- You won't feel a thing. - No, no, no, w-wait, wait!
You pinned me down and you assaulted me with that needle
and I don't want you treating me.
Is it a conflict of interest if a physician stands
to personally gain
- financially from her research? - Yes.
Is this gonna be a problem, this desire you have to go all in?
I heard Doctor Singh wants me training as a trauma surgeon?
As long as you're willing to start from the bottom, it's up to you.
There are some hoops to jump through still,
but we qualify for citizenship.
Oh, my God, that's amazing, right?
Yeah.
You have 30 minutes to answer 20 questions.
All questions are multiple choice,
even if you don't know the answer, circle one response.
Your citizenship test begins now.
I'm sorry.
Excuse me, sir?
- Does yours look like this as well? - Shh!
Ma'am? I don't understand this.
You're not supposed to be here.
Hey.
You told me to wake you up for rounds.
- Synced and corrected by Firefly - - www.addic7ed.com -
So here we have Mister Mohan.
He joined us last night through ED after falling off of his roof.
We treated his hemothorax by inserting a chest tube
and then took him to OR for a fractured hip.
Monitoring includes amount of fluids,
regular CTs and, of course, labs every six hours.
Moving on.
This gentleman is currently post-op from an incarcerated hernia.
As there was a bout of necrosis but no perforation...
Whose resident is this?
Uh, mine, sir.
Doctor Hamed was just attending to your patient because...
I noticed some bubbling in his tube.
And you decided to fix it yourself?
Uh, actually, Doctor Hamed
inserted the chest tube last night in emerg.
He's starting a dual residency as of today.
Novak's Trauma OR recruit.
Well, young man, most of us will have your head
if you jump in without permission.
Isn't that so, Doctor Curtis?
Absolutely and it won't happen again.
Okay.
Kelly, can you take point?
Bash, what the hell was that?
Instinct? I didn't think...
Well, you need to start.
Listen, in surgery, hierarchy is king, alright?
You're not just Bash the emergency doctor around here.
If you wanna make any decisions, you have to run it by me first.
Uh... you think I'll recover from that?
Well, hopefully, we both will.
Doctor Olsen comes across as calm but he's not your average surgeon.
Well, I know he's a Chief Medical Officer,
he's everyone's boss and he still sees patients?
Well, he likes to stay hands on for a couple days a month.
You'll find out when he's in by checking that board over there.
- Sorry, it won't happen again. - I get it, alright?
You just got thrown into the middle of a surgical rotation,
you're trying to rep both Trauma OR and emerg.
Plus this... experimental residency.
Things are gonna happen.
I appreciate you taking me on.
It isn't charity. You're a surgeon and I need help.
Look, cross-reference prescriptions,
follow-up on these and find me in 30?
- Okay. - Yeah.
Sum up the data,
on abnormal left ventricular ejection fractions
and throw back to me for our big finish on next steps.
I guess I'm nervous.
Don't be.
You've done good work building patient engagement,
and the deck looks great.
I noticed you carved out my slide on lead detachment risks.
It's in the printed disclosure.
But our talking points today are on results,
we need sign off on our phase for funding.
What, Mags... ?
You own stock in the company that's marketing the ICD.
Are you sure that that's not a conflict?
Not according to the ethics board.
It's just if I'm gonna be getting up there
in front of an executive committee,
I need to know I can stand behind what we're doing.
The hospital is fine with it. Do I have to remind you
they weren't fine with you switching residencies
until I went to bat for it?
And that one of the conditions of that was you doing this study?
So we can't even discuss this?
Are you holding my residency hostage?
No. But this isn't a collaboration, Mags.
I don't need you to agree with me but I do need you to trust me.
If I don't see you in the boardroom at 11, then I'll assume you don't.
When did the Canadian Charter of Rights and Freedoms
become part of the Canadian Constitution?
Okay, team, let's uh... let's make camp over here, okay?
Hey, our medical students are getting younger every year.
No, normally I fly them home but, Mel wants to grab them here.
Meanwhile, Abigail has volunteered
to make bracelets for anyone who'd want one,
Grace has some studying to do
- and Dad is supplying all the Fanta. - Abby, I'll take a bracelet?
