I'm on the transplant list.
A heart may come tomorrow or never.
- And what if it does come? - I'll decide then.
Real doctors never stop learning.
I feel like I just hit this giant fish line.
- I'm supposed to feel great about myself. - But you don't.
Your increased patient load as an NP's helping with wait times,
but if we're pushing too hard, Claire...
Honestly, no. The distraction's doing more
- than meds and therapy combined. - I need to see my chart notes.
From that woman who says you breached her confidence?
She didn't want my help. I'm lying to myself, Bash.
How will you decide who gets the one spot?
I'll make a call down the road. But guys,
you're going to land on your feet.
This is the only place that gave me a chance.
Yeah, you think that this place saved you.
It makes sense that you would be worried.
I just need to get us somewhere safe.
What do you know about Canada?
Amira?
_
Sorry, this thing's heavy.
It's okay to answer me loudly sometimes.
If you don't use it, you'll lose it.
You're going to Sasha's cottage for two nights, not two years.
- How was work? - It was fine.
And then I took the subway the wrong way
thinking I was going back to our old place.
This one's so much better. We should never move again.
What's a "sinkhole?"
Amira, you know we're only here so that
we can be closer to your new school.
Sasha says they're going to be late because "Newman Road is closed
because the Earth opened up and swallowed a guy whole."
She's so dramatic.
I also told you that it was expensive
so we might need to figure out something cheaper for next year.
Why? You get a raise after residency, right?
If I still have a job, then, maybe.
- So negative. You will. - Yeah...
_
She's here.
Do something fun for once, tonight.
What do you think I do when you leave?
Sit there, staring at the wall until I come back.
Don't this time, though.
The hardest part for us is not doing anything, okay?
But we can't just jump in there.
We have to wait until we know what the risks are.
- Synced and corrected by naFraC - - www.addic7ed.com -
Hi, Magalie. Hopefully, you're the first
person under 40 who listens to voicemails.
It's Connie, your transplant nurse.
You owe intake forms, and also your first batch of blood work
is this Thursday at 10 A.M.
And I'd like to get your pacemaker reporting set up.
I also want to remind you that emergency doctors are more likely
to be exposed to the most common kinds of viral
and bacterial infections, those are putting your heart at risk.
Yeah, myocarditis, endocarditis, pericarditis.
The panel already flagged this one and put me on the list, Connie.
- Your resident's way behind. - What's wrong with the elevators?
Service lift is up for patients.
Day shift got slammed and Carmen's too slow.
"MCAT practice test?" Arnold, are you trying for med school?
- Don't tell the other nurses. - Okay, let me know if you need any help.
Thanks. I mean, if there's any extra experience
you want to throw my way, I won't say no but right now...
You just want me to help us catch up.
Keep us in the loop and be cautious, doctor LeBlanc.
Colds are viral.
So antibiotics won't really help. You'll get all of the side effects,
none of the benefits. I can recommend an over-the-counter...
Or you can just hang up on me.
Sounds like you're having a fun night.
Also, didn't you work all day?
Oh, the cue is endless.
Wait, so you're not staying?
You know, I could order in.
I'm grabbing Holden from lacrosse and Ash from board game club.
Taking them to McDonald's before my shift.
God, I hate nights.
Sorry. But good for you.
For not giving in and writing that guy the script.
And stopping myself from lecturing him
about unnecessary use of ABX and population-level resistance.
Guess he'll just need to find a doctor
who isn't trying to prove his lapses in judgment are behind him.
- Hmm. - Ah, you know,
- I... I can come tonight. - To Holden's game?
I'll barely make the end of it.
Or maybe to McDonald's...
I mean, your kids and your live-in ex know about us anyway.
It won't be like this forever, Theo.
Goodnight.
Tell us your name, sir. We're trying to get to you.
Why don't you just start by telling us your name?
Can you hear me?
Kathryn, right?
Bashir, ED at Memorial. Is that the van driver?
Hi. He's got his phone with him. Called 9-1-1.
Kyle! My name is Kyle, and I can't really move.
Kyle. Are you in your vehicle or out?
Out.
Did something land on you, Kyle?
Tell us whatever you can.
Yeah, something hit my chest. It's dark...
It hurts when I breathe.
Kyle, this is Dr. Hamed.
Let me hear you take a deep breath in and then out, okay?
Okay.
Not great, right? I've practised so many times
for the ground to just... shifts like that right under me.
