Original subtitles

Pittsburgh, Pennsylvania

ST.JUDE REGIONAL TRANSPLANT CENTER

Heart Transplant Candidate LESLEY WALKER

Your daughter is first on our region's transplant list.

She's so weak.

We'll have her into surgery the minute the right heart becomes available.

She's just so weak.

We'll keep her strong, and we'll transplant her successfully.

Dr. Darren,O.R.

Dr. Darren.

How much more time do you think life support will buy her?

What's your name again?

Simon.

Where you from?

Vancouver,canada.

The truth is there's no medical reason that little girl has held on as long as she has.

- Dr.Darren, Your board interview's in 30 minutes. - I know.

You might want to change that shirt and wash up.

Also,some guy named henry called.

He said he's got the clemente,said you have the number.

I'm gonna be out of contact for about an hour.

You can round with mary.

Uh,nsv 10 clemente -- what is that,some kind of new machine?

It's a baseball card.

He collects baseball cards.

Baseball card?

Yeah,baseball.

They do have baseball in canada,don't they?

Vancouver.

You,vancouver,find out what the hell's happening with that potential donor at county general.

Dr. Thomas,transplant,O.R.

POTENTIAL HEART DONOR JOHN HENDERSON

Can we discontinue care?

The woman from organ recovery is still talking to the grandmother.

His heart can save a life,Mrs. Henderson.

I don't want my grandson's body cut up.

But he won't be disfigured in any way.

In fact,when you next see him, you won't even notice it.

I don't want you selling his organs.

Mrs. Henderson,I promise you the placement of the organs is carefully regulated.

Will you people pay for his funeral?

That's not the way it works.

I don't want him cut up.

Mrs. Henderson,there are people in desperate need waiting,

particularly one little girl who's �C

your grandson's death does not have to be �C

I don't want him cut up.

Meaningless.

I want to get him out of here.

Okay.

Hey.

Hey.

You -- you are letting me die.

That's just the steroids talking,Mr. Kozinski.

No luck getting that donor at county general?

Look,I know I screwed up.

I don't need your passaggressive bullshit to remind me.

I just exhaled.

Exactly.

I got the bill for your final mortgage payment.

That's the last one.

That's good news.

Yeah,we should go out,have dinner,celebrate,pop a bottle of champagne.

Oh,I forgot.

You divorced me.

Well,I'm sure you can find some nice,young nurse to celebrate with,nate.

Okay,any new patient developments I need to know about?

Mr. Kozinski keeps getting out of bed and yelling at me.

Anything important I should know about?

All right,lesley walker in 124.

Well,we didn't get the heart over at county that we were hoping for.

That kid at county's off the vent?

Kate can answer that question.

Yes,his mother declined.

So he is off the vent.

I know that one life did everything they could,

but we've has lesley on the assist for two weeks.

She's had two strokes in the last five days.

I know everyone's doing the best they can here,

but I think it's time we prepare her mother for the very real possibility.

Dr. Sharp,4632.

I want you to have my heart.

I'm doing this for you,baby.

Code one,206.

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Heartland Season 01 Episode 01

Mrs. Walker thought if she overdosed with the morphine,

she could give her heart to her daughter.

So you called in psych?

Yeah,she tried to kill herself.

The only reason I'd report Mrs. Walker to psych is

if she didn't want to donate her organs to her daughter.

I know you can't help me kill myself.

Mrs. Walker...

the matching process isn't easy,

particular for a girl lesley's age and size.

But I can still do it with a gun or pills if it'll save my daughteR.

Well-placed bullet,potential overdose --

it doesn't always work out the way you think.

Then you're dead,and we can't even use your organs.

You can't guarantee a heart will come in time.

I can guarantee that I will not give a new heart to a young girl

who has no one to care for her after the transplant.

Mrs. Walker,any heart that comes available tonight �C

I will take it,and I will make it work for her.

I promise you.

*************

********

What did you say?

That brazilian restaurant in squirrel hill --

we have a reservation in one hour.

Come on. You need to unwind,relax a little bit.

I'm sorry, If something comes up --

if something comes up,we're 15 minutes away.

I can't leave.

