1 00:00:02,635 --> 00:00:04,237 - The state controls the universities. 2 00:00:04,304 --> 00:00:05,872 And I am an enemy of the state. 3 00:00:05,939 --> 00:00:08,308 There is no paper trail because of who I am. 4 00:00:09,075 --> 00:00:10,443 - My place later? 5 00:00:10,510 --> 00:00:11,878 - You've got a second chance. 6 00:00:11,945 --> 00:00:14,047 You should think about how you're gonna use it. 7 00:00:23,923 --> 00:00:25,191 - You're in Idlib? 8 00:00:25,258 --> 00:00:27,694 - Kafr Halab. The building collapsed this morning. 9 00:00:27,761 --> 00:00:30,096 Bombs last night. 10 00:00:30,163 --> 00:00:31,364 And we're looking for survivors. 11 00:00:31,431 --> 00:00:32,699 - How many of you on site, Saleh? 12 00:00:32,766 --> 00:00:35,101 - We're small team. Most are trainees like me. 13 00:00:35,168 --> 00:00:37,437 - And what sort of equipment do you have? 14 00:00:37,504 --> 00:00:39,539 - The usual, basic first aid. 15 00:00:39,606 --> 00:00:41,074 - It's good you called. 16 00:00:41,141 --> 00:00:44,077 You need to manage haemorrhagic shock so he's safe to transport. 17 00:00:44,144 --> 00:00:48,081 Can someone find a... a sheet or towel to wrap him? 18 00:00:52,185 --> 00:00:55,155 Place your hands on his pelvis and compress inwards. 19 00:00:55,221 --> 00:00:57,924 Feel around for movement. 20 00:01:02,529 --> 00:01:04,731 - They found a regime flag. 21 00:01:12,439 --> 00:01:15,208 (fighter jets roaring) 22 00:01:15,275 --> 00:01:16,543 - Planes? 23 00:01:16,609 --> 00:01:18,578 Saleh, do you need to get out of there? 24 00:01:18,645 --> 00:01:20,113 - Just passing over, I hope. 25 00:01:21,981 --> 00:01:24,584 - How is... How is Zaynab? 26 00:01:24,651 --> 00:01:26,019 (distant gunfire) 27 00:01:26,086 --> 00:01:27,887 - We will be getting married. 28 00:01:27,954 --> 00:01:30,056 (speaking foreign language) 29 00:01:30,123 --> 00:01:32,926 - Good for you. Poor her. 30 00:01:32,992 --> 00:01:34,561 (chuckling) 31 00:01:37,730 --> 00:01:39,265 - His radial is strong. 32 00:01:39,332 --> 00:01:40,667 We need to keep looking. 33 00:01:40,733 --> 00:01:43,236 More bodies might be trapped in rubble. 34 00:01:43,870 --> 00:01:47,040 Thank you, Bashir. - Be safe, if you need-- 35 00:01:47,107 --> 00:01:48,108 (door opening) 36 00:01:48,174 --> 00:01:50,844 - Oh. Is everything okay? - Yes, thank you. 37 00:01:52,312 --> 00:01:54,981 (suspenseful piano music) 38 00:02:05,558 --> 00:02:07,527 (machines beeping) 39 00:02:07,594 --> 00:02:09,395 (indistinct chattering) 40 00:02:15,935 --> 00:02:18,671 (soft music) 41 00:02:37,690 --> 00:02:39,859 (pager beeping) 42 00:02:39,926 --> 00:02:41,494 - I'm gonna take it. 43 00:02:41,561 --> 00:02:43,496 Wait, wait, wait. 44 00:02:44,797 --> 00:02:46,266 - I know what that means. 45 00:02:46,332 --> 00:02:49,235 - Dr. Singh says if you're not early... 46 00:02:49,302 --> 00:02:51,504 you're late, so... 47 00:02:51,571 --> 00:02:54,707 - Well, your boss got no joy in his life. 48 00:02:54,774 --> 00:02:57,443 - He's a surgeon. We're not exactly known for joy. 49 00:02:57,510 --> 00:02:59,379 (chuckling) 50 00:02:59,445 --> 00:03:00,813 - Dinner later? 51 00:03:00,880 --> 00:03:04,417 - Maybe. Don't forget to hold for five. 52 00:03:23,236 --> 00:03:24,704 - Everything alright? 53 00:03:24,771 --> 00:03:25,972 (computerized voice): A grade four student 54 00:03:26,039 --> 00:03:26,973 in your household, 55 00:03:27,040 --> 00:03:28,174 Abigail Hunter, was marked 56 00:03:28,241 --> 00:03:30,210 absent at morning attendance. 57 00:03:30,276 --> 00:03:32,212 - I call the school, it goes straight to voicemail. 58 00:03:32,278 --> 00:03:34,714 Mel texted me after the drop off, 59 00:03:34,781 --> 00:03:36,549 so I know Abby's there, or should be. 60 00:03:36,616 --> 00:03:38,451 I called Mel, but she's not picking up. 61 00:03:38,518 --> 00:03:40,453 She has meetings all day, so she might have her phone off. 62 00:03:40,520 --> 00:03:43,389 - I'll cover your patients. You do what you need to do. 63 00:03:44,190 --> 00:03:45,758 - Thank you. 64 00:03:50,296 --> 00:03:51,931 Why - I don't know, the schoolge like thdidn't call meaying you drpeher of 65 00:03:51,998 --> 00:03:53,533 so this is the first time I'm hearing about this. 66 00:03:53,600 --> 00:03:55,335 Did you call back? - It went to voicemail. 67 00:03:55,401 --> 00:03:59,038 When you dropped Abby off, you saw her go in? 68 00:03:59,038 --> 00:04:02,008 - I left her in the yard with her friends five minutes before the bell, 69 00:04:02,075 --> 00:04:03,743 When she's been beggingff, for this for months. 70 00:04:03,810 --> 00:04:09,215 - If we're making a decision like that, shouldn't we have discussed it 71 00:04:09,282 --> 00:04:10,516 - Look, I'm worried, okay? you don't get to tell me how to drop the ki off. 72 00:04:10,583 --> 00:04:12,518 Because if you didn't watch her go in, 73 00:04:12,585 --> 00:04:14,821 doesn't that mean she could actually be gone? 74 00:04:14,887 --> 00:04:16,089 - I'm worried too. 75 00:04:16,155 --> 00:04:17,190 I'm already in the car. 76 00:04:17,257 --> 00:04:18,858 I'll call you when I get there 77 00:04:20,560 --> 00:04:22,428 (telephone ringing) 78 00:04:22,495 --> 00:04:24,230 (indistinct chattering) 79 00:04:26,733 --> 00:04:29,569 - Messy hair, flushed cheeks, and almost smiling? 80 00:04:29,636 --> 00:04:31,471 - I wonder who the guy is. 81 00:04:31,537 --> 00:04:33,740 - Maybe she just overslept? 82 00:04:33,806 --> 00:04:35,775 - No judgment. - No. 83 00:04:35,842 --> 00:04:37,076 Respect, actually. 84 00:04:37,143 --> 00:04:39,078 It's basically impossible to make a relationship work 85 00:04:39,145 --> 00:04:40,913 around this job. - You don't date? 86 00:04:40,980 --> 00:04:43,616 - I've... I've had to accept 87 00:04:43,683 --> 00:04:46,919 the fact that the hospital is my current boyfriend. 88 00:04:46,986 --> 00:04:48,388 You? 89 00:04:48,454 --> 00:04:51,291 - I sleep on a sofa so my sister can have a bedroom. 90 00:04:51,357 --> 00:04:54,294 - MVC 3 minutes out. Code trauma. VSA./ 91 00:04:55,128 --> 00:04:57,397 - Hit-and-run. Victim's not identified. 92 00:04:57,463 --> 00:05:02,435 - Driver of the vehicle, head injury, GCS 6, 93 00:05:02,502 --> 00:05:04,704 massive blood loss, mu- Passenger. Airbaged omalfunctioned, didn't deploy. 94 00:05:04,771 --> 00:05:07,340 Cyanosed, 02 sats at 80 percent. 95 00:05:07,407 --> 00:05:11,311 Pulse 120, resp rate 35, BP 95 on 68 96 00:05:11,377 --> 00:05:13,112 - Bed one. Dr. Hamed. 97 00:05:15,481 --> 00:05:18,117 Dr. Leblanc, bed two. 98 00:05:18,217 --> 00:05:20,053 (machines beeping rapidly) 99 00:05:20,119 --> 00:05:21,454 - One, two, three. 100 00:05:23,456 --> 00:05:25,525 - It's all yours, doctors. 101 00:05:25,591 --> 00:05:29,262 - Arnold take compressions. Activate MTP, and insert two large boreVs. 102 00:05:30,730 --> 00:05:32,799 - ABCs, doctor. 