1 00:00:01,494 --> 00:00:03,096 I'm on the transplant list. 2 00:00:03,107 --> 00:00:05,683 A heart may come tomorrow or never. 3 00:00:05,694 --> 00:00:08,084 - And what if it does come? - I'll decide then. 4 00:00:08,488 --> 00:00:10,630 Real doctors never stop learning. 5 00:00:11,740 --> 00:00:14,062 I feel like I just hit this giant fish line. 6 00:00:14,073 --> 00:00:17,436 - I'm supposed to feel great about myself. - But you don't. 7 00:00:17,676 --> 00:00:20,857 Your increased patient load as an NP's helping with wait times, 8 00:00:20,868 --> 00:00:22,556 but if we're pushing too hard, Claire... 9 00:00:22,567 --> 00:00:24,202 Honestly, no. The distraction's doing more 10 00:00:24,213 --> 00:00:27,252 - than meds and therapy combined. - I need to see my chart notes. 11 00:00:27,263 --> 00:00:29,765 From that woman who says you breached her confidence? 12 00:00:29,776 --> 00:00:32,720 She didn't want my help. I'm lying to myself, Bash. 13 00:00:32,731 --> 00:00:35,034 How will you decide who gets the one spot? 14 00:00:35,045 --> 00:00:37,113 I'll make a call down the road. But guys, 15 00:00:37,781 --> 00:00:39,742 you're going to land on your feet. 16 00:00:39,753 --> 00:00:41,821 This is the only place that gave me a chance. 17 00:00:41,832 --> 00:00:43,423 Yeah, you think that this place saved you. 18 00:00:43,434 --> 00:00:45,069 It makes sense that you would be worried. 19 00:00:47,340 --> 00:00:48,908 I just need to get us somewhere safe. 20 00:00:49,452 --> 00:00:50,986 What do you know about Canada? 21 00:00:54,423 --> 00:00:55,425 Amira? 22 00:00:55,436 --> 00:00:56,844 _ 23 00:01:01,246 --> 00:01:02,866 _ 24 00:01:03,431 --> 00:01:05,333 Sorry, this thing's heavy. 25 00:01:05,757 --> 00:01:07,826 It's okay to answer me loudly sometimes. 26 00:01:07,837 --> 00:01:09,738 If you don't use it, you'll lose it. 27 00:01:09,836 --> 00:01:13,139 You're going to Sasha's cottage for two nights, not two years. 28 00:01:13,150 --> 00:01:15,868 - How was work? - It was fine. 29 00:01:15,878 --> 00:01:18,514 And then I took the subway the wrong way 30 00:01:18,525 --> 00:01:20,272 thinking I was going back to our old place. 31 00:01:20,283 --> 00:01:23,347 This one's so much better. We should never move again. 32 00:01:23,358 --> 00:01:26,056 What's a "sinkhole?" 33 00:01:26,067 --> 00:01:27,494 Amira, you know we're only here so that 34 00:01:27,504 --> 00:01:29,595 we can be closer to your new school. 35 00:01:29,606 --> 00:01:33,380 Sasha says they're going to be late because "Newman Road is closed 36 00:01:33,391 --> 00:01:36,557 because the Earth opened up and swallowed a guy whole." 37 00:01:36,568 --> 00:01:38,069 She's so dramatic. 38 00:01:38,441 --> 00:01:40,176 I also told you that it was expensive 39 00:01:40,187 --> 00:01:43,157 so we might need to figure out something cheaper for next year. 40 00:01:43,205 --> 00:01:46,238 Why? You get a raise after residency, right? 41 00:01:46,249 --> 00:01:48,079 If I still have a job, then, maybe. 42 00:01:48,090 --> 00:01:50,702 - So negative. You will. - Yeah... 43 00:01:51,023 --> 00:01:54,583 _ 44 00:01:56,165 --> 00:01:57,795 She's here. 45 00:01:57,806 --> 00:01:59,875 Do something fun for once, tonight. 46 00:02:00,089 --> 00:02:01,722 What do you think I do when you leave? 47 00:02:01,733 --> 00:02:04,103 Sit there, staring at the wall until I come back. 48 00:02:04,352 --> 00:02:06,354 Don't this time, though. 49 00:02:48,545 --> 00:02:51,218 The hardest part for us is not doing anything, okay? 50 00:02:51,229 --> 00:02:52,898 But we can't just jump in there. 51 00:02:52,909 --> 00:02:55,445 We have to wait until we know what the risks are. 52 00:03:30,584 --> 00:03:35,584 - Synced and corrected by naFraC - - www.addic7ed.com - 53 00:03:38,928 --> 00:03:40,803 Hi, Magalie. Hopefully, you're the first 54 00:03:40,813 --> 00:03:43,036 person under 40 who listens to voicemails. 55 00:03:43,047 --> 00:03:45,049 It's Connie, your transplant nurse. 56 00:03:45,060 --> 00:03:47,868 You owe intake forms, and also your first batch of blood work 57 00:03:47,879 --> 00:03:49,381 is this Thursday at 10 A.M. 58 00:03:49,392 --> 00:03:51,623 And I'd like to get your pacemaker reporting set up. 59 00:03:51,634 --> 00:03:54,571 I also want to remind you that emergency doctors are more likely 60 00:03:54,582 --> 00:03:57,161 to be exposed to the most common kinds of viral 61 00:03:57,172 --> 00:03:59,990 and bacterial infections, those are putting your heart at risk. 62 00:04:00,001 --> 00:04:02,782 Yeah, myocarditis, endocarditis, pericarditis. 63 00:04:02,793 --> 00:04:05,036 The panel already flagged this one and put me on the list, Connie. 64 00:04:05,100 --> 00:04:07,588 - Your resident's way behind. - What's wrong with the elevators? 65 00:04:07,599 --> 00:04:08,934 Service lift is up for patients. 66 00:04:09,378 --> 00:04:12,296 Day shift got slammed and Carmen's too slow. 67 00:04:12,307 --> 00:04:15,858 "MCAT practice test?" Arnold, are you trying for med school? 68 00:04:17,079 --> 00:04:19,305 - Don't tell the other nurses. - Okay, let me know if you need any help. 69 00:04:19,316 --> 00:04:22,453 Thanks. I mean, if there's any extra experience 70 00:04:22,464 --> 00:04:24,505 you want to throw my way, I won't say no but right now... 71 00:04:24,516 --> 00:04:26,951 You just want me to help us catch up. 72 00:04:27,570 --> 00:04:30,952 Keep us in the loop and be cautious, doctor LeBlanc. 73 00:04:31,484 --> 00:04:32,741 Colds are viral. 74 00:04:32,752 --> 00:04:35,686 So antibiotics won't really help. You'll get all of the side effects, 75 00:04:35,697 --> 00:04:38,333 none of the benefits. I can recommend an over-the-counter... 76 00:04:38,661 --> 00:04:41,063 Or you can just hang up on me. 77 00:04:41,710 --> 00:04:44,720 Sounds like you're having a fun night. 78 00:04:45,082 --> 00:04:46,542 Also, didn't you work all day? 79 00:04:46,553 --> 00:04:48,622 Oh, the cue is endless. 80 00:04:50,638 --> 00:04:52,561 Wait, so you're not staying? 81 00:04:52,785 --> 00:04:54,924 You know, I could order in. 82 00:04:54,935 --> 00:04:58,721 I'm grabbing Holden from lacrosse and Ash from board game club. 83 00:04:58,732 --> 00:05:01,068 Taking them to McDonald's before my shift. 84 00:05:01,503 --> 00:05:03,271 God, I hate nights. 85 00:05:04,251 --> 00:05:06,887 Sorry. But good for you. 86 00:05:06,898 --> 00:05:09,467 For not giving in and writing that guy the script. 87 00:05:09,478 --> 00:05:12,247 And stopping myself from lecturing him 88 00:05:12,258 --> 00:05:16,596 about unnecessary use of ABX and population-level resistance. 89 00:05:17,133 --> 00:05:18,710 Guess he'll just need to find a doctor 90 00:05:18,721 --> 00:05:21,192 who isn't trying to prove his lapses in judgment are behind him. 91 00:05:21,203 --> 00:05:23,724 - Hmm. - Ah, you know, 92 00:05:23,735 --> 00:05:27,506 - I... I can come tonight. - To Holden's game? 93 00:05:27,630 --> 00:05:29,165 I'll barely make the end of it. 94 00:05:29,176 --> 00:05:30,844 Or maybe to McDonald's... 95 00:05:31,332 --> 00:05:35,203 I mean, your kids and your live-in ex know about us anyway. 96 00:05:37,164 --> 00:05:39,767 It won't be like this forever, Theo. 97 00:05:42,478 --> 00:05:44,079 Goodnight. 98 00:05:57,056 --> 00:05:59,217 Tell us your name, sir. We're trying to get to you. 99 00:05:59,228 --> 00:06:01,797 Why don't you just start by telling us your name? 100 00:06:02,329 --> 00:06:03,832 Can you hear me? 101 00:06:03,955 --> 00:06:05,757 Kathryn, right? 