TRANSPLANT COORDINATION CENTER

Transplant O.R.

You're not breathing,kate.

I failed with that black kid at county general,

and now I don't think lesley walker's gonna make it.

That black kid weighed almost 150 pounds.

Nathaniel would have made his heart work for her.

Why don't I call lynn in,cover the rest of your shift?

And nathaniel's gonna blow his board interview.

He's so afraid they'll hire that total turd pena to come and run the place.

We could go out and get some dinner.

I'm gonna finish my shift,bill.

I'm fine.

Really,I'm fine.

Another donor will come available,

and I will get right back in there and get their consent.

That's the spirit.

I'm sorry.

Hey,sweetie.

- I'll be right there. - What?

Thea's gotten into some trouble.

Are you her mother?

I am.

She tried to steal these condoms.

The owner's not gonna call the police or anything.

Thank you. We really appreciate that.

Well,she's not allowed back in here.

Thea -

Okay,we have to get to the hospital.

But we are gonna talk about this.

Nurse jackson to the nurse's station.

- Hey. - Hey.

Her name's sarah evans -- 24,105 pounds,traffic fatality.

Donor card?

No.

Husband's name is mark.

He's undecided about signing the forms.

Okay. Can you take this?

Sure.

Thea,go with bill.

Thank you.

POTENTIAL HEART DONOR SARAH EVANS

Mr. Evans?

My name is kate grant -- kate armstrong.

I don't -- I -- are you a doctor?

No,I'm a coordinator from the organ-recovery center.

I'm here to talk to you about organ donation.

Synchronize,vancouver.

Please stop calling me that.

I got 10:23. You?

Same.

You ready to do this,vancouver?

My name is simon or Dr. Griffith �C

whichever one you want to use.

Bring me a perfect heart,doctor.

Dr. Griffith,we're ready for you.

SARAH EVANS HEART DONOR

I have the release form,doctor.

Okeydokey,everything's in order.

Let's do a perfect recovery,people.

Calm down and get straight it's in our eyes,

it's how we operate

you're true you are whoa,

whoa,you're gonna have to wait here,Mrs. Walker.

Go.

How old's your daughter?

13.

She's 13.

My dad might not be so good with people,but...

he's really good at this.

Let's get started.

Scalpel,jessica.

Turn off the respiratoR.

Let's give her a moment.

okay, back to work.

Start the perfusion.

Bring me some ice.

Take this heart to Dr. Grant.

Without you

well, I'm left hollow

can we decide to try a little joy tomorrow?

'Cause,baby,tonight I'll follow

Okay,jessica,bring the heart to the field.

Here you go.

Thank you.

******

It looks ischemic.

We had a little problem.

I can see that.

Suction.

Suction.

How well did it perfuse in the O.R.?

Too badly damaged?

Okay,everybody,let's commit.

Forceps.

Forceps on the field.

Thank you.

Hey. Watching daddy?

We need to continue our conversation.

It's 3:00 in the morning,mom.

So?

She looks good.

Great work,everybody.

Okay,vancouver,you can close her up.

Dr. Grant?

Dr. Grant?

Was there something else?

No.

Hey.

Hey.

You want to come in?

I'll wait out here. Thanks.

Great work with that husband last night.

Thea was caught stealing condoms at the mall drugstore.

Her attitude and her school stuff are one thing.

But sex?

She's barely 14.

I'll talk to her.

I'm not so sure talk is what she needs.

What do you have in mind?

I think it's time to consider finding her a professional to talk to.

oh, come on, ***Can't we all just sit down and fix this --

mom,dad,don't want to be late.

Here's the final payment.

That girl from last night,lesley -- her mom seems so nice.

What the hell were you thinking?

My mom,on the other hand,is being such a bitch.

Don't talk about her like that.

You do.

You stole condoms?

You treat lung patients every day.

I mean,did someone put you up to that,like it was a joke or something?

Your mother thinks you actually were considering �C

well,mom told me she'd be home in time to take me to the mall.

*****

Sex is a very serious issue,sweetheart,

and you are far too young and far too removed from authentic relationships �C

what's the real reason you and mom split?

