1
00:00:00,066 --> 00:00:01,562
I already bought my flight pass,

2
00:00:01,567 --> 00:00:02,946
so I'll be able to go back and forth for

3
00:00:02,950 --> 00:00:04,757
even five times a week.

4
00:00:05,005 --> 00:00:06,570
_

5
00:00:06,575 --> 00:00:09,812
I want you to know, we don't
have to jump into anything.

6
00:00:10,385 --> 00:00:12,210
- What?
- Placement was wrong,

7
00:00:12,215 --> 00:00:13,726
I think I perforated an organ.

8
00:00:13,731 --> 00:00:15,332
Call for blood!

9
00:00:32,217 --> 00:00:34,086
_

10
00:00:38,352 --> 00:00:40,960
_

11
00:00:45,446 --> 00:00:47,640
Does this man speak to you?

12
00:00:50,903 --> 00:00:52,414
Sometimes.

13
00:00:52,419 --> 00:00:55,622
Are you comfortable discussing
why you were arrested?

14
00:00:56,156 --> 00:00:59,359
Doctors who treat rebels, the...

15
00:00:59,728 --> 00:01:01,389
the Regime doesn't like that.

16
00:01:01,394 --> 00:01:02,995
Has there been some kind of change or...

17
00:01:03,000 --> 00:01:05,811
reminder that provoked these memories?

18
00:01:08,035 --> 00:01:10,577
We've spoken before about triggers.

19
00:01:10,582 --> 00:01:13,235
And when they happen,
you want to fix things.

20
00:01:13,240 --> 00:01:14,842
I have seen enough to know that.

21
00:01:15,108 --> 00:01:18,045
And your way of doing that is
by running into burning buildings

22
00:01:18,050 --> 00:01:19,651
trying to save someone else.

23
00:01:20,177 --> 00:01:22,313
It makes you feel in control.

24
00:01:22,583 --> 00:01:26,155
The thing is, post-traumatic
stress is like a faucet.

25
00:01:26,406 --> 00:01:27,740
Once open,

26
00:01:27,745 --> 00:01:30,144
it keeps on flowing, Bash,
whether you like it or not.

27
00:01:30,149 --> 00:01:32,017
Are you saying I can't stop it?

28
00:01:32,192 --> 00:01:34,328
You can find healthy
ways to live with it.

29
00:01:34,522 --> 00:01:37,458
Like letting yourself feel
the memories and talking about it

30
00:01:37,463 --> 00:01:39,598
instead of shouldering it alone.

31
00:01:40,819 --> 00:01:43,384
Hey, this is progress.

32
00:01:43,389 --> 00:01:46,068
All we're doing here is learning
to recognize your triggers

33
00:01:46,073 --> 00:01:48,742
so you can control how to react to them.

34
00:01:51,059 --> 00:01:52,394
Hmm.

35
00:01:54,535 --> 00:01:56,403
Are you looking at apartments?

36
00:01:56,408 --> 00:01:58,807
I told you, man, you can stay
with me as long as you want.

37
00:01:58,812 --> 00:02:00,146
It's not for me, it's for Rania.

38
00:02:00,151 --> 00:02:02,530
She's still having a hard
time finding something.

39
00:02:02,535 --> 00:02:04,403
I didn't see you come home last night.

40
00:02:04,408 --> 00:02:07,077
I was in my room, I was
on a very important task.

41
00:02:07,155 --> 00:02:10,893
Mel was wiped, so I
covered homework and bedtime

42
00:02:11,264 --> 00:02:12,499
All on video call?

43
00:02:12,500 --> 00:02:15,435
Yeah, we made a game out
of it. I was Robot dad.

44
00:02:15,436 --> 00:02:16,844
And it went over really well with Mel.

45
00:02:16,848 --> 00:02:18,609
She's flying in tonight and
we're gonna out for dinner.

46
00:02:18,613 --> 00:02:20,769
- That's good.
- Did Rania ever find a job?

47
00:02:20,774 --> 00:02:23,705
Not yet. The government
helps out for the first year,

48
00:02:23,710 --> 00:02:24,913
but she needs to find a place

49
00:02:24,918 --> 00:02:27,587
and a lot of landlords are
hesitant about newcomers.

50
00:02:28,993 --> 00:02:30,862
- Long night?
- Yeah.

51
00:02:31,019 --> 00:02:32,620
Are you finished soon?

52
00:02:32,625 --> 00:02:34,227
Another hour.

53
00:02:34,917 --> 00:02:36,785
Remember Sonja Jessup?

54
00:02:37,139 --> 00:02:38,926
You know, when Bishop
misread the ultrasound?

55
00:02:38,927 --> 00:02:41,931
And I punctured her spleen.
Hard to forget that one.

56
00:02:41,936 --> 00:02:42,936
Well, her case is up

57
00:02:42,941 --> 00:02:45,089
at the Morbidity
and Mortality rounds today.

58
00:02:45,094 --> 00:02:47,729
I've sat in on a few M&Ms rounds, but...

59
00:02:47,859 --> 00:02:49,736
never one of my own patients.

60
00:02:49,741 --> 00:02:53,969
Then you know they're purely
educational and anonymous.

61
00:02:53,974 --> 00:02:55,703
You have nothing to worry about, Bash.

62
00:02:55,708 --> 00:02:57,310
Does Bishop?

63
00:02:57,611 --> 00:03:00,280
Good morning. Incoming trauma.

64
00:03:00,281 --> 00:03:02,416
- I'm on it.
- Ah, you look tired, Leblanc.

65
00:03:02,417 --> 00:03:05,085
Doctor Hamed, get
changed, meet me outside.

66
00:03:12,025 --> 00:03:13,875
ETA one minute.

67
00:03:13,985 --> 00:03:17,097
Um, Doctor Novak, assuming
I have time between patients,

68
00:03:17,098 --> 00:03:19,232
I'd like to attend the M&M rounds today.

69
00:03:19,233 --> 00:03:22,169
- The case in question is mine...
- Oh. No spoilers.

70
00:03:22,170 --> 00:03:25,639
The whole point is an impartial
review of adverse outcomes

71
00:03:25,640 --> 00:03:27,240
and I'm the one leading it.

72
00:03:27,586 --> 00:03:30,694
But by all means join us.
We'll figure out what went wrong.

73
00:03:32,038 --> 00:03:34,441
A guy sliced his femoral apparently.

74
00:03:34,680 --> 00:03:36,281
It's gonna be bloody.

75
00:03:48,088 --> 00:03:52,953
Synced & corrected by QueenMaddie
www.addic7ed.com

76
00:03:54,008 --> 00:03:55,797
Please don't let him die!

77
00:03:55,802 --> 00:03:57,404
You need to wait out here.

78
00:03:57,560 --> 00:04:00,229
Heart rate's 135, BP's crashing!

79
00:04:03,010 --> 00:04:05,145
Checking his artery.

80
00:04:06,462 --> 00:04:10,289
Her skate sliced through his
femoral, I can clamp it but...

81
00:04:11,377 --> 00:04:13,949
IVC's flat. He's hypovolemic.

82
00:04:13,954 --> 00:04:16,356
That doesn't bode well for
what's happening below the knee.

83
00:04:16,357 --> 00:04:17,958
It's bad news for a figure skater.

84
00:04:17,959 --> 00:04:19,559
He's exsanguinating!

85
00:04:19,560 --> 00:04:21,695
Activate MTP, I need
two large bore IV's.

86
00:04:21,696 --> 00:04:23,415
Four units, O-neg.
Rhoda, page vascular!

87
00:04:23,558 --> 00:04:26,792
Might not be enough. Ever do an
intravascular shunt back home?

88
00:04:26,797 --> 00:04:28,630
Yes, but they don't
do it here, as a rule.

89
00:04:28,635 --> 00:04:30,110
Then we make a new rule.

90
00:04:30,115 --> 00:04:32,475
The shunt increases the odds
when it comes to saving a limb.

91
00:04:33,957 --> 00:04:36,626
Hemorrhagic shock. Pulseless Vfib...

92
00:04:36,631 --> 00:04:39,516
Start bagging and compressing.
Rhoda, one shot epi!

93
00:04:39,524 --> 00:04:42,704
If we can save this kid and
his leg, why wouldn't we?

94
00:04:43,050 --> 00:04:45,117
Make do with what you can find.

95
00:04:48,793 --> 00:04:50,662
Don't stop compressions, Claire.

96
00:04:50,735 --> 00:04:53,460
Rhoda, prepare to
defibrillate. 200 joules.

