1 00:00:01,202 --> 00:00:03,063 As a Canadian citizen... 2 00:00:03,084 --> 00:00:04,856 I'm moving back home, okay? 3 00:00:04,908 --> 00:00:06,599 - I need a doctor - It's okay. I am a doctor. 4 00:00:06,634 --> 00:00:08,394 - No, get off me. - Ah! 5 00:00:08,711 --> 00:00:11,777 You know, I do feel things Mags, more that I want to. 6 00:00:11,924 --> 00:00:13,669 Remember that night the group of us went out? 7 00:00:13,684 --> 00:00:15,385 I was a first-year resident. You were a 4th... 8 00:00:15,425 --> 00:00:17,671 And you wound up in my place, you were married but 9 00:00:17,691 --> 00:00:19,119 was leaving what you really wanted? 10 00:00:19,157 --> 00:00:21,278 Every time we get somewhere, you reset. 11 00:00:21,298 --> 00:00:23,035 - Look, I'm trying. - You're hiding yourself again, 12 00:00:23,050 --> 00:00:24,636 which you know makes me need to chase you. 13 00:00:24,661 --> 00:00:25,962 Then don't! Just stop. 14 00:00:25,995 --> 00:00:29,694 What if I'm not capable of separating damaged from good. 15 00:00:29,719 --> 00:00:33,416 I've decided to go to Lebanon to a refugee camp that needs doctors. 16 00:00:33,436 --> 00:00:35,243 That's where we worked so hard to get away from. 17 00:00:35,248 --> 00:00:36,373 I know it is. 18 00:00:54,955 --> 00:00:56,857 - Hamed? - Yes. 19 00:00:57,132 --> 00:00:59,728 - Bash. Bashir. - Denise Garneau. 20 00:01:00,619 --> 00:01:03,431 We could've used you yesterday when you were supposed to be here. 21 00:01:03,761 --> 00:01:05,862 A GI bug ran through a cluster of families, 22 00:01:05,927 --> 00:01:07,500 and I've been on call every night. 23 00:01:07,694 --> 00:01:10,385 Are they okay? I'm sorry. My connecting flight got cancelled. 24 00:01:10,405 --> 00:01:12,572 It took us a while but we got them hydrated. 25 00:01:12,913 --> 00:01:14,934 - Munich or Frankfurt? - Frankfurt. 26 00:01:14,979 --> 00:01:17,326 Oh the gate chairs suck for sleeping there. 27 00:01:18,146 --> 00:01:19,893 You done a stint like this before? 28 00:01:20,894 --> 00:01:22,450 Where'd you say you were coming from? 29 00:01:22,484 --> 00:01:25,291 Toronto. And no, not exactly like this. 30 00:01:26,772 --> 00:01:28,269 Well, it's pretty straightforward. 31 00:01:28,304 --> 00:01:31,446 We have one medical tent, some staff, like me, stay put, 32 00:01:31,460 --> 00:01:33,973 others go between camps. 33 00:01:34,013 --> 00:01:37,470 The unofficial ones, which this is, have less resources. 34 00:01:38,200 --> 00:01:41,983 We have about 2500 displaced residents, give or take, 35 00:01:42,198 --> 00:01:45,839 mostly Syrian, some from other parts of the region. 36 00:01:46,296 --> 00:01:48,052 The government curbed registration 37 00:01:48,109 --> 00:01:50,443 meaning they can't access social services. 38 00:01:51,619 --> 00:01:55,951 We have two physicians, six nurses rotating in pairs. 39 00:01:56,272 --> 00:01:59,879 We see a lot of mental health issues, NCDs like diabetes, 40 00:01:59,921 --> 00:02:02,455 hypertension, family planning. 41 00:02:02,680 --> 00:02:05,766 - You can stop me if you already know all this. - No, no, this is good. 42 00:02:05,927 --> 00:02:08,611 _ 43 00:02:08,649 --> 00:02:09,987 _ 44 00:02:10,298 --> 00:02:12,164 Good you speak the language, 45 00:02:12,482 --> 00:02:14,165 though it's afternoon now. 46 00:02:16,216 --> 00:02:17,523 Toronto via where? 47 00:02:17,611 --> 00:02:20,206 Syria. Just over the border a few hours from here. 48 00:02:20,481 --> 00:02:22,708 Ah, that's a story I'd like to hear. 49 00:02:23,946 --> 00:02:25,534 Here's your tent. 50 00:02:25,880 --> 00:02:27,635 If there's something you need, we... 51 00:02:27,815 --> 00:02:29,415 probably don't have it. 52 00:02:31,488 --> 00:02:33,582 - Hamed, you with me? - Hmm? 53 00:02:35,353 --> 00:02:37,256 Yeah, it's just the uh... 54 00:02:37,325 --> 00:02:40,160 The travel it has a way of taking away your bearings. 55 00:02:40,279 --> 00:02:42,780 Hmm. Get some sleep. 56 00:02:43,235 --> 00:02:45,815 Come find me when you remember who you are. 57 00:03:17,816 --> 00:03:22,816 - Synced and corrected by chamallow - - www.addic7ed.com - 58 00:03:26,329 --> 00:03:27,605 What's that? 59 00:03:27,870 --> 00:03:30,563 Ah. It reads data from my pacemaker. 60 00:03:30,628 --> 00:03:33,189 Cardiologists use them to keep logs of rhythms, and vitals 61 00:03:33,215 --> 00:03:36,850 and it's supposed to automatically upload to my tablet but it's just... 62 00:03:36,851 --> 00:03:38,850 Shouldn't that be going to your cardiologist? 63 00:03:39,095 --> 00:03:41,085 Yes, it will be, once I find one. 64 00:03:41,153 --> 00:03:42,847 - You still haven't? - Why do you look so nice? 65 00:03:42,966 --> 00:03:45,817 Oh, um, I have a meeting. 66 00:03:46,501 --> 00:03:48,108 Remember about a month ago, there was this... 67 00:03:48,115 --> 00:03:49,912 What do you mean, you can't sync?! 68 00:03:50,169 --> 00:03:53,364 - ... woman who pushed me. - Like what do you mean? 69 00:04:05,711 --> 00:04:08,527 _ 70 00:04:08,692 --> 00:04:10,161 _ 71 00:04:12,332 --> 00:04:15,519 _ 72 00:04:17,066 --> 00:04:19,713 _ 73 00:04:19,772 --> 00:04:22,353 _ 74 00:04:25,362 --> 00:04:26,798 _ 75 00:04:28,066 --> 00:04:30,557 A little game on our way to our morning classes. 76 00:04:32,855 --> 00:04:34,020 _ 77 00:04:34,039 --> 00:04:35,071 Elie. 78 00:04:35,140 --> 00:04:36,272 Bashir. 79 00:04:36,370 --> 00:04:38,074 _ 80 00:04:54,879 --> 00:04:56,558 Hi, Mr. Spurling? 81 00:04:56,657 --> 00:04:59,738 I'm a nurse calling from York Memorial emergency department. 82 00:04:59,965 --> 00:05:02,529 You registered yesterday with abdominal pain 83 00:05:02,536 --> 00:05:05,470 - but left before seeing a doctor? - Hey! When are we going to get helped? 84 00:05:06,661 --> 00:05:09,848 Yes, no, I'm aware the waits were very long... 85 00:05:09,973 --> 00:05:13,062 No, it's just as busy today. I'm trying to make sure 86 00:05:13,095 --> 00:05:15,277 that you're in a position to receive care elsewhere. 87 00:05:15,345 --> 00:05:16,946 Yeah, you were telling us that you... 88 00:05:17,335 --> 00:05:19,081 Yeah. Where are the labs for Mr. Rusinsky? 89 00:05:19,086 --> 00:05:20,660 Because what came up is urinalysis not chem 7... 90 00:05:20,687 --> 00:05:23,886 Okay, well I can give you the number for a walk-in clinic. 91 00:05:24,526 --> 00:05:26,336 Oh! Or you can hang up on me. 92 00:05:26,356 --> 00:05:28,457 Oh, sorry what? Wrong labs? 93 00:05:28,510 --> 00:05:30,392 I have been here five minutes. How is there an already 94 00:05:30,425 --> 00:05:32,005 "impossible to get to everything" pile of patients? 95 00:05:32,025 --> 00:05:33,783 Okay no, you do not get to be cranky yet, 96 00:05:33,829 --> 00:05:36,693 I have been trying to take a single bite of this protein bar for hours, 97 00:05:36,739 --> 00:05:39,833 - every time I go to unwrap it... - Does anybody actually work here? 98 00:05:40,913 --> 00:05:42,448 I know you've been waiting, sir. 99 00:05:42,481 --> 00:05:43,896 We have the results of your EKG 100 00:05:43,923 --> 00:05:45,661 but the doctor hasn't had a chance to look at them yet, 101 00:05:45,674 --> 00:05:47,959 - but I'll check again. - Okay, thanks but I think they need help. 102 00:05:48,097 --> 00:05:50,850 Right. Stomach pain lady, who's been in agony by the way, 103 00:05:50,869 --> 00:05:53,398 finally puked, and then this lady here tried to help 104 00:05:53,418 --> 00:05:55,005 clean up the mess but something's wrong with her knee 105 00:05:55,038 --> 00:05:56,572 - so she can't get up. - Hey, what's your name? 106 00:05:56,611 --> 00:05:59,430 Lenore Callahan. Audrey here is really burning up. 107 00:05:59,463 --> 00:06:01,003 Please, just call me a taxi. 108 00:06:01,017 --> 00:06:02,669 I'll be better off at home than here. 109 00:06:02,696 --> 00:06:04,882 Audrey, I'm sorry we can't let you go by yourself, 110 00:06:04,901 --> 00:06:08,229 but I will change your fluids and I will try calling your sister again. 