All language subtitles for Transplant s03e11 A Sort of Homecoming.eng

As a Canadian citizen...

I'm moving back home, okay?

- I need a doctor
- It's okay. I am a doctor.

- No, get off me.
- Ah!

You know, I do feel things Mags,
more that I want to.

Remember that night
the group of us went out?

I was a first-year resident.
You were a 4th...

And you wound up in my place,
you were married but

was leaving
what you really wanted?

Every time we get somewhere,
you reset.

- Look, I'm trying.
- You're hiding yourself again,

which you know makes me need
to chase you.

Then don't! Just stop.

What if I'm not capable
of separating damaged from good.

I've decided to go to Lebanon
to a refugee camp

- that needs doctors.
- That's what we worked so hard

- to get away from.
- I know it is.

- Hamed?
- Yes.

- Bash. Bashir.
- Denise Garneau.

We could've used you yesterday
when you were supposed to be here.

A GI bug ran through
a cluster of families,

and I've been on call
every night.

Are they okay? I'm sorry. My
connecting flight got cancelled.

It took us a while
but we got them hydrated.

- Munich or Frankfurt?
- Frankfurt.

Oh the gate chairs suck
for sleeping there,

you done a stint
like this before?

Where'd you say
you were coming from?

Toronto. And no,
not exactly like this.

Well, it's pretty
straightforward.

We have one medical tent,
some staff, like me, stay put,

others go between camps.

The unofficial ones, which
this is, have less resources.

We have about 2500 displaced
residents, give or take,

mostly Syrian, some from
other parts of the region.

The government curbed
registration

meaning they can't access
social services.

We have two physicians,
six nurses rotating in pairs.

We see a lot of mental health
issues, NCDs like diabetes,

hypertension, family planning.

You can stop me if
you already know all this.

No, no, this is good.

Good you speak the language,

though it's afternoon now.

Toronto via where?

Syria. Just over the border
a few hours from here.

Ah, that's a story
I'd like to hear.

Here's your tent.

If there's something
you need, we...

probably don't have it.

- Hamed, you with me?
- Hmm?

Yeah, it's just the uh...

The travel it has a way of
taking away your bearings.

Hmm. Get some sleep.

Come find me when
you remember who you are.

What's that?

Ah. It reads
data from my pacemaker.

Cardiologists use them to
keep logs of rhythms, and vitals

and it's supposed to
automatically upload to my tablet

- but it's just...
- Shouldn't that be going to your cardiologist?

Yes, it will be,
once I find one.

- You still haven't?
- Why do you look so nice?

Oh, um, I have a meeting.

Remember about a month ago,
there was this...

What do you mean,
you can't sync?!

- Woman who pushed me.
- Like what do you mean?

A little game on our way
to our morning classes.

Elie.

Hamed Bashir.

Salaam Aleikum

Hi, Mr. Spurling?

I'm a nurse calling from York
Memorial emergency department.

You registered yesterday
with abdominal pain

but�left�before�seeing�a�doctor?

Hey! When are we going
to get helped?

Yes, no, I'm aware
the waits were very long...

No, it's just as busy today.
I'm trying to make sure

that you're in a position
to receive care elsewhere.

Yeah, you were
telling us that you...

Yeah. Where are the labs
for Mr. Rusinsky?

Because what came up
is urinalysis not chem 7...

Okay, well I can give you
the number for a walk-in clinic.

Oh! Or you can hang up on me.

Oh, sorry what? Wrong labs?

- I have been here five minutes.
- How is there an already

"impossible to get to
everything" pile of patients?

Okay no, you do not get
to be cranky yet,

I have been trying to take a single
bite of this protein bar for hours,

- every time I go to unwrap it...
- Does anybody actually work here?

I know you've been waiting, sir.

We have the results of your EKG

but the doctor hasn't had
a chance to look at them yet,

- but I'll check again.
- Okay, thanks but I think they need help.

Right. Stomach pain lady,
who's been in agony by the way,

finally puked, and then
this lady here tried to help

clean up the mess but
something's wrong with her knee

- so she can't get up.
- Hey, what's your name?