97
00:04:53,461 --> 00:04:55,266
Be ready on my mark.

98
00:04:55,394 --> 00:04:58,527
Doctor Hamed's going
to build us a bridge,

99
00:04:58,532 --> 00:05:01,735
delivering blood from above
Vince's injury to below it.

100
00:05:01,740 --> 00:05:03,971
Here? Without vascular?

101
00:05:03,976 --> 00:05:05,445
Exciting, right?

102
00:05:10,272 --> 00:05:12,407
- Charged!
- Clear!

103
00:05:16,084 --> 00:05:19,274
- Sinus rhythm.
- Let's hope it flows...

104
00:05:21,047 --> 00:05:22,649
Beautiful.

105
00:05:28,512 --> 00:05:30,649
Good job, everybody.

106
00:05:46,046 --> 00:05:48,982
I haven't thrown up this
much since university.

107
00:05:49,290 --> 00:05:51,159
Should have brought a toothbrush.

108
00:05:51,164 --> 00:05:52,719
We've got some mouthwash
once you're done.

109
00:05:52,720 --> 00:05:56,703
Don't hold your breath. It's
been non-stop for two hours.

110
00:05:57,367 --> 00:05:59,581
Anything to eat or drink
this morning beforehand?

111
00:05:59,586 --> 00:06:02,714
I've been trying to drink
more milk, for the calcium.

112
00:06:02,719 --> 00:06:05,527
I was on my phone so I wasn't
paying attention when I poured it.

113
00:06:05,532 --> 00:06:08,468
- It had already expired.
- No, but...

114
00:06:08,775 --> 00:06:10,599
something else had.

115
00:06:10,604 --> 00:06:12,205
Is that a mouse?

116
00:06:12,206 --> 00:06:15,137
A very dead mouse. In the milk.

117
00:06:15,142 --> 00:06:16,650
That I drank.

118
00:06:16,655 --> 00:06:19,679
- You seem remarkably calm.
- Trust me, I wasn't.

119
00:06:20,248 --> 00:06:23,950
Screamed so loud that my cute
neighbour came to check on me.

120
00:06:23,951 --> 00:06:27,186
Which is when the puking started.

121
00:06:27,412 --> 00:06:29,022
Well, it's essentially food poisoning.

122
00:06:29,023 --> 00:06:33,017
Your body's natural reaction of
expelling what you've ingested.

123
00:06:33,022 --> 00:06:35,962
We'll run some blood work
and get you rehydrated.

124
00:06:38,365 --> 00:06:40,233
Thank you so much!

125
00:06:40,900 --> 00:06:42,897
Hey, I'm not on the board.

126
00:06:43,155 --> 00:06:45,030
Because the board is yours.

127
00:06:45,533 --> 00:06:47,392
Congratulations, Doctor Curtis.

128
00:06:47,397 --> 00:06:49,561
- I got Chief Resident?
- It wasn't unanimous,

129
00:06:49,566 --> 00:06:52,507
but your surgical record
swayed a few holdouts.

130
00:06:52,710 --> 00:06:54,915
That internal decapitation you caught,

131
00:06:54,916 --> 00:06:57,584
the team you put together for
that aggressive abdominal tumour,

132
00:06:57,585 --> 00:06:59,719
those were things people noticed.

133
00:07:00,253 --> 00:07:02,918
One year term, first
review in three months.

134
00:07:03,185 --> 00:07:04,786
You'll lead morning rounds today.

135
00:07:04,791 --> 00:07:07,189
Get a sense of who's
got what on their plate,

136
00:07:07,194 --> 00:07:08,795
make assignments and... any patient

137
00:07:08,796 --> 00:07:11,198
that's coming through
emerg is your responsibility

138
00:07:11,199 --> 00:07:13,333
whether you're covering it or not.

139
00:07:13,867 --> 00:07:16,069
- Oh, I start now?
- Best way to learn.

140
00:07:16,074 --> 00:07:19,011
Also you should know that
the competition was stiff

141
00:07:19,016 --> 00:07:21,952
and will be... unhappy.

142
00:07:22,676 --> 00:07:24,544
Welcome to the deep end.

143
00:07:40,026 --> 00:07:42,429
It doesn't matter
where I took him, Matt.

144
00:07:43,163 --> 00:07:45,365
Well, you gave up the
right to know how he is.

145
00:07:45,582 --> 00:07:47,984
No. He... I'm hanging up now!

146
00:07:50,444 --> 00:07:53,106
I'm sorry, I didn't,
ah... You're the mother?

147
00:07:53,107 --> 00:07:54,671
That room was empty.

148
00:07:54,825 --> 00:07:57,105
He was finally asleep.

149
00:07:57,303 --> 00:07:59,238
I've been trying to get
the school to stop calling his father

150
00:07:59,242 --> 00:08:00,262
when he's absent, but they keep

151
00:08:00,266 --> 00:08:01,680
forgetting to take him off the damn list

152
00:08:01,684 --> 00:08:03,819
even though he doesn't have custody.

153
00:08:04,647 --> 00:08:08,049
- When did his fever start?
- A couple days ago.

154
00:08:08,054 --> 00:08:10,190
It keeps coming back when
the Tylenol wears off.

155
00:08:10,191 --> 00:08:11,870
At first I thought he was just tired,

156
00:08:11,875 --> 00:08:14,064
but then, he didn't
sleep at all last night.

157
00:08:14,069 --> 00:08:15,863
We went to two walk-ins this morning

158
00:08:15,868 --> 00:08:17,107
and they said the wait
was gonna be hours

159
00:08:17,111 --> 00:08:19,278
- and I'm supposed to be at work.
- He shouldn't be at school

160
00:08:19,282 --> 00:08:20,942
with a temperature over 38 anyway.

161
00:08:20,947 --> 00:08:24,332
You also said to our triage
nurse something about a toothache?

162
00:08:24,337 --> 00:08:27,007
Yeah. He had a cold and then he said

163
00:08:27,008 --> 00:08:29,574
one of his bottom teeth was bugging him.

164
00:08:29,579 --> 00:08:31,715
He stopped mentioning it, but
I figured I should tell them.

165
00:08:31,719 --> 00:08:33,145
What did his dentist say?

166
00:08:33,947 --> 00:08:36,512
Well, I switched jobs, and
my benefits don't kick in

167
00:08:36,517 --> 00:08:37,946
for another month...

168
00:08:38,121 --> 00:08:42,222
Matt, Eamon's father, he
has better dental, but...

169
00:08:42,619 --> 00:08:44,753
We can't use that anymore.

170
00:08:44,886 --> 00:08:47,022
Eamon? I'm Theo.

171
00:08:47,027 --> 00:08:49,696
Mind if I take a quick
peek in your mouth there?

172
00:08:49,697 --> 00:08:51,166
Yeah? Roll over for me.

173
00:08:51,171 --> 00:08:53,306
Perfect, alright, open wide.

174
00:08:53,311 --> 00:08:54,646
Good.

175
00:08:55,302 --> 00:08:56,903
Okay.

176
00:08:58,505 --> 00:09:01,708
I'm gonna go talk to your
mom for a second, okay?

177
00:09:04,372 --> 00:09:06,508
We'll have to check his
white blood cell count

178
00:09:06,513 --> 00:09:07,737
and have a dentist weigh in,

179
00:09:07,742 --> 00:09:11,213
but it could be that an
abscess led to an infection.

180
00:09:12,788 --> 00:09:16,117
I figured it was just a cavity
that could wait a couple weeks.

181
00:09:16,468 --> 00:09:19,059
He needed a new winter coat, so...

182
00:09:19,675 --> 00:09:21,127
Did I screw up?

183
00:09:21,132 --> 00:09:23,330
We have an oral surgeon on call.

184
00:09:23,331 --> 00:09:24,664
She'll take a look.

185
00:09:24,669 --> 00:09:26,909
If she has to drain the abscess,

186
00:09:26,914 --> 00:09:28,960
it'll be covered under
provincial health care.

187
00:09:34,148 --> 00:09:35,749
Doctor Bishop.

188
00:09:36,676 --> 00:09:38,165
How are you feeling?

189
00:09:38,170 --> 00:09:40,572
Fine, gathering strength.

190
00:09:40,577 --> 00:09:43,021
I wasn't sure you'd make it
in today, I'm glad you did.

191
00:09:43,026 --> 00:09:45,695
I'm not here for the M&M
if that's what you mean.

192
00:09:45,700 --> 00:09:47,568
I'm here as a patient.

