1 00:00:00,050 --> 00:00:01,750 I know you were a trauma surgeon back home. 2 00:00:01,755 --> 00:00:03,720 What do you say to specializing in that here? 3 00:00:03,725 --> 00:00:05,521 I'm not sure that's even an option. 4 00:00:05,526 --> 00:00:07,123 You deserve to be here. 5 00:00:07,128 --> 00:00:08,590 All you have to do is accept it. 6 00:00:08,595 --> 00:00:11,593 Plans are underway to build a permanent Trauma OR. 7 00:00:11,598 --> 00:00:14,633 - Congratulations, Jed. - I resigned this morning. 8 00:00:15,249 --> 00:00:16,679 Today is my last day. 9 00:00:16,684 --> 00:00:18,180 I'm switching residencies. 10 00:00:18,185 --> 00:00:19,682 I know what Bishop meant to you. 11 00:00:19,687 --> 00:00:22,852 It's actually not about him, it's about me. 12 00:00:22,857 --> 00:00:24,920 You're telling me that Marcus had a stepdaughter 13 00:00:24,925 --> 00:00:26,522 that I've never heard of. How is that possible? 14 00:00:26,526 --> 00:00:28,557 I just told my father's 17-year-old stepdaughter 15 00:00:28,562 --> 00:00:30,525 that she could come live with me. So... 16 00:00:30,530 --> 00:00:32,694 I know of an organization that matches specialists 17 00:00:32,699 --> 00:00:34,796 with communities up north, and flies them up there, 18 00:00:34,801 --> 00:00:37,368 and they're always looking for doctors. 19 00:00:43,542 --> 00:00:46,975 Tonight, with Amira, that's how I remember you. 20 00:00:46,980 --> 00:00:48,743 I mean, I know I'm busy working, but... 21 00:00:48,748 --> 00:00:51,479 All you do is survive. 22 00:00:51,484 --> 00:00:53,781 What else is in your life? 23 00:00:56,189 --> 00:00:57,454 Hi. 24 00:01:05,231 --> 00:01:07,996 Please wait until your number is called. 25 00:01:08,001 --> 00:01:10,664 Is it true we have to take a test? 26 00:01:10,669 --> 00:01:11,933 I do. 27 00:01:11,938 --> 00:01:15,904 But only if we qualify, which we'll find out today. 28 00:01:15,909 --> 00:01:17,772 Are you nervous? 29 00:01:17,777 --> 00:01:20,173 I'm excited. 30 00:01:20,178 --> 00:01:21,708 You should be too, habibti. 31 00:01:21,713 --> 00:01:24,377 If we becoming citizens, you can vote and get a passport. 32 00:01:24,382 --> 00:01:26,783 You could even run for office one day. 33 00:01:28,652 --> 00:01:29,915 Is she okay? 34 00:01:29,920 --> 00:01:31,119 Thank you for your patience... 35 00:01:31,123 --> 00:01:32,419 Bashir, what's wrong with her? 36 00:01:32,424 --> 00:01:34,321 They're working on power lines 37 00:01:34,326 --> 00:01:36,059 and our network keeps crashing. 38 00:01:48,041 --> 00:01:49,373 Careful, ma'am. 39 00:02:07,425 --> 00:02:09,055 We need to try and stop the bleeding. 40 00:02:09,060 --> 00:02:10,590 - Stop! - He's not even breathing. 41 00:02:10,595 --> 00:02:12,891 - Don't touch him. - I know CPR. 42 00:02:12,896 --> 00:02:15,161 Then you know the first thing to do is look and listen. 43 00:02:15,166 --> 00:02:17,330 - I called it in. - That's a live power line. 44 00:02:17,335 --> 00:02:19,098 It could be carrying a current. 45 00:02:19,103 --> 00:02:21,900 His chest is moving. It's shallow, but he's breathing. 46 00:02:21,905 --> 00:02:24,604 And his heart is still pumping based on the way his blood 47 00:02:24,609 --> 00:02:26,939 - is pooling, so we have time. - You're a doctor. 48 00:02:26,944 --> 00:02:28,174 Paramedics are coming. 49 00:02:28,179 --> 00:02:30,109 Best thing we can do until we have all the facts 50 00:02:30,114 --> 00:02:31,413 is absolutely nothing. 51 00:02:35,853 --> 00:02:39,385 Uh, excuse me, ma'am, I noticed you're having difficulty breathing. 52 00:02:39,390 --> 00:02:42,020 I was wondering if you needed any help. I'm a doctor. 53 00:02:42,025 --> 00:02:44,623 I take medication for high blood pressure. 54 00:02:44,628 --> 00:02:46,458 Okay. Are you having any pain in your chest? 55 00:02:46,463 --> 00:02:48,160 - Yes. - Why don't you drink this 56 00:02:48,165 --> 00:02:50,762 and I can check your pulse? I'm Bashir. 57 00:02:50,767 --> 00:02:52,965 - I'm Rose. - Hey, Rose. 58 00:02:52,970 --> 00:02:56,368 - How long have you been waiting? - Hmm! All morning. 59 00:02:56,373 --> 00:02:58,804 I'm supposed to take my citizenship test. 60 00:02:58,809 --> 00:03:01,239 Uh, my sister and I are just starting the process. 61 00:03:01,244 --> 00:03:03,976 - We came here from Syria. - Jamaica. 62 00:03:03,981 --> 00:03:06,748 But I came in 1993. 63 00:03:07,951 --> 00:03:10,482 Why did it take you so long to apply? 64 00:03:10,487 --> 00:03:13,652 Uh... I'm sorry, that's none of my business. 65 00:03:13,657 --> 00:03:17,222 I raised a family here, I'm totally assimilated. 66 00:03:17,227 --> 00:03:21,493 But being in this room... 67 00:03:21,498 --> 00:03:23,828 Reminds you that you aren't. 68 00:03:23,833 --> 00:03:25,065 Mm. 69 00:03:41,483 --> 00:03:44,985 There was nothing you could've done to save his life. 70 00:03:46,889 --> 00:03:48,920 - Everyone says that. - I mean it. 71 00:03:48,925 --> 00:03:51,355 I'm a psychiatrist, but I'm also an MD. 72 00:03:51,360 --> 00:03:54,191 His neck broke on impact. There was no fixing that. 73 00:03:54,196 --> 00:03:57,828 Uh, my therapist in Sudbury 74 00:03:57,833 --> 00:03:59,997 thinks I'm ready to see patients again. 75 00:04:00,002 --> 00:04:01,933 Well, you're not running from what happened. 76 00:04:01,938 --> 00:04:04,501 A good sign. Coming back is the right call, 77 00:04:04,506 --> 00:04:07,604 - as long as you're vigilant. - Vigilant? 78 00:04:07,609 --> 00:04:09,673 I mean, I'm... 79 00:04:09,678 --> 00:04:13,509 I'm doing everything I can to process what happened. 80 00:04:13,514 --> 00:04:15,278 A man died. 81 00:04:15,283 --> 00:04:18,247 And you spent nine days alone in the woods. 82 00:04:18,252 --> 00:04:21,187 It'll take longer than a month to work through that. 83 00:04:22,090 --> 00:04:26,726 So if you find yourself needing help, speak up. 84 00:04:28,229 --> 00:04:29,996 Ah, what a mess. 85 00:04:30,632 --> 00:04:34,464 His blood vessels are a pretty abstract arrangement. 86 00:04:34,469 --> 00:04:37,366 - You good? - I can figure it out. 87 00:04:37,371 --> 00:04:39,469 Retracting the mesenteric portal vein. 88 00:04:39,474 --> 00:04:42,472 Easy does it. Watch the ducts. 89 00:04:42,477 --> 00:04:45,044 Good. Now start dissecting. 90 00:04:48,116 --> 00:04:51,413 With technique like that, Ajay should be begging you 91 00:04:51,418 --> 00:04:52,982 to stay on as Chief Resident. 92 00:04:52,987 --> 00:04:55,184 Well, I mean one term is standard. 93 00:04:55,189 --> 00:04:57,119 I guess he just figured someone else was up. 94 00:04:57,124 --> 00:04:58,957 Lost interest, you mean. 95 00:04:59,727 --> 00:05:04,459 I will too, if you don't apply for my GI fellowship spot. 96 00:05:04,464 --> 00:05:07,096 Is that even open to fourth years? 97 00:05:07,101 --> 00:05:09,001 If they deserve it. 98 00:05:10,137 --> 00:05:11,770 Okay, let's close. 99 00:05:14,041 --> 00:05:15,804 Internal cardiac defibrillator. 100 00:05:15,809 --> 00:05:18,610 Test model versus grapefruit. 80 joules. 101 00:05:23,050 --> 00:05:24,913 Holy! 102 00:05:24,918 --> 00:05:26,715 Mags? 103 00:05:26,720 --> 00:05:28,684 Do we need to get you a med student 104 00:05:28,689 --> 00:05:30,321 to help organize this... 105 00:05:31,124 --> 00:05:33,688 - What are you doing? - I'm comparing the ICD device 106 00:05:33,693 --> 00:05:35,558 we're studying to the ones already on the market. 