00:36:29,313 --> 00:36:32,153 I don't care what kind of a doctor you are, Leblanc. 773 00:36:32,158 --> 00:36:35,628 I just need you to do your job, like everybody else. 774 00:36:59,642 --> 00:37:02,045 She needs a few seconds for the sedation to wear off 775 00:37:02,050 --> 00:37:03,052 and then we'll listen. 776 00:37:03,057 --> 00:37:04,802 What happens if she can't get air? 777 00:37:04,902 --> 00:37:06,500 We're here. 778 00:37:06,802 --> 00:37:09,021 It's time to see if she can breathe on her own. 779 00:37:09,205 --> 00:37:10,803 Hi, Emily. 780 00:37:11,017 --> 00:37:13,099 Can you breathe for us? 781 00:37:23,571 --> 00:37:25,247 There you go. 782 00:37:25,599 --> 00:37:27,200 That's it. 783 00:37:28,576 --> 00:37:30,445 You did it. Great job. 784 00:37:30,741 --> 00:37:32,153 She sounds perfect. 785 00:37:32,158 --> 00:37:36,107 Oh, my baby, you're so strong! 786 00:37:37,068 --> 00:37:40,575 I love you so, so much. 787 00:38:01,561 --> 00:38:05,107 Allie! Why should you never trust atoms? 788 00:38:09,777 --> 00:38:12,179 Because they make up everything. 789 00:38:13,199 --> 00:38:15,601 Emily wanted me to tell you that. 790 00:38:17,039 --> 00:38:18,641 Thanks. 791 00:38:36,217 --> 00:38:38,352 One of us should say something. 792 00:38:39,049 --> 00:38:41,036 It's good to hear your voice again, sir. 793 00:38:41,041 --> 00:38:42,108 Huh. 794 00:38:46,821 --> 00:38:48,536 Just ask. 795 00:38:50,361 --> 00:38:52,372 How'd we do tonight? 796 00:39:01,692 --> 00:39:03,130 - Hey! - Hey. 797 00:39:03,135 --> 00:39:05,591 Is it just me or this shift started about a year ago? 798 00:39:05,596 --> 00:39:07,461 It definitely is not just you. 799 00:39:07,971 --> 00:39:11,105 Do you wanna celebrate it finally being over with a drink? 800 00:39:11,538 --> 00:39:14,339 Uh, um... I have to take Amira to school. 801 00:39:14,433 --> 00:39:15,605 Right. 802 00:39:15,610 --> 00:39:18,550 Right it is morning after all. Oh, it's alright! 803 00:39:20,417 --> 00:39:23,082 I've been trying to manufacture a three-day weekend 804 00:39:23,087 --> 00:39:26,290 to make up for today but it's impossible. 805 00:39:26,784 --> 00:39:28,382 If you move Petro to Tuesday 806 00:39:28,387 --> 00:39:30,097 and convince Levine to pull a double. 807 00:39:31,121 --> 00:39:32,714 Thank you. 808 00:39:32,940 --> 00:39:35,308 Scheduling sounds like a nightmare. 809 00:39:35,313 --> 00:39:36,644 Yeah... Well, 810 00:39:36,649 --> 00:39:38,582 I heard you were up for a career bump too 811 00:39:38,587 --> 00:39:40,185 so get used to it! 812 00:39:40,453 --> 00:39:42,588 They'd be idiots not to pick you. 813 00:39:44,134 --> 00:39:46,532 I was excited for you. I'm sorry. 814 00:39:47,712 --> 00:39:50,980 Seriously, guys. Just... I don't wanna jinx it. 815 00:39:52,457 --> 00:39:54,496 Well, on that note. 816 00:39:54,501 --> 00:39:56,542 I'm gonna go sleep for 12 hours. 817 00:39:56,547 --> 00:39:57,877 I'll see you later. 818 00:39:57,882 --> 00:39:59,324 Good night! 819 00:39:59,329 --> 00:40:00,847 Have a good night! 820 00:40:00,852 --> 00:40:04,425 I could really use a greasy breakfast. 821 00:40:04,430 --> 00:40:05,566 Are you hungry? 822 00:40:05,571 --> 00:40:07,169 I'm famished. 823 00:40:08,853 --> 00:40:10,707 Ow, come on. 824 00:40:17,361 --> 00:40:19,277 You're too late for pizza. 825 00:40:19,282 --> 00:40:21,684 Sorry. Long night. 826 00:40:23,113 --> 00:40:24,715 We had fun. 827 00:40:29,972 --> 00:40:31,535 _ 828 00:40:32,668 --> 00:40:34,761 _ 829 00:40:34,840 --> 00:40:39,105 _ 830 00:40:50,219 --> 00:40:53,511 _ 831 00:40:54,376 --> 00:40:59,402 _ 832 00:40:59,722 --> 00:41:05,292 _ 833 00:41:05,464 --> 00:41:07,597 _ 834 00:41:07,770 --> 00:41:10,214 _ 835 00:41:14,634 --> 00:41:16,003 _ 836 00:41:16,665 --> 00:41:20,128 _ 837 00:41:20,140 --> 00:41:22,809 I could have. I wanted to. 838 00:41:23,229 --> 00:41:26,432 For a long time I didn't know where you were, 839 00:41:26,898 --> 00:41:28,229 and... 840 00:41:28,951 --> 00:41:33,485 when I finally heard that you made it, 841 00:41:33,490 --> 00:41:36,996 that you came here with your sister for... 842 00:41:37,543 --> 00:41:39,411 for a new life. 843 00:41:40,023 --> 00:41:42,955 The Bashir I knew would have risked everything 844 00:41:42,960 --> 00:41:45,316 to come get me and I didn't want you 845 00:41:45,321 --> 00:41:47,990 to make that choice. 846 00:41:49,148 --> 00:41:51,535 So you made it for me? 847 00:41:54,176 --> 00:41:56,730 I understand if you can't accept that. 848 00:42:18,270 --> 00:42:21,270 Synced & corrected by QueenMaddie www.addic7ed.com