103 00:05:32,865 --> 00:05:35,368 - Uh, I'll intubate and decompress the chest bilaterally. 104 00:05:35,435 --> 00:05:36,769 - One, two, three. 105 00:05:40,540 --> 00:05:42,875 - We need two units O-neg. 106 00:05:42,942 --> 00:05:46,179 Mags, an eFAST, and I need an art line. 107 00:05:48,915 --> 00:05:51,918 - EMS radioed from dispatch, we have IDs. 108 00:05:51,984 --> 00:05:54,387 Marie Tabeh, 46, Ana Tabeh, 20. 109 00:05:54,454 --> 00:05:56,389 - This is a mother, daughter? 110 00:05:56,456 --> 00:05:58,691 (machines beeping rapidly) 111 00:06:01,327 --> 00:06:03,663 Pneumothorax. We need a chest tube! 112 00:06:03,730 --> 00:06:05,365 Use a 28 French in case there's a hemothorax. 113 00:06:05,431 --> 00:06:08,568 - Let's sedate with ketamine, she needs 40mg, let's start her. 114 00:06:08,634 --> 00:06:10,336 (suspenseful music) 115 00:06:10,403 --> 00:06:11,804 (Claire): Still no pulse. 116 00:06:11,871 --> 00:06:14,006 - There's cardiac activity on the ultrasound, 117 00:06:14,073 --> 00:06:16,042 but her heart looks empty. 1mg epinephrine. 118 00:06:16,109 --> 00:06:19,078 - Epi won't help if there's no blood for the heart to pump. 119 00:06:19,145 --> 00:06:22,248 - PEA, narrow complex. Not a shockable rhythm. 120 00:06:22,248 --> 00:06:25,451 Restart compressions. Let's focus on resuscitation using blood produc. 121 00:06:27,653 --> 00:06:29,856 (June): Preparing for chest tube, making incision.. 122 00:06:29,922 --> 00:06:31,591 Test. 123 00:06:33,226 --> 00:06:35,027 - Get your finger in the pleural space. 124 00:06:37,363 --> 00:06:39,799 What are you feeling? - Smooth pleural... 125 00:06:40,566 --> 00:06:42,802 Lung. I think I'm good. 126 00:06:42,869 --> 00:06:44,404 Chest tube. 127 00:06:57,717 --> 00:06:59,952 - Hemopneumo. 128 00:07:00,787 --> 00:07:02,488 Left foot is cold. 129 00:07:03,389 --> 00:07:04,924 No pulse. 130 00:07:04,991 --> 00:07:07,393 Her knee looks pretty mangled. This could be vascular injury. 131 00:07:07,460 --> 00:07:09,962 - Page vascular. She's gonna need the OR. 132 00:07:11,497 --> 00:07:13,599 - Still no pulse! 133 00:07:13,666 --> 00:07:16,502 - No cardiac or electrical activity. 134 00:07:17,236 --> 00:07:19,572 Okay. I think that's it. 135 00:07:19,639 --> 00:07:21,741 - You think? Or you know. 136 00:07:21,808 --> 00:07:23,309 - I know. 137 00:07:24,010 --> 00:07:25,678 - So you're confident. 138 00:07:25,745 --> 00:07:27,713 - Yes. 139 00:07:28,714 --> 00:07:36,289 Asystole, no cardiac activity on ultrasound, 140 00:07:36,355 --> 00:07:39,859 prolonged downtime. We managed t3 units packed cells, bilaterally chest decompression. 141 00:07:39,926 --> 00:07:42,361 No pericardial effusion, and a stable pelvis. 142 00:07:42,428 --> 00:07:45,965 I'm confident that after the massive head injuries suffered by this patient 143 00:07:46,032 --> 00:07:47,800 she had no chance. 144 00:07:49,035 --> 00:07:50,336 - Then call it. 145 00:07:50,403 --> 00:07:52,839 - Time of Death, 10:14 AM. 146 00:07:52,905 --> 00:07:54,674 Thank you, everyone. 147 00:07:54,740 --> 00:07:58,044 - Let's just take a moment to acknowledge the end of a life 148 00:07:58,110 --> 00:08:01,013 and the efforts of our team to save it. 149 00:08:15,628 --> 00:08:18,664 - Sir? About what just happened. 150 00:08:18,731 --> 00:08:21,701 - Being challenged? Consider it the new normal. 151 00:08:21,767 --> 00:08:23,870 - Are you talking about how I ran that trauma? 152 00:08:23,936 --> 00:08:26,105 - I'm talking about you telling legal 153 00:08:26,172 --> 00:08:28,140 that you can't get us your transcripts. 154 00:08:31,644 --> 00:08:33,179 Do you know what a lawyer hears when you say They hear liability, 155 00:08:33,246 --> 00:08:35,948 that puts the pressure on us to make certain that you are not. 156 00:08:36,015 --> 00:08:39,252 I need you to be above reproach. Sharper than everyone else. 157 00:08:39,318 --> 00:08:41,354 Hi, Jasmine Weber, peds two. 158 00:08:41,420 --> 00:08:43,589 - Thanks. - Where's Doctor Hunter? 159 00:08:43,656 --> 00:08:45,925 - I asked to take a couple extra patients. 160 00:08:45,992 --> 00:08:47,560 Staying sharp. 161 00:08:48,895 --> 00:08:50,596 - Let's see. 162 00:08:51,697 --> 00:08:53,266 (man groaning) 163 00:08:53,332 --> 00:08:55,701 Can you tell me what happened Mr. Monroe? 164 00:08:56,235 --> 00:08:58,938 - Kinda stupid. My fault, really. 165 00:08:59,005 --> 00:09:01,574 I've been trying to lose a few pounds 166 00:09:01,641 --> 00:09:04,143 so I hid the cookies up in the cupboard. 167 00:09:04,210 --> 00:09:06,112 I got a craving, 168 00:09:06,178 --> 00:09:08,514 so I climbed up on a stool to get them, 169 00:09:08,581 --> 00:09:10,149 and bam! 170 00:09:10,216 --> 00:09:12,018 I didn't want to come all the way down here 171 00:09:12,084 --> 00:09:15,388 but the boss insisted when she got back from work. 172 00:09:15,454 --> 00:09:17,390 - Are you a nurse? 173 00:09:17,456 --> 00:09:19,225 - Nurse's aide. At a retirement home. 174 00:09:19,292 --> 00:09:20,760 I work the night shift. 175 00:09:20,826 --> 00:09:24,096 - You're not supposed to call it the graveyard shift, there. 176 00:09:24,163 --> 00:09:26,532 - I get home and he's white as a sheet, 177 00:09:26,599 --> 00:09:29,168 can barely stand from the pain, but it's all, 178 00:09:29,235 --> 00:09:31,938 "No, no, I'm fine." 179 00:09:32,004 --> 00:09:33,506 - She worries. 180 00:09:33,573 --> 00:09:35,775 - Only because she cares. 181 00:09:35,841 --> 00:09:38,277 - We should all be so lucky. 182 00:09:39,011 --> 00:09:41,447 It's gonna be cold. 183 00:09:43,549 --> 00:09:45,318 (suspenseful music) 184 00:09:45,384 --> 00:09:47,653 Okay, well, I'm seeing some fluid here, 185 00:09:47,720 --> 00:09:50,056 so this could be an indication of internal bleeding. 186 00:09:50,122 --> 00:09:53,359 You'll need a CT. - If you say so, Doc. 187 00:09:55,828 --> 00:09:57,797 (machines beeping rapidly) 188 00:10:01,200 --> 00:10:03,336 - We need to bring him to the resus room, stat! 189 00:10:05,104 --> 00:10:07,707 - Then she lost control of her legs. 190 00:10:07,773 --> 00:10:10,843 I needed the neighbour to help me get her to the car. 191 00:10:10,910 --> 00:10:12,511 Should I have called an ambulance? 192 00:10:12,578 --> 00:10:15,147 - No, the important thing is that you're here now. 193 00:10:17,917 --> 00:10:19,485 How old are you, Jasmine? 194 00:10:20,920 --> 00:10:22,388 - Thirteen. 195 00:10:22,455 --> 00:10:25,157 - And can you tell me when you started feeling this way? 196 00:10:25,224 --> 00:10:26,892 - Earlier today. 197 00:10:26,959 --> 00:10:30,563 It started with a little slurring, and then it got worse. 198 00:10:35,501 --> 00:10:37,837 - Did you take any drugs or alcohol? 199 00:10:38,838 --> 00:10:41,907 Any issues swallowing? Headaches? 200 00:10:44,510 --> 00:10:46,846 Can you do this for me? 201 00:10:55,788 --> 00:10:57,189 That's great. 