Transplant (2020–…): Season 2, Episode 9 - Between - full transcript
You're really gonna
make me ask you, huh?
If you wanna come home with me.
Dad's dying, Junie.
They say in six months.
You always chose someone
who withholds validation,
or someone who worships you.
I think you should do the ablation.
You said it could kill him.
Mags, you lived their reality.
You know what that little
boy is going through.
I've been asked to meet candidates
and lead the transition to a new chief.
You're being pushed out?
Ray Grisholm has filed
a malpractice suit
for his daughter having to
be mechanically ventilated
- for the rest of her life.
- Tell me what I can do,
- to manage this.
- You can play it safe.
Toe the line.
Bashir?
What could they possibly
be doing up there?
I still say vampires.
It's why you never see them in the day.
Last month it was three
roommates, this month it's four.
The new one's a victim, they're
up all night torturing him.
It's every night now, Amira.
This is our home too
and we deserve quiet.
- Bashir!
- We can't sit around and do nothing.
What if we get in trouble...
We won't.
Okay, just go back to sleep.
& corrected by QueenMaddie.
Advancing the first catheter
through the tricuspid valve.
Dr. Leblanc?
His temperature's a little elevated...
Keep an eye on it.
Okay, we're in.
BP's down 60/40.
His pre-op white cell count
was high-end of normal.
Any further worsening of his clinical
status and we'll have to stop.
His heart rate's been
escalating every few hours.
We need to eliminate the
pathway causing the SVT's now.
Mags?
Dammit. Temp's 39. Too high.
He must have an infection.
We can't continue if he's febrile.
Extracting the catheter.
Tell the parents we'll deal
with the infection and try again.
Anyone have time for a differential?
Gotta shower, reno guys demolished
the kitchen in my new place,
just didn't hook up the water.
You don't have running water?
They'll be back, obviously.
- What do you need?
- Four people.
Same neighbourhood. Fever,
cramping, weight loss and joint pain.
- Travel history?
- None.
The symptom showed up a month ago.
Lyme disease?
Four tick bites seems unlikely.
Same neighbourhood,
any family connection?
That's the strange part,
they barely know each other.
It's not enough
information to go off of...
Let me guess, the lab's backed up?
Actually they aren't near one.
They're in a village in
the outskirts of Aleppo.
- Any chance it's chemical?
- No, not that.
So it has to be viral. Age range?
Healthy young adults, the
symptoms are getting more severe.
I'll keep thinking.
If the joint pain is
knee and sacroiliac,
it could be bacterial arthritis.
Right. Thanks!
You know that you make
the rest of us feel like
self-focused jerks, right?
Yeah, I'll work on that.
Thanks again, Hugh.
We'll be in touch once
we're closer to a decision.
Excuse me?
They told me to sit tight, but...
I'm pretty sure something's
about to burst inside me...
Well, can you tell me where the pain is?
Yeah, and how long
has this been going on?
Hello?
Claire, I need hands.
Nurse, get a gurney, we need some help.
- What do we have here?
- Tonic clonic seizure.
We need to protect his head, okay.
He's breathing well.
He was complaining of stomach
cramps before he collapsed.
- Appendix?
- Pain was on the left side.
I can feel distention...
Possible obstruction, or perforation?
Bowel sounds?
Present. So unlikely obstruction.
Okay, I'll alert an OR
until we get imaging.
It's Theo.
Just wondering about us reconnecting?
Whenever you're available?
Theo Hunter. Okay...
It's your med student's last week.
Can we discuss your evaluation?
Yeah, sure. You read it?
I have to sign off before it
goes to his program director.
It's generous.
Is it how you really feel?
I mean, I know he's in
over his head a lot but...
- he's a nice kid.
- Nice doesn't save lives.
Honest and unmerciful
is the only way to learn.
Bashir?
Brian's lucky Bishop caught
him in the waiting room.
Poor guy thought he
was eating a mushroom,
turned out to be a screw
from the frying pan.
Guess he's not much of a chewer.
- Ready to irrigate.
- At ease, Dr. Curtis.
When I need you, you'll know.
It looked like a single
perf from the imaging,
but then we open him up and the screw
perforated three places in the ileum.
Scissors?
That's one birthday
dinner he won't forget.
Alright, June, this is your big moment.
Now you can irrigate.
Okay, let's milk the bowel.
Anybody see bubbles?
Good, no leaks means a happy surgeon.
- Alright, let's close.
- Uh, I think I see a leak.
- You think or you know?
- I know.
Well, there it is.
This won't save Brian
from getting an ileostomy,
but you managed to show me
up in a room full of surgeons.
Congrats.
He's alright. Just, don't worry.
I will call you later, okay? I love you.
Please tell me you're
ready to try again, Mags.
Ollie is responding to antibiotics.
There is a chance Dr. Fisher
might think he's ready today,
but we're not there yet.
In the meantime, he's had
another two SVT episodes!
I know.
How much longer can he hold out?
I know how stressful this is.
Ollie's infection
came out of left field.
I just want one thing
to go right for him...
Was that Gary? How's he
doing? How's he holding up?
Oh, he isn't, so I sent
him back home to Timmins.
At least there he can
be with our other kids.
He tried to argue, but
he's probably relieved.
You shouldn't be alone with this.
Well, him panicking is just
another thing that I have to manage...
You know, so...
He can't handle this, so I have to.
I have to.
- Push 5 milligrams morphine.
- What do we have?
Remi Bellcourt, 29-year-old
female injured in an apartment fire
after an outlet shorted. Breathing well.
Burns to her left
shoulder and both arms.
Help me get her up, so
I can a look at her back.
Remi, we're going to lift you up, okay?
One, two, three...
You need to check out Evan too!
Babe, I'm fine. It's
you I'm worried about.
Her bedroom lit up and she
was trying to coax her tabby
out of the closet.
She wouldn't leave him.
- Evan saved us both.
- And back down.
One, two, three.
Rule of nines, 10 % surface area burned,
all partial thickness.
Let's get her new wet dressings
and increase her IV.
That's one 25 cc per hour
for the first eight hours.
Are you sure you don't
require medical attention?
No, I didn't get burned.
I came back from a run
and I saw the smoke in the apartment.
I live a floor up, it's how we met.
Okay, free fluid in her belly.
Trauma from an impact wound.
I'm ordering a CT and calling OR.
- What does that mean?
- Remi, you're going to need a surgery
to fix your internal bleeding.
And likely another procedure
called a debridement
to treat your burns...
Another incoming, same fire.
I thought they said it
was contained to my unit!
- Did someone else get hurt?
- Go. I've got this.
I'm Dr. Hamed, can you
tell me what happened?
I was... asleep.
Heard the smoke alarm, but it goes off
anytime somebody burns toast, so...
I guess I ignored it?
Next thing I know, two
firemen are shaking me.
Okay, try to save your breath...
BP's high. 150 over
95. Elevated heart rate.
Possible smoke inhalation.
Can you open your mouth
so I can check your throat?
Are you feeling dizzy?
Okay, let's increase her oxygen.
Cora! What's wrong with her?
Hey! You shouldn't be here.
