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1
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Strategies for revealing your scars visible and invisible.
2
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Sometimes.
3
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I hurt myself, but we don't have to talk about it.
4
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I'm on the transplant list.
5
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The heart may come tomorrow or never.
6
00:00:18,441 --> 00:00:22,160
You should both know you won't be
in limbo for much longer, but fell shift spot.
7
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I'm deciding by the end of the month.
8
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Every time I think I've built
something that feeling fades and I run.
9
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Okay.
10
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Oh my God.
11
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Oh my God.
12
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No.
13
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No.
14
00:01:09,854 --> 00:01:10,853
Did you see that?
15
00:01:10,855 --> 00:01:11,854
Yep.
16
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Bring.
17
00:01:12,857 --> 00:01:14,057
Thank you.
18
00:01:16,535 --> 00:01:17,735
You've got a phone? (?)
19
00:02:11,080 --> 00:02:12,614
Morning, Darkland, I just...
20
00:02:12,616 --> 00:02:13,914
Hi, hi.
21
00:02:13,916 --> 00:02:16,537
I was just looking at the schedule.
22
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Nights, weekends, all the
least popular shifts. I know.
23
00:02:19,081 --> 00:02:21,964
- You're feeling gaps for now.
- No problem. Totally get it.
24
00:02:21,966 --> 00:02:27,080
Dr. Debbie, I appreciate your
faith in me and I plan to earn it.
25
00:02:27,081 --> 00:02:31,080
Let Dr. Bergeron know if you have any
questions about shifts or patient assignments.
26
00:02:31,287 --> 00:02:32,487
Sure thing.
27
00:02:33,691 --> 00:02:38,803
My only back because Dr. Wilson's strong after
because in my parole meeting, that was the vibe.
28
00:02:38,805 --> 00:02:40,080
I better...
29
00:02:42,453 --> 00:02:44,725
Good luck with all that.
30
00:02:45,204 --> 00:02:47,128
- June?
- What's wrong?
31
00:02:47,137 --> 00:02:48,704
Why does something have to be wrong?
32
00:02:48,706 --> 00:02:50,958
We run a department together and merely want to discuss it.
33
00:02:50,959 --> 00:02:51,958
Mm-hm.
34
00:02:51,960 --> 00:02:55,128
Let me guess. It's about the rotating
surgery residents that are cycling through.
35
00:02:55,129 --> 00:02:58,255
Oh, by the way, this is Ryan.
He's first year general surgery.
36
00:02:58,257 --> 00:02:59,256
Hi, Ryan.
37
00:02:59,258 --> 00:03:02,051
Why would I be concerned about
Ryan that has inexperienced milk?
38
00:03:02,053 --> 00:03:05,257
Getting in the way of us doing our jobs
just so you can feed your benevolent leader.
39
00:03:05,258 --> 00:03:07,981
We are a teaching hospital
and you are CC'd on at least a
40
00:03:07,983 --> 00:03:10,903
dozen emails about justifying
the budget by training residents.
41
00:03:10,905 --> 00:03:12,904
Nature of horrors of vacuum, Ryan.
42
00:03:12,906 --> 00:03:16,905
Look, if you are not going to engage in the
process, you don't get to be pissy about the results.
43
00:03:16,907 --> 00:03:19,257
Oh, June's been practicing her mantras, Ryan.
44
00:03:19,258 --> 00:03:21,374
Perhaps she'll teach
them to you if you ask nicely
45
00:03:21,375 --> 00:03:27,714
or you could do your actual job and help save
our incoming patients flattened by a forklift, ETA 10.
46
00:03:27,716 --> 00:03:28,889
You okay?
47
00:03:28,891 --> 00:03:29,890
Yeah, why?
48
00:03:29,892 --> 00:03:30,891
Let's go get set up.
49
00:03:30,893 --> 00:03:32,093
All right.
50
00:03:33,871 --> 00:03:35,071
Hi.
51
00:03:35,483 --> 00:03:36,683
Hi.
52
00:03:38,014 --> 00:03:40,312
Stupiud thing's supposed
to be waterproof.