202 00:10:57,256 --> 00:10:58,924 Any indications leading to today? 203 00:10:58,991 --> 00:11:00,493 Cognitive or behavioural? 204 00:11:00,559 --> 00:11:03,029 - Can I talk to you outside? 205 00:11:08,000 --> 00:11:09,802 I'm her foster mother. 206 00:11:09,869 --> 00:11:12,171 I've only had Jasmine a few weeks. 207 00:11:12,905 --> 00:11:15,307 - Do you have any family medical history? 208 00:11:15,374 --> 00:11:17,309 Specifically, I'm looking for a history 209 00:11:17,376 --> 00:11:18,978 of heart disease or strokes. 210 00:11:19,045 --> 00:11:20,479 - You think she's having a stroke? 211 00:11:20,546 --> 00:11:23,416 - With slurred speech and loss of motor function, 212 00:11:23,482 --> 00:11:25,184 that's the first thing to rule out. 213 00:11:25,184 --> 00:11:27,820 - Well, she's been in a series of group homes for the past two yes. 214 00:11:27,887 --> 00:11:29,822 that's the first thing She ran away from the last one. 215 00:11:29,889 --> 00:11:32,158 That's all the information the foster agency had. 216 00:11:32,224 --> 00:11:33,793 I barely know her at all. 217 00:11:33,859 --> 00:11:35,861 (cellphone ringing) 218 00:11:38,597 --> 00:11:41,267 - For labs, you want a CBC and electrolytes? 219 00:11:41,333 --> 00:11:44,403 - Um... Also venous gas, 220 00:11:44,470 --> 00:11:46,772 extended lytes, CK, 221 00:11:46,839 --> 00:11:49,375 liver panel, hemoglobin A1C. 222 00:11:49,442 --> 00:11:51,143 And get her to CT as soon as possible. 223 00:11:51,210 --> 00:11:52,978 - Got it. 224 00:11:53,045 --> 00:11:55,081 - So., uh, we'll do imaging 225 00:11:55,147 --> 00:11:57,316 and send blood work to the lab 226 00:11:57,383 --> 00:11:58,851 and see what's going on. 227 00:11:58,918 --> 00:12:01,554 In the meantime, just stay with her 228 00:12:01,620 --> 00:12:03,122 and keep her spirits up. 229 00:12:08,260 --> 00:12:10,563 (indistinct chattering) 230 00:12:10,629 --> 00:12:12,465 (cellphone ringing) 231 00:12:21,974 --> 00:12:23,442 - Where's the rest of your team? 232 00:12:23,509 --> 00:12:25,377 - The building shifted again 233 00:12:25,444 --> 00:12:27,213 and they got stuck on a higher floor. 234 00:12:28,748 --> 00:12:30,483 We need your help. 235 00:12:31,917 --> 00:12:33,953 (intense music) 236 00:12:36,789 --> 00:12:36,822 (k 237 00:12:36,822 --> 00:12:36,856 (kno 238 00:12:36,856 --> 00:12:36,889 (knock 239 00:12:36,889 --> 00:12:36,922 (knockin 240 00:12:36,922 --> 00:12:36,956 (knocking) 241 00:12:39,191 --> 00:12:40,926 (door opening) 242 00:12:41,894 --> 00:12:43,462 - Remember after your accident, 243 00:12:43,529 --> 00:12:46,632 we talked about you having a second chance? 244 00:12:46,699 --> 00:12:49,435 - I remember you talking about 245 00:12:49,502 --> 00:12:51,137 how I was coming out of a coma at the time, 246 00:12:51,203 --> 00:12:52,638 so I wasn't saying much. 247 00:12:52,705 --> 00:12:55,941 - Running down Bash like that in trauma for no reason? 248 00:12:56,008 --> 00:12:58,277 If this is you trying for a second chance, 249 00:12:58,344 --> 00:12:59,745 you're failing. 250 00:12:59,812 --> 00:13:01,514 - I had a very good reason. 251 00:13:02,047 --> 00:13:03,616 I could take you through it. 252 00:13:05,417 --> 00:13:07,353 Over dinner. 253 00:13:08,154 --> 00:13:09,388 My place. 254 00:13:10,222 --> 00:13:13,492 - Yeah, I thought we fished with all that about five years ago. 255 00:13:13,559 --> 00:13:15,227 Anyway, I don't recall 256 00:13:15,294 --> 00:13:17,963 you ever actually making me dinner 257 00:13:18,030 --> 00:13:19,465 - I wanted to. 258 00:13:19,532 --> 00:13:22,334 - I guess we both wanted things that would not have worked. 259 00:13:23,402 --> 00:13:26,205 What are you doing, Jed? 260 00:13:26,539 --> 00:13:29,241 I mean, why now? After all this time. 261 00:13:29,308 --> 00:13:31,977 - You're the one who keeps talking about second chances. 262 00:13:36,549 --> 00:13:38,484 And you're the only one here who's not afraid to tell me to pSo...f 263 00:13:38,551 --> 00:13:40,152 Dinner? 264 00:13:40,219 --> 00:13:41,754 What's your answer? 265 00:13:44,423 --> 00:13:45,991 - Piss off. 266 00:13:48,160 --> 00:13:51,030 - How is her airway? Blood pressure? 267 00:13:53,132 --> 00:13:56,035 - Before you move her, you need to tourniquet her leg. 268 00:13:58,704 --> 00:14:03,209 - See? You know your stuff, Saleh. 269 00:14:07,546 --> 00:14:09,014 YoSaline will have to do.e - How much saline for a child yoas soolike this?e.od? 270 00:14:16,488 --> 00:14:18,924 - Keep your phone on Bashir, please! 271 00:14:18,991 --> 00:14:21,193 (suspenseful music) 272 00:14:24,897 --> 00:14:27,066 (sighing) 273 00:14:29,501 --> 00:14:32,671 - In a pediatric crush, uh, 274 00:14:32,738 --> 00:14:35,641 normal saline is 20, 20 ml per kg? 275 00:14:35,708 --> 00:14:37,943 - We have a pediatric crush injury? You should've paged me right away 276 00:14:38,010 --> 00:14:40,312 - No, no, it's just hypothetical. 277 00:14:40,379 --> 00:14:43,115 Something I came across in my reading. - Uh, the saline dose is right 278 00:14:43,182 --> 00:14:44,783 Watch closely for hyperkalemia. 279 00:14:44,850 --> 00:14:46,852 - Thanks. 280 00:14:55,895 --> 00:14:58,364 - Uh, why did you order a CT for Jasmine Weber? 281 00:15:00,332 --> 00:15:02,501 - The symptoms pointed to possible stroke 282 00:15:02,568 --> 00:15:03,869 because of the dysarthria. 283 00:15:03,936 --> 00:15:05,437 - Did you call for a bedside glucose test? 284 00:15:05,504 --> 00:15:07,439 - No. - Claire? 285 00:15:08,173 --> 00:15:11,010 - I had blood sent to the lab. Hemoglobin A1C. 286 00:15:11,076 --> 00:15:13,579 Isn't that protocol? - DKA can mimic stroke symptoms. 287 00:15:13,646 --> 00:15:16,282 Bedside glucose is the protocol here for pediatric patients 288 00:15:16,348 --> 00:15:17,950 - She won't open her eyes! 289 00:15:18,017 --> 00:15:19,385 Guys! 290 00:15:20,286 --> 00:15:23,088 - Jasmine? Jasmine? Come on, Jasmine. 291 00:15:23,155 --> 00:15:24,390 Try and open your eyes for us. 292 00:15:24,456 --> 00:15:26,158 (machine beeping rapidly) 293 00:15:27,760 --> 00:15:29,395 - Glucose is 25. She's in DKA. 294 00:15:29,461 --> 00:15:32,698 - DKA? What is that? - Diabetic ketoacidosis. 295 00:15:32,765 --> 00:15:34,333 She's going to need insulin therapy. 296 00:15:34,400 --> 00:15:36,035 - I thought you said she was having a stroke. 297 00:15:36,101 --> 00:15:37,803 - The symptoms can be very similar. 298 00:15:37,870 --> 00:15:40,239 - She didn't tell me - She probably didn't know. 299 00:15:40,306 --> 00:15:41,974 (suspenseful music) 300 00:15:48,647 --> 00:15:50,182 - Hello. 301 00:15:51,183 --> 00:15:55,120 Um, the endoscopy showed enlarged veins in the esophagus 302 00:15:55,187 --> 00:15:56,822 which ruptured from your fall. 303 00:15:56,889 --> 00:16:00,159 Subsequent tests, however, reveal... 304 00:16:00,225 --> 00:16:03,062 cirrhosis and liver failure. 