Hold on a second, Kyle.
Are they any closer to gaining access?
No. Every time they get closer to the edge,
more of the ground collapses.
When the day four conference cold started going around,
I decided to bail before it took me down,
but then I got this pain and vomited so... Fail?
Well, you do have a temp. But the pain speaks
to something other than a cold. What kind of a conference?
Two hundred dentists. Exciting, right?
Can you lie down for me, please?
Okay...
- Does it hurt more if I press here? - Ah, yeah.
Okay.
- Any blood when you pee? - No.
Why? What's going on? What aren't you telling me?
- I would rather do some imaging before... - No, no, no. Don't string me along.
I'm no MD, but I know hedging when I see it!
Okay, well, right now my differential includes kidney stones,
gallstones, appendicitis, gastritis, ruptured cysts,
or ovarian torsion. Which is why you need an ultrasound.
- I'm sorry. I overreacted. - It's okay.
Carmen, about the woman in E...
Does OHIP require special authorization
to cover extended autoimmune testing?
Because my joint pain guy in six
tracks with ankylosing spondylitis.
So refer him to a rheumatologist.
I don't trust the patient to follow up. I thought I could do it myself.
No, your patient volumes need work.
Standard is four per hour. You're at two point five.
- Let's double that tonight. - Double?
But you keep telling me about getting the full story
and catching what other doctors don't.
Yeah, you can still learn to do that and move faster, Carmen.
Good evening, everybody. I just got word from CCU
that three patients with suspected pneumonia
just tested positive for legionnaires.
- All from some dental conference. - Oh, God.
I just saw someone from that conference.
I wore a mask because his cough was so flemmy.
No, legionnaires is usually spread via ventilation
or aerosolized water, not person-to-person.
But doesn't it have like a 5 to 30% fatality rate?
Take the panic down 6000% and start protocols.
Negative pressure iso, masks, increased
handwashing, and enhanced cleaning.
The woman in E is a conference dentist.
I'm pretty sure it's a kidney stone,
but keep her masked and send her to radiology, stat.
So that motivational speech,
was that to prove you have the leadership skills
and deserve the one fellowship spot that's up for grabs?
Maybe that's just me paying forward some good leadership.
Instead of not-so-good.
By pawning off our most virulent patients to the first-years.
- That's not what I was doing. - Two more dentists
with legionnaire symptoms at triage...
Give them the Leblanc's human shield of a resident.
- You really want me to give them to Carmen? - No.
Maybe. I don't know, I'll get back to you.
At least that pasta beat stale hospital muffins.
Yeah, I mean those muffins can get me through some tough times.
Oh, looks like we're hauling up the stairs.
Oh, not me actually. I use the emerg lockers.
Right. Well, thanks for...
This was... fun.
Oh, yeah, you too, Toby. If you want to do this again
the next time we're both working nights, then...
Yeah, maybe I'll check my schedule.
Or not.
Okay, I'll see you.
Your next patient is connecting, Dr. Hunter.
Fast and forceful, right hand!
Leave it on the floor like you're squashing a bug.
Hum, hello? You okay?
Oh, you're here.
Hold on. Take five, guys.
- Sorry, boxing class. - I'm Dr. Hunter.
You did book an appointment, didn't you?
- Uh, Dahab? - Dahab, yes.
For two hours ago.
I wait, but no one comes, so I decided to get on with my night.
Okay, hum. Sorry about that.
It says here in my notes that you felt a pop in your chest.
Yesterday, some water went down the wrong tube, and I coughed hard.
And then, pop. Scared me so bad I went to the hospital
and after seven hours, they told me to go home.
- And did they do any imaging? - An X-ray that shows nothing.
And today, I'm feeling it more. It's getting harder to breathe.
But you're still boxing.
I need to make a living, doctor.
Fair enough. Uh, any chance
it's related to injury?
If you got hit in the chest or you pulled a muscle?
I'm no prizefighter, but I did get punched in the face once.
And sometimes, the damage isn't where you think it is.
No disrespect, but I'm a newcomer
and my insurance can't cover this.
Which means I'm paying $150. I don't have it.
I'm a smart person, so how do we figure out what's wrong?
Can you point to where the pain is?
Okay, now was that sharp and sudden,
or slow and gradual? How do you feel now?
Sharp and sudden. My arm and leg went tingling.
My heart was racing. I can't even stand.