102 00:06:05,768 --> 00:06:08,270 Bashir, ED at Memorial. Is that the van driver? 103 00:06:08,337 --> 00:06:10,564 Hi. He's got his phone with him. Called 9-1-1. 104 00:06:10,575 --> 00:06:13,912 Kyle! My name is Kyle, and I can't really move. 105 00:06:14,834 --> 00:06:17,408 Kyle. Are you in your vehicle or out? 106 00:06:17,419 --> 00:06:18,631 Out. 107 00:06:18,642 --> 00:06:20,010 Did something land on you, Kyle? 108 00:06:20,021 --> 00:06:21,389 Tell us whatever you can. 109 00:06:21,400 --> 00:06:25,928 Yeah, something hit my chest. It's dark... 110 00:06:26,401 --> 00:06:29,491 It hurts when I breathe. 111 00:06:29,763 --> 00:06:31,482 Kyle, this is Dr. Hamed. 112 00:06:31,493 --> 00:06:34,961 Let me hear you take a deep breath in and then out, okay? 113 00:06:34,972 --> 00:06:38,075 Okay. 114 00:06:40,155 --> 00:06:43,549 Not great, right? I've practised so many times 115 00:06:43,560 --> 00:06:47,765 for the ground to just... shifts like that right under me. 116 00:06:48,215 --> 00:06:50,017 Hold on a second, Kyle. 117 00:06:50,028 --> 00:06:51,914 Are they any closer to gaining access? 118 00:06:51,980 --> 00:06:54,228 No. Every time they get closer to the edge, 119 00:06:54,239 --> 00:06:56,575 more of the ground collapses. 120 00:06:58,620 --> 00:07:01,123 When the day four conference cold started going around, 121 00:07:01,134 --> 00:07:03,669 I decided to bail before it took me down, 122 00:07:03,680 --> 00:07:06,516 but then I got this pain and vomited so... Fail? 123 00:07:06,880 --> 00:07:08,453 Well, you do have a temp. But the pain speaks 124 00:07:08,464 --> 00:07:11,267 to something other than a cold. What kind of a conference? 125 00:07:11,278 --> 00:07:14,156 Two hundred dentists. Exciting, right? 126 00:07:14,167 --> 00:07:16,036 Can you lie down for me, please? 127 00:07:18,934 --> 00:07:20,341 Okay... 128 00:07:21,769 --> 00:07:24,068 - Does it hurt more if I press here? - Ah, yeah. 129 00:07:24,079 --> 00:07:25,313 Okay. 130 00:07:25,887 --> 00:07:28,623 - Any blood when you pee? - No. 131 00:07:28,701 --> 00:07:31,504 Why? What's going on? What aren't you telling me? 132 00:07:31,515 --> 00:07:34,492 - I would rather do some imaging before... - No, no, no. Don't string me along. 133 00:07:34,503 --> 00:07:37,329 I'm no MD, but I know hedging when I see it! 134 00:07:38,283 --> 00:07:41,886 Okay, well, right now my differential includes kidney stones, 135 00:07:41,897 --> 00:07:45,576 gallstones, appendicitis, gastritis, ruptured cysts, 136 00:07:45,587 --> 00:07:48,433 or ovarian torsion. Which is why you need an ultrasound. 137 00:07:48,824 --> 00:07:51,513 - I'm sorry. I overreacted. - It's okay. 138 00:07:54,155 --> 00:07:55,590 Carmen, about the woman in E... 139 00:07:55,601 --> 00:07:57,199 Does OHIP require special authorization 140 00:07:57,210 --> 00:07:58,545 to cover extended autoimmune testing? 141 00:07:58,947 --> 00:08:00,515 Because my joint pain guy in six 142 00:08:00,582 --> 00:08:01,817 tracks with ankylosing spondylitis. 143 00:08:01,828 --> 00:08:03,496 So refer him to a rheumatologist. 144 00:08:03,507 --> 00:08:05,506 I don't trust the patient to follow up. I thought I could do it myself. 145 00:08:05,517 --> 00:08:07,152 No, your patient volumes need work. 146 00:08:07,462 --> 00:08:09,580 Standard is four per hour. You're at two point five. 147 00:08:09,591 --> 00:08:11,426 - Let's double that tonight. - Double? 148 00:08:11,493 --> 00:08:13,840 But you keep telling me about getting the full story 149 00:08:13,851 --> 00:08:15,223 and catching what other doctors don't. 150 00:08:15,234 --> 00:08:17,491 Yeah, you can still learn to do that and move faster, Carmen. 151 00:08:17,502 --> 00:08:20,171 Good evening, everybody. I just got word from CCU 152 00:08:20,182 --> 00:08:21,984 that three patients with suspected pneumonia 153 00:08:21,995 --> 00:08:24,488 just tested positive for legionnaires. 154 00:08:24,499 --> 00:08:27,363 - All from some dental conference. - Oh, God. 155 00:08:27,374 --> 00:08:28,866 I just saw someone from that conference. 156 00:08:28,877 --> 00:08:30,879 I wore a mask because his cough was so flemmy. 157 00:08:30,890 --> 00:08:33,259 No, legionnaires is usually spread via ventilation 158 00:08:33,270 --> 00:08:35,376 or aerosolized water, not person-to-person. 159 00:08:35,387 --> 00:08:37,790 But doesn't it have like a 5 to 30% fatality rate? 160 00:08:38,242 --> 00:08:42,030 Take the panic down 6000% and start protocols. 161 00:08:42,041 --> 00:08:43,983 Negative pressure iso, masks, increased 162 00:08:43,993 --> 00:08:45,858 handwashing, and enhanced cleaning. 163 00:08:45,869 --> 00:08:47,544 The woman in E is a conference dentist. 164 00:08:47,555 --> 00:08:48,889 I'm pretty sure it's a kidney stone, 165 00:08:48,900 --> 00:08:51,636 but keep her masked and send her to radiology, stat. 166 00:08:52,947 --> 00:08:54,716 So that motivational speech, 167 00:08:54,727 --> 00:08:57,096 was that to prove you have the leadership skills 168 00:08:57,107 --> 00:08:59,843 and deserve the one fellowship spot that's up for grabs? 169 00:08:59,955 --> 00:09:02,738 Maybe that's just me paying forward some good leadership. 170 00:09:02,749 --> 00:09:04,250 Instead of not-so-good. 171 00:09:04,261 --> 00:09:07,049 By pawning off our most virulent patients to the first-years. 172 00:09:07,060 --> 00:09:08,928 - That's not what I was doing. - Two more dentists 173 00:09:08,939 --> 00:09:11,135 with legionnaire symptoms at triage... 174 00:09:11,146 --> 00:09:14,056 Give them the Leblanc's human shield of a resident. 175 00:09:14,651 --> 00:09:16,960 - You really want me to give them to Carmen? - No. 176 00:09:16,971 --> 00:09:19,261 Maybe. I don't know, I'll get back to you. 177 00:09:22,095 --> 00:09:25,356 At least that pasta beat stale hospital muffins. 178 00:09:25,367 --> 00:09:27,928 Yeah, I mean those muffins can get me through some tough times. 179 00:09:29,571 --> 00:09:32,838 Oh, looks like we're hauling up the stairs. 180 00:09:32,849 --> 00:09:35,885 Oh, not me actually. I use the emerg lockers. 181 00:09:36,011 --> 00:09:39,648 Right. Well, thanks for... 182 00:09:40,034 --> 00:09:42,203 This was... fun. 183 00:09:42,950 --> 00:09:46,848 Oh, yeah, you too, Toby. If you want to do this again 184 00:09:46,859 --> 00:09:48,639 the next time we're both working nights, then... 185 00:09:48,650 --> 00:09:50,885 Yeah, maybe I'll check my schedule. 186 00:09:51,206 --> 00:09:53,308 Or not. 187 00:09:54,402 --> 00:09:57,839 Okay, I'll see you. 188 00:10:05,393 --> 00:10:08,230 Your next patient is connecting, Dr. Hunter. 189 00:10:08,724 --> 00:10:10,779 Fast and forceful, right hand! 190 00:10:10,790 --> 00:10:13,028 Leave it on the floor like you're squashing a bug. 191 00:10:13,039 --> 00:10:15,352 Hum, hello? You okay? 192 00:10:15,363 --> 00:10:17,065 Oh, you're here. 193 00:10:19,093 --> 00:10:21,396 Hold on. Take five, guys. 194 00:10:23,306 --> 00:10:26,161 - Sorry, boxing class. - I'm Dr. Hunter. 195 00:10:26,172 --> 00:10:28,518 You did book an appointment, didn't you? 196 00:10:28,529 --> 00:10:31,489 - Uh, Dahab? - Dahab, yes. 197 00:10:31,500 --> 00:10:32,837 For two hours ago. 198 00:10:32,848 --> 00:10:35,712 I wait, but no one comes, so I decided to get on with my night. 199 00:10:35,723 --> 00:10:38,389 Okay, hum. Sorry about that. 200 00:10:38,400 --> 00:10:42,044 It says here in my notes that you felt a pop in your chest. 