Baby, there you are...
I came to surprise you with breakfast.
You were on your run, so
I got into bed and waited.
- But you never came...
- I'm here now, Cora, I'm here.
The kid with the wrist?
By the time I got here,
things were, uh, weird.
You spaced and drove through
a stop sign on the way here!
And I am playing catch-up.
I thought this was just a fall?
More like a kamikaze maneuver.
Ava leapt off our deck,
teaching herself parkour.
I missed one step, he's
been missing lots of things!
Ava won't let me see her wrist unless
her father answers some
questions about his own health.
She's worked up about nothing.
Look, her friends' dads are 45.
I'm 65, which means you forget things.
Does it also mean leaving
the stove on all night?
Or letting my frog go hungry
while I'm on a band trip?
When did you become such a tyrant?
I say there's a deal
that can be made here.
Ava gets X-rays, Dad gets
his blood pressure read.
Any takers?
Fine, but he goes first.
Tell him about the headache too.
Nothing abnormal about a headache.
Even if you've had it for a week?
And nothing takes it away?
- Is it that high?
- It's very high, sir.
Jake's going to take Ava to get X-rays
and I'm gonna get you set up an EKG.
Is that serious? I'm
not leaving him if it is.
Oh. Hey now, kiddo: we made a deal.
Let me and Dr. Hunter handle this, okay?
Someone from OR should be down
shortly to come get you, Remi.
They're just coordinating between
general surgery and the burn unit.
- How's your pain level?
- It's okay.
Morphine helps.
Why don't you rest,
while I talk to Dr. Hamed outside?
How long will the morphine last?
I need to check on Cora.
- Evan, I...
- I know how this looks.
But, I was dating Remi
first. And she's amazing.
She's smart, funny and
tough, a force of nature.
Then, I met Cora by accident
at this friend's party.
And she's so sweet and
generous and supportive.
How long will Remi be in surgery?
Evan, if you're asking me
to help you divide your time
- between the two of them I...
- I love them both.
They need me.
What they need is to
focus on their recoveries.
Which means it's better if
they don't find out, right?
That's up to you.
Salim, where are you?
Aren't you done for the day?
Uh, almost.
- I had an idea.
- Yeah, me too.
Send Cora Maxwell up to ICU.
I want her closely monitored in
case of delayed tracheal edema.
The other fire victim, she
needs surgical debridement,
the longer we wait, the more we
increase the risk of infection.
And you want to debride her
here rather than waiting on an OR?
I could ask plastics to assist.
This is the sort of things you
want us to be able to handle, right?
Not you, not with this
lawsuit hanging over you.
But there is one thing
you can do for me.
Wasn't fair, Roche chewing
you out for being right.
Yeah, well, my crime was
being right in public.
60-year-old stomach cancer outpatient
waiting on a feeding tube.
He actually has the
same last name as you.
Yeah, I always wanted a less
common last name, growing up.
You think you could
assist Roche on that one?
Maybe try not correcting her though.
You're mad because I didn't
tell you we were here?
Because for weeks, June, you've
been telling me specifically
- not to tell you these things.
- Charles, it's my job
to schedule the exact type of surgery
our father's supposed to be getting.
And it just so happens that
the surgeon who's supposed
to give it to him hates me.
So yeah, a little heads-up
would've been nice.
Wow, the fact that our
dad needs a feeding tube
is totally ancillary to you, isn't it?
I don't know what to tell you,
I was raised by a narcissist.
Speaking of which, the first
thing he asked when he got admitted
was if I could talk you into
getting him a private room.
Relax, relax.
I'm just telling you
so I can tell him I did.
And you're right, I should
have warned you, I'm sorry.
I know you don't want
this following you here.
Can we just, stay out
of each other's way?
Whatever you say, Dr. Curtis.
I know how much you missed me, but...
are you sure this girl was in a fire?
She wasn't exactly in one.
She was asleep in the unit above one.
'Cause there's no sign of smoke
inhalation on her bronchoscopy.
And her O2 sat's
sitting at a healthy 98.
She is very short of breath.
BP's too high for anaphylaxis.
You know, most emerg
physicians completely forget
about their patients the moment
they send them into ICU.
Dr. Novak, I wanted
to ask if you're aware
of Dr. Bishop's proposal
to open a trauma OR?
I'm aware that he
wants to divert funding
and expend the kinds of
interventions you can do in emerg.
"We" can do, yes.
It's a shame he's gotta grovel
to make himself indispensable.
The business of medicine is cruel.
Dr. Bishop is looking
to build consensus.
It would help him to have your
support as an ICU division head.
Oh, is that why
you're here? As a whip,
because the old man was too
afraid to confront me himself?
Young, healthy woman.
No smoke inhalation, elevated BP.
They say where there's
smoke there's fire.
We just have to find it.
We?
Unless you have more exciting plans.
And every time we think he's ready,
his temp spikes or his BP drops.
And his fathers are falling apart,
and there is nothing I can
say or do to make it better
in anyway or like... What?
Nothing I just think I'm gonna
have to start cross-training
to keep up with you.
It's just, I pushed
them into this, you know?
Yeah, well Fisher makes the final calls.
So, you're doing everything you can.
Yeah, but that's not
the point. They trust me.
I need to figure out a way to
like, get them through this...
Hey, I'm not telling you not to care.
I'm saying it's okay to let
yourself off the hook for a minute.
I'm gonna tell you a bad joke.
I'm gonna tell you a bad joke,
and it's gonna clear your head.
Why did the dermatologist
get fired from his job?
Because he was making
too many rash decisions!
- It's a bad joke.
- I just don't...
I don't want to clear my head.
- With me, Bashir!
- What happened?
Not sure, they just paged me.
She passed out!
What's wrong with her?
Cora? Responsive to stimuli. GCS 10.
Increased resp rate, increased
pulse, but her O2's fine.
Dammit!
Do you keep any chemicals at home?
Chemicals... no.
Cora, if you can hear us, say something!
Evan? Why is it so dark?
Cora, how many fingers do you see?
Blurry. I can't tell.
Carbon monoxide poisoning
can cause dim vision.
And deceptive pulse ox readings.
But she's been getting worse, not
better, away from the exposure.
Delayed neurologic sequelae
isn't uncommon with CO toxicity.
Was there anyone else in the building
that displayed similar symptoms?
Not that we know of, but she could
have been breathing it in at the source?
- Hyperbaric oxygen treatment?
- Eighth floor, hurry.
I'll tell them you're coming.
- Hey.
- Hey.
When's the last time you ate?
Oh, no, I'm not hungry.
Go for a walk, Bruce.
Get some air, get some food.
I have time now, I'll stay with him.
Go.
Hey, little man.
I think we need to talk.
So maybe this last minute
infection is you just trying
to keep things dramatic, but...
I think your dads need
help getting through this.
So your job is to fight off the fever,
and I'm gonna get us
over the finish line.
That sounds good?
Yeah.
Let's do that.
Hyperbaric chambers deliver oxygen
in a way ventilation can't. Without it,
Cora risks serious heart
and brain tissue damage.
Evan. They're bringing me up to surgery.