And it's still sharp when I breathe in,
and I get these waves of dizzy.
Are you near a drugstore?
I need your blood pressure and heart rate.
There are machines that'll do both.
They also sell something called a pulse oximeter.
It's about $50, you can just return it once you're done with it.
Just tell them it didn't work. I need that number too.
What do I do with these readings? Wait another two hours in the cue,
and then a different doctor?
I'm going to give you my cellphone number.
You call me as soon as you're done.
Is the truck going to pull him out now?
His pleural cavity could be filling up with fluids,
and if we don't get to him soon, he's going to die.
Nobody's going anywhere until the scene stabilizes.
- Sorry, who are you? - I'm a doctor.
I heard him talking to the EMS. Kyle...
- Someone call you? - No, I have experience
- with this kind of field of work. - Oh, you have experience
with sinkholes sucking vehicles in whole
and compromising the underground infrastructure of Toronto.
Because it's a first for me.
Nothing else happens until I know it's safe.
His life is at risk.
Hey, that grid leads under the road?
Yes, but unless the City Works engineers tell me otherwise,
- the hydro vault's off limits. - And if you can't pull him out in time?
Well, we better because it's our only option.
I've got confined space and trench rescue teams setting up.
If I send my team on foot,
the road could swallow them too. And very likely crush our guys.
- You don't know that. - You don't know how long
his lungs will hold or if it even is collapsed.
It is. And if there is a way we can get down there,
- I can help. - This is a technical
rescue scene and Toronto Fire has authority.
What kind of person, doctor or not,
sees an entire team of workers and thinks,
"I'm the guy who really should be here."
Wait behind the barrier or we're going to have a problem.
Okay, but we're at six and going up.
Alright, thanks.
Uh, Claire...
I only called you at home for sub-ideas. Not for you to come in.
I wasn't tired anyway. Was that admitting
asking us to hold the legionnaire's patients until they find beds?
I tried explaining they all need dedicated monitoring
and that there's only four of us on the floor, but...
I'll do it. You just keep what's already on your plate.
I don't mind some overflow...
Feels like a million tiny needles stabbing me in my back and stomach.
Kidney stones are no joke.
I swear that first doctor knew it was kidney stones
the whole time. I kind of lost it on her for hoarding information.
I mean, I know you're all just trying to help, but...
How long is it going to take to know
- if I also have legionnaires? - Exposure window
is usually 10 days, but I'm not seeing any antigens
on your PCR so maybe you got lucky.
Yeah. I feel real lucky.
Look, if you want to double down,
you can always wait and see if the stone can pass on its own.
I think it's always best to avoid invasive if it's an option.
Hello, Marissa.
My name is Mark Novak. Good news, urology's decided
to blast your kidney stone in the cutting-edge
operating theatre we call "Trauma OR".
So I will need you to not eat or drink anything until you're through.
Mark, you're talking about ESWL, right?
It's a non-invasive procedure where
they use shockwaves to blast the stone.
It'll break it up. It'll be easier for you to pass.
PCNL. It's a small scope. Goes into your kidneys
and then lasers do the rest.
Because I'm suggesting that we wait it up.
You've seen the size
of the stone, though, right? I mean, there's moons orbiting it.
But, hey, you know, if you want to prolong her agony,
the last thing I want to do is step on anybody's toes.
So, that's your call, Dr. Curtis.
Who was the walking slice of toxicity?
He might be right. PCNL isn't that invasive.
- You're kidding me... - No, it's really quite minor.
- We'll talk to urology first. - No, I'm talking about you changing your mind
because that man gaslit you?
Oh, he does that.
So you can hear him dismissing you like that?
Telling me what I'm allowed to eat.
I have half a mind to say no just to stick it to him.
No, don't do that. The food thing's real.
You're defending him. Oh, no, no. No, no.
Sweetie, I was in a bad marriage for years.
It took me swallowing a half bottle of sleeping pills
for him to get the message. And I finally got out,
but the whole thing really affected my self-esteem for a long time.
Okay, hold on!
My medical opinion has nothing to do with Mark Novak.
He's always been difficult and I barely even notice him anymore.
Well, I can report him for you.
- There must be some way... - Marissa, Marissa.
Why don't we just focus on your kidney stone?
Fine.
A few customers at my bar wanted to keep partying after close.
So my last drink was... 9 A.M.
I'm dizzy, barfy, my head won't stop pounding.
