Strategies for revealing your scars visible and invisible.
Sometimes.
I hurt myself, but we don't have to talk about it.
I'm on the transplant list.
The heart may come tomorrow or never.
You should both know you won't be in limbo for much longer, but fell shift spot.
I'm deciding by the end of the month.
Every time I think I've built something that feeling fades and I run.
Okay.
Oh my God.
No.
Did you see that?
Yep.
Bring.
Thank you.
You've got a phone? (?)
Morning, Darkland, I just...
Hi, hi.
I was just looking at the schedule.
Nights, weekends, all the least popular shifts. I know.
- You're feeling gaps for now. - No problem. Totally get it.
Dr. Debbie, I appreciate your faith in me and I plan to earn it.
Let Dr. Bergeron know if you have any questions about shifts or patient assignments.
Sure thing.
My only back because Dr. Wilson's strong after because in my parole meeting, that was the vibe.
I better...
Good luck with all that.
- June? - What's wrong?
Why does something have to be wrong?
We run a department together and merely want to discuss it.
Mm-hm.
Let me guess. It's about the rotating surgery residents that are cycling through.
Oh, by the way, this is Ryan. He's first year general surgery.
Hi, Ryan.
Why would I be concerned about Ryan that has inexperienced milk?
Getting in the way of us doing our jobs just so you can feed your benevolent leader.
We are a teaching hospital and you are CC'd on at least a
dozen emails about justifying the budget by training residents.
Nature of horrors of vacuum, Ryan.
Look, if you are not going to engage in the process, you don't get to be pissy about the results.
Oh, June's been practicing her mantras, Ryan.
Perhaps she'll teach them to you if you ask nicely
or you could do your actual job and help save our incoming patients flattened by a forklift, ETA 10.
You okay?
Yeah, why?
Let's go get set up.
All right.
Hi.
Stupiud thing's supposed to be waterproof.
Did you want to talk about it? Because it's been a couple of days.
Well, Debbie said end of the month. That's technically today, right?
Debbie?
Yeah, about the fellowship. I thought you were talking about...
No, I was talking about, um, since... you and I uh...
How is your brain not fixated on the fellowship job?
I mean, it is, but did you want to talk about it?
About us?
Yeah.
Well...
Do you?
Unless you want to wait till today's over, if...
- No, that's not what I... - Mags, I've been texting you.
That's all.
- Oh, okay. Well, we need help in curtains. - Okay.
- Yeah, we'll just... - This is Dominic, he came in unconscious.
Central lives in, Ryan did the Foley cap, and now he's helping me to do Brad.
How long was he crushed for?
EMS says 2 hours. Apparently a forklift, knocked a pellet of bricks onto him, so it took a while to get him out.
He's an open femur fracture, BP still saw, heartrate's erratic.
- Ryan, right here. - Yeah.
And you checked to see that his urine isn't dark, Ryan?
He did, I already asked.
But he has the voice of his own, isn't he?
- Yeah, I checked. - Good.
And what's the mainstay of treatment for a crushed syndrome, Ryan?
Aggressive fluid resuscitation to reverse metabolic acidosis.
Track progress over the next few hours.
Treat, wrap the myelitisis and prevent renal failure.
Oh, he still has a pulse in his lower legs, so as long as ortho agrees, we will debride and clean for now.
Okay, sounds like I'm dismissed.
What do you think, Ryan?
- Um... - His BP's dropping.
Is urine output as dark, Ryan?
Did you check that or not?
After the Foley catheter, remember I told you to tell me his urine was discolored.
And then I asked you again, you said you checked it, and then it was fine.
It was.
I think that it was.
Was it or wasn't it?
He said renal failure was a risk, Ryan, but was that just knee-jerk
memorization because when proteins get released into the bloodstream,
after crush injury, they damage the kidney, which you have allowed to happen.
He's in V-TACH, set up the cardiovert.
Push 20 milligrams fentanyl, 2 of midazolam.
What can I do?
Out of the way, Ryan.
Charging.
- Clear. - Shock advised.
How long have you had the headache, Yuri?
A few weeks, and then I started getting pain here, and
these waves of tires where I can barely keep my eyes open.
