All language subtitles for Transplant.S01E13.WEBRip.x264-ION10

- Do you remember me, sir?
[honking]

You have an epidural hematoma.

If I don't relieve the pressure
right now, you're going to die.

- We're in this together now.

- Sonia Jessup. She overdosed?

Am I close?
- Keep going.

- I think I nicked something.
Her spleen is ruptured.

The punctured spleen.

With a mistake like that,
what happens next?

- There'll be
an internal review.

- I was the one
who inserted the tube,

so if anyone deserves
the blame for it--

- I was on imaging,
guiding placement.

You know that.

- Sir.

About what happened
with the imaging...

- Get back to me with
a differential on Sonja Jessup.

ASAP.

- When I was putting in
the chest tube,

what did you notice

when Dr. Bishop
was guiding placement?

- Same thing you did.

His first measurement was off.

He misread the imaging
on the monitor...

- Was it that he misread
the monitor?

Or more like
he couldn't see it?

- It was like it wasn't even
in his field of vision.

- I know you and Dr. Bishop
are close.

This is in confidence?

- Of course.

- About a month ago,
I noticed him

treating himself for
post-concussive nausea.

- That's not abnormal
after his head injury,

and the surgery he had.
- I know.

I'm not trying
to avoid responsibility
for what happened.

I made the incision, and
I'll take the blame for it.

But...

But if his nausea's progressed
to vision problems,

what if he's getting worse?

- Yesterday, a nurse came up
with a chart.

He didn't see that either.

He brushed it off, I didn't
think anything about it.

The question is,
is he intentionally

downplaying the symptoms?

- What if they caught him
by surprise?

I don't know, Claire.

What do we do?

[theme music]

- My favorite family.

- Hey-hey.
- Ah!

Look at you!
Come here.

I know I'm not supposed
to pet him,

but he's just got
the most beautiful coat.

Oh yeah...
- It's cool.

Thor likes you, Theo...

I think it's because
you're always

happier to see him than me.

He's pretty good
at reading the room.

[chuckling]

- Well, you know the drill.
Sit on up for me.

[coughing]

What are you reading
these days?

- This play.
[coughing]

"Rosencrantz and Guildenstern
Are Dead."

- Finn's an existentialist now.

- Well, you certainly

have come a long way
from "Treasure Island."

Tough couple of days?

- Tough couple of weeks.

- He was in for pulmonary rehab
two weeks ago.

- Yeah. He's barely
left the house since then.

You know, we thought we were
on top of this infection, Theo.

It really took a turn.

- We all know that
cystic fibrosis

can be... unpredictable, right?

We'll check lung function,

and then start you
on IV antibiotics.

- What happens
if they don't work?

Last time, they almost didn't.

- Hey, don't think
like that, Finn.

Okay? They're gonna work.

- Let's start
with airway clearance.

We'll loop
your respirologist in.

Okay? Just, uh...
Hang in there, Finn.

- I always do. Then again,
is it really even up to me?

- Yes, it is.

You can be
an existentialist again

once we're through
this rough patch.

- Sure, Mom. No problem.

- Well, I'll be back soon.

- Thank you.
[coughing]

- I have heard of situations

where the patient
has a reflex reaction

just as you're placing
the chest tube.

Or maybe it malforms...

- Or maybe he just
made a mistake.

- Maybe...

Hey!

You two good?
- I ended things.

- What?
- I ended things.

- June, I'm... If you ever want
to talk about it, I--

- When do I ever want
to talk about it?

- Oh, right, I know.
I'm sorry.

- It's fine.
- Right, right, right.

- I'm fine.
- Yeah, yeah, yeah, okay.

[indistinct chatter]

- I'll be right back.

Sir?

Sir, can you hear me?

Sir, open your eyes
if you can hear me.

Hey, do you know
who this is?

- No wristband.

He must not have signed in.

- He's out cold.

- One too many maybe?

I mean, it happens
a couple of times a week.

- No, he's jaundiced. Feverish.
I think we have to get him
a room.

