All language subtitles for Doctor.Odyssey.S01E09

Doctor, this ship is heaven.

And you're here to keep everyone alive.

Breath is irregular. Defib now.

- I have a pulse.
- Becoming some kind of team?

Out on the ocean, as in life,

it's not a question of
when you encounter waves

but what you do when they come up.

Sir, the wind is changing direction on us.

Mama. Hang on to your hat.

Brace!

We're okay.

- Guys, I have an unresponsive patient!
- What's going on?

Bad call, man. You're a superior.

You understand that's a fire able offense.

Tension in the medical
suite, doctor odyssey?

Absolutely not. It's a lovefest, sir.

I think we need to talk about
what happened. I had fun.

What happened the other night was
wonderful, but I am a one-woman man.

- And I want a family.
- This wasn't the plan.

You're pregnant, but you
don't know which one of us

it's not our body and
so it's not our decision.

But that doesn't mean
she has to be alone.

Sit?

Yeah, sure.

- Avery, I got to say something.
- No, you don't.

Look, it came out all wrong.

Yep, it did.

I'm sorry.

I don't know why I reacted
like that, because the truth is

I want to be in a committed
relationship and I want to have kids.

Well, that's all well and good, but
we don't even know if this is your kid.

And I'm glad that you've
figured out what you want,

but that doesn't mean that I have.

Okay.

Can we talk it out?
What are you thinking?

I'm not certain you are the
one that I should be talking to.

Why not?

We were having fun.

We're not dating, we're not committed.

I don't expect you to be the father.

This is my decision.

And it's a big one, and I I need
time and space to figure it out.

Please let me have that.

We need to get out past the break
if we want to catch some waves.

Or we could just float and relax.

What happened to you
wanting to learn how to surf?

I'm sure I meant it when I said it.

Go catch some waves,
surfer dude. I'm good.

Spence?

Spence!

Shark!

Shark!

Help! Left lower leg!

Severe shark bite!

I need every clean towel that we have!

Got it! Bring him in!

Get a hand on it,

as much pressure as you
can. We need to move him.

On my count, on one, two, three. Go!

Go.

We got you, Spence.
Hang in. Hang in, bud.

Hey, Spence, you're in
good hands. We got you, bud.

Pulse is rapid but thready.

We need to get a tourniquet on that leg.

His board leash.

You're gonna be okay.

Stick with me. Here
you go. Stick with me.

- Am I gonna die?
- You're gonna be okay.

Tight as you can. He's
already lost a lot of blood.

He's still bleeding. I need a rod or a stick!

Spence, stick with me. Right here.

Stick with me. There you go.
We need to keep him warm.

Hey. Grab me as many towels,
blankets, and jackets as you can.

- Tristan.
- Come on, buddy. Hey.

I have to make this tighter.

Spence, hey, Spence, Spence, Spencer.

He's going into hemorrhagic
shock. We need to move him.

You gotta stop the bleeding first.

Hey, Spence, stick with me.
Right here, right here. There you go.

Arterial bleeding's under control.

Take too long to get him to hospital.

We're gonna get him back to the
odyssey. Rosie, call the tender now.

Stick with us, Spence.

Start two large-bore ivs, for
blood and fluid. What type is he?

- He's o neg.
- He's already lost one to two liters.

Let's get him on three
of versed, 75 of fentanyl,

- and the labs on ice, stat.
- On it.

Shark's teeth sliced up
his leg like serrated knives.

Yeah. Skin, muscles, vessels, they're
all a mess, probably loaded with bacteria.

We need to debride right away.

He's still moving. We should
give him another 100 of fentanyl.

He's already hypotensive. Any more
will risk cardiopulmonary collapse.

I'll do a popliteal fossa
block and anesthetize the leg.

- Grab a bite block as well.
- On it.

We've numbed your
leg, but this will still hurt.

Take my hand.

Ready?

Ready.