Don't****

It's because of that nurse from the hospital -- jessica,right?

Are you in love with her?

See? You sleep with her,but you don't love her.

Well,whatever you do in your relationships,don't use me as a role model.

I'm just saying it's not exactly an authentic relationship.

Who is this boy that you care so much about you'd steal condoms from a drugstore?

Dave torres.

He's captain of the soccer team.

Okay.

And he told me he'd take me to the semiformal if I hooked with him.

Well,then go with someone else.

You don't understand,daD.

No one else is gonna ask me.

Dr. Grant,how do you define your current role at st.Jude?

Oh,I'm just a guy with a knife and some string,really.

Seriously,I just finish the job that the immunologists,biologists,geneticists,

and everyone else start.

If we awarded you the position of clinical director,

how would you change the course of the transplant institution?

Using the dead as our donor base is our best option today,

but years from now,it's my hope that the living and animals

will serve the needs of a much greater number of patients

and create more successful results in the long term.

The risks to the living involved with this type of procedure,

the public outcry in defense of animals �C

for me to do my job correctly and well,

I'm going to need your complete support.

If you gentlemen don't feel you can give that to me,

then I'm not the right man for this position.

august pena is coming in to interview with the board,

and I can promise you he will not be so...provocative.

And he rejects all borderline candidates

and dismisses any organ that has even the slightest blemish.

Nate,his clinic has the lowest death rate in the world.

They're not swelling.

Come on. I'll make this fast.

And you've got to understand -- this guy knows how to raise money big-time.

The board will be very impressed by that.

Yeah,well,if you want happy government officials and inflated success rates,

maybe you should hire pena.

Any peripheral edema?

I've got ipf.

I think we both know what happens next.

Take off your shirt.

When are you going home to your family?

Bart,please take off your shirt.

You didn't answer the question.

I am home -- in my apartment.

Your lungs sound like crap.

We need to admit you to the icu,get you placed on a list.

Would you just consider what the patient wants?

To live,I assume.

I got to go.

Would you consider letting me admit you?

one life

Mr. Evans.

I don't have an appointment.

It's okay.

Why don't you have a seat?

Sarah hated my suit.

I,um...

we were going to a wedding this weekend,

so we went shopping to find me something to wear to the wedding.

And we're pulling out of the mall.

And this car comes out of nowhere.

And I didn't even --

I didn't even get a scratch,not -- not a scratch.

So the clothing company calls me,and they say,"your suit's ready."

I mean,what am I supposed to do with that?

What am I supposed to do with that?

Mr. Evans... ...

we do offer counseling services if you --

who received my wife's heart?

I can't give you that information.

Can you give them my name?

Mr. Evans,the decision to make contact is up to the family of the donor and recipient.

It could take a long time to be ready to --

I can't eat.

I can't sleep. I...

I need to know that something good...came from this.

Did something good come of this?

The recipient is a teenaged girl.

Here in -- in the city?

I can only tell you that it was local

and that she received her heart last night.

Everything we're measuring is stable,Mrs. Walker.

Heart output is fine.It's beating rhythmically.

So she's gonna be fine.

- She's gonna be - - she's very stable.

Oh,thank you.Thank you.

Where's your damned oxygen canister?

How long have you been short of breath?

- Just a few minutes. - ********

You need to be admitted.

I've got the pena interview.

Take bart back to his office.Hook him up.

Don't argur with me Go on.

I was first up for a transplant seven months ago.

- My wife and kids were prepared - - I can only take what I'm given.

Another doctor wouldn't do this to me.

Another doctor wouldn't have done this to me.

I'm sorry,but I never said a lung reduction would cure you,Mr. Kozinski.

I just said it would buy you more time.

Dr. Jacobs' office.

- Nathaniel. - August.

- Good to see you. - You too.

Well...good luck in the interview.

You know,I've been disappointed about some of the comments you've made regarding my work,nathaniel.

I am afraid that you misunderstand my approach to this job.

August,I've taken almost every organ you've rejected over the last five years,

flown them an extra five hours,and used them on patients that you would never accept,

so,no,I don't think I misunderstand your approach.