- Yeah. Okay. I'm on it.
- Thanks.

Sir?

His name is Neil Evans.

He's got a ruptured,
hemorrhaging mass
in his abdomen.

It could be threatening
other organs.

- Was he aware of it
before now?

- No way of knowing.

He's been unconscious
since we found him.

- Any history in our system?

- He had his health card.

I checked for a history
and nothing came up here.

We really need to stop
the bleeding.

- No family we can call?
- Social worker's on it.

He came in alone with just
his wallet and his keys.

- Then, we rely on our judgment

and sign a
two physician consent.

Book the OR, category two.

And yes, before you ask,
you can scrub in.

Get him prepped.

Tell me what's on the list

and let them know we need
to go ASAP.

[knocking]

- Your team is working hard

to help that woman
after her spleen rupture.

- My team works hard to help
every patient.

- Jed.

I asked you
if the nausea was normal

and nothing
to be concerned about.
You said yes.

Then I asked you
if the dizziness was normal,
and you said yes.

Now, if neither of those
were true,

you have to tell me right now.

Because what happened last night
in the trauma bay,

Bash is now on the hook,

a patient's life is at risk

and if it's because you are not
taking care of yourself--

- Alright, Claire! Alright!

[sighing]

I couldn't...

I couldn't see
the damn monitor.

It went foggy.

- Okay, how long has this
been going on?

Have symptoms been getting worse

and you've just been lying
about it?

- No. I haven't in...

[sighs]

The nausea's normal.

The headaches too.
But this...

These...

...lapses in vision,
I wasn't expecting.

I haven't been lying to you.

Maybe I've been lying to myself.

[soft music]

- You need to call
your neurosurgeon.

- I will.

- And you can't see patients.

[sighing]

I know it's terrifying.

I know your work
is your life.

But you promised us a future.

Did you mean it
when you did?

Because I believed you.

- I meant it.

- Call your doctor.

Seem him today.

[Bashir]: We're still hopeful
the rupture will heal
on its own.

- Other than what happened
to her spleen,

have you figured out
what's causing her symptoms?

- So far, the tests we've run
haven't given us any answers.

- We need your help narrowing
down the possibilities.

- Can you think of anything,

any symptoms or underlying
medical conditions

that she's been diagnosed with?

- Or any injuries
she's sustained

even going back years?

- Sonja and I met
when we were 18.

I knew everything
there was to know about her

for the longest time.

She was always
basically healthy.

Until her back pain,
her addiction.

I love her.

And I want my wife back.

Joel, why don't you take
your sister

to the vending machines
to get something? Okay?

- Okay. Thanks, Dad.

- One each, guys.
- Okay, Mom.

[chuckling]
- They're adorable.

- Thank you.

- How are you feeling
since waking up?

- Tired.
My body hurts everywhere.

- The doctors need to ask you
some questions.

- Sonja, we need to figure out

whether you may have been
exposed to something.

- You're thinking this is
something I caught?

- There is an infection
called endocarditis
which could explain

your symptoms.
[coughing]

If there's been any, um...

...well, any intravenous
drug use, even months ago.

- You think I was shooting up?

- No, we're--
- I would never do that.

I know I messed up yesterday,

but I was only taking pills.

- How long have you had these?

Spider veins on your leg?
- Years. Ten years, at least.

My GP said they're nothing
to worry about. You...

You believe me, right?

[coughing]
- What is happening to her?!

[beeping]

- Put your head back.

Put your head back.
Just stay there.

- No closer to finding anyone
who knows this man?

- Viv was able to reach his GP.

But no spouse and no kids.

Jesus.

- Ah, this tumour
has more legs than a spider.

- It's wrapped
around his liver.

It's encroaching on his pancreas

and it's stuck to his bowel.

Have you ever seen anything
like this before?

- Ah, it's in the lining
of his abdomen,

could be colorectal cancer

or malignant mesothelioma.
- So what do we do?

- Unfortunately, there's
not much we can do, Dr. Curtis,

other than divert
and refer oncology.