201 00:10:42,368 --> 00:10:45,518 Yesterday, some water went down the wrong tube, and I coughed hard. 202 00:10:45,529 --> 00:10:48,212 And then, pop. Scared me so bad I went to the hospital 203 00:10:48,223 --> 00:10:50,893 and after seven hours, they told me to go home. 204 00:10:50,992 --> 00:10:54,522 - And did they do any imaging? - An X-ray that shows nothing. 205 00:10:54,533 --> 00:10:58,323 And today, I'm feeling it more. It's getting harder to breathe. 206 00:10:58,334 --> 00:10:59,674 But you're still boxing. 207 00:10:59,685 --> 00:11:01,420 I need to make a living, doctor. 208 00:11:01,431 --> 00:11:04,067 Fair enough. Uh, any chance 209 00:11:04,078 --> 00:11:05,676 it's related to injury? 210 00:11:05,686 --> 00:11:07,792 If you got hit in the chest or you pulled a muscle? 211 00:11:07,803 --> 00:11:10,505 I'm no prizefighter, but I did get punched in the face once. 212 00:11:10,516 --> 00:11:14,320 And sometimes, the damage isn't where you think it is. 213 00:11:14,409 --> 00:11:16,227 No disrespect, but I'm a newcomer 214 00:11:16,238 --> 00:11:17,704 and my insurance can't cover this. 215 00:11:17,715 --> 00:11:22,180 Which means I'm paying $150. I don't have it. 216 00:11:22,191 --> 00:11:25,394 I'm a smart person, so how do we figure out what's wrong? 217 00:11:26,428 --> 00:11:29,731 Can you point to where the pain is? 218 00:11:30,569 --> 00:11:32,922 Okay, now was that sharp and sudden, 219 00:11:32,933 --> 00:11:34,668 or slow and gradual? How do you feel now? 220 00:11:34,977 --> 00:11:37,746 Sharp and sudden. My arm and leg went tingling. 221 00:11:37,757 --> 00:11:40,458 My heart was racing. I can't even stand. 222 00:11:40,469 --> 00:11:42,138 And it's still sharp when I breathe in, 223 00:11:42,149 --> 00:11:44,151 and I get these waves of dizzy. 224 00:11:46,708 --> 00:11:48,643 Are you near a drugstore? 225 00:11:48,968 --> 00:11:51,546 I need your blood pressure and heart rate. 226 00:11:51,714 --> 00:11:53,548 There are machines that'll do both. 227 00:11:53,559 --> 00:11:56,629 They also sell something called a pulse oximeter. 228 00:11:56,871 --> 00:11:59,598 It's about $50, you can just return it once you're done with it. 229 00:11:59,609 --> 00:12:01,982 Just tell them it didn't work. I need that number too. 230 00:12:01,993 --> 00:12:04,607 What do I do with these readings? Wait another two hours in the cue, 231 00:12:04,618 --> 00:12:06,253 and then a different doctor? 232 00:12:07,589 --> 00:12:09,653 I'm going to give you my cellphone number. 233 00:12:09,664 --> 00:12:11,633 You call me as soon as you're done. 234 00:12:16,985 --> 00:12:18,440 Is the truck going to pull him out now? 235 00:12:18,507 --> 00:12:20,475 His pleural cavity could be filling up with fluids, 236 00:12:20,486 --> 00:12:22,354 and if we don't get to him soon, he's going to die. 237 00:12:22,365 --> 00:12:24,167 Nobody's going anywhere until the scene stabilizes. 238 00:12:24,178 --> 00:12:25,584 - Sorry, who are you? - I'm a doctor. 239 00:12:25,595 --> 00:12:27,491 I heard him talking to the EMS. Kyle... 240 00:12:27,502 --> 00:12:29,070 - Someone call you? - No, I have experience 241 00:12:29,081 --> 00:12:31,258 - with this kind of field of work. - Oh, you have experience 242 00:12:31,269 --> 00:12:32,871 with sinkholes sucking vehicles in whole 243 00:12:32,882 --> 00:12:35,493 and compromising the underground infrastructure of Toronto. 244 00:12:35,504 --> 00:12:36,838 Because it's a first for me. 245 00:12:36,918 --> 00:12:39,054 Nothing else happens until I know it's safe. 246 00:12:39,065 --> 00:12:40,633 His life is at risk. 247 00:12:40,973 --> 00:12:42,975 Hey, that grid leads under the road? 248 00:12:42,986 --> 00:12:45,322 Yes, but unless the City Works engineers tell me otherwise, 249 00:12:45,333 --> 00:12:48,111 - the hydro vault's off limits. - And if you can't pull him out in time? 250 00:12:48,122 --> 00:12:50,291 Well, we better because it's our only option. 251 00:12:50,773 --> 00:12:53,542 I've got confined space and trench rescue teams setting up. 252 00:12:53,735 --> 00:12:55,203 If I send my team on foot, 253 00:12:55,214 --> 00:12:57,716 the road could swallow them too. And very likely crush our guys. 254 00:12:57,727 --> 00:12:59,494 - You don't know that. - You don't know how long 255 00:12:59,505 --> 00:13:01,375 his lungs will hold or if it even is collapsed. 256 00:13:01,386 --> 00:13:03,450 It is. And if there is a way we can get down there, 257 00:13:03,461 --> 00:13:05,029 - I can help. - This is a technical 258 00:13:05,040 --> 00:13:08,318 rescue scene and Toronto Fire has authority. 259 00:13:08,329 --> 00:13:10,314 What kind of person, doctor or not, 260 00:13:10,325 --> 00:13:12,327 sees an entire team of workers and thinks, 261 00:13:12,338 --> 00:13:14,607 "I'm the guy who really should be here." 262 00:13:15,252 --> 00:13:18,934 Wait behind the barrier or we're going to have a problem. 263 00:13:28,902 --> 00:13:31,012 Okay, but we're at six and going up. 264 00:13:31,422 --> 00:13:33,215 Alright, thanks. 265 00:13:33,532 --> 00:13:35,483 Uh, Claire... 266 00:13:36,165 --> 00:13:39,171 I only called you at home for sub-ideas. Not for you to come in. 267 00:13:39,182 --> 00:13:41,145 I wasn't tired anyway. Was that admitting 268 00:13:41,156 --> 00:13:43,719 asking us to hold the legionnaire's patients until they find beds? 269 00:13:43,730 --> 00:13:46,156 I tried explaining they all need dedicated monitoring 270 00:13:46,167 --> 00:13:47,811 and that there's only four of us on the floor, but... 271 00:13:47,822 --> 00:13:50,081 I'll do it. You just keep what's already on your plate. 272 00:13:50,092 --> 00:13:52,061 I don't mind some overflow... 273 00:13:54,083 --> 00:13:58,273 Feels like a million tiny needles stabbing me in my back and stomach. 274 00:13:58,340 --> 00:13:59,841 Kidney stones are no joke. 275 00:13:59,964 --> 00:14:02,333 I swear that first doctor knew it was kidney stones 276 00:14:02,344 --> 00:14:06,034 the whole time. I kind of lost it on her for hoarding information. 277 00:14:06,045 --> 00:14:09,333 I mean, I know you're all just trying to help, but... 278 00:14:09,430 --> 00:14:11,265 How long is it going to take to know 279 00:14:11,276 --> 00:14:13,478 - if I also have legionnaires? - Exposure window 280 00:14:13,489 --> 00:14:15,858 is usually 10 days, but I'm not seeing any antigens 281 00:14:15,869 --> 00:14:17,637 on your PCR so maybe you got lucky. 282 00:14:17,812 --> 00:14:19,814 Yeah. I feel real lucky. 283 00:14:20,601 --> 00:14:22,497 Look, if you want to double down, 284 00:14:22,778 --> 00:14:26,034 you can always wait and see if the stone can pass on its own. 285 00:14:26,157 --> 00:14:29,661 I think it's always best to avoid invasive if it's an option. 286 00:14:29,671 --> 00:14:31,273 Hello, Marissa. 287 00:14:31,284 --> 00:14:34,101 My name is Mark Novak. Good news, urology's decided 288 00:14:34,112 --> 00:14:36,314 to blast your kidney stone in the cutting-edge 289 00:14:36,325 --> 00:14:38,962 operating theatre we call "Trauma OR". 290 00:14:38,973 --> 00:14:43,845 So I will need you to not eat or drink anything until you're through. 291 00:14:44,131 --> 00:14:46,600 Mark, you're talking about ESWL, right? 292 00:14:46,787 --> 00:14:48,395 It's a non-invasive procedure where 293 00:14:48,405 --> 00:14:50,214 they use shockwaves to blast the stone. 