Any other pain?
Other than my entire body.
Hey, what's with the mask? I don't think this hangover is contagious.
No, it's just precautionary. We've had patients
from a dental conference with respiratory illness.
They were all at the same hotel so...
Your blood pressure is 200 over 110.
It can spike with the alcohol, but it should have come down by now.
Oh, no. I definitely have that.
You are diagnosed with high blood pressure?
- That's pretty rare for 23. - I know, I'm like this medical miracle.
And yes, my doctor already gave me the speech
about eating right and three drinks a week.
Anyways, look, someone told me that when they're super hungover,
they just come here to get IV fluid.
You should probably listen to your doctor instead of whoever that was.
Because hypertension can be seriously complicated by lifestyle choices.
Well, screw me for thinking I'm allowed to live a little, right?
I just... Forget it. I'll pound electrolytes at home.
Okay, can you hold on a second?
Carmen, if it's urgent enough to hover,
- just come in and get me. - I don't know if it is, but...
Your first rectal insertion?
It's basically a rite of passage.
- Did he say what it was? - He won't even acknowledge
- that something is in there. - Yeah, surprisingly,
that is not uncommon. My guess would be some sort of metal?
Okay, but how do I get the full story?
You don't. Not now, remember our talk.
In this instance, your problem is whatever metal
is in his rectum, not why it got there.
- You need to take it out. - Alone?
Ask Arnold if you need any help, he wants the EXP.
And put her on saline until her BP comes down.
Captain, we're ready to move.
Nuh-uh. We still haven't secured the area
so no one moves in until then.
We lost contact with the victim.
He was having trouble breathing.
How did it go, Dahab?
I used the machine four times like you said.
People are very upset about it.
Blood pressure says 95 over 60.
Hold on, there's a bus.
Heart, 175. And finger clip is 95.
But if they don't let me return it, I'm sending you the bill.
Okay, Dahab. I need you to go to the emergency room
- for more testing. - I'm not going back there.
I just rest for a few days.
Based on your vitals and symptoms, you could have a ruptured aorta.
The artery responsible for pumping your blood
might be leaking and if it is, and you don't get treated,
you could die. Where are you right now?
On a bench outside pharmacy.
Okay, go to York Memorial Hospital.
I used to work there, it's the place you want to be
- for cardiac emergencies. - That's where I was.
They were rude and didn't listen.
Treated me like less than human.
Can I come to you? I'll pay.
It's not about money, Dahab.
I'm not insured for anything more than virtual visits right now.
Theo, please... I trust you.
Look, I hear that last night went badly, right?
But hospitals are really just people.
And I will call ahead and make sure you see the right ones.
- Plus, you have me on speed dial. - Okay.
Okay, just go now, Dahab.
And let me know as soon as you get there, okay?
Bashir, you're a hero.
I can get them to see that. They'll want to help you.
I get that it makes you uncomfortable.
It's just... There are so many people
- on that list ahead of us. - Not as likely to succeed
or as deserving of the chance.
A skilled doctor with a little girl depending on him.
It could take years off the wait.
Claire. Claire!
Any ideas for staff floats, Claire?
Bash worked today, he might come back.
- Great, can you try him? - Yeah, sure.
Is that a makeshift ICU of dentists?
- Yeah. - We just got official word.
CCU's full. No admissions.
How are we supposed to function as an emerg
if we're basically a spillover ward for everyone else?
And if we do get more dentists,
I don't know where we're going to put them.
We do have one more case. Although, she's a bartender.
Not a dentist. Your patient, Mags.
Josie with the hangover has legionnaires?
- Don't tell me that she... - Slings drinks at the conference hotel? Yup.
Why didn't she say something? I told her about
the precautions we're taking, and she's already hyper-tensive
so high-risk and vulnerable to severe illness.
I mean, she's so young.
I'm sure it never even occurred to her.
But her breathing is declining so we moved her to three.
I'll check on her.
Let me know if you need backup in there.
I'm good.
Kyle?
Kyle...
Hey, Kyle. Can you hear me?
Hey, Kyle, can you hear me?
Where did you come from?
I'm Bashir.
I'm a doctor, we spoke on the phone earlier.
Feels like I'm drowning.
It's the fluid around your lungs.
And I need to make a hole in your chest to drain it.
Here?
Yeah.
We need to lift up your shirt, okay?
This is lidocaine, local freezing.
