1 00:00:00,070 --> 00:00:01,179 You're being pushed out? 2 00:00:01,184 --> 00:00:02,383 I'll find a way to get the board 3 00:00:02,387 --> 00:00:03,632 back on-side again. 4 00:00:03,637 --> 00:00:05,132 Dad's dying, Junie. 5 00:00:05,137 --> 00:00:06,438 I don't know what it changes, so... 6 00:00:06,442 --> 00:00:08,218 That's cold, even for you. 7 00:00:08,223 --> 00:00:10,958 Cardiology. I told you I wanted to explore it, 8 00:00:10,963 --> 00:00:12,148 but you didn't hear me. 9 00:00:12,153 --> 00:00:13,450 Yeah, well, I'm hearing you now. 10 00:00:13,455 --> 00:00:16,490 - Here. - You're giving us your car? 11 00:00:16,495 --> 00:00:17,765 I need to purge a few things. 12 00:00:17,770 --> 00:00:19,471 There's a detention order against me. 13 00:00:19,476 --> 00:00:20,843 It's been two weeks. 14 00:00:20,848 --> 00:00:23,149 You said Khaled would only be in detention one day. 15 00:00:23,154 --> 00:00:25,123 He could be deported. 16 00:00:25,128 --> 00:00:27,830 Sorry won't be good enough, Doctor Hamed. 17 00:00:27,866 --> 00:00:29,554 This is your fault. 18 00:01:01,798 --> 00:01:03,929 Mr. Jackson, I have your results from... 19 00:01:03,934 --> 00:01:05,835 Shh. You'll scare him. 20 00:01:06,336 --> 00:01:08,838 - You see him too, right? - I do. 21 00:01:09,206 --> 00:01:11,398 Good. Then it's not the mushrooms. 22 00:01:14,744 --> 00:01:16,828 I'll be right back. 23 00:01:17,728 --> 00:01:19,596 The house I bought in Leslieville. 24 00:01:19,601 --> 00:01:21,302 Quick jog to the hospital. 25 00:01:21,307 --> 00:01:23,015 Needs a little work... 26 00:01:23,374 --> 00:01:25,101 Actually, needs a lot of work. 27 00:01:25,106 --> 00:01:27,146 You wouldn't happen to know a contractor, would you? 28 00:01:27,344 --> 00:01:29,218 Well, my brother-in-law. 29 00:01:29,223 --> 00:01:31,858 He's honest, but he's also kind of a moron. 30 00:01:31,863 --> 00:01:32,996 I'll pa... 31 00:01:33,001 --> 00:01:34,435 There you are. 32 00:01:36,400 --> 00:01:38,101 Try not to move... 33 00:01:40,910 --> 00:01:43,378 So Mr. Lee definitely has gout but doesn't want to admit it 34 00:01:43,383 --> 00:01:44,860 while Mrs. Watson thinks she has everything but actually 35 00:01:44,864 --> 00:01:47,252 just has dyspepsia and... you missed. 36 00:01:47,257 --> 00:01:48,751 If you're gonna practice, pay attention. 37 00:01:48,755 --> 00:01:50,846 - Sorry? - She means me. The vein. 38 00:01:50,851 --> 00:01:52,360 The trick is to get him to accept a corticosteroid 39 00:01:52,364 --> 00:01:54,812 before he gets a kidney stone. Arnold, you with me? 40 00:01:54,817 --> 00:01:56,614 Yeah. Right. Corticosteroid. 41 00:01:56,619 --> 00:01:57,985 Why don't you try tapping the vein, Jake? 42 00:01:57,989 --> 00:01:59,523 - Tapping it? - Yeah, tapping it. 43 00:01:59,528 --> 00:02:00,728 Like this. 44 00:02:01,160 --> 00:02:02,654 - See? - Oh, yeah. 45 00:02:02,659 --> 00:02:04,993 She needs antacids and a bland diet for a few days. 46 00:02:05,589 --> 00:02:07,679 - You got it! - Hey! 47 00:02:07,684 --> 00:02:09,185 That was exhausting. 48 00:02:09,190 --> 00:02:10,323 No kidding. 49 00:02:10,328 --> 00:02:11,882 Lightweights, both of you. 50 00:02:12,379 --> 00:02:14,671 So I got your text about lunch, 51 00:02:14,676 --> 00:02:17,011 but my sister's actually coming to meet me. 52 00:02:17,016 --> 00:02:18,359 She is? 53 00:02:18,808 --> 00:02:20,414 Can I meet her? 54 00:02:21,611 --> 00:02:23,946 Sure, okay. 55 00:02:23,951 --> 00:02:26,244 But if you thought learning how to put an IV was tough, 56 00:02:26,249 --> 00:02:27,265 I mean... 57 00:02:27,270 --> 00:02:28,804 It flew that way. 58 00:02:29,419 --> 00:02:30,886 Okay, I gotta go. 59 00:02:30,891 --> 00:02:32,492 How did it even get in there? 60 00:02:32,497 --> 00:02:35,499 - Oh, hey! What's going on? - Hunting party. 61 00:02:37,560 --> 00:02:39,570 We need something to coax it down. 62 00:02:39,575 --> 00:02:40,908 Coax what down? 63 00:02:41,053 --> 00:02:44,197 The model's an acute care surgical response team. 64 00:02:44,467 --> 00:02:46,390 It would decrease patient waiting times 65 00:02:46,395 --> 00:02:50,532 and expand the scope of procedures that we can do in emergency. 66 00:02:51,737 --> 00:02:53,504 Do I want to know what's going on here? 67 00:02:53,509 --> 00:02:56,859 It's a bird. We had it, then lost it. 68 00:02:57,180 --> 00:03:00,260 - Shouldn't you be on rounds? - What? 69 00:03:00,265 --> 00:03:03,703 I was on my way. We were just trying to catch it. 70 00:03:03,708 --> 00:03:05,183 For patient safety. 71 00:03:05,188 --> 00:03:07,819 And for our own amusement. 72 00:03:07,824 --> 00:03:11,117 Okay, fun's over. Get maintenance to handle it. 73 00:03:13,960 --> 00:03:15,312 Sorry about the wait. 74 00:03:15,317 --> 00:03:17,812 Good news. Landing on a wrist to break a fall 75 00:03:17,817 --> 00:03:20,554 usually means a fracture, but in your case it's just a sprain. 76 00:03:20,559 --> 00:03:22,218 Doc, he looked me right into the eyes. 77 00:03:22,223 --> 00:03:25,058 And I swear it felt like he could see through my soul. 78 00:03:25,063 --> 00:03:26,497 Who, the bird? 79 00:03:26,716 --> 00:03:31,152 We tried freeing him but... it seems he's trapped in here. 80 00:03:32,132 --> 00:03:33,611 Or maybe we are. 81 00:03:34,054 --> 00:03:36,114 That might be the mushrooms. 82 00:03:58,570 --> 00:04:03,476 Synced & corrected by QueenMaddie www.addic7ed.com 83 00:04:05,582 --> 00:04:08,414 Six-month-old with complex CHD choppered in from Timmins. 84 00:04:08,419 --> 00:04:10,284 Did they say what kind of congenital heart defect? 85 00:04:10,288 --> 00:04:12,250 No and things can happen fast with infants, Jake, 86 00:04:12,255 --> 00:04:14,923 so if we ask you for something, do it no questions asked, okay? 87 00:04:14,928 --> 00:04:16,788 Oliver Campbell, tacky at 280. 88 00:04:16,793 --> 00:04:18,704 Stabilized at the regional hospital but thought it best 89 00:04:18,708 --> 00:04:20,675 to fly him down considering his heart history. 90 00:04:20,680 --> 00:04:23,109 Second SVT episode started as we were landing. 91 00:04:23,114 --> 00:04:25,140 - We lost his line in transit. - I'm Dr. Hunter, 92 00:04:25,145 --> 00:04:26,734 this is Dr. Leblanc and Jake Cooper. 93 00:04:26,739 --> 00:04:28,210 What's his previous heart status? 94 00:04:28,215 --> 00:04:30,335 He was born with tricuspid atresia. 95 00:04:30,340 --> 00:04:32,604 We adopted him at 2 months when he was still in the NICU. 96 00:04:32,609 --> 00:04:35,106 TA means the tricuspid valve is missing or malformed 97 00:04:35,111 --> 00:04:36,612 and blood doesn't flow correctly. 98 00:04:36,617 --> 00:04:38,945 Any episodes of supraventricular tachycardia before today? 99 00:04:38,950 --> 00:04:41,070 - Nothing like this. - Most TA patients need 100 00:04:41,075 --> 00:04:42,148 a shunt put in early on, 101 00:04:42,153 --> 00:04:43,555 - has that happened? - Four months ago. 102 00:04:43,559 --> 00:04:45,658 They did it here. They hoped that it would hold him over 103 00:04:45,662 --> 00:04:48,851 until he gets big enough for the more invasive surgery in a few years. 104 00:04:48,856 --> 00:04:50,554 His little heart's been through so much already. 105 00:04:50,558 --> 00:04:51,844 - It's okay. - We'll bring his rate down, 106 00:04:51,848 --> 00:04:52,953 try to isolate the cause. 