Lenore Callahan. Audrey here
is really burning up.

Please, just call me a taxi.

I'll be better off
at home than here.

Audrey, I'm sorry we can't
let you go by yourself,

but I will change your fluids and
I will try calling your sister again.

And Miss Callahan, you need
to stay on your gurney, okay?

Are you okay?

Yeah, you don't need
to worry about me.

Um, I know the waits are long,

but everybody has been triaged
according to how acute

their situation is
and you will all get seen,

we're just asking
for some patience.

So, feel more like yourself?

Yeah.

You been in a camp like this
before?

Yeah and practiced there.

And�in�your�Canadian�hospital?

Uh, emergency medicine
and trauma surgery residence.

- Right.
- So why'd you come back?

Um, I got a passport
and I can travel again so,

the timing seemed right.

So you don't really know.

Westerners come
for all sorts of reasons.

Adrenaline. Conviction.
Curiosity. Being on the lam.

Not sure I qualify
as a westerner.

- Hm.
- And what about you?

Neurology in Lyon and hated it.

Got married to an internist
and hated that too.

Met someone in an airport five
years ago who got me into this.

And you've been doing it
ever since?

Well, it's easier when
nothing ties you home.

Don't forget to hydrate.

So, I know that uh,
coming forward wasn't easy.

Did Doctor Devi explain why
I wanted to... to sit with you?

Yes, she said so that I would
know the surgical department...

- has my back.
- As does hospital admin.

We take prejudicial behaviour
directed at our staff

very seriously. The instigator
has been suspended without pay.

Uh, I mean I didn't mean
for her to lose her job,

I really just want to move on
and put this behind me.

Oh well, we didn't fire her
but we told her very clearly

that she will not be getting
a second chance.

- Okay.
- June,

you did not deserve
to be treated that way.

- Thank you.
- Uh, sorry. I have to ask,

are you, um, satisfied with the action
that we have taken on this matter?

I'm sorry are you asking me
for like a star rating or...?

Fair enough.

So while we have you here, there
is another piece of business.

Mark, could you um...

Yes! Well, in light of
your recent work

in this novel specialized
residency,

we have created a title, Acute
Care Surgical Response Fellow.

And it comes with a bursary
6,400 $ to be precise.

- Uh, sorry.
- I'm still a resident.

- Just for a few more months.
- We're jump-starting next steps.

Let's just consider it
an investment in keeping you on.

Um...

Ah, pelvic fracture.

Just saved me tracking down
the on-call orthopedic surgeon.

With me, June.

EMT says you fell off your roof?

Trying to adjust my uh TV
antenna to pick up the ballgame.

You know the cable company
could solve that problem for you, right?

I'm just gonna lower your
trousers a little bit here, okay?

- June?
- FAST shows an enlarged spleen.

Let's get sharper eyes.

- Get me up to speed, Mark.
- Abdomen and pelvic pain,

lower extremity
numbness and tingling.

Major ecchymosis visible. No
hypovolemia, fluids at the scene.

- What'd the neuro say?
- Is Babinski up or down?

June?

Okay, open book fracture
with retroperitoneal bleeding.

External fixation?

Was thinking open reduction
with internal fixation,

- am I set up?
- I would want to fix that bleed first.

Obviously.

Uh, June can you rewrap
that sling?

Hi. Babinski's negative.

Uh, but about the spleen,
I do think it's a concern.

One that's way down
our list of priorities.

I disagree, sir.

- Okay.
- Which has been noted, June.

Well how about,
you let us do our thing

and we will have you
ambulatory, uh,

that�means�walking�again�faster.

If that's okay with
Dr. Curtis, of course?

I yield to your
obvious expertise.

- Fantastic.
- 5mg of midazolam please.

I cross-checked results
from 50 labs we sent out

in the last few hours
and 35 are wrong.

- Wrong how?
- Wrong test, wrong patient.

Sometimes it's obvious
who got whose but even then...

So�they�all�need�to�be�redone?

Claire, could you look
after Mr. Maxwell?

- He just got out of Trauma OR.
- Notes are on the chart.

Doctor Devi, you look different?