107 00:05:35,562 --> 00:05:37,559 Ours delivers a more consistent shock 108 00:05:37,564 --> 00:05:39,327 while leaving a smaller physical footprint, 109 00:05:39,332 --> 00:05:40,928 but the leads are prone to shifting... 110 00:05:40,933 --> 00:05:43,998 We're not adding a citrus column to our study data. 111 00:05:44,003 --> 00:05:46,468 And that would be "no" to the med student. 112 00:05:46,473 --> 00:05:48,303 I have my own system. 113 00:05:48,308 --> 00:05:49,607 Uh-huh. 114 00:05:53,480 --> 00:05:55,846 - Is she okay? - Yeah, she'll be fine. 115 00:05:56,849 --> 00:05:58,246 That's it? 116 00:05:58,251 --> 00:06:00,518 You're not even gonna tell me what's wrong with her? 117 00:06:01,754 --> 00:06:05,323 It wasn't her heart, she's just afraid. 118 00:06:05,792 --> 00:06:07,325 Of what? 119 00:06:14,336 --> 00:06:21,836 - Synced and corrected by Firefly - - www.addic7ed.com - 120 00:06:26,445 --> 00:06:27,976 Dr. Curtis? 121 00:06:27,981 --> 00:06:29,811 Did your security company reach you? 122 00:06:29,816 --> 00:06:31,278 Apparently, your alarm went off. 123 00:06:31,283 --> 00:06:33,347 No, but I think I know who the intruder is. 124 00:06:33,352 --> 00:06:34,716 - Everything okay? - Yeah. 125 00:06:34,721 --> 00:06:36,383 Okay. Do you mind? 126 00:06:36,388 --> 00:06:39,053 Um, Mr. Lee here presented with nausea 127 00:06:39,058 --> 00:06:41,089 and a fever after feeling ill at work. 128 00:06:41,094 --> 00:06:43,024 Meaning I threw up during the sales presentation 129 00:06:43,029 --> 00:06:45,693 I flew into town to make. Some business trip... 130 00:06:45,698 --> 00:06:47,695 Do you still have your appendix, Mr. Lee? 131 00:06:47,700 --> 00:06:49,051 I thought that too, but there was no guarding 132 00:06:49,055 --> 00:06:51,075 when I pressed on the right. 133 00:06:54,107 --> 00:06:56,003 - Ah! - Mm. 134 00:06:56,008 --> 00:06:57,638 Don't forget Rovsing's sign. 135 00:06:57,643 --> 00:06:59,063 Sometimes, when you press on the left 136 00:06:59,067 --> 00:07:00,307 and the appendix reveals itself... 137 00:07:00,311 --> 00:07:02,941 Referred pain. So imaging to confirm and call up to OR? 138 00:07:02,946 --> 00:07:04,378 You know what, they're wall to wall right now, 139 00:07:04,382 --> 00:07:06,614 so what if you see how long the wait is and get back to me? 140 00:07:06,618 --> 00:07:08,015 Thank you. 141 00:07:08,020 --> 00:07:10,083 Bash? Action out front. 142 00:07:10,088 --> 00:07:12,152 Some kind of accident down the street. 143 00:07:12,157 --> 00:07:13,690 Excuse me. 144 00:07:16,427 --> 00:07:19,059 Alexander Gordon, 42 years old, 145 00:07:19,064 --> 00:07:20,426 electrocuted on a power line. 146 00:07:20,431 --> 00:07:23,463 BP 80 over 60, rate's 130. GCS 10. 147 00:07:23,468 --> 00:07:26,332 His 02 Sats are 80 %. He's tachy, and his temp's way up. 148 00:07:26,337 --> 00:07:28,335 Hyperthermia is common with electrical burns. 149 00:07:28,340 --> 00:07:29,770 No evidence of surface burns, 150 00:07:29,775 --> 00:07:32,238 I did a quick neurological exam, but he'll need CT. 151 00:07:32,243 --> 00:07:34,507 His femur's shattered and I don't know for sure, 152 00:07:34,512 --> 00:07:36,075 but I think there's fluid in his belly. 153 00:07:36,080 --> 00:07:37,377 I'll call ortho for the femur 154 00:07:37,382 --> 00:07:39,212 and tell Dr. Novak we need Trauma OR. 155 00:07:39,217 --> 00:07:40,713 Dr. Devi, are you okay? 156 00:07:40,718 --> 00:07:42,715 People don't fall from the sky every day. 157 00:07:42,720 --> 00:07:44,353 I'll meet you in there. 158 00:07:45,056 --> 00:07:47,220 C-arm's in position. Everyone, hands off. 159 00:07:47,225 --> 00:07:49,021 We'll need 2 large bore IVs. 160 00:07:49,026 --> 00:07:51,324 Activate MTP and prep one gram TXA. 161 00:07:51,329 --> 00:07:52,792 Sats are falling! 162 00:07:52,797 --> 00:07:56,296 - 32 French, Claire, hemopneumo. - Where am I? 163 00:07:56,301 --> 00:07:59,265 You're at York Memorial Hospital, Alex. Try not to move. 164 00:07:59,270 --> 00:08:01,801 - Pack with fresh gauze. - Why does it hurt to breathe? 165 00:08:01,806 --> 00:08:03,126 Probably for a lot of reasons. 166 00:08:03,131 --> 00:08:05,171 At a minimum, it's because your lung is collapsed. 167 00:08:05,176 --> 00:08:07,216 We're going to put in something called a chest tube. 168 00:08:09,080 --> 00:08:10,877 How are you doing, Alex? 169 00:08:10,882 --> 00:08:12,812 It hurts! Why does it hurt so bad? 170 00:08:12,817 --> 00:08:14,880 10mg morphine. 171 00:08:14,885 --> 00:08:17,182 We're going to give you something for the pain, Alex, 172 00:08:17,187 --> 00:08:18,783 try to remain as still as possible. 173 00:08:18,788 --> 00:08:21,252 Waiting on film and putting in a chest tube, boss. 174 00:08:21,257 --> 00:08:23,354 Your call in Trauma OR, Dr. Novak. 175 00:08:23,359 --> 00:08:24,926 Image is up. 176 00:08:25,529 --> 00:08:27,693 That explains the fluid in his abdomen. 177 00:08:27,698 --> 00:08:29,728 Looks like his pancreas is melting. 178 00:08:29,733 --> 00:08:31,630 The current needed somewhere to land. 179 00:08:31,635 --> 00:08:33,432 It has to come out here. Now. 180 00:08:33,437 --> 00:08:36,368 Any less invasive options to consider before major surgery? 181 00:08:36,373 --> 00:08:38,837 Not if we want to avoid the infection due to dead tissue. 182 00:08:38,842 --> 00:08:41,940 Well, let's get him prepped. Dr. Hamed, you're gonna assist. 183 00:08:41,945 --> 00:08:43,942 Claire, see if Ortiz from General's available, 184 00:08:43,947 --> 00:08:45,944 or if he knows anybody good who is. 185 00:08:45,949 --> 00:08:47,946 You've resected a pancreas before? 186 00:08:47,951 --> 00:08:49,314 We'll walk him through it. 187 00:08:49,319 --> 00:08:51,149 Okay, you got your hands full, Claire. 188 00:08:51,154 --> 00:08:52,384 I will page Ortiz. 189 00:08:52,389 --> 00:08:53,718 Alex, the electrical current 190 00:08:53,723 --> 00:08:55,320 caused severe damage to your pancreas. 191 00:08:55,325 --> 00:08:56,856 We need to take it out right now, okay? 192 00:08:56,860 --> 00:08:59,790 No, no, no! I need Callum, where's Callum? 193 00:08:59,795 --> 00:09:01,960 If we don't do this right now, you're going to die. 194 00:09:01,965 --> 00:09:03,628 - Do you und... - He's seizing! 195 00:09:03,633 --> 00:09:07,031 Hypocalcaemia from the pancreatic injury can cause seizures. 196 00:09:07,036 --> 00:09:08,933 I have to intubate. Dr. Novak, this can't wait. 197 00:09:08,938 --> 00:09:11,502 Okay, let's get Ativan and calcium to calm the seizure. 198 00:09:11,507 --> 00:09:12,673 Let's go! 199 00:09:18,213 --> 00:09:20,777 Yeah, I apologize, it was a mistake. 200 00:09:20,782 --> 00:09:23,747 It's just that my... new roommate 201 00:09:23,752 --> 00:09:25,548 forgot her alarm codes. 202 00:09:25,553 --> 00:09:28,118 So, yeah, you know, it's fine. 203 00:09:28,123 --> 00:09:29,987 Just, uh, send me the bill. 204 00:09:29,992 --> 00:09:32,322 Does Shay know you're calling her your roommate? 205 00:09:32,327 --> 00:09:34,557 Well, it's that or father-stepdaughter, so... 206 00:09:34,562 --> 00:09:36,329 What about "sister"? 207 00:09:37,365 --> 00:09:38,829 So that's going well. 208 00:09:38,834 --> 00:09:40,066 You know she's in university, right? 209 00:09:40,070 --> 00:09:41,165 - Mm-hmm. - I mean, by then, 210 00:09:41,170 --> 00:09:42,933 I'd been alone for years. 211 00:09:42,938 --> 00:09:44,601 I feel like she should be fully formed. 212 00:09:44,606 --> 00:09:46,904 Why do I think you were born fully formed? 213 00:09:50,312 --> 00:09:53,575 - You miss the action down here? - Yeah, sometimes. 