1 00:00:01,055 --> 00:00:05,403 I want us rethinking our entire approach to patient interaction. 2 00:00:05,414 --> 00:00:06,934 And that means making some changes. 3 00:00:06,945 --> 00:00:09,014 I mean, according to Jonathan, we're still together. 4 00:00:09,695 --> 00:00:11,732 Six months ago, you were telling people he moved out. 5 00:00:11,743 --> 00:00:13,699 - Six months ago, he did. - This kind of bruising 6 00:00:13,710 --> 00:00:16,816 is often evident of sexual assault. 7 00:00:16,883 --> 00:00:18,118 I don't want your help. 8 00:00:18,129 --> 00:00:20,100 Did you get her consent to report? 9 00:00:20,111 --> 00:00:22,911 And until that's resolved, Theo, I'm sorry, 10 00:00:22,922 --> 00:00:25,058 but we're revoking your privileges. 11 00:00:25,578 --> 00:00:28,795 I feel things, Mags, more than I want to. 12 00:00:29,072 --> 00:00:31,247 You could come and stay with me. 13 00:00:31,565 --> 00:00:33,166 I know I put a lot of pressure on you to be a mentor to me, 14 00:00:33,233 --> 00:00:35,159 and maybe in some ways that you didn't wanna be. 15 00:00:35,170 --> 00:00:38,088 Debbie's head's on the chopping block. Now I hear that you propose 16 00:00:38,099 --> 00:00:40,508 a reshuffle in which you report to her instead of me. 17 00:00:40,519 --> 00:00:41,608 You're the one who told me to build 18 00:00:41,618 --> 00:00:42,688 a relationship with her, earn capital. 19 00:00:42,699 --> 00:00:45,626 I just can't keep tying my self-worth to your opinion. 20 00:00:45,637 --> 00:00:48,940 Oh, just in time because I don't know if I like you anymore. 21 00:00:48,951 --> 00:00:50,873 - Oh my God. It's Claire. - Out of the way! 22 00:00:50,884 --> 00:00:53,019 - Out of the way! Out of the way! - Clear! 23 00:00:53,819 --> 00:00:56,614 When I think about who else he might be out there hurting. 24 00:00:56,625 --> 00:00:59,454 Your heart is dilating and ejection fraction is decreasing. 25 00:00:59,465 --> 00:01:01,884 If we don't deal with it, eventually, we're on the road to heart failure. 26 00:01:02,168 --> 00:01:04,751 Are you about to tell me that I need a heart transplant? 27 00:01:04,762 --> 00:01:07,790 - You can talk to me. - Only I can't. 28 00:01:07,801 --> 00:01:09,269 And I'm alone with that. 29 00:01:09,666 --> 00:01:11,335 I haven't always been this way. 30 00:01:11,346 --> 00:01:13,083 - I think we should end this. - Mags. 31 00:01:13,440 --> 00:01:16,598 I mean, it's become clear to me that it isn't what either of us needs. 32 00:01:16,609 --> 00:01:20,462 _ 33 00:01:20,473 --> 00:01:21,722 _ 34 00:01:21,848 --> 00:01:24,317 You're at the beginning of something, Bashir. 35 00:01:28,780 --> 00:01:30,582 Don't look away. 36 00:02:06,229 --> 00:02:07,295 _ 37 00:02:08,414 --> 00:02:10,184 _ 38 00:02:17,585 --> 00:02:18,671 _ 39 00:02:18,682 --> 00:02:20,131 _ 40 00:02:27,131 --> 00:02:29,138 _ 41 00:02:29,149 --> 00:02:30,344 _ 42 00:02:30,355 --> 00:02:31,708 _ 43 00:02:32,976 --> 00:02:34,076 _ 44 00:02:38,182 --> 00:02:40,723 _ 45 00:02:52,201 --> 00:02:53,361 _ 46 00:02:55,844 --> 00:02:57,284 _ 47 00:02:58,110 --> 00:02:59,670 _ 48 00:02:59,681 --> 00:03:00,830 _ 49 00:03:04,017 --> 00:03:05,652 Bashir! 50 00:03:38,977 --> 00:03:43,977 - Synced and corrected by naFraC - - www.addic7ed.com - 51 00:03:51,533 --> 00:03:55,524 My surgical residents are no longer residents. 52 00:03:56,576 --> 00:03:59,861 Take a moment and reflect and how you got here. 53 00:04:00,457 --> 00:04:02,664 Somehow, despite everything thrown at you 54 00:04:02,675 --> 00:04:04,744 over the last few years, you made it to shore. 55 00:04:04,811 --> 00:04:07,620 So, take these words... 56 00:04:07,631 --> 00:04:09,438 - Hi. - Hi. 57 00:04:09,863 --> 00:04:12,666 Real doctors never stop learning, 58 00:04:12,954 --> 00:04:14,751 so don't let the power go to your heads. 59 00:04:18,596 --> 00:04:20,363 June's a real doctor. 60 00:04:20,549 --> 00:04:22,076 Next year, that'll be us. 61 00:04:22,087 --> 00:04:24,575 Did you apply for one of the emergency medicine fellowships? 62 00:04:24,586 --> 00:04:26,221 I was gonna remind you but... 63 00:04:26,270 --> 00:04:27,638 There's four spots open. 64 00:04:27,649 --> 00:04:30,352 Um... I think we're both in pretty good shape. 65 00:04:30,596 --> 00:04:32,865 Mm-hmm. Yeah. 66 00:04:35,993 --> 00:04:41,072 So, that sorry display make you wish you'd stuck it out with surgery? 67 00:04:41,083 --> 00:04:43,753 No offence but no. 68 00:04:44,111 --> 00:04:45,733 I guess you didn't have to come. Singh didn't even bother. 69 00:04:45,744 --> 00:04:48,447 Congratulations, Dr. Curtis. How does it feel? 70 00:04:50,649 --> 00:04:52,332 Back to work, guys. 71 00:04:52,343 --> 00:04:55,213 Double Trauma flying in. Double Trauma flying in. 72 00:04:55,872 --> 00:04:59,267 All available emergency personnel to the helipad. 73 00:04:59,278 --> 00:05:02,549 All available emergency personnel to the helipad. 74 00:05:03,448 --> 00:05:07,165 Double Trauma flying in. Double Trauma flying in. 75 00:05:11,378 --> 00:05:13,572 - What happened to them? - We pulled them out of Algonquin Park 76 00:05:13,583 --> 00:05:14,985 at the base of some tough terrain. 77 00:05:14,996 --> 00:05:17,298 Male, guessing about 50 years old. 78 00:05:17,756 --> 00:05:20,291 Sir. I'm Dr. Hamed. Can you tell me your name? 79 00:05:20,388 --> 00:05:22,090 She's my responsibility... 80 00:05:22,101 --> 00:05:23,911 More or less all he's been saying. He's still in shock. 81 00:05:23,922 --> 00:05:27,041 - Name or ID? - John Doe for now. BP's 95/75. 82 00:05:27,052 --> 00:05:31,089 02's 95, pulse 110. GCS 12, temp's 34. 83 00:05:31,100 --> 00:05:32,635 They both have hypothermia, but she has it worse. 84 00:05:32,646 --> 00:05:34,848 When we found them, he was trying to keep her warm. 85 00:05:35,612 --> 00:05:37,732 - Any idea what happened here? - To his foot? No. 86 00:05:37,743 --> 00:05:39,720 But hikers getting in over their heads isn't anything new. 87 00:05:39,731 --> 00:05:42,911 - Okay. He tied his own tourniquet. - Either that, or the girl did it. 88 00:05:42,922 --> 00:05:45,632 No name on her either, she looks about 20. 89 00:05:45,643 --> 00:05:50,548 She's 19. Is that your daughter? Can you tell me her name? 90 00:05:51,405 --> 00:05:53,478 I need to... 91 00:05:53,489 --> 00:05:55,257 I need to get to her? 92 00:05:55,268 --> 00:05:59,072 I need to get to her. 93 00:05:59,083 --> 00:06:01,252 I need to get to her. 94 00:06:02,954 --> 00:06:04,123 _ 95 00:06:04,134 --> 00:06:05,216 _ 96 00:06:05,227 --> 00:06:06,480 _ 97 00:06:14,959 --> 00:06:16,494 Dr. Leblanc, I really need you. 98 00:06:16,601 --> 00:06:18,236 My patient got very upset when I called for psych... 99 00:06:18,247 --> 00:06:19,816 - Can it wait? - I've got this, Mags. 100 00:06:19,827 --> 00:06:21,529 Here we go, folks. I want them both on monitors, 101 00:06:21,540 --> 00:06:23,271 warmed saline, no wet clothes. 102 00:06:23,282 --> 00:06:25,689 Tag him, screen him and tell the blood bank to stand by. 103 00:06:25,700 --> 00:06:29,182 Antibiotics, tazo 4.5 grams. 104 00:06:29,193 --> 00:06:31,462 Bash, call vascular, we need them down here immediately. 105 00:06:31,729 --> 00:06:33,606 Nothing happens until they get here. 106 00:06:33,617 --> 00:06:35,246 In the meantime, let's keep him stable, people. 