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Would you like to inspect the original subtitles? These are the user uploaded subtitles that are being translated: 1 00:00:00,398 --> 00:00:02,299 Oh, sorry. 2 00:00:03,331 --> 00:00:04,875 Dinner, my place? 3 00:00:04,900 --> 00:00:08,135 I thought we finished with all that about five years ago. 4 00:00:08,160 --> 00:00:10,095 (MUFFLED): Doctor Amed? 5 00:00:10,931 --> 00:00:12,596 (MAGS): Bash. 6 00:00:14,109 --> 00:00:15,608 (GUNFIRE) 7 00:00:15,633 --> 00:00:17,393 (MAN SHOUTING) 8 00:00:17,474 --> 00:00:19,367 (GUNFIRE) 9 00:00:19,392 --> 00:00:22,231 (WOMAN CRYING) 10 00:00:25,208 --> 00:00:26,861 (GUNFIRE) 11 00:00:27,884 --> 00:00:30,198 (MAN SHOUTING IN DISTANCE) 12 00:00:30,992 --> 00:00:33,368 (SUSPENSEFUL MUSIC) 13 00:00:34,701 --> 00:00:36,302 (COUGHING) 14 00:00:36,327 --> 00:00:38,541 (MAN OVER PA SYSTEM): Lockdown. Code silver. 15 00:00:38,566 --> 00:00:41,126 Lockdown. Code Silver. 16 00:00:42,289 --> 00:00:43,790 Can I help? 17 00:00:43,815 --> 00:00:45,740 No. I got it. It's fine. Go. 18 00:00:45,765 --> 00:00:47,515 I'll go find some gauze and come right back. 19 00:00:47,540 --> 00:00:50,296 No. There's gauze in the cabinet. I can make it. Go. 20 00:00:50,928 --> 00:00:53,935 You'll be okay, I can stop the bleeding as soon as the shooter clears. 21 00:00:53,960 --> 00:00:55,994 (WOMAN GROANING) 22 00:00:56,430 --> 00:00:59,131 (BASHIR): You're going to be okay. 23 00:01:04,948 --> 00:01:06,649 (GUNFIRE) 24 00:01:06,674 --> 00:01:08,791 (MAN SHOUTING IN DISTANCE) 25 00:01:08,816 --> 00:01:10,917 (WOMAN SOBBING) 26 00:01:14,864 --> 00:01:16,542 Can you move? 27 00:01:24,672 --> 00:01:27,440 (INDISTINCT WHISPERING) 28 00:01:28,203 --> 00:01:29,737 (LOU): Did you see him? 29 00:01:29,762 --> 00:01:31,430 The last shots came from hallway J. 30 00:01:31,455 --> 00:01:34,076 - You shouldn't be in the open. - (MAGS): Are you okay? 31 00:01:34,101 --> 00:01:36,121 I've got a through-and-through to the neck. 32 00:01:36,161 --> 00:01:37,298 Another in the thigh. 33 00:01:37,355 --> 00:01:39,659 Mine's an abdominal wound and a shot to the right humerus. 34 00:01:39,684 --> 00:01:42,065 I applied a tourniquet to try and stabilize his pressure, 35 00:01:42,090 --> 00:01:43,580 but it's still dropping in critical. 36 00:01:43,605 --> 00:01:44,625 Pressure right there. 37 00:01:44,650 --> 00:01:46,713 There might not be anything else you can do for him. 38 00:01:46,738 --> 00:01:47,800 Well, maybe if I... 39 00:01:47,825 --> 00:01:49,683 Maybe if I bolus him with fluids, 40 00:01:49,708 --> 00:01:52,386 we'll keep him going until we can activate massive contusion. 41 00:01:52,861 --> 00:01:55,300 - (GUNFIRE) - Get down, get down. 42 00:01:56,358 --> 00:01:57,859 (MACHINES BEEPING) 43 00:01:58,222 --> 00:02:00,691 (GASPING) 44 00:02:01,382 --> 00:02:04,891 (HIGH-PITCHED RINGING) 45 00:02:08,970 --> 00:02:11,195 (WOMAN OVER PA SYSTEM): Lights on. 46 00:02:11,220 --> 00:02:13,552 That concludes the active shooter drill. 47 00:02:13,577 --> 00:02:15,488 - God... - Thank you everyone. 48 00:02:15,863 --> 00:02:18,723 Well, I lost mine, how'd you manage to stabilize yours? 49 00:02:20,718 --> 00:02:22,132 Bash? 50 00:02:22,706 --> 00:02:24,007 Bash? 51 00:02:24,542 --> 00:02:27,934 Hey, don't worry, I was going to die no matter what you did. 52 00:02:28,394 --> 00:02:31,236 (SOFT PIANO MUSIC) 53 00:02:34,556 --> 00:02:36,257 And now we find out how we did. 54 00:02:36,282 --> 00:02:37,883 My guy was gonna die all along. 55 00:02:37,908 --> 00:02:39,771 If I had no hope of saving him, what was the point? 56 00:02:39,796 --> 00:02:41,834 Maybe that was the point. To see how you'd handle it. 57 00:02:41,859 --> 00:02:44,507 - Well then, I failed. - Pretty sure it's not pass or fail. 58 00:02:44,532 --> 00:02:46,194 Whole purpose of the drill is to make sure 59 00:02:46,219 --> 00:02:47,890 we're prepared for the real thing. 60 00:02:48,714 --> 00:02:50,709 (BISHOP): Alright, thanks. 61 00:02:50,734 --> 00:02:53,972 We're gonna have a full post-mortem with the observers tomorrow. 62 00:02:53,997 --> 00:02:55,764 We're gonna review the tape, 63 00:02:55,789 --> 00:02:58,974 and we're gonna discuss any course corrections in depth. 64 00:02:59,163 --> 00:03:00,164 In the interim, 65 00:03:00,189 --> 00:03:02,810 I want you to think about how you're feeling right now. 66 00:03:02,846 --> 00:03:05,913 And how you responded to the situations you've faced. 67 00:03:06,046 --> 00:03:08,858 You were trying to solve a problem that couldn't be solved. 68 00:03:08,883 --> 00:03:11,272 You should've called that patient and moved on. 69 00:03:11,297 --> 00:03:14,452 Learn to control what you can, and let go of what you can't. 70 00:03:14,477 --> 00:03:17,662 Right? You're an island. But you work on a team. 71 00:03:17,687 --> 00:03:19,102 You could've stopped the bleeding quicker 72 00:03:19,127 --> 00:03:21,312 if you'd let Dr. Hamed help you get supplies. 73 00:03:22,959 --> 00:03:26,834 Calm under pressure, no surprise there, but you took huge risks. 74 00:03:26,866 --> 00:03:29,357 You can't save lives if you've sacrificed your own. 75 00:03:29,586 --> 00:03:31,507 Huh? Alright. 76 00:03:31,924 --> 00:03:34,883 (SOFT MUSIC) 77 00:03:46,755 --> 00:03:51,250 - Synced and corrected by martythecrazy - - www.addic7ed.com - 78 00:03:51,983 --> 00:03:53,953 (ELEVATOR DINGING) 79 00:04:04,191 --> 00:04:05,896 Changed your mind? 80 00:04:06,378 --> 00:04:08,792 I... I pressed the wrong button. 81 00:04:11,505 --> 00:04:13,974 Heard there was an active shooter drill today. 82 00:04:15,858 --> 00:04:17,903 Always cracks a few residents. 83 00:04:18,276 --> 00:04:19,869 Did your patient fake die? 84 00:04:19,894 --> 00:04:21,799 Fake lived, actually. 85 00:04:23,745 --> 00:04:26,434 (SIGHING) 86 00:04:31,338 --> 00:04:32,960 Mr. Gomes? 87 00:04:33,208 --> 00:04:34,567 I'm Dr. Hamed. 88 00:04:34,592 --> 00:04:36,436 I understand you've been experiencing some 89 00:04:36,461 --> 00:04:38,436 chest pains and dizziness. 90 00:04:39,041 --> 00:04:41,131 - When did this start? - Earlier this week. 91 00:04:41,162 --> 00:04:43,986 I was trying to ignore it, 92 00:04:44,011 --> 00:04:46,346 but I think that was a bad idea because... 93 00:04:46,533 --> 00:04:48,686 now my left arm is tingling. 94 00:04:50,359 --> 00:04:51,913 Deep breath. 95 00:04:53,905 --> 00:04:56,307 It can't be... it can't be a heart attack, right? 96 00:04:56,332 --> 00:04:57,983 I mean, I'm too young. 97 00:04:58,874 --> 00:05:00,608 Are you a smoker, Mr. Gomes? 98 00:05:00,731 --> 00:05:03,164 Kevin. No, never. 99 00:05:03,571 --> 00:05:05,633 I got scared straight by that 100 00:05:05,658 --> 00:05:08,320 shrivelled lung they showed us in sixth grade. 101 00:05:09,344 --> 00:05:12,154 Any family history of heart problems? 