214 00:09:53,580 --> 00:09:55,945 But in cardiology, when I learn a patient's name, 215 00:09:55,950 --> 00:09:57,213 I actually get to use it again. 216 00:09:57,218 --> 00:09:59,148 That's right! You know, I keep forgetting. 217 00:09:59,153 --> 00:10:01,151 Not everyone prefers their patients unconscious. 218 00:10:01,155 --> 00:10:02,388 Nope. 219 00:10:14,202 --> 00:10:16,132 Talk about a life-changing shock. 220 00:10:16,137 --> 00:10:17,336 Hm? 221 00:10:17,939 --> 00:10:20,336 Pancreas guy. You removed the whole thing? 222 00:10:20,341 --> 00:10:22,571 - Yeah, had to. - Crazy. 223 00:10:22,576 --> 00:10:26,943 - There he is. Hey! - No welcome back banner? 224 00:10:26,948 --> 00:10:29,445 Nice to see your face, Habibi. 225 00:10:29,450 --> 00:10:31,347 Theo! Oh my God! 226 00:10:31,352 --> 00:10:33,782 - Oh! Hey, June. - Hey. 227 00:10:33,787 --> 00:10:35,551 Alright, fire away. 228 00:10:35,556 --> 00:10:37,619 I promise after three weeks with my parents 229 00:10:37,624 --> 00:10:38,921 and my children taking care of me, 230 00:10:38,925 --> 00:10:40,789 I can answer all of your questions. 231 00:10:40,794 --> 00:10:45,194 Okay, so the hair and the beard, is that really a good idea? 232 00:10:45,199 --> 00:10:46,462 Rhoda? 233 00:10:46,467 --> 00:10:48,530 - Can I get a word? - Oh, yeah, sure. 234 00:10:48,535 --> 00:10:50,733 Anyone know her story? 235 00:10:50,738 --> 00:10:54,036 I'm not an emerg doc anymore, you know. 236 00:10:54,041 --> 00:10:57,108 She's not even my chief, why should I know, you know? 237 00:11:00,480 --> 00:11:02,477 Her residency was in hospital medicine. 238 00:11:02,482 --> 00:11:04,981 But her last job was in Portland, where she worked for the state, 239 00:11:04,985 --> 00:11:07,749 overhauling patient records... She has a PhD in public health, 240 00:11:07,754 --> 00:11:09,752 strong policy background. And most of her publishing 241 00:11:09,756 --> 00:11:11,652 has been on patient-led approaches to care. 242 00:11:11,657 --> 00:11:14,855 Bishop was here 30 years and she's never even run an ED? 243 00:11:14,860 --> 00:11:17,224 I think that's the point. 30 years of the same system. 244 00:11:17,229 --> 00:11:19,627 My guess is they're trying to think more progressive. 245 00:11:19,632 --> 00:11:21,629 All I know is that I was gone a month 246 00:11:21,634 --> 00:11:23,297 and the world is upside down. 247 00:11:23,302 --> 00:11:25,633 New boss, Mags left the emerg 248 00:11:25,638 --> 00:11:28,603 and Bash, is it true you're leaving to become a surgeon? 249 00:11:28,608 --> 00:11:31,071 Uh, I'd be doing a dual residency, half in emerg, 250 00:11:31,076 --> 00:11:32,740 half in Trauma OR with Dr. Novak. 251 00:11:32,745 --> 00:11:34,575 Yeah, about that, are they making you start 252 00:11:34,580 --> 00:11:36,711 - in surgery as a first year? - Well, they better not. 253 00:11:36,716 --> 00:11:38,414 He was a trauma surgeon before he came here 254 00:11:38,419 --> 00:11:40,084 and he's more than proved himself. 255 00:11:43,823 --> 00:11:45,852 Hey, Rhoda, do you have a 20 on Faye Conrad? 256 00:11:45,857 --> 00:11:47,254 She's the patient from our study 257 00:11:47,259 --> 00:11:49,089 whose ICD went off and triage paged me down. 258 00:11:49,094 --> 00:11:51,357 Oh yeah, waiting in Exam Four. 259 00:11:51,362 --> 00:11:54,193 And Bash? Recovery's asking for you. 260 00:11:54,198 --> 00:11:56,463 Pancreas guy woke up and the nurses are saying 261 00:11:56,468 --> 00:11:58,164 that he doesn't "feel" like himself. 262 00:11:58,169 --> 00:12:00,333 Welcome back, Theo. 263 00:12:00,338 --> 00:12:02,071 Good to be back. 264 00:12:02,941 --> 00:12:04,871 Hey, did it work out at immigration? 265 00:12:04,876 --> 00:12:06,272 That was today, right? 266 00:12:06,277 --> 00:12:08,708 Yeah, they'll uh, they'll let us know if we qualify. 267 00:12:08,713 --> 00:12:10,777 And the surgery thing, I wasn't, you know... 268 00:12:10,782 --> 00:12:12,448 Like, I don't even know if that's how you feel. 269 00:12:12,452 --> 00:12:14,482 Seems like you usually have a pretty clear idea. 270 00:12:14,487 --> 00:12:16,349 Well, sometimes. And other times, 271 00:12:16,354 --> 00:12:18,752 you're like a brick wall, and I never know which version to expect. 272 00:12:18,756 --> 00:12:21,289 Once you figure it out, let me know. 273 00:12:27,932 --> 00:12:29,962 Mr. Gordon, how are you feeling? 274 00:12:29,967 --> 00:12:32,498 Like a person who can't get enough air. 275 00:12:32,503 --> 00:12:35,968 Uh, your lung re-collapsed during surgery. 276 00:12:35,973 --> 00:12:37,339 Oh... 277 00:12:38,175 --> 00:12:40,339 Are you the doctor who operated? 278 00:12:40,344 --> 00:12:41,607 One of them. 279 00:12:41,612 --> 00:12:45,080 Then you should know, you made it worse by removing our pancreas. 280 00:12:47,451 --> 00:12:50,115 Your lung was injured during the fall. 281 00:12:50,120 --> 00:12:52,120 It wasn't affected by the surgery. 282 00:12:53,023 --> 00:12:55,987 We're easing you onto medication that will supplement 283 00:12:55,992 --> 00:12:58,356 the pancreatic function you lost when we removed the organ. 284 00:12:58,361 --> 00:13:00,127 Which he didn't want you to do. 285 00:13:02,065 --> 00:13:03,561 Alex, the nurses tell me 286 00:13:03,566 --> 00:13:05,029 you're not feeling like yourself? 287 00:13:05,034 --> 00:13:06,664 Are you feeling confused? 288 00:13:06,669 --> 00:13:09,000 Uh, you had a seizure, that could be a common side-effect. 289 00:13:09,005 --> 00:13:11,539 I'm not confused and I'm not Alex. 290 00:13:12,608 --> 00:13:15,206 - You're not. - I'm Callum. 291 00:13:15,211 --> 00:13:17,508 Callum, that's who you were asking for before the surgery. 292 00:13:17,513 --> 00:13:19,510 No, that's who Alex was asking for. 293 00:13:19,515 --> 00:13:22,446 You should've waited for me to get here before removing 294 00:13:22,451 --> 00:13:26,487 an organ we both now have to live without. 295 00:13:34,800 --> 00:13:36,397 Thanks for doing this, Claire. 296 00:13:36,402 --> 00:13:38,299 I'll send you a bill. 297 00:13:38,304 --> 00:13:41,936 As an American, the fact that you can't is still wild to me. 298 00:13:41,941 --> 00:13:44,906 Hey, if I was a civilian, not the chief, 299 00:13:44,911 --> 00:13:47,242 how long do you think I would've waited? 300 00:13:47,247 --> 00:13:48,709 Today? 301 00:13:48,714 --> 00:13:50,711 Uh, five hours maybe. 302 00:13:50,716 --> 00:13:53,547 - That's hard to estimate. - Claire? Uh, Mr. Lee? 303 00:13:53,552 --> 00:13:56,617 Upstairs is full, and uh, Novak wants you in Trauma OR. 304 00:13:56,622 --> 00:13:58,152 Alright, thank you. 305 00:13:58,157 --> 00:14:01,589 You manage the nurses, assist in trauma OR, 306 00:14:01,594 --> 00:14:04,158 and still have time to see your own patients? 307 00:14:04,163 --> 00:14:06,795 When I qualified as a nurse practitioner, 308 00:14:06,800 --> 00:14:09,263 I was encouraged to carve out my own role. 309 00:14:09,268 --> 00:14:12,168 I just wanna make sure we're not spreading you too thin. 310 00:14:15,140 --> 00:14:17,270 One minute I'm browsing frying pans, 311 00:14:17,275 --> 00:14:19,807 the next I'm on the floor looking up at a store manager 312 00:14:19,812 --> 00:14:22,276 who's convinced I'm dead, poor thing. 313 00:14:22,281 --> 00:14:25,578 Well, poor you too. What does 80 joules feel like? 314 00:14:25,583 --> 00:14:28,181 Like getting kicked by a horse from the inside. 