Transplant (2020–…): Season 3, Episode 5 - Nadir - full transcript
I'm not sure I can
keep coming here.
Bashir. Let's talk about this.
I don't think you can help me.
You're demoting me?
I have a responsibility
to the department.
Did you need a project? 'Cause
there is always the bomb
that seems to have gone
off in the kitchen.
I'm searching for
some way to connect,
and it's like you want
nothing to do with me.
You own stock in the company
that's marketing the ICD.
Are you sure that
that's not a conflict?
Not according to
the ethics board.
I need to know I can stand
behind what we're doing.
Do you feel okay?
You're breathing fast.
I need a gurney in here now!
Help! I need help in here!
Call Doctor Fisher, tell
her heart rate's 190!
No change in rhythm.
Her pressure's dropping!
Get her to the cath lab!
Three, two, one, lower.
Get her on a rebreather!
50 ketamine, IV push.
Dr. Hamed, we've got this!
I just heard, Bash.
100 joules, synchronized.
- Charging!
- No, no, no, one of her pads is loose!
Anyone not part of the
cardiology department leaves.
- Now!
- No! I'm not leaving!
Bash. Come on.
Bash, let's go, man.
Let them do their job.
Clear!
I was asleep! Okay?
Her rhythm jumped up and
I didn't hear it in time!
What would you have done?
Call the nurse a split second
- before the monitor?
- If I'd been awake...
Bash, Bash! Get a grip man.
How many times have we told
patients and their families
not to blame themselves?
What's going on?
Guys what the hell is going on?
She keeps jumping
in and out of A-fib
which her pacemaker
can't pick up.
What? Mags has a pacemaker?
She never said anything
about a heart history.
- Yeah, me either.
- I guess maybe she thought
it was behind her...
Okay, I... I have to get back.
Uh, you can... You
stay, I'm just gonna...
- I have to go cover.
- We're going to have to open her up.
You're sure you don't mind
taking Amira a few more days?
It's not me minding
you should worry about.
She knows, Bashir.
That Mags and I are...?
- Yeah.
- You told her?
She had already figured it out,
and I didn't lie when she
asked me what was going on now.
I knew she'd be upset, that's
why I didn't say anything.
This is not why she's upset.
Come on, Rania, if this is
about art school again...
_
_
_
I don't mean to pile on.
_
So this is where patients
come in from an ambulance.
Whoa, heads up guys.
The aquarium tickets are
timed, I cleared 12 to 1.
Oh no, I could
only get 10 to 11.
Does that mean you can't come?
Who do sharks see when
they need doctors Mama?
Whales. I guess we'll
divide and conquer
and I will take
you swimming later?
You're still interviewing
nannies today right?
Oh, is this the
little family here?
Yes, it is.
Bowie, Phoebe,
this is Dr. Novak.
Hey, buddy. You wanna
to go see the Trauma OR?
It's where all the
coolest stuff happens.
Actually we've got to go.
All right.
- Uh, can you just hang on one sec? Mark?
- Yep.
It's a... cute kid.
Did you not check
email overseas?
I did. I wanted Dr. Hamed for
Trauma OR in the first place. So...
I also wanted us to put our heads
together around efficiencies.
I've already ran a
few things past June,
maybe we could meet
later this week?
Yes, okay. I'll
look forward to it.
Was that him?
That was him.
If I get to the nannies
next week, will you be mad?
Yes. But I love you anyway.
Come here!
Oh, I've got to go.
- Alright, have fun guys.
- Ciao.
This is Shay, speak.
Hey Shay you didn't
come back last night.
I know we had an argument
but you can come home,
so call me when you get this.
Oh well, well, well. If it
isn't Team Trauma OR. Looking...
- emotionally roiled?
- How was Turkey?
Actually, I ended up
in northeast Syria.
Huge displaced population
in a camp there.
You were in Al-Hol?
I mean there was no water
supply, so most of the time
was spent helping
with distribution,
but we did do four
kidney transplants.
I guess you can't
cross that border yet?
Not without risking arrest.
Even if I had a
Canadian passport.
Well, we need you
here at home anyways.
At least one good thing
came out of the ground
Dr. Curtis ceded to
Devi in my absence.
You mean by reporting to the boss
who was holding down the fort
- for the one who wasn't?
- No, I mean
by setting a precedent that she gets
to have an opinion on our process.
Which I now need to undo.
It's getting crowded
out there in emerg.
How often does the
residency board
want you training in surgery?
Every third shift,
otherwise it's ED.
And always on call to Trauma OR,
'cause I get first priority.
Bash!
Let me know how it's
going with Mags.
Gurjeet Sran? Sorry to
keep you waiting, sir.
I hear you're having
trouble swallowing?
It hurts right here when
I eat or drink something.
Let's take a look.
Your scarring. IED?
Afghanistan, 2010.
Went for the sunshine, came
back with a shrapnel fragment
lodged in my neck.
That was it for active service,
now I work as a
drill instructor.
I was with the
recruits this morning
when the pain really
started to spike.
I already don't look like
them so fainting with pain
doesn't really...
make it any easier
to earn respect.
I bet you know what that's like.
So uh, you a vet?
You clued in on the
IED pretty quick.
Uh, no I was a trauma
surgeon in Syria.
Um, I think the shrapnel
might be pressing
up against your
esophageal tract.
Does it still mess you up?
I'm sorry?
The war. Syria.
Your people spoke up and asked
for the lives you deserved,
and they took your country
away to punish you for it.
Um... Uh, you need a scope to
see if there's an obstruction
in your throat and we'll
need to sedate you.
Do you have any friends
or a family member
- we can call to pick you up?
- The base will send someone.
Okay.
And the paramedics gave
him a shot of benzo, Dad?
But he kept low-level seizing.
Are you sure you can
get that line in?
I am sure.
Are you okay holding
him? Nancy here can help.
No, no. It's better if I do it.
Caleb you're gonna feel
a little pinch. Okay?
Matthews, Marner, Bunting...
Kerfoot, Tavares, Nylander...
Leafs fan, eh?
Memorizing all the line
combos calms us down.
- Nancy, supplement of oxygen please.
- Mm-hmm.
- And a bedside glucose?
- Yeah.
When did Caleb get diagnosed
with Niemann Pick Disease?
He was one when we started
noticing loss of eye control.
It's been progressive
from there.
Nancy, are you familiar with it?
Caleb's type C, his body
can't break down fat
and it's a chain reaction
of muscle deterioration.
There's no cure.
Sorry, I'm never sure
who needs it explained.
No, it makes sense.
Nice job, Caleb.
Has he been put on any of
the experimental trials?
We've tried a few,
but no success.
There's a new one but
it's for kids under five
and Caleb turned six last month
We went to the hockey game.
Bet that was fun!
Sometimes they can
make exceptions
if his team makes a case for it.
Hey, hey buddy.
Should we do the power play?
Yeah, let's do the power play.
Tavares, Nylander, Matthews...
Code for meds-peds?
Elizabeth Bergeron?
Thought I still had her number
from when we were residents.
Oh, I think she read your mind.
Wow, there she is.
Caleb Pasternak? Avrum texted.
- Yeah, uh, hi Liz.
- Hi.
Caleb's been low grade seizing
for 30, I just wanted to check
before swapping to a
second-line anti-epileptic.
Maybe valproate?
Caleb's last seizure
was almost refractory,
we weren't sure he was
gonna pull out, but he did.
How long do you think he has?
Usually when it
presents this young,
they don't make it
to five years old.
Not that you'd know it
from Avrum's stamina.
- Mom still in the picture?
- No.
Most parents in his
position can trade off.
You know one hopes while
the other one despairs,
but Avrum, he...
He's left doing
both all the time.
Yeah.
You know you could have just
swapped the infusion, Theo.
I mean last I heard you
were moving up in the world,
supervising doctor across emerg?
Yeah, well, then you
probably also heard about
the roller-coaster year I had?
Divorce, helicopter
crash, twitter pariah.
Oh! Are you the reason
for the email we just got
about looping HR into
social media interactions?
And now I am required
to get sign off
on even simple infusions.
So, how do you dig your way
out of that brand of purgatory?
Maybe by not pulling
on my restraints.
Uh, if you need anything,
you let me know.
You specifically told
me I'd be here an hour
- and it's been six.
- I'm sorry Ms. Kachinsky,
the doctor wanted
some different tests
and we had some very
urgent patients come in.
ED?
Rhoda texted about
Mags, she okay?
It's still a wait and see and...
Hey, Arnold if you're late,
you really got to call.
Actually, I'm early. Between
the wait time communication
and the patient satisfaction
surveys that Devi wants.
You've got less time to do more?
And in our transition
from 12 to 8-hour days,
there's been gaps
in shift change.