102 00:05:12,333 --> 00:05:14,034 Not that I know of. 103 00:05:14,235 --> 00:05:16,623 They don't keep me in the loop on everything. 104 00:05:17,155 --> 00:05:19,690 (INDISTINCT CHATTERING) 105 00:05:26,195 --> 00:05:29,431 Hello, I'm Dr. Leblanc. 106 00:05:30,328 --> 00:05:32,696 You're from Station 19 around the corner? 107 00:05:32,721 --> 00:05:34,322 Take a deep breath. 108 00:05:35,377 --> 00:05:37,025 Best post I've had. 109 00:05:37,197 --> 00:05:40,088 Busy, though. We stretched three times last night. 110 00:05:40,113 --> 00:05:41,189 Mm. 111 00:05:41,550 --> 00:05:43,403 Do you wear a respirator? 112 00:05:44,523 --> 00:05:46,452 The tanks are only good for 20 minutes, 113 00:05:46,713 --> 00:05:48,447 sometimes we're in longer. 114 00:05:48,780 --> 00:05:51,949 They're heavy, so we just ditch them when they run out. 115 00:05:52,438 --> 00:05:54,109 Did you run out last night? 116 00:05:54,757 --> 00:05:56,090 Yeah. 117 00:05:56,752 --> 00:05:59,132 We pulled a couple from a bad house fire. 118 00:05:59,898 --> 00:06:02,140 Got in as fast as we could, but they didn't make it. 119 00:06:02,671 --> 00:06:05,104 Have you ever been diagnosed with high blood pressure? 120 00:06:05,129 --> 00:06:09,158 No. I eat right, I exercise, 121 00:06:09,183 --> 00:06:10,914 I don't drink. 122 00:06:11,115 --> 00:06:14,751 I just can't catch a break right now. 123 00:06:15,189 --> 00:06:18,379 First I, uh... First I lose my job, and then... 124 00:06:19,131 --> 00:06:20,998 And then I had to move. 125 00:06:21,054 --> 00:06:22,787 (LABOURED BREATHING) 126 00:06:22,812 --> 00:06:25,511 Deep breath. Deep breath. 127 00:06:28,030 --> 00:06:30,465 (SOFT MUSIC) 128 00:06:32,200 --> 00:06:34,869 Alright. Your blood pressure is high, 129 00:06:34,894 --> 00:06:37,620 and your heart rate has elevated since you got here. 130 00:06:38,395 --> 00:06:40,144 Is that what you were feeling before? 131 00:06:40,248 --> 00:06:42,362 What do you... What do you think is wrong with me? 132 00:06:42,387 --> 00:06:43,888 Um, we'll order some tests. 133 00:06:44,147 --> 00:06:47,450 Uh, some blood work and an ECG, and uh... 134 00:06:48,788 --> 00:06:51,286 Try not to worry, this is standard procedure. 135 00:06:51,436 --> 00:06:53,646 Right. Thanks, Doc. 136 00:06:54,180 --> 00:06:56,459 My dad was a firefighter, 137 00:06:56,576 --> 00:06:59,389 and he always said you save the next one. 138 00:06:59,414 --> 00:07:00,914 Yeah. 139 00:07:02,461 --> 00:07:04,091 Okay. 140 00:07:05,615 --> 00:07:08,162 Mm. Your nails are blue. 141 00:07:08,245 --> 00:07:09,710 How long have they been like that? 142 00:07:09,735 --> 00:07:11,569 They are? I dunno. 143 00:07:12,843 --> 00:07:15,435 And your O2 sats are 88%. 144 00:07:16,247 --> 00:07:18,749 I want to send you for pulmonary function testing. 145 00:07:18,865 --> 00:07:21,344 I've been doing this ten years. I bounce back every time. 146 00:07:21,369 --> 00:07:23,617 Yeah, I don't doubt it. But you're here now, 147 00:07:23,642 --> 00:07:25,529 so better be safe than sorry, right? 148 00:07:28,232 --> 00:07:30,300 (COUGHS) 149 00:07:34,087 --> 00:07:36,303 If the thing you loved was slowly killing you, 150 00:07:36,328 --> 00:07:37,929 would you, A, stop and save yourself, 151 00:07:37,954 --> 00:07:39,955 or B, continue and risk it? 152 00:07:40,021 --> 00:07:42,429 I would decide not to follow you down this particular 153 00:07:42,454 --> 00:07:44,281 rabbit hole today. 154 00:07:44,972 --> 00:07:46,785 Oh my God, it's your birthday! 155 00:07:47,268 --> 00:07:49,594 I baked cupcakes and I totally forgot about them. 156 00:07:49,619 --> 00:07:51,553 When do you have time to bake? 157 00:07:51,613 --> 00:07:53,380 I know, I needed something to relax me. 158 00:07:53,405 --> 00:07:55,850 You know what could help you to relax? Sleeping. 159 00:07:55,875 --> 00:07:58,844 - Did you do something special? - Mel threw the annual barbecue. 160 00:07:58,869 --> 00:08:01,458 Some friends, some family, some coconut cream pie. 161 00:08:01,483 --> 00:08:03,207 - Oh, that's nice. - It was. 162 00:08:03,232 --> 00:08:04,818 You know, usual suspects. 163 00:08:04,843 --> 00:08:07,395 We should shake things up and let's go for drinks tonight. 164 00:08:07,420 --> 00:08:10,138 - A kid in four is waiting for you. - Okay? 165 00:08:12,850 --> 00:08:14,283 How'd this happened? 166 00:08:14,633 --> 00:08:17,184 Rolled it during soccer practice, and wiped out. 167 00:08:17,630 --> 00:08:20,605 Could've walked it off, but Coach forced me to come. 168 00:08:20,890 --> 00:08:22,690 My mom's on her way. 169 00:08:23,117 --> 00:08:25,110 You should consider a beard. 170 00:08:25,426 --> 00:08:28,070 Beards are in. Plus it'll help with your chin. 171 00:08:28,347 --> 00:08:31,408 Okay, good to know. 172 00:08:31,637 --> 00:08:33,936 How's the pain on a scale from 1 to 10? 173 00:08:34,627 --> 00:08:36,228 Six. 174 00:08:37,430 --> 00:08:38,997 Eight when you do that! 175 00:08:39,276 --> 00:08:43,461 Well, it's probably a sprain, but we'll X-ray. 176 00:08:43,836 --> 00:08:45,623 Either way, you're gonna have to rest it. 177 00:08:45,698 --> 00:08:47,466 But playoffs are coming up. 178 00:08:47,491 --> 00:08:48,773 But you gotta think long-term. 179 00:08:48,798 --> 00:08:51,052 You push it now, it could only make it worse. 180 00:08:52,244 --> 00:08:55,863 And uh, I'll get a nurse in here disinfect these scrapes. 181 00:08:56,123 --> 00:08:59,223 - Does it hurt when I press? - No. All good. 182 00:09:00,221 --> 00:09:01,789 What happened to your ribs? 183 00:09:01,817 --> 00:09:03,652 Nothing. They're fine. 184 00:09:06,174 --> 00:09:07,842 Danny is binding. 185 00:09:08,072 --> 00:09:11,475 If it wasn't on the chart, I'd never have known he was born a girl. 186 00:09:11,500 --> 00:09:12,900 What did he say? 187 00:09:12,925 --> 00:09:14,066 Not much, 188 00:09:14,091 --> 00:09:16,852 he clammed up when I asked about the tensor bandage. 189 00:09:17,768 --> 00:09:19,433 I'm worried he's cutting off circulation. 190 00:09:19,458 --> 00:09:20,622 What's the protocol? 191 00:09:20,744 --> 00:09:22,633 Is this your first transgender patient? 192 00:09:22,658 --> 00:09:25,239 No, I saw some adults when I was doing residency, 193 00:09:25,264 --> 00:09:26,991 but never someone this young. 194 00:09:27,016 --> 00:09:29,965 But I'm just treating this kid for a sprained ankle. 195 00:09:30,132 --> 00:09:33,092 He may not have anyone he trusts to help him with this. 196 00:09:33,587 --> 00:09:36,331 (SOUNDS MUFFLING) 197 00:09:36,791 --> 00:09:39,253 (HIGH-PITCHED RINGING) 198 00:09:40,027 --> 00:09:42,128 (SOUNDS RETURNING TO NORMAL) Sorry. 199 00:09:42,406 --> 00:09:45,152 Sir, you really have to hold still, okay? Ah!! 200 00:09:45,177 --> 00:09:47,105 (BASHIR): Uh, nurse? 