And Gracie, maybe, uh... Bash'll help you learn the Prime Ministers?
Theo.
Everything okay with the girls?
Yeah, yeah. They were supposed to stay till Sunday but...
Grace called Mel and asked her to come pick them up.
Uh... she said she wasn't feeling well
but I think she just could sense something was off with me.
Anything I can do?
- Amira's always happy to babysit. - Thanks.
Okay, I promise to keep this brief.
I've made no secret of the fact that I was brought on with a mandate
to keep us at the forefront of patient-centric care.
But what does that mean?
If you've ever visited an ED as a patient,
you'll know that it's a series of waiting rooms, exam rooms,
imaging, maybe surgery.
Through that time you see doctors, nurses, support staff...
While we can't always control the wait,
we can improve how the patient experiences it.
Doctors and nurses will keep patients informed.
- Not just on the waits but... - You hear this?
No. We have a double trauma.
Let's go.
And that's my cue to wrap it up.
Okay, battle stations everyone.
This is the parachute error?
Actually, a double parachute error.
Diana Albertson, 32 years old, skydiving accident,
multiple contusions. Her heart rate is 135 and her O-two is dipping.
- Her chute didn't open. - You hanging in there, D?
Boyfriend Nicholas has pulled his chute
and guided them to safety.
Evidence of a left ankle fracture.
It's more like human error. I panicked.
- Nick saved me. - Some anniversary.
- You landed directly on your ankle, sir? - Argh! Ah!
- It's your anniversary? - Yeah.
We met a year ago today. Skydiving.
One of those singles excursions.
Talk about falling into a relationship.
Why does it hurt to breathe?
Well, looks like you broke some ribs,
that would put pressure on your lungs.
Heart rate climbing. Hemopneumo?!
- Yeah, let's put in a chest tube! - What's happening?
We need to make an incision
in Diana's chest so they can re-inflate her lung.
- We need to get you a room. - No, I'm not going anywhere.
Are you squeamish with blood, sir?
No, no... I need to know she's okay.
- It's okay. - Claire, let's get 25 ketamine to sedate.
Bash, why aren't you prepping for the chest tube?
- Before, with Olsen... - Different rules in emerg.
You're not a first year here.
Starting incision...
That's it, keep pushing, I got you.
- O-two's down to 89. - Okay. I'm in.
O-two's up, but temp's still high.
We'll find out why.
Bash, when you're done, can you take Nicholas to radiology?
I will coordinate next steps for Diana.
Next steps? You didn't fix her?
Well, because of the way Diana's ribs broke,
she's gonna need surgical stabilization.
So vascular, orthopedics
and general surgery are all gonna have to weigh in.
With all those doctors, who do we talk to?
We are in luck.
Doctor Curtis is also a surgeon,
so she'll be Diana's point person
for any questions you have through our system.
Right, June?
Yeah.
Uh, which floor's nuclear medicine?
Eight. Elevator's faster.
Not for me!
Hey!
You okay?
Yeah.
Guess I uh, I miscalculated.
- Did you lose your footing? - And my rating.
Uh, I need to make my deliveries to stay on track.
No, no, no, no, no, don't.
Okay, well, once everything stops spinning then.
Okay, were you dizzy before you fell?
Yeah, uh, a guy doored me off my bike last week.
Uh, I came here actually, they said I was fine.
How many fingers?
Uh, blurry three.
Okay. Um...
Oh, you have somewhere else to be.
Don't worry, it'll wear off in a minute.
And if it doesn't, I'm... I'm in a hospital, I'll find a doctor.
Actually, well, you just found one.
I think we should send you for a head CT
and get you all cleaned up.
- Oh, that... that must be a sign. - Yeah. Must be.
Any chance we can uh... swing by nuclear medicine?
Just get up slowly. You okay?
Yep. Yeah, I'm fine. Thanks. Thanks.
Bash.
I found out what's causing Diana Albertson's fever.
- Wait, this is... ? - Yeah.
- Are you sure? - Oh, yeah.
I have syphilis? Seriously?
Your blood tested positive for the antigens.
That's why your uh, temperature was elevated as well.
And why we offered to talk to you separately.
What's the difference?
It's an STI I mean, if D has it, I have it.