107 00:04:52,958 --> 00:04:54,926 One, two, three. 108 00:05:01,634 --> 00:05:04,468 Malik Lawson, 17 years old, type 1 diabetes 109 00:05:04,473 --> 00:05:06,000 and severe hypoglycemia. 110 00:05:06,005 --> 00:05:07,898 Blood glucose is 3 millimoles per litre. 111 00:05:07,903 --> 00:05:09,136 Had a glucagon shot en route. 112 00:05:09,141 --> 00:05:11,308 He started slurring his words then passed out! 113 00:05:11,313 --> 00:05:13,245 I couldn't get him to eat or drink anything even though 114 00:05:13,249 --> 00:05:14,689 I know it's what I'm supposed to do! 115 00:05:14,694 --> 00:05:15,883 Did you get a hold of Mom and Dad? 116 00:05:15,887 --> 00:05:17,609 We're not related, I'm his girlfriend. 117 00:05:17,614 --> 00:05:19,742 And he's emancipated. We both are. 118 00:05:20,651 --> 00:05:23,710 No, we need you to stay outside, young lady. 119 00:05:27,673 --> 00:05:29,941 Rhoda, push 0.7 milligrams of adenosine. 120 00:05:29,946 --> 00:05:31,132 You have to shock him? 121 00:05:31,137 --> 00:05:33,040 It's just a precaution in case the meds don't work. 122 00:05:33,044 --> 00:05:34,671 Veins are flat! Can't get a line. 123 00:05:34,676 --> 00:05:37,601 - Intraosseus infusion then! - 15 mm/15 gauge needle. 124 00:05:37,606 --> 00:05:38,765 Run that down, Jake. 125 00:05:38,770 --> 00:05:40,851 Use the medullary cavity in the tibia as 126 00:05:40,856 --> 00:05:43,141 a "non-collapsible vein" when the patient is critical. 127 00:05:43,146 --> 00:05:45,336 - But even in a baby this small? - Yeah, when we can't wait. 128 00:05:45,340 --> 00:05:47,375 - Will it hurt him? - He may feel it. 129 00:05:47,380 --> 00:05:49,367 But we're gonna make it as quick as we can. 130 00:05:50,709 --> 00:05:52,664 - I can't watch. - Baby, just go. 131 00:05:52,669 --> 00:05:54,069 I'll stay with him. 132 00:05:54,074 --> 00:05:55,875 Dr. Hunter. Rate's 300! 133 00:05:56,493 --> 00:05:59,492 - Syncope. Non-responsive. - Jake, get on bagging. 134 00:05:59,841 --> 00:06:02,085 Smaller breaths. Thumb and two fingers. 135 00:06:02,090 --> 00:06:04,132 Squeeze on one, release on two-three, got it? 136 00:06:04,137 --> 00:06:05,737 - Yes. - And eyes on me. 137 00:06:05,742 --> 00:06:07,276 Locating the tibial tuberosity, 138 00:06:07,281 --> 00:06:09,749 then 1 cm below, 1 cm medial... 139 00:06:12,031 --> 00:06:13,226 I'm in! 140 00:06:13,231 --> 00:06:15,298 Decreased air entry on his right side. 141 00:06:15,303 --> 00:06:16,804 That's because of his kidneys? 142 00:06:17,320 --> 00:06:20,846 Large pleural effusion. He needs the fluid out now. 143 00:06:20,851 --> 00:06:22,846 60 cc syringe and a spinal needle! 144 00:06:22,851 --> 00:06:25,017 Malik has chronic kidney disease caused by his diabetes. 145 00:06:25,021 --> 00:06:27,690 - We told you to wait outside. - And I told you he needs me. 146 00:06:27,695 --> 00:06:31,022 - Joanie, can you please? - No, I need to stay with him! 147 00:06:31,027 --> 00:06:32,900 It's okay. What's your name? 148 00:06:32,905 --> 00:06:35,807 - Ruby Evans. - Okay Ruby Evans, I'm Dr. Hamed. 149 00:06:35,812 --> 00:06:38,723 I'm going to use this needle now to drain the fluids from his lungs. 150 00:06:38,728 --> 00:06:41,306 If you're going to stay, I need you to take a deep breath 151 00:06:41,311 --> 00:06:43,034 and help him by remaining calm. 152 00:06:43,039 --> 00:06:46,033 Malik, I'm gonna move your arm above your head. 153 00:06:54,702 --> 00:06:56,870 One millimetre to the left... 154 00:06:57,826 --> 00:06:59,557 Can someone please explain what's happening? 155 00:06:59,562 --> 00:07:01,062 We are giving medication to Oliver 156 00:07:01,067 --> 00:07:02,650 to help reset his heart rhythm. 157 00:07:02,655 --> 00:07:04,923 Okay. One, two. 158 00:07:07,588 --> 00:07:10,471 No change. 1.4 milligrams more, Rhoda. 159 00:07:12,972 --> 00:07:15,667 We thought we were done after we adopted our third, 160 00:07:15,672 --> 00:07:19,541 but uh, when we heard about Oli we just... 161 00:07:20,138 --> 00:07:23,107 - We knew that he needed us. - It's really admirable, 162 00:07:23,112 --> 00:07:25,127 taking on a baby with such a complex heart status. 163 00:07:25,132 --> 00:07:27,000 It's been really hard for Gary. 164 00:07:27,005 --> 00:07:29,096 He worries so much. 165 00:07:29,101 --> 00:07:33,136 But our little guy is a fighter, right? 166 00:07:33,141 --> 00:07:34,775 One, two. 167 00:07:36,369 --> 00:07:37,702 Give him a second. 168 00:07:40,059 --> 00:07:41,716 Heart rate's stabilizing. 169 00:07:41,721 --> 00:07:44,494 We'll get him up to CICU. Mags will take you. Okay? 170 00:07:44,499 --> 00:07:45,776 Actually, I'll be your resident there too. 171 00:07:45,780 --> 00:07:47,979 We're gonna run some tests and sort out what happened, sir. 172 00:07:47,983 --> 00:07:50,510 Bruce. Thank you, all of you. 173 00:07:50,515 --> 00:07:51,948 - Thank you. - Of course. 174 00:07:51,953 --> 00:07:53,494 Good job, little man. 175 00:07:53,499 --> 00:07:55,564 You did it, huh? 176 00:07:55,967 --> 00:07:58,955 There you are, yes. 177 00:08:02,421 --> 00:08:04,188 Getting fluid now. 178 00:08:05,994 --> 00:08:08,186 We'll do some blood tests and get a urine sample 179 00:08:08,191 --> 00:08:10,011 to check his kidneys, then assess and make a plan. 180 00:08:10,015 --> 00:08:13,119 We already have one. I'm giving him one of my kidneys. 181 00:08:13,124 --> 00:08:15,799 That's very generous of you but... 182 00:08:15,804 --> 00:08:18,196 there are multiple complex tests you'd have to do to conf... 183 00:08:18,201 --> 00:08:21,947 We did them already. As soon as we learned he had CKD. 184 00:08:22,463 --> 00:08:24,302 Have we seen you here before Ruby? 185 00:08:24,307 --> 00:08:25,752 Not here. 186 00:08:25,757 --> 00:08:28,239 We did blood and tissue typing, and serum too. 187 00:08:28,244 --> 00:08:30,080 The doctors said there's no way I'd be a match 188 00:08:30,085 --> 00:08:31,588 but they were wrong. 189 00:08:32,139 --> 00:08:33,773 Mal and I are meant to be. 190 00:08:33,778 --> 00:08:35,979 We won't let anything come between us. 191 00:08:41,591 --> 00:08:44,097 Elevated heart rate and a slight fever. 192 00:08:44,102 --> 00:08:45,767 Mr. Garcia, I'm Dr. Curtis. 193 00:08:45,772 --> 00:08:46,994 Yeah, we've met before. 194 00:08:46,999 --> 00:08:49,611 My fiancee brought me in a couple weeks ago. 195 00:08:50,067 --> 00:08:53,189 That's right, you had that great story about the... 196 00:08:53,465 --> 00:08:56,697 - the jellyfish, right? - In Miami. 197 00:08:56,702 --> 00:08:59,674 I got stung and the first thing I said was, 198 00:08:59,679 --> 00:09:01,533 "Hi, I'm Sam, can you pee on my leg?" 199 00:09:01,538 --> 00:09:04,206 Oh, yeah. You just need to rub sand on it to mitigate the sting. 200 00:09:04,211 --> 00:09:05,611 That's what you said last time. 201 00:09:07,178 --> 00:09:08,681 What brings you here, Mr. Garcia? 202 00:09:08,686 --> 00:09:11,249 The stomach pains came back yesterday 203 00:09:11,651 --> 00:09:13,494 and then the nausea really hit during 204 00:09:13,499 --> 00:09:14,807 our groomsmen photos this morning. 205 00:09:14,811 --> 00:09:18,063 I remember. You had acute pancreatitis. 206 00:09:18,068 --> 00:09:19,478 It's very rare for a 28-year-old. 207 00:09:19,483 --> 00:09:22,360 We put you on fluids and kept you under observation for a couple hours. 