315 00:14:28,186 --> 00:14:30,450 Well, according to your remote monitoring, 316 00:14:30,455 --> 00:14:31,985 the device read an unstable rhythm 317 00:14:31,990 --> 00:14:34,788 and sent a shock to correct it. How do you feel now? 318 00:14:34,793 --> 00:14:37,190 Honestly, relieved. 319 00:14:37,195 --> 00:14:39,260 When my doctor first told me I had this heart condition, 320 00:14:39,264 --> 00:14:41,929 he made it seem like I could drop dead any second. 321 00:14:41,934 --> 00:14:44,831 Well, left ventricle failure is a daunting diagnosis, Faye. 322 00:14:44,836 --> 00:14:46,799 One that took ten years to get. 323 00:14:46,804 --> 00:14:49,068 It wasn't until he referred me to Dr. Fisher's study 324 00:14:49,073 --> 00:14:51,103 that I finally felt some sense of hope. 325 00:14:51,108 --> 00:14:53,906 And now... this thing saved my life. 326 00:14:53,911 --> 00:14:55,574 And with that privilege, you get to answer 327 00:14:55,579 --> 00:14:57,110 a slew of questions for me. 328 00:14:57,115 --> 00:14:58,879 Starting with: were there any warning signs 329 00:14:58,884 --> 00:15:02,582 - before the device went off? - Um, maybe a slight headache. 330 00:15:02,587 --> 00:15:03,718 - Okay. - And this morning, 331 00:15:03,723 --> 00:15:06,953 I felt a bit dizzy and faint, but no more than usual. 332 00:15:06,958 --> 00:15:10,256 Okay, do you normally feel dizzy and faint? 333 00:15:10,261 --> 00:15:12,358 On and off for the last few weeks. 334 00:15:12,363 --> 00:15:14,793 I thought it was my body getting used to the ICD. 335 00:15:14,798 --> 00:15:16,829 Why didn't you call or come in? 336 00:15:16,834 --> 00:15:19,731 You know how it is, by the time you actually see someone, 337 00:15:19,736 --> 00:15:23,134 you feel better and you've lost six hours of your life 338 00:15:23,139 --> 00:15:24,435 and annoyed the doctors. 339 00:15:24,440 --> 00:15:25,906 Faye, you have a direct line to us now. 340 00:15:25,910 --> 00:15:27,576 The whole point of being in the study is so we can track 341 00:15:27,580 --> 00:15:30,143 - your reaction to the device. - Sorry. 342 00:15:30,148 --> 00:15:32,712 After ten years of being told to go away, 343 00:15:32,717 --> 00:15:34,912 I guess I have a bit of unlearning to do. 344 00:15:34,917 --> 00:15:36,816 Well, you better start now, because I'm sending you up 345 00:15:36,820 --> 00:15:38,753 for labs to make sure everything's okay. 346 00:15:41,700 --> 00:15:43,932 I slept late and you put the alarm on when you left. 347 00:15:43,937 --> 00:15:45,100 When I opened the door, it went off 348 00:15:45,104 --> 00:15:46,902 and I couldn't find my code or my phone! 349 00:15:46,907 --> 00:15:48,838 - So you just decided to bail? - I panicked! 350 00:15:48,843 --> 00:15:51,439 I thought you could just turn it off remotely or something. 351 00:15:51,444 --> 00:15:53,707 Shay, I was in surgery. I'm not just lounging around here 352 00:15:53,712 --> 00:15:56,143 - waiting to fix your mistakes. - Sorry, okay? 353 00:15:56,148 --> 00:15:58,412 Don't you have friends at school, phones, 354 00:15:58,417 --> 00:16:00,215 - you're always on your phone! - I didn't see my friends 355 00:16:00,219 --> 00:16:01,983 'cause I didn't exactly get to school. 356 00:16:01,987 --> 00:16:04,318 - I'm sorry, what? - I was studying for this exam 357 00:16:04,323 --> 00:16:06,655 last night, then I realized what's the point to get a career 358 00:16:06,659 --> 00:16:09,422 coding apps for corporations destroying the climate 359 00:16:09,427 --> 00:16:11,992 so I can afford a Betta fish and a studio apartment? 360 00:16:11,997 --> 00:16:14,561 - You're dropping out? - No, no! 361 00:16:14,566 --> 00:16:16,430 I don't know! I'm just upset today 362 00:16:16,435 --> 00:16:18,999 and I'm trying to explain to you why I screwed up with the alarm. 363 00:16:19,004 --> 00:16:21,900 Look, if this living arrangement thing 364 00:16:21,905 --> 00:16:23,137 is gonna work, you're gonna have to put 365 00:16:23,141 --> 00:16:25,040 all that aside for long enough to learn an alarm code. 366 00:16:25,044 --> 00:16:27,341 Easy for you to say, your life's already under control. 367 00:16:27,346 --> 00:16:28,544 Mine's chaos. 368 00:16:29,047 --> 00:16:31,681 What is that? 369 00:16:32,517 --> 00:16:34,881 I als... I also forgot my keys. 370 00:16:34,886 --> 00:16:37,083 So I tried to get the window open to get back inside, 371 00:16:37,088 --> 00:16:38,852 - but then, it broke... - Seriously?! 372 00:16:38,857 --> 00:16:41,290 I know, it was stupid. 373 00:16:43,728 --> 00:16:45,361 Unbelievable. 374 00:16:46,063 --> 00:16:47,594 No, don't do that. 375 00:16:47,599 --> 00:16:49,799 Okay look, it's fine. It's fine. You're... 376 00:16:50,802 --> 00:16:54,066 Gonna have a nurse redress that, properly. 377 00:16:54,071 --> 00:16:55,571 Then you can meet me at home. 378 00:16:59,010 --> 00:17:01,644 - We have to go downstairs. - Mm. 379 00:17:02,646 --> 00:17:04,242 Jackson Tate. 20. 380 00:17:04,247 --> 00:17:08,380 BP is 140 over 110, saturation is 90% and falling. 381 00:17:08,385 --> 00:17:10,349 Airway obstruction. We tried to tube him, 382 00:17:10,354 --> 00:17:12,417 but whatever he ingested got in the way. 383 00:17:12,422 --> 00:17:13,519 What the hell is that? 384 00:17:13,524 --> 00:17:16,321 Jackson, can you squeeze my hand? It's okay, it's okay. 385 00:17:16,326 --> 00:17:19,525 O2's down to 82. He's cyanotic and hypoxic. 386 00:17:19,530 --> 00:17:20,859 I'll page RT. 387 00:17:20,864 --> 00:17:22,829 Every second gets us closer to brain damage, alright? 388 00:17:22,833 --> 00:17:24,796 - We tube him now. - Unsedated? 389 00:17:24,801 --> 00:17:26,297 - Dr. Hunter! - Let's get him up. 390 00:17:26,302 --> 00:17:28,503 I need an intubation kit and three "medas". 391 00:17:29,772 --> 00:17:31,636 Alright, good. Let's get this down all the way. 392 00:17:33,410 --> 00:17:35,240 Jackson? Jackson. Look at me. 393 00:17:35,245 --> 00:17:37,108 I'm gonna put a tube in your throat. 394 00:17:37,113 --> 00:17:38,510 To help you breathe, okay? 395 00:17:38,515 --> 00:17:40,648 It will hurt, but it will be fast. 396 00:17:42,985 --> 00:17:44,384 Okay. 397 00:17:45,921 --> 00:17:47,751 Theo, we're hurting him. 398 00:17:47,756 --> 00:17:49,686 I'm almost in. 399 00:17:54,996 --> 00:17:56,563 I'm in! 400 00:18:05,240 --> 00:18:07,538 Guess some adrenaline kicked in. 401 00:18:07,543 --> 00:18:09,673 Uh, let's get him sedated and on a vent. 402 00:18:09,678 --> 00:18:11,744 Try to figure out what he swallowed. 403 00:18:20,789 --> 00:18:23,653 Your uh, your lung keeps collapsing. 404 00:18:23,658 --> 00:18:25,689 The pancrectomy was more urgent, 405 00:18:25,694 --> 00:18:27,256 but you need an intervention called... 406 00:18:27,261 --> 00:18:30,426 VATS pleurodesis. I heard the nurses. No. 407 00:18:30,431 --> 00:18:32,128 No more surgeries. 408 00:18:32,133 --> 00:18:33,897 Alex, you have to understand... 409 00:18:33,902 --> 00:18:35,164 - Callum. - Sorry. 410 00:18:35,169 --> 00:18:36,900 Callum, you're straining to breathe. 411 00:18:36,905 --> 00:18:39,069 If we don't do this now, it's only going to get worse. 