53
00:03:40,314 --> 00:03:42,977
Did you want to talk about it?
Because it's been a couple of days.
54
00:03:42,979 --> 00:03:45,736
Well, Debbie said end of the month.
That's technically today, right?
55
00:03:45,738 --> 00:03:46,737
Debbie?
56
00:03:46,739 --> 00:03:48,688
Yeah, about the fellowship. I
thought you were talking about...
57
00:03:48,689 --> 00:03:52,618
No, I was talking about,
um, since... you and I uh...
58
00:03:53,763 --> 00:03:56,422
How is your brain not
fixated on the fellowship job?
59
00:03:56,424 --> 00:04:00,653
I mean, it is, but did you want to talk about it?
60
00:04:01,398 --> 00:04:02,397
About us?
61
00:04:02,399 --> 00:04:03,599
Yeah.
62
00:04:03,645 --> 00:04:04,845
Well...
63
00:04:04,937 --> 00:04:06,137
Do you?
64
00:04:06,258 --> 00:04:08,883
Unless you want to wait till today's over, if...
65
00:04:08,885 --> 00:04:12,038
- No, that's not what I...
- Mags, I've been texting you.
66
00:04:12,040 --> 00:04:13,039
That's all.
67
00:04:13,041 --> 00:04:15,840
- Oh, okay. Well, we need help in curtains.
- Okay.
68
00:04:15,842 --> 00:04:20,045
- Yeah, we'll just...
- This is Dominic, he came in unconscious.
69
00:04:20,047 --> 00:04:23,256
Central lives in, Ryan did the Foley
cap, and now he's helping me to do Brad.
70
00:04:23,258 --> 00:04:24,524
How long was he crushed for?
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00:04:24,526 --> 00:04:29,342
EMS says 2 hours. Apparently a forklift, knocked a pellet
of bricks onto him, so it took a while to get him out.
72
00:04:29,344 --> 00:04:34,034
He's an open femur fracture,
BP still saw, heartrate's erratic.
73
00:04:34,036 --> 00:04:35,739
- Ryan, right here.
- Yeah.
74
00:04:35,741 --> 00:04:38,107
And you checked to see
that his urine isn't dark, Ryan?
75
00:04:38,109 --> 00:04:39,187
He did, I already asked.
76
00:04:39,189 --> 00:04:41,986
But he has the voice of his own, isn't he?
77
00:04:41,988 --> 00:04:43,653
- Yeah, I checked.
- Good.
78
00:04:43,655 --> 00:04:46,126
And what's the mainstay of treatment
for a crushed syndrome, Ryan?
79
00:04:46,127 --> 00:04:49,359
Aggressive fluid resuscitation
to reverse metabolic acidosis.
80
00:04:49,361 --> 00:04:51,360
Track progress over the next few hours.
81
00:04:51,362 --> 00:04:53,362
Treat, wrap the myelitisis and prevent renal failure.
82
00:04:53,363 --> 00:04:58,577
Oh, he still has a pulse in his lower legs, so as
long as ortho agrees, we will debride and clean for now.
83
00:04:58,579 --> 00:05:01,165
Okay, sounds like I'm dismissed.
84
00:05:01,167 --> 00:05:02,951
What do you think, Ryan?
85
00:05:02,953 --> 00:05:06,901
- Um...
- His BP's dropping.
86
00:05:08,258 --> 00:05:10,586
Is urine output as dark, Ryan?
87
00:05:10,588 --> 00:05:11,784
Did you check that or not?
88
00:05:11,786 --> 00:05:15,277
After the Foley catheter, remember I
told you to tell me his urine was discolored.
89
00:05:15,279 --> 00:05:17,799
And then I asked you again, you
said you checked it, and then it was fine.
90
00:05:17,800 --> 00:05:18,799
It was.
91
00:05:18,801 --> 00:05:19,907
I think that it was.
92
00:05:19,909 --> 00:05:21,629
Was it or wasn't it?