201 00:09:56,547 --> 00:10:00,621 Ugh... So stupid. I should've had security there. 202 00:10:01,512 --> 00:10:02,957 Dr. Curtis, are you okay? 203 00:10:02,982 --> 00:10:06,852 Yeah, just blood splatter from a displaced IV. 204 00:10:06,877 --> 00:10:09,052 The patient is an intravenous user. 205 00:10:09,077 --> 00:10:10,878 You need to fill out an incident report. 206 00:10:10,903 --> 00:10:14,472 Get blood work on him, including HIV, Hep B, Hep C. 207 00:10:14,497 --> 00:10:16,622 I want you to start PEP immediately. 208 00:10:16,647 --> 00:10:19,348 Uh, I have surgery today, so... 209 00:10:19,373 --> 00:10:21,016 Not anymore. 210 00:10:21,816 --> 00:10:24,270 - I can draw your blood. - I'll go to the lab. 211 00:10:24,622 --> 00:10:27,940 (SUSPENSEFUL MUSIC) 212 00:10:31,356 --> 00:10:34,967 Blood work is normal, as is your ECG, so no evidence of a heart attack. 213 00:10:34,992 --> 00:10:36,526 Then what was I feeling? 214 00:10:36,551 --> 00:10:39,620 You're tachycardic, which means you have an elevated heart rate. 215 00:10:39,645 --> 00:10:40,946 Is that serious? 216 00:10:40,971 --> 00:10:43,337 We need to determine the underlying cause. 217 00:10:43,362 --> 00:10:44,814 Do you still feel numbness? 218 00:10:44,839 --> 00:10:46,352 It... It comes and goes, 219 00:10:46,377 --> 00:10:48,544 along with this splitting headache. 220 00:10:48,732 --> 00:10:52,763 Well, the next step is an echo and then a stress test, but... 221 00:10:52,788 --> 00:10:54,075 What's happening to me? 222 00:10:54,100 --> 00:10:55,531 Kevin? 223 00:10:55,686 --> 00:10:58,020 (HIGH-PITCHED RINGING) 224 00:10:58,291 --> 00:11:00,786 (MUFFLED): I need help over here! 225 00:11:02,629 --> 00:11:05,451 You were saying something about an X-ray? 226 00:11:06,862 --> 00:11:09,420 We'll get you one right away, now just give me a minute. 227 00:11:09,951 --> 00:11:12,633 (SUSPENSEFUL MUSIC) 228 00:11:18,106 --> 00:11:21,473 Kevin Gomes, the heart patient. Is he in the echo lab? 229 00:11:21,922 --> 00:11:24,684 Uh no, you sent him for a CT to rule out stroke. 230 00:11:25,127 --> 00:11:26,460 When? 231 00:11:26,485 --> 00:11:28,689 About an hour ago. 232 00:12:25,140 --> 00:12:27,742 Arnold, have you seen my patient Kevin Gomes? 233 00:12:27,767 --> 00:12:29,467 Porters are bringing him back down. 234 00:12:29,492 --> 00:12:31,059 Why, thought you lost him? 235 00:12:31,084 --> 00:12:33,003 No, just uh... 236 00:12:38,420 --> 00:12:40,187 Hey, you forget something bud? 237 00:12:40,364 --> 00:12:42,991 - You left this in the lounge. - Thank you. 238 00:12:43,562 --> 00:12:46,464 (SUSPENSEFUL MUSIC) 239 00:12:51,174 --> 00:12:53,774 I'm Amanda Gomes, you left me a message? 240 00:12:54,465 --> 00:12:57,800 Uh, Dr. Hamed. You're Kevin Gomes's emergency contact? 241 00:12:57,825 --> 00:12:59,921 His sister, yes. Is he okay? 242 00:12:59,946 --> 00:13:02,371 I'm just about to pick up his latest test results. 243 00:13:02,396 --> 00:13:04,925 Did Kevin ask you to call me? 244 00:13:04,950 --> 00:13:07,714 It's protocol when somebody loses consciousness. 245 00:13:07,851 --> 00:13:09,816 He lost consciousness? 246 00:13:10,232 --> 00:13:12,125 What happened? Where is he? 247 00:13:12,476 --> 00:13:15,997 Um, if you check at the nurse's desk, they'll be able to direct you. 248 00:13:16,022 --> 00:13:17,673 I'll be there shortly. 249 00:13:21,326 --> 00:13:23,178 Why did you even come here? 250 00:13:23,243 --> 00:13:24,420 I want to help you! 251 00:13:24,445 --> 00:13:26,435 You being here only makes things worse! 252 00:13:26,460 --> 00:13:29,389 If you really want to help me, you'll leave. 253 00:13:31,045 --> 00:13:32,729 Take care of him. 254 00:13:36,871 --> 00:13:38,683 You called my sister? 255 00:13:38,986 --> 00:13:41,847 You collapsed. We had her on file from a prior visit... 256 00:13:41,872 --> 00:13:44,040 You shouldn't have called her. My family is... 257 00:13:44,613 --> 00:13:46,661 They don't know how to handle this kind of thing. 258 00:13:47,485 --> 00:13:49,610 Well, good news, your CT came back clear. 259 00:13:49,635 --> 00:13:51,135 No sign of a stroke. 260 00:13:51,399 --> 00:13:53,867 But we still don't know why I passed out? 261 00:13:54,672 --> 00:13:57,270 It could be a cardiogenic syncope. 262 00:13:57,295 --> 00:13:59,374 Sometimes with an irregular heartbeat, 263 00:13:59,440 --> 00:14:01,835 your blood pressure drops suddenly. 264 00:14:02,069 --> 00:14:03,667 Is your headache worse? 265 00:14:03,692 --> 00:14:08,223 Like a dull creeping ache across the back of my skull. 266 00:14:08,883 --> 00:14:10,753 Could you have missed something? 267 00:14:10,778 --> 00:14:12,750 Doctors make mistakes all the time, right? 268 00:14:12,829 --> 00:14:15,464 Uh, we'll order an MRI. 269 00:14:15,821 --> 00:14:19,442 It can detect subtleties that sometimes a CT can't. 270 00:14:20,744 --> 00:14:23,378 Four weeks. No training. 271 00:14:23,594 --> 00:14:25,690 Seriously? That's like forever. 272 00:14:25,715 --> 00:14:27,867 It'll fly by before you know it. 273 00:14:28,827 --> 00:14:30,871 But listen... 274 00:14:31,789 --> 00:14:35,125 When you rewrap your other tensor, 275 00:14:35,443 --> 00:14:36,919 go easy. 276 00:14:37,309 --> 00:14:39,844 Too tight, and it can cause other problems. 277 00:14:40,642 --> 00:14:42,509 Too loose, and they'll still show. 278 00:14:42,534 --> 00:14:45,017 You can buy compression chest binders. 279 00:14:45,042 --> 00:14:46,712 They are easier on your skin. 280 00:14:46,737 --> 00:14:49,065 Still, you shouldn't wear them more than eight hours a day. 281 00:14:49,090 --> 00:14:50,355 Yeah, but... 282 00:14:50,591 --> 00:14:52,926 you need a credit card to buy them online. 283 00:14:52,994 --> 00:14:55,423 So your parents don't know that you're... 284 00:14:55,448 --> 00:14:57,002 A boy? 285 00:14:59,103 --> 00:15:01,000 They're fine with the pronouns 286 00:15:01,025 --> 00:15:04,384 and keeping my hair short, and wearing boy's clothes, but... 287 00:15:04,973 --> 00:15:06,507 that's about it. 288 00:15:06,532 --> 00:15:08,266 They don't know that you bind. 289 00:15:08,384 --> 00:15:11,161 I don't know, we don't talk about it. 290 00:15:13,273 --> 00:15:15,307 I know about gender dysphoria. 291 00:15:16,250 --> 00:15:18,502 I've seen a therapist a couple times for it. 292 00:15:18,651 --> 00:15:20,169 Okay. 293 00:15:22,123 --> 00:15:24,382 Is there anything I can do to help? 294 00:15:24,725 --> 00:15:26,593 I want top surgery. 295 00:15:27,428 --> 00:15:28,804 (SUSPENSEFUL MUSIC) 296 00:15:29,021 --> 00:15:30,931 (INDISTINCT CHATTERING) 297 00:15:31,171 --> 00:15:34,441 Okay, Danny wants a double mastectomy. 298 00:15:34,466 --> 00:15:36,090 He asked you to help him get it? 299 00:15:36,341 --> 00:15:38,956 Thirteen's pretty young to make a call on gender reassignment. 