193
00:09:50,290 --> 00:09:53,218
You know, Doctor Novak, he's
running the session. And he's...

194
00:09:53,223 --> 00:09:55,892
Yes, yes, we've established.
Wants my job.

195
00:09:57,366 --> 00:09:59,099
He's picked a good case to take up,

196
00:09:59,100 --> 00:10:00,967
plenty to learn from what happened.

197
00:10:00,968 --> 00:10:02,619
So, how come you won't...

198
00:10:02,624 --> 00:10:05,238
If I'm there, others won't
feel free to speak openly.

199
00:10:05,239 --> 00:10:06,702
But if you're not, then...

200
00:10:06,707 --> 00:10:08,842
Novak might malign my good name?

201
00:10:10,538 --> 00:10:12,406
My name can take it.

202
00:10:12,411 --> 00:10:14,547
It's not your fight, Doctor Hamed.

203
00:10:22,055 --> 00:10:24,033
- Congrats, June.
- Thanks, Erica.

204
00:10:24,038 --> 00:10:27,116
- Hopefully, we can work together.
- Don't we already?

205
00:10:27,546 --> 00:10:30,592
And hey, I asked Alex
to show me his system

206
00:10:30,597 --> 00:10:35,124
on consults and OR assignments
in case I got the job but...

207
00:10:35,343 --> 00:10:37,270
I don't mind walking you through it.

208
00:10:37,271 --> 00:10:40,740
I'll figure it out, but thank you.

209
00:10:45,674 --> 00:10:47,150
What the hell is that?

210
00:10:47,155 --> 00:10:49,282
I'm asking Public Health to test it.

211
00:10:49,283 --> 00:10:51,166
Patient found it in a bag of milk.

212
00:10:51,171 --> 00:10:52,632
Like, after they drank from it?

213
00:10:52,637 --> 00:10:54,773
- Mm-hmm.
- Argh...

214
00:10:54,778 --> 00:10:57,018
- Oh, my God! June!
- What?

215
00:10:57,023 --> 00:10:58,358
You got the job!

216
00:10:58,999 --> 00:11:00,488
Chief Resident!

217
00:11:00,493 --> 00:11:02,629
- Oh, my God! It's amazing!
- Thank you.

218
00:11:02,630 --> 00:11:04,230
Any blowback from the other applicants?

219
00:11:04,231 --> 00:11:06,811
If there is I'll just have to
tune it out and do the work.

220
00:11:11,157 --> 00:11:13,616
Something I feel like
you might know all about?

221
00:11:13,621 --> 00:11:15,489
Is he still keeping you out of traumas?

222
00:11:15,494 --> 00:11:17,363
Or telling me I'm doing them wrong.

223
00:11:17,839 --> 00:11:21,042
Anyway as soon as Public Health
is on board, my shift's over.

224
00:11:21,047 --> 00:11:23,450
You should know Mr. Conor
in three needs a scope.

225
00:11:23,451 --> 00:11:25,318
- Possible ulcer.
- Oh, okay.

226
00:11:25,319 --> 00:11:27,987
- I'm so happy for you, June...
- Are you gonna hug me again?

227
00:11:29,429 --> 00:11:31,499
Boundaries, please.

228
00:11:39,171 --> 00:11:40,266
Trish?

229
00:11:40,487 --> 00:11:41,822
How's Vincent?

230
00:11:41,827 --> 00:11:44,804
He's doing well, he's stable
and about to go into surgery.

231
00:11:45,382 --> 00:11:47,944
Nothing like this has
ever happened to us before.

232
00:11:49,337 --> 00:11:52,499
How long have you two been...

233
00:11:53,241 --> 00:11:54,414
Together?

234
00:11:54,948 --> 00:11:56,282
Ten years.

235
00:11:56,283 --> 00:11:58,151
People always ask if
we're a couple but...

236
00:11:58,152 --> 00:12:00,820
we basically grew up on the ice,
so more like siblings,

237
00:12:00,821 --> 00:12:02,155
partners.

238
00:12:02,417 --> 00:12:03,713
It's hard to explain.

239
00:12:03,718 --> 00:12:05,892
One of the nurses recognized your names.

240
00:12:05,893 --> 00:12:07,760
You skate for the country?

241
00:12:07,761 --> 00:12:09,680
I'm sorry, I'm not
familiar with the sport.

242
00:12:09,685 --> 00:12:11,226
It's not like we're famous.

243
00:12:11,231 --> 00:12:13,362
You need to be ranked
25th or better in the world

244
00:12:13,366 --> 00:12:16,166
to make it on the National team
and qualify for the Olympics.

245
00:12:16,171 --> 00:12:17,899
Right now we're 42nd.

246
00:12:17,904 --> 00:12:19,772
That's still very impressive.

247
00:12:21,701 --> 00:12:24,139
Vincent's been asking for you.

248
00:12:28,179 --> 00:12:30,017
He looks so pale...

249
00:12:30,022 --> 00:12:32,852
That's normal for someone
who lost so much blood.

250
00:12:34,130 --> 00:12:35,648
It's okay.

251
00:12:40,703 --> 00:12:41,928
Are you okay?

252
00:12:41,933 --> 00:12:43,749
Are you seriously asking me that?

253
00:12:43,754 --> 00:12:46,461
- My blade almost killed you.
- Because I dropped you!

254
00:12:46,664 --> 00:12:48,601
- What went wrong, T?
- I don't know.

255
00:12:48,602 --> 00:12:49,922
But I've been running
it through in my head

256
00:12:49,926 --> 00:12:51,000
so when we get back out there...

257
00:12:51,004 --> 00:12:52,149
- Trish.
- Coming into that turn,

258
00:12:52,153 --> 00:12:54,234
if my freeside's forward
and yours is out...

259
00:12:54,239 --> 00:12:55,239
Trish.

260
00:12:57,054 --> 00:12:59,807
Doctor Hamed's saying this operation
could put me out for six months.

261
00:12:59,952 --> 00:13:01,821
Six months?

262
00:13:02,992 --> 00:13:06,748
The blade sliced very deep,
severing tissue and muscle,

263
00:13:06,753 --> 00:13:09,155
and our vascular surgeons
might have to take more

264
00:13:09,156 --> 00:13:11,460
to permanently repair Vincent's artery.

265
00:13:11,465 --> 00:13:13,588
We won't know the
extent until they go in.

266
00:13:13,593 --> 00:13:16,090
But everything we've worked
for. This was our shot.

267
00:13:16,095 --> 00:13:17,964
And if we miss the whole season...

268
00:13:17,971 --> 00:13:19,671
This can't be happening.

269
00:13:20,628 --> 00:13:22,764
I'll get it right this time...

270
00:13:23,187 --> 00:13:24,370
Get what right?

271
00:13:24,820 --> 00:13:27,040
Roland says we should be
extensions of each other

272
00:13:27,041 --> 00:13:29,088
so I need to keep practicing.

273
00:13:29,093 --> 00:13:30,777
What? He was our first
coach, when we were kids.

274
00:13:30,778 --> 00:13:32,645
- We haven't seen him in years.
- Trish?

275
00:13:32,656 --> 00:13:33,910
I need help in here!

276
00:13:33,915 --> 00:13:35,054
What's wrong with her?

277
00:13:35,059 --> 00:13:36,660
She may have fallen on her head.

278
00:13:36,665 --> 00:13:38,156
We need to get her to CT,

279
00:13:38,161 --> 00:13:40,246
check for signs of
concussion or skull fracture.

280
00:13:40,381 --> 00:13:41,983
Find us a stretcher.

281
00:13:41,988 --> 00:13:44,390
- Doctor Hamed, wait.
- What is it, Vincent?

282
00:13:44,391 --> 00:13:46,062
She's been taking something.

283
00:13:46,642 --> 00:13:48,789
She doesn't know that I know.

284
00:13:51,104 --> 00:13:52,601
- Doctor Curtis?
- Yeah?

285
00:13:53,108 --> 00:13:56,320
Mr. Conor was asking
about us sending him home

286
00:13:56,325 --> 00:13:58,124
when this happened.

287
00:13:58,129 --> 00:13:59,730
Did your stomach pain get worse?

288
00:14:00,126 --> 00:14:01,437
- Yeah.
- Okay.

289
00:14:01,442 --> 00:14:05,446
Based on your history, it's probably
a bleeding ulcer or gastritis.

290
00:14:06,218 --> 00:14:09,046
Hey, I called for a scope
for him like an hour ago.

291
00:14:09,051 --> 00:14:10,593
Any idea why no one came to get him?

