Transplant (2020–…): Season 2, Episode 1 - Guardrail - full transcript
Look out!
You have a hemorrhaging hematoma.
I've specialized as a trauma surgeon
and emergency medical doctor in Syria.
We have met before, of course,
I interviewed you and then hired you.
I think we need to do it again.
I know I screwed up.
Taking that job
without telling you was...
You are almost
in your fourth year, June.
You should consider applying
for the Chief Resident position.
All could hear was your voice
in my head.
- Telling you what?
- That I'm focusing
on all the wrong things.
Sir!
He collapsed and there's not much pulse.
- Ischemic stroke?
- Or hemorrhagic.
Charging!
I knew he still had symptoms.
Oh, Bash.
Bashir.
Rania!
Bashir.
Rania.
You were dead.
Everyone thought so.
Rania was always brutally
honest with me.
Amira...
How long have you known we were here?
Since you came.
Bash.
Bash, I know you're already
clocked-out but we need hands.
Multi-car MVC, they're about to call it!
They call you Bash?
Did you let them?
- It's growing on me.
- Go be a doctor.
You said this place
would swallow me whole if I let it.
And then you went and had
a stroke which, let's face it,
is a pretty extreme way
to make your point.
"The past is the past, Doctor Leblanc.
What matters now is how you respond."
Mags. Code Orange.
All available personnel.
- Mags!
- Hey! Do you know what's going on?
Just that they're calling everyone.
- Has he said anything yet?
- No...
and the first few hours are critical.
Hopefully he wakes again soon.
- It's Bishop. He will.
- Yeah.
Also haven't you been working
two days straight?
Hum. Says the girl who's about
to double her workload
by throwing in for
Chief Surgical Resident.
Okay, look, I became a surgeon
because I prefer
my patients unconscious.
I'm not sure I should be
managing other people.
Wait! So you're not gonna try
because you're afraid to fail?
I'm not afraid, Mags, okay
I just know what my skills are
- and what they aren't.
- Mm-hmm.
Notify the blood bank, prepare for MTP.
- Where do you want Mr. Kline?
- Hallway for now.
We need to make sure all
lower-acuity beds are cleared.
Copy that!
See if you can put her on three. Rhoda?
- Who's in two?
- Migraine, DHE. Resolving.
Okay, put him somewhere else.
Same with the ankle sprain.
Any idea what we're dealing with?
I can call ahead to OR.
All I know is a bus
went through a guardrail
- on the Bayview extension.
- That's not far from here.
- I can go to the site for triage.
- Good, good.
There's a trauma team en route
from St. Jacobs, Mags
- I'm in.
- Update us when you get there.
We run this like he taught us.
Sorry.
Ahem.
So what's going to happen now?
With Doctor Bishop out?
Well, the board appoints an Acting Chief
until they know his status.
If they're smart, it's Atwater.
If they're stupid...
Everything changes.
Oh, my God.
Let's assess who's injured
then make a plan!
Triage everyone coming out of the bus.
Priority on the quiet ones.
If they're crying, they're breathing.
Help's here, guys. Help's here.
Come on!
Emily!
Emily! She's not moving, she needs help!
Who's not moving?
Emily and the other kids
in there who can't get out!
- Are you the bus driver?
- Yeah.
I don't know what happened.
I think I hit black ice or...
Johnny? She's got a head wound.
Got it!
Here, come with me.
If you can crawl to the window,
the firefighters will help you!
- Are you okay?
- Yeah, I'm okay.
Emily!
- What's your name?
- Lucas.
It's going to be okay, Lucas.
Where does it hurt most?
My neck, real bad.
Where are you coming back from, Lucas?
Millwood Arts Camp.
It was winter overnight this weekend,
for the counsellors in training.
Any pain besides your neck?
My hands kinda tingle.
Squeeze my fingers?
Okay. Good job.
Try to stay very still, okay?
- What's his status?
- Possible fractured vertebra.
We won't know how bad until we image.
Get him on a spinal board,
try to keep him still.
If he decompensates, come and find me.
Okay. Don't move,
everything's gonna be okay.
Who needs help?
If you can't speak, raise your hand!
Is your name Emily?
Are you okay? Can you get out?
- Can you get out?
- Mags!
She's got a projectile in her neck,
right next to her jugular.
We can't move her and
we can't intubate around it.
It has to come out.
It's too risky. We need
to protect her airway.
Look, there's no point
if she bleeds out.
Hang in there, kiddo.
Even if you remove it cleanly,
she's hemorrhaging.
How can you suture
a wound that big here?
I don't. Get me the foley cath!
I'll remove the projectile
and you'll stem the bleeding with that.
- How?
- I'll talk you through it
but it has to be now. There's no way
I'm leaving her like this.
Morphine, forceps, scalpel.
Okay, Emily,
I'm going to remove the obstruction
from your neck to stop the bleeding.
You're gonna feel a sharp pinch
and some warm liquid, okay?
When the debris comes out,
the cath goes in
- and then inflate with saline.
- How much?
Until you feel resistance.
Trust your instinct, okay?
- You're ready?
- Yeah!
Okay.
Okay, go!
- There!
- Okay.
Okay, good. Good.
Emily?
Can you hear me? Emily? Emily?
Open your eyes
if you can hear me. Emily?
Okay.
Stay with me, Emily.
Wow, out like a light.
- Should we move them?
- No, no. Just uh...
just leave them a bit longer.
You have to go.
I'm sorry!
- Alright!
- Mags!
Yeah?
Lizzie can't move her leg.
Hey, Lizzie! I'm Doctor Leblanc.
How about your toes.
Can you wiggle them?
LOC's low. Knee's dislocated.
Leg has no pulse.
We're gonna have to reduce
or she could lose it.
My bracelet, I need to find it.
How about we add this one to
your collection for now, okay?
Lizzie, we're gonna have to put
your knee back into place.
It's gonna hurt but the worst
part's over fast. Okay?
You're ready?
On three, two, one.
You're doing great Emily, I'm
not going to leave your side.
- Emily?
- Madam, please.
- Let me ride with her!
- It's fine, officer,
she needs medical attention anyway.
We'll be there soon, okay?
What happens now?
We bought some time,
but she lost a lot of blood.
It's okay, M&M, I've got you. Hmm?
I've got you. I've got you.
Why do I feel like you do more
than drive the bus?
Hmm... I judge talent shows,
and paint theatre backdrops.
The kids are all so creative, you know?
Her mom owns the camp so,
I've watched Em grow up.
All of them, really.
How long have you worked there?
Hmm, seven years.
It's near Midland, where
I'm from so, not much to see.
I haven't seen anything in
Canada outside of Toronto, so...
Hey! Hey!
It's okay.
I got one for you.
Why should you never trust atoms?
No, no, no, don't. Don't tell me now.
Tell me later, when you're better, okay?
Ooh.
Are you okay?
Hum, yeah I'm okay,
I'm just, uh... dizzy.
You might have a concussion,
we'll check you out too
- once we get there.
- Mm-hmm.