- Any loss of appetite? - Yeah.
Has your son gotten sick? We're seeing a stomach bug going through the daycares.
Alexei is not in daycare.
I starting in my own contracting business.
Most of the time he comes along.
He loves it.
When the job is too messy, neighbor watches him.
It's just a the two of you?
His mother died when he was a baby.
I think there's something in the water in our building.
Lead, maybe.
I told the building manager that the pipes are corroding.
He even offered to fix them, but they'r. Too cheap to pay or even test,
Which is illegal. Not that that stops some.
I stopped giving Alexei tap water, but bottle is expensive, so I boil for me.
- But if it is lead... Hmm. - Well, then boiling won't help.
The city does have a program aimed at identifying and responding to environmental hazards in older buildings.
You mean lower-end ones.
- Well, you could qualify for extensive testing. - But healthcare is free here, No?
You can't just do the tests I need.
Yes, but this program allows us a wider scope.
It moves you to the front of the line. Not to mention, it outs the landlords that tend to cut corners.
But I would have to criticize the country that gave me asylum.
No, it's completely anonymous.
Look, all I want to do is help you and Alexei through this as fast as possible.
He's stable for now, but in trouble with kidney failure.
Amp of bicarb, give manitol, and get his potassium stat.
No, no, you have to think like a field surgeon, June.
The first priority is to flush.
Right, and then react with diuresis.
Okay, I'll, uh, I want to beat. (?)
Shit, should I do something?
You've done enough.
Look, Ryan, we'll debrief later, about what went wrong. Okay?
Why wait?
Started with the abysmal judgment of whoever matched Ryan to
this hospital bringing, to astounding incompetence today. (?)
But since we're debriefing, when your tiny brain can't remember
if you've done something or not, don't lie and say that you have.
Unless you want to kill someone.
Dr. Novak, I'm sorry, look, I just started...
Another mistake, because what you think means nothing in here.
And if you're going to insist on thinking, then why don't you think long and hard about
whether this is the right profession for you?
Dr. Novak, I think you made your point.
Look, you made a mistake in the heat of the moment these things happen, all right?
Uh, he's having a panic attack.
Can someone get him one of those kidney-based things...
No, no, no.
Did any get inside?
All right, I'm going to need to irrigate.
All right, just push as much prophylactic antibiotics as humanly possible.
Hey, hey, are you okay?
Look, but Novak said that was about him, all right?
Just don't make it about you.
Now let's keep irrigating, guys.
This is unacceptable.
I'm reporting both of you for creating an unsafe work environment.
Two months ago, after it happened, Claire said it was a sprain.
Hmm, and now you can't move it at all.
Yeah.
Are you on anything for the pain?
Well, that's the thing.
I'm on something for my blood pressure.
- This one? - Yep.
And, uh, water pills.
And you can't take those with aspirin, apparently.
Yeah, with NSAIDs, depending on what your pressure's at...
Oh, that, I think that's a restaurant receipt.
Oh.
And I'm also on this and also this, for high cholesterol,
but there was some other thing that interacts with those.
Okay, yeah, now you just, um... yeah, keep going.
You don't have a GP?
Oh, not for years.
Claire's been helping me manage.
I try not to overburden her, but I'm a bit of a handful.
150 over 92.
My wife used to keep track of things, but she... Anyway...
Donald, I'm really sorry.
No, no, she's not dead.
She just had enough of me, I guess.
Claire said I could text her if I needed to be looked at.
I... I tripped over an extension cord at work.
Claire said she'd book an X-ray for me, but when I didn't hear anything back,
I figured, "Well, if she's not worried, I shouldn't be."
Only it's gotten to the point where I can't work.
I do plaster, you know, so... I need my wrists.
To admissions committee, I've known Arnold for seven years, actually, at five years.
Wow, it feels so much longer than that.
Hey, can you please stop reading over my shoulder?
It's very annoying.
I can confidently say he possesses all the qualities that are essential for success in the medical field.
Oh, this is sweet.
Hey, I just caught one of Claire's frequent flyers.
Is she running late?
- Guys? - We don't know, Bex, okay? (?)