292
00:14:10,598 --> 00:14:13,000
A resident needs to
be assigned for that.

293
00:14:13,513 --> 00:14:15,648
I'm gonna take you up myself.

294
00:14:15,653 --> 00:14:19,123
And I will ask Erica Harris
to cover me in emerg.

295
00:14:19,128 --> 00:14:20,554
Can you get us a chair?

296
00:14:20,559 --> 00:14:23,495
We'll give your wife a call, let
her know what's going on, okay?

297
00:14:25,924 --> 00:14:27,320
Heard you were looking for me?

298
00:14:27,325 --> 00:14:29,194
He started breathing
heavy a few minutes ago

299
00:14:29,199 --> 00:14:30,734
- and saying his head hurts?
- Okay.

300
00:14:30,739 --> 00:14:32,874
Eamon, could you sit up for me?

301
00:14:32,941 --> 00:14:34,810
Okay, good.

302
00:14:34,815 --> 00:14:36,950
Take some big breaths, buddy.

303
00:14:41,103 --> 00:14:44,306
Okay. You can sit back down. Perfect.

304
00:14:44,823 --> 00:14:46,425
I heard from the oral surgeon.

305
00:14:46,430 --> 00:14:48,565
She says there was a ruptured abscess

306
00:14:48,570 --> 00:14:50,705
which likely led to the infection.

307
00:14:52,232 --> 00:14:54,210
How long's he had these marks?

308
00:14:54,215 --> 00:14:56,617
I don't know. I've never noticed them.

309
00:15:06,595 --> 00:15:10,316
Arnold? EKG. Page cardio stat.

310
00:15:10,321 --> 00:15:11,691
Copy that.

311
00:15:13,682 --> 00:15:17,953
Eamon, I need you to take a big
breath and hold it for me, okay?

312
00:15:18,920 --> 00:15:20,777
What's happening to him?

313
00:15:24,124 --> 00:15:25,993
Good job.

314
00:15:26,841 --> 00:15:30,965
Those marks on his hands and
feet are called Janeway lesions.

315
00:15:30,970 --> 00:15:32,481
What that tells me is that Eamon's heart

316
00:15:32,485 --> 00:15:34,746
is throwing out tiny little blood clots.

317
00:15:34,751 --> 00:15:36,352
And I heard a murmur when I listened.

318
00:15:36,357 --> 00:15:38,756
In his heart?! What does that
have to do with a toothache?

319
00:15:38,761 --> 00:15:40,629
Mommy, I'm scared.

320
00:15:40,634 --> 00:15:42,236
That's okay, baby.

321
00:15:42,599 --> 00:15:44,176
What do we do when we feel afraid?

322
00:15:44,181 --> 00:15:45,832
Huh? Take a deep breath,

323
00:15:46,432 --> 00:15:48,949
we put our scariest face and we say...

324
00:15:48,954 --> 00:15:50,855
Go away fear!

325
00:15:50,860 --> 00:15:52,995
Okay, that's good.

326
00:15:54,398 --> 00:15:56,533
Eamon may have something
called endocarditis,

327
00:15:56,538 --> 00:16:00,542
it's an infection in one or
more of the valves of the heart.

328
00:16:00,842 --> 00:16:04,473
Sometimes, oral infections can
travel to other parts of the body

329
00:16:04,478 --> 00:16:06,080
when left unchecked.

330
00:16:06,085 --> 00:16:09,223
- When left unchecked.
- We'll do X-rays to confirm

331
00:16:09,228 --> 00:16:12,164
and an echo to see if or...

332
00:16:12,169 --> 00:16:14,730
how it affected his heart function.

333
00:16:14,735 --> 00:16:16,336
And if it has, how do you fix it?

334
00:16:16,341 --> 00:16:18,210
That depends on how far it's progressed.

335
00:16:18,215 --> 00:16:20,933
Cardiology will tell
us if he needs surgery

336
00:16:20,938 --> 00:16:23,051
or if it can be managed with medication.

337
00:16:23,313 --> 00:16:24,648
Hi.

338
00:16:25,606 --> 00:16:30,184
Arnold here is going to put some
stickers on your chest, okay, Eamon?

339
00:16:30,189 --> 00:16:32,324
I promise you, it won't hurt one bit.

340
00:16:32,329 --> 00:16:34,114
But it might tickle a little bit.

341
00:16:43,686 --> 00:16:45,809
You think I'm a bad mom
for leaving it so long.

342
00:16:45,814 --> 00:16:48,614
- I never meant to imply...
- Maybe not. But you did.

343
00:16:50,485 --> 00:16:52,035
Look,

344
00:16:52,873 --> 00:16:54,895
Eamon's dad was abusive.

345
00:16:55,446 --> 00:17:00,251
And about six months ago, it
got real bad, so we got out.

346
00:17:00,669 --> 00:17:03,338
And I don't want him to
know where we are. Ever.

347
00:17:03,611 --> 00:17:06,281
But that also means
not taking his money,

348
00:17:06,454 --> 00:17:09,535
so that means Eamon has
to live with less because

349
00:17:09,540 --> 00:17:11,965
I can't give him everything he needs.

350
00:17:13,301 --> 00:17:15,970
And now my little boy's heart...

351
00:17:22,941 --> 00:17:24,809
Please help him.

352
00:17:35,072 --> 00:17:36,674
Hey, Cam!

353
00:17:37,577 --> 00:17:40,762
I'm sorry! I know you only
have 45 minutes, I'm sorry!

354
00:17:40,767 --> 00:17:42,636
I lied. I have 90.

355
00:17:43,297 --> 00:17:45,840
- You ordered anyway?
- I was starving, sorry.

356
00:17:45,845 --> 00:17:47,746
And you're actually
earlier than I thought.

357
00:17:47,751 --> 00:17:49,622
Oh, my God, this woman
drank an entire bag of milk

358
00:17:49,626 --> 00:17:51,404
before she realized there
was a dead mouse in it.

359
00:17:51,408 --> 00:17:52,887
I had to stay and fill out paperwork

360
00:17:52,892 --> 00:17:54,575
and it just took me way longer
to convince Public Health

361
00:17:54,579 --> 00:17:57,024
to get it tested for
hantavirus, just forever.

362
00:17:57,029 --> 00:18:00,410
Well, there's my appetite.
My sister, Magalie, James.

363
00:18:00,415 --> 00:18:02,395
And that's on the low
end of weird for her.

364
00:18:02,400 --> 00:18:04,268
Just a coffee for now, James, thank you.

365
00:18:04,539 --> 00:18:06,223
This is for you.

366
00:18:06,567 --> 00:18:08,706
_

367
00:18:08,711 --> 00:18:10,824
Their war against clutter continues.

368
00:18:10,829 --> 00:18:11,910
_

369
00:18:12,146 --> 00:18:13,824
_

370
00:18:16,957 --> 00:18:18,004
_

371
00:18:18,678 --> 00:18:20,684
_

372
00:18:20,813 --> 00:18:23,778
_

373
00:18:24,372 --> 00:18:26,395
_

374
00:18:26,520 --> 00:18:28,074
_

375
00:18:30,994 --> 00:18:33,496
_

376
00:18:37,842 --> 00:18:39,710
Doctor Mann.

377
00:18:39,871 --> 00:18:41,309
_

378
00:18:41,497 --> 00:18:43,324
_

379
00:18:43,329 --> 00:18:44,329
Twelve.

380
00:18:46,664 --> 00:18:48,926
_

381
00:18:49,993 --> 00:18:54,418
_

382
00:18:55,284 --> 00:18:57,723
_

383
00:18:57,728 --> 00:18:59,621
It's just, you know, when...

384
00:18:59,626 --> 00:19:03,097
like the entire essence of
your being offends someone?

385
00:19:03,493 --> 00:19:06,051
It's kind of hard not
to start believing it.

386
00:19:07,241 --> 00:19:08,864
You can't just tell him off?

387
00:19:08,869 --> 00:19:12,106
No! No, that would really
make things worse for me.

388
00:19:12,111 --> 00:19:14,285
Are you gonna eat that?
You're not gonna eat that.

389
00:19:14,290 --> 00:19:16,425
_

390
00:19:20,541 --> 00:19:22,677
More labs on Trish Albrecht.

391
00:19:22,889 --> 00:19:24,757
Head CT's normal.

392
00:19:27,435 --> 00:19:29,571
Her transaminase
levels are way too high.

393
00:19:29,576 --> 00:19:31,711
There's something in her system.

394
00:19:31,840 --> 00:19:34,129
Maybe what her partner
said might explain that.