What's wrong? What's happening?
What is it?
Hey, it's okay...
I'm right here.
Lucas? Oh, my God.
Lucas West.
Impact trauma with potential
spinal complications.
Alright! I've gotta get him to CT!
Emily Parker, projectile
removed from her neck
to address massive blood loss.
BP's 90 over 60,
rate's 90, O2's 80 and dropping.
- Trauma one!
- Doctor Hamed, what's happening?
Arnold? She might have a concussion.
Oh. Ma'am, why don't you come with me?
Female, impact trauma,
dislocated knee reduced on-site.
Rate's stable, BP's 110 over 80.
Come on. It's gonna be fine, okay?
I need one more large bore
IV. Activate MTP. One gram TXA.
Blood stats are falling fast!
One unit O neg, level one!
We need to maintain her airway
but I'll tell you right now,
it will be difficult
to visualize her cords.
Get RT on standby. I will intubate.
- I can handle that, Wendy.
- Hello, Mark.
Rough night here, huh?
- Slow up in the ICU?
- Not really.
Tube.
And... connecting the vent.
Blood's helping, MAP's at 65.
She's stabilizing O2's coming up.
I'll call vascular, she'll need the OR.
She's gonna need a lot more than that.
Who rigged up the tamponade balloon?
- I did.
- Protocol would be
to leave the shrapnel in place
until she got into surgery.
Protocol would have killed her.
Well, let's just agree then,
it was a ballsy move
that may have saved her life.
But, still damaged her airway
when you blew up the balloon
and that's not gonna be good.
What is your name, doctor?
Bashir Hamed.
Why don't you get her
cleaned up, Dr Bashir Hamed,
and we'll... let the surgeons
tell us what the damage is.
- I'm sorry but who are you?
- Mark Novak.
I'm the Acting Chief
of this emergency department.
Lucas started gasping for air
on the way back from CT.
- Can I get the ultrasound?
- Yeah.
I can't breathe! I can't breathe!
We're gonna find out
what's going on, okay?
There's no lung sliding
on the right side.
Traumatic pneumothorax.
Can I get a 24 French
and a chest tube tray?
We're gonna keep you really still.
Just gonna get your arm out of the way.
It's gonna help you breathe better.
Alright, there you go.
Can I get that tube?
Okay.
What's happening?
You have a collapsed lung.
But Doctor Curtis is gonna fix that.
Inserting chest tube now.
So what are we looking at, here?
And... we're in!
Hemo-pneumo.
How does that feel Lucas,
is that better?
My neck really hurts
and my feet are tingling.
Positive Babinski sign.
What, you're thinking neuro-dysfunction?
His CT should be up by now.
Hey, Lucas, that pain
you're talking about
is it sharp or dull?
- Sharp, it's sharp.
- Okay.
I'm scared.
Hey, Lucas, what's your
favorite thing to do at camp?
I'm learning drums.
Drums? Okay. What kind
of music do you like?
Loud.
I'll be right back.
What do you got?
Look at this.
It's an atlanto-occipital dislocation.
It happens during impact trauma.
His head is only holding on
by muscle and skin.
Yeah. Internal decapitation?
He's lucky we didn't intubate.
It's gonna be okay.
We're gonna fix it. You'll see.
Bash!
Didn't you fly home a few hours ago?
Yeah, long enough to put
the kids to bed.
Hitched a ride back on
a patient transpo chopper.
Perks of being an attending now.
How did Mel take you leaving?
Hard to argue when a bus
full of kids crashes.
That's brutal. Pedes from
all three shifts were called in.
Hey, I heard what you did
for Emily Parker.
She's lucky you were there.
Let me know if you need anything.
Oh, sorry, here! Doctor Hunter.
Hey, so three's waiting
on casting for her ankle.
She's allergic to morphine
so acetaminophen only.
Make sure whoever does Malia's
sutures knows to use a five-O,
- nothing larger, and uh...
- Okay.
The boy in four keeps
taking his dressings off
to post videos
so just keep an eye on that.
Okay. Oh, hey, um...
what do you know
about the new Acting Chief?
Uh, he did his residency at
Memorial back in 05 under Bishop.
Um, joint specialty in ED-ICU,
I believe, then went overseas.
Got back and he's been an attending
in our ICU for about a month.
Works mostly nights.
That's Janie, three broken ribs
but she's asthmatic
so keep her on albuterol
and check her breathing every ten.
Every ten...
Oh! Bash?
Radiologist said to tell you
that CT on Allie Watson is normal.
No sign of fracture or bleeding
but she did vomit.
Could still have a concussion. Thanks.
Arnold?
Ahem. Tech wasn't positive,
but he said he might have
smelled alcohol.
You think she was drinking?
I'm just passing along the info.
How's Em?
They're prepping her for surgery.
How's your head feeling?
I'm okay. What about the others?
I gave the social worker
my phone so she could call the parents.
We're on it. So what about you, Allie?
Is there anyone we can call for you?
Family you want down here?
Mm... It's just my mom
and her boyfriend,
but we don't... we don't talk anymore.
I never really fit in
with anyone from home.
But Sandra built this world
for kids like I was and...
and made me a part of it.
She's the one I'd call.
Allie, did you have anything
to drink tonight?
Coffee before we left and some water.
No alcohol?
- A beer with dinner?
- No, no, no!
You think I was drunk?
Because I threw up?
No, vomiting can happen
as a result of a head injury,
but our tech said he smelled alcohol?
I'm allergic to alcohol.
I never touch it.
Maybe he mistook disinfectant
or hand sanitizer.
Yeah.
The police said they have
to do a blood test,
so check it if you don't believe me!
It's not that, it's...
the tech smelled it,
so I had to ask, okay?
So, how angry are you?
Oh, maybe he's different now.
You found Lizzie Stahl in the field?
- Yeah, her knee was dislocated.
- Do we need to page vascular?
She's stabilized after I
reduced and we gave her morphine
- which really knocked her out.
- Well, BP's ticked down
since she got in.
- Was there a lot of blood?
- External injuries were scrapes
and bruises but it could be the knee?
Hematoma from reduction?
That is a lot of bruising
for a dislocation.
Yeah.
Is she on blood thinners or anemic?
She was worried about a bracelet.
I thought she meant
a friendship bracelet but...
Lizzie?
Lizzie, can you look at me?
Lizzie, can you hear me?
Hi, Lizzie.
Was your bracelet the medic-alert kind?
Am I bleeding?
Are you hemophiliac?
I took it off. I know
it was wrong but...
I'm Doctor Hunter, Lizzie.
Don't worry.
We're gonna get your bleeding
under control.
I'm supposed to tell you
I'm type B which means...
You need clotting factor nine.
- Are you Leblanc?
- Yes.
- We need you back out there.
- Right.
Copy that, it's just that
we just confirmed
that this patient's a hemophiliac
so I'm gonna track down her team.
Short of cloning yourself,
I don't see how you're gonna do that
and clear the orange and green tags.
Also your schedule
says that you've been on
for two days straight.