111 00:06:08,318 --> 00:06:10,978 And Miss Callahan, you need to stay on your gurney, okay? 112 00:06:11,034 --> 00:06:12,380 Are you okay? 113 00:06:12,868 --> 00:06:14,969 Yeah, you don't need to worry about me. 114 00:06:15,092 --> 00:06:17,542 Um, I know the waits are long, 115 00:06:17,614 --> 00:06:20,762 but everybody has been triaged according to how acute 116 00:06:20,782 --> 00:06:23,444 their situation is and you will all get seen, 117 00:06:23,692 --> 00:06:25,707 we're just asking for some patience. 118 00:06:33,292 --> 00:06:35,340 So, feel more like yourself? 119 00:06:35,358 --> 00:06:36,723 Yeah. 120 00:06:37,993 --> 00:06:39,983 You been in a camp like this before? 121 00:06:40,114 --> 00:06:42,221 Yeah and practiced there. 122 00:06:42,873 --> 00:06:44,460 And in your Canadian hospital? 123 00:06:44,585 --> 00:06:48,081 Uh, emergency medicine and trauma surgery residence. 124 00:06:48,219 --> 00:06:50,538 Right. So why'd you come back? 125 00:06:52,551 --> 00:06:55,676 Um, I got a passport and I can travel again so, 126 00:06:55,843 --> 00:06:57,555 the timing seemed right. 127 00:06:57,786 --> 00:06:59,406 So you don't really know. 128 00:07:00,887 --> 00:07:03,050 Westerners come for all sorts of reasons. 129 00:07:03,442 --> 00:07:06,938 Adrenaline. Conviction. Curiosity. Being on the lam. 130 00:07:06,952 --> 00:07:09,151 Not sure I qualify as a westerner. 131 00:07:09,619 --> 00:07:12,091 - Hm. - And what about you? 132 00:07:12,292 --> 00:07:14,394 Neurology in Lyon and hated it. 133 00:07:14,431 --> 00:07:16,821 Got married to an internist and hated that too. 134 00:07:16,933 --> 00:07:20,535 Met someone in an airport five years ago who got me into this. 135 00:07:20,602 --> 00:07:22,293 And you've been doing it ever since? 136 00:07:22,517 --> 00:07:24,664 Well, it's easier when nothing ties you home. 137 00:07:27,073 --> 00:07:28,634 Don't forget to hydrate. 138 00:07:33,802 --> 00:07:36,949 So, I know that uh, coming forward wasn't easy. 139 00:07:36,982 --> 00:07:39,662 Did Doctor Devi explain why I wanted to... to sit with you? 140 00:07:39,702 --> 00:07:43,975 Yes, she said so that I would know the surgical department... 141 00:07:44,660 --> 00:07:47,168 - has my back. - As does hospital admin. 142 00:07:47,497 --> 00:07:49,961 We take prejudicial behaviour directed at our staff 143 00:07:50,428 --> 00:07:53,957 very seriously. The instigator has been suspended without pay. 144 00:07:53,997 --> 00:07:56,103 Uh, I mean I didn't mean for her to lose her job, 145 00:07:56,136 --> 00:07:57,966 I really just want to move on and put this behind me. 146 00:07:57,993 --> 00:08:00,205 Oh well, we didn't fire her but we told her very clearly 147 00:08:00,245 --> 00:08:02,407 that she will not be getting a second chance. 148 00:08:02,503 --> 00:08:04,309 - Okay. - June, 149 00:08:04,517 --> 00:08:06,645 you did not deserve to be treated that way. 150 00:08:08,441 --> 00:08:10,568 - Thank you. - Uh, sorry. I have to ask, 151 00:08:10,588 --> 00:08:14,077 are you, um, satisfied with the action 152 00:08:14,136 --> 00:08:15,954 that we have taken on this matter? 153 00:08:17,310 --> 00:08:19,950 I'm sorry are you asking me for like a star rating or... ? 154 00:08:20,148 --> 00:08:22,011 Fair enough. 155 00:08:22,762 --> 00:08:26,865 So while we have you here, there is another piece of business. 156 00:08:26,933 --> 00:08:28,600 Mark, could you um... 157 00:08:28,669 --> 00:08:31,454 Yes! Well, in light of your recent work 158 00:08:31,471 --> 00:08:33,120 in this novel specialized residency, 159 00:08:33,186 --> 00:08:36,827 we have created a title, Acute Care Surgical Response Fellow. 160 00:08:36,906 --> 00:08:40,726 - And it comes with a bursary - $6,400 to be precise. 161 00:08:41,299 --> 00:08:43,688 Uh, sorry. I'm still a resident. 162 00:08:43,721 --> 00:08:46,085 Just for a few more months. We're jump-starting next steps. 163 00:08:46,105 --> 00:08:49,326 Let's just consider it an investment in keeping you on. 164 00:08:50,004 --> 00:08:52,022 Um... 165 00:08:52,849 --> 00:08:54,344 Ah, pelvic fracture. 166 00:08:54,390 --> 00:08:57,168 Just saved me tracking down the on-call orthopedic surgeon. 167 00:08:57,339 --> 00:08:58,801 With me, June. 168 00:09:02,234 --> 00:09:03,901 EMT says you fell off your roof? 169 00:09:03,969 --> 00:09:07,341 Trying to adjust my uh TV antenna to pick up the ballgame. 170 00:09:07,380 --> 00:09:10,199 You know the cable company could solve that problem for you, right? 171 00:09:10,219 --> 00:09:13,353 I'm just gonna lower your trousers a little bit here, okay? 172 00:09:14,098 --> 00:09:16,731 - June? - FAST shows an enlarged spleen. 173 00:09:17,028 --> 00:09:18,949 Let's get sharper eyes. 174 00:09:19,122 --> 00:09:22,448 - Get me up to speed, Mark. - Abdomen and pelvic pain, 175 00:09:22,487 --> 00:09:24,390 lower extremity numbness and tingling. 176 00:09:24,423 --> 00:09:27,148 Major ecchymosis visible. No hypovolemia, fluids at the scene. 177 00:09:27,201 --> 00:09:29,486 What'd the neuro say? Is Babinski up or down? 178 00:09:29,696 --> 00:09:31,020 June? 179 00:09:32,063 --> 00:09:35,056 Okay, open book fracture with retroperitoneal bleeding. 180 00:09:35,102 --> 00:09:36,274 External fixation? 181 00:09:36,301 --> 00:09:38,428 Was thinking open reduction with internal fixation, 182 00:09:38,592 --> 00:09:41,337 - am I set up? - I would want to fix that bleed first. 183 00:09:41,405 --> 00:09:45,192 - Obviously. - Uh, June can you rewrap that sling? 184 00:09:45,476 --> 00:09:47,966 Hi. Babinski's negative. 185 00:09:47,983 --> 00:09:50,287 Uh, but about the spleen, I do think it's a concern. 186 00:09:50,312 --> 00:09:53,030 One that's way down our list of priorities. 187 00:09:53,096 --> 00:09:54,913 I disagree, sir. 188 00:09:54,926 --> 00:09:56,986 - Okay. - Which has been noted, June. 189 00:09:57,055 --> 00:09:59,788 Well how about, you let us do our thing 190 00:09:59,858 --> 00:10:01,998 and we will have you ambulatory, uh, 191 00:10:02,044 --> 00:10:03,948 that means walking again faster. 192 00:10:04,000 --> 00:10:06,384 If that's okay with Dr. Curtis, of course? 193 00:10:07,498 --> 00:10:09,827 I yield to your obvious expertise. 194 00:10:09,873 --> 00:10:12,868 Fantastic. 5mg of midazolam please. 195 00:10:15,734 --> 00:10:18,894 I cross-checked results from 50 labs we sent out 196 00:10:18,901 --> 00:10:21,851 in the last few hours and 35 are wrong. 197 00:10:22,253 --> 00:10:25,098 - Wrong how? - Wrong test, wrong patient. 198 00:10:25,144 --> 00:10:28,233 Sometimes it's obvious who got whose but even then... 199 00:10:28,252 --> 00:10:30,009 So they all need to be redone? 200 00:10:30,602 --> 00:10:32,860 Claire, could you look after Mr. Maxwell? 201 00:10:32,890 --> 00:10:35,349 - He just got out of Trauma OR. - Notes are on the chart. 202 00:10:36,541 --> 00:10:39,728 Doctor Devi, you look different? 203 00:10:40,004 --> 00:10:43,521 I was at a concert when Claire called about this system glitch. 204 00:10:43,764 --> 00:10:46,567 Doctor Olsen, have you had any reports from other departments? 205 00:10:46,688 --> 00:10:48,936 No, must be ED specific, 206 00:10:49,005 --> 00:10:51,086 you better hope that one of the tech guys answers the phone. 207 00:10:51,145 --> 00:10:53,252 Um, but before you call. 208 00:10:53,753 --> 00:10:55,274 Can you walk with me? 209 00:11:02,292 --> 00:11:05,017 Province is releasing data on ED waiting times 210 00:11:05,057 --> 00:11:07,756 and ours are... frankly embarrassing. 