Next, I'll make a small hole in between your ribs
and put in a thin tube so the fluid drains out.
Inside my chest?
How will you see what you're doing?
In the hospital, we use ultrasound,
but I know how to go on feel.
What do you do for a living, Kyle?
I'm a teacher.
Okay, what do you teach?
Science. Middle-school science.
You're doing great.
Slow breaths.
Okay, Kyle.
Here we go.
The worst is over.
Why is it still hard to breathe?
The fluid should be flowing out,
but there must be a blockage.
I'm going to use my mouth to clear it.
I'd be lying if I said it was ideal sterility, but none of this is.
You're going to swallow my blood.
I'll try not to.
Okay, Kyle.
I need both hands for this next part.
So you're going to have to hold this tube.
No, no, no! I don't think that's a good idea. No!
It's just for a couple of seconds while I clear the blockage, okay?
Just right there.
It's really important this doesn't come out
- of your chest, okay? - Okay.
- So like this. Don't move. - Okay! Okay.
- We're in this together, okay? - Yeah.
Fragmenting the stone... now.
Missed the action, Mark.
Yeah, just making sure that June's got you all set up here, Toby.
- I'll start the contrast study. - It was me. I'll move.
Field looks good.
I can secure the drain.
I'll check on it later.
Curious vibe between you two.
We went to dinner. It was a mistake.
You and Toby went on a date?
Why is that so funny, Mark?
Do you have any idea how hard it is to meet people
- with our schedule? It's impossible. - June, relax. We all need connection.
I personally don't date doctors because it's too close to home,
but I don't care if you and Toby are a thing.
Not a thing. And I don't need your help or your life advice.
Increased heart rate.
Resps. She aspirated. It's food.
Did the nurse ask her if she had eaten today and tell her to fast?
- And you did, too. - You think as a health care
professional you wouldn't take that as casual advice.
I think she might've done it to get back at you for being...
you know, yourself. Eating I mean.
You think this woman found me so distasteful
that she deliberately jeopardized her own operation
and put her life at risk in order to prove that?
June, that's...
You didn't see her when you left. Totally triggered.
People use that word a lot, but what they mean is "annoyed".
It was way more than that. She started going off
about her abusive marriage.
And she wanted to report you on my behalf.
I told her not to.
But that is hospital pudding.
Fine. Let's just...
Let's get her tubes and get on with this.
- Oh, Mags! - Yeah?
Um... Sorry.
Your bartender's O2 sats are down at 90.
Because she's hypertensive.
I paged RT like a million years ago.
Could you please go get them and drag them down if you have to?
I think it's better that you go there.
- They're not going to listen to me. - Yeah, it's 8 floors up.
I know.
Cardio sucks so... Rock, paper, scissors?
No, Arnold, I can't.
- Right, I didn't mean to. Sorry. - It's okay. No worries.
"This is Bashir, please leave a message."
You should be breathing a lot better now.
- These yours? - Oh, yeah. Thank you.
Your pupils look fine.
Um, not to state the obvious,
but since I can move and breathe now,
can we just go out the way you came in?
No, that's no longer an option.
How wrong was I thinking my parking spot was a coup?
Because the street never tickets and it's pretty safe and quiet.
- It's true. I don't live far. - Are you close?
My van is my house.
Oh...
It's a choice, by the way.
I have very few material needs.
- No judgment. - I got divorced
and we were trying to share a condo even after, but...
Bashir, are you crying?
Okay, got a signal here.
It's Captain David. Hey, I was right about his lungs.
He's breathing much better now.
- And no, I'm not crying. My eyes are itching. - Hamed? What the hell?
Same. And I am dizzy. Is it sewer gas?
We teach a WorkSafe unit at school.
It's called hydrogen sulfite.
And one of the many reasons to wait, Hamed.
Now I've got two people breathing toxic fumes instead of one.
- Now I can get us both out. - Do not do that.
The hydro vault is not a safe way out or in.
And that gas is highly flammable.
One spark and the whole street could go.
You're going to sit tight this time
and wait for a hazmat team to identify the risks.
What are you doing down here, man?
I guess you're happy I'm getting my wake-up call.
Of course not. But I really do understand how you feel right now.
How could this get so bad so fast?
We were waiting for respiratory therapy,
but I need to intubate you now.
I'll start by sedating you with propofol.
Then I'll insert a tube...