- Right, but uh, Doctor Hunter...
- Will be fine.
Unless he thinks he can't
hack this on his own?
- He does not.
- Yeah.
Hey, that tamponade balloon,
where did you learn that trick?
We used that when we couldn't
get hospital transport.
I was a trauma surgeon back in Syria.
And now you're a first-year
resident here?
I ran field hospitals
in Gaza, Libya, and Yemen
for Doctors Without Borders
but, I never made it to Syria.
I know what you're thinking.
Privileged westerner gets to indulge
his adrenaline addiction.
And yeah, you wouldn't be wrong but...
They do important work.
Sir, back in trauma,
if I was short with you
it's only because I...
You took a risk to save a kid's life
and you didn't realize you were
talking to your new boss.
And now you don't know where you stand
after breaking protocol...
Well. I would say,
somewhere between the choice
you made and the outcome.
So, let's see how the kid does.
Oh, let me guess.
You want me to rush labs
for Lizzie Stahl?
Nope. She is not my patient anymore.
How is the new guy already
telling me I got too much on my plate?
And you know nothing against
Theo, but I'm just saying.
He flew back on a helicopter,
after being home for like three hours,
and have you ever heard anyone
ask him how much sleep he got?
- I never have.
- No, exactly. Geez.
What is it about me
that makes people so concerned
with how much I take on, you know?
It's infantilizing.
What?
- You need their approval.
- I don't.
I saw you in Bishop's room,
you're wanting him to tell you
what to do
even when he can't talk.
You look up to him, Mags,
but I know him.
He's not God.
He's just another messy
human being who is wrong
as much as he is right.
That's some light reading.
Studying to be a nurse practitioner.
Masters at Night school,
and then a year of clinical.
That's amazing. You'll be able
to order prescriptions,
and make diagnoses.
Without needing sign-off
on what I already know.
That's nice.
Maybe I should be looking into that...
Lucas, I'm Doctor Singh.
When you were thrown from your seat,
you injured your spinal cord.
Can you undo these? Please.
Uh, you need to keep perfectly still.
No, I can't. I need to move.
Okay, Lucas, this is really
important, okay?
Two of the vertebrae
in your neck are broken.
So if you move,
the part of your spinal cord
that's still attached will sever.
Does that mean
that if I can't stay still,
- it could kill me?
- What we're saying, son,
is we're gonna take you
to surgery to fix this.
- But until we get there...
- No, no, no, no.
I can't, I can't, I can't.
Prepare two milligrams of Ativan.
Okay, I understand, Lucas,
okay, I get it.
Trust me, I hate staying still also
and it makes my skin crawls
when someone tells me that I have to.
My mother says I never stop moving.
My mom says the same thing.
And then I became a surgeon
and other people's lives in my hands,
just... there's just no room
for wrong moves.
So I had to learn how to control
that panicky feeling.
I'm pretty sure that if I can
do it, you can do it too.
- How?
- How?
Well, uh, we start by setting the mood.
Get the lights, Doctor Singh.
Please.
So, uh, no talking.
Focus on what you can hear.
Can you hear your heart beating?
It sounds like drums, right?
Focus on that rhythm,
it's a little fast right now.
You need to bring that down.
So see if you can use your breathing,
to slow down the rhythm of that beat.
Focus on that rhythm.
Slow down that beat.
You're nailing it.
How is she?
You're hurt!
They didn't tell me.
I'm okay. Maybe a small concussion.
I'm so glad you're alright.
Allie, what happened?
I don't know.
It was... it was all so fast.
Everything was fine
and then... then it wasn't.
We must have hit ice or...
Sandra, I'm so sorry.
I'll talk to the parents, okay?
Um, Allie, you should be off your feet.
This is the doctor who saved Em.
This is Sandra, Emily's mom.
She owns the camp.
They said that you had
to take drastic measures
- to save her life.
- Emily was extremely brave.
Uh, Allie, can I speak with you
for a moment?
I know you said to rest but I...
I had to see her.
- Allie?
- Are you okay?
It's weird, my...
Okay, come with me, Allie.
- What's happening? Is she okay?
- My throat feels full.
It's hard to swallow.
Okay, Arnold point three
milligrams epi right now.
Sit...
Breathe calmly, okay?
I'm giving you an injection
of epinephrine.
You're having an allergic reaction,
this will help with the symptoms.
An allergic reaction to what?
- Um...
- Is she okay?
Um... She will be. She'll be fine.
She's only allergic to alcohol
and she doesn't drink.
She was drinking?
Why don't we just let Allie get...
What happened, Doctor Hamed?
Allie, you were drinking?
When you knew you were driving our kids?
No!
No! I would never.
You did a blood test,
tell her what it said!
He came looking for you
because of what it said.
Allie, how could you?
There has to be another explanation!
- I'm sorry, Allie.
- No!
Emily, the kids are everything to me!
- You know me!
- No! Not anymore!
Not the way I thought!
Sandra!
I can't, I can't even look at you.
Please! Please.
Hey, we're almost there.
Curtis is scrubbing in.
It's... There's three teams, Aajay.
It's already pretty crowded.
June made the diagnosis,
and the patient is asking
for her personally.
Fine. Observation only.
I'm gonna be with you
the whole time. You're doing great.
Sutton gets a vote on Chief Resident.
Don't keep him waiting.
Admitting needs a detailed projection
- of who you're keeping.
- I know.
Just after I get to the four
sets of parents waiting for me.
I'll find out what Novak
wants for paperwork.
Doctor Bishop likes
every intake, every discharge
on his desk an hour after your shift.
How's he doing?
- Bishop.
- Well, too early to say.
Long night?
Emily Parker's in surgery
- I'll keep you in the loop.
- Thanks.
You like it?
Just like Mama's.
Amira, it's so late.
You have school tomorrow.
I... I have to stay here
a little while longer.
You can bring her to the hospital if...
We're fine.
I promise she'll get some sleep.
Okay, I'll come get you
as soon as I'm done.
Go to sleep.
Bashir...
The surgeons were able to repair
the wound to Emily's artery.
But her trachea was damaged
when our doctor stopped her bleeding.
Why? Why would he do that?
There wasn't any other way?
If he'd waited any longer,
she would have bled to death.
We've done everything possible
to repair the damage.
Now it's up to her to...
see how she recovers.
I'm sorry I have to say this.
But if her airway doesn't heal,
there's a chance
that Emily won't be able
to breathe on her own again.
The next few hours are critical.
I know it's a lot to take in.
I don't accept any of it.
Hey, Lizzie.
The firemen found this.
Are your parents around?
Probably with my hemophilia
team somewhere,
deciding all the things I won't
be allowed to do anymore.
They only want you to be safe.
The Cabin Five girls were doing a play.
They always say mine are too weird but,
this year they chose it.
They all wore five bracelets and...
You had six.
I just liked to feel normal for once.
Let me tell you something,
Lizzie. Normal is boring.
I know it's hard to see this
now or ever, really, but...
but you know, the things
that set you apart,
even the hard ones,
they're the ones that make you strong.