So, Rhoda and I have been
taking turns covering them
until we get it sorted out so things
don't fall through the cracks.
- Unpaid?
- Told him to keep a log.
Curtain 2 needs fluids,
curtain 3 is still waiting
on OR transfer. Should
somebody be getting that?
ED?
Bash you told Ms. Kachinsky
she doesn't need labs but now
- she does?
- It's because her fever wouldn't go down.
Okay, hold on a
second, I'll ask.
OR's looking for a patient, they're
supposed to be upstairs by now?
That's a transport issue, they
need to start calling the porters.
Never mind, I'll deal with it.
Dr. Hamed to cardiology.
Hamed cardiology.
Atrial arrhythmia
from a valve leak
which a pacemaker
can't regulate.
We replaced your
battery, ablated,
and attempted valve repair.
And where are we
on lasting damage?
Some new scarring
and the valve
problem could recur.
Is there anything we can
do to make sure it doesn't?
Same as before.
Remote monitoring.
- And frequent check-ins.
- When can I go home?
- In a couple days.
- How about tomorrow?
With a Holter monitor?
The fact that you're disagreeing
with me again is a good sign,
but I'm not comfortable
sending you home alone.
She won't be. Her
sister's on her way.
Since when?
Let's see how
tonight goes first.
- You called Cam?
- Of course I did.
- Why?
- Mags, you...
There is no need for my
sister to disrupt her life.
Look she said you'd say that
and she's not going to
leave you an option.
- Bash...
- I'll clear my patients for the day.
No seriously, please,
don't do that.
I'm just gonna be
sleeping all day.
Which is what I should
be doing right now.
Right?
Yes.
I'm gonna go get your
doctor, okay? Stay tight.
Oh Bash, Mr. Sran's
back from his scope,
he's still a bit out of it
from the sedative, though.
Okay, thanks.
Sir our GI confirmed that
the shrapnel is pressing
up against your esophagus.
If it breaks through it,
it'd cause severe damage
if we don't removed
surgically. So hopefully,
that will take place this week.
Nadir, you're back.
I'm Dr. Hamed. A surgeon
will phone you later today
to schedule the operation.
Okay, Mr. Sran?
You never did call me Gurjeet,
even when you were alive.
Nadir, you have to kill me.
You're confusing me
with someone else. Okay?
The effects of the sedative
should wear off soon.
That's an order, soldier!
Nadir, you have to kill me!
- Bash?
- Try taking deep breaths, Gurjeet, please.
We took everything from you!
Maybe you should go, he's
obviously reacting to you.
- No, please! - Bash.
- It's okay.
- Please. You have to kill me. Please!
- Go, Bash!
Don't leave him alone
until he calms down.
You have to kill
me, Nadir, please!
Please! You have to kill me!
You have to kill me, please!
Magalie Marie Leblanc that does
not look like taking a nap.
My mind has been racing too much
with everything I've
been letting slide.
I think the gas company will
forgive your week of bed rest.
Hey! You promised me
coffee and croissant
once I was back on my feet. That
does not look like croissant.
How about expensive
heart-conscious take-out
and bad TV tonight?
Since I'm going back
to Montreal tomorrow.
You sure you won't come with?
Stay with Mom and Dad for a bit?
No you can't really think that
would be good for my heart.
What about your soul, Mags?
Not once have you told me
how you feel about all this.
'Cause I've been
here before, Cam.
Yeah, as a teenager who kept
up with school from home
before there was even Zoom!
But now, in the middle
of a busy residency,
it's okay if you're daunted.
Look I'm just going to the
hospital to meet with Fisher.
And hopefully she can clear
me in the next couple weeks.
And what does your super attentive
doctor boyfriend think of that plan?
He doesn't... really know yet.
I get it, I do.
The overprotected kid only
ever wanted to feel normal.
- But Mags...
- Look I'm gonna ease into it.
I just need to do it on my
own terms, okay? Please?
- Okay.
- Okay.
Dr. Esfahani? I'm Dr. Hamed.
I was hoping to connect with
you about one of your patients,
Gurjeet Sran? I treated
him in emerg last week.
Call me Karim. Gurjeet
spoke to you about me?
Uh, no, not exactly,
I did some digging
and saw that you were a prescribing
psychiatrist on some past medication
and saw that you were
on site today so...
And you decided
to stalk me? Why?
Gurjeet was supposed to come
back for a surgical procedure
but he never did, I wanted him
to know that it's very important.
He knows. He doesn't want it.
It is... I'm surely aware
that patients with PTSD...
After they've been triggered
their lives can lose shape and...
And you think you triggered him?
He wanted someone named
Nadir to kill him.
- He spoke to you about Nadir?
- He thought I was Nadir,
I'm assuming it's someone
he knew in Afghanistan?
I can't divulge personal details
Dr. Esfahani... Karim,
he won't return my calls.
So if you speak to him, can you
tell him to at least come see me?
Most emerg docs wouldn't
follow up after he left.
He doesn't have anyone in
his life to come see him
and just... the way
he was talking, it uh,
it stuck with me.
I don't think pressuring
him is the right approach.
- I'm not...
- But,
Gurjeet may be willing to
come back if he gets a chance
to say what he's been needing
to say for a long time...
To Nadir.
You want me to
pretend to be Nadir?
No, I'm not even Afghani.
You two seem to
have... connected.
So much so that he projected
his dead friend onto you.
You'd be acting as a kind
of interweave to help him
unstick the memory.
And you think that will
get him to reconsider?
No promises, but it may
get him through the door.
Activate MTP, two
large bore IVs!
Imaging's up.
Dr. Devi, you're joining us?
Relax Mark. I'm not
picking up a scalpel.
We have Stanley Popavich,
gunned down in his pawn shop.
Single gun shot wound. Let's
pack cells through level 1!
Mr. Popavich...
you said the shooter was 5'10?
Stan said. I didn't see the guy!
You got to get out of here. Go
now, get out! Go, go, go, go.
- Come on.
- Catch me up on the imaging, June.
Looks like the bullet
grazed the gallbladder
and lodged near the spinal column.
But the trajectory makes no sense.
Irrelevant. All that
matters is where we focus.
I guarantee you that bullet
will create a hematoma
pressing into the spine.
These dressings are
soaking through.
You're more than
welcome to redress them.
Look there is information
on the gallbladder
which means the infection
is a serious concern.
Plus the paramedics said there
was sensation at the scene,
Babinski prints out.
We're gonna have to
move faster than that.
Dr. Devi? I'll do it. Just
because he has sensation now
doesn't mean he's gonna
have it in the future.
And the fact that you would
ignore spinal compression
and risk neuro deficit makes me
seriously question your judgment
He has massive hypotension
and coagulopathy,
plus the fluid collecting
in his abdominal cavity.
We can ligate the
extrahepatic duct,
we can control the bleeding,
find out what else got hit.
Dr. Curtis is right. This is
why the bullet path is relevant.
But wrong about the priority.
Deal with the hematoma
and decompress the spine
before touching anything else.
I'm going to intubate
him. Dr. Devi,
you're more than welcome to
stay and work the bone drill?
I think suction
is more my speed.
Hey!
- Hi.
- What's up?
Our regularly scheduled
noonish heart check in?
All's good on the Holter.
Just like every
other day this week.
Rania said she'd be
happy to take Amira again
so when Cam leaves,
I can stay with you.
And be my nurse?
What was that?
Wait, Mags are
you... Are you here?
Fisher called me in
for some imaging.
I didn't want you messing up
your day distracted by me.
Mags... Please.
Look, I'll find you later. Okay?
Caleb had a rough night at home?
Yes. It started with cramping,
and then this fever
that got away from...
He couldn't even
keep down Pedialyte.
We're rehydrating him now.
Dr. Bergeron may
have some solutions.
I doubt it.
Something happened between you
two last time you were here?
Nothing happened!
That's the problem.
That drug Bergeron won't
fight to get Caleb on it.
Did she say why?
Something about
intense side effects
he wouldn't be able to tolerate.
Well, if that's the case,
I'm sure she's right.
Yeah, but it's like
she's given up.
After his seizure, I
asked her to admit us.
She said, "Home is better
than a hospital". But for who?
Is there anyone around
that can help you?
My wife left when he was two.
I already took a leave of absence
from work but that ends next month.
Was Caleb been diagnosed
with an enlarged spleen?
That's common with
Niemann Pick. Why?
I'm seeing fluid and...
rupture can happen.
It seems so unfair that there
is a drug that could help Caleb
and he can't access it!
His entire childhood
is just... this.
I'm gonna get Caleb admitted
and will see where we are
with his spleen. Okay?
Fine!
Come on, Shay.
We're gonna need access
to your security cameras.