Dr. LeBlanc, can we talk to my office in 20?
Yes! I mean, yes.
Okay, just let me know once you get in.
- Hey, Dr. Debbie. - Yeah.
So, I started sharing blind data with Toronto Public Health regarding certain environmental hazards.
In low-income housing after that patient of yours died from carbon monoxide exposure.
Well, it turns out over the last year they've been piloting in action,
designated the two health patients before that kind of thing happened.
- Red safe. I'm on any malice. - Mm-hmm.
I was wondering if that's something that we could incorporate to ED.
A man came in this morning who qualifies as suspected lead poisoning,
and also like long-blown radiography to check density for chronic exposure.
- If we push him forward and they agree, then they... - It cuts a ton of red tape.
You'd need his consent first.
Well, he's with his young son, so moving faster is great incentive.
The kid's fine, thankfully.
Do I need that?
It's nice to see you engaging in this.
I know you went to Lebanon to do relief work, but
I wasn't sure if it was personal or professional.
Um... I think it was both.
Marrying your vocation with your avocation?
Good for you, Bashir.
- Let me know how I'll second support. (?) - Thank you.
Hi.
Hi, I'm sorry the door was open.
- I wasn't sure if you wanted me to come in. - Definitely.
- You, sit. - Okay.
Just give me a minute here.
Thanks for bearing with me through this process.
Yeah, for sure.
So, you're my first meeting, Mags, because this is good news.
Congratulations.
Congratulations, you mean, like, I got the job, congratulations?
You did.
In a few months, when your residency ends, we'd like you to stay on as our emergency department fellow.
Financials in here, all the logistics.
I hope you know, Mags, that you are the essential fit for what I'm trying to do in this department.
You're patient-focused.
You lead with empathy.
You put all of yourself into everything that you do,
and I know your residency hasn't been exactly linear.
And you've been dealt with some health challenges, but getting to
know you over this last year, I have no doubt that you belong here.
Now, obviously, this is a big commitment and a major decision.
So, if you need some time or you have any doubts or concerns.
No, no. No, no doubts, no.
- Okay. - Yeah.
- Yes, I want it, absolutely. - Good.
Would it be weird if we hug?
Thank you.
I just ask that you not tell anyone until I've had a chance to let your colleagues know.
It should be by the end of day.
Okay.
Where are we, June?
I'm using negative pressure wound therapy.
I'm just getting the foam ready.
Is this your labrik Aleman? (?)
Andy's BP's way too low.
Actually, the only good news is that I debrided twice, so the wound looks fantastic.
Free from Ryan's vomit, you mean.
I'm using the back with insulation because the last thing I need is sepsis.
Aside from that, sweet and see how his kidneys recover.
Which the kid is blaming us for.
Olsen's requested an audience.
Entitled little troll.
I told you, residents, are a bad idea.
I'm just laying here on the foam.
Not my opinion, you develop it here.
What is up with you?
Don't compress.
I know...
what I'm doing.
Look, I know things between us have been tricky, but it seems like there's more bothering you than me having power.
If you can't handle my friendly responding to you, then that's on you.
The way we work in here, enter the knife, I need that.
Okay, as weird as that is for me to say, but not everyone can handle it.
Can you respond, at least?
Are you going to play nice with the Ryan thing?
I've got to know who. (?)
Mark.
Don't put your stability on me, June. I never asked for that.
We're all sucking it up today.
It's a scapoid fracture.
If you would have done the X-ray two months ago, we would have put it in a cast to avoid the situation.
That has been broken the whole time?
I'm sorry to say so, yes.
When this happens, the pieces don't properly fuse.
It's called nonunion.
You seem happy that this is happening to me.
No. No, no.
I'm just, no, I'm glad that we're on top of it now.
So now what?
Ah, a surgeon might need a bone stimulator or maybe even graft.
An operation?
And then how many more weeks off work?
Donald.
I just saw your text.
My wrist has been broken for two months, Claire.
You were supposed to call me about that X-ray.
I did.
I bet somewhere in your bag there you will find the requisition.
You're right. I'm sorry, it was me.
I didn't mean to accuse you, Claire.