208 00:09:22,365 --> 00:09:24,892 At least your organs made an impression, Sam? 209 00:09:25,396 --> 00:09:26,768 Can you just do what you did last time 210 00:09:26,772 --> 00:09:29,066 and then get me out of here for my ceremony? 211 00:09:29,071 --> 00:09:31,142 It's supposed to be sunset at Cherry Beach. 212 00:09:31,147 --> 00:09:33,047 Let's see what your pancreas has to say before 213 00:09:33,052 --> 00:09:34,994 I make you any promises. 214 00:09:35,708 --> 00:09:41,619 So he's gonna need a cbc, chem, lft's, lipase, bbg. 215 00:09:41,624 --> 00:09:43,558 - And CT abdo. - Got it. 216 00:09:43,563 --> 00:09:45,096 You really don't remember him? 217 00:09:45,101 --> 00:09:47,510 I see a lot of patients for a short period of time. 218 00:09:47,515 --> 00:09:48,862 I'm supposed to remember all their stories? 219 00:09:48,866 --> 00:09:52,690 Okay, what major life event happened to me last week? 220 00:09:52,695 --> 00:09:54,681 You got promoted? 221 00:09:54,686 --> 00:09:56,821 I turned 30. 222 00:09:56,826 --> 00:09:58,727 You ate one of the cupcakes. 223 00:09:59,814 --> 00:10:02,681 Marnie Jensen's asthma symptoms aren't relieving with her inhaler. 224 00:10:02,686 --> 00:10:04,885 She's been fighting a cold, her chest is congested. 225 00:10:04,890 --> 00:10:07,225 Did a peak-flow test and she's in the red. 226 00:10:08,200 --> 00:10:09,822 Hi Marnie, I'm Theo. 227 00:10:09,827 --> 00:10:11,346 We're gonna take care of you, okay? 228 00:10:11,351 --> 00:10:14,512 - Action plan, Jake? - Nebulize with albuterol? 229 00:10:14,517 --> 00:10:16,041 He just gets to guess? 230 00:10:16,588 --> 00:10:19,483 This is a teaching hospital and he's a student. 231 00:10:19,551 --> 00:10:21,319 But how is she with nebulizer, Mom? 232 00:10:21,324 --> 00:10:23,475 Unless you popped out of my uterus seven years ago, 233 00:10:23,480 --> 00:10:24,647 maybe call me Shelley? 234 00:10:24,652 --> 00:10:27,491 And the bronchodilator that works is ipratropium. 235 00:10:27,496 --> 00:10:31,796 - Albuterol gives her headaches. - That's... good to know. 236 00:10:32,335 --> 00:10:34,772 Jake will set that up for you right away. 237 00:10:34,777 --> 00:10:36,211 Thank you. 238 00:10:36,830 --> 00:10:38,797 Mr. Kline, it's Bashir Hamed again. 239 00:10:38,802 --> 00:10:41,604 It's been two months since Khaled was in immigration hold. 240 00:10:41,609 --> 00:10:43,576 There must be some way I can help. 241 00:10:44,013 --> 00:10:45,847 Please call me back. 242 00:10:48,113 --> 00:10:49,914 You're renovating a house? 243 00:10:49,919 --> 00:10:52,303 Did you manage to sell your place in Sudbury? 244 00:10:53,294 --> 00:10:54,628 No, not yet. 245 00:10:54,633 --> 00:10:57,178 And you still have your rental for when you go back home? 246 00:10:57,183 --> 00:10:58,952 I know what I'm doing, Bash. 247 00:10:59,753 --> 00:11:01,754 You know you can kick Malik back to peds. 248 00:11:01,759 --> 00:11:03,728 No, he's 17, I'll stay on. 249 00:11:04,226 --> 00:11:07,538 Hey guys, so I kept thinking I knew Ruby, 250 00:11:07,543 --> 00:11:09,155 maybe she'd been here before. 251 00:11:09,835 --> 00:11:12,036 This has been running on the local news. 252 00:11:12,226 --> 00:11:14,672 Her mother is a school board trustee in Etobicoke. 253 00:11:14,677 --> 00:11:16,678 And she reported her missing three days ago. 254 00:11:16,683 --> 00:11:18,202 So much for being emancipated. 255 00:11:18,207 --> 00:11:19,592 Does that mean Malik isn't either? 256 00:11:19,597 --> 00:11:21,298 Iris checked. He is. 257 00:11:22,054 --> 00:11:23,354 Do we call it in? 258 00:11:23,359 --> 00:11:25,525 She's not a patient so there's no confidentiality issue. 259 00:11:25,529 --> 00:11:27,616 She's been pretty clear she doesn't want that. 260 00:11:27,621 --> 00:11:29,514 She's a minor who's been reported missing. 261 00:11:29,519 --> 00:11:32,506 I think we have a duty to let her mother know she's safe. 262 00:11:33,751 --> 00:11:35,522 Keep me in the loop, Bash. 263 00:11:37,224 --> 00:11:38,881 Bishop wants to see you. 264 00:11:54,171 --> 00:11:55,605 So... 265 00:11:55,868 --> 00:11:57,481 this isn't good news. 266 00:11:57,549 --> 00:12:00,550 Ray Grisholm has filed a malpractice suit 267 00:12:00,555 --> 00:12:02,120 for the events which led to his daughter 268 00:12:02,124 --> 00:12:05,126 having to be mechanically ventilated for the rest of her life. 269 00:12:06,505 --> 00:12:07,939 What, is he... 270 00:12:07,944 --> 00:12:10,631 I mean, is he suing the hospital? Or us? 271 00:12:10,636 --> 00:12:12,703 All of the above, unfortunately. 272 00:12:12,786 --> 00:12:14,170 He's been given power of attorney 273 00:12:14,175 --> 00:12:15,643 and he's running with it. 274 00:12:16,138 --> 00:12:18,827 I know you weren't there when it happened, Mags, 275 00:12:18,832 --> 00:12:22,635 but the suit names all doctors who were involved in Kelsey's treatment. 276 00:12:23,876 --> 00:12:28,346 We took a necessary action to save her life. 277 00:12:28,351 --> 00:12:31,519 - I took the action. - All our options were tragic. 278 00:12:32,807 --> 00:12:35,022 I stand by the choice we made. 279 00:12:36,684 --> 00:12:39,552 This is happening because a father... 280 00:12:39,557 --> 00:12:42,701 needs somewhere to put his anger. 281 00:12:44,882 --> 00:12:46,397 What do we do now? 282 00:12:46,881 --> 00:12:48,233 Contact your insurer, 283 00:12:48,238 --> 00:12:50,014 get them to arrange for a lawyer. 284 00:12:50,019 --> 00:12:51,694 Otherwise, your jobs. 285 00:12:52,303 --> 00:12:55,428 Do not let this get into your heads. 286 00:13:05,717 --> 00:13:08,413 Sir, I know this is the last thing you need right now. 287 00:13:08,418 --> 00:13:09,718 With you fighting to keep your position. 288 00:13:09,722 --> 00:13:12,131 Don't worry about me, Bashir. 289 00:13:12,136 --> 00:13:14,025 Tell me what I can do to manage this? 290 00:13:14,030 --> 00:13:17,232 You can play it safe. Toe the line. 291 00:13:17,299 --> 00:13:19,000 Toe the line. 292 00:13:20,320 --> 00:13:22,991 Everything you do is going to be scrutinized. 293 00:13:23,739 --> 00:13:25,473 I know it's unfair, 294 00:13:25,549 --> 00:13:28,284 but you already have to be better than everyone else. 295 00:13:28,289 --> 00:13:29,823 Starting now, 296 00:13:29,828 --> 00:13:33,164 you need to go out of your way to follow protocol. 297 00:13:33,169 --> 00:13:36,905 No more pushing the boundaries, no unnecessary risks. 298 00:13:38,229 --> 00:13:40,330 Don't give them any ammunition. 299 00:13:41,530 --> 00:13:43,398 Do you hear me? 300 00:13:49,541 --> 00:13:50,941 Hey, Gary. 301 00:13:52,309 --> 00:13:54,978 Well, he's looking better. 302 00:13:56,212 --> 00:13:58,281 Is Bruce checking in at home? 303 00:13:58,672 --> 00:14:00,758 Did you figure out what's wrong? 304 00:14:01,612 --> 00:14:06,063 Well, Oli has a condition called Wolff-Parkinson-White syndrome. 305 00:14:06,068 --> 00:14:08,703 It's an extra electrical pathway 306 00:14:08,708 --> 00:14:11,821 that can cause dangerously high heart rate like you saw earlier today. 307 00:14:11,826 --> 00:14:13,694 You mean it wasn't just his heart defect? 308 00:14:13,699 --> 00:14:15,227 He has a new thing? 309 00:14:16,036 --> 00:14:18,125 He does, yes. 310 00:14:18,744 --> 00:14:20,879 Can what happened today happen again? 311 00:14:21,032 --> 00:14:22,688 Potentially regularly. 312 00:14:22,693 --> 00:14:24,672 Or never. 