I�was�at�a�concert�when�Claire
called�about�this�system�glitch.

Doctor Olsen, have you had any
reports from other departments?

No must be ED specific,

you better hope that one of
the tech guys answers the phone.

Um, but before you call.

Can you walk with me?

Province is releasing data
on ED waiting times

and ours are...
frankly embarrassing.

One of the reasons we brought
you in Neeta was to...

help us with this exact issue.
So...

I'd like to see comps
from other hospitals,

- I bet they're similar.
- And irrelevant.

We are a level one trauma centre
with a reputation to uphold,

so I am going to
need you to do better.

There's a nationwide shortage
of both funding and staff

that's been 10 years
in the making.

So it's not the free healthcare
utopia that you expected, is it?

Well the one saving
grace is Trauma OR,

it's proving to be
the cutting-edge tool

that Jed Bishop said it would be
so, Nice work Mark.

- Thanks, Neil.
- What concert?

What? Oh, it's this punk band
that I...

Oh. Then I won't know them.

Fever's high.

What's your protocol
on IV hydration?

If they can drink,
we try to conserve saline.

I think it's chicken pox.

Yeah, you see it from time
to time. Have you had it?

Mm-hmm.

Basil? What happened?

Okay.

Put him here.

Okay guys,
we'll take it from here.

Tourniquets?

Trauma bag, behind you.

Okay.

- Get me the bone saw.
- No, no, no,

we can do a vascular shunt.

- You have cannula?
- No, we're not set up for that.

It needs to come off.

But, if we reconstruct
the brachial artery,

then we can save at least
some function.

And cause him to bleed out?

We have three units of O-neg
at best!

So we'll cycle his back through.

What about a sterile field?

We sacrifice sterility
for efficacy when necessary.

But he would need
one to one monitoring.

We could save his arm!

Maybe you forgot
how it works in a camp.

We need to save his life.
Bone saw.

My house, my call.

Assistant teacher.

But next week I start university
to become a real one. In Beirut.

You're leaving this place.

- I'm Bashir.
- Bayan.

Do you have
a medical question, Bayan?

Yes, but not for me.

Talia.

I don't know, but she gets
nauseous and dizzy a lot.

And she can't walk five minutes
without needing to sit down.

I told her that I wanted
to ask you questions

about getting to Canada,

so she's not suspicious
that I'm worried.

I thought maybe this way
you could observe her?

- I'd be happy to.
- Give me one minute, please.

- I came to see you.
- I have your wedding gift.

We were best friends at 16.

You know, to go from that
to lovers to everything else.

Anyway, we just,
we made plans so young.

Lovers is not a word
you should ever be using.

What about you and Jonathan?

Where�did�things�go�wrong�there?

Let's not talk
about our ex-lovers.

Oh, so you get to say.

- I get to say whatever I want.
- Hmm.

Don't take it too close.
I like it scruffy.

Now would it be the worst
thing in the world

if I got back from work and
you were still here?

I-I know that when we started
this up we said we'd just...

But I... We should be more.

- Theo
- I'm serious.

Theo, you're the first to
admit you haven't exactly been

making level choices recently.

Yeah, but this is
not what this is.

And with you, there is clarity.

Or you've had one 20-year
relationship and then me.

And you're more comfortable
as a serial monogamist.

Okay.

Well, I will be back
in the morning.

And if you're here,
then I'll know.

And for the record,
you do not get a say in my beard

until I get an answer.

- Antivirals.
- Are those for us?

She's uh, she's resigned
to my convictions.

Hey. Tell her that's
the toll of knowing you.

Maybe it's for the best, Saleh.

- Starting over isn't easy.
- I know that,

- but...
- Shoot.

The teacher here.

Um. I've been invited for a
house call pretending to be tea.

Want company?

More like an accomplice.

Turn around. Seriously.

Run as fast as you can
away from this place.

Who are you and what
have you done with Mags?

- Hey! Hey! He just got here!
- How come she's seeing him?

- I'm a doctor, sir.
- Oh, well then stop flirting

and help me! If I can't get
a break from my pain

why should you? Hey.
You said you'd get me something!