294 00:14:50,225 --> 00:14:52,109 It'll break it up. It'll be easier for you to pass. 295 00:14:52,120 --> 00:14:54,589 PCNL. It's a small scope. Goes into your kidneys 296 00:14:54,600 --> 00:14:56,402 and then lasers do the rest. 297 00:14:56,413 --> 00:14:58,482 Because I'm suggesting that we wait it up. 298 00:14:58,713 --> 00:15:01,000 You've seen the size 299 00:15:01,011 --> 00:15:04,297 of the stone, though, right? I mean, there's moons orbiting it. 300 00:15:04,308 --> 00:15:07,012 But, hey, you know, if you want to prolong her agony, 301 00:15:07,023 --> 00:15:09,192 the last thing I want to do is step on anybody's toes. 302 00:15:09,203 --> 00:15:12,006 So, that's your call, Dr. Curtis. 303 00:15:15,884 --> 00:15:19,187 Who was the walking slice of toxicity? 304 00:15:19,310 --> 00:15:22,179 He might be right. PCNL isn't that invasive. 305 00:15:22,190 --> 00:15:25,182 - You're kidding me... - No, it's really quite minor. 306 00:15:25,193 --> 00:15:29,008 - We'll talk to urology first. - No, I'm talking about you changing your mind 307 00:15:29,019 --> 00:15:31,121 because that man gaslit you? 308 00:15:31,172 --> 00:15:32,477 Oh, he does that. 309 00:15:32,488 --> 00:15:34,878 So you can hear him dismissing you like that? 310 00:15:34,889 --> 00:15:37,024 Telling me what I'm allowed to eat. 311 00:15:37,035 --> 00:15:40,620 I have half a mind to say no just to stick it to him. 312 00:15:40,631 --> 00:15:43,006 No, don't do that. The food thing's real. 313 00:15:43,017 --> 00:15:47,016 You're defending him. Oh, no, no. No, no. 314 00:15:47,027 --> 00:15:51,208 Sweetie, I was in a bad marriage for years. 315 00:15:51,219 --> 00:15:53,688 It took me swallowing a half bottle of sleeping pills 316 00:15:53,755 --> 00:15:56,481 for him to get the message. And I finally got out, 317 00:15:56,492 --> 00:15:59,795 but the whole thing really affected my self-esteem for a long time. 318 00:15:59,939 --> 00:16:01,874 Okay, hold on! 319 00:16:01,963 --> 00:16:04,781 My medical opinion has nothing to do with Mark Novak. 320 00:16:04,792 --> 00:16:07,385 He's always been difficult and I barely even notice him anymore. 321 00:16:07,396 --> 00:16:09,240 Well, I can report him for you. 322 00:16:09,251 --> 00:16:11,486 - There must be some way... - Marissa, Marissa. 323 00:16:11,497 --> 00:16:14,133 Why don't we just focus on your kidney stone? 324 00:16:15,526 --> 00:16:16,644 Fine. 325 00:16:16,711 --> 00:16:21,394 A few customers at my bar wanted to keep partying after close. 326 00:16:21,405 --> 00:16:24,641 So my last drink was... 9 A.M. 327 00:16:25,102 --> 00:16:29,132 I'm dizzy, barfy, my head won't stop pounding. 328 00:16:29,143 --> 00:16:30,223 Any other pain? 329 00:16:30,234 --> 00:16:32,303 Other than my entire body. 330 00:16:34,072 --> 00:16:37,285 Hey, what's with the mask? I don't think this hangover is contagious. 331 00:16:37,296 --> 00:16:39,269 No, it's just precautionary. We've had patients 332 00:16:39,280 --> 00:16:41,182 from a dental conference with respiratory illness. 333 00:16:41,302 --> 00:16:42,971 They were all at the same hotel so... 334 00:16:43,251 --> 00:16:45,853 Your blood pressure is 200 over 110. 335 00:16:46,582 --> 00:16:48,941 It can spike with the alcohol, but it should have come down by now. 336 00:16:48,952 --> 00:16:50,928 Oh, no. I definitely have that. 337 00:16:51,165 --> 00:16:53,201 You are diagnosed with high blood pressure? 338 00:16:53,212 --> 00:16:56,827 - That's pretty rare for 23. - I know, I'm like this medical miracle. 339 00:16:57,208 --> 00:16:59,610 And yes, my doctor already gave me the speech 340 00:16:59,621 --> 00:17:02,590 about eating right and three drinks a week. 341 00:17:02,889 --> 00:17:06,494 Anyways, look, someone told me that when they're super hungover, 342 00:17:06,505 --> 00:17:08,907 they just come here to get IV fluid. 343 00:17:08,918 --> 00:17:11,854 You should probably listen to your doctor instead of whoever that was. 344 00:17:11,865 --> 00:17:16,703 Because hypertension can be seriously complicated by lifestyle choices. 345 00:17:16,714 --> 00:17:20,184 Well, screw me for thinking I'm allowed to live a little, right? 346 00:17:21,128 --> 00:17:24,878 I just... Forget it. I'll pound electrolytes at home. 347 00:17:24,889 --> 00:17:26,830 Okay, can you hold on a second? 348 00:17:26,868 --> 00:17:28,310 Carmen, if it's urgent enough to hover, 349 00:17:28,321 --> 00:17:30,957 - just come in and get me. - I don't know if it is, but... 350 00:17:31,987 --> 00:17:33,610 Your first rectal insertion? 351 00:17:33,621 --> 00:17:35,457 It's basically a rite of passage. 352 00:17:35,715 --> 00:17:37,701 - Did he say what it was? - He won't even acknowledge 353 00:17:37,712 --> 00:17:39,804 - that something is in there. - Yeah, surprisingly, 354 00:17:39,815 --> 00:17:44,546 that is not uncommon. My guess would be some sort of metal? 355 00:17:44,557 --> 00:17:46,868 Okay, but how do I get the full story? 356 00:17:46,879 --> 00:17:48,947 You don't. Not now, remember our talk. 357 00:17:49,244 --> 00:17:51,650 In this instance, your problem is whatever metal 358 00:17:51,661 --> 00:17:53,696 is in his rectum, not why it got there. 359 00:17:53,734 --> 00:17:55,870 - You need to take it out. - Alone? 360 00:17:56,851 --> 00:17:59,380 Ask Arnold if you need any help, he wants the EXP. 361 00:17:59,514 --> 00:18:02,217 And put her on saline until her BP comes down. 362 00:18:04,485 --> 00:18:05,872 Captain, we're ready to move. 363 00:18:05,883 --> 00:18:07,485 Nuh-uh. We still haven't secured the area 364 00:18:07,496 --> 00:18:09,398 so no one moves in until then. 365 00:18:10,995 --> 00:18:12,393 We lost contact with the victim. 366 00:18:12,404 --> 00:18:14,573 He was having trouble breathing. 367 00:19:10,585 --> 00:19:13,288 How did it go, Dahab? 368 00:19:13,354 --> 00:19:16,124 I used the machine four times like you said. 369 00:19:16,190 --> 00:19:17,992 People are very upset about it. 370 00:19:18,297 --> 00:19:21,329 Blood pressure says 95 over 60. 371 00:19:21,503 --> 00:19:23,505 Hold on, there's a bus. 372 00:19:25,081 --> 00:19:29,227 Heart, 175. And finger clip is 95. 373 00:19:29,238 --> 00:19:31,880 But if they don't let me return it, I'm sending you the bill. 374 00:19:31,891 --> 00:19:35,059 Okay, Dahab. I need you to go to the emergency room 375 00:19:35,070 --> 00:19:37,491 - for more testing. - I'm not going back there. 376 00:19:37,996 --> 00:19:39,581 I just rest for a few days. 377 00:19:39,592 --> 00:19:42,491 Based on your vitals and symptoms, you could have a ruptured aorta. 378 00:19:42,502 --> 00:19:44,180 The artery responsible for pumping your blood 379 00:19:44,191 --> 00:19:46,422 might be leaking and if it is, and you don't get treated, 380 00:19:46,434 --> 00:19:48,503 you could die. Where are you right now? 381 00:19:48,550 --> 00:19:50,618 On a bench outside pharmacy. 382 00:19:50,880 --> 00:19:52,318 Okay, go to York Memorial Hospital. 383 00:19:52,329 --> 00:19:53,845 I used to work there, it's the place you want to be 384 00:19:53,856 --> 00:19:57,113 - for cardiac emergencies. - That's where I was. 385 00:19:57,205 --> 00:19:58,736 They were rude and didn't listen. 386 00:19:58,747 --> 00:20:00,656 Treated me like less than human. 387 00:20:00,896 --> 00:20:03,438 Can I come to you? I'll pay. 388 00:20:03,449 --> 00:20:05,285 It's not about money, Dahab. 