412 00:18:39,074 --> 00:18:40,804 You see? He won't hear me. 413 00:18:40,809 --> 00:18:43,873 Callum, we weren't aware of you at first, 414 00:18:43,878 --> 00:18:46,642 we were working with the part of you that goes by Alex. 415 00:18:46,647 --> 00:18:49,145 Now you were both in danger and Dr. Hamed acted 416 00:18:49,150 --> 00:18:51,314 on the best information he had at the time. 417 00:18:51,319 --> 00:18:52,849 And now, I want him to stop. 418 00:18:52,854 --> 00:18:55,184 Callum, without surgery, you won't be able to breath 419 00:18:55,189 --> 00:18:57,420 on your own, we'll have to intubate you 420 00:18:57,425 --> 00:18:59,289 - and ventilate you... - Stop threatening me! 421 00:19:04,132 --> 00:19:07,396 Dissociative identity disorder is forged by trauma. 422 00:19:07,401 --> 00:19:10,133 Alex had a tough fight with leukemia as a kid. 423 00:19:10,138 --> 00:19:12,568 Out of the system since 2010. 424 00:19:12,573 --> 00:19:16,905 Now people who heal from DID work in co-operation with their parts, 425 00:19:16,910 --> 00:19:20,543 like an internal family. He likely has a number of parts 426 00:19:20,548 --> 00:19:23,045 and what happened today caused someone else to front. 427 00:19:23,050 --> 00:19:25,047 Meaning, re-fracture? 428 00:19:25,052 --> 00:19:28,150 That must be terrifying. Will Alex come back? 429 00:19:28,155 --> 00:19:30,821 Maybe. Eh, it's impossible to know. 430 00:19:31,524 --> 00:19:33,888 But if Callum can't breath, why won't he let me help him? 431 00:19:33,893 --> 00:19:36,991 Although Alex may have been building a functional life, 432 00:19:36,996 --> 00:19:39,994 triggers can send patients back to the bottom of the pyramid. 433 00:19:39,999 --> 00:19:41,329 Maslow's hierarchy. 434 00:19:41,334 --> 00:19:43,698 And Callum's role is just basic survival. 435 00:19:43,703 --> 00:19:45,567 Protecting the family from the trauma. 436 00:19:45,572 --> 00:19:48,406 It's all he'll allow himself to want. 437 00:19:50,743 --> 00:19:52,641 Callum's a bit like... 438 00:19:52,646 --> 00:19:54,776 any loved one advocating for a patient 439 00:19:54,781 --> 00:19:56,581 who thinks we aren't hearing him. 440 00:20:00,187 --> 00:20:02,483 The system takes a while to get used to you. 441 00:20:02,488 --> 00:20:04,751 Speaking of interesting puzzles, 442 00:20:04,756 --> 00:20:07,521 Mark Novak wants you skipping two years of training, 443 00:20:07,526 --> 00:20:10,056 but the surgeons upstairs want you at square one. 444 00:20:10,061 --> 00:20:11,559 Where are you with all this? 445 00:20:11,564 --> 00:20:13,427 'Cause I know you've already started over once. 446 00:20:13,432 --> 00:20:15,332 I'm just grateful for the opportunity. 447 00:20:17,203 --> 00:20:20,133 Well, Callum Gordon is telling us exactly what he wants. 448 00:20:20,138 --> 00:20:22,503 - I say we listen. - No, but refusing the surgery 449 00:20:22,508 --> 00:20:25,072 means risking his life, is he capable of making that decision? 450 00:20:25,077 --> 00:20:26,507 Dr. Mitchell seems to think so. 451 00:20:26,512 --> 00:20:28,342 So you want me doing nothing, 452 00:20:28,347 --> 00:20:29,777 even though we know how to help him. 453 00:20:29,781 --> 00:20:31,712 Callum is here to protect Alex, 454 00:20:31,717 --> 00:20:34,515 and you are the enemy who re-traumatized him. 455 00:20:34,520 --> 00:20:37,117 I did what I had to do to save his life. 456 00:20:37,122 --> 00:20:38,752 Callum's... Alex's... You were there! 457 00:20:38,757 --> 00:20:41,088 Yes! And I've been watching 458 00:20:41,093 --> 00:20:44,524 and you are a "lose-the-limb-to-save-the-life" kind of doctor. 459 00:20:44,529 --> 00:20:46,827 Our patient is alive because of that. 460 00:20:46,832 --> 00:20:49,199 But at the cost of not trusting you. 461 00:20:51,069 --> 00:20:55,504 If he's telling us that, we're gonna respect it. 462 00:21:03,181 --> 00:21:07,413 Some day trip, the guy didn't even bring a change of clothes. 463 00:21:07,418 --> 00:21:08,648 Metz. 464 00:21:08,653 --> 00:21:10,751 Okay, I've divided the obliques, 465 00:21:10,756 --> 00:21:13,252 can I get a retractor, please, Claire? 466 00:21:13,257 --> 00:21:15,520 Entering the peritoneum... 467 00:21:15,525 --> 00:21:17,292 Bowel's clear. 468 00:21:18,362 --> 00:21:20,826 You're having some trouble with exposure. 469 00:21:20,831 --> 00:21:23,662 Maybe the appendix is retroperitoneal? 470 00:21:23,667 --> 00:21:26,165 Not a test, Dr. Curtis. 471 00:21:26,170 --> 00:21:28,234 No, I found it, I'm just trying to bring it out. 472 00:21:28,239 --> 00:21:30,235 - Mm-hmm. - End tidal's good, 473 00:21:30,240 --> 00:21:32,638 hemodynamics stable. How much longer? 474 00:21:32,643 --> 00:21:33,840 I think we need about 20. 475 00:21:33,845 --> 00:21:36,175 - Is that good for you, Dr... ? - Svensson. 476 00:21:36,180 --> 00:21:38,210 I need some labs. My eyes are on the monitor. 477 00:21:38,215 --> 00:21:40,415 Alright, I'm just about ready to ligate. 478 00:21:41,018 --> 00:21:42,582 Stapler. 479 00:21:42,587 --> 00:21:44,086 Dr. Curtis? 480 00:21:44,821 --> 00:21:46,020 Look. 481 00:21:46,723 --> 00:21:48,720 - Uh, he's awake? - What? 482 00:21:48,725 --> 00:21:49,822 That's not possible. 483 00:21:49,827 --> 00:21:51,324 Is he feeling everything I'm doing? 484 00:21:51,329 --> 00:21:54,526 Everyone, just stay calm. June, especially you. 485 00:21:54,531 --> 00:21:56,295 - Svensson? - On it. 486 00:21:56,300 --> 00:21:58,062 It's okay, Alvin. 487 00:21:58,067 --> 00:22:01,132 - It's gonna be fine. - No. No, no. We have to stop. 488 00:22:01,137 --> 00:22:04,368 No, the last thing he needs is for us to start over. 489 00:22:04,373 --> 00:22:07,071 Svensson, get him under. Deep under. 490 00:22:07,076 --> 00:22:10,578 Claire, we need dedicated eyes on him until we close. 491 00:22:13,082 --> 00:22:14,182 June? 492 00:22:15,185 --> 00:22:16,748 Will you need me to take over? 493 00:22:16,753 --> 00:22:18,582 No, I'm fine, just... 494 00:22:18,587 --> 00:22:20,818 Let me know when we're ready to go back in. 495 00:22:20,823 --> 00:22:22,423 Okay. 496 00:22:31,830 --> 00:22:33,760 "Pericarditis" made my heart stop? 497 00:22:33,765 --> 00:22:36,896 It means inflammation of the sac that surrounds your heart. 498 00:22:36,901 --> 00:22:38,898 That's never happened to me before. 499 00:22:38,903 --> 00:22:41,133 - What causes it? - Sometimes infection, 500 00:22:41,138 --> 00:22:43,068 sometimes an autoimmune disorder. 501 00:22:43,073 --> 00:22:45,971 And your bloodwork is showing a positive ANA marker, 502 00:22:45,976 --> 00:22:48,407 - which points to the latter. - I have a heart condition 503 00:22:48,412 --> 00:22:51,210 - and an autoimmune disorder? - Well, that's the thing. 504 00:22:51,215 --> 00:22:53,412 It looks like your heart condition was actually 505 00:22:53,417 --> 00:22:55,714 just a side effect of your autoimmune disorder. 506 00:22:55,719 --> 00:22:58,083 Why has nobody caught this before? 507 00:22:58,088 --> 00:23:00,553 Because you had such a wide array of symptoms. 508 00:23:00,558 --> 00:23:02,923 I mean, these things can take years to get narrowed down 509 00:23:02,927 --> 00:23:05,055 - and yours still isn't. - What Dr. Leblanc is saying 510 00:23:05,060 --> 00:23:08,060 is you have the marker, but you'll need a whole new 511 00:23:08,065 --> 00:23:10,298 testing regimen to isolate what's actually wrong. 512 00:23:10,835 --> 00:23:14,035 Can we start that now? What does this mean for me? 513 00:23:14,737 --> 00:23:17,532 Unfortunately, Faye, what we've learned 514 00:23:17,536 --> 00:23:19,271 disqualifies you from our study. 515 00:23:19,276 --> 00:23:21,739 We have to refer you to a rheumatologist 516 00:23:21,744 --> 00:23:24,843 - to find a diagnosis... - No! I had a diagnosis! 517 00:23:24,848 --> 00:23:26,878 I know this is so frustrating, 518 00:23:26,883 --> 00:23:29,781 but the parameters of our study are limited to heart condition. 