That camera hasn't
worked in years.
Your own business
was robbed, sir.
Do you have anything
that you can tell us?
I wasn't there! Stan said the
guy was too far away to see.
Sir?
Do you have any
water or something?
Mr. Popavich? Whoa, whoa, whoa.
Hey! Okay, let's get
this guy in a room.
Just this way.
Okay, just have a seat.
Just give us a minute?
How's my cousin?
We found the bullet and we
controlled the bleeding.
And now he's dealing with a fever,
so I guess it's wait and see.
What about you, hm? You
almost fainted out there.
Nah. I just needed to
get away from that cop.
Right, 'cause your
story's bogus.
You know, the way the bullet
entered your cousin's abdomen
and in a downward direction,
It's kind of hard to do it from
far away. Wouldn't you say?
Tell me I'm wrong.
Okay.
There was no robbery.
Did you shoot Stanley, Leon?
- No! Stanley shot Stanley!
- What?!
You're trying to tell me that
idiot shot himself in the gut?
- Do you have any idea how...
- Hey!
It was supposed to graze
his arm but the gun kicked!
We're under water financially
but we got insurance.
I lobbied against it but
Stan had this dumb idea
that if a robbery looked real...
You guys could get a
payout. Unbelievable.
- Your blood pressure's fine.
- It shouldn't be,
cause I'm freaking out!
You gonna tell that cop?
Cause I heard doctors are like
lawyers with confidentiality!
You're right. I
can't say anything.
Stan's going to
be mad I told you.
Your first
impressions of the guy
obviously weren't ideal
but... We're family.
Well your family's
irresponsible choices
just made you an
accomplice. Okay?
So if I were you, I would
tell the cop the truth
and cut your cousin
out of your life.
I mean even if
you're right, I...
Would you do that
if you were me?
Why not? You really
need this mess Leon?
The EMDR light will pulse,
grounding Gurjeet
in the present,
that'll prompt him to speak.
I'm surprised he
agreed so quickly.
Gurjeet blames himself
for the death of Nadir,
it's affected every
area of his life.
He wants to move on but
the past won't let him.
- And this is how he does that?
- In my experience,
it's a safe way to
reprocess trauma.
With you invoking Nadir,
Gurjeet may better
engage with his reaction
to the traumatic experience.
Shouldn't I know
more about Nadir?
He was a local translator,
but the details matter less
than the emotional connection.
For Gurjeet to engage, it
has to get to a real place,
so whatever you feel in
the moment, don't bury it.
Imaging and blood
work look good.
Any headache, weakness, syncope?
Just some dizziness. Always
happens with anti-arrhythmics.
Dr. Fisher I wanted
to thank you.
You're my patient, it's my job.
It's really important
for you to know
how committed I am
to this residency.
And I've taken steps to ensure
it'll be here when you get back.
- How long were you thinking?
- Four months should do it.
- Four months! For a pacemaker battery?
- And a valve repair.
But the intake phase of the study
will almost be over by then.
And you'll go back into the
general cardiology pool.
Okay but I put together a plan
for managing study data remotely,
- and monitoring patients over the phone and...
- Mags.
You came to me a week ago very
upset at how I was running things.
Not to quit! To make it work!
By trying to change my process
to suit your own needs?
That was never going
to work for me.
I honestly thought
you'd be relieved.
Okay, if you don't want
me to be on the study,
I can do remote charts,
I can do dictation...
It's a full-time hands-on
job, you know this.
Rest up,
come back when you're
past this bump.
Someone will be in to remove your
IV, then you can change and go.
What are you noticing?
Before now?
In the Humvee, you and I are
kidding around in Punjabi.
You were the only one
who spoke my language.
You tried to teach me a lot
of Dari but I learned nothing.
You don't remember that, Nadir?
We pulled over. Just
an easy roadside stop.
Nadir got out, spoke
to locals, we ate.
Waiting for the green
light from the CO.
You know what drill
we're gonna do, Nadir?
No, I don't.
What's coming up now, Gurjeet?
I'm scared.
When you asked me what
was wrong, I lied.
I knew the raid was
gonna be dangerous,
I just didn't want you
to know I was afraid,
it's like if I said how
I felt and it went bad,
it would all be my fault.
When we got to the house, we sent you
in first to get the civilians out.
You were nervous but I
said it was gonna be okay,
and you trusted me.
I did.
There was a hidden
IED in the house.
You took the worst of it.
Could you see anything
before it went off?
You called out for
your Mom in Dari.
I know enough to know that.
Did you feel it,
Nadir? The explosion?
Not at first.
But after a minute.
It's all my fault!
I'd do anything to give
you your future back!
You can't! Okay? You can't!
- I'm sorry, I didn't mean to...
- Wait, wait.
Is there something you'd
like to say to Nadir?
I can't breathe.
Dr. Hamed!
Hematemesis.
The shrapnel's
perforated his esophagus.
He needs surgery right now.
- He hasn't consented...
- Go get help, now!
Hey, I'm sorry, is there any way
that you could remove
this IV for me please?
Oh, you have to wait
your turn, ma'am.
I'm actually a doctor here, I'd
do it myself but it's just...
So just see the triage
nurse, he can help.
Are you sure... Thank you.
Oh! Hey! Mags?
What are you doing?
I was supposed to wait but
I just... I had to get out
of the gown and that...
room and I got dizzy and...
Can you please distract me by
complaining about Trauma OR
- or Novak or Shay?
- Yeah, I mean Shay's been gone
for like five days and
I haven't heard a word.
- That's a while.
- Yeah, I know right?
I mean she spent couple
days at her friend
Kenzie's house last month
but they were doing some
kind technology cleanse.
Well, if she used to doing
that stuff why are you worried?
I don't know I think
I might have...
gotten with bargained
with this kid, you know?
I feel like I should be
calling a grown-up but also,
am I the grown-up?
- Well...
- I don't think I am the grown-up.
Why is that bleeding so much?!
Blood thinners.
Heart condition, remember?
Right.
Who would've thought
you'd be the one
with the bigger secret
of the two of us, huh?
How are you doing?
Yeah, don't answer that,
Bash is been keeping
me up to date.
Yeah, you should
call a grown-up.
I'll text you?
- Hey!
- Hey!
Leon Popavich said you
were sending him for tests?
- I can't find him.
- He didn't need more tests.
- So you lost him?
- I didn't lose him.
He decided to leave,
that's not on me.
Uh, officer? Hi.
Um, how long should one wait
before reporting someone missing?
- You...
- No, no, no, no.
It has nothing to do
with Leon or Stan.
Do you have a specific reason
to be worried about this person?
No. Uh, maybe...
She's like 19. She's
a college student.
A bit of a disaster and
normally she checks in
but she's been gone like
five days this time so...
Okay, if you think
she's in danger
or prone to doing
something reckless,
act sooner rather
than later. Okay?
Okay.
Making incision along
the sternocleidomastoid.
Self retaining retractor.
Please, Claire.
Let's get all the shrapnel
out and repair the esophagus.
Okay, this looks like
a difficult dissection.
It's probably why they left the
shrapnel in. Forceps please.
All veins and vessels,
one wrong move...
I can see the shrapnel.
Okay, got it
Pressure's dropping!
There is a tear in the
carotid. We need to clamp!
Clamping the carotid
risks stroke.
He's hemodynamically unstable.
Bleed's a higher priority!
Hang bags of blood, please.
I can't see.
You're gonna have
to feel for it.
Dr. Hamed?
Hold on. Okay, got it. Clamp!
Pressure's holding.
Got that bleed under
control. Well done guys.
V-fib!
This guy is bound and
determined to let go, isn't he?
We're not going to let
him! Alright, Claire,
prep pads, 150 J!
- Charged!
- Clear!
Nothing. Try 200 joules!
Resuming compression.
Charged!
Clear!
Sinus rhythm. Pressure's
coming back up.
75/60.
Okay.
Let's remove the other fragments
and finish up before
anything else happens.
He's gonna owe you
his life, Dr. Hamed.
I know there's a rule about
proper notice of schedule changes
- in our collective agreement.
- I like the shorter shifts.
Sweet summer child, you
still don't see the glory
- of a four-day week.
- It's not just the shifts, Nancy...
Care to fill me in?
Oh come one! I'm
still a nurse, guys.
And a managing NP
who reports up.
We were maxed out before
these policy changes,
not taking breaks, barely
keeping up with charting.
And now we're getting yelled
at for misquoting waits,
and having to chase down doctors
for treatment plans in advance.
Has anyone tried
talking to Devi?
You saw her earlier, she sees it
but she's not doing
anything. This isn't working.
Look Claire, diplomacy was
fine when you had Bishop's ear,
but things are different
now. So are you with us?