389 00:20:05,296 --> 00:20:08,366 I'm not insured for anything more than virtual visits right now. 390 00:20:08,496 --> 00:20:10,865 Theo, please... I trust you. 391 00:20:10,876 --> 00:20:13,337 Look, I hear that last night went badly, right? 392 00:20:13,348 --> 00:20:16,951 But hospitals are really just people. 393 00:20:17,116 --> 00:20:19,921 And I will call ahead and make sure you see the right ones. 394 00:20:19,932 --> 00:20:22,578 - Plus, you have me on speed dial. - Okay. 395 00:20:22,589 --> 00:20:23,975 Okay, just go now, Dahab. 396 00:20:23,986 --> 00:20:26,422 And let me know as soon as you get there, okay? 397 00:20:52,992 --> 00:20:54,911 Bashir, you're a hero. 398 00:20:54,922 --> 00:20:57,892 I can get them to see that. They'll want to help you. 399 00:20:58,703 --> 00:21:00,250 I get that it makes you uncomfortable. 400 00:21:00,261 --> 00:21:02,206 It's just... There are so many people 401 00:21:02,217 --> 00:21:04,586 - on that list ahead of us. - Not as likely to succeed 402 00:21:04,597 --> 00:21:06,423 or as deserving of the chance. 403 00:21:06,434 --> 00:21:09,170 A skilled doctor with a little girl depending on him. 404 00:21:09,793 --> 00:21:12,140 It could take years off the wait. 405 00:21:36,224 --> 00:21:38,971 Claire. Claire! 406 00:21:43,390 --> 00:21:46,360 Any ideas for staff floats, Claire? 407 00:21:47,341 --> 00:21:48,943 Bash worked today, he might come back. 408 00:21:48,954 --> 00:21:50,722 - Great, can you try him? - Yeah, sure. 409 00:21:51,002 --> 00:21:53,018 Is that a makeshift ICU of dentists? 410 00:21:53,029 --> 00:21:56,065 - Yeah. - We just got official word. 411 00:21:56,076 --> 00:21:58,378 CCU's full. No admissions. 412 00:21:58,573 --> 00:22:00,275 How are we supposed to function as an emerg 413 00:22:00,286 --> 00:22:02,454 if we're basically a spillover ward for everyone else? 414 00:22:02,690 --> 00:22:04,525 And if we do get more dentists, 415 00:22:04,592 --> 00:22:05,988 I don't know where we're going to put them. 416 00:22:05,999 --> 00:22:08,752 We do have one more case. Although, she's a bartender. 417 00:22:08,763 --> 00:22:10,732 Not a dentist. Your patient, Mags. 418 00:22:10,854 --> 00:22:12,923 Josie with the hangover has legionnaires? 419 00:22:13,045 --> 00:22:16,526 - Don't tell me that she... - Slings drinks at the conference hotel? Yup. 420 00:22:16,537 --> 00:22:18,402 Why didn't she say something? I told her about 421 00:22:18,413 --> 00:22:20,775 the precautions we're taking, and she's already hyper-tensive 422 00:22:20,786 --> 00:22:22,988 so high-risk and vulnerable to severe illness. 423 00:22:22,999 --> 00:22:25,428 I mean, she's so young. 424 00:22:25,439 --> 00:22:27,708 I'm sure it never even occurred to her. 425 00:22:27,719 --> 00:22:30,522 But her breathing is declining so we moved her to three. 426 00:22:30,558 --> 00:22:32,159 I'll check on her. 427 00:22:32,373 --> 00:22:34,404 Let me know if you need backup in there. 428 00:22:34,415 --> 00:22:35,817 I'm good. 429 00:22:44,899 --> 00:22:46,567 Kyle? 430 00:22:49,776 --> 00:22:51,278 Kyle? 431 00:22:53,111 --> 00:22:54,408 Kyle... 432 00:22:54,741 --> 00:22:57,844 Hey, Kyle. Can you hear me? 433 00:23:04,912 --> 00:23:07,915 Hey, Kyle, can you hear me? 434 00:23:18,614 --> 00:23:20,067 Where did you come from? 435 00:23:20,606 --> 00:23:21,891 I'm Bashir. 436 00:23:21,902 --> 00:23:23,756 I'm a doctor, we spoke on the phone earlier. 437 00:23:23,767 --> 00:23:26,350 Feels like I'm drowning. 438 00:23:26,361 --> 00:23:27,962 It's the fluid around your lungs. 439 00:23:28,222 --> 00:23:30,891 And I need to make a hole in your chest to drain it. 440 00:23:32,306 --> 00:23:33,908 Here? 441 00:23:34,582 --> 00:23:35,825 Yeah. 442 00:23:40,354 --> 00:23:43,023 We need to lift up your shirt, okay? 443 00:23:48,636 --> 00:23:51,475 This is lidocaine, local freezing. 444 00:23:54,635 --> 00:23:58,039 Next, I'll make a small hole in between your ribs 445 00:23:58,477 --> 00:24:02,032 and put in a thin tube so the fluid drains out. 446 00:24:02,396 --> 00:24:04,645 Inside my chest? 447 00:24:04,768 --> 00:24:06,652 How will you see what you're doing? 448 00:24:06,663 --> 00:24:08,264 In the hospital, we use ultrasound, 449 00:24:08,275 --> 00:24:10,152 but I know how to go on feel. 450 00:24:10,163 --> 00:24:12,955 What do you do for a living, Kyle? 451 00:24:13,508 --> 00:24:15,066 I'm a teacher. 452 00:24:15,445 --> 00:24:16,858 Okay, what do you teach? 453 00:24:16,869 --> 00:24:19,038 Science. Middle-school science. 454 00:24:19,791 --> 00:24:21,329 You're doing great. 455 00:24:22,044 --> 00:24:23,309 Slow breaths. 456 00:24:26,092 --> 00:24:27,713 Okay, Kyle. 457 00:24:28,469 --> 00:24:29,515 Here we go. 458 00:24:34,853 --> 00:24:35,960 The worst is over. 459 00:24:35,971 --> 00:24:37,639 Why is it still hard to breathe? 460 00:24:38,984 --> 00:24:40,390 The fluid should be flowing out, 461 00:24:40,401 --> 00:24:42,003 but there must be a blockage. 462 00:24:43,124 --> 00:24:44,726 I'm going to use my mouth to clear it. 463 00:24:44,865 --> 00:24:48,055 I'd be lying if I said it was ideal sterility, but none of this is. 464 00:24:48,066 --> 00:24:50,146 You're going to swallow my blood. 465 00:24:50,157 --> 00:24:52,360 I'll try not to. 466 00:24:52,834 --> 00:24:54,102 Okay, Kyle. 467 00:24:54,429 --> 00:24:55,966 I need both hands for this next part. 468 00:24:55,977 --> 00:24:57,778 So you're going to have to hold this tube. 469 00:24:57,789 --> 00:25:00,033 No, no, no! I don't think that's a good idea. No! 470 00:25:00,044 --> 00:25:02,913 It's just for a couple of seconds while I clear the blockage, okay? 471 00:25:02,924 --> 00:25:04,225 Just right there. 472 00:25:04,236 --> 00:25:05,737 It's really important this doesn't come out 473 00:25:05,748 --> 00:25:06,924 - of your chest, okay? - Okay. 474 00:25:06,935 --> 00:25:09,832 - So like this. Don't move. - Okay! Okay. 475 00:25:09,843 --> 00:25:11,745 - We're in this together, okay? - Yeah. 476 00:25:32,273 --> 00:25:35,076 Fragmenting the stone... now. 477 00:25:38,399 --> 00:25:40,167 Missed the action, Mark. 478 00:25:40,178 --> 00:25:43,500 Yeah, just making sure that June's got you all set up here, Toby. 479 00:25:43,651 --> 00:25:47,621 - I'll start the contrast study. - It was me. I'll move. 480 00:25:48,498 --> 00:25:50,300 Field looks good. 481 00:25:50,311 --> 00:25:52,280 I can secure the drain. 482 00:25:53,534 --> 00:25:55,503 I'll check on it later. 483 00:25:58,479 --> 00:26:01,248 Curious vibe between you two. 484 00:26:02,088 --> 00:26:04,190 We went to dinner. It was a mistake. 485 00:26:04,594 --> 00:26:06,067 You and Toby went on a date? 486 00:26:06,078 --> 00:26:07,613 Why is that so funny, Mark? 487 00:26:07,624 --> 00:26:09,355 Do you have any idea how hard it is to meet people 488 00:26:09,366 --> 00:26:13,116 - with our schedule? It's impossible. - June, relax. We all need connection. 489 00:26:13,127 --> 00:26:15,300 I personally don't date doctors because it's too close to home, 490 00:26:15,311 --> 00:26:17,241 but I don't care if you and Toby are a thing. 491 00:26:17,252 --> 00:26:19,621 Not a thing. And I don't need your help or your life advice. 492 00:26:20,600 --> 00:26:22,739 Increased heart rate. 493 00:26:23,610 --> 00:26:25,763 Resps. She aspirated. It's food. 494 00:26:25,774 --> 00:26:28,842 Did the nurse ask her if she had eaten today and tell her to fast? 495 00:26:28,853 --> 00:26:31,334 - And you did, too. - You think as a health care 496 00:26:31,345 --> 00:26:33,214 professional you wouldn't take that as casual advice. 