93
00:05:21,631 --> 00:05:24,630
He said renal failure was a risk,
Ryan, but was that just knee-jerk
94
00:05:24,632 --> 00:05:27,105
memorization because when proteins
get released into the bloodstream,
95
00:05:27,106 --> 00:05:30,760
after crush injury, they damage the
kidney, which you have allowed to happen.
96
00:05:30,762 --> 00:05:33,137
He's in V-TACH, set up the cardiovert.
97
00:05:33,139 --> 00:05:35,603
Push 20 milligrams
fentanyl, 2 of midazolam.
98
00:05:35,605 --> 00:05:36,836
What can I do?
99
00:05:36,838 --> 00:05:38,304
Out of the way, Ryan.
100
00:05:38,306 --> 00:05:39,506
Charging.
101
00:05:40,258 --> 00:05:42,257
- Clear.
- Shock advised.
102
00:05:47,153 --> 00:05:49,315
How long have you had the headache, Yuri?
103
00:05:49,317 --> 00:05:52,743
A few weeks, and then I
started getting pain here, and
104
00:05:52,744 --> 00:05:55,593
these waves of tires where I
can barely keep my eyes open.
105
00:05:55,595 --> 00:05:57,746
- Any loss of appetite?
- Yeah.
106
00:05:57,748 --> 00:06:01,501
Has your son gotten sick? We're seeing a
stomach bug going through the daycares.
107
00:06:01,503 --> 00:06:03,248
Alexei is not in daycare.
108
00:06:03,250 --> 00:06:05,755
I starting in my own contracting business.
109
00:06:05,757 --> 00:06:08,029
Most of the time he comes along.
110
00:06:08,031 --> 00:06:09,305
He loves it.
111
00:06:09,307 --> 00:06:12,040
When the job is too
messy, neighbor watches him.
112
00:06:12,042 --> 00:06:14,140
It's just a the two of you?
113
00:06:14,142 --> 00:06:16,217
His mother died when he was a baby.
114
00:06:17,677 --> 00:06:20,770
I think there's something in the water in our building.
115
00:06:20,772 --> 00:06:22,072
Lead, maybe.
116
00:06:22,074 --> 00:06:24,654
I told the building manager
that the pipes are corroding.
117
00:06:24,656 --> 00:06:28,631
He even offered to fix them, but
they'r. Too cheap to pay or even test,
118
00:06:28,632 --> 00:06:31,101
Which is illegal. Not that that stops some.
119
00:06:31,103 --> 00:06:36,755
I stopped giving Alexei tap water, but
bottle is expensive, so I boil for me.
120
00:06:36,757 --> 00:06:40,256
- But if it is lead... Hmm.
- Well, then boiling won't help.
121
00:06:40,258 --> 00:06:46,832
The city does have a program aimed at identifying and
responding to environmental hazards in older buildings.
122
00:06:46,834 --> 00:06:48,437
You mean lower-end ones.
123
00:06:48,439 --> 00:06:52,444
- Well, you could qualify for extensive testing.
- But healthcare is free here, No?
124
00:06:52,446 --> 00:06:54,285
You can't just do the tests I need.
125
00:06:54,287 --> 00:06:56,921
Yes, but this program allows us a wider scope.
126
00:06:56,923 --> 00:07:00,923
It moves you to the front of the line. Not to
mention, it outs the landlords that tend to cut corners.
127
00:07:00,924 --> 00:07:04,112
But I would have to criticize
the country that gave me asylum.
128
00:07:04,114 --> 00:07:06,113
No, it's completely anonymous.
129
00:07:06,618 --> 00:07:11,182
Look, all I want to do is help you and
Alexei through this as fast as possible.
130
00:07:12,954 --> 00:07:15,528
He's stable for now, but in trouble with kidney failure.
131
00:07:15,536 --> 00:07:18,411
Amp of bicarb, give manitol, and get his potassium stat.
132
00:07:18,413 --> 00:07:20,501
No, no, you have to think
like a field surgeon, June.
133
00:07:20,503 --> 00:07:21,918
The first priority is to flush.