Let's get Dr. LeBlanc back to her regular scheduled
programming and you and I can talk to a surgeon about next steps.
- I'll just get changed and call upstairs. - Yeah.
I'll write up a few hydromoraphone for his pain.
- He should tolerate them fine. - Okay, thanks.
Collation therapy should counteract the toxicity over the next two days of infusions that will bind
with the lead in your bloodstream and form a compound that can be excreted from your body through your...
Then Alexei will stay too.
He won't be in any trouble.
You'll be hooked up to monitors and IVs.
There's no way to run after an energetic toddler.
And as much as we'd love to, we just don't have the staff to look out for him.
I know. Excuse me.
- Hey. - Would you care to fill me in, Dr. Hamid?
It's Yuri Zalinger.
He came in with symptoms of lead poisoning.
And yet he's had a bone scan and an MRI.
There seems like an expensive way to get somewhere that basic blood sort of taken us.
If you're concerned about resources, I believe it falls under the public health budget.
So I heard, but I don't remember approving any patient sharing initiatives.
Dr. Debbie did.
Well, I asked her to... I have experienced working in refugee camps in Turkey, Syria, Lebanon.
And if we had programs like this available, we would have saved a lot more lives.
Smart.
Not everyone has the personal experience to leverage.
Makes it harder for us to say no to that kind of pitch.
These programs are good in theory, Dr. Hamed.
But I doubt we'll ever see a dime from public health, which means that we will be eating the extra costs.
Are you asking me to pull Yuri?
Bad optics. It's too late.
We have a wrinkle.
Did he just accuse me of using my life story to get ahead?
You did.
I'm not saying it isn't offensive.
But he's not wrong about public funding being unreliable.
He okays programs like this one, he risks losing money we need elsewhere.
And if he doesn't, then he looks like an uncaring racist.
Dr. Debbie made it seem like I was on the exact right page,
but Olson thinks the same idea makes me look like I have no clue how things work here.
The Gulf between those two is above our pay grade.
You said we had a wrinkle?
Yuri won't let me place Alexei with a family while he's in treatment.
I get it, I'm a stranger, but the kid can't stay here.
I don't blame him, I wouldn't trust us either in his shoes.
But you do now, right?
You see yourself in Yuri?
Help him get to where you are.
Let's say this is him, choose up. (?)
- Are you sure about that, Arnold? - Yep.
Okay.
Hi, I'm Theo Hunter.
Theo Hunter.
The Theo Hunter.
Okay.
You're Jonathan, right?
Liz's live in acts.
This is Ash.
Hi. Yeah, if you'd like I could go get Liz.
She never sees us herself when we come. Protocol, she says.
Also we've already been waiting an hour and Ash is straining for air.
You're asthmanic aren't you Ash?
Yeah.
It's been pretty bad today.
Ash texted from school saying they could barely brief.
All right, well let's get a big breath in and out, okay?
Any triggers, exercise, allergens, what meds are you on?
Big bad purple every morning, little boy blue for attacks.
Selmetarol and to selbutymol.
Oh.
And little boy blue hasn't done anything to help with the wheezing today?
They lost it and are aware that since insurance only covers so many, the next one's coming out of their allowance.
Okay, well, we'll be able to get your breathing sorted, but I would like to do a chest X-ray just to be sure.
X-Ray's not necessary.
Nebulaizer's normally enough.
Ash, you okay?
John, are you sure this was DEFCON enough to take them out of school?
You could have answered one of my 30 calls and decided yourself.
Your boyfriend thinks it's serious enough, if he wants to be getting an X-ray.
Okay, well, I'm gonna go run down that nebulizer and I'll let you guys talk.
Be right back.
Well, first meeting could have gone worse, right?
A week ago you wouldn't even let me in the car for a pickup.
Now you're assigning them to me without even a heads up?
Okay, fine.
But I can't treat them and you're a person I trust.
And yet you're overruling an X-ray.
Look, Ash does this.
You know, when they came to us a few years ago, they were always sick and they settled in and it got better.
But now the John and I, you...
Trust me, all Ash needs to hear they're fine.