313 00:14:25,001 --> 00:14:27,136 Or somewhere in between... 314 00:14:27,907 --> 00:14:30,742 All of this is so much harder than we realized. 315 00:14:34,505 --> 00:14:36,306 What do we do now? 316 00:14:37,557 --> 00:14:40,102 You digest the information. 317 00:14:40,107 --> 00:14:43,243 I'm gonna talk to Dr. Fisher and get back to you. 318 00:15:00,653 --> 00:15:03,355 How long did it take you to feel settled here? 319 00:15:05,765 --> 00:15:07,999 Should that have happened by now? 320 00:15:08,602 --> 00:15:10,133 I can't imagine... 321 00:15:10,138 --> 00:15:13,821 It's just been so long since I've had to start new anywhere. 322 00:15:13,826 --> 00:15:18,330 For your nurse practitioner clinical hours, 323 00:15:18,335 --> 00:15:19,844 will you be leaving us? 324 00:15:20,324 --> 00:15:22,892 Who called about my daughter Ruby? 325 00:15:23,014 --> 00:15:25,703 That was me, Ms. Evans. I'm Bashir Hamed. 326 00:15:25,708 --> 00:15:27,134 They're actually just down this hallway... 327 00:15:27,138 --> 00:15:28,505 Ah okay. 328 00:15:28,510 --> 00:15:30,444 Thought you weren't going to call. 329 00:15:30,968 --> 00:15:33,836 Social worker was asking me about my parents, 330 00:15:34,617 --> 00:15:36,118 then suggested a group home. 331 00:15:36,123 --> 00:15:38,224 You're not going back to a place like that. 332 00:15:38,462 --> 00:15:40,564 You're not alone, babe, you have me. 333 00:15:41,755 --> 00:15:43,211 Ruby Josephine Evans, 334 00:15:43,216 --> 00:15:45,039 you step away from that boy right this minute! 335 00:15:45,044 --> 00:15:46,961 Don't upset him! He's sick. 336 00:15:46,966 --> 00:15:48,934 What are you even doing here?! 337 00:15:48,939 --> 00:15:51,674 How can you ask me that? Ruby, you ran off. 338 00:15:51,679 --> 00:15:54,314 - I was afraid you were dead! - Well, I'm not! 339 00:15:54,319 --> 00:15:55,539 I can handle myself! 340 00:15:55,544 --> 00:15:57,745 And this doctor tells me you said you were emancipated 341 00:15:57,750 --> 00:16:01,019 and you want to give away an organ? Over my dead body! 342 00:16:01,024 --> 00:16:03,192 It's my body, it's my kidney 343 00:16:03,197 --> 00:16:04,964 and I can do what I want with it! 344 00:16:05,137 --> 00:16:07,696 Explain to her I'm the only one who can help him! 345 00:16:07,701 --> 00:16:10,036 He knows that you can't make that choice on your own. 346 00:16:10,041 --> 00:16:11,942 Why do you think he called me? 347 00:16:12,773 --> 00:16:16,342 Parental consent is required for a minor to donate an organ. 348 00:16:17,291 --> 00:16:19,425 But he could die! 349 00:16:19,945 --> 00:16:22,719 You don't know him or what he's been through! 350 00:16:23,006 --> 00:16:25,607 I love him and I wanna do this for him! 351 00:16:25,612 --> 00:16:27,811 Spend three weeks with him without a roof over your head 352 00:16:27,815 --> 00:16:30,766 then tell me you love him. This is foolish! 353 00:16:30,771 --> 00:16:33,807 Just because you got knocked up by the first guy who looked at you 354 00:16:33,812 --> 00:16:36,867 doesn't mean what Malik and I have isn't real! 355 00:16:38,037 --> 00:16:40,472 You're coming with me, we're phoning the police 356 00:16:40,477 --> 00:16:43,913 and you're gonna apologize for this mess that you created. 357 00:16:44,455 --> 00:16:46,956 If he dies, it's your fault. 358 00:16:53,240 --> 00:16:55,074 She's still struggling to breathe. 359 00:16:55,338 --> 00:16:57,883 I know for a fact ipratropium works for her asthma. 360 00:16:57,902 --> 00:17:00,203 Which made us think maybe it's not asthma. 361 00:17:00,612 --> 00:17:03,274 How long has Marnie been fighting a cold for? 362 00:17:03,279 --> 00:17:06,314 Two weeks. It was maybe four days after she got back. 363 00:17:06,516 --> 00:17:09,344 - Back from where? - Bali. 364 00:17:09,603 --> 00:17:11,003 With her father. 365 00:17:12,691 --> 00:17:14,558 Would you give us a second? 366 00:17:18,261 --> 00:17:20,529 You always ask about international travel 367 00:17:20,534 --> 00:17:21,866 with a respiratory illness. What... 368 00:17:21,870 --> 00:17:23,770 Sometimes, it's okay if I don't know things 369 00:17:23,775 --> 00:17:25,943 because you haven't told me. But other times it's not. 370 00:17:26,098 --> 00:17:27,922 You keep moving the goal posts on me. 371 00:17:27,927 --> 00:17:29,782 There's also the question of you making it sound like 372 00:17:29,786 --> 00:17:31,197 we don't know what's going on with her kid. 373 00:17:31,201 --> 00:17:32,813 Does that mean that we do? 374 00:17:32,818 --> 00:17:35,538 Marnie's X-ray shows some indication of TB. 375 00:17:35,543 --> 00:17:38,245 But that is news that you have to dole out carefully to avoid panic. 376 00:17:38,250 --> 00:17:39,891 Do I look like I'm panicking? 377 00:17:39,896 --> 00:17:42,274 TB as in tuberculosis? 378 00:17:42,363 --> 00:17:44,531 It can mimic asthma, 379 00:17:44,536 --> 00:17:46,670 and with Marnie's travel history, 380 00:17:46,675 --> 00:17:48,040 it's something we need to consider. 381 00:17:48,044 --> 00:17:50,094 Okay. What happens now? 382 00:17:50,099 --> 00:17:52,141 We'll move her to a negative pressure isolation room 383 00:17:52,146 --> 00:17:53,847 while we work to rule it out. 384 00:17:53,881 --> 00:17:57,461 - Your husband, has he been ill? - We're divorced. 385 00:17:57,466 --> 00:18:00,313 I'll call him. Ask about his boys too. 386 00:18:00,318 --> 00:18:02,328 Jake, can you ask Rhoda to set up the room? 387 00:18:02,333 --> 00:18:03,774 This is just a precaution... 388 00:18:03,779 --> 00:18:05,778 Do you get a disproportionate amount of panicky moms, 389 00:18:05,782 --> 00:18:07,875 or are you just not a good listener? 390 00:18:07,880 --> 00:18:09,414 I don't need to be bubble-wrapped. 391 00:18:09,419 --> 00:18:14,133 I'll... I'll let you know when I hear from the lab. 392 00:18:14,138 --> 00:18:15,797 My hero. 393 00:18:17,873 --> 00:18:19,836 How's the SVT baby? 394 00:18:19,841 --> 00:18:23,110 Ugh. He's so tiny and he's been through so much already. 395 00:18:23,115 --> 00:18:24,961 How do you deal with that kind of thing? 396 00:18:25,148 --> 00:18:26,516 Apparently by irritating 397 00:18:26,521 --> 00:18:28,875 people with aggressive emotional support. 398 00:18:30,754 --> 00:18:32,822 Mags, are you dating my student? 399 00:18:35,494 --> 00:18:39,363 I mean it's not like I'm wearing his varsity jacket or anything. 400 00:18:39,368 --> 00:18:42,156 - Why, is that a problem? - It's a bit weird, 401 00:18:42,660 --> 00:18:44,281 but whatever. 402 00:18:51,406 --> 00:18:53,541 - _ - I already said yes, Charles. 403 00:18:55,844 --> 00:18:58,063 _ 404 00:18:58,462 --> 00:18:59,571 _ 405 00:18:59,576 --> 00:19:01,633 CT results for Sam Garcia. 406 00:19:04,400 --> 00:19:05,953 Pancreatic abscess. 407 00:19:05,958 --> 00:19:07,959 It's not uncommon after acute pancreatitis. 408 00:19:07,964 --> 00:19:09,631 He's gonna need the OR for drainage. 409 00:19:09,636 --> 00:19:11,836 So, I guess that means no sunset wedding? 410 00:19:11,841 --> 00:19:14,516 Is he a candidate for percutaneous drainage? 411 00:19:14,521 --> 00:19:16,305 Possibly. But either way, 412 00:19:16,310 --> 00:19:17,626 I can't get him in before tonight, so. 413 00:19:17,630 --> 00:19:21,367 Unless we did an endoscopic ultrasound-guided drainage in emerg? 