- Where have you been?
- I was looking for Dr. Hamed.
She's the other victim
and Dr. Hamed thought I should
compare your symptoms to hers.
- You live in the building?
- My boyfriend does.
Oh, Evan.
She was in your apartment, wasn't she?
Evan? Wha...
- Guys...
- I'll take the next one.
How's the cast fit? Not too tight?
It's fine.
How's my dad?
The cardiologist needs
to run some tests.
Your dad wants to know if you've
called your Aunt Margot yet?
Why won't you tell me what's going on?
Every time I go in there, he
finds some excuse for me to leave.
And he doesn't even like Auntie Margot!
So I'm guessing you didn't call her.
- We don't need her.
- Do you know that for sure?
I know my dad had a stroke.
I looked up the symptoms.
Headaches, high blood
pressure, forgetfulness.
He's gotta let me show up
for him like he has for me!
Who does the cooking at home, Ava?
- My dad, but I can learn.
- Who pays the bills?
Gets the car fixed?
Can you help your dad
go to the bathroom
at two in the morning?
What about when you're in school?
Stop it! You're scaring me.
I just want you to understand
what your dad is trying
to protect you from.
You should call your aunt.
There's a Dr. Brant in the
boardroom waiting for you?
Tell him I have to reschedule.
I need to focus on keeping my job,
not interviewing understudies.
How's that going for you?
Was I crazy to think I
could fight this, Claire?
These are good.
Dr. Brant?
- Should I send him away?
- I'll go see him.
Incoming.
Stick around? I might need a wingman.
Dr. Curtis. About our little
back and forth this morning.
Not many residents have the
courage to correct a senior surgeon
who already doesn't like them.
In fact, most of you
just stand around here,
silent and useless.
I was just standing in the
right position to see the leak.
Don't pander. Makes you look weak.
Feeding tube is 86'd.
Stomach cancer patient
has metastasis everywhere.
The guy's oncologist
changed his prognosis
from four months to ten
days, so he won't need it.
And our birthday boy needs
to hear that what I told him
was a simple perforation
means that he'll have an external bowel
for the foreseeable future.
At least she gave you an opening.
Classic top down exchange.
You clean up her mess
with the bowel patient,
and she lets you off the hook for
whatever you did to piss her off.
Yeah.
Why would I...
Why would I take a bullet for
someone who treats us like dirt?
Because you're smart?
I mean, stand on principle if you want,
but if were you, I'd take the deal.
Anyways. It's too bad about cancer guy,
but at least I don't have to
scrub in on a g-tube with Roche.
Cora's back from the chamber?
And she's improving.
Labs showed her carboxyhemoglobin
levels were 45 % before.
They're down to 10 now.
Glad we could figure that out.
And since I know you're
waiting for an answer,
you can tell Bishop, no, I won't
be speaking up for his cause.
It's a fake initiative.
I realize that you two have history.
Why can't you see past that? He
wants us to be able to do more.
Isn't that what you're
doing all the time?
He wants us to ask permission.
The music is in doing what is necessary.
Not in making sure your ass is covered.
I thought you knew that.
What now?
Her resp rate is dropping!
I can't be helping you
in two different places.
The kids are fine, my
sister's looking after them.
You just never listen to me, do you?
Yes, I do. But I just had...
- Because I had to be okay?
- I told you that I was fine!
But obviously, you're not fine!
There's no point in
both of us falling apart!
- Why aren't you on a plane?
- Because I called him.
You shouldn't have done that!
Yes, she should have.
I was ready to board, and all
I could think of was Ollie,
just after he turned four months old.
The doctors told us when
we brought him home that
we shouldn't expect him to hit
developmental milestones on time.
But every morning I'd go to his crib
and see him straining to roll over.
So I'd help him, worried he
was over-exerting himself.
But he would always give
me this angry little shriek
like he was trying to
tell me to back off.
I didn't even know that something
that small could be so loud...
Finally, one morning I came in
and Bruce was just sitting
there, watching him try.
I went to help and do you
remember what you said to me?
He can do it.
Yeah.
And he did.
Okay?
Well, Ollie's vitals are stable
and Dr. Fisher thinks we can try again.
If you're ready.
How could she be worse?
There was no carbon monoxide
re-exposure. What are we missing?
We need to widen our view.
Her abdomen is swollen.
Oh, plenty of fluid.
- Ascites?
- I'll run lab tests,
check her protein levels.
Maybe a pre-existing condition.
Did the carbon monoxide exacerbate it?
It could be why no one else
in the building was affected.
I'll call radiology,
they'll drain the fluid.
Gloria. Sterile gloves, please.
I'm perfectly capable of draining
it here with ultrasound guidance.
Lidocaine, 22 gauge paracentesis needle.
You can go ask permission, but I'll
be done by the time you have it.
Probe sleeve.
A friend of mine outside of Aleppo
is trying to narrow down a tough one.
Is your friend a doctor?
He's a rescue worker with
some solid field experience.
What's up?
Eight patients in a cluster of homes.
Headache, fever, joint
pain, skin ulcerations.
The carbon monoxide made
me think of contaminants.
How's everything going there?
Returning to some semblance of normal?
Trying, given the blockade.
Oh, blockades disrupt food supply,
is it possible that
they're growing their own?
You're thinking contaminated soil?
I saw a case of histoplasmosis
outside of Beirut
with some farmers a few years back.
Direct contact with bacteria,
it does fit all the symptoms.
I'll let them know.
But still no answer for Cora.
I will order some liver
function tests and more imaging.
You see if her two-timing boyfriend
can shed any light on her condition.
- Two and three?
- No change.
- Three and four?
- Nope.
We'll have to insert the fifth one then.
Vitals holding steady.
Mm-hmm. And the dads?
They're doing their best.
My parents were a
disaster when it was me.
Arguing, debating.
If it wasn't for my
doctor, I don't know...
Terrence Mann, wasn't
it? Your cardiologist?
Yeah.
I was sad to hear about his lung cancer.
He retired last year
when he was diagnosed.
Okay, cath's in.
Does this get us where we need to be?
Ostium of the CS. That's the one.
- Vitals are holding strong.
- Good.
Good job, buddy.
Ablating now.
That should do it.
Did Novak say why?
Mostly that he doesn't see
the point in drawing new lines.
When all he ever wants to
do is colour outside them.
Mark has always refused to adapt.
Don't let him get in your head.
Sir, if the other division
heads don't get behind you?
Oh, it's only one vote, Dr. Hamed.
I stay patient, and
you keep your head down.
Weren't you finished hours ago?
I stuck around to see
a few patients through.
So what are you saying?
I love you, Remi, but I also love her!
You love us both?
Wow, that's seriously
what you're saying?
I swear to God, it's the truth.
Remi, you should be resting, and Evan,
can I speak with you outside?
I need some information.
I'm kind of in the middle of something.
It's about her, though
right? Your question?
What happened to that
woman is your fault, Evan,
and you're not even
gonna try and help her?
I'm trying to help! I'm
trying to help her and you!
Cora's life is on the line, Evan.
If there's anything you can tell
me about her medical history,
- lifestyle changes, please.