When have I ever not been?
That time, with
the peach scrubs.
Or when we switched the chart pile
to the other side of the desk.
Okay, just hold on.
Emergency.
Some guy forced his way
into the drug dispensary
demanding a specific drug.
Said you knew which one.
He scared the pharmacist.
He's pretty volatile.
We were able to remove the
shrapnel and repair the rupture.
He's sedated right now
and tolerating it well..
I know he wanted
me to let him die.
Without a DNR,
you had no choice.
Where we went in that moment...
His body gave up, it
nearly killed him.
Are you blaming yourself for
his shrapnel breaking through?
How could his physical
reaction be your fault?
And where you went,
Gurjeet needed to go.
Will he be able
to go back there?
It's my job to try, Dr. Hamed.
Look, things clearly got
personal for you too.
If you're scared to go back
with him, I'd understand.
Avrum... Avrum, I'm coming in.
Open it.
Just tell me where you keep it!
We don't have that drug
here. And even if we did,
- we can't give it to him...
- Then order it and I will!
I've learned how to
do IM injections,
how to position him
for seizures, do CPR.
I've done more for him than anyone
here and I will do this too!
Look Avrum, I never should've
asked you to press Bergeron
- without all the facts.
- I need somewhere to put my hope!
I know. But this isn't the place
Then there's nowhere! And
Caleb is going to die!
But not today. Look I
know you're tired man,
but you can walk this
back before it escalates.
I'm no better than his mom.
There's this part of me
that wants to go to jail,
just so I can have a night off.
What kind of father am I?
One that's in an impossible
situation he doesn't deserve.
But I can help.
Caleb's spleen
rupture is graded low.
Which means he'll recover
without any surgery.
But we'll keep him here,
bear the burn for a few days.
I just need you to come out.
I'll be with you, every step.
Come on.
Okay
We're coming out!
We're okay!
Hey, no! What are you
doing? Let him go.
Mr. Pasternak,
you're under arrest.
Theo! Don't leave
Caleb alone please!
Look his kid is sick, okay?
Where are you taking him?
I'm sorry, Theo, we
had to call it in.
Lou...
Kenzie? It's June Curtis.
Uh, Shay's... sister.
Uh, now this is weird,
but she says she hangs
out here sometimes,
I was wondering if
she might be with you?
Or if maybe you
know where she is?
I was gonna come see you, I just
hadn't gotten around to it yet.
- Is Cam here?
- No, I took an Uber.
And before you tell me
that that was a risk,
it obviously wasn't,
because I survived.
And now you're cleaning out
your office for some reason?
Because I don't
work here anymore.
Wait what?
I'm out of the study and on
a mandated four-month leave.
Okay, I can see why
that's upsetting
but if your cardiologist
thinks that's a good idea...
She's taking the
opportunity to push me out!
Okay. If that's what happening.
- Yes, it is.
- I wasn't trying to...
We can find a way to fix it.
- Here why don't you let me.
- No! Stop! Stop it!
- Stop what? Trying to help?
- No!
Stop looking at me like that!
Like I'm some breakable object
that you're afraid to touch!
See? Like that!
That's what I mean.
You won't even fight with
me! I'm the same person!
I don't want to
fight with you Mags.
The people I care
about get hurt and...
Well, this isn't about you!
I've always hid
this part of myself.
And now that this happened so
publicly I can't do that anymore.
I need space to be the
messed up one right now.
Okay.
- What the hell?
- Cardiac arrest.
Massive septic shock.
Bullet may've
greased an abscess.
On the gallbladder?
What if there was a
pre-existing infection.
Anyways, the full
resus team was here
and there's nothing
they could do.
Leon, I'm really sorry.
Where were you? You
told me to leave!
If I'd stayed, maybe
we could've caught it.
- No, no...
- This is your fault!
What? No.
He's on a recovery floor, there
are three dedicated nurses.
There's...
Thank you.
I can't believe you
didn't stand up for me,
I was the one who pointed
out the inflammation
and I wanted to prioritize
his gallbladder.
Even so, the cardiac arrest
took everybody by surprise.
What am I supposed to do, pile on
the guy? He just lost a relative.
You know, the only reason that he's
even blaming me for all of this
is because this was all part
of some stupid insurance scam
and he knows that I know.
So what!? How is
that your problem?
What are you so worked up about?
Well, either you're like
all over me in Trauma OR
or you're not paging me down at all.
Is it some kind of a punishment,
for how I handled Devi
while you were gone?
Wow. Uh, maybe.
Why, are your feelings hurt?
- Oh God.
- What happened to June Curtis
- with the balls of steel?
- Don't do that!
No, no, no. Listen, listen.
We can use this melodrama
to solve both of our problems.
- No.
- Devi hates me.
- Yeah.
- You're annoyed with me. So listen, listen,
let me finish. Go to
her, complain about me,
get it off your chest
and make her a friend.
Why would I do that?
Well, do you think a guy like me
is gonna survive her politics?
And if I go, what
happens to you?
Listen, if you care at
all about the Trauma OR
that we hoped to build,
then we have to use
every check in our book.
Okay? Just think about it.
We gave him something to sleep,
but he's been
asking for his dad.
What was he thinking?
That he's being punished
for his choices?
And if it's out of
his control anyways,
what does it matter if you
take your hands off the wheel?
What do you even say to that?
Well, the Theo you knew
when we were residents
would have told him everything
happens for a reason.
You don't believe that anymore?
As soon as I stopped
punishing myself
for wanting out of my marriage,
that helicopter crashed.
So if I still believed that,
that would mean that
crash was meant to happen,
and that somehow...
You deserved it.
I can stay with him.
I cleared my schedule.
I wanted you to let me die.
I couldn't let that happen.
You can't put that
on me, Gurjeet.
I'm putting that on me.
I did this to you.
Me and my war you
didn't ask for...
I don't want to carry
the weight of your past.
I don't want to be a victim.
Yours, or anyone else's.
Let me go.
Could you at least stay
until I fall asleep?
Hey! Where the
hell have you been?
Tasha and I decided to
skip a few days of classes
and go camping
and my phone died.
I didn't even see your texts
until today. 26 messages,
- June that's a new record.
- I've barely slept!
Don't you think you
could've let me know?!
But June, I did. I left a
note on the desk at home.
- Next to your charts.
- Look, I went into your room,
and I found your
antidepressants.
And panicked? Those
pills are nothing new.
Okay but it would be
nice to know beforehand.
I was supposed to wear my "I have
depression" t-shirt when I moved in?
No but this... it's
affecting my work, Shay.
Okay? I'm a completely
different person,
- I can't have that here.
- Are you asking me to leave?
No! No, I just...
Oh my God! You actually
care, don't you?
- Shay, don't do that.
- You do! Tell me I'm wrong.
Just...
Just don't do that again.
Okay. Well...
- Thanks.
- Are they gonna press charges?
"Public mischief",
although my lawyer says
they could be talked into
dropping them down the line.
He also said you
gave a statement
which is one of the reasons
I've been released without bail.
I just told them the truth.
Thank you.
How's Caleb?
Asleep, and in good hands.
You should head
home, get some rest.
What I said earlier...
that's not really me.
We get punished for breaking
into drug lockers Avrum,
not for being human.
Oh Neeta, I won't be able to
make our sit down later today.
Well, we'll reschedule
for tomorrow.
Tomorrow, that's even
worse than today.
Okay. Um, you wanna
propose a time then?
Sure. I'll find out and
I'll get back to you.
Do we have a problem here, Mark?
Not from where I'm standing.
It should go...
Dr. Leblanc?
- Hi.
- She's all better, Mama.
I came to find you Dr. Devi
but I found this
young doctor instead.
You want to go to my desk and
draw while I talk to Dr. Leblanc?
Please.
How are you feeling, Mags?
Like I need a job.
Dr. Fisher said I
could get back to mine
when everything
else is behind me.
But you don't agree?
Well the thing is, I'll
recover from the episode
but it'll never be behind
me, not in any real way.
And even I've been
in denial about that.
So that's why I
was kind of hoping
that you would let me
come back to emerg.
I'm sure you've heard things
are kind in flux right now.
Yeah, I'm not denying
that I would need
some kind of
accommodations but...
I believe in what you're doing
and I think you
could use a doctor
who knows what it's
like to be a patient.
And also maybe an ally?
Are you sure you want to make
yourself that vulnerable?
No.
But I don't think
I have a choice.
Dr. Esfahani!
Hi there.
- Quite a day.
- Yeah.
Uh, what you did with
Gurjeet, what we did,
I hated it.
Yet our day ends as it began.
With you stalking me?
What I said to him about not
wanting to be a victim anymore...
You're right. It
did get personal.