Um, not necessarily. We'll have to screen you too.
Okay, wouldn't have I known?
Symptoms can be hard to spot in women.
Must've been Brian.
You know, you think you know a person.
Well, Dana could've given it to you and you could've given it to me.
Hey, sorry.
Uh, are you talking about other sexual partners
'cause we're gonna need a list of everybody that you've been...
- Okay, relax, it's just two other people. - Right.
- Not everyone south of Bloor. - Okay.
We decided to open things up last month.
It's just that Public Health needs to create a trace list,
so if you can give us their numbers, we can get in touch...
We can do it.
I mean you know, uh,
when you prefer to get the call from someone you knew.
This won't affect the surgery on my ribs, will it?
I don't think so, it shouldn't, no.
Um... We have you on targeted antibiotics.
That fever should come down and we'll get you up there.
Syphilis?
This is Sylvia Fisher.
If this is a patient with an emergency,
please hang up and call 911.
If your meeting already started,
why didn't you just leave him with a porter?
Because there was a wait at CT and I was afraid he had a brain bleed
and now Fisher's at lunch,
then has appointments at her clinic with people
and that means she won't be back for a couple of hours.
Or answer my texts.
Okay, well, I stashed Damian in a patient room
and uh, his imaging just came up.
Thank you so much. I know you had a busy day
so cash in a favor whenever, okay?
Do you think I use this patient as an excuse
to sabotage things with Fisher?
Because if I did, why am I trying so hard to find her and fix it?
Do I need to be here for this?
Because you're already arguing with yourself.
Bash. Three intakes before afternoon rounds.
Charming new boss you have.
What's it like being a surgeon again?
Well, Mags. All they do is
ply me with scut work which, with all my training,
has me pretending to know less than I do just to not step on any toes.
Meanwhile I don't have to do that in emerg, so kinda confusing.
Right?
- I just think... - What, what do you think?
I think your delivery guy has a mass behind his ear.
- What the hell? - Have you eaten?
Don't forget to eat, Mags.
Love you, girls. Oh.
See you guys next week, okay?
Yeah? Eh?
Girls, go pick out treats for the plane, okay?
Has uh... has Grace said anything else about wanting to go home?
Ah, just that she felt weird. Do you know what happened?
No, I'm doing my best to be fun dad.
I mean we went for spaghetti, I bought crafts.
What's that mean, doing your best?
Well, I... I've been all over the place, Mel.
I guess Grace noticed.
Look, I'm... slowly coming out of it.
But I don't know to what and I'm
not sure how to navigate the come down.
Well, I'm... I mean maybe we keep your visits to our place.
For now.
No, I just want... No.
Look, I... I can... I can talk to her, try to help her understand.
Look, there's gotta be a better solution.
I wish I had one Theo but it has to come from you.
Yeah, and I'm trying, Mel.
I'm sorry you're going through this.
Really. But all I can do is what's best for the girls.
Diana, we'll be taking you upstairs to prep for surgery.
And Nicholas, your uh, antigen test
came back and you're negative for syphilis.
Okay.
Guess I just got lucky.
- Dana'll be relieved. - Yeah.
You know I haven't called her yet.
Is it necessary if I'm negative?
I mean why scare her for no reason?
You should still inform her about the exposure
and confirm your results.
Okay um, yeah.
She should probably hear it from me anyway, right?
Sorry.
"You'll hear about an STI scare. Obvs don't worry. Will explain".
I think you texted the wrong D.
What do you mean "obvs don't worry"?
Okay look, um... don't be mad at me, okay?
Dana and I have never had sex.
What?
All those times you said you were with her...
You know, often we'd just play video games. You know?
Or I'd kill time alone. You know.
I'm pretty sure you can't get syphilis from that, right?
Is it so wrong that you're the only one that I'm into?
Well, we wouldn't have done this if you had been honest with me.
Nicholas. Let's get you to imaging.
Okay?
Okay. I'll just go ahead and check for bowel lacerations. Sound good?
- Hm. - Got an audience.
Thank you for checking in, Neeta.
Doctor Curtis, did you need something?
- Uh, Diana had a fever earlier. - Is that on the chart?
- Yes. - I think we have it covered.