Please, I read all that stuff about people who go on vents...
and they never get off of them.
Josie, I know that you're scared, but with your increased risk,
you need the extra help to breathe.
I don't want to be someone who needs that.
But the reality is you are.
- And if we don't try... - It turns out the metal thing
was actually a battery and it's stuck.
I'm afraid if I pull it out, I'll melt his rectum with acid,
- and I want to... - Carmen!
You said not to be afraid not to interrupt you.
I also reminded you about judgment.
Don't interrupt when it means pulling me away
from a life-and-death situation. Figure it out!
Sounds like you might need some help in here.
No, we're fine. Josie's increasing in resp distress.
We were discussing intubation and Carmen was going.
There's not much to discuss.
It's okay, I got this. Leblanc, Go. Handhold your resident.
Hi, Josie? We're going to get you some help breathing, yes?
It's okay. Leblanc, go, go, go.
Don't worry, Josie. We got you.
- Did you make it? - They hook me up
with wire and put sticker on me.
Then, took them off and told me to wait.
That's a good sign. Now if your EKG was abnormal, you'd know.
- How do you feel? - Scared.
It hurts worse now, and I feel sick to my stomach.
I'll stay with you until you get seen again.
Tell me... when you got into boxing.
Back home. When they started restricting women
from going to the gym.
My friend and I would work out in my basement in secret.
No music so we didn't draw attention to ourselves.
That's pretty incredible.
- Dahab Sayeed? - They're calling me.
- Stay here. - You bet.
Uh, just say what I texted you.
I just ran up and down eight flights of stairs...
Doctor Hunter sent me. He thinks I may have a ruptured aorta.
You don't have an OHIP card. Health insurance?
I have an Interim Federal Health Certificate.
It covers hospital visits.
Okay, that doesn't matter. Just tell them how you feel.
My pain is ten of ten.
- Can you manage? - Dr. Hunter sent me.
I need to see Nurse Claire.
Take the forms, bring them back to me when you're done.
Is that Rhoda? What forms? What is she doing now?
Theo, I thought you worked here.
Dahab, just put her on the phone. She isn't hearing you.
Miss, please. He can tell you.
Referring physicians need to call the main hospital line.
Rhoda! Rhoda! It's Theo Hunter.
Theo? This your patient?
You know she can't skip the line just because we're busy.
Damn it, Rhoda, are you deaf? You're not hearing what she's saying.
And you don't even work here.
Hey, stop.
You heard what he said about a spark.
So were you right? Would I have died?
And what David said about their risk assessment?
You knew that, but you came down here anyway.
Fine, yeah, no. Say nothing.
You're just the last person I'm ever going to talk to,
but let's both just drift into the void in silence.
Are you a doctor?
No, nurse practitioner. Hi, I'm Claire.
You're the one Theo said to ask for my information.
Theo Hunter? You a patient of his?
Ugh! Does no one talk to each other in this place?
- I know he called you. - I can see you're upset, ma'am,
but please do not take it out on me our staff.
Theo said I could die. You have to do something.
If you cannot remain calm, I'm going to need to call security.
Hey!
- Theo? - Claire.
Dahab, what's going on? You haven't answered any of my calls.
Claire, Claire, is she okay?
They took her back to X-ray and now she's in an exam room.
And she's vomiting brown liquid. What do I do?
I thought she had a ruptured aorta, but...
Brown like coffee grounds?
It tastes awful.
No, Theo. I think it's stool.
Okay...
Alright, we got you.
Claire! Claire!
What did you want to ask me?
I mean, so much. It was so easy for you to risk your life
to save mine, but...
Now, like, killing you to wait for them to save us.
- That's not a question. - Okay.
Let's start small. You said you live near here?
What else? Wife, husband, kids?
- No, I live with my sister. - How old?
- Fifteen. - Grade nine?
She go to the neighborhood school?
It'd be hilarious if I was her teacher.
She goes to the Art school in Etobicoke.
But she likes sciences there, too.
She says she wants to keep all her future possibilities open.
Where'd you grow up?
Aleppo.
Kyle, are you feeling okay?
I mean, for breathing sewer gas and the tube in my chest.
My sister and I immigrated here
because I saved a woman's life and we got the attention of a man who...
- helped us. - Wow. Okay.
Elliot. That's his name.
He found us overseas when we were very desperate.
He put us on the right lists, raised money to sponsor us,
and when we landed here, we lived in his house
with his wife and young kids.