He's lucky if he has a week.

Let's close up.

- Sonja's intubated.

Anything back from her CT?

- Still waiting.

- They met so young.

You could end up being married
to someone who isn't anything

like the person
they started out as.

- Or it just means
that you change together.

My parents met at 18

and they were more in love
than any couple I've ever seen.

Results are up.

- Her spleen
won't stop bleeding.

The blood's filling up
her abdomen.

- We've caused too much damage.

They're going to have
to remove it.

[machine humming]

[coughing]

- I bet I'm the only kid
you know

with a legitimate reason
to dress up like his dog?

- The X-rays came back.

Unfortunately, the last few days

took their toll
on Finn's lungs.

I know that's not something
you want to hear right now.

- I'm not responding
to the antibiotics?

- Your infection's
getting worse. Pneumonia.

We're admitting you now.

Your CF team
is on their way down.

But, um... we're not gonna
be able to stop it.

- The vest didn't help?

- What about PEP?

Or a bi-pap?

[coughing]
- Those would buy time.

But it wouldn't stop
the decompensation.

I'm... I'm so sorry.

- Okay.

Okay. We're prepared
for this. Right?

- We've been on the transplant
list for months.

- And this moves Finn
up to the top, right?

- The list is based
on need, yeah.

- It doesn't matter
because it's too late.

- Finn!
Don't say that!

- Hey, that is not
what's happening here, okay.

There are more things
that we can try.

- I know you guys are trying
to protect me. I get that.

But I need to face
what's really going on here,

and I don't think you're hearing

what Theo's actually
saying to us.

- Even if lungs come,

your infection
is too advanced.

He wouldn't be a candidate.

We, uh...

We're...

We're looking at end stage.

[moaning]

[crying]

- I'm sorry, Mom.
- No.

- Okay.

- What happened?

- They were prepping
for her splenectomy

when she started to seize.

- She seized? Why?

- We don't know.

Well, we've stabilized her,

but, uh...
they can't remove the organ

until we know what else
we're dealing with.

[knocking]
[Bishop]: Yes, come in.

Is this about Sonja Jessup?

- Every time we think
we're making progress,

she seems to be getting worse.

[sighing]
- Take me through your thinking.

- All of her symptoms.
The fluid around her heart.

The fluid on her lungs.

We can't see
how they're connected.

She's negative
for respiratory virus,

and her white blood cells
are normal,

which means there's not
an infection either.

The fact is she's been here
two days

and we still don't know
what's wrong with her.

- Other than the ruptured
spleen, which we caused.

And before we could repair that,
the seizure.

- Basically, all we know
is that she's extremely ill,

and her prognosis is worsening

because of what happened
in Trauma last night.

- Which was my mistake.

And I'll tell that to the board.
Thank you.

- Sir, I'm not going to let you
take responsibility--

- It was my fault.

And I'm not having you
come this far

for something like this
to hold you back.

Now, clear your mind,
widen your views.

List everything
that it can't be

until you see what it is.

There's poetry
in the differential.
There's truth.

We get it wrong until...
we get it right.

And they get to start over.

[groaning]

- Sir?

[Bishop groaning]
Dr. Bishop?

[groaning]

[stuttering]: My numb is arm.

- Sir?

Dr. Bishop?

Get a gurney!
Call a code!

[panting]

[muffled chatter]

[panting]

[muffled gunfire]

[panting]

Sir! Dr. Bishop,
can you hear me?

[panting]

- Oh my God! Jed?

- Possible stroke! He collapsed,
and then lost his pulse.

[panting]

[indistinct]
- Pause the compression.

- V-tach on the monitor.

Defibing 200 joules.

- Pads are on.
- Charging!

- What happened?

- Everyone clear!

[beeping]

- One amp epi! IV push!

- Bash, you were with him?
What happened?

- He said his arm was numb
and he just collapsed.

- Ischemic stroke?
- Or hemorrhagic.

- Could be a ruptured aneurysm.