300 00:15:39,135 --> 00:15:41,771 So, you're on the conservative side of the medical? 301 00:15:41,796 --> 00:15:43,129 The kid is still growing. 302 00:15:43,154 --> 00:15:46,183 And we don't have proper long-term studies on hormones. 303 00:15:46,287 --> 00:15:48,591 If he's considering it, he should know the risks. 304 00:15:48,616 --> 00:15:51,749 Hmm, well, it's a little outside the lines of emergency medicine. 305 00:15:51,774 --> 00:15:53,607 You sure you want to wade into this? 306 00:15:53,632 --> 00:15:56,034 I want to make sure he has the support he needs. 307 00:15:56,457 --> 00:16:00,322 When the mother comes in, I'd... I'd like to talk to her. 308 00:16:01,157 --> 00:16:03,025 Well, let me know what you need. 309 00:16:03,381 --> 00:16:05,950 (INDISTINCT BACKGROUND CHATTERING) 310 00:16:06,271 --> 00:16:09,271 Does your patient know what triggered this event? 311 00:16:09,411 --> 00:16:11,111 He thinks so. 312 00:16:11,980 --> 00:16:13,732 And you said he lost time. 313 00:16:13,757 --> 00:16:15,209 About an hour's worth. 314 00:16:15,235 --> 00:16:17,469 He can't remember anything over that span. 315 00:16:17,592 --> 00:16:20,427 Well, sounds like a dissociative event. 316 00:16:21,172 --> 00:16:22,886 Right. 317 00:16:23,056 --> 00:16:25,667 He retraced his steps, 318 00:16:25,692 --> 00:16:28,763 and he functioned perfectly throughout. No one even noticed. 319 00:16:28,788 --> 00:16:32,248 With dissociation, the patient's emotional centre detaches 320 00:16:32,282 --> 00:16:35,284 but his decision-making and instincts remain the same. 321 00:16:36,048 --> 00:16:38,610 Is this something he has a history of? 322 00:16:39,617 --> 00:16:42,140 Sometimes he says he zones out. 323 00:16:42,165 --> 00:16:43,866 But no, nothing like this. 324 00:16:44,524 --> 00:16:46,617 Normally when I'm being referred to a patient, 325 00:16:46,642 --> 00:16:48,437 there's a chart of some kind. 326 00:16:48,957 --> 00:16:51,659 - I'm just gathering information. - Mm. 327 00:16:51,773 --> 00:16:55,220 You said you have experience with PTSD. 328 00:16:55,245 --> 00:16:58,080 Yes, I do, and with post-traumatic stress injuries, 329 00:16:58,105 --> 00:16:59,906 the only way out is through. 330 00:17:00,410 --> 00:17:03,135 You should encourage your patient to get therapy. 331 00:17:03,818 --> 00:17:05,519 And if he's not ready for that? 332 00:17:05,544 --> 00:17:07,905 Well, does he have a good support system? 333 00:17:07,930 --> 00:17:09,564 Family, friends? 334 00:17:09,658 --> 00:17:10,925 (DISTANT SIRENS) 335 00:17:11,049 --> 00:17:12,983 He would rather not involve them. 336 00:17:13,008 --> 00:17:15,690 Mm. Well, maybe he should start. 337 00:17:32,463 --> 00:17:35,184 Why are you looking at the discharged patients' files? 338 00:17:35,209 --> 00:17:38,504 I'm checking to make sure there's nothing I missed today. 339 00:17:39,777 --> 00:17:42,331 Sometimes it... it all feels like it all blends together 340 00:17:42,356 --> 00:17:45,049 Mm. I'd trade you if I could. I remember every patient. 341 00:17:45,074 --> 00:17:46,658 Every detail. It's like a curse. 342 00:17:46,683 --> 00:17:48,674 Can't remember what I had for breakfast, though. 343 00:17:48,699 --> 00:17:50,600 (MAGS CHUCKLING) 344 00:17:52,037 --> 00:17:53,605 I can help you review if you want. 345 00:17:53,630 --> 00:17:55,270 If you're worried you missed something. 346 00:17:55,295 --> 00:17:57,229 Doesn't look like I did. 347 00:17:57,254 --> 00:17:59,111 Did you get your antivirals? 348 00:17:59,136 --> 00:18:00,157 Check. 349 00:18:00,182 --> 00:18:01,852 Why are you still here? You can't see patients. 350 00:18:01,877 --> 00:18:04,145 - I have files to finish. - We can cover that. 351 00:18:04,170 --> 00:18:07,213 Why? If I have something, I'm gonna have it at home too. 352 00:18:08,838 --> 00:18:11,440 Hey, your results are in from Respiratory. 353 00:18:11,465 --> 00:18:12,704 Perfect. 354 00:18:12,729 --> 00:18:15,208 - Absolutely not. - Jessica. 355 00:18:15,233 --> 00:18:18,271 Last night was a grind. I came in for O2 and an all-clear. 356 00:18:18,296 --> 00:18:19,491 I'm not sidelining myself. 357 00:18:19,516 --> 00:18:21,227 Jessica, you may have COPD. 358 00:18:21,252 --> 00:18:23,412 You said my chest X-ray was clear of cancer. 359 00:18:23,437 --> 00:18:24,532 That's good enough for me. 360 00:18:24,557 --> 00:18:26,618 Your lung capacity is significantly reduced. 361 00:18:26,643 --> 00:18:28,133 Ignoring this could actually kill you. 362 00:18:28,158 --> 00:18:30,492 - Well, so could a fire. - Listen, it's just a few tests! 363 00:18:30,517 --> 00:18:32,687 It's a consult with one of our respirologists. 364 00:18:32,712 --> 00:18:34,289 Let me help you get this under control. 365 00:18:34,314 --> 00:18:36,742 Look, I know you're doing your job, but I gotta do mine. 366 00:18:36,767 --> 00:18:40,570 My dad did this job 'til he was 50, I'm not about to give it up. 367 00:18:40,595 --> 00:18:42,400 Well, if you leave against medical advice, 368 00:18:42,425 --> 00:18:45,602 I need you to sign something that says you understand the risks. 369 00:18:47,387 --> 00:18:48,558 No problem. 370 00:18:48,876 --> 00:18:51,597 I'm sorry, he shouldn't have gotten you involved. 371 00:18:52,633 --> 00:18:55,807 - We've been through this. - Eighteen is too long to wait! 372 00:18:55,832 --> 00:18:57,734 We had a long talk with his pediatrician, 373 00:18:57,759 --> 00:19:00,455 and we all agreed we won't even consider surgery until 374 00:19:00,480 --> 00:19:02,853 - Danny is an adult. - I don't agree! 375 00:19:03,264 --> 00:19:04,564 What do you think? 376 00:19:04,734 --> 00:19:07,990 I think holding off on a surgical procedure 377 00:19:08,270 --> 00:19:09,412 is a wise decision. 378 00:19:09,529 --> 00:19:12,123 - You're on her side?! - I'm on your side. 379 00:19:12,474 --> 00:19:14,575 Surgery is a big commitment. 380 00:19:14,643 --> 00:19:16,810 - Your body is still changing. - That's the point! 381 00:19:16,835 --> 00:19:19,634 - I need it to stop! - Danny, you're thirteen! 382 00:19:19,796 --> 00:19:21,530 I know what I want! 383 00:19:21,555 --> 00:19:24,079 - You pass as a boy. - With breasts! 384 00:19:24,369 --> 00:19:26,611 They won't let me play for the guy's soccer team. 385 00:19:26,636 --> 00:19:28,134 What if this is a phase? 386 00:19:28,159 --> 00:19:29,784 You think I'm just gonna get over it?! 387 00:19:29,809 --> 00:19:31,744 Yes! You might! 388 00:19:33,304 --> 00:19:36,963 Look, when we get home, we can talk some more. 389 00:19:36,988 --> 00:19:38,308 Okay? 390 00:19:40,050 --> 00:19:41,386 You don't believe me 391 00:19:41,557 --> 00:19:43,097 Come on Danny. 