We had a small, one-room basement apartment.
He showed me how to register for my sister's schools.
He helped me figure out how to study for my medical boards.
And he even lent me more money when it was time to take them.
That's pretty miraculous.
It was.
But?
I think they're coming for us.
Kyle! Hey, hey, hey! Kyle! Kyle!
Hey!
Kyle! Hey!
They're coming.
Theo, it hurts.
I know. They're going to help you. Where's Claire?
She went to call for a doctor. Here she is.
Claire? Okay, I think it might be a ruptured diaphragm.
If her bowel herniated, it could be at risk for perforation.
- She needs urgent OR. - Okay, on it. What else?
An NG to decompress the bowel and remove any stool.
- You can wait for someone. - Okay. Talk to her while I prep?
Dahab. Claire's going to put a tube down your nose.
- It'll hurt but not for long. - I can take it.
I have no doubt. Dahab, this is Liz.
She and Claire have you from here.
- Theo? - You can't stay?
You're in great hands. I promise.
We'll talk later, okay?
I was handling things earlier with Josie.
- Who? - That woman you intubated.
Oh, right.
ICU got a bed opening, by the way.
So she's stabilizing quickly. You're welcome.
For steamrolling me?
No! I was trying to help you. Seemed like Carme needed you.
Oh, please. You don't care about holding residents' hands.
No, but you do. Like, you made that big show
of trying to teach her the right lessons.
So I thought you might want to...
Yeah, you know? You're right.
I don't.
They have no idea what's going on for us.
Or what kind of stresses we are all carrying.
And coddling them does nothing to prepare them for reality.
And it's dumb. So yeah, sometimes, we're going to lose it.
And there are more important things to worry about than hurt feelings.
- Hey. - Hey.
You said that this operation would be easy.
But I woke up with pain in my throat
and the nurse said that I almost choked.
Right, well, I was pretty clear
about the dangers of eating before surgery.
Look, if you decided to disregard Dr. Novak
to make a point or to get back at him.
I haven't eaten anything for 16 hours.
You're accusing me of risking my life over that guy?
Marissa, it's just, you know, what you said about your ex.
- And then about the pills... - That was totally different.
I was in a much darker place.
One that I have worked really hard to move beyond.
Okay, alright, maybe it was slow digestion. I'm sorry.
I don't know you,
but I know trauma and...
if you really thought that that was something I was capable of,
maybe it's because some part of you is.
I'm going to leave the drain in until morning.
And then you should be good to go.
Here, Bash. Put this on.
That man owes you his life.
They need to check Kyle's tube for blockages and flow.
They're on it. You just try and breathe.
You okay?
My decisions put you on the spot today.
The chest tube, though. Impressive.
Guess you weren't lying about having field experience.
When I heard somebody was down there, I just...
Jumping in is what I know how to do.
When I was younger and a call would come into the station,
I'd always be pulling for fire.
The calm just felt wrong to me.
Not anymore.
Hi, Connie. It's Magalie. I got your message.
And I will be sending in the forms tomorrow.
Also, I had to move blood work because I'm on shift that day.
But lab said that they could accommodate
so you can be expecting that next week.
Thank you. What happened to you?
Uh... Long story. I came as soon as I could.
Yeah, it's a long story here, too. That's covered.
But when we couldn't reach you, we called in Kinio and Shulman.
Oh, okay.
That's not a great look, ignoring your calls
when you're competing for a job.
No, I think based on tonight,
it's advantage Leblanc.
Good, she should enjoy that while it lasts.
I really want that job, Bash.
I'm going to do everything I can to get it.
You'll need to.
Going home to sleep?
You? Breakfast with Amira?
- How is she? - She's out of surgery.
You were right. Ischemic bowel.
- She'll be fine. - That's good.
What kind of a fallout should I expect?
I'll admit it was unorthodox,
but she said you're the only reason
she even came back to the hospital.
And I blew up my entire life two years ago
for a chance to stay at Memorial because I felt a calling.
I mean, you can think I'm naive or stupid if you want, but...
I know I can still make a contribution
and I'm not going to give up on that or myself.
I don't think that's stupid, Theo.
Bashir...
Hi, Elliot.
What are you... How long has it been?
Six years.
Everything okay? Amira, she's...
I wasn't sure if you wanted to see me again.
I just thought...
What do you want, Bashir?
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