- A ruptured aneurysm
causing cardiac arrest?

How long has this thing
been building?

- We need Neurosurgery
in here right away!

Let's do a pulse check.

- He's still in V-tach.

- Defib!

200! Charging!

[beeping]
Everyone clear!

[heart monitor beeping]

- Dr. Bishop? Sir!

- Jed!

- GCS still three.
- He was down almost a minute.

- We need to intubate him
and get him to CT right away.

- Okay, he needs
anti-convulsants,

we need manitol to decrease
cranial pressure.

Let's get him
on three per cent saline.

And minimize damage
as best as we can.

- What happened?

- Sudden loss of consciousness,
he went into V-tach

and we shocked him back
to normal rhythm.

- Did he articulate
any symptoms first?

- Numbness.

- And momentary vision loss,

he suffered last night.

- He called my office.

- We have a consultation
booked for tomorrow.

We'll get him upstairs.

- Listen.

I know that wasn't easy.

But he's out of our hands now.

And we know exactly
what he'd tell us to do:

to get to work

and focus on the patients
we can help.

Let's get to work.

[dramatic music]

- Sonja needs us.

[muffled gunfire]

- Get him prepped!
He needs a craniotomy
to drain the blood.

- Tell me how bad it is.

- We won't know
until after, but...

There's no guarantee
he comes back from this, Claire.

- Okay, um...
Well, let's go back
to the beginning.

So, Sonja was
in a car accident.

But you wanted
to rule out a brain injury.

- No visible head trauma.
Her resp rate was low

which I mistook for symptoms
of opioid use,

and then, heart and lung fluid

almost killed her
later that day.

- Her drug use raised
the possibility of endocarditis,

but she said she wasn't
using intravenously.

- Which was confirmed
by bacterial culture.

Also, the CT scan of
Sonja's head came back clear,

so we know it's not
a brain injury...

- Which leads us back
to an underlying cause.

[sighing]

- It needs to be something
physiologic. Sonja.

- An abnormality
we're not seeing...

- Something rare...
Something you wouldn't normally
think to look for...

There have been cases
where a penetrating head trauma

can cause an aneurysm months,
even years, down the road.

I could've caused this...
Dr. Bishop's...

- With the drill, you mean?

- You told me it was reckless
to drill without imaging.

- Bash.

- You saved his life
because you did that.

And there could be
so many reasons this happened,

not the least of which
is Bishop going back to work

so soon after his accident...

- And the aneurysm could've
sat there for months.

A ticking time bomb in his head.

- Telangiectasia.

The... the spider veins
on Sonja's leg?

- Those almost always mean
nothing. What are you thinking?

- You said something rare,
something that you wouldn't
normally think to look for,

and you also said
a ticking time bomb...

- You know what's wrong
with her?

- I have a theory,
but we're gonna need

more imaging to confirm.

- Hey, Theo.

- Hi, Finn.

I, uh...

I heard you're going home.

- They're setting us up
with everything we need.

And Thor likes it better there.

- So they're doing this
for him, then?

- I needed a say
in how it happens.

I'm scared, Theo.

- I know, Finn.

It's okay to be scared.

[soft music]

- Thank you for everything,
Theo.

- He's, uh...

He's a brave kid.

An amazing kid.

- I can't do this.

I can't do this.
- It's okay.

[June]:
"The pancreas is an ass."

- But also kind of important.
- Yeah. Who said that?

I remember someone saying that.
I can't remember who it was.
- Dr. Waldon.

He did a three-hour
oncology lecture last year.

"The pancreas is an ass,
which is why it deserves
more of our attention."

- Right. Yeah.
- Why?

- Well, it's a highly aggressive
abdominal tumour.

It's compromising
the other organs.

I was thinking
an intraperitoneal chemotherapy.

- You're gonna surgically
deliver chemo

right to his cancer cells?

- Well, not me,
but I was thinking

maybe someone
like Doctor Waldon could.

He'd have to debulk most
of the cancer cells first.