134
00:07:21,920 --> 00:07:23,731
Right, and then react with diuresis.
135
00:07:23,733 --> 00:07:25,557
Okay, I'll, uh, I want to beat. (?)
136
00:07:25,559 --> 00:07:26,997
Shit, should I do something?
137
00:07:26,999 --> 00:07:28,455
You've done enough.
138
00:07:28,457 --> 00:07:31,065
Look, Ryan, we'll debrief later,
about what went wrong. Okay?
139
00:07:31,067 --> 00:07:32,066
Why wait?
140
00:07:32,068 --> 00:07:34,830
Started with the abysmal judgment
of whoever matched Ryan to
141
00:07:34,832 --> 00:07:37,824
this hospital bringing, to
astounding incompetence today. (?)
142
00:07:37,826 --> 00:07:41,237
But since we're debriefing, when
your tiny brain can't remember
143
00:07:41,239 --> 00:07:44,041
if you've done something or not,
don't lie and say that you have.
144
00:07:44,043 --> 00:07:45,315
Unless you want to kill someone.
145
00:07:45,316 --> 00:07:47,504
Dr. Novak, I'm sorry, look, I just started...
146
00:07:47,506 --> 00:07:51,157
Another mistake, because what
you think means nothing in here.
147
00:07:51,159 --> 00:07:55,188
And if you're going to insist on thinking,
then why don't you think long and hard about
148
00:07:55,190 --> 00:07:56,925
whether this is the right profession for you?
149
00:07:56,926 --> 00:07:58,925
Dr. Novak, I think you made your point.
150
00:08:00,925 --> 00:08:04,471
Look, you made a mistake in the heat of
the moment these things happen, all right?
151
00:08:09,474 --> 00:08:11,037
Uh, he's having a panic attack.
152
00:08:11,039 --> 00:08:14,038
Can someone get him one of
those kidney-based things...
153
00:08:14,040 --> 00:08:15,761
No, no, no.
154
00:08:15,763 --> 00:08:17,268
Did any get inside?
155
00:08:17,270 --> 00:08:18,269
All right, I'm going to need to irrigate.
156
00:08:18,271 --> 00:08:21,405
All right, just push as much prophylactic
antibiotics as humanly possible.
157
00:08:21,407 --> 00:08:23,986
Hey, hey, are you okay?
158
00:08:24,828 --> 00:08:27,791
Look, but Novak said that
was about him, all right?
159
00:08:27,793 --> 00:08:29,792
Just don't make it about you.
160
00:08:34,443 --> 00:08:36,577
Now let's keep irrigating, guys.
161
00:08:41,983 --> 00:08:43,595
This is unacceptable.
162
00:08:44,697 --> 00:08:47,873
I'm reporting both of you for
creating an unsafe work environment.
163
00:08:51,538 --> 00:08:55,384
Two months ago, after it
happened, Claire said it was a sprain.
164
00:08:55,386 --> 00:08:57,483
Hmm, and now you can't move it at all.
165
00:08:57,485 --> 00:08:58,520
Yeah.
166
00:08:58,522 --> 00:09:00,243
Are you on anything for the pain?
167
00:09:00,245 --> 00:09:01,569
Well, that's the thing.
168
00:09:01,571 --> 00:09:04,194
I'm on something for my blood pressure.
169
00:09:06,296 --> 00:09:07,576
- This one?
- Yep.
170
00:09:07,826 --> 00:09:12,283
And, uh, water pills.
171
00:09:12,285 --> 00:09:14,304
And you can't take those with aspirin, apparently.
172
00:09:14,306 --> 00:09:17,551
Yeah, with NSAIDs, depending
on what your pressure's at...
173
00:09:17,552 --> 00:09:19,876
Oh, that, I think that's
a restaurant receipt.
174
00:09:19,878 --> 00:09:21,256
Oh.
175
00:09:21,258 --> 00:09:28,297
And I'm also on this and
also this, for high cholesterol,
176
00:09:28,304 --> 00:09:31,768
but there was some other
thing that interacts with those.