He's okay for now. I got him
on broad-spectrum antibiotics,

but we gotta get him to a hospital soon.

Let's get him on the fastest
tender we got and get him there.

It's not advisable. He needs
constant care and attention.

Even the smallest crisis on the
tender could be life-threatening.

I defer to your judgment, doctor.

We're two hours from port.
I'm gonna see if I can beat it.

We'll keep him stable.

Thank you.

Feel that?

- A little. Yeah.
- Yeah.

And that.

Wiggle your toes.

Well, the good news is that
your x-rays show no fractures.

That means we're dealing with small tissue
injuries, which is a little less scary.

Tell me the truth. How bad is it?

It's not good.

The shark did a number on your muscles,
an even bigger one on your arteries.

It's our main concern.

- Am I gonna lose my foot?
- We are gonna do everything we can.

Is there someone I should call?

Dad passed away last
year after a work accident.

Mom's been gone since I was seven.

I'm sorry to hear that.

He was a metal worker.

Union guy since he was 17.

After my mom died, it
was just the two of us.

Saved up to buy this little fishing boat.

It was a piece of junk.

He loved it. We both did.

Every weekend we went fishing together.

I knew it was hard for him when my
mom died, tough job, never enough money,

but we always went fishing.

Never missed a weekend.

Everything was family for him.

He'd just taken retirement
and he was planning

his first real vacation.

On the odyssey.

With me.

To see his son on the bridge.

He was proud of what I do.

His son, the first officer.

What if I can't do it anymore?

The cap's pushing the
odyssey as fast as she'll go.

We'll be in port in a little over an hour.

Hey.

Mayday, mayday,
mayday. This is the flicka.

We're 18 degrees, 37 minutes
north, 111 degrees, 33 minutes west.

Something hit our boat.
We're taking up water.

Requesting immediate assistance.

Copy that.

Flicka, you got the odyssey.
Please restate your location.

See if there are other
vessels in the area.

Eighteen degrees, 37 minutes
north. 111 degrees, 33 minutes west.

We can see you, odyssey. We need you.

Copy that. Flicka, listen, we've
got an injured crew member aboard,

and we're currently searching
the area for other vessels.

Our boat is going under quick
and there are sharks in the water.

Copy that. We're on our way.

Dial in the flicka's coordinates.

You got the conn. Pull ahead.

So we've escaped one shark attack
just to head directly into another one?

That's the gist of it, yes. How's munroe?

We've stabilized him as best we can,
but this delay could be the difference

between keeping and losing that foot.

We have a moral obligation,
as the closest vessel,

to answer the distress call of the flicka.

Munroe is one of us though, cap.

And if you ask him what we
should do, he wouldn't hesitate.

We have to save those people.

What's his dpa and pta?

His dpa is a 1, his pta is a low
2, his foot's already getting dusky.

What about a temporary shunt? Reroute
the blood flow to the foot and ankle.

That could buy us some time, but we don't
have a javid or an argyle tube on hand.

How about iv tubing? I
can help you out with that.

No, I need you and Max
with the rescue team.

Any survivors are gonna need
immediate medical attention.

Fine. You guys go. I got this.

Look at the fins!

I see them! Over there!

Help! Help!

Take my hand. We got you.

We have injured aboard.

We got you. You're safe.

Thank you.

- Take a seat in the back.
- Slowly!

Take a seat.

You're safe.

We have two victims with
serious blood loss and injury

due to shark bite. They
need immediate care.

- Dr. Brooke Lane.
- Dr. Max bank man.

- What happened to your boat?
- Something hit us.

Knocked a hole in the side.

- Was it a shark?
- Way bigger, although sharks were waiting

when Josie and Brodie
ended up in the water.

They got her in her belly, but
it mostly just hit her wet suit.

She's showing signs of hypothermia.

Yeah, let's get you off this boat.

Tristan, let's get her
in blankets right now.

- I've got her, doc.
- What's going on down here?