395
00:19:34,134 --> 00:19:36,536
But I can't just come
out and accuse her.

396
00:19:40,090 --> 00:19:41,692
M&M rounds today.

397
00:19:41,802 --> 00:19:43,731
You heard about what's being discussed?

398
00:19:45,262 --> 00:19:47,106
I tried to tell him.

399
00:19:54,136 --> 00:19:57,873
There is a toxin in your body, Trish.

400
00:19:58,053 --> 00:20:00,184
It's damaging your liver.

401
00:20:01,609 --> 00:20:05,880
We need to know if there's
anything you've taken or ingested.

402
00:20:05,885 --> 00:20:08,535
Even too much acetaminophen
can lead to this.

403
00:20:08,920 --> 00:20:12,004
We won't know if we can
reverse or stop the damage

404
00:20:12,009 --> 00:20:13,878
if we can't isolate the cause.

405
00:20:15,993 --> 00:20:17,595
Supplements.

406
00:20:17,650 --> 00:20:20,319
They're supposed to be natural.

407
00:20:20,324 --> 00:20:22,192
Supplements from a pharmacy?

408
00:20:22,197 --> 00:20:25,074
One of the trainers at
our club gets them online.

409
00:20:25,079 --> 00:20:26,681
Do you know what's in them?

410
00:20:26,686 --> 00:20:30,707
Muscle proteins, beta-alines.
Nothing illegal.

411
00:20:30,712 --> 00:20:32,676
- Performance enhancers?
- No!

412
00:20:32,681 --> 00:20:38,287
No HGH. Nothing banned that
would show up on a drug test.

413
00:20:41,563 --> 00:20:43,165
Vincent doesn't know.

414
00:20:43,170 --> 00:20:46,640
How long have you been taking these?

415
00:20:46,645 --> 00:20:48,246
A few months.

416
00:20:48,636 --> 00:20:51,039
After I fell and hurt my knee.

417
00:20:51,479 --> 00:20:55,137
But... I'm gonna be okay, right?

418
00:20:55,142 --> 00:20:57,356
The IV fluids are flushing your system.

419
00:20:57,361 --> 00:20:58,696
Now that we know the cause,

420
00:20:58,701 --> 00:21:00,864
we'll look for a way to stop the damage.

421
00:21:00,993 --> 00:21:03,020
And if you can't?

422
00:21:03,139 --> 00:21:05,957
Let's take it one step at a time.

423
00:21:05,962 --> 00:21:07,707
We'll see how you respond to treatment

424
00:21:07,712 --> 00:21:09,645
and we'll take it from there.

425
00:21:09,650 --> 00:21:16,056
We're 22. And I know
that sounds young but...

426
00:21:16,884 --> 00:21:20,199
There's always stronger
skaters coming up behind you.

427
00:21:21,319 --> 00:21:23,988
And if we don't make it this season...

428
00:21:28,087 --> 00:21:30,223
I did this to us.

429
00:21:32,850 --> 00:21:36,587
34-year-old patient with
multiple undiagnosed AVMs.

430
00:21:36,943 --> 00:21:38,778
Pleural effusion required a chest tube.

431
00:21:38,783 --> 00:21:41,719
The attending physician
guided placement via ultrasound

432
00:21:41,724 --> 00:21:43,844
while the Resident managed
insertion, after which

433
00:21:43,849 --> 00:21:45,452
there was a sudden
withdrawal of frank blood,

434
00:21:45,456 --> 00:21:47,379
indicative of splenic laceration.

435
00:21:48,116 --> 00:21:51,403
Our agenda with these rounds
is to examine what happened

436
00:21:51,408 --> 00:21:54,337
and to invite discussion
about how to prevent

437
00:21:54,342 --> 00:21:56,176
similar outcomes in the future.

438
00:21:56,415 --> 00:21:58,551
Seems simple enough.

439
00:21:58,556 --> 00:22:00,691
The Attending misread the ultrasound.

440
00:22:00,696 --> 00:22:02,184
Thanks, Doctor Singh. Yes.

441
00:22:02,189 --> 00:22:04,731
There was a lapse in vision

442
00:22:04,736 --> 00:22:06,832
caused by a medical condition...

443
00:22:10,851 --> 00:22:12,582
Keep going.

444
00:22:12,587 --> 00:22:14,990
After which the Resident
misplaced the tube.

445
00:22:14,995 --> 00:22:17,684
That's addressed in the
chart, and the case notes.

446
00:22:17,689 --> 00:22:20,051
Human fallibility. So, in other words,

447
00:22:20,056 --> 00:22:22,473
it's pretty dull from
a clinical perspective.

448
00:22:22,478 --> 00:22:26,114
Why then, Doctor Novak, did you
want us taking up this case today?

449
00:22:26,119 --> 00:22:28,324
You're asking the right question, Wendy.

450
00:22:28,329 --> 00:22:30,574
We know how it happened, but not why.

451
00:22:31,061 --> 00:22:35,065
And when you tug that particular
thread, things get interesting.

452
00:22:36,158 --> 00:22:38,294
Systemic failure of leadership

453
00:22:38,928 --> 00:22:42,398
led to this entirely
preventable incident.

454
00:22:45,498 --> 00:22:47,028
How'd I do, Sunita?

455
00:22:47,637 --> 00:22:48,779
You know the drill when it comes

456
00:22:48,783 --> 00:22:51,028
to the Motor Assessment Scale,
Doctor Bishop.

457
00:22:51,033 --> 00:22:52,902
You get your score at the end.

458
00:22:53,117 --> 00:22:55,169
Now, this next one's timed.

459
00:22:55,353 --> 00:22:57,591
What I'd like you to do now is pinch

460
00:22:57,596 --> 00:22:59,458
between your thumb and forefinger,

461
00:22:59,463 --> 00:23:03,734
then middle, ring, and little
finger, as fast as you can.

462
00:23:03,912 --> 00:23:05,514
Okay. Are you ready to start?

463
00:23:09,396 --> 00:23:11,192
As fast as you can, Doctor Bishop.

464
00:23:11,197 --> 00:23:13,349
Then change hands, please.

465
00:23:18,705 --> 00:23:20,622
That's fine, you can rest.

466
00:23:22,150 --> 00:23:24,552
This shouldn't have happened.

467
00:23:24,932 --> 00:23:27,067
It's on record that
the Attending suffered

468
00:23:27,072 --> 00:23:28,771
a significant brain
injury months earlier.

469
00:23:28,776 --> 00:23:31,708
Doctor Novak, as you acknowledged,

470
00:23:31,713 --> 00:23:35,372
the Attending physician admitted
that his medical condition

471
00:23:35,377 --> 00:23:38,314
led to the error. Acute vision loss.

472
00:23:38,319 --> 00:23:41,896
Unless you're saying his vision
loss wasn't just "in the moment"?

473
00:23:41,901 --> 00:23:43,412
No, I think since you're
asking that question,

474
00:23:43,416 --> 00:23:45,018
it's worth exploring.

475
00:23:45,724 --> 00:23:47,427
Is that for all my hard work?

476
00:23:48,565 --> 00:23:50,403
Now with your right arm,

477
00:23:50,408 --> 00:23:54,145
take a jellybean from one
cup, and place it in the next.

478
00:24:01,241 --> 00:24:02,842
Now with your left.

479
00:24:10,095 --> 00:24:11,696
Bugger.

480
00:24:14,563 --> 00:24:15,897
I can't...

481
00:24:15,902 --> 00:24:18,170
We'll try this one again next time.

482
00:24:19,155 --> 00:24:21,825
You're suggesting the Attending

483
00:24:21,830 --> 00:24:23,474
was aware of his deficiencies

484
00:24:23,479 --> 00:24:25,882
and risked patients anyway?

485
00:24:26,394 --> 00:24:28,396
That's a hell of an allegation.

486
00:24:28,401 --> 00:24:30,270
And not the point of this forum.

487
00:24:30,329 --> 00:24:31,966
Logging my failures?

488
00:24:32,109 --> 00:24:34,779
In this room,
we call them opportunities.

489
00:24:35,987 --> 00:24:38,685
Not sure a trauma patient needing
treatment would see it that way.

490
00:24:38,690 --> 00:24:40,787
There's still work to do, sir,

491
00:24:40,792 --> 00:24:42,661
but it's nothing to be afraid of.

492
00:24:42,966 --> 00:24:45,302
What are the odds
that this was the first time

493
00:24:45,307 --> 00:24:47,175
he presented the symptom?