211 00:11:08,500 --> 00:11:10,758 One of the reasons we brought you in Neeta was to... 212 00:11:10,970 --> 00:11:13,226 help us with this exact issue. So... 213 00:11:13,295 --> 00:11:15,223 I'd like to see comps from other hospitals, 214 00:11:15,263 --> 00:11:17,726 - I bet they're similar. - And irrelevant. 215 00:11:17,818 --> 00:11:20,821 We are a level one trauma centre with a reputation to uphold, 216 00:11:20,827 --> 00:11:23,257 so I am going to need you to do better. 217 00:11:24,166 --> 00:11:28,696 There's a nationwide shortage of both funding and staff 218 00:11:28,728 --> 00:11:30,269 that's been 10 years in the making. 219 00:11:30,289 --> 00:11:33,634 So it's not the free healthcare utopia that you expected, is it? 220 00:11:34,194 --> 00:11:36,702 Well the one saving grace is Trauma OR, 221 00:11:36,972 --> 00:11:38,855 it's proving to be the cutting-edge tool 222 00:11:38,875 --> 00:11:41,917 that Jed Bishop said it would be so, nice work Mark. 223 00:11:41,976 --> 00:11:43,800 - Thanks, Neil. - What concert? 224 00:11:43,958 --> 00:11:47,942 - What? Oh, it's this punk band that I... - Oh. Then I won't know them. 225 00:12:00,808 --> 00:12:03,101 Fever's high. 226 00:12:03,144 --> 00:12:04,787 What's your protocol on IV hydration? 227 00:12:04,826 --> 00:12:06,992 If they can drink, we try to conserve saline. 228 00:12:07,019 --> 00:12:08,314 I think it's chicken pox. 229 00:12:08,383 --> 00:12:10,851 Yeah, you see it from time to time. Have you had it? 230 00:12:10,910 --> 00:12:12,285 Mm-hmm. 231 00:12:12,354 --> 00:12:14,020 Basil? What happened? 232 00:12:14,089 --> 00:12:18,100 _ 233 00:12:18,146 --> 00:12:19,568 Okay. 234 00:12:20,594 --> 00:12:21,662 Put him here. 235 00:12:21,741 --> 00:12:23,460 _ 236 00:12:28,194 --> 00:12:29,577 Okay guys, we'll take it from here. 237 00:12:29,603 --> 00:12:31,882 _ 238 00:12:36,255 --> 00:12:39,089 - Tourniquets? - Trauma bag, behind you. 239 00:12:40,142 --> 00:12:41,795 _ 240 00:12:41,821 --> 00:12:43,454 _ 241 00:12:43,487 --> 00:12:45,462 _ 242 00:12:45,996 --> 00:12:47,563 _ 243 00:12:53,994 --> 00:12:55,384 Okay. 244 00:12:56,813 --> 00:12:58,498 - Get me the bone saw. - No, no, no, 245 00:12:58,545 --> 00:13:00,263 we can do a vascular shunt. 246 00:13:00,875 --> 00:13:03,068 - You have cannula? - No, we're not set up for that. 247 00:13:03,102 --> 00:13:04,234 It needs to come off. 248 00:13:04,267 --> 00:13:06,097 But, if we reconstruct the brachial artery, 249 00:13:06,139 --> 00:13:07,737 then we can save at least some function. 250 00:13:07,789 --> 00:13:09,021 And cause him to bleed out? 251 00:13:09,067 --> 00:13:10,997 We have three units of O-neg at best! 252 00:13:11,036 --> 00:13:13,430 - So we'll cycle his back through. - What about a sterile field? 253 00:13:13,456 --> 00:13:15,971 We sacrifice sterility for efficacy when necessary. 254 00:13:15,991 --> 00:13:17,506 But he would need one to one monitoring. 255 00:13:17,538 --> 00:13:18,914 We could save his arm! 256 00:13:18,952 --> 00:13:20,705 Maybe you forgot how it works in a camp. 257 00:13:20,751 --> 00:13:23,805 We need to save his life. Bone saw. 258 00:13:26,170 --> 00:13:28,349 My house, my call. 259 00:13:42,544 --> 00:13:44,240 _ 260 00:13:44,888 --> 00:13:46,342 Assistant teacher. 261 00:13:46,508 --> 00:13:50,525 But next week I start university to become a real one. In Beirut. 262 00:13:50,880 --> 00:13:52,616 You're leaving this place. 263 00:13:52,862 --> 00:13:55,118 - I'm Bashir. - Bayan. 264 00:13:55,721 --> 00:13:57,616 Do you have a medical question, Bayan? 265 00:13:57,708 --> 00:13:59,229 Yes, but not for me. 266 00:14:01,039 --> 00:14:02,491 Talia. 267 00:14:03,673 --> 00:14:06,195 _ 268 00:14:06,761 --> 00:14:10,020 _ 269 00:14:10,902 --> 00:14:14,438 _ 270 00:14:14,483 --> 00:14:17,887 _ 271 00:14:18,151 --> 00:14:20,495 _ 272 00:14:20,548 --> 00:14:23,905 I don't know, but she gets nauseous and dizzy a lot. 273 00:14:24,636 --> 00:14:27,448 And she can't walk five minutes without needing to sit down. 274 00:14:28,086 --> 00:14:30,260 I told her that I wanted to ask you questions 275 00:14:30,293 --> 00:14:31,721 about getting to Canada, 276 00:14:32,037 --> 00:14:34,269 so she's not suspicious that I'm worried. 277 00:14:34,381 --> 00:14:36,726 I thought maybe this way you could observe her? 278 00:14:36,794 --> 00:14:40,307 I'd be happy to. Give me one minute, please. 279 00:14:44,968 --> 00:14:46,701 _ 280 00:14:47,590 --> 00:14:49,091 _ 281 00:14:49,137 --> 00:14:51,382 I came to see you. I have your wedding gift. 282 00:15:06,539 --> 00:15:08,903 We were best friends at 16. 283 00:15:09,042 --> 00:15:13,071 You know, to go from that to lovers to everything else. 284 00:15:15,047 --> 00:15:18,570 Anyway, we just, we made plans so young. 285 00:15:19,077 --> 00:15:21,868 Lovers is not a word you should ever be using. 286 00:15:22,231 --> 00:15:23,673 What about you and Jonathan? 287 00:15:23,699 --> 00:15:25,523 Where did things go wrong there? 288 00:15:25,582 --> 00:15:27,254 Let's not talk about our ex-lovers. 289 00:15:27,300 --> 00:15:29,051 Oh, so you get to say. 290 00:15:29,137 --> 00:15:30,855 I get to say whatever I want. 291 00:15:35,464 --> 00:15:38,117 Don't take it too close. I like it scruffy. 292 00:15:38,275 --> 00:15:40,732 Now would it be the worst thing in the world 293 00:15:40,764 --> 00:15:42,911 if I got back from work and you were still here? 294 00:15:43,418 --> 00:15:47,646 I-I know that when we started this up we said we'd just... 295 00:15:47,719 --> 00:15:50,176 But I... We should be more. 296 00:15:50,294 --> 00:15:52,269 - Theo. - I'm serious. 297 00:15:52,381 --> 00:15:54,673 Theo, you're the first to admit you haven't exactly been 298 00:15:54,719 --> 00:15:56,648 making level choices recently. 299 00:15:56,912 --> 00:16:00,191 Yeah, but this is not what this is. 300 00:16:00,592 --> 00:16:02,403 And with you, there is clarity. 301 00:16:02,456 --> 00:16:06,597 Or you've had one 20-year relationship and then me. 302 00:16:07,071 --> 00:16:10,093 And you're more comfortable as a serial monogamist. 303 00:16:10,496 --> 00:16:11,904 Okay. 304 00:16:12,266 --> 00:16:14,379 Well, I will be back in the morning. 305 00:16:15,137 --> 00:16:16,802 And if you're here, then I'll know. 306 00:16:17,540 --> 00:16:20,358 And for the record, you do not get a say in my beard 307 00:16:20,606 --> 00:16:22,097 until I get an answer. 308 00:16:26,600 --> 00:16:28,760 _ 309 00:16:29,176 --> 00:16:32,020 _ 310 00:16:33,151 --> 00:16:34,785 Antivirals. Are those for us? 311 00:16:34,853 --> 00:16:36,873 _ 312 00:16:37,143 --> 00:16:39,171 _ 313 00:16:39,217 --> 00:16:42,464 _ 314 00:16:42,529 --> 00:16:44,491 _ 315 00:16:44,629 --> 00:16:47,183 She's uh, she's resigned to my convictions. 316 00:16:47,899 --> 00:16:50,140 Hey. Tell her that's the toll of knowing you. 317 00:16:51,042 --> 00:16:52,501 _ 318 00:16:52,741 --> 00:16:55,158 _ 319 00:16:55,296 --> 00:16:56,586 _ 320 00:16:56,902 --> 00:16:59,503 _ 321 00:17:00,596 --> 00:17:02,130 _ 322 00:17:02,452 --> 00:17:04,039 Maybe it's for the best, Saleh. 323 00:17:04,052 --> 00:17:06,206 - Starting over isn't easy. - I know that, 324 00:17:07,443 --> 00:17:09,004 - but... - Shoot. 325 00:17:10,025 --> 00:17:12,422 _ 326 00:17:16,235 --> 00:17:17,762 The teacher here. 327 00:17:17,821 --> 00:17:21,824 Um, I've been invited for a house call pretending to be tea. 328 00:17:22,246 --> 00:17:23,632 Want company? 329 00:17:23,767 --> 00:17:25,568 More like an accomplice. 330 00:17:31,267 --> 00:17:32,505 Turn around. Seriously. 331 00:17:32,544 --> 00:17:34,977 Run as fast as you can away from this place. 