- I mean, I don't know,
she doesn't say much about that stuff.
You supposedly love this woman?
He just said that she could be dying!
- Who even are you?
- Okay. I'm thinking, okay?
Well, think harder! What if it was me?
Would you remember that I get
a headache when I drink red wine?
Would you remember what
antibiotic I'm allergic to?
Okay, she's avoiding dairy.
I don't know if that's...
She gets carpal tunnel?
When she types. Also
she can't jog anymore.
- What? She can't jog?
- We used to run together,
but now she can barely go down
the block without losing her breath.
And she gets lightheaded a lot.
Okay. This is good. Any cough?
I mean, yeah, sometimes in bed
if she's sleeping on her back.
And you're allergic to Penicillin.
Get out.
- Hey.
- Hey.
I just...
I feel like things went
wrong between us earlier?
And I'm not trying to change you, Mags.
And I need you to know that I like you.
Like a lot...
- And...
- Jake, I...
I like you too, I do.
And I'm just...
This was great and I'm...
I'm just not in the right place.
Yeah, yeah. You think
we should end things.
I'm sorry, Jake.
Yeah, it's okay.
I get it.
I'm sorry.
Dad's in organ failure.
And they're saying it could be days...
I'm sorry, Juney. I know you don't
wanna hear this kind of stuff but...
I don't know, I just...
I thought I was ready. And...
I'm not.
I called hospice.
And they have a private room, so...
You knew?
Why would you do that?
Well, it was purely selfish.
If dad's happy, he's less
likely to cause trouble...
No, I mean why would you let me
hear that news from a stranger?!
- What? Charles...
- No!
So you couldn't put your
pride aside long enough
to come and tell me this?
You know, this resentment
you cling to, June.
Is its own cancer.
Hey, Theodore Hunter. My stalker.
Yes, I got your voicemails.
No, I'm not here to see you.
My daughter, your former patient,
she's seeing her respirologist.
- Hi, Shelley. Can we...
- We had sex once.
I know and I didn't
mean to come on strong,
but I'm just... Look, that night
was the first good thing
that has happened to me
in a while, so I'm just...
You feel messed up.
You feel thrown to sea by your ex?
I'm not your lifeboat.
- Got it.
- You'll be fine.
- What happened?
- We don't know.
He went into sudden V-fib and arrested.
We've shocked twice.
Charged to 30 joules.
- Clear!
- Shocking.
I'll take over. Still pulseless V-fib.
- Come on, little guy.
- Charging to 60 joules.
Clear! Shocking.
We've lost all electrical activity.
We can't give up on him!
I'm sorry, Mags. He's gone.
No, it doesn't make
any sense! He was fine!
He had no fever, no instability!
- No nothing.
- Sometimes there are no signs.
Time of death, 6:21.
No, no.
I'm so sorry that I wasn't honest.
It doesn't matter that you're sorry.
This isn't about you.
You can't expect me to just walk away.
I love you.
And, it's over with her.
And you think I'm more
likely to forgive you.
Because you think I'm a doormat.
Baby, no.
Well, I'm not.
And I'm not your baby!
Get out!
Cora, you don't mean that.
Don't tell me what I feel.
Okay, Evan.
It's time to go.
How's the other girl doing?
She's recovering well.
I was wondering if you had any
questions about your diagnosis.
- Acute cardiomyo-something?
- Cardiomyopathy.
It means a part of your
heart muscle is diseased.
It's fairly uncommon
in someone your age,
but the carbon monoxide made it worse.
What happens next?
You'll see a cardiologist.
And there's a range of
interventions to try out.
It's almost funny isn't it?
Getting your heart
broken only to find out...
it already was.
Hey, you're young and strong.
You can fight this.
How'd it work out for
your friend back home?
You and I were both wrong.
The team on the ground figured it out.
It was three manifestations
of TB, highly contagious,
all different symptoms.
Thankfully, they didn't need us.
Hey, if you ever want to trade
these problems for those ones.
You know, I take my vacation
in the region every year,
wherever I'm most needed.
- I couldn't leave my sister.
- Ah.
They're called
transientischemic-attacks.
Mini-strokes, I know.
They said I'd been having a few,
which explains why I've been...
- off. But today...
- Was a full stroke.
It was the start of one.
Your father's on an IV drug called tPA.
It breaks up the clot that is blocking
the flow of blood to his brain.
The only reason they're
able to use this drug
is because of you helping
me catch it when you did.
You saved my life, baby girl.
But Ava, I don't want you
giving up anything for me.
Dad, it's okay.
Dr. Hunter talked me
through what you'd need.
We can get home-care nurses
for when I'm in school
and I started a list of
all the stuff I can do.
I called Margot,
and you're going to stay
with her for a while.
I can do this for you. I want to.
I know you can. And
in ten years, 15 tops,
I promise I'll let you.
But for now, this is
the way it's gotta be.
And if you need to be
mad at me, I understand.
Cardiology?
You still following patients
out of your purview, Leblanc?
I'm doing a resident practice.
Two jobs? Yeah, that checks out.
If you wanna save even more lives,
I can get you some shifts at the ICU.
He was okay.
He came out okay!
Was it the procedure?
Did it cause this?
The ablation went perfectly.
Sudden cardiac death
is a risk of Ollie's
congenital heart defect.
I want you to know that...
he gave it everything he had.
I am so sorry.
I'm so sorry.
- What's wrong?
- I know you're weighing
a job offer, but...
- Don't go to St. Luke's.
- Jed...
You can do your clinical hours here,
become a nurse practitioner.
You'll get a raise,
you'll have seniority. I'll make sure.
Okay, we've been over this.
I want to learn without a safety net.
If you're here...
I'm not ready to treat patients.
Maybe I never will be.
But when you're here...
none of that matters.
I know it's unfair and
I'm being selfish, but...
I need you, so I'm asking.
Stay.
Your rotation came at
a strange time for me, Jake.
And I like you, I do.
But before you finish, I
wanted you to hear from me
that if this job isn't for you,
there isn't anything wrong with that.
Hold on. Are you telling me that I'm not
- cut out to be a doctor?
- No.
But I have been saying all
along you need to do the work,
you have to go out of your
way to apply the knowledge,
and I haven't really seen that.
Because I don't let
this job dominate my life
- like the rest of you?
- That's fair.
But look, I know what it's
like to be on this path...
and not know how you got there.
I'm trying to help you, Jake.
Anyway...
Can I go?
Yeah.
I heard what happened.
The death of a baby...
It takes a toll on any doctor.
And you're not just any doctor.
I failed him.
And you want to fix that,
but you can't.
Those are completely valid
emotions at this stage.
The lawsuit, the
pressure you're under...
What if I don't want to hear that
my feelings are "part of the process?"
I hear myself complaining and I
hate the sound of my own voice.
But it's all that ever happens here.
That's a lot of judgement.
What else has been going on lately?
Have you been having
more memories of the past?
I appreciate what you're trying to do,
but I'm not sure I can keep coming here.
Bashir, let's talk about this.
If things are hard right
now, pushing me away...