Brodie has traumatic injuries
to his left arm and left leg.

Excellent work on the constrictor
knot. I need the trauma kit.

- Forget the kit. Let's go.
- Not until I wash out these wounds.

- Shark bites are a source of infection.
- I work surf charters.

I know sharks are the
petri dishes of the ocean.

Right now we're surrounded by them.

There's no way they're
satisfied - trauma kit

with a couple of bites.

Max!

Still wanna stick around?

Well, it worked.

The shunt is bringing decent
blood flow back to your foot.

How soon can I get back to work?

You'll need at least one more surgery,

so it'll be a while before
you can get back on your feet.

But at least you'll have both of them.

Avery, we're gonna miss you
on this ship, but you're so ready.

Ready?

To be a doctor.

I knew you wouldn't let me down.

Because if I did, you wouldn't
let me hear the end of it.

You got that right.

You're sweating.

A little cold.

Your fever is spiking.

That's bad?

I'll add some vanco to your antibiotics.
That should help stabilize you.

Avery, the tender is headed back.

Copy that. How many incoming?

Five souls total. Two with
severe shark bite injuries.

I'll be right back.

Check their hands and feet for any skin
discoloration, especially blue or gray.

Crewmen are stabilized.

What's the diagnosis in here?

Level 4-severity shark wound,
injury to the arm and leg.

Level-1 injury to the abdomen.

We're just gonna need 100mg
doxycycline plus 2g decadiene,

and wound washout with pulse lavage.

Hey. We're gonna get
you cleaned up, okay?

You'll be back on the board in no time.

Is he gonna be okay?

He's in good hands.

Not to be overly formal, but who are you?

Dr. Brooke Lane from the charter.

Licensed trauma
surgeon in my former life

with a sctw certification.

I'm also the reason that Dr. Bankman
came back to you without any teeth marks.

Yeah, it got a little jaws
3-d out there for a second.

Well, welcome to the odyssey.

I'm Avery Morgan, nurse
practitioner in my current life.

Good to meet you, Avery.

- How's he doing?
- He needs a hospital.

How far out from port are we?

Last I checked, the
captain said 3.5 hours.

I can call ahead, tell the hospital we
have an emergency amputation incoming.

It's not an emergency when
you cut the arm off a dead man.

You were right. We should have
debrided his wounds out there.

There's already signs of muscle death.

I don't think it was going to make
much difference in the case of this arm.

In the meantime, those sharks would
have been using my ribs as toothpicks.

She's right. This arm's got to go.

My question is, is the arm the
opening act or the headliner?

This limb is damaged beyond repair.

We're gonna have to
amputate the leg as well.

We're not equipped to
do a double amputation.

We're low on blood, antibiotics.

The crew can donate if
necessary, but I agree with you.

This is a tricky operation. It should
be done in a real operating room,

but he'll be dead by the
time we get him to one.

A guillotine transtibial
amputation is our best bet.

He'd lose too much soft tissue.

A faster cut reduces
the risk of septic shock.

Reconstruction would
be way more difficult.

Brodie is young and
athletic. Mobility matters.

- Really, more than staying alive?
- Of course not.

Then I have to ask,

what were you all doing in
potentially shark-infested waters?

That was my client's call,

which I'll regret not saying
no to for the rest of my life.

And now Brodie is my
patient, so it's my call.

Guillotine amputation
is out. Too many risks.

There's one other issue.

As far as cutting through
bone, we only have osteotomes.

Right. Going at his tibia with a chisel

isn't going to save any
soft tissue or future mobility.

We need a saw. A high-power saw.

Rosie.

Choices are cut saw, band saw.

- Bandsaw.
- Agreed.

All right.

Do not push. Let the tool do the work.

I'm gonna have to get that
whole thing through the autoclave.

Well, first, whoever's driving this
thing is getting a lesson from me.

Go.

Get some glasses. Get excited.