177
00:09:31,770 --> 00:09:36,644
Okay, yeah, now you just,
um... yeah, keep going.
178
00:09:37,244 --> 00:09:38,790
You don't have a GP?
179
00:09:38,792 --> 00:09:40,415
Oh, not for years.
180
00:09:40,417 --> 00:09:41,867
Claire's been helping me manage.
181
00:09:41,869 --> 00:09:45,135
I try not to overburden her, but I'm a bit of a handful.
182
00:09:46,837 --> 00:09:48,531
150 over 92.
183
00:09:48,533 --> 00:09:52,294
My wife used to keep
track of things, but she... Anyway...
184
00:09:53,820 --> 00:09:55,741
Donald, I'm really sorry.
185
00:09:55,743 --> 00:09:57,504
No, no, she's not dead.
186
00:09:57,506 --> 00:09:59,823
She just had enough of me, I guess.
187
00:09:59,825 --> 00:10:03,037
Claire said I could text her
if I needed to be looked at.
188
00:10:03,331 --> 00:10:06,330
I... I tripped over an
extension cord at work.
189
00:10:06,332 --> 00:10:09,617
Claire said she'd book an X-ray for
me, but when I didn't hear anything back,
190
00:10:09,619 --> 00:10:12,195
I figured, "Well, if she's
not worried, I shouldn't be."
191
00:10:12,197 --> 00:10:14,356
Only it's gotten to the
point where I can't work.
192
00:10:14,358 --> 00:10:18,030
I do plaster, you know,
so... I need my wrists.
193
00:10:19,451 --> 00:10:23,450
To admissions committee, I've known
Arnold for seven years, actually, at five years.
194
00:10:23,452 --> 00:10:26,038
Wow, it feels so much longer than that.
195
00:10:26,040 --> 00:10:28,415
Hey, can you please stop reading over my shoulder?
196
00:10:28,417 --> 00:10:30,005
It's very annoying.
197
00:10:30,007 --> 00:10:33,384
I can confidently say he possesses all the qualities
that are essential for success in the medical field.
198
00:10:33,385 --> 00:10:34,610
Oh, this is sweet.
199
00:10:34,612 --> 00:10:36,809
Hey, I just caught one of Claire's frequent flyers.
200
00:10:36,811 --> 00:10:38,311
Is she running late?
201
00:10:39,145 --> 00:10:41,418
- Guys?
- We don't know, Bex, okay? (?)
202
00:10:42,458 --> 00:10:44,932
Dr. LeBlanc, can we talk to my office in 20?
203
00:10:44,934 --> 00:10:46,648
Yes! I mean, yes.
204
00:10:50,119 --> 00:10:52,019
Okay, just let me know once you get in.
205
00:10:52,957 --> 00:10:54,500
- Hey, Dr. Debbie.
- Yeah.
206
00:10:54,502 --> 00:10:59,278
So, I started sharing blind data with Toronto
Public Health regarding certain environmental hazards.
207
00:10:59,280 --> 00:11:03,224
In low-income housing after that patient
of yours died from carbon monoxide exposure.
208
00:11:03,226 --> 00:11:06,491
Well, it turns out over the last
year they've been piloting in action,
209
00:11:06,493 --> 00:11:09,326
designated the two health patients
before that kind of thing happened.
210
00:11:09,328 --> 00:11:11,445
- Red safe. I'm on any malice.
- Mm-hmm.
211
00:11:11,447 --> 00:11:14,195
I was wondering if that's something
that we could incorporate to ED.
212
00:11:14,197 --> 00:11:18,196
A man came in this morning who
qualifies as suspected lead poisoning,
213
00:11:18,198 --> 00:11:22,560
and also like long-blown radiography
to check density for chronic exposure.
214
00:11:22,568 --> 00:11:26,499
- If we push him forward and they agree, then they...
- It cuts a ton of red tape.
215
00:11:26,501 --> 00:11:28,112
You'd need his consent first.
216
00:11:28,114 --> 00:11:30,906
Well, he's with his young son,
so moving faster is great incentive.