Okay.
I know you want me to stay with her, just...
Of all the surgeons, you're the only one who actually knows her.
Doctor Olsen, Nicholas's imaging came in.
Looks like I'll be pinning his ankle.
It's a while to take for imaging to come
after someone fell out of an airplane.
Oh, he wanted to wait with his partner until she went into OR.
Since his pain was managed, seemed reasonable.
Only now he's gonna have to wait even longer
because the window I had for him this morning evaporated.
He'll be ready when you're ready.
- Hey, June. - What?
This dark circle here. Does that look like an infection?
Bash, why don't you say something?
Because you said uh, hierarchy
and... okay so sometimes I should, sometimes I shouldn't?
Bash, you're supposed to use your instinct.
You told me I can't do that either so which one is it?
June, should I go and tell him or should I do a bone scan to confirm?
You should do the reading.
MRIs are more current, okay?
Besides if you and I point out that Olsen missed this,
it's just gonna backfire again, so just...
Look, just wait for the MRI results and hope you are wrong.
- You okay? - Yeah, I'm fine.
- June. - You know, I need 30 minutes.
- What? - Thirty minutes.
- Just don't talk to anyone. - Okay.
Look, I am aware that Hamed's field experience is solid,
but uh, double residency means he's stretched pretty thin.
It wasn't my plan for him, but Singh and Novak pushed hard.
Then why did you sign off?
I need to win hearts and minds.
Inside my department and out.
Except allowing a patient
to dictate his own waiting time on imaging?
They sometimes know what they want, they rarely know what they need.
It's just one piece of a larger puzzle I'm trying to put together.
And... and the reason you hired me.
It is.
And also because we knew you'd approach change deliberately.
When it comes to systemic shifts,
I can always shed light on the nuances.
Just so we don't have to backtrack later.
Could it be an aneurysm?
What are the chances that kills me like, percentage-wise?
Let's not go down that road until the radiologist weighs in.
Yeah, well, five minutes ago I was worried about making my quota,
- now I'm worried I won't make it to 30. - Damian...
I have a math degree which, so far,
I've only used to figure out exactly how many food deliveries a week
pays for my student loans.
- What are these? - Hives.
My apartment's a hole full of allergens.
That wouldn't make my brain bleed though, would it?
No, um, any hearing loss?
Uh, yeah, actually, my right ear feels a bit full.
- It's just I... I promised myself I'd... - Just hold on.
... only do this until I could figure out how to pay for grad school.
- Ow! - Oh. Oh, I'm sorry.
Ah. Say, that was like six years ago.
And...
now if I'm being honest I...
Okay, you're gonna feel some more liquid.
I'm just gonna ask you to hold this for me, please.
- Okay. - Okay.
Putting this right here. Hold it.
- Alright. Yeah. - Okay?
If I'm being honest I...
I kinda got... ah, stuck where I didn't belong.
Kinda feel like I sabotaged all my hopes and dreams.
Okay, I'm gonna ask you to stop talking for a minute, okay?
Right.
Ah, ah, ah.
It's not an aneurysm, Damian.
Yeah, those weren't hives. They were bites.
I know they come out of the walls at night.
Does that mean that one of them got into my ear?
Yup. But you know what?
The good news is you'll definitely live to see 30.
Here.
Tommy?
- Hi, I'm Arnold. - Hey.
- Heard you had a tattoo removal gone wrong? - Yeah.
Why don't you have a seat? And just uh...
It's uh... really, really painful.
- Like... - Oh wow.
- Yeah. - Uh... oh, sorry. Sorry, it's just...
More like a fifty out of ten pain.
So, the bandages are stuck and everything.
- I promise not to rip it. - Okay.
- Um, maybe I'll just... start with the edges. - Yeah. Go ahead.
Oh. I've always wanted a tattoo.
Not sure Baby Yoda is as timeless as I think it is.
Well, hey, this is the way.
Hey.
Alright, almost there.
Okay, so um...
At this point, you'll wait for a doctor to take a look.
And that's gonna give us a better idea
of what's gonna happen beyond that.
Mm-hmm.
- You're sure that's what it was? - Yes. Unfortunately.
He tried getting rid of it himself but even a half-swastika is still...