His temp, respirations and heart
rate are through the roof, bps 74/45

despite having fluid
transfusions and presses.

- Showing clear signs of sepsis.
- Close to the source of the infection.

- We need to amputate.
- Yeah.

No, no, please.

Just give me another antibiotic.

I'm not sure that's gonna be effective.

There are other ways we could
boost your immune response.

It would involve shutting down all
your systems, or as close as we can get.

I don't understand.

Well, we'd drop your body temperature,
sedate you, intubate you, paralyze you,

take all pressure off your heart and
lungs so your body can fight the infection.

They did this to covid patients
early on during the pandemic.

Go ahead.

I do have to warn you,

while you're unconscious, some
big decisions might have to get made.

Spence, if it's a choice between
saving your foot and saving your life,

there's only one choice.

I trust you.

Okay, deep breath.

Where are we?

He's at 96.9. That's with the
ice. I just added a cooling blanket.

We need to get him down to
93. Run a 39-degree bag of saline.

Yeah.

He's moving air well. Good
bilateral breath sounds.

Keep an eye on his vitals.

His temp's dropping
too fast. Stop the saline.

- Let's get the ice off him.
- Yeah.

Max, his heart rate and BP are
both tanking. What has happened?

Cardiovascular collapse. He's
in v-fib. Starting compressions.

I promised him he'd be okay.

And he will be.

Charging 200.

And clear.

- No pulse.
- Restarting compression.

- Push one of epi.
- Yeah.

Come on, Spence.

Come on.

He's gonna be okay, but
let's get an external pacer

- just in case he codes again.
- Yeah, will do.

Excuse me. Am I clear to leave?

We still have to check your
vitals and blood pressure.

Okay, can we do that now?

Give me a minute.

Do you mean a literal minute,

or is that an approximation
of a short amount of time?

Because I need to talk to your
captain, and you need to clear me first.

I'm sorry, but your needs
aren't near the top of my list.

Hey there, ray. Can you bring
this to the room with the autoclave?

- Yes.
- Right.

When you're done, I'll check
you out. You'll be good to go.

Thank you, Dr. Brooke.

How about you don't talk
to my first mate like that?

Yeah, well, he was being really impatient.

Ray is on the autism spectrum,
so Patience is hard for him.

Especially when his
routine has been disrupted.

I'm sorry. I I didn't realize.

Usually my-my bedside
manner is impeccable, so

- how is he? Your-your friend.
- He's under now.

That should hopefully buy us some time.

I was right there when he got bit.

Nothing I could do.

I know the feeling.

Hey.

You know it's not your fault.

I have to go get ready for the surgery.

Chris, go ahead and set
the new course for 18.7 north.

You're taking the long way.

Sorry, son. And you are?

Captain, officer, apologies for intrusion.

I'm ray Baldwin, first mate
of the flicka reporting for duty.

Okay, well, thank you very
much, and I appreciate that,

but shouldn't you be
down in the infirmary?

Your nurse cleared me.

I came up to see if I
could be of any assistance,

and based on our current
trajectory, it's a good thing I did.

Son, did you come up here
to insult me and my officers?

No, sir, I no, I didn't mean
to offend you or-or insinuate

talk to me.

Water's warmer.

Yeah. I'm gonna need
a little more than that.

Water's warmer. Sharks
weren't always in this area.

They came because the water's warmer.

Warm water moves faster.

And we're not on the
most direct route to port

because we're using an
old model of current speed.

Current's faster now. Boosts our speed.

Ironic benefit of climate change?

I'll have to check those numbers.

No need. I've done the
calculations in my head.

But feel free to check of course.

Why don't you stick
around, son? Have a seat.

I'll take care of the
ligation and bone work,

you deal with the soft tissue.

Are you forgetting that I'm a
trauma surgeon, not your sous chef?

You're the one who was so
concerned about the muscle and tissue

for the reconstruction.