- Hold on. Miss Porchnick?
- Is there a Miss Porchnick here?

It's malware,
also called ransomware.

Meaning they want money
so we can access our system?

- Who'd do that?
- They said it's always cross-border.

So, untraceable.
It's a new epidemic.

Now joke's on them, we clearly
can't afford to pay.

Yeah, IT says
it started down here

so they want to sever us off
and contain the damage.

Our entire department
has a virus.

Which means we revert to paper.

Ugh. Flying blind
with labs and imaging

is only going to add to
our already insane wait times.

Can we just call in more staff?

- For a last-minute night shift?
- Good luck.

On the bright side,
fax still works.

Did one of you call
for a list of cardiologists

accepting new patients
at the big five?

- Yeah. That's me.
- Well, hopefully

your patient is patient
because each one of them

has a six-month waiting list.

Okay, she just called a lady
who got here way after me!

If y'all don't start getting
your asses in gear,

- I'm gonna...
- Sir!

I understand that you're frustrated
but one more threat like that

and you'll have to leave,
understood?

What you're gonna herd me
like a common criminal? Fine!

It's you, isn't it?

The patient who needs
a cardiologist?

One of them is on mat leave.

Two others are not taking
any referrals.

So what are you going to do?

Handle it on my own apparently,

because as evidenced by tonight,
our entire system collapses

if we don't put everything
in our lives second.

Well, hang in there?

Sorry about the wait
Miss Callahan.

The sickest go first. If you think
I should come back another day.

You are here for arthritic
knee pain, right? May I?

I've been on the elective
surgery list 18 months,

only I fell and I twisted it,

and the nurse on the hotline
said to come in.

- Okay, yeah.
- It is pretty swollen.

Were you alone when you fell?

- Well, my husband was with me.
- Okay.

Is he here now? Because
he may want to hear this.

- He is.
- Though not how you mean.

I'm in a committed
relationship with the Lord.

- Ah, with the... Okay.
- Open your mouth for me, please.

Thank you.

Thank you.

I'm sure it sounds ridiculous
to a woman of science,

but it just means that
I've chosen to centre my life

- according to doing good works.
- Yeah. Well I gotta tell you,

the line for imaging is long
and even if it wasn't,

getting a radiologist
to actually look

at a non-acute X-ray during
a night shift is...

Not a priority. I see resource
crunches every day in our church mission.

Well, you are running a bit
of a fever, which can happen

when arthritic fluid
gets infected.

I'm just lightheaded. I guess I
haven't eaten since I got here.

Yeah... Not even
from the vending machine?

Oh, I was afraid I'd miss
my turn and then,

I'd just add to the chaos
you're already dealing with, so.

Yeah, I shouldn't have said that
about no one reading your X-ray.

If you are willing to wait
a little bit longer,

I will make it happen.
And in the meantime,

we will also get
you something to eat.

- Oh thanks, that's very kind.
- Of course.

- English please, doctor.
- Auntie, my English is fine.

Because we practice,
practice, practice.

She needs it for university.

Do you still have family
in Aleppo, Bashir?

Only a brother
from another mother.

Um, my parents, they uh,

they were doctors there
before the war.

I didn't realize
you two lived together.

My husband and I never
had children.

When he passed,
the war was slowing

and I thought I would go live
with my sister in Douma,

but then Bayan came and
she needed to learn English.

- You came alone?
- How old were you?

I was 10, and Talia took me in.

We hoped to get an
apartment in the city but,

- the jobs don't pay enough.
- And the children here need us!

You're going to be a success
story. No more living in tents.

Are you parents?

My wife and I are waiting

until we can build
a life somewhere else.

And you?

You built a new life but where's
the family to show for it?

My hands are full with
my sister.

Uh, does she like Toronto?

In some ways, I think she
feels more at home there than I do.

Almost time for afternoon class.

Auntie, stay, we will get it.

There is a wash
station down the path.

Whatever you think
is wrong with me,

you need to lie to her.

I don't want anything to get
in the way of her chance

- to make her own life.
- Ah.

Have you been experiencing
any joints pain?