In fact,it's quite the contrary.

Dr. Grant,I need some help!

- What happened? - I don't know.He just passed out.

Check his oxygen.

How did bart's diagnostics go?

Well,the cat scan looked pretty bad.

Pulmonary function tests,arterial blood gases indicate he's within range of a transplant.

Blood tests?

The six-minute walk test had him in range.

Vancouver,the blood tests?

Bart tested positive for hep "C."

I guess we shouldn't be surprised -- these old guys,so many surgeries.

You probably all have it.

Right there.Good.

Hey.Want me to come over tonight?

Absolutely.

Vancouver,lesley walker's room.

I thought maybe we could have a date or something �C

go to dinner,a movie,some normal time.

Jessica...I'm not so good at normal time.

Blood pressure's dropping.She's having arrhythmias.

Get an ecmo in here.

What's wrong?

We're going to bring in a mechanical support for lesley's heart.

You said the surgery went well.

Lesley's immune system thinks that this new organ is a foreign invader,

so we'll treat her with antirejection drugs,rest her heart for now.

For now?

Well,we're gonna give it some time,

see if we can reverse this,give her heart a chance to take.

Well,you got me on too much corticosteroid.

Well,your airway is severely blockeD.You need the lung relaxer.

My oxygen's all screwed up.

Bart,you also have hepatitis.

You're not surprised?

I've been elbow-deep in another people's blood for 50 years.

We can still proceed with a transplant.

And if I were,uh,some other patient?

I would tell you the same thing.

We'll transplant the lungs,and if we need to do the liver,

we'll cross that bridge when we come to it.Okay?

I heard how our young fellow screwed up on his first heart recovery.

I wouldn't rush to re-transplant her.

Well,she'll die if I don'T.

I would watch and wait with that girl.

If you're gonna take over my position,

you can't cut every time there's a problem.

Classify lesley walker 1a.

Alert the staff I plan to re-transplant.

What is it?

We're gonna need another heart for lesley walker.

Dr. Bryan,3371.

Dr. Bryan,3371.

Oh,excuse me.I'm sorry.

You're -- you're lesley walker's surgeon,aren't you?

Yes.

How is the heart that she received doing?

May I ask who you are?

Lesley walker's my family.

I'm -- I'm family.

I'm family.

- Do you know that man? - No.

I'll tell him.

Uh,Dr. Grant?

That was bill bryce.

There's a potential lung donor -- male,200 pounds.

The plane's ready if you are.

LUNG RECOVERY RUN

Kozinski?

That's what unos said.

Kozinski?

I'm flying all day to get organs for kozinski?

I could have sent vancouver.

You know,we've never really talked.

Never really gotten to know each other.

I know.

We should go out sometime.

You think?

Let bygones be bygones.

Okay.I'd like that.

Kozinski's hypertension is out of control.

Blood count sky-high.

Right side of his heart is enlarged.

Bart's in worse shape than that.

All I can do is give the data to unos*****

That's a load of crap.

*******I love bart as much as anybody else.

This is our call,kate,not a computer'S.

Nate,it is a computer's call.

Shut up,bill.We're not talking to you.

I'm just saying this is exactly why a system has been put in place.

Bill.

I -- I really like your shoes.

Thank you.

It's just like you -- all about rules,regulations.

What are you saying?

You've always been a stickler for little things that make very little sense.

I hope you're not talking about our marriage.

I'm talking about you.

I didn't tolerate your infidelities.

Is that the little rule I was being a stickler about?

I broke some promises.You broke them,too.

******

You promised that you were gonna stop working.

You promised you were gonna stay home with thea.

- I tried. - We needed a normal life.

Could you two discuss this another time?

Yes.Absolutely.

And I'm sorry,bill.

Jessica,too.I'm sorry.

Very inappropriate.

Even if I had stopped working,

what part of normal is being married to an egomaniacal workaholic insomniac

that screws every nurse who works within five miles of st. Jude's?

RURAL VIRGINIA HOSPITAL

LUNG DONOR

You're saving literally hundreds of lives.

You're sure,derek?

Okay.Thanks.

Nate,unos just sent word.