I'm sorry Dr. Mitchell, I
don't think you can help me.
make me ask you, huh?
If you wanna come home with me.
Dad's dying, Junie.
They say in six months.
You always chose someone
who withholds validation,
or someone who worships you.
I think you should do the ablation.
You said it could kill him.
Mags, you lived their reality.
You know what that little
boy is going through.
I've been asked to meet candidates
and lead the transition to a new chief.
You're being pushed out?
Ray Grisholm has filed
a malpractice suit
for his daughter having to
be mechanically ventilated
- for the rest of her life.
- Tell me what I can do,
- to manage this.
- You can play it safe.
Toe the line.
Bashir?
What could they possibly
be doing up there?
I still say vampires.
It's why you never see them in the day.
Last month it was three
roommates, this month it's four.
The new one's a victim, they're
up all night torturing him.
It's every night now, Amira.
This is our home too
and we deserve quiet.
- Bashir!
- We can't sit around and do nothing.
What if we get in trouble...
We won't.
Okay, just go back to sleep.
& corrected by QueenMaddie.
Advancing the first catheter
through the tricuspid valve.
Dr. Leblanc?
His temperature's a little elevated...
Keep an eye on it.
Okay, we're in.
BP's down 60/40.
His pre-op white cell count
was high-end of normal.
Any further worsening of his clinical
status and we'll have to stop.
His heart rate's been
escalating every few hours.
We need to eliminate the
pathway causing the SVT's now.
Mags?
Dammit. Temp's 39. Too high.
He must have an infection.
We can't continue if he's febrile.
Extracting the catheter.
Tell the parents we'll deal
with the infection and try again.
Anyone have time for a differential?
Gotta shower, reno guys demolished
the kitchen in my new place,
just didn't hook up the water.
You don't have running water?
They'll be back, obviously.
- What do you need?
- Four people.
Same neighbourhood. Fever,
cramping, weight loss and joint pain.
- Travel history?
- None.
The symptom showed up a month ago.
Lyme disease?
Four tick bites seems unlikely.
Same neighbourhood,
any family connection?
That's the strange part,
they barely know each other.
It's not enough
information to go off of...
Let me guess, the lab's backed up?
Actually they aren't near one.
They're in a village in
the outskirts of Aleppo.
- Any chance it's chemical?
- No, not that.
So it has to be viral. Age range?
Healthy young adults, the
symptoms are getting more severe.
I'll keep thinking.
If the joint pain is
knee and sacroiliac,
it could be bacterial arthritis.
Right. Thanks!
You know that you make
the rest of us feel like
self-focused jerks, right?
Yeah, I'll work on that.
Thanks again, Hugh.
We'll be in touch once
we're closer to a decision.
Excuse me?
They told me to sit tight, but...
I'm pretty sure something's
about to burst inside me...
Well, can you tell me where the pain is?
Yeah, and how long
has this been going on?
Hello?
Claire, I need hands.
Nurse, get a gurney, we need some help.
- What do we have here?
- Tonic clonic seizure.
We need to protect his head, okay.
He's breathing well.
He was complaining of stomach
cramps before he collapsed.
- Appendix?
- Pain was on the left side.
I can feel distention...
Possible obstruction, or perforation?
Bowel sounds?
Present. So unlikely obstruction.
Okay, I'll alert an OR
until we get imaging.
It's Theo.
Just wondering about us reconnecting?
Whenever you're available?
Theo Hunter. Okay...
It's your med student's last week.
Can we discuss your evaluation?
Yeah, sure. You read it?
I have to sign off before it
goes to his program director.
It's generous.
Is it how you really feel?
I mean, I know he's in
over his head a lot but...
- he's a nice kid.
- Nice doesn't save lives.
Honest and unmerciful
is the only way to learn.
Bashir?
Brian's lucky Bishop caught
him in the waiting room.
Poor guy thought he
was eating a mushroom,
turned out to be a screw
from the frying pan.
Guess he's not much of a chewer.
- Ready to irrigate.
- At ease, Dr. Curtis.
When I need you, you'll know.
It looked like a single
perf from the imaging,
but then we open him up and the screw
perforated three places in the ileum.
Scissors?
That's one birthday
dinner he won't forget.
Alright, June, this is your big moment.
Now you can irrigate.
Okay, let's milk the bowel.
Anybody see bubbles?
Good, no leaks means a happy surgeon.
- Alright, let's close.
- Uh, I think I see a leak.
- You think or you know?
- I know.
Well, there it is.
This won't save Brian
from getting an ileostomy,
but you managed to show me
up in a room full of surgeons.
Congrats.
He's alright. Just, don't worry.
I will call you later, okay? I love you.
Please tell me you're
ready to try again, Mags.
Ollie is responding to antibiotics.
There is a chance Dr. Fisher
might think he's ready today,
but we're not there yet.
In the meantime, he's had
another two SVT episodes!
I know.
How much longer can he hold out?
I know how stressful this is.
Ollie's infection
came out of left field.
I just want one thing
to go right for him...
Was that Gary? How's he
doing? How's he holding up?
Oh, he isn't, so I sent
him back home to Timmins.
At least there he can
be with our other kids.
He tried to argue, but
he's probably relieved.
You shouldn't be alone with this.
Well, him panicking is just
another thing that I have to manage...
You know, so...
He can't handle this, so I have to.
I have to.
- Push 5 milligrams morphine.
- What do we have?
Remi Bellcourt, 29-year-old
female injured in an apartment fire
after an outlet shorted. Breathing well.
Burns to her left
shoulder and both arms.
Help me get her up, so
I can a look at her back.
Remi, we're going to lift you up, okay?
One, two, three...
You need to check out Evan too!
Babe, I'm fine. It's
you I'm worried about.
Her bedroom lit up and she
was trying to coax her tabby
out of the closet.
She wouldn't leave him.
- Evan saved us both.
- And back down.
One, two, three.
Rule of nines, 10 % surface area burned,
all partial thickness.
Let's get her new wet dressings
and increase her IV.
That's one 25 cc per hour
for the first eight hours.
Are you sure you don't
require medical attention?
No, I didn't get burned.
I came back from a run
and I saw the smoke in the apartment.
I live a floor up, it's how we met.
Okay, free fluid in her belly.
Trauma from an impact wound.
I'm ordering a CT and calling OR.
- What does that mean?
- Remi, you're going to need a surgery
to fix your internal bleeding.
And likely another procedure
called a debridement
to treat your burns...
Another incoming, same fire.
I thought they said it
was contained to my unit!
- Did someone else get hurt?
- Go. I've got this.
I'm Dr. Hamed, can you
tell me what happened?
I was... asleep.
Heard the smoke alarm, but it goes off
anytime somebody burns toast, so...
I guess I ignored it?
Next thing I know, two
firemen are shaking me.
Okay, try to save your breath...
BP's high. 150 over
95. Elevated heart rate.
Possible smoke inhalation.
Can you open your mouth
so I can check your throat?
Are you feeling dizzy?
Okay, let's increase her oxygen.
Cora! What's wrong with her?
Hey! You shouldn't be here.
Baby, there you are...