True, but I was the one who
was trained to use the saw.

Is it that different from a surgical saw?

- Is the soft tissue work too much for you?
- No.

I'm fully prepared to
do the soft tissue work.

You think I can't handle the saw,
that it's too big for my dainty hands?

Wouldn't exactly say
you got dainty hands.

Some girls are scared of
big tools. I'm not one of them.

The patient is prepped
and ready for surgery.

- We've got active bleeding here.
- Bovie coming in.

Here. Bovie on my forceps.

That's good.

Stay there. That's good.

Got it.

Okay. Just need to tie off this
last vessel and we're good to go.

Clamp here.

Aves, can I get a little suction in there?

- Perfect.
- Okay.

Retract the other side.

Little suction, Avery.

That's good.

Okay, good. That's got it. We're done.

All tied off.

Good job.

Let's finish what the shark started.

Okay, one down, one to go.

Let's do this.

Where can a girl get
a shower around here?

Change of clothes, courtesy
of the odyssey gift shop.

Aren't you the gentleman?

I try. Sometimes I even succeed.

That was some surgery.

It's been a couple of years since
I've done a double amputation.

Must be like riding a bike, 'cause
you did excellent work in there.

Thanks.

You're all right.

Just all right?

Yeah, you started off
bossy and territorial.

You were only really
annoying for, about 40% of it.

- Only 40%?
- That's actually low for me.

What about the other 60?
What are we talking about?

- You want the full breakdown?
- Absolutely.

Let me guess. It's an
even 20-20-20 split.

Impressive, dazzling,

- masterful.
- Not exactly.

No, 30% worthy of respect.

28% mildly impressed.

You're 2% short.

That's when I was thinking
about us having sex.

I think we're pretty evenly matched there.

Max, you in there?

- Hi.
- I've been texting.

- The captain needs you on the bridge.
- I'll be right there.

Okay.

- Avery, that's...
- wow.

Well

I'll let him know.

It appears we are being followed.

What is that, a shark?

I don't think so.

- That's an orca.
- Yeah, I agree. And who are you?

Lot of new people on my bridge tonight.

I'm Dr. Brooke Lane,
medic from the sunken boat.

Thanks for the rescue.

Welcome aboard.

I can tell by the size and the
speed and the movement patterns

that it's either an orca or a submarine.

That's damn sure not a submarine.

Bet that's what sunk us.

Why would an orca attack a boat?

There are many possibilities.

Teen orcas playing, adults
protecting their young.

In some instances, orcas
are believed to wreck ships

so human survivors attract sharks.

The sharks are then eaten by the orcas.

Well, their livers, to be exact.

I skippered a chartered yacht off
the coast of Spain about 15 years ago,

and we came in contact
with one of their young.

It hit the ship, but just by accident.

But within minutes, we were
surrounded by a pod of orcas,

and they proceeded to
scrape our hull with their teeth.

They snapped the rudder, and then
they rammed the boat over and over

and over again for the next 90 minutes.

Then by that time, we were taking
on water and had to launch the lifeboat.

It's the only time I've ever lost a vessel.

Orcas.

Some of the most intelligent
creatures on the planet.

They're territorial, they hold grudges,
and sometimes they hunt for sport.

And we're right in the middle
of their breeding grounds.

Because you had to adjust your route.

- For me.
- Hey.

You're on my ship now.

Part of my pod. We'll
get out of this together.

The odyssey is a massive ship.

Orcas are no threat to us, right?

I'm not gonna test that hypothesis.

You really need to rest.

Is he,

he's stable now, and
under the best possible care.

This is all my fault.

No, it's not.

It was my idea.

I found the trip, booked the charter.

There was this new spot
that I wanted us to surf.

It was a gnarly one.

We were there because of me.

Josie

it's not your fault.

You didn't sink that boat.

He kept trying to talk me out of it.

He wanted us to go to Maui instead.