107 00:06:35,260 --> 00:06:37,432 I'll page vascular. I have a situation in two. 108 00:06:37,443 --> 00:06:39,512 - A resident upset a patient. - I should probably stick 109 00:06:39,523 --> 00:06:41,158 - with June... - I got this. 110 00:06:48,963 --> 00:06:50,365 Hey. I can't really talk. 111 00:06:50,376 --> 00:06:52,333 Have you had any patients looking for scrip refills 112 00:06:52,344 --> 00:06:54,713 try to tell you their family doctor is retired? 113 00:06:55,322 --> 00:06:56,886 Uh, I don't know? Maybe. 114 00:06:56,897 --> 00:06:58,580 I've had like, three in the last week alone. 115 00:06:58,591 --> 00:07:00,982 Makes sense, there's a huge GP crisis right now. 116 00:07:00,993 --> 00:07:02,906 Most of the virtual patients I've been seeing 117 00:07:02,917 --> 00:07:04,641 have been on a wait list for months. 118 00:07:04,652 --> 00:07:07,256 Which makes it hard to know who's just drug seeking. 119 00:07:07,267 --> 00:07:10,937 - Yeah. No doubt but... - And no one is doing a thing about the problem! 120 00:07:11,535 --> 00:07:13,947 Hey. At least this virtual walk-in's keeping you busy 121 00:07:13,958 --> 00:07:15,374 until you hear about your status. 122 00:07:15,385 --> 00:07:17,482 Yeah, that's actually why I'm calling. 123 00:07:17,493 --> 00:07:20,680 Even if the College doesn't suspend or revoke my license, 124 00:07:20,691 --> 00:07:22,893 I need to convince Memorial to reinstate my privileges. 125 00:07:23,252 --> 00:07:26,588 Which means I need to see my chart notes from that day. 126 00:07:27,392 --> 00:07:31,117 Uh, you mean from that woman who says you breached her confidence? 127 00:07:31,128 --> 00:07:34,627 I knew it was complicated. I reported her sexual assault 128 00:07:34,983 --> 00:07:36,640 because she was too afraid to ask, 129 00:07:36,763 --> 00:07:38,231 but she implied she wanted my help. 130 00:07:38,707 --> 00:07:42,479 But after a month in limbo, I just need to see them. 131 00:07:43,185 --> 00:07:45,112 Theo, am I even allowed to do that? 132 00:07:45,123 --> 00:07:48,040 They're my notes. Memorial was supposed to send them weeks ago. 133 00:07:48,316 --> 00:07:50,886 Busy today? 134 00:07:50,897 --> 00:07:53,757 Uh yeah. Chopper brought in a guy who lost his foot. 135 00:07:54,043 --> 00:07:57,450 Buckets of blood in trauma bay. Never thought I'd miss that part. 136 00:07:58,370 --> 00:08:00,345 It can slip away so fast. 137 00:08:01,224 --> 00:08:03,186 Yeah, hey, Theo, I really should... 138 00:08:03,197 --> 00:08:05,802 No, yeah. Don't let me keep you. 139 00:08:05,813 --> 00:08:07,982 - Yeah. - Bye. 140 00:08:11,475 --> 00:08:13,366 Hi. I'm Bashir. How are you, Linus? 141 00:08:13,377 --> 00:08:16,247 Not trying to off myself, which is what your resident accused me of. 142 00:08:16,588 --> 00:08:19,705 I came in because I had this gut feeling I was dying. 143 00:08:20,387 --> 00:08:22,123 But that kid missed all the nuances! 144 00:08:22,134 --> 00:08:24,410 Okay. Why don't you try some of them out on me? 145 00:08:24,421 --> 00:08:30,325 It came on last night. This... pit in my stomach, this... certainty. 146 00:08:30,505 --> 00:08:32,429 What were you doing when it happened? 147 00:08:32,611 --> 00:08:34,613 Uh. My girlfriend and I were... 148 00:08:34,870 --> 00:08:37,723 Well, we just got back together so we were... you know. 149 00:08:38,166 --> 00:08:39,420 Making up. 150 00:08:39,431 --> 00:08:41,600 Not exactly something you say during sex... 151 00:08:42,356 --> 00:08:43,930 And this feeling... 152 00:08:44,343 --> 00:08:45,976 I tried to ignore it, but it got so strong 153 00:08:45,987 --> 00:08:47,124 that as soon as she left my place 154 00:08:47,135 --> 00:08:49,660 I found myself driving here. I know how this sounds. 155 00:08:49,671 --> 00:08:51,116 No, no. It's a good thing that you came here. 156 00:08:51,127 --> 00:08:52,895 Everything that you're describing can be a signal 157 00:08:52,906 --> 00:08:54,193 from the body that something's wrong, 158 00:08:54,204 --> 00:08:56,033 which is why we ran so many tests. 159 00:08:56,044 --> 00:08:57,404 Deep breath. 160 00:09:03,615 --> 00:09:05,784 The kid said I had to see a psychiatrist. 161 00:09:06,139 --> 00:09:07,620 I'm not going to hurt myself, man. 162 00:09:08,090 --> 00:09:10,188 I'm here because this scared the crap out of me! 163 00:09:10,199 --> 00:09:12,622 And you said you just got back with your ex? 164 00:09:12,633 --> 00:09:16,629 Yes! Life is good, or at least, more good than bad. 165 00:09:17,983 --> 00:09:20,312 Look, all your labs are good. 166 00:09:20,323 --> 00:09:22,413 Your ECG, blood pressure too. 167 00:09:22,424 --> 00:09:24,648 We ran blood sugars, everything is fine. 168 00:09:24,659 --> 00:09:27,077 So why does everything in my being tell me it's not? 169 00:09:27,088 --> 00:09:30,058 Based on the data we have, there's nothing for us to actually treat. 170 00:09:30,486 --> 00:09:32,835 But if you would like to stick around and 171 00:09:32,845 --> 00:09:34,780 speak to somebody from psych about anxiety, 172 00:09:34,791 --> 00:09:36,460 it might be worthwhile, or... 173 00:09:36,526 --> 00:09:38,095 I can tell myself nothing's wrong 174 00:09:38,106 --> 00:09:40,042 and try to actually believe it. 175 00:09:44,876 --> 00:09:48,179 - Hey. - Why did you text me 45 times? 176 00:09:48,190 --> 00:09:50,039 It was like twice. 177 00:09:50,050 --> 00:09:51,564 I just wanted to make sure you're okay. 178 00:09:52,134 --> 00:09:54,663 - Sorry I'm working all weekend. - Don't worry about it. 179 00:09:54,674 --> 00:09:58,023 - I was wondering if... - I should be home by 7:00, 180 00:09:58,034 --> 00:09:59,660 you still want to go to that Italian place? 181 00:09:59,671 --> 00:10:01,173 Can I tell you later? 182 00:10:01,184 --> 00:10:04,092 - What? You have a better option? - My friends are talking about a movie. 183 00:10:04,103 --> 00:10:07,249 - Can I take the bus home? - At night? 184 00:10:07,260 --> 00:10:10,588 - Or you could pay for an Uber? - That's never less than $30. 185 00:10:10,599 --> 00:10:12,284 Yeah, but if we went to that Italian place, 186 00:10:12,295 --> 00:10:13,697 it'd be way more than $30. 187 00:10:13,764 --> 00:10:16,400 Yeah, but at least I get lasagna out of that deal. 188 00:10:16,598 --> 00:10:19,258 You're not funny. 189 00:10:19,736 --> 00:10:22,265 Uh, just let me know about later, okay? 190 00:10:22,276 --> 00:10:24,289 Please, bye. 191 00:10:25,184 --> 00:10:26,766 She needs my help, she needs my help! 192 00:10:26,777 --> 00:10:29,180 - Calm down. - Why isn't June here? 193 00:10:29,191 --> 00:10:31,626 - She sent in Mags. - And told me to reduce the shoulder. 194 00:10:31,844 --> 00:10:34,313 - He's cauterized. - Looks good. 195 00:10:34,324 --> 00:10:36,253 - Okay. - Still won't tell us his name, 196 00:10:36,264 --> 00:10:38,232 and his temp keeps ticking up. 197 00:10:38,243 --> 00:10:40,746 When he came in, he was low. Ultrasound. 198 00:10:41,443 --> 00:10:42,515 He's at 40 now. 199 00:10:42,526 --> 00:10:44,439 - Stabilizer, Arnold. - One second. 200 00:10:44,450 --> 00:10:47,173 Pressure's 95/75. Resps are at 30. 201 00:10:47,184 --> 00:10:49,566 - He could be septic. - June debrided the dead tissue. 202 00:10:49,688 --> 00:10:52,224 Without the distal limb for replantation, 203 00:10:52,235 --> 00:10:53,970 there's no need for immediate surgery. 