332 00:17:35,045 --> 00:17:37,891 Who are you and what have you done with Mags? 333 00:17:37,915 --> 00:17:40,946 Hey! Hey! He just got here! How come she's seeing him? 334 00:17:40,985 --> 00:17:43,540 - I'm a doctor, sir. - Oh, well then stop flirting 335 00:17:43,593 --> 00:17:46,740 and help me! If I can't get a break from my pain why should you? 336 00:17:47,050 --> 00:17:49,782 - Hey. You said you'd get me something! - Hold on. 337 00:17:49,914 --> 00:17:53,003 Miss Porchnick? Is there a Miss Porchnick here? 338 00:17:53,130 --> 00:17:55,880 It's malware, also called ransomware. 339 00:17:55,913 --> 00:17:58,718 Meaning they want money so we can access our system? 340 00:17:58,738 --> 00:18:01,167 - Who'd do that? - They said it's always cross-border. 341 00:18:01,187 --> 00:18:03,387 So, untraceable. It's a new epidemic. 342 00:18:03,393 --> 00:18:05,840 Now joke's on them, we clearly can't afford to pay. 343 00:18:05,910 --> 00:18:08,042 Yeah, IT says it started down here 344 00:18:08,089 --> 00:18:10,745 so they want to sever us off and contain the damage. 345 00:18:10,814 --> 00:18:13,015 Our entire department has a virus. 346 00:18:13,083 --> 00:18:15,258 - Which means we revert to paper. - Ugh. 347 00:18:15,298 --> 00:18:17,379 Flying blind with labs and imaging 348 00:18:17,387 --> 00:18:20,025 is only going to add to our already insane wait times. 349 00:18:20,056 --> 00:18:22,402 - Can we just call in more staff? - For a last-minute night shift? 350 00:18:22,441 --> 00:18:24,975 - Good luck. - On the bright side, fax still works. 351 00:18:25,055 --> 00:18:27,319 Did one of you call for a list of cardiologists 352 00:18:27,378 --> 00:18:29,729 - accepting new patients at the big five? - Yeah. That's me. 353 00:18:29,742 --> 00:18:32,521 Well, hopefully your patient is patient because each one of them 354 00:18:32,534 --> 00:18:34,127 has a six-month waiting list. 355 00:18:34,503 --> 00:18:38,170 Okay, she just called a lady who got here way after me! 356 00:18:38,207 --> 00:18:40,455 If y'all don't start getting your asses in gear, 357 00:18:40,482 --> 00:18:41,700 - I'm gonna... - Sir! 358 00:18:41,720 --> 00:18:44,392 I understand that you're frustrated but one more threat like that 359 00:18:44,412 --> 00:18:46,565 and you'll have to leave, understood? 360 00:18:46,907 --> 00:18:50,838 What you're gonna herd me like a common criminal? Fine! 361 00:18:57,225 --> 00:18:58,555 It's you, isn't it? 362 00:18:59,318 --> 00:19:01,294 The patient who needs a cardiologist? 363 00:19:01,363 --> 00:19:04,071 One of them is on mat leave. Two others are not taking any referrals. 364 00:19:04,097 --> 00:19:05,447 So what are you going to do? 365 00:19:05,612 --> 00:19:07,087 Handle it on my own apparently, 366 00:19:07,094 --> 00:19:09,694 because as evidenced by tonight, our entire system collapses 367 00:19:09,721 --> 00:19:11,195 if we don't put everything in our lives second. 368 00:19:11,235 --> 00:19:13,053 Well, hang in there? 369 00:19:13,809 --> 00:19:15,621 Sorry about the wait Miss Callahan. 370 00:19:15,627 --> 00:19:18,479 The sickest go first. If you think I should come back another day. 371 00:19:18,505 --> 00:19:21,830 You are here for arthritic knee pain, right? May I? 372 00:19:22,017 --> 00:19:24,141 I've been on the elective surgery list 18 months, 373 00:19:24,181 --> 00:19:25,761 only I fell and I twisted it, 374 00:19:25,774 --> 00:19:27,994 and the nurse on the hotline said to come in. 375 00:19:28,020 --> 00:19:30,529 Okay, yeah. It is pretty swollen. 376 00:19:30,792 --> 00:19:32,241 Were you alone when you fell? 377 00:19:32,405 --> 00:19:34,446 - Well, my husband was with me. - Okay. 378 00:19:34,493 --> 00:19:36,105 Is he here now? Because he may want to hear this. 379 00:19:36,125 --> 00:19:38,087 He is. Though not how you mean. 380 00:19:38,449 --> 00:19:40,833 I'm in a committed relationship with the Lord. 381 00:19:41,346 --> 00:19:44,598 Ah, with the... Okay. Open your mouth for me, please. 382 00:19:45,026 --> 00:19:46,415 Thank you. 383 00:19:46,698 --> 00:19:48,042 Thank you. 384 00:19:48,515 --> 00:19:50,642 I'm sure it sounds ridiculous to a woman of science, 385 00:19:51,057 --> 00:19:53,414 but it just means that I've chosen to centre my life 386 00:19:53,481 --> 00:19:55,593 - according to doing good works. - Yeah. Well I gotta tell you, 387 00:19:55,619 --> 00:19:57,548 the line for imaging is long and even if it wasn't, 388 00:19:57,568 --> 00:19:59,069 getting a radiologist to actually look 389 00:19:59,115 --> 00:20:01,249 at a non-acute X-ray during a night shift is... 390 00:20:01,288 --> 00:20:02,769 Not a priority. 391 00:20:02,822 --> 00:20:05,554 I see resource crunches every day in our church mission. 392 00:20:05,581 --> 00:20:07,550 Well, you are running a bit of a fever, which can happen 393 00:20:07,570 --> 00:20:09,091 when arthritic fluid gets infected. 394 00:20:09,130 --> 00:20:11,942 I'm just lightheaded. I guess I haven't eaten since I got here. 395 00:20:12,633 --> 00:20:14,234 Yeah... Not even from the vending machine? 396 00:20:14,313 --> 00:20:16,697 Oh, I was afraid I'd miss my turn and then, 397 00:20:16,704 --> 00:20:19,140 I'd just add to the chaos you're already dealing with, so. 398 00:20:21,786 --> 00:20:24,796 Yeah, I shouldn't have said that about no one reading your X-ray. 399 00:20:25,146 --> 00:20:27,292 If you are willing to wait a little bit longer, 400 00:20:27,314 --> 00:20:28,892 I will make it happen. 401 00:20:28,984 --> 00:20:31,276 And in the meantime, we will also get you something to eat. 402 00:20:31,315 --> 00:20:34,370 - Oh thanks, that's very kind. - Of course. 403 00:20:34,825 --> 00:20:37,346 _ 404 00:20:37,761 --> 00:20:40,717 - English please, Doctor. - Auntie, my English is fine. 405 00:20:40,743 --> 00:20:42,929 Because we practice, practice, practice. 406 00:20:42,963 --> 00:20:44,832 She needs it for university. 407 00:20:45,866 --> 00:20:47,802 Do you still have family in Aleppo, Bashir? 408 00:20:47,861 --> 00:20:50,040 Only a brother from another mother. 409 00:20:50,125 --> 00:20:52,910 Um, my parents, they uh, 410 00:20:53,259 --> 00:20:55,504 they were doctors there before the war. 411 00:20:56,058 --> 00:20:57,842 I didn't realize you two lived together. 412 00:20:58,190 --> 00:21:00,574 My husband and I never had children. 413 00:21:01,779 --> 00:21:04,090 When he passed, the war was slowing 414 00:21:04,117 --> 00:21:06,566 and I thought I would go live with my sister in Douma, 415 00:21:07,100 --> 00:21:10,365 but then Bayan came and she needed to learn English. 416 00:21:10,444 --> 00:21:12,894 You came alone? How old were you? 417 00:21:13,292 --> 00:21:15,981 I was 10, and Talia took me in. 418 00:21:16,238 --> 00:21:18,720 We hoped to get an apartment in the city but, 419 00:21:19,589 --> 00:21:22,232 - the jobs don't pay enough. - And the children here need us! 420 00:21:22,362 --> 00:21:25,836 You're going to be a success story. No more living in tents. 421 00:21:29,742 --> 00:21:31,068 Are you parents? 422 00:21:31,265 --> 00:21:33,978 My wife and I are waiting 423 00:21:34,046 --> 00:21:36,237 until we can build a life somewhere else. 424 00:21:36,737 --> 00:21:38,034 And you? 425 00:21:38,127 --> 00:21:41,275 You built a new life but where's the family to show for it? 426 00:21:41,347 --> 00:21:43,058 My hands are full with my sister. 427 00:21:43,091 --> 00:21:44,988 Uh, does she like Toronto? 428 00:21:45,190 --> 00:21:48,628 In some ways, I think she feels more at home there than I do. 429 00:21:48,833 --> 00:21:51,583 Almost time for afternoon class. 