So your pelvis has been reduced

and your internal bleeding
is under control.

And the gods among men
don't even show up to allow us

to bask in their
reflected glory?

Seeing your enlarged spleen
I was actually able to get labs

which trust me,
tonight is a miracle.

- Hah.
- Turns out you have thrombocytopenia,

which means a
low platelet count.

You should also know that it's
been associated

with some other underlying
conditions.

Like Non-Hodgkin's lymphoma.

- Yeah. Do you...
- Stage 4.

I'd chalk the blood disorder up
to my recent chemo which failed,

and by the sounds of it caused my
platelets to throw a party in my spleen?

That would make sense.

Yeah. It also means
you were right earlier.

I'm impressed you got there,
it's the kind of differential

that can get lost in the noise.

- Are you a doctor?
- Oncologist.

20 years at Western.
And before you ask,

no friends or family
you should be calling.

You didn't want to go
to your own hospital?

Why'd you back down in there
whatever your name is?

- June Curtis.
- Hm.

- You know how this works.
- I'm a resident.

Promise me you won't go
looking for self-worth

in their opinions, Curtis.
You won't find it.

I never really helped
any of my patients,

at least let me help you.

I don't mean to be rude,
but I don't even know you.

Yeah, but I know you. And a
hundred other residents like you,

ones I ground down just like
those onanistic clowns

that call themselves
your bosses.

Is that really how you view
your life's work?

- You didn't help anyone?
- When I look back,

all I did was tell people
they were dying

or saddled with
terrible options.

Transfusions,

that could get you strong enough
for another round of treatment.

I cancelled my cable because
I thought watching TV

was the wrong thing to do with
my remaining time.

Turns out ballgames
and movies are all I want.

You can't save me Curtis.
So don't waste your energy.

Maybe, but at least
I can buy you some time.

I said no.

Any idea what's wrong
with Talia?

Fever, crackling
lungs, low pulse.

She's bradycardic,
it could be endocarditis.

I'd want to do an ECG but
I'm worried about heart block.

- Talia's heart is blocked?
- From what?

We don't know anything for sure.

But she didn't tell me anything.

- Because I didn't tell her.
- Because you can't help her?

We can give her antibiotics
for an infection.

But we don't have a pacemaker
to keep her heart...

Okay, so get one. You can call
your fancy hospital, right?

Bayan, it doesn't
work like that.

- Well it should!
- You have to do something!

I promise we'll find
a way to help, okay?

What?

It doesn't work like that?

You won't even try asking
your colleagues?

I can't just make a pacemaker
fall off the supply shelf,

- I'm still only a resident.
- With a direct line you've used for me more than once.

- It's not the right solution.
- What's going on, Bashir?

- What's wrong?
- Why are you really here?

I...

I just don't want to get
their hopes up.

Hi, I'm Doctor Hunter.

Um, I know you've
been waiting a while, sir.

Look, all I know
is a million hours ago,

they said they were waiting for
a doctor to read me my tests.

It's been hectic with the
system glitches but fortunately,

I was able to track down
your results manually.

So you can tell me
why my heart was racing?

My co-workers forced
me to take an ambulance,

saying I looked so pale
and nauseous.

They also said anything
heart-related gets seen first,

but that's clearly not true.

Well, our neurologist
looked over your EEG

and your blood work and
concluded that you have epilepsy.

Epilepsy?

- Oh, my God.
- I know it may seem frightening

but many people do live with
the disease, it is manageable.

Wait, doesn't that mean
seizures?

What does that have
to do with my heart?

Right, well uh,

heart palpitations can be
a marker of uh...

Do you have somewhere
else better to be?

- Uh no, sorry.
- I'm sorry, Mister Bertrand.

What we'll do is refer you
to a specialist.

- Braunstein.
- Bertrand's my first name.

- Your name isn't uh...
- Shaun Bertrand?

- No, man.
- My name's Bertrand Braunstein.

Did you just read me
the wrong results?!

- Ah, you...
- You got an EKG. Not an EEG.

- What's the difference?
- I mean the good news would be

that your brain is fine. And uh,
and your EKG's normal as well.