392 00:19:43,406 --> 00:19:45,065 No one is saying that. 393 00:19:45,090 --> 00:19:47,024 She just did. 394 00:19:49,446 --> 00:19:51,112 You're all the same. 395 00:19:54,193 --> 00:19:57,175 - Good night, sir. - You ordered a CT, an ECG 396 00:19:57,200 --> 00:19:59,683 and an MRI for the patient in two? 397 00:19:59,935 --> 00:20:02,058 Along with Kevin's racing heart, 398 00:20:02,083 --> 00:20:03,554 headaches, and slurred speech, 399 00:20:03,579 --> 00:20:06,430 he's also presenting with severe abdominal pain. 400 00:20:06,455 --> 00:20:08,222 The nurses say he's vomited several times. 401 00:20:08,247 --> 00:20:10,482 I looked at the MRI. He hasn't had a stroke. 402 00:20:10,507 --> 00:20:12,777 - Mm-hmm. - You were expecting that? 403 00:20:12,802 --> 00:20:14,480 Does that mean you have a theory? 404 00:20:15,141 --> 00:20:18,141 There may be nothing wrong with him at all. 405 00:20:19,134 --> 00:20:20,501 Keep talking. 406 00:20:20,553 --> 00:20:24,305 I think Kevin's tachycardia's brought on by a stress reaction. 407 00:20:24,469 --> 00:20:26,217 And yet he's still here. 408 00:20:26,373 --> 00:20:28,374 Are you saying you want me to send him home? 409 00:20:28,502 --> 00:20:31,279 I'm saying you better have a very good reason if you don't. 410 00:20:31,508 --> 00:20:33,842 (SUSPENSEFUL MUSIC) 411 00:20:48,437 --> 00:20:50,238 (DOOR OPENING) 412 00:20:56,619 --> 00:20:58,320 Are you going somewhere? 413 00:20:58,421 --> 00:21:00,549 Daneesha's, remember? 414 00:21:00,574 --> 00:21:02,079 You said I can sleep over. 415 00:21:02,104 --> 00:21:03,875 It's Friday already? 416 00:21:05,339 --> 00:21:08,506 I thought we could make our own pizzas again 417 00:21:09,346 --> 00:21:11,414 She asked for me to eat there. 418 00:21:11,439 --> 00:21:13,140 Her cousins are coming over too. 419 00:21:13,273 --> 00:21:14,803 That will be fun. 420 00:21:15,564 --> 00:21:18,038 Will you be okay alone? 421 00:21:18,115 --> 00:21:20,058 You think I need a babysitter? 422 00:21:20,483 --> 00:21:24,121 (CHUCKLES) Only sometimes. How was work? 423 00:21:24,146 --> 00:21:27,107 It was fine. I'll walk you over. 424 00:21:27,692 --> 00:21:29,485 (DISTANT SIRENS) 425 00:21:29,510 --> 00:21:31,441 (THEO): Look, the next one's on you. 426 00:21:31,858 --> 00:21:35,116 (UPBEAT MUSIC PLAYING) 427 00:21:40,067 --> 00:21:41,968 Hey! You made it! 428 00:21:42,958 --> 00:21:45,334 He's the best. 429 00:21:46,917 --> 00:21:48,587 Happy birthday. 430 00:21:49,234 --> 00:21:51,924 It's a Baharat. A spice mix we use at home. 431 00:21:51,949 --> 00:21:53,449 Amira toasts it. 432 00:21:53,474 --> 00:21:56,144 Thanks, man. Uh Aiden Miller. 433 00:21:56,169 --> 00:21:58,337 Surgeon. We were in the same year in med school. 434 00:21:58,362 --> 00:21:59,562 Bashir. 435 00:21:59,794 --> 00:22:01,600 (AIDEN): Go, big guy. 436 00:22:02,102 --> 00:22:05,339 Mm. You haven't changed a bit. 437 00:22:05,408 --> 00:22:06,908 That is not true. 438 00:22:06,933 --> 00:22:09,735 Says the guy who's wearing the same khakis he wore to graduation 439 00:22:09,760 --> 00:22:11,976 When I find pants that fit, I stick with them! 440 00:22:12,001 --> 00:22:13,783 There's nothing wrong with that. Am I right? 441 00:22:13,808 --> 00:22:15,658 - No, he's right. - I'm right. (LAUGHING) 442 00:22:15,683 --> 00:22:17,642 (LOU): You sure you don't want something? 443 00:22:17,667 --> 00:22:19,467 Early surgery tomorrow, so... 444 00:22:19,591 --> 00:22:21,337 So you're not coming over later? 445 00:22:21,545 --> 00:22:23,705 Don't you have your son? 446 00:22:23,730 --> 00:22:25,074 He's with his mom. 447 00:22:25,099 --> 00:22:26,863 Can I get a soda with lime, please. 448 00:22:26,888 --> 00:22:29,926 Oh, so y'all are gonna make me drink alone? 449 00:22:31,097 --> 00:22:33,841 - Are you okay? - Never better. 450 00:22:35,032 --> 00:22:36,887 Hey, hey, hey! 451 00:22:36,912 --> 00:22:39,263 It's my favourite not-a-couple! 452 00:22:39,386 --> 00:22:41,891 (MAGS LAUGHING) Wait, so you're here together? 453 00:22:42,334 --> 00:22:45,303 That means you're here together. 454 00:22:45,328 --> 00:22:46,561 Right? 455 00:22:46,586 --> 00:22:49,189 Are you still thinking about your fake patient fake dying? 456 00:22:49,399 --> 00:22:51,367 No, no, no. I've let that go. 457 00:22:51,392 --> 00:22:52,693 Oh. 458 00:22:53,036 --> 00:22:54,434 Okay, no I haven't. 459 00:22:54,459 --> 00:22:57,633 But I'm also thinking about this firefighter I saw today. 460 00:22:57,658 --> 00:23:01,238 COPD. And I tried getting her to see all the risks of ignoring it, 461 00:23:01,263 --> 00:23:04,324 and she just discharged herself to run right back into the fire. 462 00:23:04,567 --> 00:23:06,001 Sounds like no one I know. 463 00:23:06,026 --> 00:23:08,512 So basically you went from obsessing over a fake patient, 464 00:23:08,537 --> 00:23:09,837 to obsessing over a real one, 465 00:23:09,862 --> 00:23:11,840 both of which are outside of your control? 466 00:23:11,865 --> 00:23:14,734 I gave her all the intel, it wasn't enough to stop her. 467 00:23:15,031 --> 00:23:16,999 (INDISTINCT CHATTERING) 468 00:23:17,247 --> 00:23:20,304 (THEO): Joanie! The paramedics came out tonight too? 469 00:23:21,023 --> 00:23:22,515 I got you. 470 00:23:23,752 --> 00:23:25,475 (THEO CHUCKLES) 471 00:23:25,897 --> 00:23:28,563 How did I lose my wallet already? 472 00:23:28,631 --> 00:23:31,189 Sign of someone who's having a good birthday. 473 00:23:31,467 --> 00:23:33,481 - Yeah. - How old exactly? 474 00:23:33,506 --> 00:23:34,926 Thirty-two. 475 00:23:34,963 --> 00:23:37,207 One more year, and I've outlasted Jesus. 476 00:23:37,232 --> 00:23:38,973 (LAUGHING) Hey, what do you think? 477 00:23:38,998 --> 00:23:40,298 Should I... 478 00:23:40,835 --> 00:23:43,145 - Should I grow a beard? - Like Jesus? 479 00:23:43,170 --> 00:23:46,856 Ha! I was thinking more like... like a lumberjack. 480 00:23:46,881 --> 00:23:49,499 Yeah! Yeah, I think you could handle it. 481 00:23:49,524 --> 00:23:50,992 Thank you. 482 00:23:51,896 --> 00:23:56,585 (UPBEAT MUSIC) 483 00:23:58,647 --> 00:24:03,218 One more drink, and they'll cross over from lubricated to morose. 484 00:24:05,731 --> 00:24:07,465 Is that why you're hiding? 485 00:24:07,490 --> 00:24:10,895 I always hoping that a night out will help with a tough day. 486 00:24:11,108 --> 00:24:12,775 Do you want to talk about it? 487 00:24:12,842 --> 00:24:14,774 I'm really better a listener. 488 00:24:16,739 --> 00:24:19,733 But you're not much of a talker. 489 00:24:21,061 --> 00:24:22,740 In that case... 490 00:24:27,119 --> 00:24:28,706 Should we go? 491 00:24:30,014 --> 00:24:32,834 (DISTANT SIRENS) 492 00:24:36,049 --> 00:24:37,848 Organic... 493 00:24:38,645 --> 00:24:40,212 fair trade... 494 00:24:40,616 --> 00:24:43,470 dark orange. 495 00:24:43,964 --> 00:24:46,139 - You remembered. - Mm. 496 00:24:55,331 --> 00:24:57,275 That's it? 497 00:24:59,382 --> 00:25:00,892 That's all I want. 498 00:25:03,507 --> 00:25:04,895 Mm. 499 00:25:09,843 --> 00:25:12,207 Why don't you stay the night? 