204 00:10:54,093 --> 00:10:55,528 Sir, can you tell us what happened? 205 00:10:55,539 --> 00:10:58,130 Something's wrong with her! Okay? 206 00:10:58,763 --> 00:11:01,465 You're going to be okay. Alright? You're safe now. 207 00:11:01,476 --> 00:11:03,469 Both you and your daughter. Try to relax. 208 00:11:03,480 --> 00:11:06,750 She's not my daughter. I'm the reason that we were out there. 209 00:11:07,887 --> 00:11:09,069 Okay? 210 00:11:09,080 --> 00:11:10,810 It's very important that you tell us what happened 211 00:11:10,821 --> 00:11:12,375 to your foot so we can treat it. 212 00:11:12,386 --> 00:11:13,794 What do you remember from what happened? 213 00:11:13,805 --> 00:11:15,874 The teeth. I can still feel the teeth. 214 00:11:17,250 --> 00:11:20,186 It's dense forest they were in. Coyotes, wolves, maybe even bears. 215 00:11:20,215 --> 00:11:22,966 Something attacked them and he threw himself in harm's way to save her. 216 00:11:22,977 --> 00:11:24,945 - Pressure's dropping. - She's not my daughter. 217 00:11:24,956 --> 00:11:28,568 DVT from trauma. There's a clot formed right here behind the knee. 218 00:11:28,579 --> 00:11:30,440 - Someone get June. - I'll go. 219 00:11:30,993 --> 00:11:32,889 90 over 70 now. Thrombolitics? 220 00:11:32,900 --> 00:11:34,233 Not with his bleeding. Start with heparin. 221 00:11:34,244 --> 00:11:36,580 We need to get the clot before it moves to his lungs. 222 00:11:36,845 --> 00:11:39,783 You okay? 223 00:11:39,905 --> 00:11:42,095 Susan! Susan! 224 00:11:42,781 --> 00:11:45,344 - Sir, you need to stay still. - No, please. She needs my help! 225 00:11:45,355 --> 00:11:48,181 - IM lorazepam 4mg STAT. - No. Don't sedate her just yet, 226 00:11:48,192 --> 00:11:49,880 - she needs to know he's okay. - Bash, listen to me! 227 00:11:49,891 --> 00:11:51,674 You wait and you listen to me. 228 00:11:51,685 --> 00:11:53,211 Susan, Susan, you're gonna be okay. 229 00:11:53,222 --> 00:11:55,191 Bash! 230 00:12:35,802 --> 00:12:38,542 Every day is full of "life and death" choices. 231 00:12:38,929 --> 00:12:40,833 Somehow, despite everything thrown at you 232 00:12:40,844 --> 00:12:43,480 over the last few years, you made it to shore. 233 00:12:43,810 --> 00:12:46,316 But things won't get easier from here. 234 00:12:46,533 --> 00:12:47,533 - Hi. - Hi. 235 00:12:47,544 --> 00:12:49,672 So don't let your guards down. Hmm? 236 00:12:55,819 --> 00:12:57,485 June's a real doctor. 237 00:12:57,496 --> 00:12:59,197 Next year, that'll be us. 238 00:12:59,312 --> 00:13:01,712 Did you apply for one of the emergency medicine fellowships? 239 00:13:01,723 --> 00:13:04,459 I was gonna remind you. There's four spots open, but... 240 00:13:04,470 --> 00:13:06,633 - You didn't. - Yeah. 241 00:13:06,644 --> 00:13:09,233 Um, I think we're both in pretty good shape. 242 00:13:09,391 --> 00:13:11,092 Mm-hmm. 243 00:13:15,699 --> 00:13:19,070 All available emergency personnel to the helipad. 244 00:13:19,081 --> 00:13:22,818 All available emergency personnel to the helipad. 245 00:13:23,353 --> 00:13:26,946 Double Trauma flying in. Double Trauma flying in. 246 00:13:30,240 --> 00:13:32,489 - What have we got? - Jane Doe. 247 00:13:32,500 --> 00:13:34,965 Guessing 20s. GCS 9. Resps 11. 248 00:13:35,755 --> 00:13:38,235 Her rhythm's erratic and she has a dislocated left shoulder. 249 00:13:38,357 --> 00:13:39,725 Has she been out the whole time? 250 00:13:39,736 --> 00:13:41,838 Yeah. Her temperature's hovering at 33, 251 00:13:41,849 --> 00:13:43,684 even with the warming blankets. 252 00:13:43,862 --> 00:13:45,297 Was she naked when you found her? 253 00:13:45,308 --> 00:13:47,244 They would've had to trudge through a cold river. 254 00:13:47,310 --> 00:13:49,732 Getting out of wet clothes is the first thing you do for hypothermia. 255 00:13:49,743 --> 00:13:51,444 So at least they got that right. 256 00:13:52,498 --> 00:13:55,724 - Any head or spine injury? - Possibly, but no obvious signs 257 00:13:55,735 --> 00:13:58,455 of trauma to indicate either. We collared and boarded to be safe. 258 00:13:59,103 --> 00:14:01,291 I can't feel a radial pulse. Did she crash en route? 259 00:14:01,358 --> 00:14:04,208 Got one. Thready but there. Her rhythm spiked once, 260 00:14:04,219 --> 00:14:05,470 but we chalked it up to the hypothermia. 261 00:14:05,481 --> 00:14:08,551 Maybe her shoulder injury caused a vascular injury. June! 262 00:14:10,457 --> 00:14:12,191 There could be many reasons why her pulse is weak and... 263 00:14:12,202 --> 00:14:14,638 Dr. Leblanc, I really need you. My patient got very upset... 264 00:14:14,649 --> 00:14:16,518 - Can it wait? - I got this, Mags. 265 00:14:17,182 --> 00:14:19,317 - Okay. Start from the top. - Male, 50s. 266 00:14:19,328 --> 00:14:21,811 No. Remember what I told you? Use names. He's a human being. 267 00:14:21,822 --> 00:14:25,203 Yeah, right. Um, Linus. I can't actually remember his last name. 268 00:14:25,214 --> 00:14:27,216 - I can go grab... - Carmen. 269 00:14:27,227 --> 00:14:30,230 He came in insisting he's about to die, but can't explain why. 270 00:14:30,241 --> 00:14:31,744 That can be a warning from the body. 271 00:14:31,811 --> 00:14:35,047 - Um, how is he, physically? - That's the thing! He's fine! 272 00:14:35,328 --> 00:14:37,515 I tried to get him to consent to a psych eval, 273 00:14:37,526 --> 00:14:39,295 - but he wouldn't... - So you called them anyway? 274 00:14:39,569 --> 00:14:42,588 Did you ask him about him first? What's going on in his life? 275 00:14:42,599 --> 00:14:43,867 I tried! He stopped talking! 276 00:14:43,989 --> 00:14:46,378 I mean, what if he's manic or borderline 277 00:14:46,389 --> 00:14:48,487 - or having paranoid delusions. - If your instinct is to call 278 00:14:48,498 --> 00:14:50,528 for a psych eval, I respect that, but you need to take a breath, 279 00:14:50,539 --> 00:14:52,842 or your fear is gonna cloud your own view. 280 00:14:52,853 --> 00:14:55,060 - Okay. - Anyway, I need you to go sit on Jane Doe, 281 00:14:55,070 --> 00:14:56,170 just flew in from chopper... 282 00:14:56,181 --> 00:14:57,672 You're taking me off? Because I screwed up? 283 00:14:57,683 --> 00:14:59,471 No, Carmen, we've already moved on. Jane Doe. 284 00:14:59,482 --> 00:15:01,051 Dislocated shoulder, no radial pulse. 285 00:15:01,062 --> 00:15:04,974 - What does that tell you? - Uh, that the injury impacted her axillary artery. 286 00:15:04,985 --> 00:15:06,912 - Is she going to lose the arm? - Not if we stay on top of it. 287 00:15:06,923 --> 00:15:09,926 But the guy she came in with is missing a foot, so he'll take priority. 288 00:15:09,993 --> 00:15:11,992 - And if Dr. Curtis kicks me out? - You wait at the door 289 00:15:12,003 --> 00:15:13,311 and you make sure the vascular checks her out. 290 00:15:13,322 --> 00:15:14,711 And also, get June to order trops. 291 00:15:14,722 --> 00:15:16,524 - I'll try. - Dr. Viri, hi. 292 00:15:16,535 --> 00:15:19,470 Hi, Mags. A patient of mine with valve dysfunction 293 00:15:19,481 --> 00:15:22,261 just came in via ambulance then texted me to... 294 00:15:22,272 --> 00:15:23,940 Strong arm her through ED chaos? 