497 00:26:33,225 --> 00:26:35,309 I think she might've done it to get back at you for being... 498 00:26:35,320 --> 00:26:38,007 you know, yourself. Eating I mean. 499 00:26:38,018 --> 00:26:39,930 You think this woman found me so distasteful 500 00:26:39,941 --> 00:26:41,635 that she deliberately jeopardized her own operation 501 00:26:41,646 --> 00:26:43,746 and put her life at risk in order to prove that? 502 00:26:43,757 --> 00:26:44,805 June, that's... 503 00:26:44,816 --> 00:26:47,516 You didn't see her when you left. Totally triggered. 504 00:26:47,527 --> 00:26:49,787 People use that word a lot, but what they mean is "annoyed". 505 00:26:49,798 --> 00:26:51,967 It was way more than that. She started going off 506 00:26:51,978 --> 00:26:53,390 about her abusive marriage. 507 00:26:53,401 --> 00:26:55,203 And she wanted to report you on my behalf. 508 00:26:55,536 --> 00:26:56,938 I told her not to. 509 00:26:57,797 --> 00:27:00,467 But that is hospital pudding. 510 00:27:03,224 --> 00:27:05,454 Fine. Let's just... 511 00:27:05,465 --> 00:27:07,968 Let's get her tubes and get on with this. 512 00:27:10,480 --> 00:27:13,034 - Oh, Mags! - Yeah? 513 00:27:13,460 --> 00:27:15,325 Um... Sorry. 514 00:27:15,336 --> 00:27:17,772 Your bartender's O2 sats are down at 90. 515 00:27:17,783 --> 00:27:19,185 Because she's hypertensive. 516 00:27:19,306 --> 00:27:21,108 I paged RT like a million years ago. 517 00:27:21,415 --> 00:27:24,078 Could you please go get them and drag them down if you have to? 518 00:27:24,201 --> 00:27:25,592 I think it's better that you go there. 519 00:27:25,603 --> 00:27:27,714 - They're not going to listen to me. - Yeah, it's 8 floors up. 520 00:27:27,724 --> 00:27:28,749 I know. 521 00:27:28,760 --> 00:27:31,629 Cardio sucks so... Rock, paper, scissors? 522 00:27:32,090 --> 00:27:33,965 No, Arnold, I can't. 523 00:27:33,976 --> 00:27:37,112 - Right, I didn't mean to. Sorry. - It's okay. No worries. 524 00:27:38,871 --> 00:27:41,073 "This is Bashir, please leave a message." 525 00:27:44,911 --> 00:27:47,480 You should be breathing a lot better now. 526 00:27:49,703 --> 00:27:53,040 - These yours? - Oh, yeah. Thank you. 527 00:27:57,677 --> 00:27:59,880 Your pupils look fine. 528 00:28:00,147 --> 00:28:03,017 Um, not to state the obvious, 529 00:28:03,028 --> 00:28:05,096 but since I can move and breathe now, 530 00:28:05,107 --> 00:28:07,977 can we just go out the way you came in? 531 00:28:08,782 --> 00:28:12,820 No, that's no longer an option. 532 00:28:13,433 --> 00:28:16,830 How wrong was I thinking my parking spot was a coup? 533 00:28:16,841 --> 00:28:20,254 Because the street never tickets and it's pretty safe and quiet. 534 00:28:20,265 --> 00:28:23,401 - It's true. I don't live far. - Are you close? 535 00:28:23,771 --> 00:28:26,874 My van is my house. 536 00:28:26,941 --> 00:28:28,290 Oh... 537 00:28:29,849 --> 00:28:31,685 It's a choice, by the way. 538 00:28:31,696 --> 00:28:33,899 I have very few material needs. 539 00:28:34,237 --> 00:28:36,399 - No judgment. - I got divorced 540 00:28:36,410 --> 00:28:40,781 and we were trying to share a condo even after, but... 541 00:28:42,422 --> 00:28:43,766 Bashir, are you crying? 542 00:28:43,777 --> 00:28:45,679 Okay, got a signal here. 543 00:28:46,294 --> 00:28:49,832 It's Captain David. Hey, I was right about his lungs. 544 00:28:49,843 --> 00:28:51,611 He's breathing much better now. 545 00:28:51,622 --> 00:28:54,402 - And no, I'm not crying. My eyes are itching. - Hamed? What the hell? 546 00:28:54,413 --> 00:28:57,510 Same. And I am dizzy. Is it sewer gas? 547 00:28:57,521 --> 00:29:00,147 We teach a WorkSafe unit at school. 548 00:29:00,158 --> 00:29:01,675 It's called hydrogen sulfite. 549 00:29:01,742 --> 00:29:04,518 And one of the many reasons to wait, Hamed. 550 00:29:04,529 --> 00:29:06,965 Now I've got two people breathing toxic fumes instead of one. 551 00:29:06,976 --> 00:29:10,001 - Now I can get us both out. - Do not do that. 552 00:29:10,012 --> 00:29:12,114 The hydro vault is not a safe way out or in. 553 00:29:12,125 --> 00:29:13,627 And that gas is highly flammable. 554 00:29:13,888 --> 00:29:15,882 One spark and the whole street could go. 555 00:29:15,893 --> 00:29:17,495 You're going to sit tight this time 556 00:29:17,564 --> 00:29:20,174 and wait for a hazmat team to identify the risks. 557 00:29:23,316 --> 00:29:26,152 What are you doing down here, man? 558 00:29:29,759 --> 00:29:32,173 I guess you're happy I'm getting my wake-up call. 559 00:29:32,498 --> 00:29:35,531 Of course not. But I really do understand how you feel right now. 560 00:29:35,542 --> 00:29:37,567 How could this get so bad so fast? 561 00:29:37,578 --> 00:29:39,613 We were waiting for respiratory therapy, 562 00:29:39,624 --> 00:29:41,593 but I need to intubate you now. 563 00:29:41,604 --> 00:29:44,074 I'll start by sedating you with propofol. 564 00:29:44,085 --> 00:29:45,313 Then I'll insert a tube... 565 00:29:45,324 --> 00:29:48,205 Please, I read all that stuff about people who go on vents... 566 00:29:48,216 --> 00:29:51,094 and they never get off of them. 567 00:29:51,105 --> 00:29:53,741 Josie, I know that you're scared, but with your increased risk, 568 00:29:53,752 --> 00:29:55,398 you need the extra help to breathe. 569 00:29:55,409 --> 00:29:57,354 I don't want to be someone who needs that. 570 00:29:57,365 --> 00:29:59,748 But the reality is you are. 571 00:29:59,948 --> 00:30:02,803 - And if we don't try... - It turns out the metal thing 572 00:30:02,814 --> 00:30:04,516 was actually a battery and it's stuck. 573 00:30:04,638 --> 00:30:07,007 I'm afraid if I pull it out, I'll melt his rectum with acid, 574 00:30:07,018 --> 00:30:08,486 - and I want to... - Carmen! 575 00:30:08,522 --> 00:30:10,830 You said not to be afraid not to interrupt you. 576 00:30:10,841 --> 00:30:12,877 I also reminded you about judgment. 577 00:30:13,000 --> 00:30:14,935 Don't interrupt when it means pulling me away 578 00:30:14,946 --> 00:30:17,682 from a life-and-death situation. Figure it out! 579 00:30:17,693 --> 00:30:18,948 Sounds like you might need some help in here. 580 00:30:18,959 --> 00:30:21,255 No, we're fine. Josie's increasing in resp distress. 581 00:30:21,266 --> 00:30:23,473 We were discussing intubation and Carmen was going. 582 00:30:23,484 --> 00:30:25,219 There's not much to discuss. 583 00:30:26,008 --> 00:30:28,596 It's okay, I got this. Leblanc, Go. Handhold your resident. 584 00:30:28,607 --> 00:30:31,644 Hi, Josie? We're going to get you some help breathing, yes? 585 00:30:33,505 --> 00:30:36,036 It's okay. Leblanc, go, go, go. 586 00:30:36,096 --> 00:30:38,432 Don't worry, Josie. We got you. 587 00:30:42,166 --> 00:30:43,589 - Did you make it? - They hook me up 588 00:30:43,600 --> 00:30:45,133 with wire and put sticker on me. 589 00:30:45,144 --> 00:30:46,779 Then, took them off and told me to wait. 590 00:30:47,000 --> 00:30:50,003 That's a good sign. Now if your EKG was abnormal, you'd know. 591 00:30:50,014 --> 00:30:51,916 - How do you feel? - Scared. 592 00:30:52,099 --> 00:30:55,136 It hurts worse now, and I feel sick to my stomach. 593 00:30:55,147 --> 00:30:57,883 I'll stay with you until you get seen again. 594 00:30:58,415 --> 00:31:00,683 Tell me... when you got into boxing. 