500 00:25:14,444 --> 00:25:16,002 We don't do that. 501 00:25:16,220 --> 00:25:17,787 (SOFT MUSIC) 502 00:25:19,061 --> 00:25:21,189 You could leave Eric, you know? 503 00:25:23,089 --> 00:25:24,474 For you? 504 00:25:24,617 --> 00:25:27,419 The workaholic with a hole in his head? 505 00:25:33,756 --> 00:25:35,223 Get some rest. 506 00:25:37,377 --> 00:25:40,401 (SOFT MUSIC) 507 00:26:20,706 --> 00:26:23,820 (PANTING) 508 00:26:28,405 --> 00:26:30,339 (SIRENS) 509 00:26:36,373 --> 00:26:38,146 Hey. Sorry to call you in so early. 510 00:26:38,171 --> 00:26:40,274 It's fine, Arnold, I asked you to. What's happening? 511 00:26:40,554 --> 00:26:42,589 Uh, Kevin took a turn for the worse. 512 00:26:47,342 --> 00:26:48,952 I know you said to send him home, 513 00:26:48,977 --> 00:26:50,797 but he could be having an aortic dissection, 514 00:26:50,822 --> 00:26:52,618 which, if went untreated, could be fatal. 515 00:26:52,643 --> 00:26:54,441 Because of the widened mediastinum? 516 00:26:54,466 --> 00:26:57,313 And because dissection already mimics everything I've tested for. 517 00:26:57,338 --> 00:27:00,907 - Heart attack, stroke... - Get him a CTA to confirm stat. 518 00:27:00,932 --> 00:27:02,852 Put cardio-thoracics on standby. 519 00:27:02,877 --> 00:27:05,404 If you're right, every second counts. 520 00:27:07,942 --> 00:27:09,741 Dr. Hunter! 521 00:27:09,897 --> 00:27:11,951 Paula? What, what happened? 522 00:27:11,976 --> 00:27:14,412 I found him trembling on the floor, 523 00:27:14,437 --> 00:27:16,571 he was burning up! He passed out on the way over! 524 00:27:16,596 --> 00:27:19,209 Hey. Danny? Can you hear me? 525 00:27:19,234 --> 00:27:20,835 Did he take anything? 526 00:27:20,860 --> 00:27:23,285 He said he bought testosterone off some guy at a gym. 527 00:27:23,310 --> 00:27:25,305 Would it do that to him? 528 00:27:25,330 --> 00:27:27,415 We need to get him inside. 529 00:27:27,440 --> 00:27:29,720 Mike, Mike! Bring a chair! 530 00:27:30,926 --> 00:27:32,527 Just take a step back. 531 00:27:32,836 --> 00:27:34,937 (SUSPENSEFUL MUSIC) 532 00:27:37,812 --> 00:27:39,937 Alright... 533 00:27:44,116 --> 00:27:46,351 I need a resus, stat! 534 00:27:47,726 --> 00:27:49,308 Code pink! Trauma bay! 535 00:27:49,333 --> 00:27:50,704 Heart rate elevated. 536 00:27:50,729 --> 00:27:53,798 Hyperthermic, temp is 39 and rising. 537 00:27:53,823 --> 00:27:55,164 Cooling packs. 538 00:27:55,189 --> 00:27:57,235 He may have ingested some form of amphetamine. 539 00:27:57,260 --> 00:27:58,736 Start 1 mg Lorazepam. 540 00:27:58,761 --> 00:28:01,210 (CLAIRE): Rate's spiking! Temp won't stabilize! 541 00:28:01,235 --> 00:28:03,462 (THEO): Normal, give me that syringe. 542 00:28:04,188 --> 00:28:06,422 (MACHINES BEEPING RAPIDLY) 543 00:28:11,115 --> 00:28:13,137 Can I get a flesh? 544 00:28:17,616 --> 00:28:19,602 Okay, okay. 545 00:28:22,404 --> 00:28:24,941 (CLAIRE): 110... 106... 546 00:28:27,481 --> 00:28:31,197 100... 99! 547 00:28:31,453 --> 00:28:33,614 Okay, start fluids, get a CBC, 548 00:28:33,639 --> 00:28:35,680 lytes, and a CK to check if there's rhabdo. 549 00:28:35,705 --> 00:28:37,102 Tell lab to rush a full tox screen. 550 00:28:37,127 --> 00:28:39,039 - Okay. - Oh, my baby! 551 00:28:39,238 --> 00:28:41,708 (MOTHER CRYING) 552 00:28:45,612 --> 00:28:48,140 And finally after every test that I ran, 553 00:28:48,165 --> 00:28:50,272 my patient's CTA is normal. 554 00:28:50,883 --> 00:28:52,803 So what's next, Dr. Hamed? 555 00:28:53,007 --> 00:28:55,100 Full-body PET scan? 556 00:28:55,667 --> 00:28:58,135 A course of prophylactic chemotherapy? 557 00:28:59,000 --> 00:29:01,402 There is nothing physically wrong with Kevin Gomes. 558 00:29:01,466 --> 00:29:03,100 You knew that ages ago. 559 00:29:03,262 --> 00:29:04,996 I could have missed something. 560 00:29:05,135 --> 00:29:07,504 You've never doubted your instinct before. Why now? 561 00:29:08,151 --> 00:29:10,186 Why do you think you've missed something? 562 00:29:11,241 --> 00:29:14,709 Next time this happens, don't keep it to yourself. 563 00:29:14,996 --> 00:29:16,545 Come and talk to me. 564 00:29:18,336 --> 00:29:20,369 Your labs aren't back yet, 565 00:29:20,674 --> 00:29:23,658 but your vitals have stabilized. You're doing good. 566 00:29:24,071 --> 00:29:25,837 What do you care? 567 00:29:27,317 --> 00:29:28,651 I care. 568 00:29:29,940 --> 00:29:32,441 Your mom cares too. We all do. 569 00:29:34,790 --> 00:29:37,158 If she did, she'd do something. 570 00:29:38,349 --> 00:29:39,970 Your mom is scared. 571 00:29:41,094 --> 00:29:43,159 I saw the way she looked when she brought you in, 572 00:29:43,184 --> 00:29:45,206 she loves you very much, Danny. 573 00:29:45,355 --> 00:29:47,690 Not enough to let me have surgery. 574 00:29:48,676 --> 00:29:51,245 Mastectomy is a big deal 575 00:29:52,711 --> 00:29:54,229 Look at me. 576 00:29:55,439 --> 00:29:56,909 What do you see? 577 00:29:59,096 --> 00:30:00,370 Right. 578 00:30:02,347 --> 00:30:04,214 Do you know what it's like? 579 00:30:05,563 --> 00:30:07,596 I feel caught in between. 580 00:30:09,372 --> 00:30:12,250 I just wanna be like the rest of the guys. 581 00:30:13,856 --> 00:30:16,320 I can't live a lie 582 00:30:16,607 --> 00:30:18,469 another four years. 583 00:30:18,907 --> 00:30:21,937 (SOFT MUSIC) 584 00:30:25,348 --> 00:30:27,351 Are they in yet? Your results. 585 00:30:27,376 --> 00:30:28,445 I haven't checked. 586 00:30:28,470 --> 00:30:30,287 June, it's okay if you're worried, you know. 587 00:30:30,312 --> 00:30:31,563 - I'm fine. - Incoming! 588 00:30:31,588 --> 00:30:32,831 Woman collapsed in a fire. 589 00:30:32,856 --> 00:30:34,524 That's all I know. 590 00:30:36,015 --> 00:30:38,531 Female, 33, unconscious. 591 00:30:38,556 --> 00:30:41,187 - (MAGS): Is she a firefighter? - No, a civilian. 592 00:30:41,212 --> 00:30:43,148 Wendy Newman, hypotensive. 593 00:30:43,173 --> 00:30:46,320 Penetrating trauma to the chest. 80 on 40. 594 00:30:46,345 --> 00:30:49,102 She fell through a window during an apartment fire, 595 00:30:49,127 --> 00:30:51,000 and the glass cut deep. 596 00:30:51,025 --> 00:30:52,392 (MACHINES BEEPING RAPIDLY) 597 00:30:52,591 --> 00:30:53,836 Pericardial effusion. 598 00:30:53,861 --> 00:30:56,195 She needs a bilateral chest tubes and a sternotomy. 599 00:30:56,220 --> 00:30:58,187 - Call OR. - Pressure's 70 over 30. 600 00:30:58,212 --> 00:31:00,478 There's no time, that's a penetrating wound to the heart. 601 00:31:00,503 --> 00:31:02,869 - You're saying she needs a thoracotomy? - She needs it now. 602 00:31:02,894 --> 00:31:04,683 - I'll page Atwater. - I've got it. 603 00:31:04,708 --> 00:31:07,390 ED thoracotomies have less than a five percent success rate 604 00:31:07,415 --> 00:31:09,556 We don't control the odds, doctor. 