295 00:15:24,389 --> 00:15:26,732 Actually I was going to call you. 296 00:15:26,926 --> 00:15:29,368 Do you have time to chat later? I have news. 297 00:15:29,567 --> 00:15:31,135 News that you can't tell me now? 298 00:15:31,296 --> 00:15:33,650 It's better in private. You could swing by or call. 299 00:15:33,773 --> 00:15:35,309 I have time now? 300 00:15:36,121 --> 00:15:41,442 Your lounge is nice. Doesn't reek of popcorn like ours does. 301 00:15:43,047 --> 00:15:45,475 The organ donor board has made a decision. 302 00:15:45,486 --> 00:15:48,923 Your application's accepted. You're on the list for a heart. 303 00:15:51,360 --> 00:15:52,861 Already? 304 00:15:53,081 --> 00:15:58,362 That's... You said I'd have time before. Six months, even. 305 00:15:58,373 --> 00:16:01,120 And you hoped you could avoid thinking about this until then, 306 00:16:01,131 --> 00:16:03,667 but they agreed you need one. 307 00:16:04,374 --> 00:16:06,677 This needs to be back on your radar. 308 00:16:07,049 --> 00:16:12,188 Something like this isn't "on" your radar, it's all of your radar. 309 00:16:13,367 --> 00:16:15,669 If it helps, you're only status one. 310 00:16:15,680 --> 00:16:17,916 The lowest priority. 311 00:16:17,927 --> 00:16:21,097 So it'll take time, if ever. 312 00:16:21,108 --> 00:16:23,510 Though there are many intersecting variables. 313 00:16:23,744 --> 00:16:27,148 - Matching, location. - Okay. 314 00:16:27,436 --> 00:16:29,176 So what happens next? 315 00:16:29,187 --> 00:16:31,155 You'll hear from a transplant nurse, 316 00:16:31,166 --> 00:16:33,135 keep them advised if you plan to travel. 317 00:16:33,526 --> 00:16:37,330 If a heart does come, you won't have long to accept and prep. 318 00:16:40,554 --> 00:16:44,153 I know it's a lot, just... start letting your brain marinate 319 00:16:44,164 --> 00:16:46,499 on what you'll do if and when that happens. 320 00:16:49,657 --> 00:16:52,259 Go if you need to. 321 00:16:52,949 --> 00:16:54,864 Will anyone mind if I steal some coffee? 322 00:16:54,875 --> 00:16:57,645 - No. Do you want me to... - I'm good. 323 00:16:57,777 --> 00:17:01,081 Mags. Congratulations. 324 00:17:01,615 --> 00:17:03,250 Some people never get this far. 325 00:17:09,729 --> 00:17:12,532 - Who were you talking to? - I didn't say anything. 326 00:17:12,676 --> 00:17:14,407 It's a good thing I found you. I need bodies in there. 327 00:17:14,418 --> 00:17:15,936 You told me to go, you said you had it covered. 328 00:17:15,947 --> 00:17:17,315 Apparently, you didn't believe me since you sent 329 00:17:17,326 --> 00:17:18,832 your resident in to annoy me to death with requests. 330 00:17:18,843 --> 00:17:20,278 One request! I didn't want Jane Doe's 331 00:17:20,289 --> 00:17:22,725 - vascular injury to get missed. - Doesn't have one. 332 00:17:23,887 --> 00:17:25,722 Imaging and vascular both confirmed 333 00:17:25,733 --> 00:17:27,501 anterior shoulder dislocation, it popped out clean. 334 00:17:27,512 --> 00:17:29,677 - And about the trops you were pushing for. - You didn't order them. 335 00:17:29,743 --> 00:17:31,082 I did. I just think it was pointless. 336 00:17:31,093 --> 00:17:32,806 Pointless? We don't even know what really happened out there. 337 00:17:32,817 --> 00:17:34,285 - Did she come to at all? - No, not yet. 338 00:17:34,296 --> 00:17:36,893 - What about him? What'd he say? - Not much. He's still unstable. 339 00:17:36,904 --> 00:17:39,429 - Did you even try to ask him? - Mags, I have been trying 340 00:17:39,440 --> 00:17:41,146 to fend off both bosses and residents. So no. 341 00:17:41,157 --> 00:17:42,505 Yeah, we all have stuff going on! 342 00:17:42,516 --> 00:17:44,634 Look, if you want answers, go find them yourself! 343 00:17:44,645 --> 00:17:46,481 And reduce her shoulder while you're at it! 344 00:17:47,287 --> 00:17:48,756 Fine! 345 00:17:49,056 --> 00:17:51,491 Maybe when the propofol wears off, she'll come to. 346 00:17:51,502 --> 00:17:52,870 Push ketamine. 347 00:17:53,347 --> 00:17:55,777 Resp rate still low. Keeping eyes on the monitor. 348 00:17:55,788 --> 00:17:57,423 - Where's June? - She sent in Mags. 349 00:17:57,434 --> 00:17:59,870 And told me to reduce the shoulder. Claire? 350 00:18:00,147 --> 00:18:02,549 Looks good. 351 00:18:03,176 --> 00:18:04,511 Okay. 352 00:18:04,522 --> 00:18:06,569 - Stabilizer, Arnold? - One second. 353 00:18:06,580 --> 00:18:08,416 It's okay, I got it. 354 00:18:10,930 --> 00:18:12,586 Rhythm's still off. 355 00:18:14,488 --> 00:18:15,923 Okay, so something attacked them 356 00:18:15,934 --> 00:18:18,336 and he threw himself in harm's way to try and protect her. 357 00:18:18,459 --> 00:18:19,926 See the scrapes on her fingers? 358 00:18:19,937 --> 00:18:22,140 And the bruising on her hand? She definitely put up a fight. 359 00:18:24,310 --> 00:18:25,978 Her trops are back, and they are high. 360 00:18:25,989 --> 00:18:27,572 Radial pulse still weak. 361 00:18:27,583 --> 00:18:29,518 Yeah, because there's something wrong with her heart. 362 00:18:30,022 --> 00:18:31,662 She's not my daughter. 363 00:18:33,663 --> 00:18:35,465 Her resp rate just jumped. 364 00:18:35,841 --> 00:18:39,080 - He's 50, she's 20... - She was found naked... 365 00:18:41,051 --> 00:18:42,651 A burst of adrenaline. A fear response. 366 00:18:42,662 --> 00:18:44,664 Could mimic myopathy. We're gonna need cardiology. 367 00:18:44,675 --> 00:18:47,263 DVT from trauma. Clot formed right here above the knee. 368 00:18:47,274 --> 00:18:48,428 - Someone get June. - I'll go. 369 00:18:48,439 --> 00:18:51,241 Ma'am, you're at York Memorial Hospital. Okay? We're here to help. 370 00:18:51,252 --> 00:18:53,187 - Let me go. - It's okay, it's okay. 371 00:18:55,496 --> 00:18:57,264 - It's fine, it's fine. - Ma'am, ma'am. 372 00:18:57,331 --> 00:18:59,476 She was trying to protect herself from him. 373 00:18:59,487 --> 00:19:01,856 - The struggle was between them. - She needs my help. 374 00:19:01,867 --> 00:19:03,869 No, she needs my help! Susan! 375 00:19:04,592 --> 00:19:06,184 IM lorazepam 4mg STAT. 376 00:19:06,194 --> 00:19:08,462 Don't sedate her just yet, she needs to know they're both okay. 377 00:19:08,480 --> 00:19:11,015 Listen to me, Bash, okay? Just wait, because... 378 00:19:11,400 --> 00:19:13,936 Susan, Susan, everything's gonna be okay. 379 00:19:13,981 --> 00:19:16,183 Bash! 380 00:19:27,942 --> 00:19:30,735 RIP: Retired In Position. 381 00:19:30,746 --> 00:19:32,347 Afraid of risk. 382 00:19:32,358 --> 00:19:36,462 The four D's are: Discover, determine, develop, deploy. 383 00:19:37,160 --> 00:19:40,975 So the first phase is discover. What does success mean? 384 00:19:40,986 --> 00:19:43,600 I can tell you right now. The word success... 385 00:19:43,611 --> 00:19:45,780 Deploy. 386 00:19:50,471 --> 00:19:52,673 - Mom, please. - Nuh-uh. We talked about this. 387 00:19:52,684 --> 00:19:54,510 No using the stove when you're home alone. 388 00:19:54,521 --> 00:19:57,419 - But I'm hungry. - Mommy said she made you waffles before she left. 389 00:19:57,583 --> 00:19:59,231 I want a grilled cheese. Where's Phoebe? 390 00:19:59,242 --> 00:20:02,018 Bowie, just... She'll be back in an hour. 391 00:20:02,029 --> 00:20:05,099 Have some crackers. Or better yet, have some fruit, okay? 392 00:20:05,110 --> 00:20:06,946 - Okay. - I want to hear you promise 393 00:20:06,957 --> 00:20:08,859 that you will not touch the burner. 