595 00:31:01,034 --> 00:31:03,597 Back home. When they started restricting women 596 00:31:03,664 --> 00:31:05,021 from going to the gym. 597 00:31:05,032 --> 00:31:07,834 My friend and I would work out in my basement in secret. 598 00:31:08,435 --> 00:31:11,238 No music so we didn't draw attention to ourselves. 599 00:31:11,590 --> 00:31:13,874 That's pretty incredible. 600 00:31:13,885 --> 00:31:16,387 - Dahab Sayeed? - They're calling me. 601 00:31:16,398 --> 00:31:19,234 - Stay here. - You bet. 602 00:31:19,279 --> 00:31:21,994 Uh, just say what I texted you. 603 00:31:22,005 --> 00:31:23,539 I just ran up and down eight flights of stairs... 604 00:31:23,550 --> 00:31:27,009 Doctor Hunter sent me. He thinks I may have a ruptured aorta. 605 00:31:27,489 --> 00:31:29,858 You don't have an OHIP card. Health insurance? 606 00:31:29,869 --> 00:31:32,726 I have an Interim Federal Health Certificate. 607 00:31:32,793 --> 00:31:34,180 It covers hospital visits. 608 00:31:34,191 --> 00:31:37,353 Okay, that doesn't matter. Just tell them how you feel. 609 00:31:38,153 --> 00:31:39,933 My pain is ten of ten. 610 00:31:40,000 --> 00:31:42,081 - Can you manage? - Dr. Hunter sent me. 611 00:31:42,092 --> 00:31:44,179 I need to see Nurse Claire. 612 00:31:45,093 --> 00:31:47,163 Take the forms, bring them back to me when you're done. 613 00:31:47,174 --> 00:31:50,296 Is that Rhoda? What forms? What is she doing now? 614 00:31:50,307 --> 00:31:51,912 Theo, I thought you worked here. 615 00:31:51,923 --> 00:31:54,425 Dahab, just put her on the phone. She isn't hearing you. 616 00:31:54,548 --> 00:31:57,028 Miss, please. He can tell you. 617 00:31:57,039 --> 00:31:59,520 Referring physicians need to call the main hospital line. 618 00:31:59,765 --> 00:32:02,556 Rhoda! Rhoda! It's Theo Hunter. 619 00:32:03,069 --> 00:32:05,194 Theo? This your patient? 620 00:32:05,205 --> 00:32:07,074 You know she can't skip the line just because we're busy. 621 00:32:07,085 --> 00:32:09,887 Damn it, Rhoda, are you deaf? You're not hearing what she's saying. 622 00:32:09,957 --> 00:32:12,059 And you don't even work here. 623 00:32:27,138 --> 00:32:30,050 Hey, stop. 624 00:32:30,390 --> 00:32:32,892 You heard what he said about a spark. 625 00:32:42,782 --> 00:32:46,252 So were you right? Would I have died? 626 00:32:48,044 --> 00:32:50,692 And what David said about their risk assessment? 627 00:32:50,703 --> 00:32:53,239 You knew that, but you came down here anyway. 628 00:32:57,404 --> 00:32:59,502 Fine, yeah, no. Say nothing. 629 00:32:59,513 --> 00:33:01,184 You're just the last person I'm ever going to talk to, 630 00:33:01,195 --> 00:33:04,799 but let's both just drift into the void in silence. 631 00:33:14,568 --> 00:33:15,918 Are you a doctor? 632 00:33:15,929 --> 00:33:18,124 No, nurse practitioner. Hi, I'm Claire. 633 00:33:18,135 --> 00:33:20,988 You're the one Theo said to ask for my information. 634 00:33:20,999 --> 00:33:22,836 Theo Hunter? You a patient of his? 635 00:33:22,847 --> 00:33:25,485 Ugh! Does no one talk to each other in this place? 636 00:33:25,496 --> 00:33:28,204 - I know he called you. - I can see you're upset, ma'am, 637 00:33:28,215 --> 00:33:29,977 but please do not take it out on me our staff. 638 00:33:30,043 --> 00:33:33,046 Theo said I could die. You have to do something. 639 00:33:33,593 --> 00:33:36,650 If you cannot remain calm, I'm going to need to call security. 640 00:33:36,831 --> 00:33:39,451 Hey! 641 00:33:45,386 --> 00:33:47,027 - Theo? - Claire. 642 00:33:47,038 --> 00:33:50,119 Dahab, what's going on? You haven't answered any of my calls. 643 00:33:50,237 --> 00:33:52,272 Claire, Claire, is she okay? 644 00:33:52,692 --> 00:33:55,369 They took her back to X-ray and now she's in an exam room. 645 00:33:55,380 --> 00:33:58,850 And she's vomiting brown liquid. What do I do? 646 00:33:58,885 --> 00:34:01,188 I thought she had a ruptured aorta, but... 647 00:34:01,627 --> 00:34:03,277 Brown like coffee grounds? 648 00:34:03,288 --> 00:34:04,823 It tastes awful. 649 00:34:06,079 --> 00:34:09,249 No, Theo. I think it's stool. 650 00:34:10,224 --> 00:34:11,584 Okay... 651 00:34:11,897 --> 00:34:13,211 Alright, we got you. 652 00:34:13,222 --> 00:34:17,159 Claire! Claire! 653 00:34:20,666 --> 00:34:22,835 What did you want to ask me? 654 00:34:22,949 --> 00:34:26,042 I mean, so much. It was so easy for you to risk your life 655 00:34:26,053 --> 00:34:27,487 to save mine, but... 656 00:34:27,855 --> 00:34:31,425 Now, like, killing you to wait for them to save us. 657 00:34:31,436 --> 00:34:34,116 - That's not a question. - Okay. 658 00:34:34,989 --> 00:34:37,769 Let's start small. You said you live near here? 659 00:34:37,780 --> 00:34:41,249 What else? Wife, husband, kids? 660 00:34:41,260 --> 00:34:44,096 - No, I live with my sister. - How old? 661 00:34:44,311 --> 00:34:46,147 - Fifteen. - Grade nine? 662 00:34:46,414 --> 00:34:47,955 She go to the neighborhood school? 663 00:34:47,966 --> 00:34:49,935 It'd be hilarious if I was her teacher. 664 00:34:50,057 --> 00:34:52,559 She goes to the Art school in Etobicoke. 665 00:34:52,872 --> 00:34:55,796 But she likes sciences there, too. 666 00:34:56,066 --> 00:35:01,115 She says she wants to keep all her future possibilities open. 667 00:35:02,495 --> 00:35:04,264 Where'd you grow up? 668 00:35:04,588 --> 00:35:05,739 Aleppo. 669 00:35:08,186 --> 00:35:10,455 Kyle, are you feeling okay? 670 00:35:10,617 --> 00:35:16,290 I mean, for breathing sewer gas and the tube in my chest. 671 00:35:20,777 --> 00:35:22,912 My sister and I immigrated here 672 00:35:22,923 --> 00:35:27,427 because I saved a woman's life and we got the attention of a man who... 673 00:35:28,111 --> 00:35:30,784 - helped us. - Wow. Okay. 674 00:35:30,915 --> 00:35:33,498 Elliot. That's his name. 675 00:35:33,851 --> 00:35:37,437 He found us overseas when we were very desperate. 676 00:35:37,560 --> 00:35:40,529 He put us on the right lists, raised money to sponsor us, 677 00:35:40,540 --> 00:35:44,033 and when we landed here, we lived in his house 678 00:35:44,044 --> 00:35:46,013 with his wife and young kids. 679 00:35:46,832 --> 00:35:51,971 We had a small, one-room basement apartment. 680 00:35:52,686 --> 00:35:54,955 He showed me how to register for my sister's schools. 681 00:35:55,022 --> 00:35:57,724 He helped me figure out how to study for my medical boards. 682 00:35:57,735 --> 00:36:01,138 And he even lent me more money when it was time to take them. 683 00:36:01,149 --> 00:36:03,265 That's pretty miraculous. 684 00:36:03,276 --> 00:36:04,765 It was. 685 00:36:05,972 --> 00:36:07,100 But? 686 00:36:13,574 --> 00:36:15,642 I think they're coming for us. 687 00:36:20,714 --> 00:36:26,553 Kyle! Hey, hey, hey! Kyle! Kyle! 688 00:36:27,188 --> 00:36:28,522 Hey! 689 00:36:29,242 --> 00:36:30,633 Kyle! Hey! 690 00:36:30,644 --> 00:36:32,579 They're coming. 691 00:36:39,389 --> 00:36:41,390 Theo, it hurts. 692 00:36:41,401 --> 00:36:44,856 I know. They're going to help you. Where's Claire? 693 00:36:44,867 --> 00:36:48,537 She went to call for a doctor. Here she is. 694 00:36:49,375 --> 00:36:52,579 Claire? Okay, I think it might be a ruptured diaphragm. 695 00:36:52,590 --> 00:36:55,159 If her bowel herniated, it could be at risk for perforation. 696 00:36:55,170 --> 00:36:57,963 - She needs urgent OR. - Okay, on it. What else? 697 00:36:57,974 --> 00:37:00,789 An NG to decompress the bowel and remove any stool. 