430 00:21:51,662 --> 00:21:53,815 Auntie, stay, we will get it. 431 00:21:53,834 --> 00:21:55,941 There is a wash station down the path. 432 00:22:07,165 --> 00:22:09,119 _ 433 00:22:09,345 --> 00:22:12,079 _ 434 00:22:13,391 --> 00:22:14,781 _ 435 00:22:34,729 --> 00:22:36,198 _ 436 00:22:38,932 --> 00:22:42,645 _ 437 00:22:55,593 --> 00:22:57,608 Whatever you think is wrong with me, 438 00:22:58,419 --> 00:22:59,842 you need to lie to her. 439 00:23:00,169 --> 00:23:02,381 I don't want anything to get in the way of her chance 440 00:23:02,386 --> 00:23:04,935 - to make her own life. - Ah. 441 00:23:05,809 --> 00:23:08,737 Have you been experiencing any joints pain? 442 00:23:09,386 --> 00:23:12,156 _ 443 00:23:13,163 --> 00:23:16,507 _ 444 00:23:19,394 --> 00:23:20,811 So your pelvis has been reduced 445 00:23:20,851 --> 00:23:22,612 and your internal bleeding is under control. 446 00:23:23,708 --> 00:23:25,937 And the gods among men don't even show up to allow us 447 00:23:25,974 --> 00:23:27,770 to bask in their reflected glory? 448 00:23:28,491 --> 00:23:30,963 Seeing your enlarged spleen I was actually able to get labs 449 00:23:30,979 --> 00:23:33,264 which trust me, tonight is a miracle. 450 00:23:33,317 --> 00:23:35,414 - Hah. - Turns out you have thrombocytopenia, 451 00:23:35,599 --> 00:23:37,105 which means a low platelet count. 452 00:23:37,221 --> 00:23:39,481 You should also know that it's been associated 453 00:23:39,502 --> 00:23:41,699 with some other underlying conditions. 454 00:23:41,794 --> 00:23:43,616 Like Non-Hodgkin's lymphoma. 455 00:23:44,541 --> 00:23:46,740 - Yeah. Do you... - Stage 4. 456 00:23:46,771 --> 00:23:49,995 I'd chalk the blood disorder up to my recent chemo which failed, 457 00:23:50,258 --> 00:23:52,365 and by the sounds of it caused my platelets 458 00:23:52,386 --> 00:23:53,903 to throw a party in my spleen? 459 00:23:54,392 --> 00:23:55,594 That would make sense. 460 00:23:55,615 --> 00:23:57,232 Yeah. It also means you were right earlier. 461 00:23:57,501 --> 00:23:58,849 I'm impressed you got there, 462 00:23:58,886 --> 00:24:02,415 it's the kind of differential that can get lost in the noise. 463 00:24:02,963 --> 00:24:04,885 - Are you a doctor? - Oncologist. 464 00:24:04,901 --> 00:24:06,987 20 years at Western. And before you ask, 465 00:24:07,014 --> 00:24:09,316 no friends or family you should be calling. 466 00:24:10,448 --> 00:24:12,032 You didn't want to go to your own hospital? 467 00:24:12,497 --> 00:24:14,702 Why'd you back down in there whatever your name is? 468 00:24:14,810 --> 00:24:16,904 - June Curtis. - Hm. 469 00:24:17,180 --> 00:24:19,056 You know how this works. I'm a resident. 470 00:24:19,142 --> 00:24:20,515 Promise me you won't go looking 471 00:24:20,536 --> 00:24:22,701 for self-worth in their opinions, Curtis. 472 00:24:22,764 --> 00:24:24,123 You won't find it. 473 00:24:24,944 --> 00:24:27,181 I never really helped any of my patients, 474 00:24:27,499 --> 00:24:28,827 at least let me help you. 475 00:24:29,016 --> 00:24:30,966 I don't mean to be rude, but I don't even know you. 476 00:24:30,976 --> 00:24:33,888 Yeah, but I know you. And a hundred other residents like you, 477 00:24:34,095 --> 00:24:36,266 ones I ground down just like those 478 00:24:36,508 --> 00:24:39,237 onanistic clowns that call themselves your bosses. 479 00:24:39,511 --> 00:24:41,118 Is that really how you view your life's work? 480 00:24:41,165 --> 00:24:43,297 - You didn't help anyone? - When I look back, 481 00:24:43,630 --> 00:24:45,669 all I did was tell people they were dying 482 00:24:45,717 --> 00:24:48,449 - or saddled with terrible options. - Transfusions, 483 00:24:49,638 --> 00:24:51,688 that could get you strong enough for another round of treatment. 484 00:24:51,721 --> 00:24:53,835 I cancelled my cable because I thought watching TV 485 00:24:53,855 --> 00:24:57,332 was the wrong thing to do with my remaining time. 486 00:24:57,740 --> 00:25:00,881 Turns out ballgames and movies are all I want. 487 00:25:01,428 --> 00:25:03,976 You can't save me Curtis. So don't waste your energy. 488 00:25:04,009 --> 00:25:07,037 Maybe, but at least I can buy you some time. 489 00:25:07,248 --> 00:25:08,670 I said no. 490 00:25:21,370 --> 00:25:24,382 - Any idea what's wrong with Talia? - _ 491 00:25:24,639 --> 00:25:27,905 Fever, crackling lungs, low pulse. 492 00:25:27,977 --> 00:25:30,486 She's bradycardic, it could be endocarditis. 493 00:25:30,813 --> 00:25:34,008 I'd want to do an ECG but I'm worried about heart block. 494 00:25:34,216 --> 00:25:36,916 Talia's heart is blocked? From what? 495 00:25:37,569 --> 00:25:39,663 We don't know anything for sure. 496 00:25:40,054 --> 00:25:41,678 _ 497 00:25:41,921 --> 00:25:43,574 _ 498 00:25:44,068 --> 00:25:45,444 But she didn't tell me anything. 499 00:25:45,471 --> 00:25:48,177 - Because I didn't tell her. - Because you can't help her? 500 00:25:48,756 --> 00:25:50,785 We can give her antibiotics for an infection. 501 00:25:50,824 --> 00:25:52,713 But we don't have a pacemaker to keep her heart... 502 00:25:52,739 --> 00:25:55,601 Okay, so get one. You can call your fancy hospital, right? 503 00:25:55,788 --> 00:25:57,177 Bayan, it doesn't work like that. 504 00:25:57,210 --> 00:25:59,462 Well it should! You have to do something! 505 00:26:00,088 --> 00:26:02,221 I promise we'll find a way to help, okay? 506 00:26:05,179 --> 00:26:06,507 What? 507 00:26:07,679 --> 00:26:09,281 It doesn't work like that? 508 00:26:10,490 --> 00:26:13,210 You won't even try asking your colleagues? 509 00:26:13,236 --> 00:26:15,639 I can't just make a pacemaker fall off the supply shelf, 510 00:26:15,685 --> 00:26:17,739 - I'm still only a resident. - With a direct line you've used 511 00:26:17,752 --> 00:26:19,945 - for me more than once. - It's not the right solution. 512 00:26:20,004 --> 00:26:21,953 What's going on, Bashir? What's wrong? 513 00:26:22,026 --> 00:26:23,672 Why are you really here? 514 00:26:23,942 --> 00:26:25,430 I... 515 00:26:26,165 --> 00:26:27,985 I just don't want to get their hopes up. 516 00:26:28,926 --> 00:26:32,640 _ 517 00:26:34,076 --> 00:26:35,775 _ 518 00:26:47,896 --> 00:26:49,312 Hi, I'm Doctor Hunter. 519 00:26:49,351 --> 00:26:51,822 Um, I know you've been waiting a while, sir. 520 00:26:51,868 --> 00:26:53,824 Look, all I know is a million hours ago, 521 00:26:53,844 --> 00:26:55,760 they said they were waiting for a doctor to read me my tests. 522 00:26:55,780 --> 00:26:58,230 It's been hectic with the system glitches but fortunately, 523 00:26:58,256 --> 00:27:00,594 I was able to track down your results manually. 524 00:27:00,640 --> 00:27:02,391 So you can tell me why my heart was racing? 525 00:27:02,661 --> 00:27:04,440 My co-workers forced me to take an ambulance, 526 00:27:04,459 --> 00:27:06,606 saying I looked so pale and nauseous. 527 00:27:06,896 --> 00:27:09,147 They also said anything heart-related gets seen first, 528 00:27:09,167 --> 00:27:10,688 but that's clearly not true. 529 00:27:10,832 --> 00:27:14,019 Well, our neurologist looked over your EEG 530 00:27:14,038 --> 00:27:16,922 and your blood work and concluded that you have epilepsy. 531 00:27:19,003 --> 00:27:20,352 Epilepsy? 532 00:27:21,275 --> 00:27:23,474 - Oh, my God. - I know it may seem frightening 533 00:27:23,487 --> 00:27:26,398 but many people do live with the disease, it is manageable. 534 00:27:26,417 --> 00:27:28,011 Wait, doesn't that mean seizures? 535 00:27:28,208 --> 00:27:29,617 What does that have to do with my heart? 536 00:27:29,742 --> 00:27:31,830 Right, well uh, 537 00:27:33,068 --> 00:27:36,512 heart palpitations can be a marker of uh... 538 00:27:37,237 --> 00:27:38,817 Do you have somewhere else better to be? 539 00:27:38,870 --> 00:27:41,095 Uh no, sorry. I'm sorry, Mister Bertrand. 540 00:27:41,135 --> 00:27:45,644 - What we'll do is refer you to a specialist. - Braunstein. 