I know it did, Bashir.
So do you think you can help me?
keep coming here.
Bashir. Let's talk about this.
I don't think you can help me.
You're demoting me?
I have a responsibility
to the department.
Did you need a project? 'Cause
there is always the bomb
that seems to have gone
off in the kitchen.
I'm searching for
some way to connect,
and it's like you want
nothing to do with me.
You own stock in the company
that's marketing the ICD.
Are you sure that
that's not a conflict?
Not according to
the ethics board.
I need to know I can stand
behind what we're doing.
Do you feel okay?
You're breathing fast.
I need a gurney in here now!
Help! I need help in here!
Call Doctor Fisher, tell
her heart rate's 190!
No change in rhythm.
Her pressure's dropping!
Get her to the cath lab!
Three, two, one, lower.
Get her on a rebreather!
50 ketamine, IV push.
Dr. Hamed, we've got this!
I just heard, Bash.
100 joules, synchronized.
- Charging!
- No, no, no, one of her pads is loose!
Anyone not part of the
cardiology department leaves.
- Now!
- No! I'm not leaving!
Bash. Come on.
Bash, let's go, man.
Let them do their job.
Clear!
I was asleep! Okay?
Her rhythm jumped up and
I didn't hear it in time!
What would you have done?
Call the nurse a split second
- before the monitor?
- If I'd been awake...
Bash, Bash! Get a grip man.
How many times have we told
patients and their families
not to blame themselves?
What's going on?
Guys what the hell is going on?
She keeps jumping
in and out of A-fib
which her pacemaker
can't pick up.
What? Mags has a pacemaker?
She never said anything
about a heart history.
- Yeah, me either.
- I guess maybe she thought
it was behind her...
Okay, I... I have to get back.
Uh, you can... You
stay, I'm just gonna...
- I have to go cover.
- We're going to have to open her up.
You're sure you don't mind
taking Amira a few more days?
It's not me minding
you should worry about.
She knows, Bashir.
That Mags and I are...?
- Yeah.
- You told her?
She had already figured it out,
and I didn't lie when she
asked me what was going on now.
I knew she'd be upset, that's
why I didn't say anything.
This is not why she's upset.
Come on, Rania, if this is
about art school again...
_
_
_
I don't mean to pile on.
_
So this is where patients
come in from an ambulance.
Whoa, heads up guys.
The aquarium tickets are
timed, I cleared 12 to 1.
Oh no, I could
only get 10 to 11.
Does that mean you can't come?
Who do sharks see when
they need doctors Mama?
Whales. I guess we'll
divide and conquer
and I will take
you swimming later?
You're still interviewing
nannies today right?
Oh, is this the
little family here?
Yes, it is.
Bowie, Phoebe,
this is Dr. Novak.
Hey, buddy. You wanna
to go see the Trauma OR?
It's where all the
coolest stuff happens.
Actually we've got to go.
All right.
- Uh, can you just hang on one sec? Mark?
- Yep.
It's a... cute kid.
Did you not check
email overseas?
I did. I wanted Dr. Hamed for
Trauma OR in the first place. So...
I also wanted us to put our heads
together around efficiencies.
I've already ran a
few things past June,
maybe we could meet
later this week?
Yes, okay. I'll
look forward to it.
Was that him?
That was him.
If I get to the nannies
next week, will you be mad?
Yes. But I love you anyway.
Come here!
Oh, I've got to go.
- Alright, have fun guys.
- Ciao.
This is Shay, speak.
Hey Shay you didn't
come back last night.
I know we had an argument
but you can come home,
so call me when you get this.
Oh well, well, well. If it
isn't Team Trauma OR. Looking...
- emotionally roiled?
- How was Turkey?
Actually, I ended up
in northeast Syria.
Huge displaced population
in a camp there.
You were in Al-Hol?
I mean there was no water
supply, so most of the time
was spent helping
with distribution,
but we did do four
kidney transplants.
I guess you can't
cross that border yet?
Not without risking arrest.
Even if I had a
Canadian passport.
Well, we need you
here at home anyways.
At least one good thing
came out of the ground
Dr. Curtis ceded to
Devi in my absence.
You mean by reporting to the boss
who was holding down the fort
- for the one who wasn't?
- No, I mean
by setting a precedent that she gets
to have an opinion on our process.
Which I now need to undo.
It's getting crowded
out there in emerg.
How often does the
residency board
want you training in surgery?
Every third shift,
otherwise it's ED.
And always on call to Trauma OR,
'cause I get first priority.
Bash!
Let me know how it's
going with Mags.
Gurjeet Sran? Sorry to
keep you waiting, sir.
I hear you're having
trouble swallowing?
It hurts right here when
I eat or drink something.
Let's take a look.
Your scarring. IED?
Afghanistan, 2010.
Went for the sunshine, came
back with a shrapnel fragment
lodged in my neck.
That was it for active service,
now I work as a
drill instructor.
I was with the
recruits this morning
when the pain really
started to spike.
I already don't look like
them so fainting with pain
doesn't really...
make it any easier
to earn respect.
I bet you know what that's like.
So uh, you a vet?
You clued in on the
IED pretty quick.
Uh, no I was a trauma
surgeon in Syria.
Um, I think the shrapnel
might be pressing
up against your
esophageal tract.
Does it still mess you up?
I'm sorry?
The war. Syria.
Your people spoke up and asked
for the lives you deserved,
and they took your country
away to punish you for it.
Um... Uh, you need a scope to
see if there's an obstruction
in your throat and we'll
need to sedate you.
Do you have any friends
or a family member
- we can call to pick you up?
- The base will send someone.
Okay.
And the paramedics gave
him a shot of benzo, Dad?
But he kept low-level seizing.
Are you sure you can
get that line in?
I am sure.
Are you okay holding
him? Nancy here can help.
No, no. It's better if I do it.
Caleb you're gonna feel
a little pinch. Okay?
Matthews, Marner, Bunting...
Kerfoot, Tavares, Nylander...
Leafs fan, eh?
Memorizing all the line
combos calms us down.
- Nancy, supplement of oxygen please.
- Mm-hmm.
- And a bedside glucose?
- Yeah.
When did Caleb get diagnosed
with Niemann Pick Disease?
He was one when we started
noticing loss of eye control.
It's been progressive
from there.
Nancy, are you familiar with it?
Caleb's type C, his body
can't break down fat
and it's a chain reaction
of muscle deterioration.
There's no cure.
Sorry, I'm never sure
who needs it explained.
No, it makes sense.
Nice job, Caleb.
Has he been put on any of
the experimental trials?
We've tried a few,
but no success.
There's a new one but
it's for kids under five
and Caleb turned six last month
We went to the hockey game.
Bet that was fun!
Sometimes they can
make exceptions
if his team makes a case for it.
Hey, hey buddy.
Should we do the power play?
Yeah, let's do the power play.
Tavares, Nylander, Matthews...
Code for meds-peds?
Elizabeth Bergeron?
Thought I still had her number
from when we were residents.
Oh, I think she read your mind.
Wow, there she is.
Caleb Pasternak? Avrum texted.
- Yeah, uh, hi Liz.
- Hi.
Caleb's been low grade seizing
for 30, I just wanted to check
before swapping to a
second-line anti-epileptic.
Maybe valproate?
Caleb's last seizure
was almost refractory,
we weren't sure he was
gonna pull out, but he did.
How long do you think he has?
Usually when it
presents this young,
they don't make it
to five years old.
Not that you'd know it
from Avrum's stamina.
- Mom still in the picture?
- No.
Most parents in his
position can trade off.
You know one hopes while
the other one despairs,
but Avrum, he...
He's left doing
both all the time.
Yeah.
You know you could have just
swapped the infusion, Theo.
I mean last I heard you
were moving up in the world,
supervising doctor across emerg?
Yeah, well, then you
probably also heard about
the roller-coaster year I had?
Divorce, helicopter
crash, twitter pariah.
Oh! Are you the reason
for the email we just got
about looping HR into
social media interactions?
And now I am required
to get sign off
on even simple infusions.
So, how do you dig your way
out of that brand of purgatory?
Maybe by not pulling
on my restraints.
Uh, if you need anything,
you let me know.
You specifically told
me I'd be here an hour
- and it's been six.
- I'm sorry Ms. Kachinsky,
the doctor wanted
some different tests
and we had some very
urgent patients come in.
ED?
Rhoda texted about
Mags, she okay?
It's still a wait and see and...
Hey, Arnold if you're late,
you really got to call.
Actually, I'm early. Between
the wait time communication
and the patient satisfaction
surveys that Devi wants.
You've got less time to do more?
And in our transition
from 12 to 8-hour days,
there's been gaps
in shift change.