394 00:20:09,036 --> 00:20:11,335 Hello? 395 00:20:11,346 --> 00:20:13,415 He... Bowie? 396 00:20:14,308 --> 00:20:16,143 He hung up. 397 00:20:16,972 --> 00:20:19,608 - You need me? - I can ask Liz, but... 398 00:20:19,841 --> 00:20:21,270 What are you doing here on a Sunday morning? 399 00:20:21,281 --> 00:20:24,862 I have a call with admin that I needed data for... 400 00:20:24,873 --> 00:20:26,975 And I don't want to be interrupted. 401 00:20:27,047 --> 00:20:29,650 But Phoebe's got this new catering gig 402 00:20:29,837 --> 00:20:31,605 so that means Bowie's home alone. 403 00:20:31,616 --> 00:20:34,118 - How's he dealing with that? - Delighted because it means 404 00:20:34,129 --> 00:20:37,833 he has a phone, but I'd like to put the fire department on standby. 405 00:20:37,885 --> 00:20:40,722 - What's up? - Rheumatoid arthritis patient. 406 00:20:41,005 --> 00:20:43,274 He just told me that his GP retired and 407 00:20:43,285 --> 00:20:44,810 he doesn't have any pain management. 408 00:20:44,821 --> 00:20:46,543 - You think he's telling the truth? - I do. 409 00:20:46,554 --> 00:20:48,391 I also know that I can't prescribe opioids 410 00:20:48,402 --> 00:20:50,104 for chronic pain. So I'll do what I can 411 00:20:50,115 --> 00:20:51,583 to help him find new primary care, but... 412 00:20:51,594 --> 00:20:54,884 Do you want me to sign off on eight Tramadol to tide him over? 413 00:20:54,895 --> 00:20:58,590 Yeah, sure. Find me a triplicate pad, I'll write the script... 414 00:21:00,042 --> 00:21:02,868 Residents. The cleaning staff are not your parents. 415 00:21:02,879 --> 00:21:06,082 When you leave the patient room, you tidy up bedpans bloody linen. 416 00:21:06,093 --> 00:21:08,328 You do not want me to tell you a second time. 417 00:21:08,395 --> 00:21:11,632 Same goes for needles and sharp containers, and wastage. 418 00:21:12,163 --> 00:21:14,378 Your increased patient load as an NP's 419 00:21:14,389 --> 00:21:17,225 helping with wait times, but if we're pushing too hard, Claire... 420 00:21:17,657 --> 00:21:19,306 Honestly, no. The distraction is doing 421 00:21:19,317 --> 00:21:21,087 more than meds and therapy combined. 422 00:21:21,098 --> 00:21:23,407 Claire, dispatch called. Double Trauma flying in. 423 00:21:23,418 --> 00:21:25,820 - Okay, on it. - If you need backup, pull Arnold. 424 00:21:26,080 --> 00:21:27,982 - Will do. - Hi, Neeta. 425 00:21:28,009 --> 00:21:31,200 Hi. Our budget proposal's over by 20%, Liz. 426 00:21:31,211 --> 00:21:33,747 - We need to rethink it. - But we've cut every corner. 427 00:21:33,758 --> 00:21:36,160 And as to Dr. Hunter's allocation which you flagged, 428 00:21:36,587 --> 00:21:40,116 I'll keep him on the books for now, but things could change. 429 00:21:40,739 --> 00:21:42,779 - We need more staff not less. - Yeah. 430 00:21:42,790 --> 00:21:45,192 I sent a woman home overnight, and then found out they kept her 431 00:21:45,203 --> 00:21:47,105 six more hours to have her catheter removed 432 00:21:47,116 --> 00:21:48,851 because we can only afford three nurses. 433 00:21:48,935 --> 00:21:50,980 Except we've got five residents on the floor. 434 00:21:50,991 --> 00:21:52,626 Catheters are a nurse's job. 435 00:21:53,189 --> 00:21:56,323 Not if we rethink the whole system... 436 00:21:56,334 --> 00:21:58,102 I know what we're asking is extreme, 437 00:21:58,265 --> 00:22:01,001 but emergency departments are in crisis province-wide. 438 00:22:01,027 --> 00:22:03,563 - It's a complex challenge. - Except it's not! 439 00:22:03,574 --> 00:22:05,975 Our... problem 440 00:22:05,986 --> 00:22:09,823 is 100% a lack of nurses. 441 00:22:09,834 --> 00:22:14,500 We simply can't function if the ratio of patients to nurses is 50 to 1. 442 00:22:14,511 --> 00:22:19,388 Dr. Devi, we already have the highest ED support budget in the city... 443 00:22:20,303 --> 00:22:23,003 - Is this an emergency? - Mom, I'm bored! 444 00:22:23,070 --> 00:22:25,239 Then you have to wait, Bowie. 445 00:22:25,305 --> 00:22:26,607 When are you coming home? 446 00:22:26,618 --> 00:22:28,787 - Mom's in a meeting! - But, Mom! 447 00:22:29,436 --> 00:22:30,767 Okay, sorry. 448 00:22:30,778 --> 00:22:33,132 This is why I propose that we find the cash... 449 00:22:33,143 --> 00:22:35,980 Neeta, you're on mute. Neeta? 450 00:22:36,705 --> 00:22:39,275 We need to divert money to solve our problem. 451 00:22:39,286 --> 00:22:41,955 From our fellowship program to be exact. 452 00:22:42,301 --> 00:22:45,287 I'm told we usually hire at least three graduating residents 453 00:22:45,298 --> 00:22:47,133 into full-time ED fellowships. 454 00:22:47,374 --> 00:22:49,343 This year, we'll only take one. 455 00:22:49,596 --> 00:22:52,682 You want to sacrifice doctors for more nurses? 456 00:22:52,693 --> 00:22:54,996 If you want to keep our doors open, yes. 457 00:22:55,222 --> 00:22:59,026 And which resident does this plan have you keeping? 458 00:23:04,516 --> 00:23:07,451 Hey, that thing said three hours forever. 459 00:23:07,462 --> 00:23:08,738 Now it says four. 460 00:23:08,749 --> 00:23:12,052 That time's until you're seen, sir, not until you get out. 461 00:23:31,861 --> 00:23:35,465 Oh, my God. He's history's greatest villain. 462 00:23:36,107 --> 00:23:38,847 - There might not be any time! - I'm sorry you've been waiting long, sir, 463 00:23:38,858 --> 00:23:41,828 - but there's no... - Hey, I need some help! And right damn now! 464 00:23:43,283 --> 00:23:45,018 Right now! 465 00:23:52,028 --> 00:23:53,690 Your big ascension. 466 00:23:53,700 --> 00:23:55,996 You're no longer residents. 467 00:23:56,408 --> 00:23:58,305 The thing you've been striving for, 468 00:23:58,316 --> 00:24:00,918 and now, you're standing at the threshold. 469 00:24:00,994 --> 00:24:03,663 But what will be waiting for you on the other side? 470 00:24:05,171 --> 00:24:07,907 Power, validations, success? 471 00:24:08,375 --> 00:24:10,944 Nope! Just more striving. 472 00:24:11,326 --> 00:24:14,114 The same humbling kick in the nuts when you mess up. 473 00:24:14,125 --> 00:24:18,329 And you will. Because real doctors never stop learning. 474 00:24:18,537 --> 00:24:20,793 Maybe you're excited about pulling away 475 00:24:20,804 --> 00:24:23,467 from mommy and daddy but surprise... 476 00:24:23,946 --> 00:24:25,948 You are mommy and daddy. 477 00:24:25,959 --> 00:24:27,661 Look forward to your impending breakdowns 478 00:24:27,672 --> 00:24:31,008 when you realize that's harder than you thought. 479 00:24:36,093 --> 00:24:39,339 All available emergency personnel to the helipad. 480 00:24:39,462 --> 00:24:42,665 All available emergency personnel to the helipad. 481 00:24:42,998 --> 00:24:46,502 Double Trauma flying in. Double Trauma flying in. 482 00:24:57,745 --> 00:24:59,504 - Hey. - Hey! 483 00:24:59,514 --> 00:25:01,771 - How long were they out there? - By our guess, a couple of days. 484 00:25:01,781 --> 00:25:04,632 - How did you find them? - We got a call from a gas station attendant 485 00:25:04,643 --> 00:25:07,463 about people lost in the woods. We thought it was a prank, 486 00:25:07,474 --> 00:25:09,004 but we have to take every call seriously. 