Yeah, still a swastika. Um...
- Did he say anything? - No, he was... he was fine.
It's just... seeing it?
And I still had to do the communication
stuff Devi wants us to do and...
I think he could tell that I was thrown.
I don't blame you. Thank you, Arnold.
I will warn whatever doctor picks him up.
- Uh, I'll do it. - Yeah? Thank you.
Um... he seems okay, but do you want security with you?
- Just in case? - I'll see how it goes.
Okay.
What year was the Charter of Rights and Freedoms signed?
I know that one... 1981.
1982.
Are you nervous?
I thought you could dress the part.
You know, for good luck.
And thank you for not wanting me to wear a beaver pelt.
- I was at the mall anyway. - Mm.
Shopping for a costume for my art-school audition video?
- Amira. - Bashir.
It's a public school.
They teach regular stuff too.
Math, science and everything else you think matters.
Okay, look, I don't want you limiting your options
or being pushed into the wrong stream
because you were into musicals for six months.
Okay, when I was your age,
I really wanted to be a professional soccer player...
I'm not you. I know who I am.
Why do you think I'm taking this exam? Mm?
Ah... it will open so many doors to both our futures.
But I'm trying to tell you something that will make me happy now.
And you won't even listen.
Amira...
Good luck on your test.
What are you doing home so early?
Please tell me nobody knocked. I've been trying
to get a plumber to come in here to fix the basement leak,
he emailed back and said he could be here for 2.
Oh, and you didn't think I could handle letting him in?
I thought you'd be in class but apparently, you're here...
doing whatever this is?
I can't believe this is you playing the piano!
Experiencing pure joy!
We should sort these into albums and digitize them,
- like a project! - Did you need a project?
'Cause there is always the bomb
that seems to have gone off in the kitchen...
I just thought it would be fun...
What? Rifling through a childhood that doesn't belong to you?
I don't...
What are we doing, June?
I'm searching for some way to connect with you,
but it's clear you want nothing
to do with me so why am I even living here?
'Cause you needed help. Just... What?
- Are you still on lunch? - Why?
Nick's MRI. Turns out it is a bone infection.
You know, if all you wanted to do is make yourself feel better
by helping me then why even bother!?
Look, you need to find Alex Vaughan, that's Olsen's resident.
You need to put the imaging directly in her hands
for Olsen to review,
check the board for windows because if he does want to operate,
we're gonna need to schedule. Alright?
Don't do anything else until we hear back.
Okay...
When I bought the home laser kit,
they said it would hurt, but half-way through I just...
I just couldn't take it...
It's a third-degree burn.
You may require a skin graft, Tommy.
Look, I know... Okay? I know!
The graft, do you think it could take it off?
It could, yeah.
Can I ask...
why did you get it in the first place?
'Cause I felt lost, okay...
in high school. I didn't have any friends, and then...
I met the wrong friends.
- Are you cold? - Yeah, I'm freezing.
Okay, can you just layback for me?
Oh God!
I didn't bother to go to a professional removal clinic because...
Because I knew they judge me for good as soon as they see it,
like everyone, like your nurse did.
Not that I blame him, it's just...
Look, I'm not that guy anymore.
Well, your temperature is two degrees below normal.
Usually, it would require a bigger burn,
but it can cause hypothermia.
Your skin isn't able to keep the heat in when it's injured this badly.
What do we do for that?
Blankets, fluids and painkillers.
And if that doesn't work, we may have to use a warming catheter.
Alright.
How come you're not freaking out about it like everyone else?
People should get a chance to fix their mistakes.
Let's get you covered up, Tommy.
Nice threads, Dr. Leblanc.
Yeah, we're presenting data today.
Well, at least I was supposed to
until I accidentally picked up a patient.
So you stuck with the study?
Last we spoke you were torn by the profit motivations
inherent to research medicine.
I... I know. I was trying to find a way to make that work
until my boss made it clear that my residency hung in the balance...
Your boss has a goal. Her ICD.
She needs to keep the people that she reports to onside
and the people who report to her in line.
For example, when you're seeing patients in my department,
I want to see you in scrubs.
Yes, of course...