You okay?
I think something's wrong.
Chest hurts. I can't...
Claire!
Okay.
I need to look at the site
of your bleeding.
Okay, I need a large dose of rtPA,
point five milligrams per kilo per hour.
Then page Theo and Heme!
What's happening?
So a large blood clot formed
after your injury.
And it's now travelled to your lungs.
So I'm gonna need to use
something called
a thrombolytic agent to dissolve it.
A clot-buster? But if we do that,
my blood thins,
won't that make me bleed more?
A clot's a bigger risk.
You can handle this, Lizzie.
Okay? You need to.
- Theo?
- Nothing yet.
It's okay! It's just blood.
We need to do this now.
We can't wait.
Okay, give me your arm. Lie back.
- Here we go.
- Like this.
Okay? Good.
What now?
We wait.
Together.
Hey! New labs on Allie Watson.
But it's weird.
- What?
- Her blood alcohol level went up?
Like I said. Weird.
Um. No way she's had a drink
while she's been here.
She may not have had to.
There's a rare bacterial reaction
where your GI system
creates its own alcohol.
It's called auto brewery syndrome.
Did you have any bread tonight? Pasta?
Pizza.
Well, the right carbs at the wrong time
and you basically become
your own distillery.
But why now? I've always
eaten those things.
There are emergent digestive
conditions that can trigger it.
Even being on antibiotics
for a really long time.
Yeah. I've been on and off
them for sinus infections.
Your stomach continued
to produce its own alcohol,
which is why your reaction
was delayed in the first place.
Thanks, Arnold.
You're on an epi drip now,
and we're gonna give you some
activated charcoal to drink
so that should stop
the reaction completely.
It doesn't look very appetizing
but I promise it will help.
Then I was drunk.
Maybe, I didn't realize.
How could I have known?
This isn't your fault, Allie.
Okay? And I'm gonna make sure
Sandra knows that.
- You must be exhausted.
- Huh.
Were the girls upset I wasn't
there when they woke up?
Uh...
A little, but...
you know a bus full of kids,
that has to be more important.
Mel, that's not,
that's not what I meant.
Look, good news is, I've already
bought my flight pass
so I'll be able to go back
and forth four,
even five times a week.
Theo.
No, I've got it all planned out. Okay?
I'm gonna do my scheduling, and...
and my charts, I'm gonna do them
all on the plane
so when I get home, there's no work.
Half the doctors here
they commute from the suburbs.
It's like a two-hour drive with traffic,
so I mean, this is... it's no different.
I'm just not sure that's realistic.
- Look.
- Mel, what...
I've gotta go.
We'll talk about it later?
Okay?
- Okay?
- Yeah. Okay.
Bye.
You heard about Allie?
Maybe she didn't drink but...
she must have felt something.
She should have pulled over.
Stopped driving.
I only found Emily in time
to save her because of Allie.
She loves her.
She's terrified of losing
the life that she's built with you.
I care about her too but...
She'll have to find a new job.
This is my daughter,
who may never breathe on her own again
because of what both of you did.
We need to talk about you
giving Lizzie Stahl
- a thrombolytic agent.
- Well, we paged you.
And we both know that if I'd waited...
There are two hematologists
here from her team,
plus two very worried parents...
- Theo!
- And a new acting chief
and I had to explain to all of them
why this happened without their input.
Theo, I went in to return her backpack
- and she crashed because...
- If I wanted your help
and I wanted you to check
on my patients, I will ask you!
Was Doctor Bishop here
during your residency?
Has he ever not been here?
Doctor Novak, Emily Parker, she's...
She's touch and go yeah. I heard.
I also heard what you did for him.
How you saved his life.
You've made some hard choices.
Friends I've had, doctors from overseas
who tried to make it over here,
those skills,
they don't always translate.
You're one of the lucky ones,
Bashir Hamed.
I heard Lucas is gonna
recover completely.
Yeah, just this kid is like
a millimeter from death,
and somehow he still manages
to hold it all together.
He had some help.
I've been thinking about all the reasons
I've been afraid to throw in
for Chief Resident.
And... I don't know, I guess tonight
I realized that none
of that really matters.
I want it, you know? So...
I don't know whatever,
I guess I'll just have to...
learn as I go.
If you get it.
Come in, Leblanc.
You changed the lamp.
You moved it.
- There's something you needed?
- Um...
I wanted to tell you
that I made the call
to give Lizzie Stahl thrombolytics
without consulting Doctor Hunter
first because...
It was the right call.
I know.
Okay.
So did you just come here to apologize
for making the right call?
No.
I heard you when you said
that Lizzie was Theo's patient.
But I still went in
to check on her because...
I know doctors like you.
You stay late. You over-invest,
you really truly care about the patients
instead of looking at them like
they're needy bags of meat.
- And that's admirable.
- Look if you're gonna tell me
that I need to find
some kind of balance...
No, I don't care if you work
four days straight
and don't sleep. You're a grown-up.
But it doesn't make you
any better or smarter
- than anyone else here.
- No, I never said that it did.
But you think it.
Don't try to tell me you don't.
And the truth is if you weren't
in Lizzie's room...
Her vitals monitor would have
alerted somebody else
and they would have made
the same call as you did.
I don't care what kind of
a doctor you are, Leblanc.
I just need you to do your job,
like everybody else.
She needs a few seconds
for the sedation to wear off
and then we'll listen.
What happens if she can't get air?
We're here.
It's time to see
if she can breathe on her own.
Hi, Emily.
Can you breathe for us?
There you go.
That's it.
You did it. Great job.
She sounds perfect.
Oh, my baby, you're so strong!
I love you so, so much.
Allie! Why should you never trust atoms?
Because they make up everything.
Emily wanted me to tell you that.
Thanks.
One of us should say something.
It's good to hear your voice again, sir.
Huh.
Just ask.
How'd we do tonight?
- Hey!
- Hey.
Is it just me or this shift
started about a year ago?
It definitely is not just you.
Do you wanna celebrate it
finally being over with a drink?
Uh, um... I have to take
Amira to school.
Right.
Right it is morning after all.
Oh, it's alright!
I've been trying to manufacture
a three-day weekend
to make up for today
but it's impossible.
If you move Petro to Tuesday
and convince Levine to pull a double.
Thank you.
Scheduling sounds like a nightmare.
Yeah... Well,
I heard you were up
for a career bump too
so get used to it!
They'd be idiots not to pick you.
I was excited for you. I'm sorry.
Seriously, guys.
Just... I don't wanna jinx it.
Well, on that note.
I'm gonna go sleep for 12 hours.
I'll see you later.
Good night!
Have a good night!
I could really use a greasy breakfast.
Are you hungry?
I'm famished.
Ow, come on.
You're too late for pizza.
Sorry. Long night.
We had fun.
I could have. I wanted to.
For a long time I didn't know
where you were,
and...
when I finally heard that you made it,
that you came here
with your sister for...
for a new life.
The Bashir I knew would have
risked everything
to come get me and I didn't want you
to make that choice.