So, Rhoda and I have been
taking turns covering them
until we get it sorted out so things
don't fall through the cracks.
- Unpaid?
- Told him to keep a log.
Curtain 2 needs fluids,
curtain 3 is still waiting
on OR transfer. Should
somebody be getting that?
ED?
Bash you told Ms. Kachinsky
she doesn't need labs but now
- she does?
- It's because her fever wouldn't go down.
Okay, hold on a
second, I'll ask.
OR's looking for a patient, they're
supposed to be upstairs by now?
That's a transport issue, they
need to start calling the porters.
Never mind, I'll deal with it.
Dr. Hamed to cardiology.
Hamed cardiology.
Atrial arrhythmia
from a valve leak
which a pacemaker
can't regulate.
We replaced your
battery, ablated,
and attempted valve repair.
And where are we
on lasting damage?
Some new scarring
and the valve
problem could recur.
Is there anything we can
do to make sure it doesn't?
Same as before.
Remote monitoring.
- And frequent check-ins.
- When can I go home?
- In a couple days.
- How about tomorrow?
With a Holter monitor?
The fact that you're disagreeing
with me again is a good sign,
but I'm not comfortable
sending you home alone.
She won't be. Her
sister's on her way.
Since when?
Let's see how
tonight goes first.
- You called Cam?
- Of course I did.
- Why?
- Mags, you...
There is no need for my
sister to disrupt her life.
Look she said you'd say that
and she's not going to
leave you an option.
- Bash...
- I'll clear my patients for the day.
No seriously, please,
don't do that.
I'm just gonna be
sleeping all day.
Which is what I should
be doing right now.
Right?
Yes.
I'm gonna go get your
doctor, okay? Stay tight.
Oh Bash, Mr. Sran's
back from his scope,
he's still a bit out of it
from the sedative, though.
Okay, thanks.
Sir our GI confirmed that
the shrapnel is pressing
up against your esophagus.
If it breaks through it,
it'd cause severe damage
if we don't removed
surgically. So hopefully,
that will take place this week.
Nadir, you're back.
I'm Dr. Hamed. A surgeon
will phone you later today
to schedule the operation.
Okay, Mr. Sran?
You never did call me Gurjeet,
even when you were alive.
Nadir, you have to kill me.
You're confusing me
with someone else. Okay?
The effects of the sedative
should wear off soon.
That's an order, soldier!
Nadir, you have to kill me!
- Bash?
- Try taking deep breaths, Gurjeet, please.
We took everything from you!
Maybe you should go, he's
obviously reacting to you.
- No, please! - Bash.
- It's okay.
- Please. You have to kill me. Please!
- Go, Bash!
Don't leave him alone
until he calms down.
You have to kill
me, Nadir, please!
Please! You have to kill me!
You have to kill me, please!
Magalie Marie Leblanc that does
not look like taking a nap.
My mind has been racing too much
with everything I've
been letting slide.
I think the gas company will
forgive your week of bed rest.
Hey! You promised me
coffee and croissant
once I was back on my feet. That
does not look like croissant.
How about expensive
heart-conscious take-out
and bad TV tonight?
Since I'm going back
to Montreal tomorrow.
You sure you won't come with?
Stay with Mom and Dad for a bit?
No you can't really think that
would be good for my heart.
What about your soul, Mags?
Not once have you told me
how you feel about all this.
'Cause I've been
here before, Cam.
Yeah, as a teenager who kept
up with school from home
before there was even Zoom!
But now, in the middle
of a busy residency,
it's okay if you're daunted.
Look I'm just going to the
hospital to meet with Fisher.
And hopefully she can clear
me in the next couple weeks.
And what does your super attentive
doctor boyfriend think of that plan?
He doesn't... really know yet.
I get it, I do.
The overprotected kid only
ever wanted to feel normal.
- But Mags...
- Look I'm gonna ease into it.
I just need to do it on my
own terms, okay? Please?
- Okay.
- Okay.
Dr. Esfahani? I'm Dr. Hamed.
I was hoping to connect with
you about one of your patients,
Gurjeet Sran? I treated
him in emerg last week.
Call me Karim. Gurjeet
spoke to you about me?
Uh, no, not exactly,
I did some digging
and saw that you were a prescribing
psychiatrist on some past medication
and saw that you were
on site today so...
And you decided
to stalk me? Why?
Gurjeet was supposed to come
back for a surgical procedure
but he never did, I wanted him
to know that it's very important.
He knows. He doesn't want it.
It is... I'm surely aware
that patients with PTSD...
After they've been triggered
their lives can lose shape and...
And you think you triggered him?
He wanted someone named
Nadir to kill him.
- He spoke to you about Nadir?
- He thought I was Nadir,
I'm assuming it's someone
he knew in Afghanistan?
I can't divulge personal details
Dr. Esfahani... Karim,
he won't return my calls.
So if you speak to him, can you
tell him to at least come see me?
Most emerg docs wouldn't
follow up after he left.
He doesn't have anyone in
his life to come see him
and just... the way
he was talking, it uh,
it stuck with me.
I don't think pressuring
him is the right approach.
- I'm not...
- But,
Gurjeet may be willing to
come back if he gets a chance
to say what he's been needing
to say for a long time...
To Nadir.
You want me to
pretend to be Nadir?
No, I'm not even Afghani.
You two seem to
have... connected.
So much so that he projected
his dead friend onto you.
You'd be acting as a kind
of interweave to help him
unstick the memory.
And you think that will
get him to reconsider?
No promises, but it may
get him through the door.
Activate MTP, two
large bore IVs!
Imaging's up.
Dr. Devi, you're joining us?
Relax Mark. I'm not
picking up a scalpel.
We have Stanley Popavich,
gunned down in his pawn shop.
Single gun shot wound. Let's
pack cells through level 1!
Mr. Popavich...
you said the shooter was 5'10?
Stan said. I didn't see the guy!
You got to get out of here. Go
now, get out! Go, go, go, go.
- Come on.
- Catch me up on the imaging, June.
Looks like the bullet
grazed the gallbladder
and lodged near the spinal column.
But the trajectory makes no sense.
Irrelevant. All that
matters is where we focus.
I guarantee you that bullet
will create a hematoma
pressing into the spine.
These dressings are
soaking through.
You're more than
welcome to redress them.
Look there is information
on the gallbladder
which means the infection
is a serious concern.
Plus the paramedics said there
was sensation at the scene,
Babinski prints out.
We're gonna have to
move faster than that.
Dr. Devi? I'll do it. Just
because he has sensation now
doesn't mean he's gonna
have it in the future.
And the fact that you would
ignore spinal compression
and risk neuro deficit makes me
seriously question your judgment
He has massive hypotension
and coagulopathy,
plus the fluid collecting
in his abdominal cavity.
We can ligate the
extrahepatic duct,
we can control the bleeding,
find out what else got hit.
Dr. Curtis is right. This is
why the bullet path is relevant.
But wrong about the priority.
Deal with the hematoma
and decompress the spine
before touching anything else.
I'm going to intubate
him. Dr. Devi,
you're more than welcome to
stay and work the bone drill?
I think suction
is more my speed.
Hey!
- Hi.
- What's up?
Our regularly scheduled
noonish heart check in?
All's good on the Holter.
Just like every
other day this week.
Rania said she'd be
happy to take Amira again
so when Cam leaves,
I can stay with you.
And be my nurse?
What was that?
Wait, Mags are
you... Are you here?
Fisher called me in
for some imaging.
I didn't want you messing up
your day distracted by me.
Mags... Please.
Look, I'll find you later. Okay?
Caleb had a rough night at home?
Yes. It started with cramping,
and then this fever
that got away from...
He couldn't even
keep down Pedialyte.
We're rehydrating him now.
Dr. Bergeron may
have some solutions.
I doubt it.
Something happened between you
two last time you were here?
Nothing happened!
That's the problem.
That drug Bergeron won't
fight to get Caleb on it.
Did she say why?
Something about
intense side effects
he wouldn't be able to tolerate.
Well, if that's the case,
I'm sure she's right.
Yeah, but it's like
she's given up.
After his seizure, I
asked her to admit us.
She said, "Home is better
than a hospital". But for who?
Is there anyone around
that can help you?
My wife left when he was two.
I already took a leave of absence
from work but that ends next month.
Was Caleb been diagnosed
with an enlarged spleen?
That's common with
Niemann Pick. Why?
I'm seeing fluid and...
rupture can happen.
It seems so unfair that there
is a drug that could help Caleb
and he can't access it!
His entire childhood
is just... this.
I'm gonna get Caleb admitted
and will see where we are
with his spleen. Okay?
Fine!
Come on, Shay.
We're gonna need access
to your security cameras.
That camera hasn't
worked in years.