I came to surprise you with breakfast.
You were on your run, so
I got into bed and waited.
- But you never came...
- I'm here now, Cora, I'm here.
The kid with the wrist?
By the time I got here,
things were, uh, weird.
You spaced and drove through
a stop sign on the way here!
And I am playing catch-up.
I thought this was just a fall?
More like a kamikaze maneuver.
Ava leapt off our deck,
teaching herself parkour.
I missed one step, he's
been missing lots of things!
Ava won't let me see her wrist unless
her father answers some
questions about his own health.
She's worked up about nothing.
Look, her friends' dads are 45.
I'm 65, which means you forget things.
Does it also mean leaving
the stove on all night?
Or letting my frog go hungry
while I'm on a band trip?
When did you become such a tyrant?
I say there's a deal
that can be made here.
Ava gets X-rays, Dad gets
his blood pressure read.
Any takers?
Fine, but he goes first.
Tell him about the headache too.
Nothing abnormal about a headache.
Even if you've had it for a week?
And nothing takes it away?
- Is it that high?
- It's very high, sir.
Jake's going to take Ava to get X-rays
and I'm gonna get you set up an EKG.
Is that serious? I'm
not leaving him if it is.
Oh. Hey now, kiddo: we made a deal.
Let me and Dr. Hunter handle this, okay?
Someone from OR should be down
shortly to come get you, Remi.
They're just coordinating between
general surgery and the burn unit.
- How's your pain level?
- It's okay.
Morphine helps.
Why don't you rest,
while I talk to Dr. Hamed outside?
How long will the morphine last?
I need to check on Cora.
- Evan, I...
- I know how this looks.
But, I was dating Remi
first. And she's amazing.
She's smart, funny and
tough, a force of nature.
Then, I met Cora by accident
at this friend's party.
And she's so sweet and
generous and supportive.
How long will Remi be in surgery?
Evan, if you're asking me
to help you divide your time
- between the two of them I...
- I love them both.
They need me.
What they need is to
focus on their recoveries.
Which means it's better if
they don't find out, right?
That's up to you.
Salim, where are you?
Aren't you done for the day?
Uh, almost.
- I had an idea.
- Yeah, me too.
Send Cora Maxwell up to ICU.
I want her closely monitored in
case of delayed tracheal edema.
The other fire victim, she
needs surgical debridement,
the longer we wait, the more we
increase the risk of infection.
And you want to debride her
here rather than waiting on an OR?
I could ask plastics to assist.
This is the sort of things you
want us to be able to handle, right?
Not you, not with this
lawsuit hanging over you.
But there is one thing
you can do for me.
Wasn't fair, Roche chewing
you out for being right.
Yeah, well, my crime was
being right in public.
60-year-old stomach cancer outpatient
waiting on a feeding tube.
He actually has the
same last name as you.
Yeah, I always wanted a less
common last name, growing up.
You think you could
assist Roche on that one?
Maybe try not correcting her though.
You're mad because I didn't
tell you we were here?
Because for weeks, June, you've
been telling me specifically
- not to tell you these things.
- Charles, it's my job
to schedule the exact type of surgery
our father's supposed to be getting.
And it just so happens that
the surgeon who's supposed
to give it to him hates me.
So yeah, a little heads-up
would've been nice.
Wow, the fact that our
dad needs a feeding tube
is totally ancillary to you, isn't it?
I don't know what to tell you,
I was raised by a narcissist.
Speaking of which, the first
thing he asked when he got admitted
was if I could talk you into
getting him a private room.
Relax, relax.
I'm just telling you
so I can tell him I did.
And you're right, I should
have warned you, I'm sorry.
I know you don't want
this following you here.
Can we just, stay out
of each other's way?
Whatever you say, Dr. Curtis.
I know how much you missed me, but...
are you sure this girl was in a fire?
She wasn't exactly in one.
She was asleep in the unit above one.
'Cause there's no sign of smoke
inhalation on her bronchoscopy.
And her O2 sat's
sitting at a healthy 98.
She is very short of breath.
BP's too high for anaphylaxis.
You know, most emerg
physicians completely forget
about their patients the moment
they send them into ICU.
Dr. Novak, I wanted
to ask if you're aware
of Dr. Bishop's proposal
to open a trauma OR?
I'm aware that he
wants to divert funding
and expend the kinds of
interventions you can do in emerg.
"We" can do, yes.
It's a shame he's gotta grovel
to make himself indispensable.
The business of medicine is cruel.
Dr. Bishop is looking
to build consensus.
It would help him to have your
support as an ICU division head.
Oh, is that why
you're here? As a whip,
because the old man was too
afraid to confront me himself?
Young, healthy woman.
No smoke inhalation, elevated BP.
They say where there's
smoke there's fire.
We just have to find it.
We?
Unless you have more exciting plans.
And every time we think he's ready,
his temp spikes or his BP drops.
And his fathers are falling apart,
and there is nothing I can
say or do to make it better
in anyway or like... What?
Nothing I just think I'm gonna
have to start cross-training
to keep up with you.
It's just, I pushed
them into this, you know?
Yeah, well Fisher makes the final calls.
So, you're doing everything you can.
Yeah, but that's not
the point. They trust me.
I need to figure out a way to
like, get them through this...
Hey, I'm not telling you not to care.
I'm saying it's okay to let
yourself off the hook for a minute.
I'm gonna tell you a bad joke.
I'm gonna tell you a bad joke,
and it's gonna clear your head.
Why did the dermatologist
get fired from his job?
Because he was making
too many rash decisions!
- It's a bad joke.
- I just don't...
I don't want to clear my head.
- With me, Bashir!
- What happened?
Not sure, they just paged me.
She passed out!
What's wrong with her?
Cora? Responsive to stimuli. GCS 10.
Increased resp rate, increased
pulse, but her O2's fine.
Dammit!
Do you keep any chemicals at home?
Chemicals... no.
Cora, if you can hear us, say something!
Evan? Why is it so dark?
Cora, how many fingers do you see?
Blurry. I can't tell.
Carbon monoxide poisoning
can cause dim vision.
And deceptive pulse ox readings.
But she's been getting worse, not
better, away from the exposure.
Delayed neurologic sequelae
isn't uncommon with CO toxicity.
Was there anyone else in the building
that displayed similar symptoms?
Not that we know of, but she could
have been breathing it in at the source?
- Hyperbaric oxygen treatment?
- Eighth floor, hurry.
I'll tell them you're coming.
- Hey.
- Hey.
When's the last time you ate?
Oh, no, I'm not hungry.
Go for a walk, Bruce.
Get some air, get some food.
I have time now, I'll stay with him.
Go.
Hey, little man.
I think we need to talk.
So maybe this last minute
infection is you just trying
to keep things dramatic, but...
I think your dads need
help getting through this.
So your job is to fight off the fever,
and I'm gonna get us
over the finish line.
That sounds good?
Yeah.
Let's do that.
Hyperbaric chambers deliver oxygen
in a way ventilation can't. Without it,
Cora risks serious heart
and brain tissue damage.
Evan. They're bringing me up to surgery.
- Where have you been?