541 00:27:46,230 --> 00:27:47,784 Bertrand's my first name. 542 00:27:48,910 --> 00:27:50,609 Your name isn't uh... 543 00:27:51,011 --> 00:27:54,520 - Shaun Bertrand? - No, man. My name's Bertrand Braunstein. 544 00:27:54,652 --> 00:27:58,603 - Did you just read me the wrong results?! - Ah, you, you... 545 00:27:59,294 --> 00:28:01,658 You got an EKG. Not an EEG. 546 00:28:01,704 --> 00:28:03,561 - What's the difference? - I mean the good news would be 547 00:28:03,567 --> 00:28:05,009 that your brain is fine. 548 00:28:05,160 --> 00:28:07,340 And uh, and your EKG's normal as well. 549 00:28:07,379 --> 00:28:09,690 I'm very sorry about this the mix-up. 550 00:28:09,696 --> 00:28:11,356 It's just, it's been a day. 551 00:28:11,922 --> 00:28:14,746 W-wait that's it?! I sat around here all night 552 00:28:14,779 --> 00:28:16,787 for you to tell me nothing happened? I felt something! 553 00:28:17,061 --> 00:28:20,666 Okay, but your blood work doesn't show any signs of an MI, 554 00:28:20,771 --> 00:28:25,479 so unless anything concrete showed up during the EKG, which it didn't, 555 00:28:25,697 --> 00:28:27,784 all we can do is recommend that you follow up with your GP. 556 00:28:27,817 --> 00:28:29,979 And I just go home praying that I don't die in my sleep? 557 00:28:30,457 --> 00:28:32,605 You really expect me to live with that uncertainty? 558 00:28:37,542 --> 00:28:39,682 So the teacher has endocarditis? 559 00:28:39,715 --> 00:28:42,686 - Roth spots, Janeway lesions? - Classic presentation. 560 00:28:42,719 --> 00:28:45,105 I'd have to confirm with echo but she could need pacing. 561 00:28:45,106 --> 00:28:47,755 - I was wondering what the odds are... - Slim to nil. 562 00:28:47,796 --> 00:28:50,315 There's no way an NGO could get their hands on a pacemaker? 563 00:28:50,414 --> 00:28:52,974 Well, maybe if you applied the right pressure, kept it up for weeks 564 00:28:53,007 --> 00:28:54,966 and gave up something else they don't have funding for? 565 00:28:54,982 --> 00:28:57,154 What about a hospital in Beirut? 566 00:28:57,212 --> 00:29:00,159 One might take her but only if an NGO foots the bill. 567 00:29:00,554 --> 00:29:02,237 So, same dance. 568 00:29:07,961 --> 00:29:10,396 How the hell did anyone keep track of patients before computers? 569 00:29:10,438 --> 00:29:12,627 Yeah, speaking of chaos, what would you say if I asked 570 00:29:12,644 --> 00:29:15,483 to borrow the C-Arm in Trauma OR for a non-acute injury? 571 00:29:15,631 --> 00:29:17,310 I'd say I just let you move in 572 00:29:17,318 --> 00:29:19,277 and you're already trying to get me fired? 573 00:29:19,689 --> 00:29:22,067 I know you were trying to tell me about this big meeting earlier 574 00:29:22,091 --> 00:29:23,984 - and I just wasn't... - Turns out it wasn't a meeting. 575 00:29:24,034 --> 00:29:26,141 Just a piece of performance art. 576 00:29:36,042 --> 00:29:37,672 Come on, Mags. 577 00:29:41,944 --> 00:29:43,194 What? 578 00:29:43,219 --> 00:29:44,676 I know she doesn't want to speak with me right now. 579 00:29:44,677 --> 00:29:46,124 Then why are you bothering her? 580 00:29:46,166 --> 00:29:48,610 - I need advice, heart patient. - Seriously? 581 00:29:48,659 --> 00:29:50,832 You just bailed on her to fly halfway around the world 582 00:29:50,853 --> 00:29:52,815 and she takes it in stride to create some distance 583 00:29:52,824 --> 00:29:54,182 and now you can't even let her have that? 584 00:29:54,239 --> 00:29:55,762 Call someone else. 585 00:30:01,827 --> 00:30:03,276 Yeah, that's not what I meant. 586 00:30:03,277 --> 00:30:05,761 Look. A 60-year-old woman with endocarditis, 587 00:30:05,801 --> 00:30:08,527 it could be causing a heart block. We have broad spectrum antibiotics 588 00:30:08,528 --> 00:30:09,936 but I can't get my hands on a pacemaker. 589 00:30:09,982 --> 00:30:11,871 It's a $30,000 piece of equipment. 590 00:30:12,029 --> 00:30:13,444 I was thinking I could stop gap 591 00:30:13,465 --> 00:30:15,151 with external pacing until it gets here. 592 00:30:15,203 --> 00:30:17,337 - What? - Externally pacing for more than 12 hours 593 00:30:17,350 --> 00:30:18,944 risks electrical burns. 594 00:30:19,023 --> 00:30:20,408 On the other hand, the body will view 595 00:30:20,440 --> 00:30:22,236 the intravenous pacer as a foreign object 596 00:30:22,269 --> 00:30:24,784 and it'll collect infection just like the heart valve. 597 00:30:25,239 --> 00:30:27,780 She probably needs surgical valve repair not pacing. 598 00:30:28,011 --> 00:30:31,164 - Did you get that? - Yeah. Yeah. I did. Thanks. 599 00:30:31,283 --> 00:30:33,712 - How is she? - Just don't do anything stupid over there. 600 00:30:33,719 --> 00:30:35,852 Hey I was trying to freeze him out for you! 601 00:30:35,905 --> 00:30:38,176 - You could've held the line. - Yeah, I can't let a stranger suffer, 602 00:30:38,177 --> 00:30:41,246 - I'm just incapable of that. - You're allowed to feel upset. 603 00:30:41,270 --> 00:30:44,003 Yeah and I am! I'm sad and hurt and confused. 604 00:30:44,036 --> 00:30:45,756 But it's not just all about him. 605 00:30:45,789 --> 00:30:50,061 Okay, so how do you process these feelings? 606 00:30:50,152 --> 00:30:53,164 Uh, lately? By talking it out with him. 607 00:30:53,181 --> 00:30:55,872 But since I can't do that, I guess... 608 00:30:55,971 --> 00:30:58,431 I'm right back at pouring it all into this place. 609 00:30:58,530 --> 00:31:02,671 - Why, how do you... ? - Oh I just push it all down until it rears up 610 00:31:02,691 --> 00:31:06,029 in destructive ways. Like letting you use the C-arm. 611 00:31:12,955 --> 00:31:14,654 I need help here! 612 00:31:15,576 --> 00:31:17,136 - She's not breathing. - Okay. 613 00:31:17,163 --> 00:31:19,381 Maybe she aspirated? Help me turn her. 614 00:31:19,440 --> 00:31:21,376 Yeah. One, two. 615 00:31:21,494 --> 00:31:24,194 Okay, I'll get something to suction. 616 00:31:24,550 --> 00:31:26,657 Did anybody see her choking? 617 00:31:27,999 --> 00:31:29,586 All right. 618 00:31:33,780 --> 00:31:35,498 Hold on, I think I... 619 00:31:43,293 --> 00:31:45,440 Says she was supposed to be sent to OR. 620 00:31:45,460 --> 00:31:47,903 - Did we lose track of her? - We have no way of knowing that. 621 00:31:48,363 --> 00:31:51,273 Doctor Devi, if it keeps on like this, someone is gonna die. 622 00:31:51,649 --> 00:31:53,453 Hey. 623 00:31:59,583 --> 00:32:01,249 Can I have your attention, please? 624 00:32:01,479 --> 00:32:04,540 Due to a systems failure beyond our control, 625 00:32:04,718 --> 00:32:06,872 effective immediately unless you're a patient 626 00:32:06,905 --> 00:32:09,387 requiring level one care, 627 00:32:09,525 --> 00:32:11,270 this department is closed. 628 00:32:12,738 --> 00:32:16,656 Our triage nurses will be going through who can stay, who should go, 629 00:32:16,978 --> 00:32:19,566 and they'll be handing out lists of the closest available 630 00:32:19,593 --> 00:32:21,311 EDs and clinics. 631 00:32:22,885 --> 00:32:25,137 Are we really closing to new patients? 632 00:32:25,189 --> 00:32:28,112 And sending less acute to other hospitals until our systems are back? 633 00:32:28,138 --> 00:32:30,740 IT is saying it could take all night to get our systems back online, 634 00:32:30,773 --> 00:32:32,702 call the other EDs let them know we're diverting. 635 00:32:32,722 --> 00:32:35,027 We're supposed to call them before we close. 636 00:32:35,916 --> 00:32:38,648 I'll do my best but, we're not the only ones with a bed shortage. 637 00:32:38,654 --> 00:32:41,182 Yet according to Olsen, this massive structural problem is on me. 638 00:32:41,215 --> 00:32:42,927 Are you even allowed to do what you just did? 639 00:32:42,967 --> 00:32:45,816 Claire, can you do another EKG on the guy in Exam room D? 640 00:32:45,856 --> 00:32:48,450 And if it's clear go ahead and discharge, I'll sign off later. 