414 00:19:21,607 --> 00:19:23,821 That's not something we would normally do, is it? 415 00:19:23,826 --> 00:19:25,297 Not traditionally. But we could 416 00:19:25,302 --> 00:19:27,899 if we had an acute care surgical response team. 417 00:19:27,904 --> 00:19:30,321 So you want to send less patients up to OR? 418 00:19:30,326 --> 00:19:32,594 Well, patients who have been surgically diagnosed 419 00:19:32,599 --> 00:19:35,301 spend hours waiting for an OR slot. Often in real pain. 420 00:19:35,306 --> 00:19:37,594 Appendectomies, splenectomies, scopes. 421 00:19:37,599 --> 00:19:40,601 All things that we can handle in a trauma OR. 422 00:19:42,726 --> 00:19:45,161 Your groom would be a compelling example. 423 00:19:46,583 --> 00:19:49,922 So do I tell him that there's a chance he's getting married today? 424 00:19:49,927 --> 00:19:53,530 I have to get a radiologist to agree to do guidance first 425 00:19:53,535 --> 00:19:55,953 and of course, Dr. Singh's sign off. 426 00:19:55,958 --> 00:19:58,126 Interrogate and let me know. 427 00:20:02,875 --> 00:20:04,383 Where's Ruby? 428 00:20:04,927 --> 00:20:07,133 She's with her mother. 429 00:20:07,138 --> 00:20:09,139 I know the plan was to give you a kidney but... 430 00:20:09,144 --> 00:20:11,774 I don't care about that! I just want her to be okay. 431 00:20:11,779 --> 00:20:14,172 Malik, we tested your renal function. 432 00:20:14,177 --> 00:20:16,045 And you've lost 90%. 433 00:20:19,617 --> 00:20:22,711 - Okay. - I'll start you on fluids. 434 00:20:22,716 --> 00:20:24,517 And we'll get you on a transplant list, 435 00:20:24,522 --> 00:20:29,460 but realistically that could take five years. 436 00:20:30,934 --> 00:20:34,136 So until then I just... 437 00:20:34,556 --> 00:20:36,336 survive. 438 00:20:37,033 --> 00:20:38,400 You'll start dialysis 439 00:20:38,405 --> 00:20:40,973 and it will become a regular part of your life. 440 00:20:49,827 --> 00:20:51,930 Where have you been staying? 441 00:20:54,723 --> 00:20:56,290 Friends' couches. 442 00:20:57,212 --> 00:21:01,414 After that, Ruby rented a room with her savings. 443 00:21:01,419 --> 00:21:03,031 I tried saying no but... 444 00:21:04,789 --> 00:21:06,257 Ruby. 445 00:21:07,941 --> 00:21:10,047 If I were her mom, I'd hate me too. 446 00:21:11,793 --> 00:21:14,586 Look, it must be difficult trying to maintain 447 00:21:14,591 --> 00:21:17,193 your diet and blood sugar levels, moving around so much. 448 00:21:17,198 --> 00:21:18,922 I keep up with my insulin. 449 00:21:18,927 --> 00:21:20,928 I know, but our social worker has resources... 450 00:21:20,933 --> 00:21:23,836 I tried that when I left home. It was just as bad. 451 00:21:23,841 --> 00:21:25,173 - Malik, you can't do this... - I don't have to 452 00:21:25,177 --> 00:21:26,857 talk to you about this! 453 00:21:31,250 --> 00:21:34,789 Look, I get you just wanna help 454 00:21:34,794 --> 00:21:39,397 but there's nothing you can do about this. 455 00:21:49,273 --> 00:21:51,281 Oliver Campbell has Wolff-Parkinson-White Syndrome 456 00:21:51,286 --> 00:21:52,453 on top of his heart defect? 457 00:21:52,458 --> 00:21:54,392 And this was the first onset of it. 458 00:21:54,769 --> 00:21:56,344 Will they have a decision today? 459 00:21:56,349 --> 00:21:58,438 I assume you gave the parents the surgical option. 460 00:21:58,443 --> 00:22:00,860 Radio frequency ablation? I... 461 00:22:01,130 --> 00:22:04,365 Not yet, I didn't think I should raise it without asking you. 462 00:22:04,596 --> 00:22:07,331 It's either that or wait and see. 463 00:22:07,579 --> 00:22:09,281 Well, ablation is risky. 464 00:22:09,286 --> 00:22:10,886 He could have a stroke, or sustain damage 465 00:22:10,891 --> 00:22:13,617 that could hurt his chances of open heart surgery later. 466 00:22:14,129 --> 00:22:17,131 A surgery he might not make it to if SVT events 467 00:22:17,136 --> 00:22:19,805 like the one he had today lead to sudden cardiac death. 468 00:22:20,036 --> 00:22:21,969 Then you think they should ablate? 469 00:22:22,884 --> 00:22:25,008 I think they need to know all their options 470 00:22:25,013 --> 00:22:26,742 to make an informed choice. 471 00:22:26,874 --> 00:22:28,469 They're going to ask me what to do. 472 00:22:28,474 --> 00:22:29,735 And you should answer them. 473 00:22:29,740 --> 00:22:31,674 Mags, you lived their reality. 474 00:22:31,679 --> 00:22:33,625 Tricuspid atresia wasn't my issue. 475 00:22:33,630 --> 00:22:36,231 But you know what that little boy is going through. 476 00:22:37,367 --> 00:22:39,110 What all of them are. 477 00:22:42,180 --> 00:22:45,641 Sam Garcia meets the criteria for endoscopic drainage. 478 00:22:45,646 --> 00:22:47,580 Taking a liberal view, maybe. 479 00:22:47,585 --> 00:22:50,587 He's still at risk for sepsis, and necrotizing pancreatitis 480 00:22:50,592 --> 00:22:52,232 always needs multidisciplinary management. 481 00:22:52,237 --> 00:22:53,298 His wedding's today. 482 00:22:53,303 --> 00:22:55,735 And iif we did it in emerg, maybe he'd make it? 483 00:22:55,740 --> 00:22:58,391 And maybe Bishop told you he wants to start operating 484 00:22:58,396 --> 00:23:01,680 in trauma and you saw a chance to step up? 485 00:23:02,461 --> 00:23:04,742 I'd be getting in on cutting-edge procedures. 486 00:23:04,747 --> 00:23:08,250 And diverting patients and therefore funding from OR. 487 00:23:08,255 --> 00:23:09,977 You have to be smart. 488 00:23:09,982 --> 00:23:11,656 I know I do, that's why I'm here. 489 00:23:11,661 --> 00:23:13,735 Except this is becoming a bad habit. 490 00:23:13,740 --> 00:23:15,607 You come to me before you walk into something. 491 00:23:15,612 --> 00:23:17,469 I flag the risks and you do it anyway. 492 00:23:17,993 --> 00:23:21,164 If you don't trust my advice, don't waste my time. 493 00:23:28,010 --> 00:23:32,313 Hey, about what Bishop said earlier. 494 00:23:32,842 --> 00:23:35,777 Yeah, well I called my insurer 495 00:23:35,782 --> 00:23:37,783 and they put me in touch with a lawyer. 496 00:23:38,178 --> 00:23:40,546 Do they think we could lose our license? 497 00:23:40,723 --> 00:23:43,703 Well, she did say to prepare for it to take a minute. 498 00:23:43,708 --> 00:23:45,408 And that it's a rite of passage. 499 00:23:45,413 --> 00:23:47,081 But, most doctors come through fine. 500 00:23:47,947 --> 00:23:50,078 I know you're not most doctors. 501 00:23:50,083 --> 00:23:54,219 Look, it's unfair you're wrapped up in all of this. 502 00:23:54,224 --> 00:23:56,659 Well, I am. I am. 503 00:23:57,183 --> 00:23:59,518 And I'm trying to follow Bishop's advice 504 00:23:59,523 --> 00:24:02,016 and stay focused on the job. You should too. 505 00:24:10,728 --> 00:24:13,297 The bird, he's in the ducts. 506 00:24:41,810 --> 00:24:43,678 _ 507 00:25:00,491 --> 00:25:03,460 - Ruby? - I think I cut too deep. 508 00:25:11,805 --> 00:25:12,909 He's young. 509 00:25:12,914 --> 00:25:14,649 He's only two years younger than me. 510 00:25:14,654 --> 00:25:16,428 But still a student? 511 00:25:16,433 --> 00:25:18,463 I took a couple years to travel. 512 00:25:18,929 --> 00:25:21,203 Nothing wrong with some real world experience. 513 00:25:21,208 --> 00:25:23,635 Oh. She's defending you. She likes you. 514 00:25:24,087 --> 00:25:25,971 Don't get too excited. 515 00:25:25,976 --> 00:25:28,110 She once carried a sock around for months 516 00:25:28,118 --> 00:25:29,571 telling us it was her soulmate. 