305 00:16:05,064 --> 00:16:07,599 I'm sorry to tell you that with this amount of damage, 306 00:16:07,666 --> 00:16:10,269 the chances of the liver recovering on its own are slim. 307 00:16:10,336 --> 00:16:12,604 - Is there anything we can do? 308 00:16:12,671 --> 00:16:14,173 - We're starting medication now, 309 00:16:14,239 --> 00:16:17,042 but Walter will also need something called a variceal ligation, 310 00:16:17,109 --> 00:16:19,478 which means a surgeon uses rubber bands to stop 311 00:16:19,545 --> 00:16:20,980 the enlarged veins from bleeding. 312 00:16:21,847 --> 00:16:25,551 Long term though, a liver transplant is your only option. 313 00:16:27,086 --> 00:16:29,521 - That's what a lifetime of drinking gets you. 314 00:16:30,622 --> 00:16:32,725 It's probably what I deserve. 315 00:16:32,791 --> 00:16:34,827 - I'm sorry. 316 00:16:43,302 --> 00:16:44,770 - Excuse me, doctor? 317 00:16:44,837 --> 00:16:47,139 - Yes? - You mentioned a transplant. 318 00:16:47,873 --> 00:16:51,477 Does it jeopardize that, him having been a drinker? 319 00:16:52,011 --> 00:16:55,881 - Well, he would have to be sober for a minimum of six months. 320 00:16:55,948 --> 00:16:57,583 - He's four years sober. 321 00:16:57,649 --> 00:17:00,285 I'm six. We met in the program. 322 00:17:00,352 --> 00:17:02,354 - I'm sorry to bring you such bad news. 323 00:17:04,056 --> 00:17:05,591 - We've overcome a lot. 324 00:17:05,657 --> 00:17:07,726 We'll get through this. too. 325 00:17:11,663 --> 00:17:15,000 - Let me guess. Jasmine Weber? 326 00:17:15,067 --> 00:17:16,335 - Any luck? 327 00:17:16,402 --> 00:17:21,740 - I called every contact number that I could find, 328 00:17:21,807 --> 00:17:23,809 pieced together that she lived withwhen she passed.ntil a - Of what?ago 329 00:17:23,876 --> 00:17:27,146 - Heart attack. Apparently, in front of Jasmine. 330 00:17:27,212 --> 00:17:28,981 Not sure that's something you get over. 331 00:17:29,048 --> 00:17:30,716 - It isn't. 332 00:17:30,783 --> 00:17:33,819 - Then she was abandoned by an uncle, who's now in jail. 333 00:17:33,886 --> 00:17:37,156 Learned in the hard way not to trust anyone. 334 00:17:37,222 --> 00:17:42,494 - Any type 1 diabetes in the family? 335 00:17:43,028 --> 00:17:44,530 - Medical records don't even start until she was put But she's one of the lucky ones. 336 00:17:44,596 --> 00:17:47,533 Most of the older kids don't find someone conscientious like Liz 337 00:17:47,599 --> 00:17:48,901 to look out for them. 338 00:17:48,967 --> 00:17:50,702 (telephones ringing) 339 00:17:50,769 --> 00:17:53,038 (voice over speaker) 340 00:17:54,940 --> 00:17:56,975 (sighing) 341 00:17:57,042 --> 00:18:00,045 - Think we could speed walk a variceal ligation into OR? 342 00:18:00,112 --> 00:18:01,647 - What's his coag look like? 343 00:18:01,713 --> 00:18:04,049 - Labs just came in. Mmm... 344 00:18:04,116 --> 00:18:05,217 (typing) 345 00:18:05,284 --> 00:18:07,853 Blood alcohol level 0.09? 346 00:18:07,920 --> 00:18:09,588 I couldn't smell it on him 347 00:18:09,655 --> 00:18:11,723 - Might've been vodka. 348 00:18:11,790 --> 00:18:13,192 Is he cirrhotic? 349 00:18:13,258 --> 00:18:15,294 Yeah. The seasoned ones know how to hide it. 350 00:18:15,360 --> 00:18:17,563 - No, his fiancée says he's been in recovery four years. 351 00:18:17,629 --> 00:18:20,032 - Guess he slipped. They always do. 352 00:18:20,099 --> 00:18:23,402 - I was so focused on the cirrhosis I didn't question the X-ray. 353 00:18:23,469 --> 00:18:25,070 Look. Do you see anything? 354 00:18:26,171 --> 00:18:27,773 - Fracture to the sternum, none to the extremities. 355 00:18:27,840 --> 00:18:29,541 Trauma to the abdomen. 356 00:18:29,608 --> 00:18:32,878 Was there any circular bruising? - Yeah. 357 00:18:32,945 --> 00:18:35,280 Does this look like a fall off a stool to you? 358 00:18:35,347 --> 00:18:38,217 - That's a tough angle for a stool 359 00:18:39,785 --> 00:18:41,720 - Could it be steering wheel trauma? 360 00:18:43,655 --> 00:18:45,757 - My guess is that your drunk was driving. 361 00:18:45,824 --> 00:18:46,959 And, by the looks of it, 362 00:18:47,025 --> 00:18:49,228 may've been in a serious accident. 363 00:18:50,929 --> 00:18:53,432 - The timeline tracks for that hit-and-run we got this morning. 364 00:18:53,499 --> 00:18:56,435 The mother we lost. The daughter, how's she doing? 365 00:18:56,502 --> 00:18:59,605 - She'll pull through. No thanks to that asshole. 366 00:19:05,744 --> 00:19:07,813 - Well, even if he was in an accident, doesn't make it - You sure about that? 367 00:19:11,650 --> 00:19:13,852 (suspenseful piano music) 368 00:19:24,229 --> 00:19:26,331 (Saleh): Okay. Have a look. 369 00:19:26,398 --> 00:19:28,634 - Okay, her pupils are dilated. She's losing consciousness? 370 00:19:28,700 --> 00:19:29,902 - Yes, she is. 371 00:19:29,968 --> 00:19:32,337 - Okay. So we manage pain 372 00:19:32,404 --> 00:19:35,440 and get Fatima fluid resuscitation or she risks kidney injury. 373 00:19:36,141 --> 00:19:38,277 She needs a field hospital. You can't wait, Saleh. 374 00:19:38,343 --> 00:19:39,645 You need to get her out yourself. 375 00:19:39,711 --> 00:19:42,214 - I can't do this alone, Bashir. - Yes, you can. 376 00:19:42,281 --> 00:19:44,683 Your adrenaline will give you strength. 377 00:19:48,754 --> 00:19:51,023 (indistinct chatter) 378 00:19:54,026 --> 00:19:59,364 - Lou! Hey! Hi. 379 00:19:59,431 --> 00:20:00,933 Uh, I saw you were t- Who, Desantos?op from the ca- Yeah.ent before. 380 00:20:00,999 --> 00:20:03,035 - Yeah. Our kids go to the same school. 381 00:20:03,101 --> 00:20:05,204 - Uh, quick question 382 00:20:13,946 --> 00:20:16,481 - I got her leg out, but it's a mess. 383 00:20:17,716 --> 00:20:20,385 I need you to tell me how to manage the bleeding. 384 00:20:21,286 --> 00:20:23,589 - Saleh. Saleh! 385 00:20:25,157 --> 00:20:27,259 (thudding) 386 00:20:30,028 --> 00:20:30,062 so 387 00:20:30,062 --> 00:20:30,095 sorr 388 00:20:30,095 --> 00:20:30,128 sorry, 389 00:20:30,128 --> 00:20:30,162 sorry, o 390 00:20:30,162 --> 00:20:30,195 sorry, oka 391 00:20:30,195 --> 00:20:30,229 sorry, okay? 392 00:20:32,431 --> 00:20:34,600 I know, I know you have a lot on your plate. I know. 393 00:20:34,666 --> 00:20:36,001 (distant sirens) 394 00:20:36,068 --> 00:20:37,336 Fine. 395 00:20:37,402 --> 00:20:39,571 (cellphone ringing) 396 00:20:39,638 --> 00:20:40,906 Hey. 397 00:20:40,973 --> 00:20:42,941 - Hey. I didn't mean to interrupt. 398 00:20:43,008 --> 00:20:45,210 - No, no. Mel called. 399 00:20:45,277 --> 00:20:48,547 The school's automated attendance software misfired. 400 00:20:48,614 --> 00:20:50,315 Abby was there the whole time. 401 00:20:50,382 --> 00:20:51,917 - Good to know she's okay. 402 00:20:51,984 --> 00:20:54,519 - Mel had to cancel a meeting and drive halfway across town, 403 00:20:54,586 --> 00:20:57,990 but... Anyway, Abby is fine. 404 00:20:58,056 --> 00:20:59,558 (cellphone ringing) 405 00:20:59,625 --> 00:21:01,126 What's going on with you today? 