So you made it for me?
I understand if you can't accept that.
You have a hemorrhaging hematoma.
I've specialized as a trauma surgeon
and emergency medical doctor in Syria.
We have met before, of course,
I interviewed you and then hired you.
I think we need to do it again.
I know I screwed up.
Taking that job
without telling you was...
You are almost
in your fourth year, June.
You should consider applying
for the Chief Resident position.
All could hear was your voice
in my head.
- Telling you what?
- That I'm focusing
on all the wrong things.
Sir!
He collapsed and there's not much pulse.
- Ischemic stroke?
- Or hemorrhagic.
Charging!
I knew he still had symptoms.
Oh, Bash.
Bashir.
Rania!
Bashir.
Rania.
You were dead.
Everyone thought so.
Rania was always brutally
honest with me.
Amira...
How long have you known we were here?
Since you came.
Bash.
Bash, I know you're already
clocked-out but we need hands.
Multi-car MVC, they're about to call it!
They call you Bash?
Did you let them?
- It's growing on me.
- Go be a doctor.
You said this place
would swallow me whole if I let it.
And then you went and had
a stroke which, let's face it,
is a pretty extreme way
to make your point.
"The past is the past, Doctor Leblanc.
What matters now is how you respond."
Mags. Code Orange.
All available personnel.
- Mags!
- Hey! Do you know what's going on?
Just that they're calling everyone.
- Has he said anything yet?
- No...
and the first few hours are critical.
Hopefully he wakes again soon.
- It's Bishop. He will.
- Yeah.
Also haven't you been working
two days straight?
Hum. Says the girl who's about
to double her workload
by throwing in for
Chief Surgical Resident.
Okay, look, I became a surgeon
because I prefer
my patients unconscious.
I'm not sure I should be
managing other people.
Wait! So you're not gonna try
because you're afraid to fail?
I'm not afraid, Mags, okay
I just know what my skills are
- and what they aren't.
- Mm-hmm.
Notify the blood bank, prepare for MTP.
- Where do you want Mr. Kline?
- Hallway for now.
We need to make sure all
lower-acuity beds are cleared.
Copy that!
See if you can put her on three. Rhoda?
- Who's in two?
- Migraine, DHE. Resolving.
Okay, put him somewhere else.
Same with the ankle sprain.
Any idea what we're dealing with?
I can call ahead to OR.
All I know is a bus
went through a guardrail
- on the Bayview extension.
- That's not far from here.
- I can go to the site for triage.
- Good, good.
There's a trauma team en route
from St. Jacobs, Mags
- I'm in.
- Update us when you get there.
We run this like he taught us.
Sorry.
Ahem.
So what's going to happen now?
With Doctor Bishop out?
Well, the board appoints an Acting Chief
until they know his status.
If they're smart, it's Atwater.
If they're stupid...
Everything changes.
Oh, my God.
Let's assess who's injured
then make a plan!
Triage everyone coming out of the bus.
Priority on the quiet ones.
If they're crying, they're breathing.
Help's here, guys. Help's here.
Come on!
Emily!
Emily! She's not moving, she needs help!
Who's not moving?
Emily and the other kids
in there who can't get out!
- Are you the bus driver?
- Yeah.
I don't know what happened.
I think I hit black ice or...
Johnny? She's got a head wound.
Got it!
Here, come with me.
If you can crawl to the window,
the firefighters will help you!
- Are you okay?
- Yeah, I'm okay.
Emily!
- What's your name?
- Lucas.
It's going to be okay, Lucas.
Where does it hurt most?
My neck, real bad.
Where are you coming back from, Lucas?
Millwood Arts Camp.
It was winter overnight this weekend,
for the counsellors in training.
Any pain besides your neck?
My hands kinda tingle.
Squeeze my fingers?
Okay. Good job.
Try to stay very still, okay?
- What's his status?
- Possible fractured vertebra.
We won't know how bad until we image.
Get him on a spinal board,
try to keep him still.
If he decompensates, come and find me.
Okay. Don't move,
everything's gonna be okay.
Who needs help?
If you can't speak, raise your hand!
Is your name Emily?
Are you okay? Can you get out?
- Can you get out?
- Mags!
She's got a projectile in her neck,
right next to her jugular.
We can't move her and
we can't intubate around it.
It has to come out.
It's too risky. We need
to protect her airway.
Look, there's no point
if she bleeds out.
Hang in there, kiddo.
Even if you remove it cleanly,
she's hemorrhaging.
How can you suture
a wound that big here?
I don't. Get me the foley cath!
I'll remove the projectile
and you'll stem the bleeding with that.
- How?
- I'll talk you through it
but it has to be now. There's no way
I'm leaving her like this.
Morphine, forceps, scalpel.
Okay, Emily,
I'm going to remove the obstruction
from your neck to stop the bleeding.
You're gonna feel a sharp pinch
and some warm liquid, okay?
When the debris comes out,
the cath goes in
- and then inflate with saline.
- How much?
Until you feel resistance.
Trust your instinct, okay?
- You're ready?
- Yeah!
Okay.
Okay, go!
- There!
- Okay.
Okay, good. Good.
Emily?
Can you hear me? Emily? Emily?
Open your eyes
if you can hear me. Emily?
Okay.
Stay with me, Emily.
Wow, out like a light.
- Should we move them?
- No, no. Just uh...
just leave them a bit longer.
You have to go.
I'm sorry!
- Alright!
- Mags!
Yeah?
Lizzie can't move her leg.
Hey, Lizzie! I'm Doctor Leblanc.
How about your toes.
Can you wiggle them?
LOC's low. Knee's dislocated.
Leg has no pulse.
We're gonna have to reduce
or she could lose it.
My bracelet, I need to find it.
How about we add this one to
your collection for now, okay?
Lizzie, we're gonna have to put
your knee back into place.
It's gonna hurt but the worst
part's over fast. Okay?
You're ready?
On three, two, one.
You're doing great Emily, I'm
not going to leave your side.
- Emily?
- Madam, please.
- Let me ride with her!
- It's fine, officer,
she needs medical attention anyway.
We'll be there soon, okay?
What happens now?
We bought some time,
but she lost a lot of blood.
It's okay, M&M, I've got you. Hmm?
I've got you. I've got you.
Why do I feel like you do more
than drive the bus?
Hmm... I judge talent shows,
and paint theatre backdrops.
The kids are all so creative, you know?
Her mom owns the camp so,
I've watched Em grow up.
All of them, really.
How long have you worked there?
Hmm, seven years.
It's near Midland, where
I'm from so, not much to see.
I haven't seen anything in
Canada outside of Toronto, so...
Hey! Hey!
It's okay.
I got one for you.
Why should you never trust atoms?
No, no, no, don't. Don't tell me now.
Tell me later, when you're better, okay?
Ooh.
Are you okay?
Hum, yeah I'm okay,
I'm just, uh... dizzy.
You might have a concussion,
we'll check you out too
- once we get there.
- Mm-hmm.
What's wrong? What's happening?
What is it?
Hey, it's okay...