487 00:25:09,015 --> 00:25:10,481 Yeah, looks like a good thing you did. 488 00:25:10,492 --> 00:25:12,861 Dispatch sent us to Mercy, but we thought they might need 489 00:25:12,872 --> 00:25:15,324 that fancy Trauma OR Mark Novak runs. 490 00:25:15,335 --> 00:25:17,337 He did a stint with us before becoming a company man. 491 00:25:17,837 --> 00:25:19,372 Right, well, Mark Novak's not here, 492 00:25:19,383 --> 00:25:21,514 but I run it with him so you're covered. 493 00:25:21,525 --> 00:25:23,540 Oh, I almost forgot. 494 00:25:24,030 --> 00:25:26,130 A jar that says "put your weed in here"? 495 00:25:26,141 --> 00:25:29,745 Had to pry it out of John Doe's hands, figured he'd want it back. 496 00:25:32,438 --> 00:25:35,197 I need frequent temp checks and monitor closely for changes in status. 497 00:25:35,208 --> 00:25:36,939 Arnold, start a second line. 498 00:25:36,950 --> 00:25:39,385 He needs antibiotics and all the fluids he can get. 499 00:25:39,396 --> 00:25:41,365 - Where's vascular? - I can call them again. 500 00:25:42,361 --> 00:25:45,235 Dr. Leblanc wanted me to make sure vascular assesses Jane Doe too. 501 00:25:45,246 --> 00:25:47,348 How is that any of your business? Arnold, dressing. 502 00:25:47,607 --> 00:25:49,802 She told me not to leave until they did and you ordered trops. 503 00:25:49,813 --> 00:25:52,720 - Well, I'm telling you to go. - Let her stay, June. 504 00:25:52,731 --> 00:25:55,170 Don't forget, you're a teacher now, too. 505 00:25:55,181 --> 00:25:57,083 - Dr. Singh, were you... ? - General surgery, heard 506 00:25:57,094 --> 00:25:58,829 we might be re-attaching a foot? 507 00:25:58,840 --> 00:26:01,043 Not unless it miraculously appears. 508 00:26:02,180 --> 00:26:05,617 Okay, sir, I'm going to remove your tourniquet. 509 00:26:06,179 --> 00:26:08,681 Ready? 510 00:26:10,583 --> 00:26:12,552 I got bleeders, June. 511 00:26:13,864 --> 00:26:15,725 How you doing sir? 512 00:26:15,736 --> 00:26:17,124 - 5 mg of morphine? - Go ahead, do it. 513 00:26:17,135 --> 00:26:19,475 - Vascular says another 25. - We don't have 25 minutes. 514 00:26:19,486 --> 00:26:21,154 We need their take on wound care. 515 00:26:21,572 --> 00:26:24,166 Frostbite. Ascending lymphadenitis. 516 00:26:24,177 --> 00:26:28,648 No limb forthcoming. If you wait on them, you risk infection. 517 00:26:29,937 --> 00:26:33,437 So we'll debride, wash out, and then, bactigras for now. 518 00:26:33,448 --> 00:26:35,101 You don't want to send him to plastics and ortho? 519 00:26:35,112 --> 00:26:36,882 I can do it much faster down here. 520 00:26:36,893 --> 00:26:38,962 Oh, you missed one on the right. You want me to... 521 00:26:38,973 --> 00:26:40,608 I got it. Arnold, I'm going to cauterize. 522 00:26:41,621 --> 00:26:43,936 Carmen, if you're going to hang out, you want to make yourself useful? 523 00:26:43,947 --> 00:26:45,611 Order trops and do an ECG. 524 00:26:45,622 --> 00:26:47,232 Yeah. 525 00:26:48,489 --> 00:26:50,072 Sorry. 526 00:26:52,382 --> 00:26:53,919 Sir, did you want something? 527 00:26:54,481 --> 00:26:59,718 Just to say I'm sorry I missed your ceremony today. 528 00:27:00,394 --> 00:27:02,396 Congrats, June. 529 00:27:04,106 --> 00:27:05,648 Did he just apologize to me? 530 00:27:05,659 --> 00:27:08,028 And congratulate you. Better buy a lottery ticket. 531 00:27:09,228 --> 00:27:11,834 No more bleeding. Can you give me a minute? 532 00:27:11,845 --> 00:27:13,513 Yeah. 533 00:27:19,522 --> 00:27:21,265 What does that even mean, "let my brain marinate"? 534 00:27:21,276 --> 00:27:24,312 - Who are you talking to? - I didn't say anything. 535 00:27:24,524 --> 00:27:26,524 Oh. It's a good thing I found you. I need bodies in there. 536 00:27:26,535 --> 00:27:28,704 You told me to go. You said you had it covered. 537 00:27:28,841 --> 00:27:30,372 Apparently, you didn't believe me since you sent 538 00:27:30,383 --> 00:27:32,152 your resident in to annoy me to death with requests. 539 00:27:32,163 --> 00:27:35,071 One request. I didn't want Jane Doe's vascular injury to get missed. 540 00:27:35,082 --> 00:27:36,760 She doesn't have one. 541 00:27:36,770 --> 00:27:38,094 You didn't order them. 542 00:27:38,105 --> 00:27:39,904 Pointless? We don't even really know what happened out there. 543 00:27:39,915 --> 00:27:41,330 Did she come to at all? 544 00:27:41,341 --> 00:27:42,642 What about him? What did he say? 545 00:27:42,653 --> 00:27:44,321 Did you even try to ask him? 546 00:27:45,710 --> 00:27:50,102 Mags, I've been trying to fend off bosses and residents, so no. 547 00:27:50,113 --> 00:27:51,473 Yeah, we all have stuff going on. 548 00:27:51,484 --> 00:27:53,520 Look, if you want answers, go find them yourself. 549 00:27:53,913 --> 00:27:56,116 And reduce her shoulder while you're at it. 550 00:27:59,127 --> 00:28:02,731 Hey. You okay? 551 00:28:02,742 --> 00:28:05,280 Except for the raging chest pain. 552 00:28:05,569 --> 00:28:06,580 Is that why you came down to Trauma? 553 00:28:06,591 --> 00:28:08,380 Why didn't you just ask me for a work-up? 554 00:28:09,615 --> 00:28:11,451 Okay, I got it. 555 00:28:11,707 --> 00:28:14,274 - When did this start? - This morning. 556 00:28:14,285 --> 00:28:19,457 I thought it was indigestion, but it's been getting worse. 557 00:28:25,059 --> 00:28:26,822 When was the last time you had a physical? 558 00:28:26,833 --> 00:28:28,368 It's been a while. 559 00:28:28,954 --> 00:28:30,682 Any chances of like a panic attack or something? 560 00:28:30,693 --> 00:28:33,855 - Your stress levels... - I think we both know it's more than that. 561 00:28:33,866 --> 00:28:35,968 You do have some hyper-acute T. waves. 562 00:28:36,249 --> 00:28:38,618 You need another ECG in about 5, but... 563 00:28:38,690 --> 00:28:42,728 Looking like it could be some kind of M.I., Dr. Singh. 564 00:28:43,363 --> 00:28:45,236 Then... start ASA? 565 00:28:47,409 --> 00:28:50,632 Hey, hey. Get me a cardio team in here now. 566 00:28:50,643 --> 00:28:52,575 I don't want to broadcast this. 567 00:28:52,586 --> 00:28:54,062 You need more help. 568 00:29:00,839 --> 00:29:02,719 Is there anyone else that you want? 569 00:29:02,730 --> 00:29:05,533 Like, want me to call your ex or your daughters? 570 00:29:05,544 --> 00:29:09,148 I guess. Maybe wait until we have more info. 571 00:29:11,700 --> 00:29:14,276 You're going to be fine. 572 00:29:16,826 --> 00:29:19,719 Hey, you want some free pain management? 573 00:29:20,889 --> 00:29:22,966 Our John Doe came in without an ID or phone, 574 00:29:22,977 --> 00:29:25,140 but the pilot says that he wouldn't let go of his pot. 575 00:29:25,151 --> 00:29:28,187 I don't mind a legal toke every now and then. 576 00:29:28,715 --> 00:29:30,620 But at the risk of correcting you again, 577 00:29:30,631 --> 00:29:34,302 I don't think this is pot. I'm pretty sure it's human ashes. 578 00:29:35,174 --> 00:29:37,243 Are you serious? 579 00:29:39,579 --> 00:29:41,481 Hey. Acute myocardial infarction. 580 00:29:41,634 --> 00:29:44,653 So you need monitoring, aspirin, heparin, chest X-ray. 581 00:29:44,664 --> 00:29:48,234 And then get him straight to the cath lab. Urgently, it's a code STEMI. 582 00:29:49,205 --> 00:29:51,694 - I can walk myself over. - Dr. Singh... 583 00:29:52,125 --> 00:29:53,459 Ajay! 584 00:29:54,754 --> 00:29:56,690 Let them help you. 585 00:29:57,239 --> 00:30:00,627 You're the boss. 586 00:30:00,638 --> 00:30:02,873 Dr. Curtis, they need you in Trauma. 