406 00:21:05,964 --> 00:21:07,566 - That, uh... 407 00:21:09,201 --> 00:21:11,236 That pediatric crush wound? 408 00:21:12,237 --> 00:21:14,473 It was a child in Syria. 409 00:21:14,539 --> 00:21:17,442 They found her pinned in a bombed out building. 410 00:21:18,110 --> 00:21:20,912 My friend Saleh he's a volunteer medic, only a year of med schl. 411 00:21:20,979 --> 00:21:23,782 He calls sometimes with consults. 412 00:21:24,883 --> 00:21:26,251 - Is she okay? 413 00:21:26,318 --> 00:21:28,387 - We don't know yet. 414 00:21:30,789 --> 00:21:32,324 - You told me that was hypothetical. 415 00:21:32,391 --> 00:21:34,626 - I didn't want to involve you. - But you did! 416 00:21:34,693 --> 00:21:36,061 When you asked my advice. 417 00:21:36,128 --> 00:21:38,397 If I'd have known there was a real child, 418 00:21:38,463 --> 00:21:39,998 I would have asked more questions. 419 00:21:40,065 --> 00:21:41,366 Made sure I had all the details! 420 00:21:41,433 --> 00:21:43,268 What if something I said cost that child's life? 421 00:21:43,335 --> 00:21:45,537 - I just needed guidance on fluid resuscitation 422 00:21:45,604 --> 00:21:47,973 - Protocols change based on the scenarios. 423 00:21:48,040 --> 00:21:49,741 You should know that. 424 00:21:49,808 --> 00:21:52,177 - Are you talking about the testing I ordered for Jasmine? 425 00:21:52,244 --> 00:21:53,912 - I'm talking about you being honest with me 426 00:21:53,979 --> 00:21:56,348 instead of taking everything on yourself. 427 00:22:02,354 --> 00:22:05,023 - We put in a chest tube to drain the fluids, 428 00:22:05,090 --> 00:22:08,093 and we performed a surgery to repair a torn artery in your leg. 429 00:22:08,160 --> 00:22:09,961 Both were successful. 430 00:22:10,028 --> 00:22:11,863 We'll keep you for observation 431 00:22:11,930 --> 00:22:14,700 but you should make a full recovery. 432 00:22:14,766 --> 00:22:17,736 We've called your dad. He's on a flight now. 433 00:22:17,803 --> 00:22:19,771 So... - Can I see my mom? 434 00:22:25,377 --> 00:22:27,913 - I'm so sorry. 435 00:22:30,649 --> 00:22:33,318 (soft music) 436 00:22:39,157 --> 00:22:41,059 - Lydia not here? 437 00:22:41,993 --> 00:22:44,296 - She's gone to get some air. 438 00:22:44,863 --> 00:22:47,933 - Walter, do you drive a blue sedan? 439 00:22:49,935 --> 00:22:51,370 - Why? 440 00:22:51,436 --> 00:22:53,705 - Because your labs came back 441 00:22:53,772 --> 00:22:56,408 and there was alcohol in your bloodstream. 442 00:22:58,143 --> 00:23:00,812 And the bruising on your abdomen, 443 00:23:00,812 --> 00:23:04,349 the placement of it, it suggests you could've hit a steering wheel. 444 00:23:07,953 --> 00:23:09,921 And the bruising on yo- I...omen, 445 00:23:09,988 --> 00:23:12,591 I started slipping. 446 00:23:12,657 --> 00:23:15,026 Once or twice. 447 00:23:16,962 --> 00:23:20,065 Then last night, with a buddy, 448 00:23:20,132 --> 00:23:21,733 I... 449 00:23:24,870 --> 00:23:27,205 I don't remember what happened. 450 00:23:29,508 --> 00:23:32,477 I woke up a few blocks from the house 451 00:23:32,544 --> 00:23:35,347 in a smashed car. 452 00:23:37,549 --> 00:23:42,454 Lydia wasn't home from work yet so I left it in the lot. 453 00:23:42,521 --> 00:23:44,022 And just... 454 00:23:45,123 --> 00:23:47,092 ...hoped that what I hit 455 00:23:47,159 --> 00:23:50,362 was parked and empty. 456 00:23:52,697 --> 00:23:55,567 - A mother and daughter came in this morning. 457 00:23:55,634 --> 00:23:57,869 Hit by a blue sedan. 458 00:23:59,938 --> 00:24:02,174 - Oh... Oh... 459 00:24:06,745 --> 00:24:08,880 Are they okay? 460 00:24:08,947 --> 00:24:10,515 - No, Walter. 461 00:24:10,582 --> 00:24:12,250 They're not. 462 00:24:17,622 --> 00:24:18,790 - There were no complications and you're responding Are you feeling better? 463 00:24:18,857 --> 00:24:20,392 - How long do I have to stay here? 464 00:24:20,459 --> 00:24:21,993 - A little while longer. 465 00:24:22,060 --> 00:24:25,464 We want to make sure that your blood sugar is under control. 466 00:24:25,530 --> 00:24:27,132 - And we have to show you 467 00:24:27,199 --> 00:24:29,901 how to use a glucose meter before you go. 468 00:24:29,968 --> 00:24:33,238 - It'll help you and Liz manage things easier when you get home. 469 00:24:33,305 --> 00:24:34,973 - That's not my home. 470 00:24:35,040 --> 00:24:37,776 I never wanted to go there. 471 00:24:37,843 --> 00:24:40,178 - I know it's hard, adjusting to a new place. 472 00:24:41,713 --> 00:24:43,982 Where I live isn't my home either. 473 00:24:44,049 --> 00:24:46,751 - Do you have to share it with someone you barely know? 474 00:24:48,587 --> 00:24:50,689 (soft music) 475 00:24:52,491 --> 00:24:54,493 - We'll try again later. 476 00:25:07,038 --> 00:25:08,607 - Do you have a minute? 477 00:25:08,673 --> 00:25:10,642 I've got a hypothetical. 478 00:25:11,643 --> 00:25:13,345 - Sure. 479 00:25:14,579 --> 00:25:16,348 - If a patient 480 00:25:16,414 --> 00:25:18,917 admits to a crime in confidence... 481 00:25:18,984 --> 00:25:21,820 - Mm-hmm? - Would you tell the authorities? 482 00:25:21,887 --> 00:25:23,655 - We can't. We're bound by doctor-patient confidentiality. 483 00:25:23,722 --> 00:25:26,124 - I know, I know. Unless it's to report a gunshot wound, 484 00:25:26,191 --> 00:25:28,059 the safety of a child, or intent to cause future harm. 485 00:25:28,126 --> 00:25:29,394 I know. And it isn't. 486 00:25:29,461 --> 00:25:31,563 - Then you'd be breaking your oath. 487 00:25:31,630 --> 00:25:33,365 - Yeah, I know that too. 488 00:25:33,431 --> 00:25:36,101 - I just... I... 489 00:25:36,167 --> 00:25:39,037 I can't help but think that you, you know, the rule-breaker, 490 00:25:42,007 --> 00:25:44,476 Doctor Instinct, woufor a moral obligationeone might you felte oath 491 00:25:44,543 --> 00:25:46,244 outweighed the needs of a patient. 492 00:25:47,078 --> 00:25:49,748 - There are consequences to drawing lines like that. 493 00:25:49,814 --> 00:25:51,049 - Then you've done it? 494 00:25:52,851 --> 00:25:55,854 - During the war, I treated regime soldiers. 495 00:25:55,921 --> 00:25:58,857 Only when they forced me. Often, at gunpoint. 496 00:26:02,460 --> 00:26:03,862 It's fine. 497 00:26:04,930 --> 00:26:07,699 The point is, I chose sides. 498 00:26:07,766 --> 00:26:10,802 And now I can't go home. 499 00:26:14,906 --> 00:26:17,242 - His nausea's getting worse. 500 00:26:18,310 --> 00:26:21,746 I always know something's wrong when he gets quiet. 501 00:26:24,549 --> 00:26:28,653 - Liddy, could you go get me a glass of water, please? 502 00:26:29,621 --> 00:26:31,256 - Sure. 503 00:26:38,964 --> 00:26:41,299 - No sign of new haemorrhaging. 504 00:26:43,034 --> 00:26:47,272 We're just waiting to hear back from the OR on a scheduled time foyo lation. 