Just talking about sitting on
the beach and drinking mai tais.

He's never gonna forgive me.

Avery?

About what happened in my room earlier.

It's okay. I asked for
space, and, you gave it.

Who am I to judge
how you fill your time?

I understand how that must have looked,

but nothing happened, I promise
you. She just needed a place to shower.

- And if I hadn't knocked on the door?
- I would have said,

"thank you. I'm very flattered,
but you need to get dressed."

Glad you had your
whole speech worked out.

And I'm glad that I
saw what I did, actually,

because it's

it's very clarifying.

What's that supposed to mean?

This morning you said you
wanted kids and a family,

presumably, possibly with me.

And then later,

I saw you surgery flirting
with hot shark doctor,

and then you invited her to
take a shower in your room.

I'm not sure what that all
means, but it's not nothing.

In here!

What's going on?

His BP's 65 over 41. He's
getting more hypotensive.

Okay, initiate aggressive
fluid resuscitation.

Put him on 1,000 ml of isotonic
crystalloid over the next 30 minutes.

Also, start an inotrope.

Yeah.

Vitals are unstable. BP is labile.

Checking his pulse.

No pulse distal ankle

or foot.

That shark bite thrashed his arteries.

The popliteal is still intact, maybe

it's not enough to
perfuse the foot all by itself.

Munroe gave us the
permission. Now we have to use it.

Prep for the amputation and get
Brooke. I'm gonna need her help on this.

What the hell was that?

We've lost propulsion.
There's no forward thrust.

Something hit your propeller, sir.
It's possible that the orca overtook us.

No.

There he is, still on our tail.

Chris, pull up camera 7.
I want to see what hit us.

All right. Roll it back before impact.

Rewind.

Hold it. Enlarge.

A great white.

Something's wrong.
Sharks have electroreception.

They can detect even the
smallest electrical pulse.

It should have been able
to sense the propeller.

Yeah.

Still feels like we aren't
moving. What happened?

No time to figure that out.

We need to amputate munroe's
foot now or he could die.

Hold up. I got you something.

Brodie's leg?

Found it in the flower room.
Test results came back.

Leg shows no signs of infection, and
he's o negative, like your friend here.

Look, munroe's losing his foot
because his artery's chewed up, right?

Well, we have a viable
artery on ice right here.

We could bypass munroe's injured
artery with a graft from Brodie's leg

- and possibly save his foot.
- Let's do it.

Rosie, what the hell is
going on with my ship?

Whatever slammed into the
propeller stopped us cold, sir.

Engine seized, and it's heating up fast.

If we can't control it, we're
looking at a class c fire.

Alert the crew. Prepare for code bravo.

Rosie, can you contain it?

No idea, but if it picks up, it
could travel to the main generator.

I need to shut the generator
off before the fire hits it.

Did she just say she's
turning off the generator?

Rosie, this is the infirmary.

We're in the middle of munroe's
surgery. We cannot lose power.

If a fire hits the generator,

it'll blow a hole the
size of a buick in the hull.

How long before the backups kick
in when the main line goes down?

Five seconds, ten Max.

We can handle that.

But if the generator blows, it
could take out all the backups.

Rosie, you get there and you
stop that fire at all cost. You copy?

Copy that.

Code bravo. I repeat, code
bravo. Class c fire below deck.

Get the firefighters down here! Now!

- Should we stop?
- If we do, munroe loses his foot for sure.

Here's the artery graft.

Help me get this graft in place.

I did it.

She did it. Rosie, you did it.

This explains why the
shark went into the propeller.

Yeah. There's not just one
orca, there's a whole damn pod.

They were hunting the shark.

Now they got us
surrounded. That's beautiful.

Gonna finish up these sutures,
then we'll move on to the next one.

Josie?

Wake up. Josie.

Guys, I need help in here! Help!

Rosie, fire is out. I repeat, fire is out.

Great news.

Mother...

Well

we're dead in the water.