605 00:31:09,581 --> 00:31:11,315 Just have to face them. 606 00:31:11,584 --> 00:31:13,801 Dr. Curtis, you can't help, so why are you here? 607 00:31:13,826 --> 00:31:15,447 (JUNE): I can help talk Mags through it. 608 00:31:15,472 --> 00:31:17,574 Okay, let's do it. 609 00:31:19,903 --> 00:31:23,035 - Sats are dropping! - I'm going to bag. 610 00:31:24,171 --> 00:31:25,905 (BISHOP): Now would be a good time! 611 00:31:26,312 --> 00:31:28,703 (JUNE): Alright, let's get the left arm out of the way. 612 00:31:28,728 --> 00:31:30,343 Prep the chest. 613 00:31:30,864 --> 00:31:33,588 (SUSPENSEFUL MUSIC) 614 00:31:38,304 --> 00:31:39,902 Alright, so, 615 00:31:39,927 --> 00:31:42,450 you're gonna make an incision between the 5th intercostal space, 616 00:31:42,475 --> 00:31:44,242 from the sternum to the bed. 617 00:31:56,453 --> 00:31:58,317 Scissors. 618 00:32:02,228 --> 00:32:03,996 Ready to open the chest. 619 00:32:04,263 --> 00:32:05,812 (BISHOP): Alright. 620 00:32:06,598 --> 00:32:08,710 Just pretend I'm Dr. Curtis. 621 00:32:09,294 --> 00:32:12,042 When's the last time you got your hands dirty? 622 00:32:12,067 --> 00:32:13,585 On three. 623 00:32:13,921 --> 00:32:16,256 One, two, three. 624 00:32:16,726 --> 00:32:18,425 (CLAIRE): She needs blood. 625 00:32:18,450 --> 00:32:20,151 O-Negative. Four units. 626 00:32:20,176 --> 00:32:22,763 Activate MTP and 2 grams of TXA. 627 00:32:22,788 --> 00:32:24,757 Keep talking, Dr. Curtis. 628 00:32:24,782 --> 00:32:26,500 Okay, you're gonna need to make an incision 629 00:32:26,525 --> 00:32:28,499 in the pericardium from apex to base. 630 00:32:28,524 --> 00:32:30,168 (BISHOP): Okay, let's do it. 631 00:32:31,274 --> 00:32:33,772 (JUNE): Just medial to the phrenic nerve. 632 00:32:33,933 --> 00:32:35,525 She's arresting! 633 00:32:35,743 --> 00:32:37,211 Don't think, just cut. 634 00:32:37,236 --> 00:32:39,460 - Is the clamp secure? - Mm-hmm. 635 00:32:40,248 --> 00:32:43,115 - Arnold, what's the count? - She's been down 10 seconds! 636 00:32:43,298 --> 00:32:45,493 (MACHINES BEEPING) 637 00:32:46,486 --> 00:32:47,999 Do you see anything? 638 00:32:48,186 --> 00:32:51,053 A single cardiac wound. I can plug it with my finger. 639 00:32:51,078 --> 00:32:53,421 - Good, do it. - (PATIENT COUGHING) 640 00:32:54,603 --> 00:32:57,351 (CLAIRE): And BP's rising, 80 60. 641 00:33:00,002 --> 00:33:02,301 Needle driver. 1.0 sutures. 642 00:33:04,741 --> 00:33:09,350 You rolled with an imperfect situation and you had her back. 643 00:33:09,959 --> 00:33:12,979 It's good to see that when it's not a training exercise, 644 00:33:13,275 --> 00:33:15,452 you two remember what we taught you. 645 00:33:15,477 --> 00:33:16,858 Good work. 646 00:33:30,043 --> 00:33:32,278 (SOFT MUSIC) 647 00:33:33,981 --> 00:33:35,551 Good to see you got home okay. 648 00:33:35,576 --> 00:33:36,709 Hey. 649 00:33:36,788 --> 00:33:39,256 Was I supposed to text you? 650 00:33:41,825 --> 00:33:44,261 I'm glad we ran into each other last night. 651 00:33:45,084 --> 00:33:47,395 - I had fun. - Me too. 652 00:33:48,121 --> 00:33:50,683 It was good not talking with you. 653 00:33:58,087 --> 00:34:01,986 Our family doctor called it somatic symptom disorder. 654 00:34:02,164 --> 00:34:05,337 He said Kevin can actually feel the symptoms, 655 00:34:05,362 --> 00:34:07,262 even though they're just in his head. 656 00:34:07,287 --> 00:34:09,088 How long has he been like this? 657 00:34:09,113 --> 00:34:10,914 It started young. 658 00:34:11,179 --> 00:34:13,998 Always finding some new thing wrong with him. 659 00:34:14,622 --> 00:34:16,589 Mom and Dad would rush him to the doctor, 660 00:34:16,614 --> 00:34:18,220 but he was never really sick. 661 00:34:18,310 --> 00:34:21,025 - They didn't get him help? - He hated therapy. 662 00:34:21,205 --> 00:34:23,272 Our parents did their best, but... 663 00:34:24,106 --> 00:34:26,173 he only got worse after he moved out. 664 00:34:26,198 --> 00:34:28,923 Are there any specific triggers? 665 00:34:28,948 --> 00:34:30,243 When things change, 666 00:34:30,268 --> 00:34:32,135 or he has setbacks, 667 00:34:32,238 --> 00:34:34,105 it could be anything. 668 00:34:34,912 --> 00:34:38,168 And then anyone who doesn't believe him is gone. 669 00:34:38,193 --> 00:34:39,694 Including you. 670 00:34:41,247 --> 00:34:43,415 Why didn't you tell me any of this before? 671 00:34:43,513 --> 00:34:44,880 You said he collapsed. 672 00:34:45,065 --> 00:34:47,145 What if this time, something really was wrong? 673 00:34:47,170 --> 00:34:49,617 I couldn't be the reason you didn't look closely enough. 674 00:34:49,760 --> 00:34:51,953 You saw what happened when I tried to talk to him. 675 00:34:52,731 --> 00:34:54,298 I love my brother, 676 00:34:54,612 --> 00:34:57,207 and I feel so bad knowing he's in pain, but... 677 00:34:57,883 --> 00:35:00,151 The second he decides he wants help, 678 00:35:00,589 --> 00:35:02,714 I'll be there to support him. 679 00:35:03,229 --> 00:35:04,965 Labs came back. 680 00:35:05,079 --> 00:35:08,501 The shot of testosterone you bought was laced with an amphetamine. 681 00:35:08,562 --> 00:35:10,897 It was a large dose. And that's what caused you to OD. 682 00:35:10,922 --> 00:35:13,223 Why would someone sell a kid something so dangerous? 683 00:35:13,248 --> 00:35:15,688 Guys think using it gives them a better workout. 684 00:35:15,852 --> 00:35:17,187 It doesn't. 685 00:35:18,280 --> 00:35:19,682 What were you thinking?! 686 00:35:19,715 --> 00:35:22,483 You won't let me start T or get surgery. 687 00:35:22,508 --> 00:35:24,259 Danny, please. Let's not get into this. 688 00:35:24,284 --> 00:35:25,603 I did do some digging, 689 00:35:25,839 --> 00:35:27,603 and there is a gender clinic in the city 690 00:35:27,628 --> 00:35:31,337 who specializes in building action plans for transgendered youth. 691 00:35:31,362 --> 00:35:32,790 Action plans? What does that mean? 692 00:35:32,815 --> 00:35:34,126 Like surgery? 693 00:35:34,413 --> 00:35:35,782 There are interim options. 694 00:35:35,807 --> 00:35:37,719 It's a bit late to put you on puberty blockers, 695 00:35:37,744 --> 00:35:40,470 but you don't have to do a full cross-hormone to see an effect. 696 00:35:40,495 --> 00:35:42,162 So, hormone therapy. 697 00:35:43,192 --> 00:35:46,006 Which means my breasts will stop growing? 698 00:35:47,490 --> 00:35:49,257 I can refer you, 699 00:35:49,504 --> 00:35:51,553 if it's something you'd like to consider. 700 00:35:51,883 --> 00:35:53,415 Please, Mom. 701 00:35:53,785 --> 00:35:55,140 I want this 702 00:35:56,671 --> 00:35:58,205 (SOFT MUSIC) 703 00:35:59,061 --> 00:36:01,815 No more buying hormones off the street. 704 00:36:02,228 --> 00:36:04,692 I cannot go through this again, Danny. 