All right, nebulizer, it is, boss.
Thank you.
Well, there is a way we're going to fix your dad. (?)
- Doctor Hamed. - Hi.
Who's this?
This is Alexei, his father had to make a call to arrange childcare, so we are on a tour.
Hi, Alexei, I'm Nita.
I got your note about Olson.
Let me worry about him. But when you have a moment, I do want to speak in my office.
Okay, great.
Doctor, we have to go to the street. (?)
Hey, Donald, has the surgeon not been in?
Not since you left before.
I have been through every paper and I can't find that X-ray or requisition
and no mis-calls or texts from Claire either.
I don't want to make things worse and I know I'm scattered.
But I don't think this was my fault, and Claire tried to say it was.
Okay, well, maybe there was a system glitch or some kind of human error.
Let me just go check.
Then maybe give me something for the pain because I'm still waiting for that, too.
Thanks for meeting.
No, anything to asuage hurt feelings.
Poor guy, doesn't know where he is?
No, he came in unconscious and we had to intubate.
He has a family member who's driving down but still about a day away.
I heard about the residence complaint.
As this came to me through surgical channels, Dr. Debbie, I'm on it.
Maybe so, but the incident happened in my department, so my purview.
Incident?
Seriously?
The young man feels that a gentler language could have been used.
He lied about vital information. Twice.
You gonna back me up on this June?
Uh, he did.
Yes.
Ryan claims that an environment of fear incited his mistake.
That's crap.
Patient's life was in danger.
He's going to have to face way more intense situations than that.
And if he crumbles, what good is he?
Even so, that justification has fallen out of favor, Mark.
Okay. Let's coddle them because that'll work out so well for people who've been crushed by forklifts.
Well, what is that even supposed to mean?
That it used to be permissible to berate residents into panic attacks?
It was practically a sport for my attending.
It's a radical thought, but it might be nice for new residents to come up without being repeatedly traumatized.
It's hard to disagree with that.
Then again, Mark makes a fair point about coddling, like saying yes to
ill-advised public health initiatives to keep from offending a resident.
That was about encouraging a valid holistic interest.
And Hamed's enthusiasm is not going to pay for unnecessary diagnostics, which as you'll recall, is my purview.
He needs increased presidoses. (?)
It could be worsening sepsis, but it's hard to tell.
This mess is not a good look for trauma OR.
So whatever your personal feelings, I need the two of you to make
sure that Ryan feels supported and the patient is stabilized.
Isn't that over?
In that case, you can have the future.
Do, say whatever you want to Ryan, I am out.
Godspeed, Dr. Curtis.
Do you have a minute?
You do not need to hold the bag for Novak.
I know he's great in trauma OR.
He is trauma OR.
Someone's got to do it.
Anyways, I, uh, got it.
That was spirited?
You should know I've chosen the Maggie Leblanc for the Emerge Fellowship.
Why don't you walk me through your thinking?
I've already told her.
It's my decision, so I made it.
Once I tell the others, we can announce.
Sounds good to me.
Yury, only for two nights, you said you'd try.
I did, neighbor who watches him when I can't take him on jobs has her brother this week.
And he's been in and out of jail.
Not an option.
- But that's only one person. - There's nobody else.
Yes, there is. Lucy would not put him with someone who isn't safe.
If I can't keep him with me, then there's nothing left to say.
But you need treatment.
You keep saying that, but beyond the stomach pain in headaches, which I can handle, I'm fine.
No, you're not.
Your blood pressure is through the roof.
You could have a stroke. Then what would happen to Alexi? Hmm?
Um, when I first got here, I would have said no, too.
I would have taken it all out myself and it would have been a mistake.
I have made so many mistakes.
Then take him.
If you watch Alexi, I'll know he's safe and stay here for treatment.
I would, Yuri.
I would, but they don't allow that.
I could lose my job, I'm sorry.
Then let us go.
We're survivors, him and me.
We will manage.
Mags, did you ask the social worker to help keep them organized? (?)
Because I was on that.
Yeah, it's just because you just started full time again today.
Right. So you can go above and beyond with every patient, but I'm in over my head?