- I was looking for Dr. Hamed.
She's the other victim
and Dr. Hamed thought I should
compare your symptoms to hers.
- You live in the building?
- My boyfriend does.
Oh, Evan.
She was in your apartment, wasn't she?
Evan? Wha...
- Guys...
- I'll take the next one.
How's the cast fit? Not too tight?
It's fine.
How's my dad?
The cardiologist needs
to run some tests.
Your dad wants to know if you've
called your Aunt Margot yet?
Why won't you tell me what's going on?
Every time I go in there, he
finds some excuse for me to leave.
And he doesn't even like Auntie Margot!
So I'm guessing you didn't call her.
- We don't need her.
- Do you know that for sure?
I know my dad had a stroke.
I looked up the symptoms.
Headaches, high blood
pressure, forgetfulness.
He's gotta let me show up
for him like he has for me!
Who does the cooking at home, Ava?
- My dad, but I can learn.
- Who pays the bills?
Gets the car fixed?
Can you help your dad
go to the bathroom
at two in the morning?
What about when you're in school?
Stop it! You're scaring me.
I just want you to understand
what your dad is trying
to protect you from.
You should call your aunt.
There's a Dr. Brant in the
boardroom waiting for you?
Tell him I have to reschedule.
I need to focus on keeping my job,
not interviewing understudies.
How's that going for you?
Was I crazy to think I
could fight this, Claire?
These are good.
Dr. Brant?
- Should I send him away?
- I'll go see him.
Incoming.
Stick around? I might need a wingman.
Dr. Curtis. About our little
back and forth this morning.
Not many residents have the
courage to correct a senior surgeon
who already doesn't like them.
In fact, most of you
just stand around here,
silent and useless.
I was just standing in the
right position to see the leak.
Don't pander. Makes you look weak.
Feeding tube is 86'd.
Stomach cancer patient
has metastasis everywhere.
The guy's oncologist
changed his prognosis
from four months to ten
days, so he won't need it.
And our birthday boy needs
to hear that what I told him
was a simple perforation
means that he'll have an external bowel
for the foreseeable future.
At least she gave you an opening.
Classic top down exchange.
You clean up her mess
with the bowel patient,
and she lets you off the hook for
whatever you did to piss her off.
Yeah.
Why would I...
Why would I take a bullet for
someone who treats us like dirt?
Because you're smart?
I mean, stand on principle if you want,
but if were you, I'd take the deal.
Anyways. It's too bad about cancer guy,
but at least I don't have to
scrub in on a g-tube with Roche.
Cora's back from the chamber?
And she's improving.
Labs showed her carboxyhemoglobin
levels were 45 % before.
They're down to 10 now.
Glad we could figure that out.
And since I know you're
waiting for an answer,
you can tell Bishop, no, I won't
be speaking up for his cause.
It's a fake initiative.
I realize that you two have history.
Why can't you see past that? He
wants us to be able to do more.
Isn't that what you're
doing all the time?
He wants us to ask permission.
The music is in doing what is necessary.
Not in making sure your ass is covered.
I thought you knew that.
What now?
Her resp rate is dropping!
I can't be helping you
in two different places.
The kids are fine, my
sister's looking after them.
You just never listen to me, do you?
Yes, I do. But I just had...
- Because I had to be okay?
- I told you that I was fine!
But obviously, you're not fine!
There's no point in
both of us falling apart!
- Why aren't you on a plane?
- Because I called him.
You shouldn't have done that!
Yes, she should have.
I was ready to board, and all
I could think of was Ollie,
just after he turned four months old.
The doctors told us when
we brought him home that
we shouldn't expect him to hit
developmental milestones on time.
But every morning I'd go to his crib
and see him straining to roll over.
So I'd help him, worried he
was over-exerting himself.
But he would always give
me this angry little shriek
like he was trying to
tell me to back off.
I didn't even know that something
that small could be so loud...
Finally, one morning I came in
and Bruce was just sitting
there, watching him try.
I went to help and do you
remember what you said to me?
He can do it.
Yeah.
And he did.
Okay?
Well, Ollie's vitals are stable
and Dr. Fisher thinks we can try again.
If you're ready.
How could she be worse?
There was no carbon monoxide
re-exposure. What are we missing?
We need to widen our view.
Her abdomen is swollen.
Oh, plenty of fluid.
- Ascites?
- I'll run lab tests,
check her protein levels.
Maybe a pre-existing condition.
Did the carbon monoxide exacerbate it?
It could be why no one else
in the building was affected.
I'll call radiology,
they'll drain the fluid.
Gloria. Sterile gloves, please.
I'm perfectly capable of draining
it here with ultrasound guidance.
Lidocaine, 22 gauge paracentesis needle.
You can go ask permission, but I'll
be done by the time you have it.
Probe sleeve.
A friend of mine outside of Aleppo
is trying to narrow down a tough one.
Is your friend a doctor?
He's a rescue worker with
some solid field experience.
What's up?
Eight patients in a cluster of homes.
Headache, fever, joint
pain, skin ulcerations.
The carbon monoxide made
me think of contaminants.
How's everything going there?
Returning to some semblance of normal?
Trying, given the blockade.
Oh, blockades disrupt food supply,
is it possible that
they're growing their own?
You're thinking contaminated soil?
I saw a case of histoplasmosis
outside of Beirut
with some farmers a few years back.
Direct contact with bacteria,
it does fit all the symptoms.
I'll let them know.
But still no answer for Cora.
I will order some liver
function tests and more imaging.
You see if her two-timing boyfriend
can shed any light on her condition.
- Two and three?
- No change.
- Three and four?
- Nope.
We'll have to insert the fifth one then.
Vitals holding steady.
Mm-hmm. And the dads?
They're doing their best.
My parents were a
disaster when it was me.
Arguing, debating.
If it wasn't for my
doctor, I don't know...
Terrence Mann, wasn't
it? Your cardiologist?
Yeah.
I was sad to hear about his lung cancer.
He retired last year
when he was diagnosed.
Okay, cath's in.
Does this get us where we need to be?
Ostium of the CS. That's the one.
- Vitals are holding strong.
- Good.
Good job, buddy.
Ablating now.
That should do it.
Did Novak say why?
Mostly that he doesn't see
the point in drawing new lines.
When all he ever wants to
do is colour outside them.
Mark has always refused to adapt.
Don't let him get in your head.
Sir, if the other division
heads don't get behind you?
Oh, it's only one vote, Dr. Hamed.
I stay patient, and
you keep your head down.
Weren't you finished hours ago?
I stuck around to see
a few patients through.
So what are you saying?
I love you, Remi, but I also love her!
You love us both?
Wow, that's seriously
what you're saying?
I swear to God, it's the truth.
Remi, you should be resting, and Evan,
can I speak with you outside?
I need some information.
I'm kind of in the middle of something.
It's about her, though
right? Your question?
What happened to that
woman is your fault, Evan,
and you're not even
gonna try and help her?
I'm trying to help! I'm
trying to help her and you!
Cora's life is on the line, Evan.
If there's anything you can tell
me about her medical history,
- lifestyle changes, please.