517 00:25:29,576 --> 00:25:31,376 I was four! I was four! 518 00:25:31,381 --> 00:25:33,545 And it was a really cute sock, okay? 519 00:25:33,550 --> 00:25:35,318 You already have to go? 520 00:25:35,323 --> 00:25:36,696 It's just an update. 521 00:25:36,701 --> 00:25:38,219 Is it the patient this morning? 522 00:25:38,630 --> 00:25:40,531 You should've seen her. 523 00:25:40,536 --> 00:25:42,727 She saved a baby's life. 524 00:25:42,732 --> 00:25:46,101 Yes, she's a force of nature and always has been. 525 00:25:46,631 --> 00:25:49,063 - Okay, you can go now. - Oh my God, Cam! 526 00:25:49,068 --> 00:25:50,578 What? You'll have to run off, 527 00:25:50,583 --> 00:25:52,602 and I can't talk about him if he's here. 528 00:25:54,439 --> 00:25:57,094 Okay, that's fine. 529 00:25:57,246 --> 00:25:59,081 Very nice to meet you, Camille. 530 00:25:59,086 --> 00:26:02,174 I look forward to hearing 531 00:26:02,179 --> 00:26:04,109 if I'm good enough for your sister. 532 00:26:04,114 --> 00:26:05,188 _ 533 00:26:05,193 --> 00:26:06,867 But nobody is. 534 00:26:12,617 --> 00:26:14,071 _ 535 00:26:14,666 --> 00:26:17,168 You can't honestly tell me you see yourself with him. 536 00:26:17,424 --> 00:26:20,071 He's sweet. He's funny. He's smart. 537 00:26:20,076 --> 00:26:22,444 And he will do anything you want to make you happy. 538 00:26:23,568 --> 00:26:25,569 At least he's in keeping with your pattern. 539 00:26:25,574 --> 00:26:28,383 No, he's not! What pattern? What are you talking about? 540 00:26:28,388 --> 00:26:31,791 It's either someone who withholds validation 541 00:26:31,796 --> 00:26:33,739 or someone who worships you. 542 00:26:34,156 --> 00:26:35,945 You honestly don't see that? 543 00:26:36,318 --> 00:26:38,813 Look I get it. You've had a terrible few months. 544 00:26:38,818 --> 00:26:40,789 But letting this boy fall in love with you 545 00:26:40,794 --> 00:26:42,962 so you can feel better about yourself, 546 00:26:43,171 --> 00:26:44,972 it's the wrong answer, Mag. 547 00:26:46,189 --> 00:26:49,258 Just once I wish you could tell me what I want to hear. 548 00:26:56,594 --> 00:26:58,180 Do we have a patient with bedsores? 549 00:26:58,185 --> 00:26:59,743 Because I'm an expert, if you want advice. 550 00:26:59,747 --> 00:27:01,515 Did you need me for something, Arnold? 551 00:27:02,766 --> 00:27:04,603 Sam's pain's is at an 8. 552 00:27:04,608 --> 00:27:06,809 And not just because he finally told his fiancee 553 00:27:06,814 --> 00:27:08,274 he can't make their wedding. 554 00:27:08,279 --> 00:27:10,180 Give him another 10 milligrams of morphine. 555 00:27:10,185 --> 00:27:12,320 It's gonna be a few hours before his surgery. 556 00:27:13,316 --> 00:27:14,992 How do you know so much about bedsores? 557 00:27:14,997 --> 00:27:18,250 Before I came to emerg, I was a hospice nurse. 558 00:27:18,255 --> 00:27:20,152 Hard to avoid them in that field. 559 00:27:20,571 --> 00:27:21,766 Why? 560 00:27:37,170 --> 00:27:38,992 - Oh, baby... - Don't, okay? 561 00:27:38,997 --> 00:27:40,610 I already know what you're thinking. 562 00:27:40,615 --> 00:27:44,336 Baby, I was afraid to ask if this was starting up again. 563 00:27:44,906 --> 00:27:46,845 You have experience with this? 564 00:27:46,850 --> 00:27:49,414 When I was little, it was just pinching and scratching. 565 00:27:49,419 --> 00:27:50,611 Then it got worse. 566 00:27:50,616 --> 00:27:51,983 Seeing a psychologist has helped. 567 00:27:51,988 --> 00:27:53,989 Yeah, once you accepted I needed to. 568 00:27:54,154 --> 00:27:56,622 I wasn't raised to reach out for help 569 00:27:56,627 --> 00:27:58,336 with problems like these. 570 00:27:58,341 --> 00:28:00,063 Many people aren't. 571 00:28:00,068 --> 00:28:03,804 She's given me some good tools, but sometimes it's... 572 00:28:04,096 --> 00:28:05,781 I don't know. 573 00:28:05,961 --> 00:28:07,770 A hard pattern to break? 574 00:28:08,125 --> 00:28:10,774 This is why Malik's bad for you, honey. 575 00:28:10,779 --> 00:28:14,306 - He's too unstable. - You're wrong, Mom. 576 00:28:14,311 --> 00:28:16,909 Sharing our burdens makes us stronger. 577 00:28:16,914 --> 00:28:20,316 I know his and he knows mine. And, look... 578 00:28:21,863 --> 00:28:23,730 No fresh cuts, 579 00:28:24,788 --> 00:28:26,655 just old scars. 580 00:28:28,198 --> 00:28:30,707 Today was the first time in months. 581 00:28:31,136 --> 00:28:35,005 He helps me, you need to let me help him back. 582 00:28:38,735 --> 00:28:41,013 Those are the only options? 583 00:28:41,018 --> 00:28:45,207 Do this ablation procedure or wait and see if the SVT recurs? 584 00:28:45,212 --> 00:28:48,018 There's medication that we can try to prevent future episodes, 585 00:28:48,023 --> 00:28:49,440 but there's no guarantee. 586 00:28:49,445 --> 00:28:51,113 No. No surgery. 587 00:28:51,118 --> 00:28:52,352 You heard her. 588 00:28:52,357 --> 00:28:54,356 These episodes could keep happening if we don't do it. 589 00:28:54,360 --> 00:28:55,518 It could. Not will. 590 00:28:55,523 --> 00:28:57,268 The medication might help. We should wait. 591 00:28:57,273 --> 00:28:58,772 You wanted to wait to chopper him here, 592 00:28:58,776 --> 00:29:00,566 - but if we hadn't brought him... - He's just a baby, Bruce! 593 00:29:00,570 --> 00:29:02,437 How much more can we ask him to go through? 594 00:29:06,530 --> 00:29:08,097 What about you? 595 00:29:09,132 --> 00:29:11,667 What would you do if he was yours? 596 00:29:15,148 --> 00:29:16,565 I don't know. 597 00:29:16,570 --> 00:29:18,768 Because both options are terrible! 598 00:29:18,773 --> 00:29:20,507 I'm sorry. 599 00:29:20,764 --> 00:29:22,465 Do we... 600 00:29:22,470 --> 00:29:24,675 Do we need to decide this second? 601 00:29:24,680 --> 00:29:27,339 No. And if you do choose the ablation, 602 00:29:27,753 --> 00:29:29,885 it won't be today. So... 603 00:29:30,612 --> 00:29:33,856 Take your time, think about it. 604 00:29:42,743 --> 00:29:44,177 What's happened to Malik? 605 00:29:44,182 --> 00:29:46,951 We were about to start dialysis when his breathing worsened. 606 00:29:50,034 --> 00:29:52,151 - What's going on? - Fluid in his lungs again. 607 00:29:52,156 --> 00:29:53,392 - Claire? - On it. 608 00:29:56,848 --> 00:29:58,245 What do you need, Bash? 609 00:29:58,250 --> 00:30:00,518 Help with thoracentesis. Guide placement. 610 00:30:04,617 --> 00:30:06,118 Puncturing now. 611 00:30:06,262 --> 00:30:08,129 About to enter pleural cavity. 612 00:30:09,166 --> 00:30:10,600 Good. 613 00:30:12,222 --> 00:30:14,826 - O2 sats aren't really moving. - This is the second time 614 00:30:14,831 --> 00:30:16,699 this has happened to him, he's in kidney failure. 615 00:30:16,703 --> 00:30:18,269 The fluid's gonna continue to accumulate. 616 00:30:18,273 --> 00:30:20,132 He needs the OR VATS pleurodesis. 617 00:30:20,137 --> 00:30:22,097 - What does that mean? - It's a surgical procedure 618 00:30:22,105 --> 00:30:24,328 that seals up the space between his chest and his lungs, 619 00:30:24,333 --> 00:30:25,667 or this will keep happening. 620 00:30:25,672 --> 00:30:27,906 Thoracics can't take him for at least another 8 hours. 