That's not what I... You didn't order the X-ray and there's no record of a requisition or any follow-up.
Donald's in pain. I can fit him in tonight. He 's going to need Aurith in a bone graft. (?)
How long until he goes back to work?
Eight weeks and it'll be a while tonight, so stay on top of this pain management, he's in discomfort.
Oh, and Dr. Leblanc, I understand that congratulations are in order.
The Emergency Medicine Fellowship.
Yeah, I wasn't aware that that was out.
Yeah, thank you.
Mags, that's amazing. Way to go.
I'm going to suck up to you more intensely.
Yeah, you better.
Congrats.
Thanks.
Happy for you, Mags.
That's a nice feeling being at the beginning of something.
Thank you.
I do think that you and I have that in common the way that we prioritize this place.
And I am living proof that you can both work here and manage our health issues, but I'm not doing it all.
I'm fine.
Claire.
Can I make one mistake?
I will apologize to Donald, but I will not advertise my health problems for sympathy just because it worked for you.
So you do your job and let me do mine, please.
Hey, first day back, how'd it go?
Awkward.
Yours too, I hear?
Buy you a drink later?
Uh, sure.
Only, why?
Just, I know how much one of that job.
You know, great for my Mags, but still.
Sorry, man.
Ah, wait, you, you, you knew already, right?
Yeah, I'll let you know later about that drink, okay?
Ash,
I told Jonathan that you two could go, when the nebulizer ran through.
Somebody should have came and got you.
John had a work thing. Liz is driving me home when she's finished.
Something you want to say to me, Ash?
Are you the reason she and John split up?
It's more complicated than that and something you should probably talk to her about.
Liz is the only mom I have.
So, if you hurt her, you're gonna regret it.
Fair enough.
Feel better?
Ash?
Hey, Ash, what's going on?
All right, come on.
All right, hey.
Hey, Ash?
Ash?
Hey, you're having a reaction to one of the drugs in the nebulizer.
Hey, Ash, hey, hey, what'd you call it? Uh...
Uh, little boy blue?
You had a reaction to a little boy blue before I need to know Ash.
I lied.
I ran out because I take extra sometimes.
Did you do that today? Hey?
Extra meaning what more than two or four puffs?
No, like 40.
I like the way it feels.
Well, that combined with the nebulizer, that's way to much albutamol.
All right, it's making your heart work way too hard, okay?
Can somebody get me a wheelchair?
Are you hungry, Alexi?
You want some apples?
Apples.
He's so cute.
What did you say he belongs to?
Just a friend in a bind.
Yeah, you don't have any friends with kids who aren't the...
Oh, we haven't met all of my friends.
Because this one's actually a patient.
Look, his dad needed treatment,
So, I picked Alexi up and now we're babysitting for two nights. Hmm?
Bashir, are you even allowed to do that?
Why not you and Alexi sit on the new couch, hm?
Yeah, right.
Then him or probably me spills food
and you freak out because you're not able to return it if you don't get that job.
I didn't.
I found out today.
So what does that mean? Nothing.
There is almost six months left of my residency, so I'm still employed.
But you can't stay where you are after. Can you?
You like it there.
Are you okay?
Are we okay?
You know, we're fine.
We're starting over as nothing new for us.
Well, I'm staying on the floor just in case.
Just sit on the couch.
I wrote a prep adenosine. (?)
Veins are flat.
Then find me the I/O I'll get access to the left tibia.
Now, hold on. I found an entry in the hand. I can make this word.
- Daroda, we don't have time? - Can you just trust me, please?
What happened?
SVT from an overdose of sibutamol.
How is that possible? Did you dose the nebulizer wrong?
No. Ash told me and I've seen this before.
They get a body stone if they hit the inhaler enough times. (?)
Why would they do that?
Adenosine's prepped.
You want to stop their heart?
Line's in, ready to push.
Liz, we need to get the heart rate under control and we have to do it now, okay?
Okay.
Push in.
Come on, come on, come on.
Ash.
Nice stick.
Try to have fate next time, son.
You okay?
It's been hard since my promotion.
Being everything to everyone at home too.
Should have trusted your instincts.
Don't worry about it.