- I mean, I don't know,
she doesn't say much about that stuff.
You supposedly love this woman?
He just said that she could be dying!
- Who even are you?
- Okay. I'm thinking, okay?
Well, think harder! What if it was me?
Would you remember that I get
a headache when I drink red wine?
Would you remember what
antibiotic I'm allergic to?
Okay, she's avoiding dairy.
I don't know if that's...
She gets carpal tunnel?
When she types. Also
she can't jog anymore.
- What? She can't jog?
- We used to run together,
but now she can barely go down
the block without losing her breath.
And she gets lightheaded a lot.
Okay. This is good. Any cough?
I mean, yeah, sometimes in bed
if she's sleeping on her back.
And you're allergic to Penicillin.
Get out.
- Hey.
- Hey.
I just...
I feel like things went
wrong between us earlier?
And I'm not trying to change you, Mags.
And I need you to know that I like you.
Like a lot...
- And...
- Jake, I...
I like you too, I do.
And I'm just...
This was great and I'm...
I'm just not in the right place.
Yeah, yeah. You think
we should end things.
I'm sorry, Jake.
Yeah, it's okay.
I get it.
I'm sorry.
Dad's in organ failure.
And they're saying it could be days...
I'm sorry, Juney. I know you don't
wanna hear this kind of stuff but...
I don't know, I just...
I thought I was ready. And...
I'm not.
I called hospice.
And they have a private room, so...
You knew?
Why would you do that?
Well, it was purely selfish.
If dad's happy, he's less
likely to cause trouble...
No, I mean why would you let me
hear that news from a stranger?!
- What? Charles...
- No!
So you couldn't put your
pride aside long enough
to come and tell me this?
You know, this resentment
you cling to, June.
Is its own cancer.
Hey, Theodore Hunter. My stalker.
Yes, I got your voicemails.
No, I'm not here to see you.
My daughter, your former patient,
she's seeing her respirologist.
- Hi, Shelley. Can we...
- We had sex once.
I know and I didn't
mean to come on strong,
but I'm just... Look, that night
was the first good thing
that has happened to me
in a while, so I'm just...
You feel messed up.
You feel thrown to sea by your ex?
I'm not your lifeboat.
- Got it.
- You'll be fine.
- What happened?
- We don't know.
He went into sudden V-fib and arrested.
We've shocked twice.
Charged to 30 joules.
- Clear!
- Shocking.
I'll take over. Still pulseless V-fib.
- Come on, little guy.
- Charging to 60 joules.
Clear! Shocking.
We've lost all electrical activity.
We can't give up on him!
I'm sorry, Mags. He's gone.
No, it doesn't make
any sense! He was fine!
He had no fever, no instability!
- No nothing.
- Sometimes there are no signs.
Time of death, 6:21.
No, no.
I'm so sorry that I wasn't honest.
It doesn't matter that you're sorry.
This isn't about you.
You can't expect me to just walk away.
I love you.
And, it's over with her.
And you think I'm more
likely to forgive you.
Because you think I'm a doormat.
Baby, no.
Well, I'm not.
And I'm not your baby!
Get out!
Cora, you don't mean that.
Don't tell me what I feel.
Okay, Evan.
It's time to go.
How's the other girl doing?
She's recovering well.
I was wondering if you had any
questions about your diagnosis.
- Acute cardiomyo-something?
- Cardiomyopathy.
It means a part of your
heart muscle is diseased.
It's fairly uncommon
in someone your age,
but the carbon monoxide made it worse.
What happens next?
You'll see a cardiologist.
And there's a range of
interventions to try out.
It's almost funny isn't it?
Getting your heart
broken only to find out...
it already was.
Hey, you're young and strong.
You can fight this.
How'd it work out for
your friend back home?
You and I were both wrong.
The team on the ground figured it out.
It was three manifestations
of TB, highly contagious,
all different symptoms.
Thankfully, they didn't need us.
Hey, if you ever want to trade
these problems for those ones.
You know, I take my vacation
in the region every year,
wherever I'm most needed.
- I couldn't leave my sister.
- Ah.
They're called
transientischemic-attacks.
Mini-strokes, I know.
They said I'd been having a few,
which explains why I've been...
- off. But today...
- Was a full stroke.
It was the start of one.
Your father's on an IV drug called tPA.
It breaks up the clot that is blocking
the flow of blood to his brain.
The only reason they're
able to use this drug
is because of you helping
me catch it when you did.
You saved my life, baby girl.
But Ava, I don't want you
giving up anything for me.
Dad, it's okay.
Dr. Hunter talked me
through what you'd need.
We can get home-care nurses
for when I'm in school
and I started a list of
all the stuff I can do.
I called Margot,
and you're going to stay
with her for a while.
I can do this for you. I want to.
I know you can. And
in ten years, 15 tops,
I promise I'll let you.
But for now, this is
the way it's gotta be.
And if you need to be
mad at me, I understand.
Cardiology?
You still following patients
out of your purview, Leblanc?
I'm doing a resident practice.
Two jobs? Yeah, that checks out.
If you wanna save even more lives,
I can get you some shifts at the ICU.
He was okay.
He came out okay!
Was it the procedure?
Did it cause this?
The ablation went perfectly.
Sudden cardiac death
is a risk of Ollie's
congenital heart defect.
I want you to know that...
he gave it everything he had.
I am so sorry.
I'm so sorry.
- What's wrong?
- I know you're weighing
a job offer, but...
- Don't go to St. Luke's.
- Jed...
You can do your clinical hours here,
become a nurse practitioner.
You'll get a raise,
you'll have seniority. I'll make sure.
Okay, we've been over this.
I want to learn without a safety net.
If you're here...
I'm not ready to treat patients.
Maybe I never will be.
But when you're here...
none of that matters.
I know it's unfair and
I'm being selfish, but...
I need you, so I'm asking.
Stay.
Your rotation came at
a strange time for me, Jake.
And I like you, I do.
But before you finish, I
wanted you to hear from me
that if this job isn't for you,
there isn't anything wrong with that.
Hold on. Are you telling me that I'm not
- cut out to be a doctor?
- No.
But I have been saying all
along you need to do the work,
you have to go out of your
way to apply the knowledge,
and I haven't really seen that.
Because I don't let
this job dominate my life
- like the rest of you?
- That's fair.
But look, I know what it's
like to be on this path...
and not know how you got there.
I'm trying to help you, Jake.
Anyway...
Can I go?
Yeah.
I heard what happened.
The death of a baby...
It takes a toll on any doctor.
And you're not just any doctor.
I failed him.
And you want to fix that,
but you can't.
Those are completely valid
emotions at this stage.
The lawsuit, the
pressure you're under...
What if I don't want to hear that
my feelings are "part of the process?"
I hear myself complaining and I
hate the sound of my own voice.
But it's all that ever happens here.
That's a lot of judgement.
What else has been going on lately?
Have you been having
more memories of the past?
I appreciate what you're trying to do,
but I'm not sure I can keep coming here.
Bashir, let's talk about this.
If things are hard right
now, pushing me away...
I'm sorry Dr. Mitchell, I
don't think you can help me.