698 00:37:00,800 --> 00:37:04,291 - You can wait for someone. - Okay. Talk to her while I prep? 699 00:37:04,371 --> 00:37:07,083 Dahab. Claire's going to put a tube down your nose. 700 00:37:07,094 --> 00:37:09,262 - It'll hurt but not for long. - I can take it. 701 00:37:09,456 --> 00:37:12,826 I have no doubt. Dahab, this is Liz. 702 00:37:12,946 --> 00:37:15,015 She and Claire have you from here. 703 00:37:15,026 --> 00:37:17,963 - Theo? - You can't stay? 704 00:37:18,675 --> 00:37:21,241 You're in great hands. I promise. 705 00:37:21,595 --> 00:37:23,697 We'll talk later, okay? 706 00:37:30,816 --> 00:37:33,065 I was handling things earlier with Josie. 707 00:37:33,076 --> 00:37:35,286 - Who? - That woman you intubated. 708 00:37:35,296 --> 00:37:36,593 Oh, right. 709 00:37:36,604 --> 00:37:37,891 ICU got a bed opening, by the way. 710 00:37:37,902 --> 00:37:39,604 So she's stabilizing quickly. You're welcome. 711 00:37:39,726 --> 00:37:41,965 For steamrolling me? 712 00:37:41,975 --> 00:37:46,028 No! I was trying to help you. Seemed like Carme needed you. 713 00:37:46,039 --> 00:37:48,408 Oh, please. You don't care about holding residents' hands. 714 00:37:48,736 --> 00:37:52,276 No, but you do. Like, you made that big show 715 00:37:52,287 --> 00:37:53,609 of trying to teach her the right lessons. 716 00:37:53,620 --> 00:37:55,722 So I thought you might want to... 717 00:37:57,077 --> 00:37:59,312 Yeah, you know? You're right. 718 00:37:59,435 --> 00:38:01,170 I don't. 719 00:38:01,181 --> 00:38:03,724 They have no idea what's going on for us. 720 00:38:03,735 --> 00:38:06,237 Or what kind of stresses we are all carrying. 721 00:38:06,359 --> 00:38:09,529 And coddling them does nothing to prepare them for reality. 722 00:38:09,790 --> 00:38:13,627 And it's dumb. So yeah, sometimes, we're going to lose it. 723 00:38:13,780 --> 00:38:17,283 And there are more important things to worry about than hurt feelings. 724 00:38:23,108 --> 00:38:24,421 - Hey. - Hey. 725 00:38:24,758 --> 00:38:27,060 You said that this operation would be easy. 726 00:38:27,381 --> 00:38:29,409 But I woke up with pain in my throat 727 00:38:29,420 --> 00:38:31,193 and the nurse said that I almost choked. 728 00:38:31,204 --> 00:38:32,872 Right, well, I was pretty clear 729 00:38:32,883 --> 00:38:35,285 about the dangers of eating before surgery. 730 00:38:35,738 --> 00:38:37,840 Look, if you decided to disregard Dr. Novak 731 00:38:37,851 --> 00:38:39,658 to make a point or to get back at him. 732 00:38:39,669 --> 00:38:43,039 I haven't eaten anything for 16 hours. 733 00:38:43,599 --> 00:38:46,898 You're accusing me of risking my life over that guy? 734 00:38:46,909 --> 00:38:48,911 Marissa, it's just, you know, what you said about your ex. 735 00:38:48,922 --> 00:38:52,926 - And then about the pills... - That was totally different. 736 00:38:52,937 --> 00:38:54,672 I was in a much darker place. 737 00:38:55,359 --> 00:38:57,971 One that I have worked really hard to move beyond. 738 00:38:58,399 --> 00:39:02,342 Okay, alright, maybe it was slow digestion. I'm sorry. 739 00:39:03,189 --> 00:39:04,478 I don't know you, 740 00:39:04,489 --> 00:39:06,758 but I know trauma and... 741 00:39:07,665 --> 00:39:10,250 if you really thought that that was something I was capable of, 742 00:39:10,261 --> 00:39:13,531 maybe it's because some part of you is. 743 00:39:16,752 --> 00:39:19,160 I'm going to leave the drain in until morning. 744 00:39:19,171 --> 00:39:21,607 And then you should be good to go. 745 00:39:42,909 --> 00:39:45,778 Here, Bash. Put this on. 746 00:39:48,021 --> 00:39:49,723 That man owes you his life. 747 00:39:50,283 --> 00:39:53,249 They need to check Kyle's tube for blockages and flow. 748 00:39:53,260 --> 00:39:55,662 They're on it. You just try and breathe. 749 00:40:00,679 --> 00:40:02,681 You okay? 750 00:40:03,485 --> 00:40:06,629 My decisions put you on the spot today. 751 00:40:06,696 --> 00:40:09,398 The chest tube, though. Impressive. 752 00:40:09,409 --> 00:40:11,611 Guess you weren't lying about having field experience. 753 00:40:12,165 --> 00:40:15,502 When I heard somebody was down there, I just... 754 00:40:17,444 --> 00:40:20,447 Jumping in is what I know how to do. 755 00:40:21,601 --> 00:40:24,547 When I was younger and a call would come into the station, 756 00:40:24,558 --> 00:40:27,761 I'd always be pulling for fire. 757 00:40:27,828 --> 00:40:30,330 The calm just felt wrong to me. 758 00:40:30,770 --> 00:40:32,705 Not anymore. 759 00:40:41,835 --> 00:40:44,822 Hi, Connie. It's Magalie. I got your message. 760 00:40:44,833 --> 00:40:48,103 And I will be sending in the forms tomorrow. 761 00:40:48,730 --> 00:40:51,540 Also, I had to move blood work because I'm on shift that day. 762 00:40:51,551 --> 00:40:53,409 But lab said that they could accommodate 763 00:40:53,420 --> 00:40:55,889 so you can be expecting that next week. 764 00:40:56,202 --> 00:40:58,328 Thank you. What happened to you? 765 00:40:58,339 --> 00:41:01,609 Uh... Long story. I came as soon as I could. 766 00:41:01,620 --> 00:41:04,186 Yeah, it's a long story here, too. That's covered. 767 00:41:04,197 --> 00:41:07,974 But when we couldn't reach you, we called in Kinio and Shulman. 768 00:41:07,985 --> 00:41:10,234 Oh, okay. 769 00:41:11,046 --> 00:41:13,173 That's not a great look, ignoring your calls 770 00:41:13,184 --> 00:41:15,586 when you're competing for a job. 771 00:41:15,597 --> 00:41:17,832 No, I think based on tonight, 772 00:41:17,843 --> 00:41:20,245 it's advantage Leblanc. 773 00:41:21,574 --> 00:41:24,243 Good, she should enjoy that while it lasts. 774 00:41:25,174 --> 00:41:27,576 I really want that job, Bash. 775 00:41:27,834 --> 00:41:29,614 I'm going to do everything I can to get it. 776 00:41:29,625 --> 00:41:31,394 You'll need to. 777 00:41:32,459 --> 00:41:33,994 Going home to sleep? 778 00:41:34,160 --> 00:41:36,463 You? Breakfast with Amira? 779 00:41:42,809 --> 00:41:44,878 - How is she? - She's out of surgery. 780 00:41:44,889 --> 00:41:46,825 You were right. Ischemic bowel. 781 00:41:47,052 --> 00:41:49,119 - She'll be fine. - That's good. 782 00:41:49,130 --> 00:41:50,665 What kind of a fallout should I expect? 783 00:41:50,884 --> 00:41:52,353 I'll admit it was unorthodox, 784 00:41:52,364 --> 00:41:53,632 but she said you're the only reason 785 00:41:53,643 --> 00:41:55,534 she even came back to the hospital. 786 00:41:55,949 --> 00:41:57,937 And I blew up my entire life two years ago 787 00:41:57,948 --> 00:42:01,252 for a chance to stay at Memorial because I felt a calling. 788 00:42:01,920 --> 00:42:05,824 I mean, you can think I'm naive or stupid if you want, but... 789 00:42:06,950 --> 00:42:08,673 I know I can still make a contribution 790 00:42:08,684 --> 00:42:11,300 and I'm not going to give up on that or myself. 791 00:42:11,311 --> 00:42:13,479 I don't think that's stupid, Theo. 792 00:42:29,776 --> 00:42:31,077 Bashir... 793 00:42:31,435 --> 00:42:32,986 Hi, Elliot. 794 00:42:33,709 --> 00:42:36,376 What are you... How long has it been? 795 00:42:36,387 --> 00:42:38,088 Six years. 796 00:42:38,458 --> 00:42:39,986 Everything okay? Amira, she's... 797 00:42:39,997 --> 00:42:42,599 I wasn't sure if you wanted to see me again. 798 00:42:44,277 --> 00:42:46,746 I just thought... 799 00:42:48,290 --> 00:42:50,437 What do you want, Bashir? 800 00:42:53,167 --> 00:42:58,167 - Synced and corrected by naFraC - - www.addic7ed.com -