519 00:23:29,786 --> 00:23:31,883 You'll keep the ICD. 520 00:23:31,888 --> 00:23:33,919 We'll report any remote monitoring 521 00:23:33,924 --> 00:23:35,920 to your rheumatologist or your family doctor. 522 00:23:35,925 --> 00:23:38,390 Do you know what he said when you signed me on? 523 00:23:38,395 --> 00:23:39,757 That he was relieved, 524 00:23:39,762 --> 00:23:41,495 because he didn't know what else to do with me. 525 00:23:41,499 --> 00:23:44,466 Like I was some piece of paper he didn't know where to file. 526 00:23:47,637 --> 00:23:50,638 Is there anything you can do for me? 527 00:23:55,244 --> 00:23:57,111 I'm so sorry, Faye. 528 00:24:36,084 --> 00:24:37,815 Care to explain why you asked me 529 00:24:37,820 --> 00:24:40,417 to schedule a surgery your patient's refusing? 530 00:24:40,422 --> 00:24:42,920 I just thought if he heard it coming from you... 531 00:24:42,925 --> 00:24:44,223 Oh. 532 00:24:44,793 --> 00:24:46,289 What, he still won't agree? 533 00:24:46,294 --> 00:24:48,324 Even though he's on the road to cyanosis. 534 00:24:48,329 --> 00:24:51,662 And not a fan of yours or any procedure you've recommended. 535 00:24:51,667 --> 00:24:55,532 Then there's the fact that all of this stems from Trauma OR. 536 00:24:55,537 --> 00:24:58,501 Dr. Curtis is well aware of my feelings on the topic, 537 00:24:58,506 --> 00:25:00,437 - aren't you, June? - Oh, yeah. 538 00:25:00,442 --> 00:25:02,405 "Messes downstairs for surgery to clean up". 539 00:25:02,410 --> 00:25:05,208 Like an appendectomy patient waking up on the table? 540 00:25:05,213 --> 00:25:07,243 We re-sedated and we closed. 541 00:25:07,248 --> 00:25:11,317 Anyways, this is an "us" problem, not a "you" problem. 542 00:25:12,487 --> 00:25:15,051 You better put distance between yourself 543 00:25:15,056 --> 00:25:17,990 and that circus while trying to land a specialization. 544 00:25:21,195 --> 00:25:22,561 Dr. Singh... 545 00:25:23,597 --> 00:25:27,529 If I ask psych to reconsider a hold, would you sign off? 546 00:25:27,534 --> 00:25:30,565 You really want to fight that and force this guy into surgery? 547 00:25:30,570 --> 00:25:32,633 I don't want to fight, but we have to do something. 548 00:25:32,638 --> 00:25:34,770 And a man looking to re-invent himself as a surgeon 549 00:25:34,775 --> 00:25:36,639 should be coming to me with solutions, 550 00:25:36,644 --> 00:25:38,410 not creating more problems. 551 00:25:40,147 --> 00:25:41,747 With me, June! 552 00:25:44,719 --> 00:25:46,318 Oh, June. 553 00:25:47,522 --> 00:25:49,788 It means walk apace. 554 00:25:52,859 --> 00:25:55,023 That was a complete mess before. 555 00:25:55,028 --> 00:25:57,592 It happens 1 in every 600 times in the OR. 556 00:25:57,597 --> 00:25:59,761 In the OR, we have workflow and consistency! Okay? 557 00:25:59,766 --> 00:26:01,733 Here, it's like every time there's a new anesthesiologist 558 00:26:01,737 --> 00:26:02,832 or radiology tech, 559 00:26:02,836 --> 00:26:05,667 - we have no procedures in place. - It's early days. 560 00:26:05,672 --> 00:26:07,101 We're working out the kinks. 561 00:26:07,106 --> 00:26:08,570 Every time, there's a "kink", 562 00:26:08,575 --> 00:26:11,573 my reputation with my surgical bosses takes a hit. 563 00:26:11,578 --> 00:26:14,345 Oh! Yeah, you care about that! 564 00:26:15,314 --> 00:26:18,312 Whatever. Are you going to tell him? 565 00:26:18,317 --> 00:26:21,548 You know, the patient who woke up to us slicing through his organs. 566 00:26:21,553 --> 00:26:23,017 No, we both are. 567 00:26:23,022 --> 00:26:25,318 Our new boss wants us to listen to him 568 00:26:25,323 --> 00:26:27,888 "process the experience", whatever that means. 569 00:26:27,893 --> 00:26:29,456 Hence, with me, June. 570 00:26:29,461 --> 00:26:32,793 Dr. Novak, code blue. Dr. Novak... 571 00:26:32,798 --> 00:26:34,998 Actually, with me later, June! 572 00:26:40,572 --> 00:26:42,469 - Talk to me. - Faye Conrad! 573 00:26:42,474 --> 00:26:44,538 She was being monitored for pericarditis. 574 00:26:44,543 --> 00:26:46,574 She was fine, then she stopped breathing. 575 00:26:46,579 --> 00:26:48,178 Push one mg Epi. 576 00:26:49,148 --> 00:26:51,580 - How long? - Two minutes! 577 00:26:57,121 --> 00:26:58,585 What's going on here? 578 00:26:58,590 --> 00:27:01,354 Massive pericardial effusion and no activity on the monitor. 579 00:27:01,359 --> 00:27:04,356 - Pressure's 70 over 30! - Cardiac tamponade. 580 00:27:04,361 --> 00:27:06,760 There isn't enough time to drain her. She needs a thoracotomy. 581 00:27:06,764 --> 00:27:08,561 You wanna crack her? You gotta back that up. 582 00:27:08,566 --> 00:27:11,030 Faster access, faster drainage. 583 00:27:11,035 --> 00:27:12,665 She'll bleed out if we don't. 584 00:27:12,670 --> 00:27:16,438 Call RT for intubation and let's find out whose patient this is. 585 00:27:20,511 --> 00:27:23,576 - O-neg! Four more units, Rhoda! - On it. 586 00:27:23,581 --> 00:27:24,776 What is this?! 587 00:27:24,781 --> 00:27:26,445 Welcome to the party, Dr. Leblanc. 588 00:27:26,450 --> 00:27:29,315 Making an incision through the pericardium from apex to base, 589 00:27:29,320 --> 00:27:32,384 - medial to the phrenic nerve. - Your patient was in tamponade! 590 00:27:32,389 --> 00:27:34,619 - Pericardial effusion. - Her ICD kicked in, 591 00:27:34,624 --> 00:27:36,954 but there was too much fluid for it to do its job properly. 592 00:27:36,959 --> 00:27:38,091 Did you even try draining first?! 593 00:27:38,095 --> 00:27:39,858 We were too busy trying to save her life. 594 00:27:39,863 --> 00:27:41,393 She's arresting! 595 00:27:41,398 --> 00:27:43,365 Starting cardiac massage! 596 00:27:46,970 --> 00:27:48,767 Pressure's not coming up! 597 00:27:48,772 --> 00:27:50,305 Can I get a light, Rhoda? 598 00:27:52,543 --> 00:27:54,109 Suction. 599 00:27:55,245 --> 00:27:57,275 You're gonna let us in on your thinking? 600 00:27:57,280 --> 00:27:59,344 You shifted one of the ledes when you opened her. 601 00:27:59,349 --> 00:28:00,981 It's piercing a ventrical wall. 602 00:28:02,118 --> 00:28:03,981 Can you reach the perforation? 603 00:28:03,986 --> 00:28:05,516 It's a single wound, I think. 604 00:28:05,521 --> 00:28:07,151 Plugging it with my finger. 605 00:28:07,156 --> 00:28:08,856 Don't stop compressions! 606 00:28:12,462 --> 00:28:14,626 Pressure's coming up. Quick thinking, Dr. Leblanc. 607 00:28:14,631 --> 00:28:16,293 - Rhoda. - We're gonna need 608 00:28:16,298 --> 00:28:18,933 a proper cardiac surgeon to patch the hole in the ventricle. 609 00:28:21,304 --> 00:28:24,736 - Mags... - What the hell, Bash! 610 00:28:24,741 --> 00:28:27,272 I acted on instinct! I was trying to save her life! 611 00:28:27,277 --> 00:28:28,374 Without even thinking about the risks, 612 00:28:28,378 --> 00:28:30,207 and now, you have her heart in your hands! 613 00:28:30,211 --> 00:28:33,079 You two, don't move. Let's get her prepped to go upstairs. 614 00:28:41,000 --> 00:28:43,331 I don't know how long I was awake, 615 00:28:43,336 --> 00:28:46,667 I just... I couldn't talk, or move. 616 00:28:46,672 --> 00:28:49,070 That's the paralytic that we give you to make sure 617 00:28:49,075 --> 00:28:51,809 that you don't accidentally shift when we're operating. 618 00:28:53,046 --> 00:28:56,645 At first, it felt like pressure, 619 00:28:56,650 --> 00:28:59,080 but then it was searing pain. 620 00:28:59,085 --> 00:29:02,150 Like... Like being on fire. 621 00:29:02,155 --> 00:29:05,286 Unfortunately, sir, you had a non-standard response 622 00:29:05,291 --> 00:29:06,921 to a standard anesthesia dosage. 