I'm very sorry
about this the mix-up.

It's just, it's been a day.

- W-wait that's it?!
- I sat around here all night

for you to tell me nothing
happened? I felt something!

Okay, but your blood work
doesn't show any signs of an MI,

so unless anything concrete
showed up during the EKG,

which it didn't,
all we can do is recommend

- that you follow up with your GP.
- And I just go home praying

that I don't die in my sleep?

You really expect me to live
with that uncertainty?

So the teacher has endocarditis?

- Roth spots, Janeway lesions?
- Classic presentation.

I'd have to confirm with echo
but she could need pacing.

I was wondering
what the odds are...

Slim to nil.

There's no way an NGO could
get their hands on a pacemaker?

Well, maybe if you applied the
right pressure, kept it up for weeks

and gave up something else
they don't have funding for?

What about a hospital in Beirut?

One might take her but
only if an NGO foots the bill.

So, same dance.

How the hell did anyone keep
track of patients before computers?

Yeah, speaking of chaos,
what would you say if I asked

to borrow the C-Arm in Trauma OR
for a non-acute injury?

I'd say I just let you move in and
you're already trying to get me fired?

I know you were trying to tell me about
this big meeting earlier and I just wasn't...

- Turns�out�it�wasn't�a�meeting.
- Just�a�piece�of�performance�art.

Come on, Mags.

What?

I know she doesn't want
to speak with me right now.

Then why are you bothering her?

- I need advice, heart patient.
- Seriously?

You just bailed on her to fly
halfway around the world

and she takes it in stride
to create some distance

and now you can't
even let her have that?

Call someone else.

Yeah, that's not what I meant.

Look. A 60-year-old woman
with endocarditis,

it could be causing a heart block.
We have broad spectrum antibiotics

but I can't get my hands
on a pacemaker.

It's a 30,000 $-piece
of equipment.

I was thinking I could
stop gap with external pacing

- until it gets here.
- What?

Externally pacing for more
than 12 hours risks electrical burns.

On the other hand,
the body will view

the intravenous pacer
as a foreign object

and it'll collect infection
just like the heart valve.

She probably needs surgical
valve repair not pacing.

Did you get that?

- Yeah. Yeah. I did.
- Thanks.

- How is she?
- Just don't do anything stupid over there.

Hey I was trying to freeze him
out for you!

You could've held the line.

Yeah, I can't let a stranger
suffer, I'm just incapable of that.

- You're allowed to feel upset.
- Yeah and I am!

I'm sad and hurt and confused.
But it's not just all about him.

Okay, so how do you process
these feelings?

- Uh, lately?
- By talking it out with him.

But since I can't do that,
I guess...

I'm right back at pouring
it all into this place.

Why, how do you...?

Oh I just push it all down
until it rears up

in destructive ways. Like
letting you use the C-arm.

I need help here!

- She's not breathing.
- Okay.

- Maybe she aspirated?
- Help me turn her.

Yeah. One, two.

Okay, I'll get something
to suction.

Did anybody see her choking?

Alright.

Hold on, I think I...

Says she was supposed to be
sent to OR.

- Did we lose track of her?
- We have no way of knowing that.

Doctor Devi, if it keeps on like
this, someone is gonna die.

Hey.

Can I have your
attention, please?

Due to a systems failure
beyond our control,

effective immediately
unless you're a patient

requiring level one care,
this department is closed.

Our triage nurses will be going
through who can stay,

who should go, and
they'll be handing out lists

of the closest available
EDs and clinics.

Are we really closing
to new patients?

And sending less acute to other
hospitals until our systems are back?

IT is saying it could take all
night to get our systems back online,

call the other EDs let them
know we're diverting.

We're supposed to call
them before we close.

I'll do my best but, we're not
the only ones with a bed shortage.

Yet according to Olsen, this
massive structural problem is on me.

Are you even allowed to do
what you just did?

Claire can you do another EKG
on the guy in Exam room D?

And if it's clear go ahead and
discharge, I'll sign off later.

I'm not saying that she should be
doing my job for me, it's just that...