Ash likes you, which is kind of a big deal.
Very picky kid.
Good to know, especially after the talk I got and I'm not hurting you.
You should come to the house.
For dinner with all of us this weekend.
In addition, Arnold has a natural curiosity about the human body
and his functions and his passion for learning is evident.
Does natural curiosity about the human body sound weird or sexual?
Mm, yeah, try anatomy instead.
We're off the clock.
Boss, you told Arnold you would write him a reference letter for med school weeks ago?
It's due tomorrow.
It is?
Arnold, why didn't you say anything?
We were just writing that draft and I figured maybe you could read it and sign off.
You haven't been easy to talk to.
You're right, sorry.
Uhm... Yeah, send it.
- I'll get to it before I go. - Thanks.
Bleeding gums after lower body crush injury.
I really want the poor guy to pull through.
And if he doesn't, then you're under scrutiny because of the resident.
Well, I needed was for Novak to just...
He couldn't just admit that the kid didn't need to be demeaned.
Yeah, did Ryan really lie about checking his urine?
Because no doctor I've ever worked for would take that lightly.
Okay, look, I remember when I was in first year, we hid a file behind the surgical desk.
Days without humiliation.
The number always hovered around two, now I guess I'm back down to zero.
Same.
I think the bar's close enough for us to walk.
- No, you don't have to buy me a drink. - I do.
You just beat out a tough crew for that job.
Yeah, including my ex-boyfriend who's probably now spiraling into a pit of existential despair
about how he's eternally unemployable and will never be able
to give his sister the light that she deserves.
I think we might be on the wrong block.
I'm not supposed to be drinking anyway.
Why can't you just let us celebrate?
Because you feel guilty about Bash?
Claire told me I only got the job because Debbie pities me for my health issues.
What? No, Meg, you got the job because you deserve it.
Yeah, you should have seen her today.
Claire, first she was late, then she missed a patient's X-ray, now he's surgical intervention.
One minute, she's her sweet old self, and then I offered to help, and she just blew up on me.
Yeah, like with Bash.
You know myth about the five stages being linear,
but in reality, you either experience them all at the same time or just completely out of order.
- June. - What, I can't evolve.
Okay.
Except I ordered her patient pain meds, and I don't think they ever got to help.
But you think Claire took his pain meds?
I guess that if she has something to hide, that would explain her pushing you away.
What are you going to do? About Novak.
I need him, so what I always do is suck it up and apologize on his behalf.
For our 50 days, no cutting, too, so that means we're not only celebrating you. We're...
June!
Oh. How are you feeling?
- Down? - Yeah?
- Think I'm scared. - Hmm.
Like, what's going to happen without the cutting?
My ability to handle things, my endless capacity for pain and suffering.
Maybe you don't deserve endless pain and suffering, and I don't think that you won't be able to handle things.
You're right. About evolving.
Wait. Did you see your patient's gums were bleeding?
Yeah, why?
Because damaged tissue after crushing tree can pump cellular debris
into the bloodstream and send his clotting system into overdrive.
DIC.
If it's consuming clotting factors and platelets faster than they can be replaced...
Go. Go if you need to take care.
Thanks.
Congratulations, seriously.
Yes, see you. (?)
Hello?
You forgive me if I don't apologize for waking you.
I drove out to Branson last night, only to scare the hell out of Yuri's neighbor,
who had no idea why he was checking on a child who wasn't staying with her.
And then I drove all the way back for Yuri to tell me that you took Alexi.
Only for a night or two.
Except it won't be.
Yuri crashed, started seizing from hypocalcemia.
But we can regulate that.
You might just need slower dosage.
They moved him into ICU, they're saying he'll need to stay impatient two weeks now.
Okay, well then let me keep him.
You said to reach Yuri, this is how I'm doing it.
I told you to get him to trust us.
But all you've done is prove that he can't, and now I have
to place his son with strangers without the father's buy-in.
You're right. You're right.
I'll, I'll, I'll, I'll come in.
I'm sorry.
It's not me you should be apologizing to.
Mr. Cassavelli's suffered an industrial accident and crush injury yesterday.