623 00:29:06,926 --> 00:29:09,626 Hold on, Mark... We're here to listen to Mr. Lee. 624 00:29:10,230 --> 00:29:12,493 I tried to... say something. 625 00:29:12,498 --> 00:29:17,431 Tell you to stop, but I... couldn't. 626 00:29:17,436 --> 00:29:20,635 I had to lay there, trapped... 627 00:29:20,640 --> 00:29:25,438 feeling every cut until one of you noticed. 628 00:29:39,057 --> 00:29:43,293 Hi, Faye. How you feeling? 629 00:29:44,096 --> 00:29:46,059 They told me you saved my life. 630 00:29:46,064 --> 00:29:50,130 The cardiac surgeon said the repair went well. 631 00:29:50,135 --> 00:29:52,803 But you still don't know what's really wrong with me? 632 00:29:53,338 --> 00:29:56,869 No, not yet. No. 633 00:29:56,874 --> 00:29:58,305 You know I'm a teacher, right? 634 00:29:58,310 --> 00:30:02,742 Yeah. Yeah, uh, eight-grade English. 635 00:30:02,747 --> 00:30:06,546 In our unit on mythology, we do Prometheus. 636 00:30:06,551 --> 00:30:08,681 Sentenced to have his liver pecked out each day 637 00:30:08,686 --> 00:30:09,885 - by an eagle. - Faye, don't... 638 00:30:09,889 --> 00:30:11,422 He must've prayed for death. 639 00:30:13,124 --> 00:30:14,921 You don't know what it's like 640 00:30:14,926 --> 00:30:16,790 to be the person people give up on. 641 00:30:16,795 --> 00:30:18,591 Actually, I do, though. 642 00:30:18,596 --> 00:30:22,995 I've been right where you are, as a patient, with my own heart. 643 00:30:23,000 --> 00:30:25,298 That's why I turned my whole career upside down 644 00:30:25,303 --> 00:30:27,200 to do this kind of work. So I know. 645 00:30:27,205 --> 00:30:30,237 How can you say that when you're giving up on me?! 646 00:30:30,242 --> 00:30:32,808 You said you'd be there for me. 647 00:30:33,845 --> 00:30:35,910 I guess that was never real. 648 00:30:44,788 --> 00:30:46,552 No more retro challenges, guys. 649 00:30:46,557 --> 00:30:49,521 It was pretty scary, but I made it. 650 00:30:49,526 --> 00:30:51,022 Jackson, you unhooked the pulse ox 651 00:30:51,027 --> 00:30:52,191 and took your oxygen off yourself?! 652 00:30:52,195 --> 00:30:53,326 Just needed a better angle. 653 00:30:53,330 --> 00:30:54,594 Your throat suffered a trauma, 654 00:30:54,598 --> 00:30:55,895 and we're still monitoring your oxygen. 655 00:30:55,899 --> 00:30:57,465 Guys, say hi to the doctor who just pulled 656 00:30:57,469 --> 00:30:59,030 a full pack of slime from my throat. 657 00:30:59,035 --> 00:31:01,098 - Hey! - This is why this happened? 658 00:31:01,103 --> 00:31:02,902 You were eating slime for likes? You could've died! 659 00:31:02,906 --> 00:31:05,035 I know! I'm trying not to think about it! Okay? 660 00:31:05,040 --> 00:31:07,504 By putting yourself at risk for the validation of strangers? 661 00:31:07,509 --> 00:31:08,941 I took the pulse thing off for a second. 662 00:31:08,945 --> 00:31:11,977 And they're not strangers! Even if it is stupid, they care! 663 00:31:11,982 --> 00:31:14,182 Hey. Is everything okay in here? 664 00:31:16,253 --> 00:31:18,616 Just... keep this on, 665 00:31:18,621 --> 00:31:20,488 so we know you're circulating oxygen. 666 00:31:21,258 --> 00:31:22,988 And no more filming. 667 00:31:22,993 --> 00:31:24,926 Hospital policy. 668 00:31:31,534 --> 00:31:35,900 I... I was calm during the conscious intubation. 669 00:31:35,905 --> 00:31:38,268 Just something about seeing him remove his monitoring 670 00:31:38,273 --> 00:31:41,305 to post some video, it just sort of set me off. 671 00:31:41,310 --> 00:31:44,074 I get it. Just the word "influencer" 672 00:31:44,079 --> 00:31:46,076 is enough to enrage me. 673 00:31:46,081 --> 00:31:48,812 Thank you for sitting down with our psychiatrist. 674 00:31:48,817 --> 00:31:51,748 Most doctors are piss poor at self-care. 675 00:31:51,753 --> 00:31:53,517 Clearly, I can't afford to be. 676 00:31:53,522 --> 00:31:55,519 Let me know if you need anything else. 677 00:31:55,524 --> 00:31:57,557 - Yes, yeah. - Great. 678 00:32:03,532 --> 00:32:06,096 - Salam, Bashir. - Salam, Saleh. 679 00:32:06,101 --> 00:32:07,968 _ 680 00:32:07,973 --> 00:32:09,573 _ 681 00:32:09,578 --> 00:32:12,178 _ 682 00:32:12,183 --> 00:32:13,883 _ 683 00:32:13,888 --> 00:32:16,005 Okay, so things are still quiet? 684 00:32:16,010 --> 00:32:18,007 Yeah, things are still quiet. 685 00:32:18,012 --> 00:32:20,477 Almost no bombings or fighting in months. 686 00:32:20,482 --> 00:32:24,949 _ 687 00:32:24,954 --> 00:32:28,454 _ 688 00:32:28,990 --> 00:32:31,254 I mean... no. 689 00:32:31,259 --> 00:32:33,990 I might be able to travel again soon, so I thought... 690 00:32:33,995 --> 00:32:35,058 Home? 691 00:32:35,063 --> 00:32:36,793 Bashir, I was kidding. 692 00:32:36,798 --> 00:32:39,663 Even with the ceasefire, they can still arrest you. 693 00:32:39,668 --> 00:32:42,197 I know. I guess I just liked 694 00:32:42,202 --> 00:32:44,467 the idea of letting my mind wander... 695 00:32:44,472 --> 00:32:47,005 _ 696 00:32:49,409 --> 00:32:51,574 I'll call you later, khouya. 697 00:32:51,579 --> 00:32:54,309 Hey. You wanted to know about Callum Gordon. 698 00:32:54,314 --> 00:32:56,311 He's still refusing surgery, 699 00:32:56,316 --> 00:32:58,747 but the intensivist says that they can't wait much longer. 700 00:32:58,752 --> 00:33:00,083 So they're going to intubate him? 701 00:33:00,087 --> 00:33:01,784 When he loses consciousness, they will. 702 00:33:01,789 --> 00:33:03,953 Sounds like maybe... 20 minutes? 703 00:33:03,958 --> 00:33:06,324 - Okay, thank you. - Mm-hmm. 704 00:33:31,751 --> 00:33:33,351 Hey, look... 705 00:33:33,853 --> 00:33:37,152 You were right earlier when you said I didn't hear you. 706 00:33:37,157 --> 00:33:39,454 Okay, I wasn't listening, 707 00:33:39,459 --> 00:33:41,556 so you came out to protect Alex 708 00:33:41,561 --> 00:33:43,525 and I understand why you did that, because... 709 00:33:43,530 --> 00:33:45,596 Look, there's a part of me too that... 710 00:33:47,567 --> 00:33:49,331 There's a part of me too 711 00:33:49,336 --> 00:33:51,265 that all it knows is how to survive. 712 00:33:51,270 --> 00:33:54,835 Okay, I'm trying to move pass that, but sometimes... 713 00:33:54,840 --> 00:33:56,773 I can't. 714 00:33:57,876 --> 00:34:02,246 I meant to save Alex, but I hurt him. 715 00:34:02,948 --> 00:34:05,112 I tried to go around you to get to him. 716 00:34:05,117 --> 00:34:06,647 And that was wrong. 717 00:34:06,652 --> 00:34:08,649 But if you let me try, 718 00:34:08,654 --> 00:34:12,656 I promise I'll do everything I can to help you protect him. 719 00:34:14,226 --> 00:34:17,027 Do I have time to check with everybody else? 720 00:34:18,264 --> 00:34:20,431 Take all the time you need. 721 00:34:31,000 --> 00:34:32,697 We can't disqualify Faye Conrad. 722 00:34:32,702 --> 00:34:34,098 Mags, we talked about this. 723 00:34:34,103 --> 00:34:35,599 The autoimmune disorder rules her out. 724 00:34:35,603 --> 00:34:38,076 If she came to us now, yes. But she was undiagnosed before, 725 00:34:38,081 --> 00:34:39,510 and our ethics board approval 726 00:34:39,515 --> 00:34:41,080 says anything that develops during the course 727 00:34:41,084 --> 00:34:42,448 of our study has to be included. 728 00:34:42,453 --> 00:34:43,651 Meaning side effects from the device, 729 00:34:43,655 --> 00:34:44,917 not pre-existing conditions. 