No, it's just... I thought I was going to be a real part of this,
instead of her grunt, you know?
But I guess our values aren't aligned.
Which I know sounds super naive...
Or maybe just idealistic?
Sometimes when people recruit you,
they just tell you what you want to hear...
And the question is, what do you do with that when it happens.
That is the right question...
- Dr. Leblanc? Sorry. - Yeah?
That cockroach crawling up my brain making me think I was gonna die,
it was like an awakening for me, you know like a... a lightbulb.
And I know there's like a zero percent chance of this ever happening
'cause you're you and I'm me, we're like different worlds.
Um, would you go out with me sometime?
- Oh, Damian, no, thank you. - Are you sure?
Because we both agreed this was kind like a sign...
Once the Ativan wears off,
you're gonna realize this was just only an ear cockroach.
And you don't need a sign to tell you how to live your life;
you just make choices and you
do your best to stand behind them. Okay?
Take these prophylactic antibiotics
and you go and you make that happen.
Thanks, there's always grad school.
- That's the spirit. - Thank you. Sorry.
You know, I think you can trust your instincts, Dr. Leblanc.
Thanks. And it's Mags.
Diana seized?
It took us pausing her rib stabilization to quell it,
not mention of neurological damage on her chart.
She didn't have any!
Well, something got missed,
not to mention the hack job on this chest tube incision,
the positioning was two inches east of effective.
- Very sloppy, June. - That was me, Dr. Roche.
At least you're training residents to throw themselves on grenades.
Is there any way the medications that we administered for syphilis
could have caused hydrocephalus?
No, it's more likely the syphilis itself...
if she's had it for a while?
Doesn't really track, she was only exposed for like a month.
- Huh. - Maybe there was an underlying condition?
What? Are we guessing now?
You need to CT, shunt her and place an IC monitoring probe.
By which I mean now, Dr. Curtis. Let's go!
Not so fast, Hamed.
That bone infection that took you so long to tell me about
is a debridement at minimum.
So I want you scrubbing in so I can see you in action.
Uh, do you know when that procedure will be?
Do you have something better to do Dr. Hamed?
Just be ready when Dr. Olsen pages you.
You wanted to see me?
Good talk today, I'm actually on the side of reform.
PR flagged this tweet.
Another abuser empowered by the system
hashtag Dr. Theo Hunter; hashtag York Memorial.
Roberta Mattheson...
So, you know what this is about?
She was afraid of a needle. Rabies prophylaxis.
I put my hand on her shoulder to keep her still, she got upset.
I thought maybe she'd make a complaint...
but instead she rallied a Twitter mob?
It's hardly a mob with 16 likes.
Have a seat, Theo.
Is there any truth to what she's saying?
I didn't think so? I held her down.
Gently, but I did.
I was trying to help her through it.
My radar's been off lately, and I just...
I guess I really shouldn't be that surprised that
well, that there's some consequences...
- This was right after you got back? - Yeah...
I've been doing everything I can to get back to baseline.
Look, what do you think I should do about Roberta?
Nothing is safest.
But next time you feel like your radar's off...
Keep me in the loop?
Yeah?
- Yeah... - Thank you.
Diana has fluid in her brain? What does that mean?!
Is she okay?
They stabilized her seizure
but they're still trying to figure out what caused it.
Has she been asking for me?
Nicholas, your MRI confirmed something called osteomyelitis;
it's an infection in your bone.
An infection. No...
My accident was today, and I barely bled...
Well, your accident just alerted us to it,
it's been there for quite some time, was it hurting before?
A little, yeah. Can you treat it?
The surgeon will either debride,
which mean to clear out the infection,
but if it's too extensive, they'll have to...
remove part of your bone,
which might affect the length of your leg.
I'm just not a casual sex guy!
- Okay? - Okay...
Diana didn't know that because things with us were always so easy.
Of course I just went along with it 'cause...
and now I'm about to lose a piece of myself.
Look, it's... it's never too late to let her see the real you.
I meant losing a piece of my ankle.
That surgery... How do I make a choice like that?
Look, all you have to do is consent.
Okay, and we won't know until we get in there.
The infection's causing your temperature to rise.
We need to get you to the OR before it spreads.