494
00:24:47,535 --> 00:24:49,404
And yet no one on his team

495
00:24:49,409 --> 00:24:51,811
raised any objection to him practicing?

496
00:24:52,255 --> 00:24:54,060
I mean, we're not a shy bunch.

497
00:24:54,065 --> 00:24:55,468
Why not speak up?

498
00:24:55,473 --> 00:24:57,599
Did people fear repercussions?

499
00:25:00,011 --> 00:25:03,748
Was there a culture of fear
in our emergency department?

500
00:25:03,753 --> 00:25:05,889
That's not what happened.

501
00:25:06,445 --> 00:25:08,943
The Attending, and...

502
00:25:08,948 --> 00:25:10,990
everyone knows you mean Doctor Bishop,

503
00:25:10,995 --> 00:25:14,420
fosters an environment
of open communication.

504
00:25:15,250 --> 00:25:18,187
And as the aforementioned
Resident in this case,

505
00:25:18,192 --> 00:25:20,861
I can confirm that he
invites us to push back.

506
00:25:21,576 --> 00:25:23,328
Then why didn't you?

507
00:25:23,768 --> 00:25:26,459
How was it that a staff of
fully trained physicians,

508
00:25:26,464 --> 00:25:30,451
who diagnose patients that
they've just met every day,

509
00:25:30,456 --> 00:25:32,858
couldn't spot even
the tiniest indication

510
00:25:32,863 --> 00:25:34,465
that something was wrong with him?

511
00:25:35,247 --> 00:25:37,302
Because he was hiding it.

512
00:25:37,862 --> 00:25:40,560
He knew he wasn't recovering
properly from his head injury

513
00:25:40,565 --> 00:25:42,434
though he did know how bad it was.

514
00:25:42,439 --> 00:25:45,375
But that lack of judgment was his.

515
00:25:46,196 --> 00:25:48,177
No one else's.

516
00:26:05,709 --> 00:26:07,193
What the hell, June.

517
00:26:07,593 --> 00:26:10,482
I was just in surgery.
Scoping some bloody ulcers.

518
00:26:10,487 --> 00:26:13,423
The guy's fine. GI's in
there, sealing them up now.

519
00:26:13,428 --> 00:26:14,569
Just got to keep him overnight.

520
00:26:14,573 --> 00:26:16,279
A patient I know nothing about.

521
00:26:16,284 --> 00:26:19,487
Okay, I thought I was responsible
for assigning the residents to OR's?

522
00:26:19,492 --> 00:26:21,052
So you assigned yourself?

523
00:26:21,057 --> 00:26:23,068
Without finding anyone to cover emerg?

524
00:26:23,073 --> 00:26:25,498
I know it's your first day but, man!

525
00:26:25,503 --> 00:26:26,838
Harris said she was on it.

526
00:26:26,843 --> 00:26:29,512
Doctor Harris is in
OR seven on a whipple.

527
00:26:29,670 --> 00:26:32,339
I can't be micromanaging
you like this, June.

528
00:26:32,637 --> 00:26:35,318
You've been given a team, use it.

529
00:26:41,455 --> 00:26:43,057
Hey. Everything okay?

530
00:26:43,062 --> 00:26:45,662
With me, yes. But you sound upset.

531
00:26:45,667 --> 00:26:47,615
- What's wrong?
- Just a busy day...

532
00:26:47,620 --> 00:26:49,222
I'm fine.

533
00:26:49,227 --> 00:26:51,362
Uh, the place I found.
Did you go see it?

534
00:26:51,882 --> 00:26:55,771
_

535
00:26:55,892 --> 00:26:58,513
_

536
00:26:58,518 --> 00:27:00,732
But they said they'd take
care of the references.

537
00:27:00,933 --> 00:27:02,896
_

538
00:27:03,064 --> 00:27:06,091
_

539
00:27:06,096 --> 00:27:07,873
Okay, well, let me call them back.

540
00:27:07,878 --> 00:27:10,281
Actually I have found something else.

541
00:27:10,286 --> 00:27:14,290
A Syrian friend from
class has an extra room.

542
00:27:14,295 --> 00:27:17,765
Near Keele and Lawrence.

543
00:27:18,726 --> 00:27:20,795
_

544
00:27:20,865 --> 00:27:23,920
_

545
00:27:23,925 --> 00:27:25,584
And the people you'll be living with?

546
00:27:25,589 --> 00:27:29,059
I just met them.
Three women and two men.

547
00:27:29,212 --> 00:27:33,012
One of whom may or may not
already want to marry me.

548
00:27:37,217 --> 00:27:38,668
I'm kidding.

549
00:27:39,099 --> 00:27:41,160
What, about him wanting to marry you?

550
00:27:41,165 --> 00:27:43,918
Or that you'll be living
with people you don't know?

551
00:27:43,923 --> 00:27:45,238
Bashir,

552
00:27:45,243 --> 00:27:47,340
I can take care of myself.

553
00:27:47,345 --> 00:27:50,015
I know. It's just...

554
00:27:50,315 --> 00:27:51,916
Yes. Of course.

555
00:27:51,921 --> 00:27:52,941
_

556
00:27:53,481 --> 00:27:57,019
_

557
00:27:57,470 --> 00:28:01,582
_

558
00:28:01,587 --> 00:28:05,591
Ah, yes. Singing and crude
jokes. You'll love it.

559
00:28:08,817 --> 00:28:12,198
Ah, Rania, I have to go.

560
00:28:18,872 --> 00:28:20,740
She's in and out, still confused.

561
00:28:20,745 --> 00:28:23,655
Her sats are low and her blood
ammonia level came back high.

562
00:28:26,743 --> 00:28:31,014
Hypotensive, tachycardic. AST,
ALT, bilirubin all spiking.

563
00:28:31,019 --> 00:28:32,887
She's in acute liver failure.

564
00:28:32,892 --> 00:28:37,163
Encephalopathy grade 3, that's the
threshold for intubation, right?

565
00:28:37,168 --> 00:28:39,570
Otherwise she's at risk of
not protecting her airway?

566
00:28:40,044 --> 00:28:42,180
Yes. I'll sedate her,

567
00:28:42,185 --> 00:28:45,567
and you call RT for intubation and...

568
00:28:45,572 --> 00:28:48,241
insert an OG tube for lactulose.

569
00:28:48,246 --> 00:28:49,581
Claire?

570
00:28:50,306 --> 00:28:52,174
What you said in there...

571
00:28:52,582 --> 00:28:54,985
Did Doctor Bishop ask you to do that?

572
00:28:57,197 --> 00:28:59,561
I'll let you know when she's intubated.

573
00:29:03,251 --> 00:29:05,386
- How are you feeling, Vincent?
- Can I see Trish?

574
00:29:05,391 --> 00:29:09,395
She's not awake. We're doing
our best to look after her.

575
00:29:09,861 --> 00:29:11,196
Was it her head?

576
00:29:11,197 --> 00:29:13,217
- No.
- Then I was right.

577
00:29:14,272 --> 00:29:16,267
What did those things do to her?

578
00:29:16,605 --> 00:29:19,275
Trish is in acute liver failure.

579
00:29:19,694 --> 00:29:22,420
No, don't tell me that.

580
00:29:22,729 --> 00:29:24,597
I didn't say anything.

581
00:29:25,124 --> 00:29:26,687
I could have stopped
her from taking them.

582
00:29:26,691 --> 00:29:29,920
But she was getting stronger
and we were having our best year.

583
00:29:29,925 --> 00:29:31,061
Can you help her?

584
00:29:31,066 --> 00:29:32,881
We're doing everything we can,

585
00:29:32,886 --> 00:29:35,600
but if we don't slow
the toxicity down soon...

586
00:29:35,605 --> 00:29:37,207
She could die?

587
00:29:38,205 --> 00:29:40,874
I'm sorry, Vincent. It's a possibility.

588
00:29:42,967 --> 00:29:45,788
She's always had to
work harder physically...

589
00:29:47,499 --> 00:29:51,255
But we joke that she's the artist
and I keep us tethered to reality.

590
00:29:53,732 --> 00:29:55,716
And I let her fall.

591
00:29:58,538 --> 00:30:00,139
You got an early flight?

592
00:30:04,873 --> 00:30:06,592
The girls've probably
already talked your folks

593
00:30:06,596 --> 00:30:08,192
into buying them an armload of candy.

594
00:30:08,197 --> 00:30:11,857
- I'm sure they have.
- I know I said I could duck out early,

595
00:30:11,862 --> 00:30:13,464
but it's been busy today.