730 00:34:44,922 --> 00:34:46,421 You're asking me to keep her on a technicality? 731 00:34:46,425 --> 00:34:48,822 No, I'm asking you to admit this is a moral Grey area 732 00:34:48,827 --> 00:34:50,457 and that this woman needs us. 733 00:34:52,694 --> 00:34:53,794 Fine. 734 00:34:54,429 --> 00:34:56,126 Is this going to be a problem? 735 00:34:56,131 --> 00:34:58,796 This desire you have to go all in? 736 00:34:58,801 --> 00:35:01,431 I just want what's best for the patients. 737 00:35:01,436 --> 00:35:03,336 And I don't like being backed into a corner. 738 00:35:04,039 --> 00:35:06,940 New intakes on your desk, all need comprehensive histories. 739 00:35:07,542 --> 00:35:09,009 On it. 740 00:35:15,951 --> 00:35:17,150 Hey. 741 00:35:18,053 --> 00:35:21,451 - Hey. - Tough first day back? 742 00:35:23,491 --> 00:35:25,956 I mean, the new chief let me off the hook 743 00:35:25,961 --> 00:35:28,891 for losing it on a patient because I'm a victim. 744 00:35:28,896 --> 00:35:31,363 Theo, you did almost die. 745 00:35:33,467 --> 00:35:35,167 I just walked... 746 00:35:37,604 --> 00:35:40,036 ... through the woods. Nine days. That's it. 747 00:35:40,041 --> 00:35:44,073 There was no animals to fight-off, no... 748 00:35:44,078 --> 00:35:46,475 no rock faces to climb, I just... 749 00:35:46,480 --> 00:35:48,948 Worst part was the cold at night. 750 00:35:52,820 --> 00:35:55,154 Walked until my phone found a signal. 751 00:36:02,128 --> 00:36:04,692 What if I just... I don't... 752 00:36:04,697 --> 00:36:08,299 know how to feel anymore. 753 00:36:30,323 --> 00:36:34,154 I'm modifying a protocol guide from another Trauma OR. 754 00:36:34,159 --> 00:36:38,125 Oh yeah? Are you being proactive for Dr. Devi? 755 00:36:38,130 --> 00:36:40,627 Prostrating us like that was ridiculous. 756 00:36:40,632 --> 00:36:42,262 I mean, I don't envy our new boss. 757 00:36:42,267 --> 00:36:43,933 She's only here because the hospital has to pay 758 00:36:43,937 --> 00:36:45,403 lip service to progress. 759 00:36:46,906 --> 00:36:48,936 - What do you want, June? - What do you mean? 760 00:36:48,941 --> 00:36:51,705 - What's next for you? - Well, I keep saying 761 00:36:51,710 --> 00:36:53,540 that I'm in a "one more year" residency, 762 00:36:53,545 --> 00:36:55,708 but really, I'm just ignoring the fact that I do have 763 00:36:55,713 --> 00:36:58,013 to pick a specialty, so I think I'm just gonna go with Roche. 764 00:36:58,017 --> 00:37:00,014 Man, they really did a number on you. 765 00:37:00,019 --> 00:37:02,317 You've forgotten what it's like to be on the surgical floor? 766 00:37:02,321 --> 00:37:05,152 Walking on eggshells around egos, 767 00:37:05,157 --> 00:37:09,122 eating it day in day out until you're one giant callous. 768 00:37:09,127 --> 00:37:10,624 Yeah, pretty much. 769 00:37:10,629 --> 00:37:14,928 You know, if you're looking for a mentor, that is not me. 770 00:37:14,933 --> 00:37:18,765 But if you want a place a little less malignant, 771 00:37:18,770 --> 00:37:20,637 why not Trauma OR? 772 00:37:21,239 --> 00:37:22,602 Like as a specialization? 773 00:37:22,607 --> 00:37:24,438 We're one of only a handful of Trauma ORs 774 00:37:24,443 --> 00:37:27,173 in all of North America. You'll be getting in on the ground floor. 775 00:37:27,178 --> 00:37:31,244 It's not gonna be a sterile pristine fellowship or anything, 776 00:37:31,249 --> 00:37:34,484 but I watched you muscle through a pretty rough situation today. 777 00:37:35,587 --> 00:37:37,251 I don't know, 778 00:37:37,256 --> 00:37:39,016 I thought maybe you'd be down for some chaos. 779 00:37:41,092 --> 00:37:42,325 Hmm. 780 00:37:44,495 --> 00:37:45,794 Maybe I am. 781 00:37:46,998 --> 00:37:48,094 Wow. 782 00:37:48,099 --> 00:37:50,732 Biting on the hard sell. 783 00:37:51,535 --> 00:37:54,099 Alright. Why don't you look over these protocols, 784 00:37:54,104 --> 00:37:57,173 while I figure out if I can actually offer you the job? 785 00:37:58,409 --> 00:38:00,810 Oh, Devi's gonna want to see them by tomorrow. 786 00:38:05,216 --> 00:38:08,181 - Thought you were off! - No. The overnight RN manager 787 00:38:08,186 --> 00:38:10,116 - called in sick, so round two. - Oh! 788 00:38:10,121 --> 00:38:13,620 - What are those? - Patient satisfaction survey. 789 00:38:13,625 --> 00:38:16,089 Dr. Devi wants us handing them out at every discharge. 790 00:38:16,093 --> 00:38:19,458 Oh, and you told her that that would place a time-consuming burden 791 00:38:19,463 --> 00:38:21,760 on nurses beyond our contractual duties. Right? 792 00:38:21,765 --> 00:38:24,229 Sounds like a job for the RN manager. 793 00:38:24,234 --> 00:38:26,468 - See you tomorrow, Claire. - See you. 794 00:38:38,516 --> 00:38:42,214 Come in, Dr. Hamed. Um... Find a place to... 795 00:38:42,219 --> 00:38:44,082 Here, let me. 796 00:38:44,087 --> 00:38:45,654 Oh no, that's okay. 797 00:38:46,824 --> 00:38:48,788 Callum Gordon agreed to surgery. 798 00:38:48,793 --> 00:38:50,722 And I hear that's because of you. 799 00:38:50,727 --> 00:38:52,393 I don't tend to give up. 800 00:38:54,998 --> 00:38:57,529 I know you and my predecessor were close. 801 00:38:57,534 --> 00:39:00,167 Dr. Bishop is the reason I'm a doctor here. 802 00:39:01,671 --> 00:39:06,273 You know, I grew up with "grateful for the opportunity". 803 00:39:07,343 --> 00:39:10,341 My parents came to California from the Fiji Islands 804 00:39:10,346 --> 00:39:13,144 where my mother was an engineer which was very unusual 805 00:39:13,149 --> 00:39:16,581 for women in those days, and she'd say the exact same thing, 806 00:39:16,586 --> 00:39:18,182 even though it was soul-sucking, 807 00:39:18,187 --> 00:39:20,685 just re-proving the skills she already had. 808 00:39:20,690 --> 00:39:23,154 I know you want to be a trauma surgeon again. 809 00:39:23,159 --> 00:39:25,859 I am... a trauma surgeon. 810 00:39:27,129 --> 00:39:29,326 Everything changed when I came here 811 00:39:29,331 --> 00:39:31,595 and I'm just trying to reclaim some of it. 812 00:39:31,600 --> 00:39:33,831 Trauma OR's a place for bold action, 813 00:39:33,836 --> 00:39:36,103 and that is a skill you clearly have. 814 00:39:36,805 --> 00:39:40,237 But taking time to listen before you jump in, 815 00:39:40,242 --> 00:39:42,506 that's where you have things to learn. 816 00:39:42,511 --> 00:39:44,808 - Dr. Devi... - I want us re-thinking 817 00:39:44,813 --> 00:39:47,844 our entire approach to patient interaction, 818 00:39:47,849 --> 00:39:50,614 and that means making some changes, and I'm... 819 00:39:50,619 --> 00:39:52,983 I'm sorry, Bashir, but for you, that means 820 00:39:52,988 --> 00:39:55,121 not training as a surgeon. 821 00:41:57,724 --> 00:42:00,055 You know you can send these digitally now, right? 822 00:42:00,060 --> 00:42:01,893 Where's the fun in that? 823 00:42:02,663 --> 00:42:03,825 So? 824 00:42:03,830 --> 00:42:06,262 There are some hoops to jump through still, 825 00:42:06,267 --> 00:42:08,230 but... we qualify. 826 00:42:08,235 --> 00:42:11,400 Oh my God, that's amazing, right? 827 00:42:11,405 --> 00:42:14,403 - Yeah. - So are we like celebrating 828 00:42:14,408 --> 00:42:16,672 on an actual date? Is that... 829 00:42:16,677 --> 00:42:19,744 I feel like we should see the world outside of your apartment. 830 00:42:21,581 --> 00:42:23,611 Because I need to be sure... 831 00:42:23,616 --> 00:42:27,448 You know, a person could make a romantic assumption 832 00:42:27,453 --> 00:42:28,953 about a movie ticket.