I'm right here.
Lucas? Oh, my God.
Lucas West.
Impact trauma with potential
spinal complications.
Alright! I've gotta get him to CT!
Emily Parker, projectile
removed from her neck
to address massive blood loss.
BP's 90 over 60,
rate's 90, O2's 80 and dropping.
- Trauma one!
- Doctor Hamed, what's happening?
Arnold? She might have a concussion.
Oh. Ma'am, why don't you come with me?
Female, impact trauma,
dislocated knee reduced on-site.
Rate's stable, BP's 110 over 80.
Come on. It's gonna be fine, okay?
I need one more large bore
IV. Activate MTP. One gram TXA.
Blood stats are falling fast!
One unit O neg, level one!
We need to maintain her airway
but I'll tell you right now,
it will be difficult
to visualize her cords.
Get RT on standby. I will intubate.
- I can handle that, Wendy.
- Hello, Mark.
Rough night here, huh?
- Slow up in the ICU?
- Not really.
Tube.
And... connecting the vent.
Blood's helping, MAP's at 65.
She's stabilizing O2's coming up.
I'll call vascular, she'll need the OR.
She's gonna need a lot more than that.
Who rigged up the tamponade balloon?
- I did.
- Protocol would be
to leave the shrapnel in place
until she got into surgery.
Protocol would have killed her.
Well, let's just agree then,
it was a ballsy move
that may have saved her life.
But, still damaged her airway
when you blew up the balloon
and that's not gonna be good.
What is your name, doctor?
Bashir Hamed.
Why don't you get her
cleaned up, Dr Bashir Hamed,
and we'll... let the surgeons
tell us what the damage is.
- I'm sorry but who are you?
- Mark Novak.
I'm the Acting Chief
of this emergency department.
Lucas started gasping for air
on the way back from CT.
- Can I get the ultrasound?
- Yeah.
I can't breathe! I can't breathe!
We're gonna find out
what's going on, okay?
There's no lung sliding
on the right side.
Traumatic pneumothorax.
Can I get a 24 French
and a chest tube tray?
We're gonna keep you really still.
Just gonna get your arm out of the way.
It's gonna help you breathe better.
Alright, there you go.
Can I get that tube?
Okay.
What's happening?
You have a collapsed lung.
But Doctor Curtis is gonna fix that.
Inserting chest tube now.
So what are we looking at, here?
And... we're in!
Hemo-pneumo.
How does that feel Lucas,
is that better?
My neck really hurts
and my feet are tingling.
Positive Babinski sign.
What, you're thinking neuro-dysfunction?
His CT should be up by now.
Hey, Lucas, that pain
you're talking about
is it sharp or dull?
- Sharp, it's sharp.
- Okay.
I'm scared.
Hey, Lucas, what's your
favorite thing to do at camp?
I'm learning drums.
Drums? Okay. What kind
of music do you like?
Loud.
I'll be right back.
What do you got?
Look at this.
It's an atlanto-occipital dislocation.
It happens during impact trauma.
His head is only holding on
by muscle and skin.
Yeah. Internal decapitation?
He's lucky we didn't intubate.
It's gonna be okay.
We're gonna fix it. You'll see.
Bash!
Didn't you fly home a few hours ago?
Yeah, long enough to put
the kids to bed.
Hitched a ride back on
a patient transpo chopper.
Perks of being an attending now.
How did Mel take you leaving?
Hard to argue when a bus
full of kids crashes.
That's brutal. Pedes from
all three shifts were called in.
Hey, I heard what you did
for Emily Parker.
She's lucky you were there.
Let me know if you need anything.
Oh, sorry, here! Doctor Hunter.
Hey, so three's waiting
on casting for her ankle.
She's allergic to morphine
so acetaminophen only.
Make sure whoever does Malia's
sutures knows to use a five-O,
- nothing larger, and uh...
- Okay.
The boy in four keeps
taking his dressings off
to post videos
so just keep an eye on that.
Okay. Oh, hey, um...
what do you know
about the new Acting Chief?
Uh, he did his residency at
Memorial back in 05 under Bishop.
Um, joint specialty in ED-ICU,
I believe, then went overseas.
Got back and he's been an attending
in our ICU for about a month.
Works mostly nights.
That's Janie, three broken ribs
but she's asthmatic
so keep her on albuterol
and check her breathing every ten.
Every ten...
Oh! Bash?
Radiologist said to tell you
that CT on Allie Watson is normal.
No sign of fracture or bleeding
but she did vomit.
Could still have a concussion. Thanks.
Arnold?
Ahem. Tech wasn't positive,
but he said he might have
smelled alcohol.
You think she was drinking?
I'm just passing along the info.
How's Em?
They're prepping her for surgery.
How's your head feeling?
I'm okay. What about the others?
I gave the social worker
my phone so she could call the parents.
We're on it. So what about you, Allie?
Is there anyone we can call for you?
Family you want down here?
Mm... It's just my mom
and her boyfriend,
but we don't... we don't talk anymore.
I never really fit in
with anyone from home.
But Sandra built this world
for kids like I was and...
and made me a part of it.
She's the one I'd call.
Allie, did you have anything
to drink tonight?
Coffee before we left and some water.
No alcohol?
- A beer with dinner?
- No, no, no!
You think I was drunk?
Because I threw up?
No, vomiting can happen
as a result of a head injury,
but our tech said he smelled alcohol?
I'm allergic to alcohol.
I never touch it.
Maybe he mistook disinfectant
or hand sanitizer.
Yeah.
The police said they have
to do a blood test,
so check it if you don't believe me!
It's not that, it's...
the tech smelled it,
so I had to ask, okay?
So, how angry are you?
Oh, maybe he's different now.
You found Lizzie Stahl in the field?
- Yeah, her knee was dislocated.
- Do we need to page vascular?
She's stabilized after I
reduced and we gave her morphine
- which really knocked her out.
- Well, BP's ticked down
since she got in.
- Was there a lot of blood?
- External injuries were scrapes
and bruises but it could be the knee?
Hematoma from reduction?
That is a lot of bruising
for a dislocation.
Yeah.
Is she on blood thinners or anemic?
She was worried about a bracelet.
I thought she meant
a friendship bracelet but...
Lizzie?
Lizzie, can you look at me?
Lizzie, can you hear me?
Hi, Lizzie.
Was your bracelet the medic-alert kind?
Am I bleeding?
Are you hemophiliac?
I took it off. I know
it was wrong but...
I'm Doctor Hunter, Lizzie.
Don't worry.
We're gonna get your bleeding
under control.
I'm supposed to tell you
I'm type B which means...
You need clotting factor nine.
- Are you Leblanc?
- Yes.
- We need you back out there.
- Right.
Copy that, it's just that
we just confirmed
that this patient's a hemophiliac
so I'm gonna track down her team.
Short of cloning yourself,
I don't see how you're gonna do that
and clear the orange and green tags.
Also your schedule
says that you've been on
for two days straight.
- Right, but uh, Doctor Hunter...
- Will be fine.