621 00:30:27,911 --> 00:30:29,745 - Excuse me. - Can he wait that long? 622 00:30:29,750 --> 00:30:31,776 He'll have to. I'll put a drain in, 623 00:30:31,781 --> 00:30:33,144 and we'll monitor him until they have time. 624 00:30:33,148 --> 00:30:35,443 Unless we do a chemical pleurodesis here. 625 00:30:35,933 --> 00:30:39,190 - That's a risk in emerg. - It's talc in a chest tube. 626 00:30:39,195 --> 00:30:41,262 It'll expedite dialysis. We know he needs it. 627 00:30:41,267 --> 00:30:42,558 It makes sense, Bash. 628 00:30:43,103 --> 00:30:44,604 Call an attending? 629 00:30:45,525 --> 00:30:46,858 You guys should wait outside. 630 00:30:46,863 --> 00:30:50,228 - I wanna stay. Please! - Baby. Let's let them work. 631 00:30:50,233 --> 00:30:54,410 We need talc, 10 grams in a 250 ml sterile isotonic 632 00:30:54,415 --> 00:30:55,558 sodium chloride solution. 633 00:30:55,563 --> 00:30:58,175 I'll start on the tube, you wanna prep the agent? 634 00:30:59,132 --> 00:31:01,027 - Bash? - What's happening? 635 00:31:01,574 --> 00:31:02,894 He needs a chemical pleurodesis. 636 00:31:02,899 --> 00:31:05,133 Are you sure you don't want in on this? 637 00:31:05,515 --> 00:31:07,216 You guys have it. 638 00:31:07,782 --> 00:31:10,050 I need a 28 French and two guarded clamps. 639 00:31:16,028 --> 00:31:19,566 So, scale of one to Titanic? 640 00:31:19,571 --> 00:31:21,799 You were fine. Cam is insane. 641 00:31:21,804 --> 00:31:24,738 - Because if I said anything... - No. 642 00:31:24,743 --> 00:31:26,911 Marnie is negative for TB. 643 00:31:27,907 --> 00:31:29,240 That's a relief. 644 00:31:29,245 --> 00:31:31,262 Although I guess it means that we're back to not knowing. 645 00:31:31,266 --> 00:31:33,077 Did you want me to work up a differential? 646 00:31:33,082 --> 00:31:35,746 Sure, but respirology will have to weigh in. 647 00:31:35,751 --> 00:31:39,693 And this is complex so you're aware of the expectations. 648 00:31:42,521 --> 00:31:45,423 You know certain fungal infections can mimic TB. 649 00:31:45,428 --> 00:31:48,189 I'd look into any environmental exposures if I were you. 650 00:31:48,194 --> 00:31:51,029 She did say that she was playing on a compost pile 651 00:31:51,034 --> 00:31:52,451 with her brothers. 652 00:31:53,219 --> 00:31:54,499 You're incredible. 653 00:31:54,504 --> 00:31:56,067 Why are you still here? 654 00:31:56,072 --> 00:31:58,255 Go, go cross-reference with her symptoms. 655 00:32:07,646 --> 00:32:09,008 The wedding came to him? 656 00:32:09,013 --> 00:32:10,303 We didn't think Sam was a good candidate 657 00:32:10,307 --> 00:32:11,540 for draining in trauma. 658 00:32:11,545 --> 00:32:15,153 Hmm. Not to mention Dr. Singh detested my idea 659 00:32:15,158 --> 00:32:17,555 of an acute care surgical response team. 660 00:32:17,560 --> 00:32:18,865 Yeah, passionately. 661 00:32:18,870 --> 00:32:22,469 And the kidney failure patient? The ED pleurodesis? 662 00:32:22,474 --> 00:32:23,765 What will he make of that? 663 00:32:23,770 --> 00:32:25,437 I haven't mentioned it yet but... 664 00:32:25,442 --> 00:32:26,639 That patient was a candidate, 665 00:32:26,644 --> 00:32:28,412 and I'll defend it to any surgeons 666 00:32:28,417 --> 00:32:30,240 that wants to take issue. 667 00:32:32,526 --> 00:32:34,272 How are you doing, June? 668 00:32:34,277 --> 00:32:37,412 Being Chief Resident, caught between the egos and the politics... 669 00:32:37,417 --> 00:32:39,582 It's just hard to know whose interests you're serving, 670 00:32:39,587 --> 00:32:41,379 you know, who you can trust. 671 00:32:41,384 --> 00:32:45,187 All I know is patient first is our true north. 672 00:32:46,495 --> 00:32:48,829 Keep an open mind about what I'm proposing. 673 00:32:48,959 --> 00:32:52,495 If you find a candidate that fits the bill, I'll have your back. 674 00:32:55,513 --> 00:32:57,115 Khaled appealed his asylum case 675 00:32:57,120 --> 00:32:58,858 because you said he had a chance. 676 00:32:58,863 --> 00:33:00,431 Now he's stuck in jail! 677 00:33:00,436 --> 00:33:03,123 I've been trying to argue for his conditional release. 678 00:33:03,128 --> 00:33:05,326 - Beyond that... - Don't say there's nothing I can do. 679 00:33:05,331 --> 00:33:08,106 I'm sorry doctor, but it is the case. 680 00:33:08,111 --> 00:33:10,545 Listen, I'll call if anything changes. 681 00:33:12,037 --> 00:33:16,438 Dr. Hamed, how long do these sessions usually take? 682 00:33:16,443 --> 00:33:17,953 His dialysis. 683 00:33:17,958 --> 00:33:19,841 Three hours, four times a week. 684 00:33:20,115 --> 00:33:21,552 Well, I feel for him, 685 00:33:21,557 --> 00:33:24,226 but he's gonna have to learn to make health his priority. 686 00:33:24,231 --> 00:33:27,167 What alone? Without any support? 687 00:33:27,172 --> 00:33:29,540 - She's just a child! - Your daughter got him to do 688 00:33:29,545 --> 00:33:32,747 what apparently no one else can, confide in her. 689 00:33:33,150 --> 00:33:35,618 And like it or not, she trusts him too. 690 00:33:35,938 --> 00:33:38,099 This is none of your damn business. 691 00:33:42,459 --> 00:33:44,737 She got sick from my compost pile? 692 00:33:44,742 --> 00:33:46,427 I'll have Jake here explain it 693 00:33:46,432 --> 00:33:48,800 since we have him to thank for the revelation. 694 00:33:49,348 --> 00:33:51,224 Yeah, well, Marnie likely has 695 00:33:51,229 --> 00:33:53,380 "allergic bronchopulmonary aspergillosis". 696 00:33:53,385 --> 00:33:56,754 It's an infection from a fungus commonly found in compost bins. 697 00:33:56,759 --> 00:33:59,865 And the effects resemble asthma, or TB. 698 00:34:00,259 --> 00:34:03,194 But the good new is, it's not contagious and totally treatable. 699 00:34:03,199 --> 00:34:07,107 Wow. Okay. So what are the next steps? 700 00:34:07,112 --> 00:34:08,651 Well, we'll swab to confirm, 701 00:34:08,656 --> 00:34:11,002 but Marnie will be on the mend for a few days. 702 00:34:11,007 --> 00:34:12,581 Shall I go fix you boys some cocktails 703 00:34:12,586 --> 00:34:13,839 while you finish chatting? 704 00:34:14,077 --> 00:34:16,541 Wow, the second a man's in the room. 705 00:34:16,546 --> 00:34:19,974 Stand down, soldier. I have a magnetic presence. 706 00:34:19,979 --> 00:34:22,018 - It's why you fell for me. - And why I left you. 707 00:34:22,023 --> 00:34:23,510 Have you been doing this all day? 708 00:34:23,515 --> 00:34:25,424 Stop terrifying the doctors. 709 00:34:25,429 --> 00:34:27,697 You're not scared of me, are you, Dr. Hunter? 710 00:34:35,669 --> 00:34:36,936 It's happening again! 711 00:34:36,941 --> 00:34:38,932 He was awake and smiling and then... 712 00:34:38,937 --> 00:34:41,772 Let's give him 0.7 milligrams of adenosine, Nelly. 713 00:34:43,506 --> 00:34:45,307 Okay. One, two. 714 00:34:47,705 --> 00:34:49,619 - Why isn't it working? - He's still at 300 bpm. 715 00:34:49,624 --> 00:34:51,502 We need to cardiovert. 3.5 joules. 716 00:34:51,910 --> 00:34:54,912 On my mark. Ready, and clear! 717 00:34:58,951 --> 00:35:00,084 Again. 7 joules. 718 00:35:00,089 --> 00:35:02,236 Ready, and clear! 719 00:35:07,297 --> 00:35:08,998 Give him a minute. 720 00:35:09,479 --> 00:35:11,580 Come on, come on, Oli. 721 00:35:12,754 --> 00:35:14,255 Okay, he's stabilizing. 722 00:35:28,651 --> 00:35:30,799 This isn't going to stop, is it? 723 00:35:32,985 --> 00:35:34,852 I think you should do the ablation. 724 00:35:35,307 --> 00:35:37,822 - You said it could kill him! - There are risks either way. 725 00:35:37,827 --> 00:35:40,813 But your son is a fighter, 726 00:35:40,818 --> 00:35:42,652 and it gives him the best chance. 