505 00:26:50,775 --> 00:26:52,911 You haven't told her? 506 00:26:56,748 --> 00:26:59,017 - When are the cops coming for me? 507 00:26:59,951 --> 00:27:02,087 - I haven't told them either. 508 00:27:02,153 --> 00:27:03,955 - But I hurt those people. 509 00:27:04,022 --> 00:27:05,924 I have to pay for what I've done. 510 00:27:05,991 --> 00:27:12,464 - I agree. But I have a duty to protect your confidentiality. 511 00:27:12,530 --> 00:27:14,633 So if you want to tell the police, you'll have - What, what if, what if I... 512 00:27:14,699 --> 00:27:17,402 If I can't bring myself to do it? 513 00:27:17,469 --> 00:27:19,337 - Then you'll have your surgical procedure. 514 00:27:19,404 --> 00:27:20,739 Lydia will take you home. 515 00:27:20,805 --> 00:27:23,141 And I guess you try to live with what you've done. 516 00:27:24,109 --> 00:27:26,277 (sliding door opening) 517 00:27:29,781 --> 00:27:32,317 - The Mannitol is helping. 518 00:27:32,384 --> 00:27:34,386 Jasmine's going to be okay. 519 00:27:34,452 --> 00:27:35,887 - Thank God. 520 00:27:36,354 --> 00:27:38,323 So, was this my fault? Is it the food I'm making? 521 00:27:38,390 --> 00:27:40,692 Was I making the wrong-- - No, type 1 is genetic. 522 00:27:40,759 --> 00:27:42,460 There was nothing you could do to prevent this. 523 00:27:42,527 --> 00:27:44,763 But you can help her control it. 524 00:27:44,829 --> 00:27:47,599 (scoffing) - I doubt she'll let me do that. 525 00:27:48,833 --> 00:27:51,503 I thought I was doing a good thing, becoming a foster mom. 526 00:27:51,569 --> 00:27:54,439 But this? - I think you're very strong, 527 00:27:54,506 --> 00:27:56,174 doing something like this. 528 00:27:56,241 --> 00:27:58,276 - I'm not questioning my decision. I just... 529 00:27:59,110 --> 00:28:01,279 I feel like I'm messing it up. 530 00:28:02,047 --> 00:28:06,017 Like I'm messing her up, and she's already been through so much already. 531 00:28:06,084 --> 00:28:08,153 I'm sorry. 532 00:28:09,821 --> 00:28:12,957 - We all feel like that the minute we become parents. 533 00:28:14,259 --> 00:28:17,595 But the highs outweigh the lows. 534 00:28:18,963 --> 00:28:21,232 And all we can do is... 535 00:28:21,299 --> 00:28:25,437 get up every day, committed to doing our very best. 536 00:28:25,503 --> 00:28:27,205 (soft piano music) 537 00:29:13,418 --> 00:29:16,654 (inaudible conversation) 538 00:29:25,797 --> 00:29:28,199 (indistinct conversation) 539 00:29:29,601 --> 00:29:32,003 - Walter's ligation procedure. 540 00:29:32,070 --> 00:29:33,671 When is that happening? 541 00:29:33,738 --> 00:29:36,141 - Well, procedures are triaged according to urgency. 542 00:29:36,207 --> 00:29:38,343 And because he stopped bleeding, 543 00:29:38,409 --> 00:29:40,945 it may not be for a few more hours. 544 00:29:41,012 --> 00:29:43,581 - When... When he does get it, 545 00:29:43,648 --> 00:29:46,251 how much time will it buy him? 546 00:29:47,252 --> 00:29:50,755 - Well, it only fixes the bleeding, not his liver. 547 00:29:50,822 --> 00:29:54,492 - Oh... - And there are no guarantees, but... 548 00:29:55,193 --> 00:29:57,562 Without the transplant... 549 00:29:57,629 --> 00:29:59,297 maybe a year? 550 00:29:59,364 --> 00:30:01,933 (sniffling) 551 00:30:03,168 --> 00:30:06,871 - A year more than that young woman will have with her mother. 552 00:30:07,839 --> 00:30:09,941 - I'm so sorry. Lydia 553 00:30:11,910 --> 00:30:14,846 - It won't be the life we planned, 554 00:30:14,913 --> 00:30:17,182 but... - But... 555 00:30:18,783 --> 00:30:21,753 - He did a terrible thing, 556 00:30:21,820 --> 00:30:24,923 but he's not a terrible person. 557 00:30:26,157 --> 00:30:28,860 He'll never forgive himself for this. 558 00:30:29,727 --> 00:30:33,965 What kind of a person would I be if I left him alone with that? 559 00:30:34,032 --> 00:30:36,568 (soft piano music) 560 00:30:45,043 --> 00:30:46,711 - You told the cops. 561 00:30:46,778 --> 00:30:49,848 - No, he did. And she's sticking by him. 562 00:30:49,914 --> 00:30:51,616 - And you wouldn't? 563 00:30:51,683 --> 00:30:53,218 - He killed somebody. 564 00:30:53,284 --> 00:30:56,621 I would, yes, like to say that if I was in love with somebody, 565 00:30:56,688 --> 00:30:58,623 I would be able to get past that, but I... 566 00:30:58,690 --> 00:31:00,758 - People stay with people who hurt them all the time. 567 00:31:00,825 --> 00:31:02,393 We're kind of stupid like that. 568 00:31:02,460 --> 00:31:04,662 - Well, if that cop arrests Walter before his procedure, 569 00:31:04,729 --> 00:31:07,265 there's no telling when he'll be able to get another one. 570 00:31:09,100 --> 00:31:11,135 (June sighing) 571 00:31:12,303 --> 00:31:14,639 - Lemme see what I can do. 572 00:31:18,509 --> 00:31:21,579 (suspenseful music) 573 00:31:21,646 --> 00:31:23,615 (Saleh): Bashir? Hello? 574 00:31:23,681 --> 00:31:25,049 Bashir? 575 00:31:25,116 --> 00:31:26,584 (breathing heavily) Alhamdulellah. 576 00:31:26,651 --> 00:31:29,254 I was on the road. The cell towers are still... 577 00:31:29,320 --> 00:31:30,955 - Are you driving her yourself? 578 00:31:31,022 --> 00:31:33,424 - I had to. Nobody was coming for us. 579 00:31:34,359 --> 00:31:37,762 She's feverish. She started vomiting 15 minutes ago. 580 00:31:37,829 --> 00:31:39,931 - Can you-- 581 00:31:40,932 --> 00:31:42,267 Can you feel air under the flesh? 582 00:31:42,333 --> 00:31:44,135 Press down on the tissue. 583 00:31:50,475 --> 00:31:52,010 - Yes, I feel air. 584 00:31:52,076 --> 00:31:54,345 - Crepitus. Saleh, you have to amputate the leg. 585 00:31:54,412 --> 00:31:56,547 - On the side of the road? Now? 586 00:31:56,614 --> 00:31:58,516 Alone? - If you don't, she'll die. 587 00:31:58,583 --> 00:32:02,053 And you're not alone. I'm here. 588 00:32:02,120 --> 00:32:04,022 (suspenseful music) 589 00:32:05,490 --> 00:32:08,493 - So there's a patient waiting in Emerg on a variceal ligation. 590 00:32:08,559 --> 00:32:10,728 - Let me guess, you want to scrub in? 591 00:32:10,795 --> 00:32:12,997 - Yes, always. But I was actually just checking 592 00:32:13,064 --> 00:32:14,432 to see if there was any wiggle room. 593 00:32:14,499 --> 00:32:17,435 The patient needs the ligation before he's arrested. 594 00:32:17,502 --> 00:32:19,737 - You mean arrested? 595 00:32:19,804 --> 00:32:21,706 - No. Like, hauled off to jail. 596 00:32:21,773 --> 00:32:24,175 He's a drunk driver who killed a woman this morning. 597 00:32:24,242 --> 00:32:26,611 - And you want to rush him into surgery 598 00:32:26,678 --> 00:32:28,646 so he doesn't lose his chance to get it? 599 00:32:28,713 --> 00:32:31,683 I didn't take you for someone who'd be affected by that. 600 00:32:31,749 --> 00:32:33,184 - I'm not. 601 00:32:33,251 --> 00:32:36,254 You know the girl with the arterial injury we repaired earlier? 