641 00:32:48,793 --> 00:32:51,176 I'm not saying that she should be doing my job for me, 642 00:32:51,196 --> 00:32:52,756 - it's just that... - No, you trust her judgment. 643 00:32:52,769 --> 00:32:54,903 And why should he wait hours for me 644 00:32:54,923 --> 00:32:56,081 when you can get him out sooner. 645 00:32:56,108 --> 00:32:58,939 Oh and it's Bertrand Braunstein. 646 00:32:58,985 --> 00:33:01,349 - Not Shaun Bertrand. - Okay. 647 00:33:01,414 --> 00:33:03,613 - He might have a point. - About my judgment? 648 00:33:03,652 --> 00:33:06,767 Claire, um how comfortable are you with the C-arm in Trauma OR? 649 00:33:06,774 --> 00:33:08,658 Because June says I can use it for Miss Callahan's knee 650 00:33:08,697 --> 00:33:10,482 but all the techs are busy and I'm like... 651 00:33:11,608 --> 00:33:14,037 If no help is coming, we help ourselves. 652 00:33:20,535 --> 00:33:21,958 Please. 653 00:33:27,500 --> 00:33:30,496 Bayan, I was wrong. Talia needs surgery. 654 00:33:30,536 --> 00:33:32,261 One that she can't get here. 655 00:33:32,728 --> 00:33:34,934 It has to be in a proper hospital. 656 00:33:35,006 --> 00:33:37,416 I'll advocate for resources to get her there. 657 00:33:38,311 --> 00:33:40,287 - Until then... - Good thing I'm not leaving. 658 00:33:40,356 --> 00:33:42,157 _ 659 00:33:42,177 --> 00:33:43,961 _ 660 00:33:44,528 --> 00:33:46,160 You should undo that. 661 00:33:46,588 --> 00:33:49,308 - Hey, there are others who can help. - Who? You? 662 00:33:49,617 --> 00:33:52,644 You will leave eventually. And if I don't stay, she could die. 663 00:33:56,568 --> 00:33:58,161 Okay... 664 00:33:59,623 --> 00:34:01,735 - It might take a minute. - Quick pinch. 665 00:34:01,742 --> 00:34:04,047 One, two, three. 666 00:34:06,509 --> 00:34:08,279 It's not right, skipping the line, 667 00:34:08,312 --> 00:34:11,012 I can still hear Audrey crying for help when I close my eyes. 668 00:34:11,032 --> 00:34:13,955 You need help too. The colour of the fluid does suggest infection. 669 00:34:14,133 --> 00:34:15,621 - Mags! - Yeah? 670 00:34:15,689 --> 00:34:17,069 I think you should... 671 00:34:20,093 --> 00:34:23,141 Lenore, you don't drink alcohol, do you? Or overuse painkillers? 672 00:34:23,240 --> 00:34:26,980 No alcohol. And I only use pain pills the way my doctor says, why? 673 00:34:27,382 --> 00:34:29,134 Well, there is scarring on your liver. 674 00:34:29,476 --> 00:34:31,853 My liver? I thought you were looking at my knee. 675 00:34:31,925 --> 00:34:35,269 Yeah, we checked a wider area given your lightheadedness and jaundice. 676 00:34:35,302 --> 00:34:38,285 Cirrhosis primarily comes from toxins but it can also come 677 00:34:38,318 --> 00:34:40,245 from the kind of mission work that you do. 678 00:34:40,504 --> 00:34:41,926 I'm not sure I follow. 679 00:34:42,380 --> 00:34:45,370 Well, we see hepatitis in unhoused communities, 680 00:34:45,666 --> 00:34:48,215 it is transmissible and it can cause loss of appetite, 681 00:34:48,234 --> 00:34:51,423 bruising and eventually liver injury. 682 00:34:51,428 --> 00:34:52,757 Can you treat it? 683 00:34:53,278 --> 00:34:55,417 Well, we'll need to do typing once our labs are up. 684 00:34:55,424 --> 00:34:57,130 But Lenore, for your liver to get this bad, 685 00:34:57,164 --> 00:34:59,408 it would have taken a long time. You doctor didn't notice anything? 686 00:34:59,414 --> 00:35:01,456 I mentioned some tiredness and bloating 687 00:35:01,475 --> 00:35:03,878 and she just told me to slow down but, you know it's not my... 688 00:35:03,902 --> 00:35:05,643 Incoming! Parking cop! 689 00:35:05,669 --> 00:35:08,013 Some guy snapped and ran him over on purpose. 690 00:35:08,177 --> 00:35:11,193 - Hello? - Doctor Novak, my patient needed an imaging 691 00:35:11,243 --> 00:35:12,957 and everything was backed up. We'll get out of your way. 692 00:35:12,996 --> 00:35:14,912 - Forget it, no time! - Trauma Bay's open. 693 00:35:14,952 --> 00:35:17,546 Thought we weaned you off this kind of excess, Leblanc. 694 00:35:17,850 --> 00:35:19,649 Will that man be okay? 695 00:35:19,916 --> 00:35:22,557 Your doctor should have caught this! You should file a complaint. 696 00:35:22,689 --> 00:35:24,987 She's busy and I didn't press it... 697 00:35:25,020 --> 00:35:26,666 Well, you should start since you can't rely on her. 698 00:35:26,692 --> 00:35:28,997 - I don't need to, I have God. - Lenore, 699 00:35:29,095 --> 00:35:30,978 isn't that kind of thinking what landed you here? 700 00:35:30,992 --> 00:35:33,421 - Mags! - I've devoted my whole life to Him 701 00:35:33,447 --> 00:35:36,240 - and I trust Him to take care of me too. - Yeah, except what if a life of service 702 00:35:36,279 --> 00:35:38,070 - isn't enough anymore? - Mags! 703 00:35:38,808 --> 00:35:40,184 I think you made your point. 704 00:35:47,282 --> 00:35:49,252 What happened to you either waiting at my place 705 00:35:49,265 --> 00:35:50,740 or going home to yours. 706 00:35:52,017 --> 00:35:53,817 I'm still married, Theo. 707 00:35:54,446 --> 00:35:56,659 As like, you're still legally married? 708 00:35:56,685 --> 00:35:58,899 - Because plenty of couples let that linger. - No. 709 00:36:00,630 --> 00:36:03,259 I mean, according to Jonathan, we're still together. 710 00:36:04,305 --> 00:36:06,339 Six months ago, you were telling people he moved out. 711 00:36:06,378 --> 00:36:07,839 Six months ago he did. 712 00:36:07,938 --> 00:36:09,321 And then he moved back, 713 00:36:09,373 --> 00:36:12,455 ostensibly because the cost of two households was bleeding us dry. 714 00:36:13,759 --> 00:36:16,629 But, full transparency, he also thinks we're working on it. 715 00:36:16,656 --> 00:36:18,183 Full transparency? 716 00:36:19,010 --> 00:36:21,100 Well, he thinks you're working on it because you are or... 717 00:36:21,126 --> 00:36:24,227 We sleep in separate rooms. We've been on a few dates... 718 00:36:24,253 --> 00:36:26,544 Liz, you guys have a kid, okay? 719 00:36:26,570 --> 00:36:28,084 I can't be the one who comes between that. 720 00:36:28,130 --> 00:36:30,500 Theo, I haven't done anything wrong here 721 00:36:31,613 --> 00:36:33,134 and neither have you. 722 00:36:34,990 --> 00:36:38,447 Does this change what you said earlier? 723 00:36:39,705 --> 00:36:41,595 Do you want to fix things with him? 724 00:36:43,596 --> 00:36:45,046 I don't know! 725 00:36:50,102 --> 00:36:51,767 You paged me up here, why? 726 00:36:52,208 --> 00:36:53,782 I couldn't take him to Trauma OR 727 00:36:53,810 --> 00:36:56,378 because of a woman with knee problems. 728 00:36:56,447 --> 00:36:58,924 And that is an act of compassion I understand that you sanctioned? 729 00:36:59,154 --> 00:37:02,434 Yeah, well your guy was stabilized and rushed into surgery, so? 730 00:37:02,435 --> 00:37:04,021 Okay, that's not my point. 731 00:37:04,073 --> 00:37:06,477 Then what is your point, that you get to use your gut and I don't? 732 00:37:07,563 --> 00:37:10,856 You do understand that we bill O-HIP like 733 00:37:10,974 --> 00:37:13,378 $5,000 a minute for Trauma OR, right? 734 00:37:13,397 --> 00:37:15,749 So maybe you should use my bursary blood to money to pay for that! 735 00:37:15,920 --> 00:37:17,928 Yeah, I'll even write you a check for the balance! 736 00:37:21,055 --> 00:37:23,545 Okay, June, I see that you are upset. 737 00:37:23,584 --> 00:37:26,731 And uh, to be honest I wasn't expecting it... 738 00:37:26,742 --> 00:37:28,910 You guys cooked up this fake position to try to pacify me 739 00:37:28,929 --> 00:37:30,596 and you made me feel like I shouldn't have even reported 740 00:37:30,609 --> 00:37:32,051 the stupid incident. 