596
00:30:13,731 --> 00:30:16,934
I did, however, snag us a 9PM table.

597
00:30:16,939 --> 00:30:20,409
You could go early, sit
with a glass of wine.

598
00:30:24,146 --> 00:30:26,015
Mel, what's wrong?

599
00:30:26,503 --> 00:30:29,439
It's not working, Theo.

600
00:30:30,742 --> 00:30:32,343
Since when?

601
00:30:34,055 --> 00:30:37,258
I've been trying so hard
to make this work for us.

602
00:30:37,263 --> 00:30:39,029
I know you have.

603
00:30:39,049 --> 00:30:40,383
I do.

604
00:30:41,168 --> 00:30:43,037
But it's...

605
00:30:43,971 --> 00:30:45,573
not enough.

606
00:30:46,029 --> 00:30:48,164
It'll get better.

607
00:30:48,461 --> 00:30:51,398
I promise. Once I settle
in, I'll be less scattered.

608
00:30:51,403 --> 00:30:54,073
We'll have more time
to figure this all out.

609
00:30:54,862 --> 00:30:57,531
I'm not happy, Theo.

610
00:30:58,920 --> 00:31:00,254
No. Mel.

611
00:31:02,845 --> 00:31:04,713
I can fix that,

612
00:31:04,843 --> 00:31:06,445
I know I can.

613
00:31:06,450 --> 00:31:08,051
You can't.

614
00:31:11,731 --> 00:31:16,536
Because when you chose
this, you didn't choose me.

615
00:31:19,018 --> 00:31:20,619
Okay.

616
00:31:24,027 --> 00:31:25,362
Okay, so...

617
00:31:25,367 --> 00:31:27,802
Then I un-choose it.

618
00:31:29,083 --> 00:31:31,485
I'll come home and we'll go
back to the original plan.

619
00:31:31,490 --> 00:31:33,893
Please don't try telling
me you want to come home.

620
00:31:33,898 --> 00:31:35,766
It's too late for that.

621
00:31:37,242 --> 00:31:39,377
The past month, you doing this job,

622
00:31:39,382 --> 00:31:42,586
it's the happiest I've
seen you for so long.

623
00:31:49,583 --> 00:31:52,982
You can still be a great
dad to your daughters.

624
00:31:56,858 --> 00:31:58,727
I'm sorry.

625
00:32:00,502 --> 00:32:02,162
Me too.

626
00:32:07,372 --> 00:32:08,973
I'm going to go.

627
00:32:18,978 --> 00:32:21,113
Where have you been, Doctor Curtis?

628
00:32:22,125 --> 00:32:25,061
We can't be left scrambling
for surgical consults

629
00:32:25,066 --> 00:32:27,427
- when you're not here.
- I know, I'm sorry.

630
00:32:27,432 --> 00:32:30,810
We managed, you'll learn.

631
00:32:30,855 --> 00:32:33,466
It's good to see you coming
up in the world, Doctor Curtis.

632
00:32:37,822 --> 00:32:40,208
Did he really say all
that stuff about Bishop?

633
00:32:40,683 --> 00:32:42,552
I just...

634
00:32:43,262 --> 00:32:46,130
hate that man.

635
00:32:46,958 --> 00:32:51,229
Doctor Curtis to ICU.
Doctor Curtis, ICU.

636
00:32:51,332 --> 00:32:52,933
Go. Better hurry.

637
00:32:52,938 --> 00:32:55,341
Okay.

638
00:32:59,768 --> 00:33:02,171
She needs mannitol
and hypertonic saline.

639
00:33:02,916 --> 00:33:04,775
She just started convulsing.

640
00:33:05,162 --> 00:33:08,022
A decorticate posturing.
You're thinking cerebral edema?

641
00:33:08,027 --> 00:33:09,640
- Mm-hmm.
- Well...

642
00:33:09,645 --> 00:33:13,382
I mean, it is a statistical
complication of liver injury.

643
00:33:13,387 --> 00:33:15,519
I'll get a CT to confirm.
But if we're right,

644
00:33:15,524 --> 00:33:17,617
she'll need a craniotomy to
drain the fluid from her brain.

645
00:33:17,621 --> 00:33:19,749
Okay. I'll prime a neurosurgeon.

646
00:33:34,062 --> 00:33:35,930
What the hell, Erica?

647
00:33:35,987 --> 00:33:37,856
I thought I asked you
to cover for emerg.

648
00:33:37,910 --> 00:33:40,429
A senior oncologist
needed me in surgery.

649
00:33:40,434 --> 00:33:41,663
I was supposed to say no?

650
00:33:41,668 --> 00:33:44,569
You could have asked somebody
else, you could've paged me!

651
00:33:44,574 --> 00:33:47,155
You told me you didn't need
help learning the system.

652
00:33:47,416 --> 00:33:50,619
You know you need backups
for your backups, right?

653
00:33:52,198 --> 00:33:54,868
Is that the emergency craniotomy?

654
00:33:55,724 --> 00:33:57,093
Who's assisting?

655
00:33:57,098 --> 00:33:58,788
I assigned another resident.

656
00:34:00,136 --> 00:34:01,738
But you can be the backup.

657
00:34:07,132 --> 00:34:08,733
Hey!

658
00:34:10,500 --> 00:34:12,210
Heard about the other figure skater.

659
00:34:12,215 --> 00:34:14,601
Quite the pair, those two.

660
00:34:16,898 --> 00:34:19,390
Listen, I'm glad you
punched back earlier.

661
00:34:19,395 --> 00:34:21,263
It's how those sessions
are supposed to be.

662
00:34:21,268 --> 00:34:23,147
Lively. Illuminating.

663
00:34:25,551 --> 00:34:27,153
You look up to Bishop.

664
00:34:27,701 --> 00:34:30,103
I get that. He's a brilliant guy.

665
00:34:30,213 --> 00:34:32,296
He took a chance on me.

666
00:34:32,301 --> 00:34:35,038
Now you feel like your
survival here depends on him.

667
00:34:36,910 --> 00:34:39,046
I know what it's like
to need his approval.

668
00:34:39,051 --> 00:34:41,390
It's like his residents are starving,

669
00:34:41,395 --> 00:34:43,531
and he controls the food supply.

670
00:34:43,536 --> 00:34:45,726
That may have been your
experience with him,

671
00:34:45,731 --> 00:34:47,311
it's not mine.

672
00:34:49,550 --> 00:34:50,710
Doctors from your country,

673
00:34:50,715 --> 00:34:53,546
it's not easy to get
your credentials out.

674
00:34:57,354 --> 00:34:59,490
I looked into your file.

675
00:34:59,679 --> 00:35:01,843
There's no medical transcripts there.

676
00:35:02,324 --> 00:35:04,561
There's just a sworn statement
from Bishop saying he...

677
00:35:04,566 --> 00:35:06,168
swears they exist.

678
00:35:06,367 --> 00:35:07,968
They do.

679
00:35:09,517 --> 00:35:11,119
What are you saying?

680
00:35:11,651 --> 00:35:13,252
Just that I know how it feels

681
00:35:13,257 --> 00:35:15,126
when his approval doesn't come.

682
00:35:18,152 --> 00:35:20,287
If you need anybody else in your corner,

683
00:35:20,292 --> 00:35:21,627
I'm there.

684
00:35:22,171 --> 00:35:24,085
Remember that, Doctor Hamed.

685
00:35:27,311 --> 00:35:28,626
Hey, hey!

686
00:35:28,631 --> 00:35:31,834
- You're back.
- And you're still here.

687
00:35:32,165 --> 00:35:35,733
Why does it feel like the last
12 hours since I've seen you

688
00:35:35,738 --> 00:35:37,072
have been one minute?

689
00:35:37,077 --> 00:35:38,882
Does that mean it was a good first day?

690
00:35:38,887 --> 00:35:42,577
More like an ongoing ordeal
of just disappointing everyone?

691
00:35:42,582 --> 00:35:44,069
- June.
- Oh, yeah.

692
00:35:45,316 --> 00:35:46,843
It's Doctor Singh.

693
00:35:46,848 --> 00:35:48,716
I wonder what else I messed up.

694
00:35:48,872 --> 00:35:50,741
It will be okay.

695
00:36:00,202 --> 00:36:02,124
This came back for you.

696
00:36:03,439 --> 00:36:05,679
But Public Health is
supposed to be testing it.

697
00:36:05,684 --> 00:36:07,749
I spent an hour on hold
and I talked to two people.

698
00:36:07,754 --> 00:36:09,491
When did you have the time to do that?