- No, you trust her judgment.
- And why should he wait hours for me

when�you�can�get�him�out�sooner.
Oh�and�it's�Bertrand�Braunstein.

- Not Shaun Bertrand.
- Okay.

- He might have a point.
- About my judgment?

Claire, um how comfortable are
you with the C-arm in Trauma OR?

Because June says I can use it
for Miss Callahan's knee

but all the techs are busy
and I'm like...

If no help is coming,
we help ourselves.

Please.

Bayan, I was wrong.
Talia needs surgery.

One that she can't get here.

It has to be in a
proper hospital.

I'll advocate for
resources to get her there.

- Until then...
- Good thing I'm not leaving.

You should undo that.

Hey, there are others
who can help.

- Who? You?
- You will leave eventually.

And if I don't stay,
she could die.

Okay...

- It might take a minute.
- Quick pinch.

One, two, three.

It's not right,
skipping the line,

I can still hear Audrey crying
for help when I close my eyes.

You need help too. The colour
of the fluid does suggest infection.

- Mags!
- Yeah?

I think you should...

Lenore, you don't drink alcohol,
do you? Or overuse painkillers?

No alcohol. And I only use pain
pills the way my doctor says, why?

Well, there is scarring
on your liver.

My liver? I thought
you were looking at my knee.

Yeah, we checked a wider area
given your lightheadedness and jaundice.

Cirrhosis primarily comes
from toxins but it can also come

from the kind of
mission work that you do.

I'm not sure I follow.

Well, we see hepatitis
in unhoused communities,

it is transmissible and
it can cause loss of appetite,

bruising and eventually
liver injury.

Can you treat it?

Well, we'll need to do typing
once our labs are up.

But Lenore, for your liver
to get this bad,

it would have taken a long time.
You doctor didn't notice anything?

I mentioned some tiredness
and bloating

and she just told me to slow
down but, you know it's not my...

Incoming! Parking cop!

Some guy snapped and ran him
over on purpose.

- Hello?
- Doctor Novak, my patient needed an imaging

and everything was backed up.
We'll get out of your way.

- Forget it, no time!
- Trauma Bay's open.

Thought we weaned you off
this kind of excess, Leblanc.

Will that man be okay?

Your doctor should have caught
this! You should file a complaint.

She's busy and
I didn't press it...

Well you should start
since you can't rely on her.

- I don't need to, I have God.
- Lenore,

isn't that kind of thinking
what landed you here?

- Mags!
- I've devoted my whole life to Him

and I trust Him to
take care of me too.

Yeah, except what if a life
of service isn't enough anymore?

Mags! I think you made
your point.

What happened to you either
waiting at my place

or going home to yours.

I'm still married Theo.

As like, you're still
legally married?

Because plenty of couples
let that linger.

No.

I mean, according to Jonathan
we're still together.

Six months ago, you were
telling people he moved out.

- Six months ago he did.
- And then he moved back,

ostensibly because the cost of
two households was bleeding us dry.

But, full transparency, he also
thinks we're working on it.

Full transparency?

Well he thinks you're working on
it because you are or...

- We sleep in separate rooms.
- We've been on a few dates

Liz, you guys have a kid, okay?

I can't be the one who comes
between that.

Theo, I haven't done
anything wrong here

and neither have you.

Does this change
what you said earlier?

Do you want to
fix things with him?

I don't know!

You paged me up here why?

I couldn't take him to Trauma OR

because of a woman with
knee problems.

And that is an act of compassion
I understand that you sanctioned?

Yeah, well your guy was
stabilized and rushed into surgery, so?

Okay, that's not my point.

Then what is your point, that
you get to use your gut and I don't?

You do understand that we bill
O-HIP like

5,000 $ a minute
for Trauma OR, right?

So maybe you should use my
bursary blood to money to pay for that!

Yeah, I'll even write
you a check for the balance!

Okay, June, I see
that you are upset.

And uh, to be honest
I wasn't expecting it...

You guys cooked up this fake
position to try to pacify me

and you made me feel like I shouldn't
have even reported the stupid incident.

Our timing was
justifiably terrible,

but Olsen approached me months
ago about it and I wanted to wait

until I was sure you liked
working with me.