Unless he thinks he can't
hack this on his own?
- He does not.
- Yeah.
Hey, that tamponade balloon,
where did you learn that trick?
We used that when we couldn't
get hospital transport.
I was a trauma surgeon back in Syria.
And now you're a first-year
resident here?
I ran field hospitals
in Gaza, Libya, and Yemen
for Doctors Without Borders
but, I never made it to Syria.
I know what you're thinking.
Privileged westerner gets to indulge
his adrenaline addiction.
And yeah, you wouldn't be wrong but...
They do important work.
Sir, back in trauma,
if I was short with you
it's only because I...
You took a risk to save a kid's life
and you didn't realize you were
talking to your new boss.
And now you don't know where you stand
after breaking protocol...
Well. I would say,
somewhere between the choice
you made and the outcome.
So, let's see how the kid does.
Oh, let me guess.
You want me to rush labs
for Lizzie Stahl?
Nope. She is not my patient anymore.
How is the new guy already
telling me I got too much on my plate?
And you know nothing against
Theo, but I'm just saying.
He flew back on a helicopter,
after being home for like three hours,
and have you ever heard anyone
ask him how much sleep he got?
- I never have.
- No, exactly. Geez.
What is it about me
that makes people so concerned
with how much I take on, you know?
It's infantilizing.
What?
- You need their approval.
- I don't.
I saw you in Bishop's room,
you're wanting him to tell you
what to do
even when he can't talk.
You look up to him, Mags,
but I know him.
He's not God.
He's just another messy
human being who is wrong
as much as he is right.
That's some light reading.
Studying to be a nurse practitioner.
Masters at Night school,
and then a year of clinical.
That's amazing. You'll be able
to order prescriptions,
and make diagnoses.
Without needing sign-off
on what I already know.
That's nice.
Maybe I should be looking into that...
Lucas, I'm Doctor Singh.
When you were thrown from your seat,
you injured your spinal cord.
Can you undo these? Please.
Uh, you need to keep perfectly still.
No, I can't. I need to move.
Okay, Lucas, this is really
important, okay?
Two of the vertebrae
in your neck are broken.
So if you move,
the part of your spinal cord
that's still attached will sever.
Does that mean
that if I can't stay still,
- it could kill me?
- What we're saying, son,
is we're gonna take you
to surgery to fix this.
- But until we get there...
- No, no, no, no.
I can't, I can't, I can't.
Prepare two milligrams of Ativan.
Okay, I understand, Lucas,
okay, I get it.
Trust me, I hate staying still also
and it makes my skin crawls
when someone tells me that I have to.
My mother says I never stop moving.
My mom says the same thing.
And then I became a surgeon
and other people's lives in my hands,
just... there's just no room
for wrong moves.
So I had to learn how to control
that panicky feeling.
I'm pretty sure that if I can
do it, you can do it too.
- How?
- How?
Well, uh, we start by setting the mood.
Get the lights, Doctor Singh.
Please.
So, uh, no talking.
Focus on what you can hear.
Can you hear your heart beating?
It sounds like drums, right?
Focus on that rhythm,
it's a little fast right now.
You need to bring that down.
So see if you can use your breathing,
to slow down the rhythm of that beat.
Focus on that rhythm.
Slow down that beat.
You're nailing it.
How is she?
You're hurt!
They didn't tell me.
I'm okay. Maybe a small concussion.
I'm so glad you're alright.
Allie, what happened?
I don't know.
It was... it was all so fast.
Everything was fine
and then... then it wasn't.
We must have hit ice or...
Sandra, I'm so sorry.
I'll talk to the parents, okay?
Um, Allie, you should be off your feet.
This is the doctor who saved Em.
This is Sandra, Emily's mom.
She owns the camp.
They said that you had
to take drastic measures
- to save her life.
- Emily was extremely brave.
Uh, Allie, can I speak with you
for a moment?
I know you said to rest but I...
I had to see her.
- Allie?
- Are you okay?
It's weird, my...
Okay, come with me, Allie.
- What's happening? Is she okay?
- My throat feels full.
It's hard to swallow.
Okay, Arnold point three
milligrams epi right now.
Sit...
Breathe calmly, okay?
I'm giving you an injection
of epinephrine.
You're having an allergic reaction,
this will help with the symptoms.
An allergic reaction to what?
- Um...
- Is she okay?
Um... She will be. She'll be fine.
She's only allergic to alcohol
and she doesn't drink.
She was drinking?
Why don't we just let Allie get...
What happened, Doctor Hamed?
Allie, you were drinking?
When you knew you were driving our kids?
No!
No! I would never.
You did a blood test,
tell her what it said!
He came looking for you
because of what it said.
Allie, how could you?
There has to be another explanation!
- I'm sorry, Allie.
- No!
Emily, the kids are everything to me!
- You know me!
- No! Not anymore!
Not the way I thought!
Sandra!
I can't, I can't even look at you.
Please! Please.
Hey, we're almost there.
Curtis is scrubbing in.
It's... There's three teams, Aajay.
It's already pretty crowded.
June made the diagnosis,
and the patient is asking
for her personally.
Fine. Observation only.
I'm gonna be with you
the whole time. You're doing great.
Sutton gets a vote on Chief Resident.
Don't keep him waiting.
Admitting needs a detailed projection
- of who you're keeping.
- I know.
Just after I get to the four
sets of parents waiting for me.
I'll find out what Novak
wants for paperwork.
Doctor Bishop likes
every intake, every discharge
on his desk an hour after your shift.
How's he doing?
- Bishop.
- Well, too early to say.
Long night?
Emily Parker's in surgery
- I'll keep you in the loop.
- Thanks.
You like it?
Just like Mama's.
Amira, it's so late.
You have school tomorrow.
I... I have to stay here
a little while longer.
You can bring her to the hospital if...
We're fine.
I promise she'll get some sleep.
Okay, I'll come get you
as soon as I'm done.
Go to sleep.
Bashir...
The surgeons were able to repair
the wound to Emily's artery.
But her trachea was damaged
when our doctor stopped her bleeding.
Why? Why would he do that?
There wasn't any other way?
If he'd waited any longer,
she would have bled to death.
We've done everything possible
to repair the damage.
Now it's up to her to...
see how she recovers.
I'm sorry I have to say this.
But if her airway doesn't heal,
there's a chance
that Emily won't be able
to breathe on her own again.
The next few hours are critical.
I know it's a lot to take in.
I don't accept any of it.
Hey, Lizzie.
The firemen found this.
Are your parents around?
Probably with my hemophilia
team somewhere,
deciding all the things I won't
be allowed to do anymore.
They only want you to be safe.
The Cabin Five girls were doing a play.
They always say mine are too weird but,
this year they chose it.
They all wore five bracelets and...
You had six.
I just liked to feel normal for once.
Let me tell you something,
Lizzie. Normal is boring.
I know it's hard to see this
now or ever, really, but...
but you know, the things
that set you apart,
even the hard ones,
they're the ones that make you strong.
You okay?
I think something's wrong.