Whoa, whoa! You'll be there to help them decide, though, right?
Hey.
Hey, I am not hating this lumberjack look on you seriously...
Thanks. You sure you don't
mind me calling in my favour so soon?
No, no.
Can you just keep an eye on Nick's temp?
Are things with June so bad
that you can't loop her in on whatever this is?
I mean, if you miss OR time with the CMO,
she'll definitely hear about it.
My test is today.
Your citizenship test?
Bash! How could you not tell me about this?
Are you okay?
Do you think you're not gonna pass?
Look, I know your way is
to just spill out everything that's in your head but...
Okay, okay, okay. I'll let it be.
Does it make me a hypocrite if I ask about Fisher?
- Yes. - Okay. Did you decide what to do?
Also yes. But just don't worry about me.
Or Nick, I got it.
Okay, here's my pager if Olsen comes looking for me.
- Thank you. - Hey...
I got you coffee if you wanted.
Okay, you were right about me earlier.
It's just...
wherever I go today, I'm not sure where I'm supposed to be,
or who I'm supposed to be. And... just...
Three deep breaths.
It's what I used to do in exams to calm me down.
Okay. Thanks.
I went to bed thinking they were fixing my ribs
and I wake up with a tube in my head?
We have to monitor your cranial pressure
until we find out what's really going on with you.
Um, I have a few questions.
Have you ever sustained any head injuries in the past?
Maybe jumping out of another airplane?
- Never. - No.
Pneumonia? No...
You have a history of stroke in the family?
- Could be anything... - There've been six doctors in here!
All asking me those exact same questions.
So, you all officially know more about me
than I know about my boyfriend.
Speaking of...
Can guilt cause brain fluid?
Because I don't need 14 surgeons to diagnose that.
Do you want me to get Nick a message?
Not unless you know how to tell him I cheated on him.
Isn't that the whole point of open relationship?
No. I actually cheated on him.
I've never been a monogamy person but...
With Nick? I wanted to try.
Well, you know it's... sometimes it...
it's good, you know, to get pushed outside of our comfort zone?
Except six months ago, I stumbled.
And instead of coming clean, like I should've...
I suggested we see other people...
You think I'm a bad person.
I'm just wondering if you're still in touch
with the other person you slept with?
No. I wanted to forget so badly I deleted his number...
- Alright... - Why?
Well, you could have had asymptomatic syphilis since then,
which would explain the fluid in your brain.
Is Nick in surgery yet?
I'm not sure but I'm gonna find out.
And your temperature's almost normal.
We're just gonna get something to numb the area and then I'll irrigate.
And that's to prep me for the graft, right?
I ask those surgeons, they don't wanna tell me anything.
They're not going do a graft.
What? Why?
You're gonna stay here until your temp's comes up,
but they're confident that
your burn will heal on its own.
If you could do something to avoid surgery, you should;
it's very painful. This is good news, Tommy.
No, no, it's not good news!
You know I bet they saw it and decided not to help.
That is not true; it's a medical decision.
No, it's true!
I could feel them judging me;
you're the only one in this place who hasn't.
You'll be able to get it off eventually.
Our social worker can find you some support, someone to talk to...
I don't want support; I want a graft!
Okay? It's my only way to move on.
No, it's the easiest way.
Look, do the work! That's the right way
and if you don't want to do that then maybe...
Maybe what, man?!
I don't deserve help?! What do I got to do to...
Okay, Tommy.
Oh...
No one's saying that, Tommy. Sit back.
Fine.
Do what you got to do to me so I can get out of here.
_
- Hey! - Hey! Um...
His temp's up and there's fluid in his abdomen;
I think it's ascites but I don't know what's causing it.
Yeah, you don't know what causing it because Nicholas
isn't your patient? You know, I told Bash...
He's at his citizenship exam, June!
It's not the kind of thing you just miss.
You serious?
You know he didn't say anything about that to...
Am I really that much of a tyrant?
Have you met Bash?
He feels like he can't tell anyone anything...
Thank you, but...
I've been paying forward my terrible modeling all day.
Bash is tough; he can take it.
Well, Shay can't.
And I can see it in her face every time she looks at me
and I know that look is
the same look I used to give my father
and it means that nothing is ever good enough.