Possibly resect
part of the bowel,

and take the tail
of the pancreas.
I don't know, but...

- Singh asked you
to organize that?

- Well,
he said to refer Oncology.

- Pulling together an advanced
procedure like that

at the eleventh hour,

I don't think anyone here
is even trained for it.

- Yeah.

The patient's completely alone.

Like he doesn't have anyone
to advocate for him.

I don't know what he did
to end up like this,

but anything we can do
to help with...

Anything we can do to help.

- You know who you could call...

Dr. Magnussen at Sunnybrook.

She just published
on that kind of thing last year.

Maybe she's looking
for candidates.

- Yeah.
Yeah, thank you.

- You saw the radiologist?
- You were right.

- An "AVM?"
- "Arteriovenous malformation."

It's a rare, abnormal connection

between a person's
arteries and veins.

- Then this had nothing to do
with her drug use?

- She was probably
born with them.

AVMs disrupt circulation

and can cause a range
of life-threatening symptoms.

- They can happen anywhere.

In Sonja's case,
we identified one

in her lungs
and one on her spine,

but it's the kind of thing
you don't even know to look for

until the other symptoms
develop.

- She's gonna need
a surgical procedure
called an embolization.

- But you said she's got
one of these things
on her spine?

- Could it have caused her
back pain in the first place?

- It's possible.
Even likely.

- You couldn't have known.

- Yeah, but I stopped
believing in her.

I stopped trusting her.

- Her condition is serious,
but it is treatable.

- The surgery will last
a few hours.

If you need some time
to take your children home,

we'll call you after.

- We're not going anywhere.

[pagers beeping]
Is that for her?

- Wait here.

- BP's tanking,
she's tachycardic.

- Ultrasound. Mags?
- Yeah.

- How many times
can one woman crash?

Where are you on this patient?

- She's got multiple AVMs.

We can embolize them,
but she's not stable enough.

She's got blood
from her spleen in her abdomen.

Call OR.
- Yeah.

- She's going into
hemorrhagic shock.

She needs her spleen out stat.
We can't lose her now.

We finally know
what's wrong with her.

And if she bleeds out
because we punctured her spleen,

then Dr. Bishop--
- Is on the line.

- The OR says ten.
- She may not have ten.

- Then we do it ourselves.
In trauma.

You've removed
a spleen before, right?

- Mm-hmm.

- Well, what are we waiting for?

- I'm ready. We're starting.

Scalpel.

- BP's dropping. Activate MTP.

- Arnold,
get the level one ready.

- Got it.
- Mags, help me open?

- Hanging two packs of red cells
and two bags of plasma.

- She's got a significant amount
of blood in her abdomen.

I'm gonna need packs,
and a lot of them.

- Richardson.

Metz.

[indistinct]

I'll eviscerate the bowel

so we can start
packing the abdomen.

Start packing
and keep them coming.

- Pressures dropping!
- Clamp.

- I've got you.

- It's impressive you were able

to pull this together
so quickly.

Magnussen's not making
any promises,

but she thinks
he's a viable candidate.

But you should know she brought
a full team here with her.

So that means, you--
- Yeah. I know.

I'm not asking to scrub in.

I just wanted to give the guy
a chance. So...

- Ah.

[sighing]

[knocking]

- Sonja's stable.

We figured out
what was wrong with her
just in time.

- But not him.

- I knew he still had symptoms.

- Oh, Bash.

- I could've said something
earlier.

No, I could've stopped this
from happening.

- Don't blame yourself.
Don't do that. Come here.

[muffled gunfire]

[beeping]

[gunfire in the distance]

- Baba.

[beeping]

Baba!

[panting]

[groaning]
Baba!

[in Arabic]:

[indistinct]

[groaning]

[indistinct chatter]

[dramatic music]

- I had to go.

I had to leave him.

If I'd stayed to treat him,
they would've found us.

If I tried to move him,
they would've heard us.

So I left him there to die.

It's my fault.

[crying]
It's all my fault.