Chest hurts. I can't...
Claire!
Okay.
I need to look at the site
of your bleeding.
Okay, I need a large dose of rtPA,
point five milligrams per kilo per hour.
Then page Theo and Heme!
What's happening?
So a large blood clot formed
after your injury.
And it's now travelled to your lungs.
So I'm gonna need to use
something called
a thrombolytic agent to dissolve it.
A clot-buster? But if we do that,
my blood thins,
won't that make me bleed more?
A clot's a bigger risk.
You can handle this, Lizzie.
Okay? You need to.
- Theo?
- Nothing yet.
It's okay! It's just blood.
We need to do this now.
We can't wait.
Okay, give me your arm. Lie back.
- Here we go.
- Like this.
Okay? Good.
What now?
We wait.
Together.
Hey! New labs on Allie Watson.
But it's weird.
- What?
- Her blood alcohol level went up?
Like I said. Weird.
Um. No way she's had a drink
while she's been here.
She may not have had to.
There's a rare bacterial reaction
where your GI system
creates its own alcohol.
It's called auto brewery syndrome.
Did you have any bread tonight? Pasta?
Pizza.
Well, the right carbs at the wrong time
and you basically become
your own distillery.
But why now? I've always
eaten those things.
There are emergent digestive
conditions that can trigger it.
Even being on antibiotics
for a really long time.
Yeah. I've been on and off
them for sinus infections.
Your stomach continued
to produce its own alcohol,
which is why your reaction
was delayed in the first place.
Thanks, Arnold.
You're on an epi drip now,
and we're gonna give you some
activated charcoal to drink
so that should stop
the reaction completely.
It doesn't look very appetizing
but I promise it will help.
Then I was drunk.
Maybe, I didn't realize.
How could I have known?
This isn't your fault, Allie.
Okay? And I'm gonna make sure
Sandra knows that.
- You must be exhausted.
- Huh.
Were the girls upset I wasn't
there when they woke up?
Uh...
A little, but...
you know a bus full of kids,
that has to be more important.
Mel, that's not,
that's not what I meant.
Look, good news is, I've already
bought my flight pass
so I'll be able to go back
and forth four,
even five times a week.
Theo.
No, I've got it all planned out. Okay?
I'm gonna do my scheduling, and...
and my charts, I'm gonna do them
all on the plane
so when I get home, there's no work.
Half the doctors here
they commute from the suburbs.
It's like a two-hour drive with traffic,
so I mean, this is... it's no different.
I'm just not sure that's realistic.
- Look.
- Mel, what...
I've gotta go.
We'll talk about it later?
Okay?
- Okay?
- Yeah. Okay.
Bye.
You heard about Allie?
Maybe she didn't drink but...
she must have felt something.
She should have pulled over.
Stopped driving.
I only found Emily in time
to save her because of Allie.
She loves her.
She's terrified of losing
the life that she's built with you.
I care about her too but...
She'll have to find a new job.
This is my daughter,
who may never breathe on her own again
because of what both of you did.
We need to talk about you
giving Lizzie Stahl
- a thrombolytic agent.
- Well, we paged you.
And we both know that if I'd waited...
There are two hematologists
here from her team,
plus two very worried parents...
- Theo!
- And a new acting chief
and I had to explain to all of them
why this happened without their input.
Theo, I went in to return her backpack
- and she crashed because...
- If I wanted your help
and I wanted you to check
on my patients, I will ask you!
Was Doctor Bishop here
during your residency?
Has he ever not been here?
Doctor Novak, Emily Parker, she's...
She's touch and go yeah. I heard.
I also heard what you did for him.
How you saved his life.
You've made some hard choices.
Friends I've had, doctors from overseas
who tried to make it over here,
those skills,
they don't always translate.
You're one of the lucky ones,
Bashir Hamed.
I heard Lucas is gonna
recover completely.
Yeah, just this kid is like
a millimeter from death,
and somehow he still manages
to hold it all together.
He had some help.
I've been thinking about all the reasons
I've been afraid to throw in
for Chief Resident.
And... I don't know, I guess tonight
I realized that none
of that really matters.
I want it, you know? So...
I don't know whatever,
I guess I'll just have to...
learn as I go.
If you get it.
Come in, Leblanc.
You changed the lamp.
You moved it.
- There's something you needed?
- Um...
I wanted to tell you
that I made the call
to give Lizzie Stahl thrombolytics
without consulting Doctor Hunter
first because...
It was the right call.
I know.
Okay.
So did you just come here to apologize
for making the right call?
No.
I heard you when you said
that Lizzie was Theo's patient.
But I still went in
to check on her because...
I know doctors like you.
You stay late. You over-invest,
you really truly care about the patients
instead of looking at them like
they're needy bags of meat.
- And that's admirable.
- Look if you're gonna tell me
that I need to find
some kind of balance...
No, I don't care if you work
four days straight
and don't sleep. You're a grown-up.
But it doesn't make you
any better or smarter
- than anyone else here.
- No, I never said that it did.
But you think it.
Don't try to tell me you don't.
And the truth is if you weren't
in Lizzie's room...
Her vitals monitor would have
alerted somebody else
and they would have made
the same call as you did.
I don't care what kind of
a doctor you are, Leblanc.
I just need you to do your job,
like everybody else.
She needs a few seconds
for the sedation to wear off
and then we'll listen.
What happens if she can't get air?
We're here.
It's time to see
if she can breathe on her own.
Hi, Emily.
Can you breathe for us?
There you go.
That's it.
You did it. Great job.
She sounds perfect.
Oh, my baby, you're so strong!
I love you so, so much.
Allie! Why should you never trust atoms?
Because they make up everything.
Emily wanted me to tell you that.
Thanks.
One of us should say something.
It's good to hear your voice again, sir.
Huh.
Just ask.
How'd we do tonight?
- Hey!
- Hey.
Is it just me or this shift
started about a year ago?
It definitely is not just you.
Do you wanna celebrate it
finally being over with a drink?
Uh, um... I have to take
Amira to school.
Right.
Right it is morning after all.
Oh, it's alright!
I've been trying to manufacture
a three-day weekend
to make up for today
but it's impossible.
If you move Petro to Tuesday
and convince Levine to pull a double.
Thank you.
Scheduling sounds like a nightmare.
Yeah... Well,
I heard you were up
for a career bump too
so get used to it!
They'd be idiots not to pick you.
I was excited for you. I'm sorry.
Seriously, guys.
Just... I don't wanna jinx it.
Well, on that note.
I'm gonna go sleep for 12 hours.
I'll see you later.
Good night!
Have a good night!
I could really use a greasy breakfast.
Are you hungry?
I'm famished.
Ow, come on.
You're too late for pizza.
Sorry. Long night.
We had fun.
I could have. I wanted to.
For a long time I didn't know
where you were,
and...
when I finally heard that you made it,
that you came here
with your sister for...
for a new life.
The Bashir I knew would have
risked everything
to come get me and I didn't want you
to make that choice.
So you made it for me?
I understand if you can't accept that.