587 00:30:02,884 --> 00:30:05,854 - Yeah, just give me a minute? - Go, do your job. 588 00:30:05,965 --> 00:30:07,834 I'll be okay. 589 00:30:11,273 --> 00:30:14,920 Oh! What the hell? 590 00:30:14,931 --> 00:30:17,300 Is he okay? I didn't mean to. 591 00:30:17,577 --> 00:30:20,365 - Susan. - Johnny! 592 00:30:21,971 --> 00:30:25,174 I smashed your foot off with a rock! 593 00:30:25,626 --> 00:30:29,260 - I don't remember anything else. - We got as far as we could after, 594 00:30:29,522 --> 00:30:32,725 but then you couldn't breathe. What's wrong with her? 595 00:30:32,959 --> 00:30:35,736 Her heart can't pump blood fast enough. 596 00:30:35,747 --> 00:30:38,216 Wait, you cut off his foot? 597 00:30:39,164 --> 00:30:40,556 To save his life! 598 00:30:40,567 --> 00:30:43,017 I needed to get him out of that bear trap! 599 00:30:43,028 --> 00:30:44,830 Did it work? 600 00:30:45,011 --> 00:30:46,112 Did it? 601 00:30:46,572 --> 00:30:49,701 Uh... You have a very serious blood clot, sir. 602 00:30:49,712 --> 00:30:52,427 We have to make sure it doesn't turn into a pulmonary embolism. 603 00:30:52,438 --> 00:30:54,140 Guys. What is going on? 604 00:30:54,370 --> 00:30:56,238 Oh, hey, June. Where have you been? 605 00:30:56,249 --> 00:30:57,851 I was... 606 00:30:59,085 --> 00:31:00,887 - Simon. - You're alive. 607 00:31:01,376 --> 00:31:02,957 The both of you. 608 00:31:02,968 --> 00:31:04,412 What happened? 609 00:31:04,423 --> 00:31:07,260 You passed out, and he couldn't walk. 610 00:31:07,271 --> 00:31:08,873 So I went for help. 611 00:31:09,609 --> 00:31:11,311 I'm so sorry, guys. 612 00:31:12,564 --> 00:31:15,601 I'll... I'll take our dad. 613 00:31:16,236 --> 00:31:17,604 I'll just... 614 00:31:18,171 --> 00:31:20,740 - And June, that's... - Yeah. 615 00:31:21,074 --> 00:31:22,809 Mm-hmm. 616 00:31:33,506 --> 00:31:34,713 _ 617 00:31:34,724 --> 00:31:35,766 _ 618 00:31:35,777 --> 00:31:36,779 _ 619 00:31:36,790 --> 00:31:37,892 _ 620 00:31:39,179 --> 00:31:42,049 Bashir! 621 00:31:45,351 --> 00:31:47,184 _ 622 00:31:48,200 --> 00:31:49,664 It's alright, it's alright. 623 00:31:49,675 --> 00:31:51,277 It's alright. 624 00:31:51,838 --> 00:31:53,640 _ 625 00:31:54,002 --> 00:31:55,608 _ 626 00:31:56,336 --> 00:31:57,603 _ 627 00:31:59,089 --> 00:32:00,235 _ 628 00:32:03,873 --> 00:32:05,047 _ 629 00:32:06,100 --> 00:32:08,187 _ 630 00:32:08,207 --> 00:32:09,473 _ 631 00:32:10,890 --> 00:32:12,359 Crete... 632 00:32:13,993 --> 00:32:17,013 I risked our lives to get us nowhere. 633 00:32:18,305 --> 00:32:20,907 Want to tell me what happened on the boat? 634 00:32:25,605 --> 00:32:29,242 Some men wanted to stop us and uh... 635 00:32:32,022 --> 00:32:33,907 We swam, and then we ran. 636 00:32:34,322 --> 00:32:36,023 Your English is better than my Arabic. 637 00:32:36,115 --> 00:32:37,650 Did you study it in school? 638 00:32:39,079 --> 00:32:41,054 Sounds like they only caught a few of your group. 639 00:32:41,080 --> 00:32:42,748 Maybe the rest got away. 640 00:32:44,758 --> 00:32:47,494 Your sister was telling me that you stopped to help a woman. 641 00:32:47,505 --> 00:32:48,873 What was wrong with her? 642 00:32:49,109 --> 00:32:50,470 Fractured ribs. 643 00:32:50,481 --> 00:32:52,965 And you made a compression brace out of her coat. 644 00:32:52,976 --> 00:32:54,799 Smart. Because you're a doctor, right? 645 00:32:54,810 --> 00:32:57,346 Did you go to the medical school in Damascus? 646 00:33:01,499 --> 00:33:04,836 A doctor who sacrifices his own freedom to save a stranger. 647 00:33:05,778 --> 00:33:07,247 Well, if you are a doctor, 648 00:33:07,258 --> 00:33:08,927 you know what wound dehiscence is. 649 00:33:09,114 --> 00:33:10,482 Is it infected? 650 00:33:10,676 --> 00:33:13,245 Yes, and it's going to scar. 651 00:33:15,528 --> 00:33:17,664 What happens to us now? 652 00:33:18,425 --> 00:33:20,293 Impossible to know. 653 00:33:23,129 --> 00:33:24,697 Unless... 654 00:33:25,651 --> 00:33:26,852 Bash? 655 00:33:29,755 --> 00:33:31,090 Bash! 656 00:33:31,271 --> 00:33:33,273 No, no, no. You need to stay still. 657 00:33:33,339 --> 00:33:35,903 This tricky little wound of yours doesn't take kindly to sutures. 658 00:33:35,914 --> 00:33:37,749 Yeah, it never did. 659 00:33:38,198 --> 00:33:40,986 Wait, so... All this was about 660 00:33:40,997 --> 00:33:42,765 siblings spreading their father's ashes? 661 00:33:42,776 --> 00:33:44,800 Half-siblings. Three mothers, 15 years apart. 662 00:33:44,811 --> 00:33:47,042 - Their dad used to hike up there. - Hmm. John, 663 00:33:47,053 --> 00:33:49,922 it's actually his real name, stepped in a bear trap. 664 00:33:50,479 --> 00:33:51,864 - Teeth. - Yeah. 665 00:33:52,071 --> 00:33:53,873 And Susan? 666 00:33:53,884 --> 00:33:56,053 She cut his foot off to free him. 667 00:33:56,064 --> 00:33:58,366 And then, tourniquet to stop the bleeding. 668 00:33:58,598 --> 00:34:01,102 Then, they tried hiking again, but he was in rough shape 669 00:34:01,113 --> 00:34:03,349 and with the stress of it all, she developed Takotsubo's, 670 00:34:03,360 --> 00:34:05,996 broken heart syndrome. The third one went for help. 671 00:34:06,199 --> 00:34:07,934 She's stabilizing well though, right now. 672 00:34:07,951 --> 00:34:09,877 You guys never told me how you managed to get yourself sliced up. 673 00:34:09,888 --> 00:34:11,478 It's not that deep. 674 00:34:11,489 --> 00:34:14,859 I thought that he fought off some wild animal to save them. 675 00:34:14,916 --> 00:34:17,738 And I just wanted her to know that they were both okay. 676 00:34:17,749 --> 00:34:19,785 - I tried warning you. - No, you also wanted me 677 00:34:19,796 --> 00:34:21,337 to believe that she was some kind of victim. 678 00:34:21,348 --> 00:34:24,251 Congratulations, because you were both wrong. 679 00:34:25,258 --> 00:34:27,623 I specifically told my resident today, 680 00:34:27,634 --> 00:34:30,704 bring in yourself and you risk muddling your view. 681 00:34:36,209 --> 00:34:38,782 Can you believe the brother carried the foot with him the whole time? 682 00:34:38,793 --> 00:34:40,795 Too late to reattach. How's his infection? 683 00:34:40,806 --> 00:34:43,708 They embolized the clot, now it's under control. 684 00:34:45,833 --> 00:34:48,377 Glad you're doing okay, Bashir. 685 00:34:48,388 --> 00:34:51,124 - We haven't called the police yet. - Don't, don't. 686 00:34:51,135 --> 00:34:53,987 In her head, they were still fighting for their lives, so... 687 00:34:54,993 --> 00:34:57,034 When you two get a minute, come see me. 688 00:35:09,482 --> 00:35:11,595 Claire? The rheumatoid arthritis patient in Six, 689 00:35:11,606 --> 00:35:13,575 says he's waiting for meds. 690 00:35:13,812 --> 00:35:15,346 - His pain's at a nine. - Oh. 691 00:35:15,357 --> 00:35:16,899 Devi wrote me the scrip hours ago, 692 00:35:16,910 --> 00:35:18,612 I totally forgot to give it to him. 693 00:35:18,978 --> 00:35:20,980 - I'll go. - I can do it. 694 00:35:24,723 --> 00:35:27,592 Why don't I get Rhoda in early so you can bail. 695 00:35:27,827 --> 00:35:29,862 We can't afford extra overtime. 696 00:35:30,212 --> 00:35:31,513 Right. 697 00:35:40,066 --> 00:35:41,434 Make way! 698 00:35:43,055 --> 00:35:44,970 Linus Johnson. Male, 44. 