602 00:32:36,321 --> 00:32:42,593 - Mm-hmm. - Well, her mom died because of him. 603 00:32:43,661 --> 00:32:44,963 He should be healthy enough to serve whatever sentence they - Well...m. 604 00:32:45,029 --> 00:32:46,064 (chuckling) 605 00:32:46,130 --> 00:32:48,099 The candor's refreshing. 606 00:32:48,166 --> 00:32:49,334 Anyway, he's in luck. 607 00:32:49,400 --> 00:32:51,035 An elective case dropped off the board 608 00:32:51,102 --> 00:32:53,338 so I was about to move him up to this evening anyway. 609 00:32:53,404 --> 00:32:54,806 (pager beeping) 610 00:32:55,940 --> 00:32:58,109 - It's the ICU. It's the daughter. 611 00:32:58,176 --> 00:32:59,944 - Better go, then. 612 00:33:05,750 --> 00:33:07,352 - You paged me? 613 00:33:07,418 --> 00:33:08,619 - Patient is a nine-year-old girl. 614 00:33:08,686 --> 00:33:10,555 Crushed lower right extremity. 615 00:33:10,621 --> 00:33:12,256 Saleh called with a few questions. 616 00:33:12,323 --> 00:33:14,425 We really need your help. 617 00:33:15,426 --> 00:33:17,595 - What do I need to know? 618 00:33:19,964 --> 00:33:21,399 This is Saleh. We worked together in Syria. 619 00:33:21,466 --> 00:33:23,434 (Saleh): Hello, doctor. 620 00:33:23,501 --> 00:33:25,370 - Severe soft tissue injury 621 00:33:25,436 --> 00:33:27,638 progressed by a gangrenous limb. 622 00:33:27,705 --> 00:33:30,708 He's pulled over on the side of the road and needs to perform 623 00:33:30,775 --> 00:33:32,610 an above the knee amputation right now. 624 00:33:32,677 --> 00:33:34,078 - With what tools? 625 00:33:34,145 --> 00:33:36,914 - I have a scalpel, scissors, 626 00:33:36,981 --> 00:33:38,983 hemo... The clips. 627 00:33:39,050 --> 00:33:41,919 - Hemostatic clips. - Yes, dressings. 628 00:33:41,986 --> 00:33:44,789 And a handsaw. - Ketamine for sedation. 629 00:33:44,856 --> 00:33:46,991 - Uh, can you show me the girl again? 630 00:33:47,925 --> 00:33:51,329 - She weighs maybe 20 kilograms, Dr. Hunter. 631 00:33:51,396 --> 00:33:53,331 - Try 20 megs, if you have that. 632 00:33:53,398 --> 00:33:55,433 Uh, 20 milligrams. 633 00:33:58,536 --> 00:33:59,737 - Done. 634 00:33:59,804 --> 00:34:01,406 - Okay, Saleh. 635 00:34:01,472 --> 00:34:03,674 If the tourniquet is tight, 636 00:34:03,741 --> 00:34:04,909 make your incision. 637 00:34:04,976 --> 00:34:07,812 Start by dividing the skin circumferentially. 638 00:34:14,786 --> 00:34:16,554 (soft suspenseful music) 639 00:34:18,956 --> 00:34:22,193 Good. Now cut through the subcutaneous tissues 640 00:34:22,260 --> 00:34:23,694 - Okay. 641 00:34:23,761 --> 00:34:26,030 - You're doing great. 642 00:34:34,005 --> 00:34:35,640 (man over PA system): Code Blue. Room 305 643 00:34:35,706 --> 00:34:38,676 - You've gotta go to that, Bash. - I can't leave him. 644 00:34:38,743 --> 00:34:39,977 - Saleh? 645 00:34:40,044 --> 00:34:42,814 You think we can do this, just you and me? 646 00:34:44,282 --> 00:34:45,450 - Okay. 647 00:34:45,516 --> 00:34:48,119 Who knows, something might get lost in translation. 648 00:34:48,186 --> 00:34:49,253 - Bash. 649 00:34:49,320 --> 00:34:51,722 We got this, okay? Go. 650 00:34:51,789 --> 00:34:54,659 - Code blue, room 305. - Thank you, Theo. 651 00:35:03,901 --> 00:35:06,137 There's blood everywhere. 652 00:35:06,204 --> 00:35:07,538 - Tighten the tourniquet, 653 00:35:07,605 --> 00:35:10,541 then apply the hemostats to the longitudinal structures 654 00:35:10,608 --> 00:35:12,710 that are likely to be the major blood vessels. 655 00:35:12,777 --> 00:35:15,246 - Hemostats to... 656 00:35:15,313 --> 00:35:17,048 I'm sorry? 657 00:35:17,115 --> 00:35:19,484 - The structures that look like... 658 00:35:22,553 --> 00:35:24,622 So... 659 00:35:25,423 --> 00:35:26,858 The leg... 660 00:35:26,924 --> 00:35:28,926 The blood vessels. 661 00:35:28,993 --> 00:35:32,063 Okay? Yes? The structures, the blood vessels. 662 00:35:33,197 --> 00:35:35,099 - What happened? - Acute respiratory failure, 663 00:35:35,166 --> 00:35:37,835 we need a non-rebreather at 15 litres per minute, 664 00:35:37,902 --> 00:35:39,537 and a stat portable chest. - Chest tube's not working. 665 00:35:39,604 --> 00:35:41,139 O2 stats? - Uh, 66. 666 00:35:41,205 --> 00:35:45,076 Resp is 40, tachy's at 144, BP's 84 60. 667 00:35:45,143 --> 00:35:48,112 - Prep a new tube. If it's kinked, we'll have to re-insert. 668 00:35:50,014 --> 00:35:51,916 (June): The chest tube's definitely not working. 669 00:35:51,983 --> 00:35:54,285 Tension pneumothorax. 670 00:35:55,019 --> 00:35:56,821 - Your colleagues were all here before you. 671 00:35:56,888 --> 00:35:58,422 - Sorry, I got held up. 672 00:35:58,489 --> 00:36:00,658 - If you can't get here on time, we don't need you. 673 00:36:00,725 --> 00:36:02,860 (machines beeping rapidly) 674 00:36:06,631 --> 00:36:09,433 Insert a new tube, she'll settle. 675 00:36:11,302 --> 00:36:14,272 - You sure? Just try again. 676 00:36:14,338 --> 00:36:16,274 Keep at it 677 00:36:16,340 --> 00:36:18,309 Show me. 678 00:36:18,376 --> 00:36:20,678 - Here. Do you see it? 679 00:36:20,745 --> 00:36:22,914 - Good. - What do I do now? 680 00:36:22,980 --> 00:36:25,850 - Okay now, keep the tourniquet 681 00:36:25,917 --> 00:36:28,085 in the position, and... - Okay. 682 00:36:28,152 --> 00:36:32,123 - Just examine for obvious blood vessels. Then clamp with your hemostat 683 00:36:32,190 --> 00:36:34,759 - Okay. - That was fast. 684 00:36:35,526 --> 00:36:37,228 She's okay. 685 00:36:37,295 --> 00:36:38,496 - Dr. Hunter, there's oozing. 686 00:36:38,563 --> 00:36:40,364 - That's normal, just keep an eye on it. 687 00:36:40,431 --> 00:36:43,868 If it continues, you just need more pressure on the dressing. 688 00:36:43,935 --> 00:36:46,470 - Thank you. Thank you both. 689 00:36:46,537 --> 00:36:48,839 - Well done, Saleh. 690 00:36:51,075 --> 00:36:52,743 - What the hell is going on in here? 691 00:36:52,810 --> 00:36:56,113 - Uh... nine-year-old, uh... 692 00:36:56,180 --> 00:36:59,650 Syrian female, crushed lower extremities 693 00:36:59,717 --> 00:37:02,954 after a building collapse. Rapid onset of GFM 694 00:37:03,020 --> 00:37:04,655 after tourniquet and rescue. 695 00:37:04,722 --> 00:37:06,824 - A volunteer medic just successfully performed 696 00:37:06,891 --> 00:37:10,962 a roadside amputation with almost no equipment. 697 00:37:13,030 --> 00:37:14,398 - Prognosis? 698 00:37:14,465 --> 00:37:15,933 - Uh... 699 00:37:16,000 --> 00:37:18,135 She's responsive and stable. 700 00:37:18,202 --> 00:37:19,837 He, He saved her life. 701 00:37:19,904 --> 00:37:21,305 - Good. 702 00:37:21,372 --> 00:37:23,941 Find me before you leave. 703 00:37:25,743 --> 00:37:27,111 (Saleh): Who was that? 704 00:37:27,178 --> 00:37:28,779 - The big boss. 705 00:37:28,846 --> 00:37:31,115 - Call me when you get to the hospital, Saleh. 706 00:37:31,182 --> 00:37:33,651 (speaking foreign language) 707 00:37:33,718 --> 00:37:35,052 (cellphone beeps) 708 00:37:35,119 --> 00:37:37,221 - You do that kind of thing a lot? 709 00:37:39,023 --> 00:37:40,958 - Not anymore. 