The size of the organ's reversed the order,so bart's first up for the lungs.

I'll call st.Jude's and tell them to start prepping him.

Thank you.

It's never been up to me.

Yeah,okay.

I'll let him know.

Dr. Powers,icu.

Dr. Powers,icu.

What is it?

Bart jacobs just removed himself from the recipient list.

- I'll tell him. - No.

I will.

Did kozinski's surgery go well?

Mary,would you give us a moment,please?

The board called for my recommendation.

Truth be known,it's very difficult to choose between you and pena.

I flew all day and performed the recovery.

I didn't ask you to do that.

I sewed two perfectly good lungs into --

- how did the operation go? - Come on,bart!

I can give you a few more good years.

Oh,please,the surgeries,the drug treatment -- not exactly good years.

All you ever cared about was extending life.

Now that you have a chance to benefit from that --

an extended life in the icu.

You have us to take care of you.

I've lived most of my life in this hospital.

I don't want to spend my death here.

I can do this.

I can make this work for you.

When are you gonna understand that none of this has to do with what you want?

I'm not ready for you to go.

Help me up.

So,I,um,I talked to the board today.

I told them that I want you to,uh,take my place.

They approved.

Thank you.

Mary.

It's about time for me to go home.

That young girl.

If I were you,I'd just watch and wait.

Yeah.Just watch and waiT.

- Hey. - Hey.

I'm sorry I just walked in,but the door was open.

No,it's all right.

I just wanted to see how you were.

Oh,I'm fine.I'm fine.

Yeah,I know.It's -- I know.

Can I get you some coffee or tea?

No,thanks.

You've really perfected the whole cardboard-chic thing.

I'm glad you appreciate it 'cause I worked my ass off.

You know that man you had removed from icu?

Uh,his wife donated lesley walker's heart.

He came to me yesterday,and I stupidly gave him a hint --

I got the chairmanship.

So now I'm -- I'm head of the whole...

you don't seem to happy about it.

There was this clemente rookie card over at henry'S.

He said it was perfect.

But I couldn't get there.

I didn't get there in time.

I can never be anywhere.

You need to take a break,nate.

I can't be away from the hospital.

I try to do other things.

I -- I try to be a father...

a husband...

collect a damn baseball card.

It's not easy to be you.

You've got a lot of pressure on you.

You have people's lives in your hands.

I'm sorry,katie.

I'm just so sorry.

You okay?

- Get some sleep. - Thank you.

Hey,I went to the farmer's market.

I picked up some --

jessica...

How's Mr. Kozinski doing?

Kozinski seems to be doing remarkably well.

Lesley walker?

Heart rate's steady.Her fever's down.

She seems to be improving.

She's improving.

I don't know if she's improving fast enough.

Hello,Dr. Griffith.

- Dr. Grant,can I have a word? - Sure.

I'll be right back.

A heart is available for lesley.

It's a good cross match.The donor's 15 years old.

I'm gonna pass on it.

You are?

I'm gonna give the first heart a chance to take.

Okay.

Roy,tell unos st.Jude's is passing.

What?

If you came back home......

you'd still always live here,no matter where you try to sleep.

You'd lie awake at night,blame me for your problems,and then you'd leave again.

Wouldn't you?

Maybe.

I don't know,kate.

Maybe this time...

maybe...

What did you tell jessica?

Uh,I told her...

I told her...

you told her that...

it was a slip,an old habit...

fallback during a sad time.

Is that right?

So are you sure I should make this new heart available?

- Yes. - Okay.

I'll take my heart elsewhere.

It looks like she's past the rejection.

- Hey,lesley. - Hi,Dr. Grant.

How you feeling?

It hurts.

I'm sorry that it hurts.

Thank you.

Well...okay. ...

your wife's heart -- it's working again.

It's going to be fine.

Thank you.

You're the one to be thanked.

I'm going up.You can come.

what was your wife's name?

Sarah.

Sarah.

I know how this sounds,but sometimes I can see the donors in my patients.

You can see sarah?

I know how that sounds.

no.

Thank you for telling me.

Do you have a wife?

I did.

You lost her.

I let her lose me.

You can stay.

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