Your own business
was robbed, sir.
Do you have anything
that you can tell us?
I wasn't there! Stan said the
guy was too far away to see.
Sir?
Do you have any
water or something?
Mr. Popavich? Whoa, whoa, whoa.
Hey! Okay, let's get
this guy in a room.
Just this way.
Okay, just have a seat.
Just give us a minute?
How's my cousin?
We found the bullet and we
controlled the bleeding.
And now he's dealing with a fever,
so I guess it's wait and see.
What about you, hm? You
almost fainted out there.
Nah. I just needed to
get away from that cop.
Right, 'cause your
story's bogus.
You know, the way the bullet
entered your cousin's abdomen
and in a downward direction,
It's kind of hard to do it from
far away. Wouldn't you say?
Tell me I'm wrong.
Okay.
There was no robbery.
Did you shoot Stanley, Leon?
- No! Stanley shot Stanley!
- What?!
You're trying to tell me that
idiot shot himself in the gut?
- Do you have any idea how...
- Hey!
It was supposed to graze
his arm but the gun kicked!
We're under water financially
but we got insurance.
I lobbied against it but
Stan had this dumb idea
that if a robbery looked real...
You guys could get a
payout. Unbelievable.
- Your blood pressure's fine.
- It shouldn't be,
cause I'm freaking out!
You gonna tell that cop?
Cause I heard doctors are like
lawyers with confidentiality!
You're right. I
can't say anything.
Stan's going to
be mad I told you.
Your first
impressions of the guy
obviously weren't ideal
but... We're family.
Well your family's
irresponsible choices
just made you an
accomplice. Okay?
So if I were you, I would
tell the cop the truth
and cut your cousin
out of your life.
I mean even if
you're right, I...
Would you do that
if you were me?
Why not? You really
need this mess Leon?
The EMDR light will pulse,
grounding Gurjeet
in the present,
that'll prompt him to speak.
I'm surprised he
agreed so quickly.
Gurjeet blames himself
for the death of Nadir,
it's affected every
area of his life.
He wants to move on but
the past won't let him.
- And this is how he does that?
- In my experience,
it's a safe way to
reprocess trauma.
With you invoking Nadir,
Gurjeet may better
engage with his reaction
to the traumatic experience.
Shouldn't I know
more about Nadir?
He was a local translator,
but the details matter less
than the emotional connection.
For Gurjeet to engage, it
has to get to a real place,
so whatever you feel in
the moment, don't bury it.
Imaging and blood
work look good.
Any headache, weakness, syncope?
Just some dizziness. Always
happens with anti-arrhythmics.
Dr. Fisher I wanted
to thank you.
You're my patient, it's my job.
It's really important
for you to know
how committed I am
to this residency.
And I've taken steps to ensure
it'll be here when you get back.
- How long were you thinking?
- Four months should do it.
- Four months! For a pacemaker battery?
- And a valve repair.
But the intake phase of the study
will almost be over by then.
And you'll go back into the
general cardiology pool.
Okay but I put together a plan
for managing study data remotely,
- and monitoring patients over the phone and...
- Mags.
You came to me a week ago very
upset at how I was running things.
Not to quit! To make it work!
By trying to change my process
to suit your own needs?
That was never going
to work for me.
I honestly thought
you'd be relieved.
Okay, if you don't want
me to be on the study,
I can do remote charts,
I can do dictation...
It's a full-time hands-on
job, you know this.
Rest up,
come back when you're
past this bump.
Someone will be in to remove your
IV, then you can change and go.
What are you noticing?
Before now?
In the Humvee, you and I are
kidding around in Punjabi.
You were the only one
who spoke my language.
You tried to teach me a lot
of Dari but I learned nothing.
You don't remember that, Nadir?
We pulled over. Just
an easy roadside stop.
Nadir got out, spoke
to locals, we ate.
Waiting for the green
light from the CO.
You know what drill
we're gonna do, Nadir?
No, I don't.
What's coming up now, Gurjeet?
I'm scared.
When you asked me what
was wrong, I lied.
I knew the raid was
gonna be dangerous,
I just didn't want you
to know I was afraid,
it's like if I said how
I felt and it went bad,
it would all be my fault.
When we got to the house, we sent you
in first to get the civilians out.
You were nervous but I
said it was gonna be okay,
and you trusted me.
I did.
There was a hidden
IED in the house.
You took the worst of it.
Could you see anything
before it went off?
You called out for
your Mom in Dari.
I know enough to know that.
Did you feel it,
Nadir? The explosion?
Not at first.
But after a minute.
It's all my fault!
I'd do anything to give
you your future back!
You can't! Okay? You can't!
- I'm sorry, I didn't mean to...
- Wait, wait.
Is there something you'd
like to say to Nadir?
I can't breathe.
Dr. Hamed!
Hematemesis.
The shrapnel's
perforated his esophagus.
He needs surgery right now.
- He hasn't consented...
- Go get help, now!
Hey, I'm sorry, is there any way
that you could remove
this IV for me please?
Oh, you have to wait
your turn, ma'am.
I'm actually a doctor here, I'd
do it myself but it's just...
So just see the triage
nurse, he can help.
Are you sure... Thank you.
Oh! Hey! Mags?
What are you doing?
I was supposed to wait but
I just... I had to get out
of the gown and that...
room and I got dizzy and...
Can you please distract me by
complaining about Trauma OR
- or Novak or Shay?
- Yeah, I mean Shay's been gone
for like five days and
I haven't heard a word.
- That's a while.
- Yeah, I know right?
I mean she spent couple
days at her friend
Kenzie's house last month
but they were doing some
kind technology cleanse.
Well, if she used to doing
that stuff why are you worried?
I don't know I think
I might have...
gotten with bargained
with this kid, you know?
I feel like I should be
calling a grown-up but also,
am I the grown-up?
- Well...
- I don't think I am the grown-up.
Why is that bleeding so much?!
Blood thinners.
Heart condition, remember?
Right.
Who would've thought
you'd be the one
with the bigger secret
of the two of us, huh?
How are you doing?
Yeah, don't answer that,
Bash is been keeping
me up to date.
Yeah, you should
call a grown-up.
I'll text you?
- Hey!
- Hey!
Leon Popavich said you
were sending him for tests?
- I can't find him.
- He didn't need more tests.
- So you lost him?
- I didn't lose him.
He decided to leave,
that's not on me.
Uh, officer? Hi.
Um, how long should one wait
before reporting someone missing?
- You...
- No, no, no, no.
It has nothing to do
with Leon or Stan.
Do you have a specific reason
to be worried about this person?
No. Uh, maybe...
She's like 19. She's
a college student.
A bit of a disaster and
normally she checks in
but she's been gone like
five days this time so...
Okay, if you think
she's in danger
or prone to doing
something reckless,
act sooner rather
than later. Okay?
Okay.
Making incision along
the sternocleidomastoid.
Self retaining retractor.
Please, Claire.
Let's get all the shrapnel
out and repair the esophagus.
Okay, this looks like
a difficult dissection.
It's probably why they left the
shrapnel in. Forceps please.
All veins and vessels,
one wrong move...
I can see the shrapnel.
Okay, got it
Pressure's dropping!
There is a tear in the
carotid. We need to clamp!
Clamping the carotid
risks stroke.
He's hemodynamically unstable.
Bleed's a higher priority!
Hang bags of blood, please.
I can't see.
You're gonna have
to feel for it.
Dr. Hamed?
Hold on. Okay, got it. Clamp!
Pressure's holding.
Got that bleed under
control. Well done guys.
V-fib!
This guy is bound and
determined to let go, isn't he?
We're not going to let
him! Alright, Claire,
prep pads, 150 J!
- Charged!
- Clear!
Nothing. Try 200 joules!
Resuming compression.
Charged!
Clear!
Sinus rhythm. Pressure's
coming back up.
75/60.
Okay.
Let's remove the other fragments
and finish up before
anything else happens.
He's gonna owe you
his life, Dr. Hamed.
I know there's a rule about
proper notice of schedule changes
- in our collective agreement.
- I like the shorter shifts.
Sweet summer child, you
still don't see the glory
- of a four-day week.
- It's not just the shifts, Nancy...
Care to fill me in?
Oh come one! I'm
still a nurse, guys.
And a managing NP
who reports up.
We were maxed out before
these policy changes,
not taking breaks, barely
keeping up with charting.
And now we're getting yelled
at for misquoting waits,
and having to chase down doctors
for treatment plans in advance.
Has anyone tried
talking to Devi?
You saw her earlier, she sees it
but she's not doing
anything. This isn't working.
Look Claire, diplomacy was
fine when you had Bishop's ear,
but things are different
now. So are you with us?
When have I ever not been?