705 00:36:05,297 --> 00:36:06,987 I'm sorry. 706 00:36:08,570 --> 00:36:10,155 I promise. 707 00:36:13,641 --> 00:36:14,948 Okay. 708 00:36:15,149 --> 00:36:17,050 We'll hear what they have to say together, 709 00:36:17,075 --> 00:36:19,003 and we'll take it from there. 710 00:36:20,256 --> 00:36:21,723 I won't change my mind. 711 00:36:21,748 --> 00:36:23,712 I'm not promising to change mine. 712 00:36:24,565 --> 00:36:26,125 Just... 713 00:36:26,375 --> 00:36:30,009 one step at a time, okay baby? 714 00:36:31,328 --> 00:36:33,777 Will you be disappointed in me 715 00:36:33,802 --> 00:36:36,141 if this isn't a phase? 716 00:36:37,986 --> 00:36:39,977 Danny, you're my kid. 717 00:36:41,744 --> 00:36:43,273 You're my son. 718 00:36:46,471 --> 00:36:49,279 I love you no matter what. 719 00:36:52,044 --> 00:36:53,889 You know who you are. 720 00:36:55,468 --> 00:36:57,162 That's pretty amazing. 721 00:37:04,168 --> 00:37:05,701 Uh... 722 00:37:06,926 --> 00:37:08,423 The results are up. 723 00:37:08,448 --> 00:37:10,169 I'm gonna... Can you...? 724 00:37:10,194 --> 00:37:13,260 I can't. I need you to look at them. 725 00:37:21,768 --> 00:37:23,453 Jesus, it's not Moby Dick. 726 00:37:23,478 --> 00:37:25,356 It's all clear. 727 00:37:26,421 --> 00:37:29,777 (SOFT MUSIC) 728 00:37:58,954 --> 00:38:01,304 You're gonna tell me there's nothing wrong with me, 729 00:38:01,329 --> 00:38:02,864 that's why they had me get dressed. 730 00:38:02,889 --> 00:38:04,423 Actually, I'm not. 731 00:38:06,101 --> 00:38:07,669 You're worried about being sick, 732 00:38:07,694 --> 00:38:09,352 so your body is manifesting symptoms. 733 00:38:09,377 --> 00:38:11,985 No, I have a heart problem, 734 00:38:12,010 --> 00:38:13,946 it's... it's real, I know it. 735 00:38:13,971 --> 00:38:15,134 I know it feels real. 736 00:38:15,159 --> 00:38:16,813 You're just like the rest of them! 737 00:38:16,838 --> 00:38:17,967 It's all in my head! 738 00:38:17,992 --> 00:38:19,977 This? Coming into the emergency department, 739 00:38:20,002 --> 00:38:22,055 isn't going to stop this from happening. 740 00:38:22,080 --> 00:38:24,391 You have no idea what it's like. 741 00:38:24,416 --> 00:38:26,784 I'm scared I'm gonna die all the time. 742 00:38:26,809 --> 00:38:28,410 There are people who you can speak to. 743 00:38:28,435 --> 00:38:30,656 I can refer you to our staff psychiatrist, Dr. Mitchell. 744 00:38:30,681 --> 00:38:33,799 I've talked to shrinks before. They do nothing! 745 00:38:33,824 --> 00:38:36,194 Because, Kevin, you have to want that help. 746 00:38:36,219 --> 00:38:38,119 You have to accept that you need it. 747 00:38:38,144 --> 00:38:40,588 - No, you are not listening! - I'm listening. 748 00:38:40,613 --> 00:38:43,292 Forget it! Just forget it! 749 00:38:47,038 --> 00:38:48,690 (SIGHING) 750 00:38:48,964 --> 00:38:51,332 (INDISTINCT CHATTERING) 751 00:38:55,327 --> 00:38:57,030 There he is! 752 00:38:57,685 --> 00:39:00,242 Ah, I'm such a lightweight. 753 00:39:00,323 --> 00:39:02,291 Are you still good for later? 754 00:39:02,530 --> 00:39:05,019 Listen, maybe I didn't mention this, 755 00:39:05,044 --> 00:39:07,251 but I'm married. 756 00:39:07,321 --> 00:39:10,017 You told me. She's a real estate agent. 757 00:39:10,234 --> 00:39:12,530 You showed me pictures of your kids. 758 00:39:12,555 --> 00:39:15,174 What does that have to do with you coming on a ride along? 759 00:39:16,919 --> 00:39:19,178 I can't today. 760 00:39:19,555 --> 00:39:21,422 But thanks anyway. 761 00:39:21,447 --> 00:39:24,014 Well, if you find yourself stuck here bored some other weekend, 762 00:39:24,039 --> 00:39:26,040 I usually work on Saturdays. 763 00:39:26,470 --> 00:39:28,150 Offer's open. 764 00:39:32,358 --> 00:39:34,159 Is he doing alright? 765 00:39:34,422 --> 00:39:36,423 Your patient who wanted to transition. 766 00:39:36,448 --> 00:39:39,156 Better. He still wants surgery, 767 00:39:39,181 --> 00:39:41,227 but he's relieved there's a way forward. 768 00:39:41,252 --> 00:39:43,775 Thank you for organizing that referral to the gender clinic. 769 00:39:43,800 --> 00:39:46,163 How does your family cope with you being away this much? 770 00:39:46,188 --> 00:39:47,755 We make it work. 771 00:39:48,431 --> 00:39:53,509 You know, there's a full-time position in Emerg pediatrics opening up. 772 00:39:53,534 --> 00:39:56,215 If you want to apply, you'd have my recommendation. 773 00:39:56,863 --> 00:39:59,384 I don't know what to say, 774 00:39:59,430 --> 00:40:00,564 thank you. 775 00:40:00,589 --> 00:40:02,768 I'd have to discuss that with my wife. 776 00:40:02,793 --> 00:40:04,728 Ah, maybe they could move here? 777 00:40:05,017 --> 00:40:07,425 The kind of experience you get at a city hospital like this, 778 00:40:07,450 --> 00:40:09,135 you're not gonna find that back home. 779 00:40:09,160 --> 00:40:11,314 Could be an exciting new chapter. 780 00:40:26,744 --> 00:40:29,146 - Hi. - Hi. 781 00:40:35,164 --> 00:40:36,457 You okay? 782 00:40:36,482 --> 00:40:37,752 Yeah. 783 00:40:38,141 --> 00:40:40,276 Yeah, yeah, I'm just, I'm like... 784 00:40:40,301 --> 00:40:42,302 I'm just, I don't know. 785 00:40:42,404 --> 00:40:44,679 Heard you did a trauma bay thoracotomy? 786 00:40:44,704 --> 00:40:45,961 Yeah. 787 00:40:46,289 --> 00:40:48,601 The patient's recovering in ICU. 788 00:40:48,909 --> 00:40:51,010 Looks like she's gonna pull through. 789 00:40:52,218 --> 00:40:54,732 Saves like that are why we do this. 790 00:40:58,403 --> 00:41:01,105 You know, my mother never wanted me to? 791 00:41:01,830 --> 00:41:03,875 Become a doctor, I mean. 792 00:41:04,482 --> 00:41:06,369 I thought all parents want that. 793 00:41:09,562 --> 00:41:12,332 Mine are always worried I'll push myself too hard. 794 00:41:12,384 --> 00:41:13,785 Do you? 795 00:41:18,153 --> 00:41:21,060 Well, if there's any another way to do this job, 796 00:41:21,218 --> 00:41:23,320 I haven't found it. 797 00:41:23,891 --> 00:41:26,224 I spent the last two days trying to help a patient 798 00:41:26,249 --> 00:41:28,545 who didn't want the kind of help he needed. 799 00:41:29,294 --> 00:41:31,361 Seems like that's going around. 800 00:41:34,144 --> 00:41:36,445 (SOFT MUSIC) 801 00:42:21,019 --> 00:42:22,620 (SIGHING) 802 00:42:25,366 --> 00:42:28,234 (BASHIR): Did you find what you were looking for at the library? 803 00:42:28,421 --> 00:42:31,189 Yeah, I did. I finished my homework. 804 00:42:31,214 --> 00:42:32,505 - All of it? - Yeah. 805 00:42:32,530 --> 00:42:35,415 - Was it hard? - Mm... It was okay. 806 00:42:40,575 --> 00:42:42,380 Are those our things? 807 00:42:45,747 --> 00:42:47,561 What happened? 808 00:42:50,140 --> 00:42:54,889 - Synced and corrected by martythecrazy - - www.addic7ed.com - 58717

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