710 00:37:49,100 --> 00:37:51,302 - Cops agreed to wait until he's out. 711 00:37:52,737 --> 00:37:54,939 Thank you for pushing for the ligation. 712 00:37:55,006 --> 00:37:57,408 - Well, I didn't do it for him. 713 00:37:58,709 --> 00:38:00,778 (indistinct chattering) 714 00:38:03,481 --> 00:38:05,650 (telephones ringing) 715 00:38:07,818 --> 00:38:09,220 Dinner. 716 00:38:09,887 --> 00:38:11,856 - For one? 717 00:38:11,922 --> 00:38:13,691 - I have to get back. 718 00:38:16,060 --> 00:38:17,928 My dad's a drinker, 719 00:38:17,995 --> 00:38:20,798 and one time he almost ran the car off the road 720 00:38:20,865 --> 00:38:22,333 with me and my brother inside. 721 00:38:22,400 --> 00:38:24,335 And the next day, he... 722 00:38:24,402 --> 00:38:26,470 didn't even realize he'd done it. 723 00:38:27,238 --> 00:38:30,474 We don't talk anymore. 724 00:38:33,711 --> 00:38:37,682 - Why are you telling me this? 725 00:38:37,748 --> 00:38:39,483 - Because... 726 00:38:40,384 --> 00:38:41,952 I want you to know. 727 00:38:42,019 --> 00:38:43,287 And... 728 00:38:43,354 --> 00:38:47,591 if I'm closed off sometimes, which I might be again, 729 00:38:48,693 --> 00:38:49,960 (chuckling) 730 00:38:50,027 --> 00:38:52,663 it's not because I don't want you around. 731 00:38:52,730 --> 00:38:55,766 - Well, you haven't driven me away just yet. 732 00:38:59,837 --> 00:39:02,139 - Good news. You're almost ready to be discharged. 733 00:39:02,206 --> 00:39:03,607 Only one thing left. 734 00:39:03,674 --> 00:39:06,911 You need to be able to test your own blood sugar levels 735 00:39:06,977 --> 00:39:08,145 in order to leave. 736 00:39:08,212 --> 00:39:10,081 - Liz knows how. 737 00:39:11,982 --> 00:39:14,385 - You know, I helped treat a little girl today 738 00:39:14,452 --> 00:39:17,088 who lost her leg in an accident. 739 00:39:18,923 --> 00:39:20,725 Her life is going to be different, 740 00:39:20,791 --> 00:39:22,193 and it will be hard at first. 741 00:39:22,259 --> 00:39:25,129 - It'll be hard forever. 742 00:39:25,196 --> 00:39:27,565 - I think that's up to her. 743 00:39:27,631 --> 00:39:30,735 And I bet it won't be long before she gets good on crutches. 744 00:39:30,801 --> 00:39:33,471 Maybe even learns to play soccer with them. 745 00:39:35,206 --> 00:39:38,042 - You said this isn't your home? 746 00:39:38,109 --> 00:39:40,311 - My home is Syria. 747 00:39:40,978 --> 00:39:43,314 - Do you wish you were still there? 748 00:39:44,682 --> 00:39:46,517 - Sometimes. 749 00:39:46,584 --> 00:39:48,886 A lot of the time. 750 00:39:49,687 --> 00:39:52,022 (soft piano music) 751 00:39:54,024 --> 00:39:57,395 - I wish my Grandma was still here. 752 00:39:59,363 --> 00:40:03,601 - What helps me is to focus on the things I can control. 753 00:40:04,368 --> 00:40:07,104 It makes everything I can't less scary. 754 00:40:07,171 --> 00:40:09,473 - What do you do? 755 00:40:10,775 --> 00:40:12,343 - I do this. 756 00:40:14,345 --> 00:40:17,148 - This child... 757 00:40:17,948 --> 00:40:20,050 ...was on the other side of the world. 758 00:40:20,117 --> 00:40:22,286 To be a part of saving her... 759 00:40:22,353 --> 00:40:24,455 - Puts things in perspective? 760 00:40:24,522 --> 00:40:26,357 - I'm sorry about earlier. 761 00:40:26,424 --> 00:40:30,261 I just was... upset that I couldn't do anything to help. 762 00:40:30,327 --> 00:40:32,730 - I know it's hard to be the one away. 763 00:40:33,731 --> 00:40:35,366 - I just... 764 00:40:35,433 --> 00:40:37,768 I hate how much I'm missing. 765 00:40:37,835 --> 00:40:39,437 You know, the good, the bad. 766 00:40:41,005 --> 00:40:43,841 And I don't mean just with them. 767 00:40:43,908 --> 00:40:45,943 With you, too. 768 00:40:46,010 --> 00:40:48,312 - In six months, you'll be back, 769 00:40:48,379 --> 00:40:50,247 and everything will be so much better. 770 00:40:50,314 --> 00:40:53,684 - Hey, I have tomorrow off. 771 00:40:53,751 --> 00:40:55,453 I can fly home. 772 00:40:55,519 --> 00:40:58,122 Surprise the girls. Take them out of school? 773 00:40:59,123 --> 00:41:02,960 - It's difficult when you 774 00:41:03,027 --> 00:41:05,763 come home for such a short time. 775 00:41:05,830 --> 00:41:07,565 When you go, 776 00:41:07,631 --> 00:41:10,134 I'm picking up the pieces. 777 00:41:10,201 --> 00:41:13,237 - I know I didn't handle things well today. 778 00:41:13,304 --> 00:41:15,906 But if... If you're upset with me, or-- 779 00:41:15,973 --> 00:41:17,675 - I'm not, I swear. 780 00:41:18,542 --> 00:41:22,480 I'm just trying to be honest about what I need. 781 00:41:23,347 --> 00:41:26,150 Gotta go. I'll call you when I can. Have a good night. 782 00:41:26,217 --> 00:41:27,718 - You too. 783 00:41:27,785 --> 00:41:29,620 Hey, Mel? 784 00:41:29,687 --> 00:41:32,089 (cellphone beeping, sighing) 785 00:41:35,626 --> 00:41:37,795 (Bishop): And the timeline of this? 786 00:41:37,862 --> 00:41:40,464 Okay, let's follow the progress for her. 787 00:41:41,198 --> 00:41:43,167 Takes 24 hours, and then 788 00:41:43,234 --> 00:41:45,302 get back to me, let me know, 789 00:41:45,369 --> 00:41:47,471 how's the rest. Alright, thanks, Mark. 790 00:41:47,538 --> 00:41:49,240 How's the Syrian girl? 791 00:41:49,306 --> 00:41:50,841 - They made it to the hospital. 792 00:41:50,908 --> 00:41:53,577 - Good. Take a seat. 793 00:41:56,614 --> 00:41:58,883 Look, I understand what you did. 794 00:41:59,750 --> 00:42:01,185 It's why I hired you. 795 00:42:02,052 --> 00:42:03,654 But you can't ever do it again. 796 00:42:03,721 --> 00:42:06,257 Not from work, not with everything we're up against. 797 00:42:06,323 --> 00:42:08,626 I need you to be better than everyone else. 798 00:42:08,692 --> 00:42:11,862 That means when you're paged, you arrive first, and be present. 799 00:42:11,929 --> 00:42:13,497 - Yes, sir. 800 00:42:16,000 --> 00:42:18,869 - I spoke to the Dean's office at your med school today. 801 00:42:18,936 --> 00:42:20,604 I didn't get the transcripts. 802 00:42:20,671 --> 00:42:24,375 But they did assure me they exist, and confirmed your qualification 803 00:42:26,710 --> 00:42:29,880 - You... They did? How is that possible? 804 00:42:29,947 --> 00:42:32,149 - I told legal I would swear whatever they need 805 00:42:32,216 --> 00:42:35,319 so we can put this thing to bed, once and for all. 806 00:42:38,889 --> 00:42:42,126 Bashir, you need to learn to take yes for an answer. 807 00:42:44,795 --> 00:42:47,197 We're in this together now. 808 00:42:47,264 --> 00:42:49,466 Don't let me down. 809 00:42:51,535 --> 00:42:54,705 (bright music) 810 00:43:01,879 --> 00:43:02,313 Subtitling: difuze 811 00:43:03,113 --> 00:43:05,449 ♪ For more information on the crisis in Syria ♪ 812 00:43:05,516 --> 00:43:07,718 and the various organizations that provide aid 813 00:43:07,785 --> 00:43:13,891 Please visit CTV.CA/Transplant