741 00:37:32,301 --> 00:37:34,415 Our timing was justifiably terrible, 742 00:37:34,750 --> 00:37:37,384 but Olsen approached me months ago about it and I wanted to wait 743 00:37:37,386 --> 00:37:39,201 until I was sure you liked working with me. 744 00:37:40,834 --> 00:37:42,494 Why can't you see this for what it is? 745 00:37:42,896 --> 00:37:44,864 It's a reflection of your ability. 746 00:37:50,660 --> 00:37:52,839 You're taking Talia home, to Douma? 747 00:37:53,148 --> 00:37:55,584 Yeah. As a Syrian, the hospitals will treat her. 748 00:37:55,604 --> 00:37:57,165 And she has a sister there. 749 00:37:57,461 --> 00:37:59,285 That area is regime controlled. 750 00:37:59,424 --> 00:38:00,938 I wouldn't even risk going there. 751 00:38:00,984 --> 00:38:02,874 I know that's why I'm asking to borrow your truck, I'll go... 752 00:38:02,910 --> 00:38:04,145 You could be arrested! 753 00:38:04,185 --> 00:38:06,647 If we try to help everybody, we help nobody. 754 00:38:06,687 --> 00:38:08,978 Look, I made a mess, this is the only way I know to fix it. 755 00:38:09,228 --> 00:38:12,290 Can't you just once stop taking everything on yourself! 756 00:38:14,562 --> 00:38:17,357 You say you're here for me? Why? 757 00:38:17,781 --> 00:38:19,756 To talk me out of leaving because you're worried 758 00:38:19,776 --> 00:38:21,488 - that I can't make my own life? - No, no, it's not... 759 00:38:21,534 --> 00:38:23,792 Look, you don't know what it's like... 760 00:38:24,036 --> 00:38:25,649 Being the one that left. 761 00:38:27,426 --> 00:38:29,135 Whatever part of you is missing, 762 00:38:29,296 --> 00:38:31,074 it's not in Douma, Bashir. 763 00:38:38,389 --> 00:38:40,601 You told me not to seek validation in their opinion of me 764 00:38:40,621 --> 00:38:42,543 but this is how this entire ecosystem is built. 765 00:38:42,761 --> 00:38:45,323 - Then you have to resist it. - Except every time I try, 766 00:38:45,349 --> 00:38:47,746 it's the same garbage cycle. Either people end up hating me 767 00:38:48,184 --> 00:38:50,366 - or they tell me not to help them! - So give up. 768 00:38:51,392 --> 00:38:52,954 Enough already, right? 769 00:38:54,019 --> 00:38:57,186 Right, like that's why you were on your roof. 770 00:38:58,239 --> 00:39:00,366 You don't care what happens to you, anymore? 771 00:39:01,264 --> 00:39:03,500 You know what? You wanna die so badly, fine! 772 00:39:04,401 --> 00:39:06,246 You know, we're not so different. 773 00:39:07,102 --> 00:39:09,835 I used to think the problem was everyone else, 774 00:39:10,678 --> 00:39:12,206 but the problem is me... 775 00:39:13,376 --> 00:39:14,846 Hating myself. 776 00:39:15,043 --> 00:39:16,933 Listen, I do not... 777 00:39:23,545 --> 00:39:25,210 It's not that I want to die. 778 00:39:25,632 --> 00:39:27,015 But I am. 779 00:39:27,429 --> 00:39:29,161 So if you really want to help me, 780 00:39:29,280 --> 00:39:31,876 you can distract me from that. Hm? 781 00:39:41,193 --> 00:39:44,362 Asthma attack admitted and stable. 782 00:39:44,420 --> 00:39:46,395 And the kid with the glass in his eye 783 00:39:46,409 --> 00:39:50,142 is waiting for ophthalmology who still insists he's on his way. 784 00:39:50,211 --> 00:39:51,646 Uh, sorry. 785 00:39:51,712 --> 00:39:54,921 You know anything about curtain five? Can't find the intake. 786 00:39:54,987 --> 00:39:58,650 Um, give me five seconds. I'm just gonna change an infusion in E first. 787 00:39:58,720 --> 00:40:01,086 Well, looks like we weathered the storm. 788 00:40:03,045 --> 00:40:05,506 You're going to take heat for closing those doors though. 789 00:40:05,515 --> 00:40:07,399 I am aware. 790 00:40:07,794 --> 00:40:11,630 But hey, Olsen was out of line before. 791 00:40:11,975 --> 00:40:14,814 Ah, the cavalry arrives after the battle is lost. 792 00:40:17,572 --> 00:40:19,398 Arnold you said five, right? 793 00:40:19,439 --> 00:40:21,019 Yes, Claire. It's five. 794 00:40:25,579 --> 00:40:27,949 - How's Mother Theresa? - She has hepatitis 795 00:40:27,990 --> 00:40:30,248 which wasn't caught for who knows how long. 796 00:40:30,262 --> 00:40:32,707 I hope we didn't screw you up with our little stunt thing. 797 00:40:32,756 --> 00:40:34,406 No. Actually, they tried to promote me. 798 00:40:34,445 --> 00:40:37,192 - What? - Help! Help! She's bleeding! 799 00:40:37,251 --> 00:40:38,924 Someone! Someone help! 800 00:40:40,030 --> 00:40:42,789 - Oh my God, it's Claire! It's Claire! - Call a code blue! 801 00:40:43,171 --> 00:40:46,226 Pulse is faint. Multiple stab wounds! 802 00:40:46,305 --> 00:40:48,418 - Gauze! Gauze! Gauze! - Now, Arnold! 803 00:40:49,866 --> 00:40:51,769 We need her in trauma OR now! 804 00:40:51,867 --> 00:40:53,830 - Move! - Did anybody see who did this? 805 00:40:53,863 --> 00:40:56,062 - Claire, can you hear us? - Got the board! 806 00:40:56,463 --> 00:41:00,098 Board roll on three. One, two, three. 807 00:41:00,328 --> 00:41:03,555 Lift on three. One, two, three. 808 00:41:07,512 --> 00:41:09,146 Out of the way, out of the way, out of the way. 809 00:41:09,212 --> 00:41:11,858 - We've got you, Claire. - Clear! Clear the way! 810 00:41:16,905 --> 00:41:20,476 I told her if she didn't leave, I won't accept any treatment. 811 00:41:21,121 --> 00:41:23,452 I'm not going to let her stay for me. 812 00:41:25,895 --> 00:41:27,798 Okay look, when I left home... 813 00:41:30,185 --> 00:41:31,723 I left with this weight, 814 00:41:32,447 --> 00:41:34,271 to live for those who couldn't. 815 00:41:36,885 --> 00:41:40,316 And if you make Bayan do the same, she'll have to carry it too. 816 00:41:43,397 --> 00:41:45,544 _ 817 00:41:55,203 --> 00:41:57,895 Doctor Garneau. Will you introduce me to the NGO reps? 818 00:41:57,928 --> 00:42:00,088 Talia needs resources and a trip to the hospital. 819 00:42:00,147 --> 00:42:02,366 They're coming to test the water chlorination. 820 00:42:02,867 --> 00:42:05,125 Those gastroenteritis cases I mentioned? 821 00:42:05,810 --> 00:42:07,745 They're looking more like cholera. 822 00:42:08,193 --> 00:42:09,655 An outbreak? Are you sure? 823 00:42:09,701 --> 00:42:11,702 I sent samples to the lab in Beirut. 824 00:42:11,768 --> 00:42:13,842 If I'm right, we'll know in a few days. 825 00:42:18,972 --> 00:42:21,559 There's a lot of fluid, likely organ perforation. 826 00:42:21,585 --> 00:42:22,645 - Which one? - C-arm. 827 00:42:22,685 --> 00:42:24,509 - Heart rate's rising. She's showing signs of shock. 828 00:42:24,568 --> 00:42:26,490 BP's on rapid decline. MTP? 829 00:42:26,523 --> 00:42:28,136 Yeah, let's hang as many units as we can. 830 00:42:28,156 --> 00:42:31,072 One gram TXA, we really need to figure out what organ got hit. 831 00:42:31,105 --> 00:42:35,266 Imaging confirms free fluid, spleen and right kidney. 832 00:42:35,325 --> 00:42:37,946 I need more gauze, I can't get a handle on this bleed. 833 00:42:37,985 --> 00:42:39,657 - What about her left? - She doesn't have one. 834 00:42:39,697 --> 00:42:42,996 - No left kidney? Claire only has one? - Does anyone know why? 835 00:42:43,041 --> 00:42:45,396 No. She doesn't really talk about personal stuff like that. 836 00:42:45,453 --> 00:42:48,046 - V-tach! - She's hemodynamically unstable. 837 00:42:48,087 --> 00:42:50,985 - Rhoda, crash cart! - We gotta to open her now, source the damage. 838 00:42:51,042 --> 00:42:52,902 Yeah, I'm going to start a central line. 839 00:42:53,363 --> 00:42:56,301 V-fib. She's in v-fib, we need to shock. 840 00:42:56,375 --> 00:42:58,169 Charge 200. 841 00:42:58,852 --> 00:43:00,663 Clear! 842 00:43:03,876 --> 00:43:08,876 - Synced and corrected by chamallow - - www.addic7ed.com -