Why can't you see this
for what it is?

It's a reflection of
your ability.

You're taking Talia home,
to Douma?

Yeah. As a Syrian,
the hospitals will treat her.

And she has a sister there.

That area is regime controlled.

I wouldn't even risk
going there.

I know that's why I'm asking
to borrow your truck, I'll go...

You could be arrested! If we try
to help everybody, we help nobody.

Look, I made a mess, this
is the only way I know to fix it.

Can't you just once stop
taking everything on yourself!

You say you're here for me?
Why?

To talk me out of leaving
because you're worried

- that I can't make my own life?
- No, no, it's not...

Look, you don't know
what it's like...

Being the one that left.

Whatever part of you is missing,

it's not in Douma, Bashir.

You told me not to seek
validation in their opinion of me

but this is how this entire
ecosystem is built.

- Then you have to resist it.
- Except every time I try,

it's the same garbage cycle.
Either people end up hating me

- or they tell me not to help them!
- So give up.

Enough already, right?

Right, like that's why
you were on your roof.

You don't care what happens
to you, anymore?

You know what?
You wanna die so badly, fine!

You know,
we're not so different.

I used to think the problem
was everyone else,

but the problem is me...

Hating myself.

Listen, I do not...

- It's not that I want to die.
- But I am.

So if you really want
to help me,

- you can distract me from that.
- Hm?

Asthma attack admitted
and stable.

And the kid with
the glass in his eye

is waiting for ophthalmology
who still insists he's on his way.

Uh, sorry.

You know anything about curtain
five? Can't find the intake.

Um. Give me five seconds. I'm
just gonna change an infusion in E first.

Well, looks like we
weathered the storm.

You're going to take heat
for closing those doors though.

I am aware.

But hey, Olsen was
out of line before.

Ah, the cavalry arrives after
the battle is lost.

Arnold you said five, right?

Yes, Claire.
It's five.

- How's Mother Theresa?
- She has hepatitis

which wasn't caught
for who knows how long.

I hope we didn't screw you up
with our little stunt thing.

No. Actually,
they tried to promote me.

- What?
- Help! Help! She's bleeding!

Someone! Someone help!

- Oh my God, it's Claire! It's Claire!
- Call a code blue!

- Pulse is faint.
- Multiple stab wounds!

- Gauze! Gauze! Gauze!
- Now, Arnold!

We need her in trauma OR now!

- Move!
- Did anybody see who did this?

- Claire, can you hear us?
- Got the board!

Board roll on three.
One, two, three.

Lift on three.
One, two, three.

Out of the way,
out of the way, out of the way.

- We've got you, Claire.
- Clear! Clear the way!

I told her if she didn't leave,
I won't accept any treatment.

I'm not going to let
her stay for me.

Okay�look,�when�I�left�home...

I left with this weight,
to live for those who couldn't.

And if you make Bayan do the
same, she'll have to carry it too.

Doctor Garneau. Will you
introduce me to the NGO reps?

Talia needs resources
and a trip to the hospital.

They're coming to test
the water chlorination.

Those gastroenteritis
cases I mentioned?

They're looking more
like cholera.

An outbreak? Are you sure?

I sent samples
to the lab in Beirut.

If I'm right, we'll
know in a few days.

There's a lot of fluid,
likely organ perforation.

- Which one?
- C-arm.

- Heart rate's rising.
- She's showing signs of shock.

BP's on rapid decline. MTP?

Yeah, let's hang
as many units as we can.

One gram TXA, we really need to
figure out what organ got hit.

Imaging confirms free fluid,
spleen and right kidney.

I need more gauze, I can't get
a handle on this bleed.

- What about her left?
- She doesn't have one.

- No left kidney?
- Claire only has one?

Does anyone know why?

No. She doesn't really talk
about personal stuff like that.

- V-tach!
- She's hemodynamically unstable.

- Rhoda, crash cart!
- We gotta to open her now, source the damage.

Yeah, I'm going to
start a central line.

V-fib. She's in v-fib,
we need to shock.

Charge 200.

Clear!

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