That time, with
the peach scrubs.
Or when we switched the chart pile
to the other side of the desk.
Okay, just hold on.
Emergency.
Some guy forced his way
into the drug dispensary
demanding a specific drug.
Said you knew which one.
He scared the pharmacist.
He's pretty volatile.
We were able to remove the
shrapnel and repair the rupture.
He's sedated right now
and tolerating it well..
I know he wanted
me to let him die.
Without a DNR,
you had no choice.
Where we went in that moment...
His body gave up, it
nearly killed him.
Are you blaming yourself for
his shrapnel breaking through?
How could his physical
reaction be your fault?
And where you went,
Gurjeet needed to go.
Will he be able
to go back there?
It's my job to try, Dr. Hamed.
Look, things clearly got
personal for you too.
If you're scared to go back
with him, I'd understand.
Avrum... Avrum, I'm coming in.
Open it.
Just tell me where you keep it!
We don't have that drug
here. And even if we did,
- we can't give it to him...
- Then order it and I will!
I've learned how to
do IM injections,
how to position him
for seizures, do CPR.
I've done more for him than anyone
here and I will do this too!
Look Avrum, I never should've
asked you to press Bergeron
- without all the facts.
- I need somewhere to put my hope!
I know. But this isn't the place
Then there's nowhere! And
Caleb is going to die!
But not today. Look I
know you're tired man,
but you can walk this
back before it escalates.
I'm no better than his mom.
There's this part of me
that wants to go to jail,
just so I can have a night off.
What kind of father am I?
One that's in an impossible
situation he doesn't deserve.
But I can help.
Caleb's spleen
rupture is graded low.
Which means he'll recover
without any surgery.
But we'll keep him here,
bear the burn for a few days.
I just need you to come out.
I'll be with you, every step.
Come on.
Okay
We're coming out!
We're okay!
Hey, no! What are you
doing? Let him go.
Mr. Pasternak,
you're under arrest.
Theo! Don't leave
Caleb alone please!
Look his kid is sick, okay?
Where are you taking him?
I'm sorry, Theo, we
had to call it in.
Lou...
Kenzie? It's June Curtis.
Uh, Shay's... sister.
Uh, now this is weird,
but she says she hangs
out here sometimes,
I was wondering if
she might be with you?
Or if maybe you
know where she is?
I was gonna come see you, I just
hadn't gotten around to it yet.
- Is Cam here?
- No, I took an Uber.
And before you tell me
that that was a risk,
it obviously wasn't,
because I survived.
And now you're cleaning out
your office for some reason?
Because I don't
work here anymore.
Wait what?
I'm out of the study and on
a mandated four-month leave.
Okay, I can see why
that's upsetting
but if your cardiologist
thinks that's a good idea...
She's taking the
opportunity to push me out!
Okay. If that's what happening.
- Yes, it is.
- I wasn't trying to...
We can find a way to fix it.
- Here why don't you let me.
- No! Stop! Stop it!
- Stop what? Trying to help?
- No!
Stop looking at me like that!
Like I'm some breakable object
that you're afraid to touch!
See? Like that!
That's what I mean.
You won't even fight with
me! I'm the same person!
I don't want to
fight with you Mags.
The people I care
about get hurt and...
Well, this isn't about you!
I've always hid
this part of myself.
And now that this happened so
publicly I can't do that anymore.
I need space to be the
messed up one right now.
Okay.
- What the hell?
- Cardiac arrest.
Massive septic shock.
Bullet may've
greased an abscess.
On the gallbladder?
What if there was a
pre-existing infection.
Anyways, the full
resus team was here
and there's nothing
they could do.
Leon, I'm really sorry.
Where were you? You
told me to leave!
If I'd stayed, maybe
we could've caught it.
- No, no...
- This is your fault!
What? No.
He's on a recovery floor, there
are three dedicated nurses.
There's...
Thank you.
I can't believe you
didn't stand up for me,
I was the one who pointed
out the inflammation
and I wanted to prioritize
his gallbladder.
Even so, the cardiac arrest
took everybody by surprise.
What am I supposed to do, pile on
the guy? He just lost a relative.
You know, the only reason that he's
even blaming me for all of this
is because this was all part
of some stupid insurance scam
and he knows that I know.
So what!? How is
that your problem?
What are you so worked up about?
Well, either you're like
all over me in Trauma OR
or you're not paging me down at all.
Is it some kind of a punishment,
for how I handled Devi
while you were gone?
Wow. Uh, maybe.
Why, are your feelings hurt?
- Oh God.
- What happened to June Curtis
- with the balls of steel?
- Don't do that!
No, no, no. Listen, listen.
We can use this melodrama
to solve both of our problems.
- No.
- Devi hates me.
- Yeah.
- You're annoyed with me. So listen, listen,
let me finish. Go to
her, complain about me,
get it off your chest
and make her a friend.
Why would I do that?
Well, do you think a guy like me
is gonna survive her politics?
And if I go, what
happens to you?
Listen, if you care at
all about the Trauma OR
that we hoped to build,
then we have to use
every check in our book.
Okay? Just think about it.
We gave him something to sleep,
but he's been
asking for his dad.
What was he thinking?
That he's being punished
for his choices?
And if it's out of
his control anyways,
what does it matter if you
take your hands off the wheel?
What do you even say to that?
Well, the Theo you knew
when we were residents
would have told him everything
happens for a reason.
You don't believe that anymore?
As soon as I stopped
punishing myself
for wanting out of my marriage,
that helicopter crashed.
So if I still believed that,
that would mean that
crash was meant to happen,
and that somehow...
You deserved it.
I can stay with him.
I cleared my schedule.
I wanted you to let me die.
I couldn't let that happen.
You can't put that
on me, Gurjeet.
I'm putting that on me.
I did this to you.
Me and my war you
didn't ask for...
I don't want to carry
the weight of your past.
I don't want to be a victim.
Yours, or anyone else's.
Let me go.
Could you at least stay
until I fall asleep?
Hey! Where the
hell have you been?
Tasha and I decided to
skip a few days of classes
and go camping
and my phone died.
I didn't even see your texts
until today. 26 messages,
- June that's a new record.
- I've barely slept!
Don't you think you
could've let me know?!
But June, I did. I left a
note on the desk at home.
- Next to your charts.
- Look, I went into your room,
and I found your
antidepressants.
And panicked? Those
pills are nothing new.
Okay but it would be
nice to know beforehand.
I was supposed to wear my "I have
depression" t-shirt when I moved in?
No but this... it's
affecting my work, Shay.
Okay? I'm a completely
different person,
- I can't have that here.
- Are you asking me to leave?
No! No, I just...
Oh my God! You actually
care, don't you?
- Shay, don't do that.
- You do! Tell me I'm wrong.
Just...
Just don't do that again.
Okay. Well...
- Thanks.
- Are they gonna press charges?
"Public mischief",
although my lawyer says
they could be talked into
dropping them down the line.
He also said you
gave a statement
which is one of the reasons
I've been released without bail.
I just told them the truth.
Thank you.
How's Caleb?
Asleep, and in good hands.
You should head
home, get some rest.
What I said earlier...
that's not really me.
We get punished for breaking
into drug lockers Avrum,
not for being human.
Oh Neeta, I won't be able to
make our sit down later today.
Well, we'll reschedule
for tomorrow.
Tomorrow, that's even
worse than today.
Okay. Um, you wanna
propose a time then?
Sure. I'll find out and
I'll get back to you.
Do we have a problem here, Mark?
Not from where I'm standing.
It should go...
Dr. Leblanc?
- Hi.
- She's all better, Mama.
I came to find you Dr. Devi
but I found this
young doctor instead.
You want to go to my desk and
draw while I talk to Dr. Leblanc?
Please.
How are you feeling, Mags?
Like I need a job.
Dr. Fisher said I
could get back to mine
when everything
else is behind me.
But you don't agree?
Well the thing is, I'll
recover from the episode
but it'll never be behind
me, not in any real way.
And even I've been
in denial about that.
So that's why I
was kind of hoping
that you would let me
come back to emerg.
I'm sure you've heard things
are kind in flux right now.
Yeah, I'm not denying
that I would need
some kind of
accommodations but...
I believe in what you're doing
and I think you
could use a doctor
who knows what it's
like to be a patient.
And also maybe an ally?
Are you sure you want to make
yourself that vulnerable?
No.
But I don't think
I have a choice.
Dr. Esfahani!
Hi there.
- Quite a day.
- Yeah.
Uh, what you did with
Gurjeet, what we did,
I hated it.
Yet our day ends as it began.
With you stalking me?
What I said to him about not
wanting to be a victim anymore...
You're right. It
did get personal.
I know it did, Bashir.
So do you think you can help me?