He has fought through kidney failure and cascading complications.
How are you feeling, Dom?
I couldn't be alive, Dr. Curtis, thank you.
Ryan, can you please walk us through the clotting disorder that this patient was treated for?
I hadn't had a chance to review the chart.
Oh.
Let's move on to patient room C.
Ryan, can you walk with me this way?
Yeah.
Look.
The way you were treated the other day was unacceptable and I apologize.
Shouldn't Dr. Novak be here for this too?
You had the right to make a complaint and this is just addressing it?
Okay.
I thought there was going to be more of a formal meeting.
I'm a little blindsided.
Okay. You feel blindsided because I'm apologizing to you or because
I called you out for being unprepared for your rounds, Ryan?
I asked my supervising doctor if I could be excused from that patient because of how it affected me.
That's not exactly how this works, Ryan.
You don't get to pick and choose so you can hide from your mistakes.
You knew it was your mistake, not mine.
And now you're giving me a fake apology and trying to retrometize.
You need to shut up, you entitled little troll.
You know, Ryan, if you knew anything about real trauma,
you would get it together, face your mess, and do the damn work.
Claire.
I know doctors aren't supposed to be in here, but I just wanted to see if Donald had his surgery.
Yeah, he came through fine.
And he told me about our social workers plan to get his healthcare under control.
Yeah, that was the right move, Mags.
How long do you think that'll stick?
Yeah, knowing Donald, I have a feeling he'll still need help from time to time.
Yeah, we all do.
Hydromorphone.
Mags, what is this?
If you have pain, Claire, that pain should be managed.
We both know the harm prevention protocols when it comes to opioid use
tend to shut out people who meet them and know how to use them responsibly.
Based on my actions lately, are you sure that's the word you want to use?
Yeah.
I know you, Claire.
There is physical pain, yeah.
But every patient I see, I think, is this the person who stabbed me?
I never saw their face and I am so angry.
And I hear myself being terrible to people.
I just can't stop and I, how do I know which pain I'm medicating?
We're going to make an accountability plan for the painkillers.
So that they stay under control and find you a counselor.
You're not alone with this.
Claire.
Thank you.
Sorry, you found out about the job the way you did.
That was unprofessional.
I tried to find you, but.
Yeah, I had to.
Rush off with a patient's child and prove Olson's point about using your background in public health to work us.
I didn't mean to make things more complicated for you.
No, you did.
And while you're a skilled doctor in so many ways, this is an example of why you didn't get the fellowship.
This instinct to leap blindly, you just can't seem to shake it.
What happens now?
You try not to abscond with any more children and hopefully leave here with a glowing recommendation.
They live close. They promised to bring Alexi by to see me every day I'm here.
I want to believe them, but I can't.
I'm so sorry about all of this.
Yuri.
But if you Lucy trusts this families, then we can too. Hmm?
You know, you may not be able to see it now, but eventually all of this will be behind you.
You should have seen Ryan's face. Kid's so smug.
Saw myself simmering.
And then you just lost it on him.
Yeah, but it did help you get to the end of day 50.
Mm-hmm.
Did you want white or red?
Actually, before you open that, I...
Yeah, dinner is going to have a little extra husband and there are two kids, one of them...
June...
It's hard not to feel like I'm being collected, you know?
Yeah.
This sounds complicated.
Hi. Hey.
Congrats.
No, you didn't have to do that.
Yeah, he did.
Guys, it's not ornamental, you want to make it eat?
No, yeah, I got it.
Is that you?
I don't know.
Uh, no.
Oh, that's my phone.
Yeah, the screen's garbled, but... that's...
- Hello? - Hello?
Magily, is that you?
Yes.
Mags, this is Connie from your transplant team.
I've been trying to reach you.
Yeah, I'm sorry, my phone died, is everything all right?
There's a heart waiting and it's a perfect match.
If you decide to take it, we need you at the hospital now, basically.
Mags, I need you to confirm.
Are you accepting this heart?
Welcome to the Ultimate Murder Mystery Game, where players in celebrity contestants are out to win big.
Who can you trust?
The Traders Canada, new episode, Monday at 10/8 Mountain on CTV.