699 00:35:44,981 --> 00:35:48,007 Profound metabolic lactic acidosis. Down 25 minutes. 700 00:35:48,018 --> 00:35:50,246 Linus? He was here earlier. What happened to him? 701 00:35:50,257 --> 00:35:52,200 Toxic exposure to carbon monoxide. 702 00:35:52,211 --> 00:35:54,617 Called 911 in resp distress. By the time we got there, he'd arrested. 703 00:35:54,628 --> 00:35:57,161 - Based on what? - 500ppm on our portable detector. 704 00:35:57,172 --> 00:35:58,491 Faulty alarm in his unit. 705 00:35:58,502 --> 00:36:00,070 It actually started going off when we got there, 706 00:36:00,081 --> 00:36:01,682 but I think it's been on the fritz for days. 707 00:36:01,693 --> 00:36:03,562 - Fire was on scene when we left. - Prep epi. 708 00:36:03,929 --> 00:36:05,898 Maybe we can get him back. 709 00:36:19,324 --> 00:36:21,193 I'm calling it. 710 00:36:22,983 --> 00:36:25,152 Time of death 4:02 PM. 711 00:36:25,972 --> 00:36:27,674 I'm so sorry, Linus. 712 00:36:29,071 --> 00:36:31,043 Grab a porter to take him to the morgue, Carmen. 713 00:36:31,054 --> 00:36:32,755 I'll find his people. 714 00:36:33,286 --> 00:36:34,620 Slumlords, man. 715 00:36:34,631 --> 00:36:36,779 - I'll notify public health. - Thanks. 716 00:36:36,790 --> 00:36:38,127 It didn't show up on his labs. 717 00:36:38,138 --> 00:36:40,040 His CO was normal when he was here before. 718 00:36:40,051 --> 00:36:41,987 Yeah, because he wasn't at home breathing in carbon monoxide. 719 00:36:41,998 --> 00:36:43,500 Yeah, but he knew something was wrong. 720 00:36:43,511 --> 00:36:45,033 And when I couldn't figure out what, I brought up psych, 721 00:36:45,044 --> 00:36:46,754 and what if that just scared him away? 722 00:36:47,080 --> 00:36:49,215 He left here thinking he was safe because of me. 723 00:36:49,226 --> 00:36:52,467 Don't. I made him believe that he was safe too, 724 00:36:52,478 --> 00:36:55,447 but there was no way either of us could have known. 725 00:36:59,835 --> 00:37:03,246 I'm sure you'd rather not be hearing this on such an intense day. 726 00:37:03,257 --> 00:37:05,993 But you're not the only residents who put in, 727 00:37:06,406 --> 00:37:08,641 and I thought it was important you know in case you want 728 00:37:08,652 --> 00:37:11,555 to hedge your bets and make other plans for the future. 729 00:37:12,498 --> 00:37:15,568 How will you decide who gets the one spot? 730 00:37:15,871 --> 00:37:17,772 I'll make a call down the road. 731 00:37:17,965 --> 00:37:20,922 But, guys, you both have excellent training. 732 00:37:20,933 --> 00:37:23,670 You're gonna land on your feet. 733 00:37:38,784 --> 00:37:40,119 What? 734 00:37:40,130 --> 00:37:42,199 This is the only place that gave me a chance. 735 00:37:44,296 --> 00:37:45,849 Yeah, you think that this place saved you. 736 00:37:45,860 --> 00:37:47,862 It makes sense that you would be worried. 737 00:37:48,273 --> 00:37:49,675 You're not? 738 00:37:52,412 --> 00:37:54,848 Mags, hey... 739 00:37:55,280 --> 00:37:57,415 What's going on with you? 740 00:37:58,871 --> 00:38:03,609 It's just, I think Devi's right about us having options. 741 00:38:16,362 --> 00:38:18,931 - Okay, there it is. - Yeah. Got it. 742 00:38:23,603 --> 00:38:25,338 She didn't want my help. 743 00:38:25,472 --> 00:38:27,540 She... she told me to do nothing. 744 00:38:27,551 --> 00:38:29,386 That's what I wrote in my own chart. 745 00:38:32,518 --> 00:38:34,587 I'm lying to myself, Bash. 746 00:38:38,544 --> 00:38:41,881 Because I wanted to be a hero, that's why I spent 747 00:38:41,892 --> 00:38:44,127 the last month convinced I did the right thing. 748 00:38:45,442 --> 00:38:46,607 I, uh... 749 00:38:46,706 --> 00:38:48,140 I gotta go. 750 00:39:01,541 --> 00:39:03,877 Sorry, did anyone come from his family? 751 00:39:14,540 --> 00:39:16,542 Hey, I just heard about Singh. Is he okay? 752 00:39:16,553 --> 00:39:19,590 I was just still waiting to hear the extent of the damage. 753 00:39:19,973 --> 00:39:21,526 I feel like when I snapped at you, 754 00:39:21,537 --> 00:39:23,806 I didn't realize you were dealing with all this. 755 00:39:24,871 --> 00:39:26,406 He just looked so alone. 756 00:39:26,993 --> 00:39:29,899 You know, and I feel like I just hit this giant finish line. 757 00:39:29,910 --> 00:39:31,378 I'm supposed to feel great about myself. 758 00:39:31,389 --> 00:39:32,790 But you don't. 759 00:39:33,179 --> 00:39:34,580 Yeah. 760 00:39:35,480 --> 00:39:37,348 Maybe I'm still adjusting. 761 00:39:40,373 --> 00:39:42,642 I'm on the transplant list. 762 00:39:43,609 --> 00:39:46,745 A heart may come tomorrow or never. 763 00:39:47,306 --> 00:39:48,507 Okay. 764 00:39:50,163 --> 00:39:51,757 And what if it does come? 765 00:39:51,768 --> 00:39:53,736 - Would you even accept one? - I'll decide then. 766 00:39:53,872 --> 00:39:55,774 So you've decided not to decide. 767 00:39:56,008 --> 00:39:57,589 Hopefully, if the time comes, 768 00:39:57,600 --> 00:39:59,669 I'll be strong enough to cut off the foot. 769 00:40:02,295 --> 00:40:03,596 Fine. 770 00:40:07,744 --> 00:40:09,480 You could probably use one of these at home. 771 00:40:09,562 --> 00:40:11,197 It's not like a stapler, June! 772 00:40:11,208 --> 00:40:13,210 It's not like stealing office supplies! 773 00:40:13,221 --> 00:40:14,606 Just in case we need it. 774 00:40:15,684 --> 00:40:17,092 I'll be ready. 775 00:40:23,295 --> 00:40:25,431 I dragged us out there. 776 00:40:26,952 --> 00:40:28,820 I said I knew the trail. 777 00:40:29,995 --> 00:40:31,897 You guys didn't even want to come. 778 00:40:32,344 --> 00:40:34,579 He never took me camping. 779 00:40:35,394 --> 00:40:39,432 I'm not even sure I... I liked dad. 780 00:40:41,734 --> 00:40:43,803 I'm not sure he even liked me. 781 00:40:43,995 --> 00:40:46,703 We all knew a different father. I get that. 782 00:40:46,714 --> 00:40:49,050 But I'm the oldest, 783 00:40:49,061 --> 00:40:52,665 and now that he's gone, I want us to be a family. 784 00:40:57,683 --> 00:40:58,874 Thank you for being here. 785 00:40:58,885 --> 00:41:00,645 I know this is, uh... 786 00:41:00,786 --> 00:41:03,055 yeah, a weird memorial. 787 00:41:03,723 --> 00:41:06,692 I'm so sorry about what I did to you. 788 00:41:07,259 --> 00:41:08,461 It's okay. 789 00:41:09,121 --> 00:41:12,524 Johnny. I mean... 790 00:41:13,141 --> 00:41:14,748 Don't you get it? 791 00:41:14,759 --> 00:41:18,596 We went out there for you, not Dad. 792 00:41:20,126 --> 00:41:21,861 We are a family. 793 00:41:22,641 --> 00:41:23,876 Yeah. 794 00:41:24,483 --> 00:41:27,186 We'll... we'll be okay. 795 00:41:36,208 --> 00:41:39,222 Where were you even trying to get? Do you have people somewhere? 796 00:41:39,604 --> 00:41:41,473 Uh... 797 00:41:41,807 --> 00:41:44,276 I thought if we could make it to Europe... 798 00:41:44,357 --> 00:41:46,999 They'd let you in. Might not let you stay. 799 00:41:48,994 --> 00:41:50,863 Try to sit up for me. 800 00:42:13,699 --> 00:42:16,469 I just need to get us somewhere safe. 801 00:42:24,643 --> 00:42:26,211 Unless... 802 00:42:26,222 --> 00:42:27,990 You said unless... 803 00:42:30,482 --> 00:42:34,987 I live in Toronto, practice medicine there. 804 00:42:37,977 --> 00:42:39,979 What do you know about Canada? 805 00:42:51,048 --> 00:42:56,048 - Synced and corrected by naFraC - - www.addic7ed.com -