[crying]

- How's Dr. Bishop?

- Conscious.

I mean,
we can't really tell.

- I know how much he means
to all of you.

- Yeah, thanks.

- Well, I'll see you.

- Hi.
I heard you were awake.

- Apparently, without a spleen,
thanks to you.

- You can live without one.

You'll just be more prone
to infections,

but you can take measures
to mitigate that.

- You saved my life.

And you found the reason
for my back pain.

I know I'll always
be an addict.

- That doesn't mean
you can't start over.

- And that's all I want to do.

Beat this thing,
for my family.

[soft music]

- Is everything okay?

Your text said to come,
but you didn't say why.

- Amira, what I said yesterday,

about only being in this country
because of you...

I'm sorry.

I didn't mean it
like it sounded, but...

You deserve to know
why I said it.

I don't bring you here enough.

Back home, do you remember

coming to the clinic
after school?

Baba would always talk about
what he'd learned that day.

New medications
and treatments.

No problem was ever
too big and...

Mama always talked
about her patients.

Learn how to treat the patients,
and not the symptoms.

Amira...

You know, when you were sent
to live with the cousins...

...that was only
because of how much Mama
and Baba loved you.

How much they wanted
to protect you from the war.

I know you miss them.

I miss them too.

And you were right
when you said yesterday

that I'm not honest with you.

But I want to be.

You've asked me why
I can't talk about them.

That day,

when the bombs came...

I wasn't there.

I was too late
to save them.

And I feel guilty about that
every day

because you lost them
and you need them,

and we're alone because of me.

But the last thing
our father told me

was to find you,

and build a future
for both of us.

Because we weren't alone
if we had each other.

I know you need me
to be better.

To do better.

And I'm learning as I go.

But, habibi, I promise,
I'm here for you.

["I love you" in Arabic]

- Baba was right.

When you came to the camp,

when you found me,

I knew I was safe.

You saved me.

We're not alone because of you.

We're together because of you.

- Theo?

What are you doing here?

I thought you were
working all week?

- I, uh...

I was just at the hospital
an hour ago,

and I'll be catching a flight
first thing in the morning.

I just...

I had to see you.

And see the girls.

Life is...

It's impossible.

It's impossible
and I know I screwed up.

Taking the job
without telling you is...

I just, I wanted to take control
of my own life.

You know, not just have it
happen to me.

I wanted...

I just, I went about it
the wrong way. And I'm sorry.

I hurt you,
and I am so sorry.

Mel, I love you.

- But if we want
different things,
is that enough?

- It has to be.

It has to be because
I can't imagine life
without my family.

- What are we gonna do?

- I don't know.

- They're closing up.

No guarantees, but...

that guy's got a shot
because of you.

- Yeah, this might be
the first time

I actually wished
my patient was awake.

- Spoken like a true surgeon.

Walk with me.

You're almost
in your fourth year, June.

You should consider applying for
the Chief Resident position.

- Sir?

- And don't get me wrong,
it's a thankless job.

Longer hours.
Administrative crap.

Managing your peers
without any real power.

And you'll be up against
a bunch of egocentric bros

who think they've got it
in the bag.

But it'll open doors.

Going above and beyond
for the sole purpose

of giving that patient
a chance?

That's something
you can't teach.

And it's what I've been waiting
to see from you.

- Thanks.

I mean, I'll consider it.

- You do that.

- You okay?
- Yeah, actually.

You?

- Uh, I...
I don't know.

You know, it was Bishop
who told me

that if I wasn't careful,

this place
would swallow me whole.

But if even he can't stop that
from happening...

- Then what chance
do any of us have?

Look.

You don't strike me as someone

who would back down
from a challenge.

Just saying.

- Hey. I'm glad you came.

- I'm glad you called.

- This way.

I'll be just outside
if you need me.

- Hi, Dad.

- Has he said anything yet?

- Not yet.

- He's lucky to have you
in his life.

- You too.

[soft music]

[in Arabic]:

- I thought you were dead.

Subtitling: difuze