727 00:35:50,931 --> 00:35:53,518 Okay. It'll take a few days to schedule 728 00:35:53,523 --> 00:35:56,079 and Dr. Fisher will do the procedure, but I promise 729 00:35:56,084 --> 00:35:58,352 that I'll be with you every step of the way. 730 00:36:29,774 --> 00:36:32,697 You didn't mention me that you treated Ruby for cutting herself. 731 00:36:34,118 --> 00:36:36,533 I'm just going over today's patient intakes. 732 00:36:36,538 --> 00:36:39,807 It was right before Malik crashed again. I'm sorry. 733 00:36:39,812 --> 00:36:41,880 It's not that. It's just, you realize that 734 00:36:41,885 --> 00:36:43,385 with her history of self-harm, 735 00:36:43,393 --> 00:36:45,394 it's unlikely she'll be able to donate a kidney. 736 00:36:45,470 --> 00:36:47,205 Even if she keeps it under control? 737 00:36:47,210 --> 00:36:48,643 Still a tough sell. 738 00:36:48,648 --> 00:36:50,716 Donors often experience depression post-op. 739 00:36:50,721 --> 00:36:52,656 There's pretty strict rules on mental health. 740 00:36:52,661 --> 00:36:55,296 Then it's a death sentence for this kid, Theo. 741 00:36:57,379 --> 00:36:59,166 Look, man, I heard about the lawsuit. 742 00:36:59,171 --> 00:37:00,947 I know what it's like. 743 00:37:00,952 --> 00:37:03,454 - You've been sued? - I'm being sued. 744 00:37:04,631 --> 00:37:06,566 For custody. 745 00:37:09,093 --> 00:37:11,838 - Theo, I... - Just... You have to tell them. 746 00:37:11,843 --> 00:37:13,236 Ruby and Malik. 747 00:37:13,241 --> 00:37:15,229 They need to know what they're facing. 748 00:37:21,982 --> 00:37:25,494 Since when did you start drinking fancy apricot beer, anyways? 749 00:37:25,499 --> 00:37:27,299 You're free to buy your own. 750 00:37:28,578 --> 00:37:31,221 I feel like I'm 16 again and you're bootlegging for me. 751 00:37:31,226 --> 00:37:32,927 I did that one time. 752 00:37:33,373 --> 00:37:35,198 You ended up throwing up all over Taneesha's car. 753 00:37:35,202 --> 00:37:36,967 Which she made me pay to have it cleaned. 754 00:37:36,972 --> 00:37:39,907 You're the one who insisted I go camping with you guys. 755 00:37:39,912 --> 00:37:41,479 - Remember? - I had no choice. 756 00:37:41,484 --> 00:37:43,551 What do you mean, you had no choice? 757 00:37:46,025 --> 00:37:48,705 Dad took out a second mortgage on the house without telling Mom. 758 00:37:48,710 --> 00:37:51,541 I came home, she's screaming, packing up all his stuff. 759 00:37:53,537 --> 00:37:56,138 So I had to get you out of the house for the weekend. 760 00:37:56,143 --> 00:37:58,143 When we got back, she was fine. 761 00:37:58,904 --> 00:38:00,939 And Dad was "on the road" for a month. 762 00:38:00,944 --> 00:38:02,480 Yeah, but he was a management consultant! 763 00:38:02,484 --> 00:38:04,219 He always travelled for... 764 00:38:06,743 --> 00:38:08,644 That one wasn't for work. 765 00:38:09,468 --> 00:38:12,814 She threw him out and he wormed his way back in. 766 00:38:13,398 --> 00:38:15,199 Again. 767 00:38:17,996 --> 00:38:20,097 What else am I remembering wrong? 768 00:38:23,266 --> 00:38:27,069 I'm sorry that you had to build those walls, June. 769 00:38:27,410 --> 00:38:28,979 I have enough bad memories, you know. 770 00:38:28,984 --> 00:38:31,052 I just wanted you to have good ones. 771 00:38:34,329 --> 00:38:36,150 Well, you're off the hook. 772 00:38:36,155 --> 00:38:37,768 It's time for Dad's night meds. 773 00:38:37,773 --> 00:38:39,080 You should change his mattress. 774 00:38:39,085 --> 00:38:41,252 Gel or foam will help the bedsores. 775 00:38:44,158 --> 00:38:46,932 Isn't that kind of helpful advice against the rules? 776 00:38:47,656 --> 00:38:49,682 I'm giving you advice, not him. 777 00:38:49,897 --> 00:38:52,643 And trusting you not to tell me whether or not you take it. 778 00:38:52,889 --> 00:38:54,523 Thanks, Junie. 779 00:38:54,935 --> 00:38:56,602 Yeah. 780 00:39:01,738 --> 00:39:03,472 Is that your secret identity? 781 00:39:03,477 --> 00:39:05,912 Yeah I keep the cape in the bag. 782 00:39:05,917 --> 00:39:09,252 You know, in case I see a cat in a tree on my way home. 783 00:39:10,080 --> 00:39:12,111 So, Marnie's in respirology now 784 00:39:12,116 --> 00:39:14,384 with a much less accommodating doctor. 785 00:39:15,614 --> 00:39:18,883 Justin's gonna spend the night with her since I took the day. 786 00:39:19,990 --> 00:39:21,357 So? 787 00:39:24,456 --> 00:39:28,427 Wow, you're really going to make me ask you, huh? 788 00:39:28,432 --> 00:39:30,783 Ask what? 789 00:39:30,901 --> 00:39:32,868 If you wanna come home with me. 790 00:39:33,767 --> 00:39:36,596 To be clear, if you wanna have sex with me. 791 00:39:36,768 --> 00:39:39,571 Yeah. Um... 792 00:39:39,576 --> 00:39:42,144 - What about your husband? - Ex-husband. 793 00:39:42,149 --> 00:39:44,105 Though I'm sure he'd be delighted if you felt compelled 794 00:39:44,109 --> 00:39:45,507 to ask him for his blessing. 795 00:39:45,512 --> 00:39:48,550 - You know, I'm your daughter's doctor. - Ex-doctor. 796 00:39:48,650 --> 00:39:50,315 What else you got? 797 00:39:51,845 --> 00:39:55,114 - I thought you hated me. - Don't overthink it. 798 00:40:05,932 --> 00:40:08,600 I'm sorry. I know this isn't what you wanted to hear. 799 00:40:10,170 --> 00:40:12,120 There must be something you can do! 800 00:40:12,125 --> 00:40:13,690 There isn't. 801 00:40:13,894 --> 00:40:15,573 - It's okay, babe. - No! 802 00:40:15,578 --> 00:40:17,940 We'll make dialysis work until you get a kidney. 803 00:40:17,945 --> 00:40:20,545 I'll find us a place to live, get a part-time job. 804 00:40:20,550 --> 00:40:23,354 I'll go to one of the group homes if the social worker's still around. 805 00:40:23,359 --> 00:40:24,769 I can reach out if you think you're ready. 806 00:40:24,773 --> 00:40:27,284 - Mal, you don't want that! - Ruby, it's better this way. 807 00:40:27,289 --> 00:40:28,605 I'm not dragging you down with me. 808 00:40:28,609 --> 00:40:30,844 Stop this foolishness, both of you. 809 00:40:32,881 --> 00:40:35,149 He'll come and live with us. 810 00:40:35,609 --> 00:40:37,195 He can stay in our guest room. 811 00:40:37,706 --> 00:40:39,354 I'll make sure he gets to dialysis. 812 00:40:39,359 --> 00:40:42,334 No, Ms. Evans, I couldn't do that. 813 00:40:42,729 --> 00:40:45,408 You deserve a fair chance to fight this off. 814 00:40:47,177 --> 00:40:49,278 I'm not taking no for an answer. 815 00:40:50,188 --> 00:40:52,954 If I can't convince you, I know Ruby can. 816 00:40:59,568 --> 00:41:01,636 You don't know how much this means to me. 817 00:41:02,359 --> 00:41:04,427 We'll find a way to get through. 818 00:41:24,689 --> 00:41:26,957 It's a good thing you're doing. 819 00:41:27,384 --> 00:41:29,118 What choice did I have? 820 00:41:29,549 --> 00:41:31,550 Turn my back and lose my daughter? 821 00:41:32,142 --> 00:41:33,487 I don't like this thing between them. 822 00:41:33,491 --> 00:41:35,064 But I can't stop it. 823 00:41:35,970 --> 00:41:38,772 All I can do now is let it happen. 824 00:42:14,177 --> 00:42:16,717 _ 825 00:42:17,771 --> 00:42:19,349 _ 826 00:42:19,514 --> 00:42:20,514 _ 827 00:42:22,061 --> 00:42:25,685 _ 828 00:42:26,889 --> 00:42:27,889 _ 829 00:42:33,826 --> 00:42:36,662 _ 830 00:42:54,142 --> 00:42:57,142 Synced & corrected by QueenMaddie www.addic7ed.com