And this time, I'm the one...
Are you okay?
Yeah, my boss is back so... are you okay?
Is this okay?
Um...
Hey!
Mags told me: acute ascites?
Came on fast, progressing faster. How was your exam?
- She told me about that too. - June, I need to apologize.
I shouldn't have left without telling you why.
Look, I was at home waiting for the plumber
when you called with Nick's MRI results, okay so...
I guess we could both do a better job of communicating.
I have a theory about Nicholas,
- you wanna hear it? - Yes.
Okay, so I was writing my exam, and everything was going well
and then all of a sudden, I thought syphilis,
if ignored, it can lead to osteomyelitis
which would only fit if Nicholas's exposure was months ago and...
I think it was.
She cheated on him, she hasn't told him yet.
You know I would bet good money
that the syphilis test we gave Nicholas
is going to come back false negative.
We can't send him to the OR with a belly full of fluid.
We've been letting everyone down in surgery.
Only to get back to the same diagnosis
they came in with this morning...
Olsen's been waiting for us all day; he won't stop paging.
He can wait a little longer.
Our responsibility is to our patient, not to Dr. Olsen.
So put the politics aside
and just tell me the best way we can help Nicholas.
We drain the ascites here,
take the time we need to get him ready for surgery.
- Yeah, I agree. - Great.
If Olsen gets impatient, just send him to me.
Dr Devi...
You wanted me to keep you in the loop.
I thought if Roberta maybe had some context...
so I messaged her, but she just
took a screenshot of it and then posted it.
"Look who wants to get me alone in a room..."
I specifically asked you to do nothing and you do this?
Your radar is clearly still off.
I don't know what to do.
Well, the first thing to do is to make sure all your decisions
- are now subject to sign off. - You're demoting me?
Dr. Devi, you... you said I could come to you for help.
And I'm offering it.
I know you've been trying hard to get past this,
but I have a responsibility to the department
and the only help I can offer you now is structure and consequences.
And Theo, if you can't live with that...
... it's your call.
Doctor Fisher.
I got all your texts...
Food delivery guy... ear cockroach...
I really don't want excuses or explanations.
You asked me a question this morning. Do I trust you?
And obviously, I've been thinking about that,
not just today but for weeks, and...
and the answer is no.
I don't trust you.
I'm sorry to hear that, Mags.
But does it have to be an ultimatum?
If I don't trust you, I lose my job, and if I do, I keep it?
Do you feel okay? You're breathing fast.
Yeah, no, I'm fine. I'm trying to tell you
that instead of running away from this
- maybe there's some way... - Mags. You seriously don't look well.
- Maybe you should sit down? - I'm fine,
it's just a mild panic attack. I don't usually get them but...
It's not a panic attack.
Are you feeling dizzy?
And some pain in my jaw.
Mags, I'm not your boss right now, I'm your cardiologist.
Sit down and let me listen to you.
I think...
Mags?
I need a gurney in here now!
Nicholas, how did you get here?
We've been waiting for you to take you to surgery.
Look, if I can jump out of an airplane,
I think I can wheel myself into an elevator.
I guess Diana filled you in?
And in a weird way, we realized that everything we did was us...
fighting for our relationship.
We're not gonna let this destroy what we have.
Or what we... could have.
They're ready for you upstairs.
Can they bring him back down after?
So we can recover together...
- Absolutely. - Okay!
- Alright! - Thank you doctor.
Shay!
Look, I'm gonna order some burgers.
I found this place they have that fake meat stuff you like.
You want some?
Okay, look, I know I can do a better job
at letting people in, you're right, okay?
That's why I asked you to come and live with me, I just suck at it.
I really think we should have this conversation face to face.
So, I'm gonna come in, okay? Don't freak out.
Oh, Shay...
Doctor Hamed. To cardiology.
Hamed. Cardiology.
Mags?
What happened?
A massive arrhythmia, out of nowhere.
We've cardioverted twice.
We won't know the extent of the damage for a day or two.
Can I stay with her?
Yeah.
You should know; you're the only person she'd let us tell.
- Hey! - So did you pass?
- Uh, I passed. - What are you going to do to celebrate?
Amira, I'll call you later, okay?