699
00:36:09,600 --> 00:36:12,160
This morning after my shift.
And I know, I know.

700
00:36:12,165 --> 00:36:13,585
You think it was a waste of energy.

701
00:36:13,590 --> 00:36:15,455
And the person who
makes the final decision

702
00:36:15,460 --> 00:36:16,843
at Public Health agrees.

703
00:36:16,848 --> 00:36:19,413
Unless the patient's
symptomatic for hantavirus,

704
00:36:19,418 --> 00:36:20,745
which yours was not,

705
00:36:20,750 --> 00:36:23,687
they're not gonna test the mouse
because she isn't at risk.

706
00:36:23,692 --> 00:36:25,828
Okay, then why are you
giving it back to me?

707
00:36:26,336 --> 00:36:29,468
Oh, I thought, knowing
you, you might want to...

708
00:36:29,473 --> 00:36:31,311
dissect it and test it yourself?

709
00:36:31,316 --> 00:36:34,304
Or at least give it a proper burial.

710
00:36:34,309 --> 00:36:36,796
Listeria outbreak in a U of T dorm.

711
00:36:36,801 --> 00:36:38,616
Curtains are starting to line up.

712
00:36:38,621 --> 00:36:39,955
Sorry, Mags.

713
00:36:40,118 --> 00:36:41,987
Have a fun night.

714
00:37:00,810 --> 00:37:04,718
I spoke with the cardiologist again.

715
00:37:05,192 --> 00:37:07,390
Everyone's confident that he'll be able

716
00:37:07,395 --> 00:37:09,624
to fight off the infection
without surgery

717
00:37:10,175 --> 00:37:12,327
and avoid any damage to his heart.

718
00:37:14,756 --> 00:37:19,252
Um, they said he could be here
on IV antibiotics for weeks.

719
00:37:19,257 --> 00:37:21,111
Is there someone else
who can help you manage?

720
00:37:21,130 --> 00:37:22,999
Grandparents or...?

721
00:37:24,152 --> 00:37:26,555
No, we're alone together,

722
00:37:27,334 --> 00:37:29,202
him and me.

723
00:37:31,086 --> 00:37:33,488
You didn't do anything wrong, Christie.

724
00:37:35,922 --> 00:37:38,592
He needed a dentist
and I bought him a coat.

725
00:37:39,689 --> 00:37:42,385
And I'm supposed to know
what's best for him, but,

726
00:37:42,416 --> 00:37:45,085
every decision has consequences.

727
00:37:47,892 --> 00:37:50,294
We don't know what they
are when we make them.

728
00:37:54,331 --> 00:37:56,199
You're an amazing mom.

729
00:38:07,823 --> 00:38:09,463
What was the last thing that he said

730
00:38:09,468 --> 00:38:11,556
after asking about your transcripts.

731
00:38:11,561 --> 00:38:13,963
That if I needed an ally
and you weren't around,

732
00:38:13,964 --> 00:38:15,831
I could turn to him.

733
00:38:16,460 --> 00:38:19,505
Why do you think I sent
Claire in there today?

734
00:38:19,510 --> 00:38:22,489
I was protecting my team,
taking responsibility.

735
00:38:22,494 --> 00:38:25,400
All you did by getting involved
was make things worse.

736
00:38:25,405 --> 00:38:27,760
- For both of us!
- But you were not defending yourself!

737
00:38:27,765 --> 00:38:30,435
I told you this was not your fight!

738
00:38:30,744 --> 00:38:32,648
I know. It's yours.

739
00:38:33,983 --> 00:38:36,119
So why won't you fight it?

740
00:38:51,842 --> 00:38:53,176
Trish.

741
00:39:00,084 --> 00:39:02,486
They said you came through okay.

742
00:39:03,751 --> 00:39:06,549
- I did this to us, Vin.
- And I let you.

743
00:39:07,803 --> 00:39:10,205
I knew what you were doing,
and I didn't say anything.

744
00:39:10,502 --> 00:39:12,904
How did we get so out of sync?

745
00:39:13,174 --> 00:39:14,776
Fear?

746
00:39:16,080 --> 00:39:19,799
I know I was afraid of all
of this being for nothing.

747
00:39:21,134 --> 00:39:24,071
I had to find a way
to keep going for us.

748
00:39:26,619 --> 00:39:28,642
You know, I've been sitting here, Trish,

749
00:39:29,855 --> 00:39:32,257
hoping you'd survive and thinking.

750
00:39:33,708 --> 00:39:36,557
We've been picking each
other up since we were kids,

751
00:39:38,797 --> 00:39:40,932
we can get up from this too.

752
00:39:45,901 --> 00:39:47,503
Where does this leave us?

753
00:39:47,508 --> 00:39:50,444
Vincent's surgeons said 12 weeks,

754
00:39:50,777 --> 00:39:54,158
and I could try to give you
a specific timeframe, but...

755
00:39:55,661 --> 00:39:58,455
You two have been
beating the odds all day.

756
00:40:10,179 --> 00:40:11,514
Hey.

757
00:40:11,519 --> 00:40:14,188
Doctor Harris told me about
you losing your temper.

758
00:40:14,745 --> 00:40:17,228
Of course she did. Is
that why you paged me?

759
00:40:17,463 --> 00:40:19,807
She wasn't wrong to leave emerg.

760
00:40:19,812 --> 00:40:21,947
Someone with more weight needed her.

761
00:40:22,432 --> 00:40:25,174
One of the things you learn as a boss,
even in middle management,

762
00:40:25,179 --> 00:40:27,127
is how to live with
people not liking you.

763
00:40:27,132 --> 00:40:29,328
Uh, yeah, I'm fine with
people not liking me.

764
00:40:29,333 --> 00:40:31,440
You're the one who keeps telling
me that I need to politick,

765
00:40:31,444 --> 00:40:34,182
and delegate and what
was it? Yeah, trust them.

766
00:40:34,187 --> 00:40:36,322
I didn't say it would be easy.

767
00:40:36,327 --> 00:40:39,531
Anyway. This is why
I paged you. Two please.

768
00:40:39,792 --> 00:40:42,557
Actually, I have to
get back, Doctor Singh.

769
00:40:42,562 --> 00:40:44,697
Oh, come on, it's a rite of passage.

770
00:40:44,702 --> 00:40:48,173
And the dinner of overworked
doctors everywhere.

771
00:40:54,623 --> 00:40:57,292
Today's mistakes are over.

772
00:41:03,256 --> 00:41:05,124
Got any onions?

773
00:41:13,019 --> 00:41:17,119
So, this would be the first
place I rented in this city

774
00:41:17,124 --> 00:41:19,260
with two bedrooms.

775
00:41:21,033 --> 00:41:22,902
_

776
00:41:23,033 --> 00:41:25,283
_

777
00:41:25,965 --> 00:41:29,392
_

778
00:41:30,250 --> 00:41:32,386
Since now.

779
00:41:33,085 --> 00:41:37,623
But Theo's was always
going to be temporary.

780
00:41:37,902 --> 00:41:40,424
_

781
00:41:40,495 --> 00:41:43,135
_

782
00:41:43,961 --> 00:41:46,447
_

783
00:41:48,081 --> 00:41:52,352
Actually, I was thinking
you could move in here,

784
00:41:52,633 --> 00:41:54,064
with me and Amira.

785
00:41:54,698 --> 00:41:56,041
_

786
00:41:56,752 --> 00:41:57,752
_

787
00:41:57,757 --> 00:41:59,807
The bedroom.

788
00:41:59,812 --> 00:42:01,146
I'll take the couch.

789
00:42:01,151 --> 00:42:03,554
You just finished telling
me this is the first place

790
00:42:03,559 --> 00:42:05,961
you've rented with two bedrooms

791
00:42:06,419 --> 00:42:08,892
and you're already back
to sleeping on the couch?

792
00:42:08,897 --> 00:42:10,766
I don't mind.

793
00:42:12,066 --> 00:42:14,201
Rania, I'm serious.

794
00:42:14,563 --> 00:42:16,698
You don't think it's a little fast?

795
00:42:16,703 --> 00:42:19,907
Fast. We've already lost so much time.

796
00:42:21,455 --> 00:42:22,814
_

797
00:42:23,457 --> 00:42:25,455
_

798
00:42:28,422 --> 00:42:30,799
_

799
00:42:40,808 --> 00:42:43,478
I don't need to be saved, Bashir.

800
00:42:44,747 --> 00:42:46,883
Maybe I do.

801
00:42:57,815 --> 00:43:00,815
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www.addic7ed.com