217
00:11:30,908 --> 00:11:32,684
The kid's fine, thankfully.
218
00:11:32,686 --> 00:11:33,964
Do I need that?
219
00:11:35,109 --> 00:11:36,982
It's nice to see you engaging in this.
220
00:11:36,984 --> 00:11:39,553
I know you went to
Lebanon to do relief work, but
221
00:11:39,554 --> 00:11:42,204
I wasn't sure if it was
personal or professional.
222
00:11:43,768 --> 00:11:47,134
Um... I think it was both.
223
00:11:47,651 --> 00:11:50,401
Marrying your vocation with your avocation?
224
00:11:50,403 --> 00:11:52,192
Good for you, Bashir.
225
00:11:52,194 --> 00:11:54,581
- Let me know how I'll second support. (?)
- Thank you.
226
00:12:01,364 --> 00:12:02,564
Hi.
227
00:12:02,646 --> 00:12:04,340
Hi, I'm sorry the door was open.
228
00:12:04,342 --> 00:12:06,648
- I wasn't sure if you wanted me to come in.
- Definitely.
229
00:12:06,650 --> 00:12:08,597
- You, sit.
- Okay.
230
00:12:08,599 --> 00:12:10,727
Just give me a minute here.
231
00:12:15,288 --> 00:12:17,963
Thanks for bearing with me through this process.
232
00:12:17,965 --> 00:12:19,248
Yeah, for sure.
233
00:12:19,250 --> 00:12:24,467
So, you're my first meeting,
Mags, because this is good news.
234
00:12:24,469 --> 00:12:25,947
Congratulations.
235
00:12:25,949 --> 00:12:30,208
Congratulations, you mean,
like, I got the job, congratulations?
236
00:12:30,210 --> 00:12:31,209
You did.
237
00:12:31,211 --> 00:12:36,758
In a few months, when your residency ends, we'd
like you to stay on as our emergency department fellow.
238
00:12:39,104 --> 00:12:41,850
Financials in here, all the logistics.
239
00:12:41,852 --> 00:12:46,555
I hope you know, Mags, that you are the essential
fit for what I'm trying to do in this department.
240
00:12:46,557 --> 00:12:47,703
You're patient-focused.
241
00:12:47,705 --> 00:12:49,133
You lead with empathy.
242
00:12:49,135 --> 00:12:51,382
You put all of yourself
into everything that you do,
243
00:12:51,383 --> 00:12:54,256
and I know your residency
hasn't been exactly linear.
244
00:12:54,258 --> 00:12:56,993
And you've been dealt with some
health challenges, but getting to
245
00:12:56,995 --> 00:13:01,289
know you over this last year, I
have no doubt that you belong here.
246
00:13:02,817 --> 00:13:06,816
Now, obviously, this is a big
commitment and a major decision.
247
00:13:06,818 --> 00:13:09,757
So, if you need some time or you
have any doubts or concerns.
248
00:13:09,758 --> 00:13:12,340
No, no. No, no doubts, no.
249
00:13:12,342 --> 00:13:13,627
- Okay.
- Yeah.
250
00:13:13,629 --> 00:13:16,011
- Yes, I want it, absolutely.
- Good.
251
00:13:16,013 --> 00:13:17,833
Would it be weird if we hug?
252
00:13:19,777 --> 00:13:20,977
Thank you.
253
00:13:21,737 --> 00:13:26,390
I just ask that you not tell anyone until
I've had a chance to let your colleagues know.
254
00:13:26,392 --> 00:13:28,146
It should be by the end of day.
255
00:13:28,148 --> 00:13:29,348
Okay.
256
00:13:32,530 --> 00:13:33,803
Where are we, June?
257
00:13:33,805 --> 00:13:35,804
I'm using negative pressure wound therapy.
258
00:13:35,806 --> 00:13:37,269
I'm just getting the foam ready.
259
00:13:37,271 --> 00:13:38,369
Is this your labrik Aleman? (?)
260
00:13:38,371 --> 00:13:39,773
Andy's BP's way too low.
261
00:13:39,775 --> 00:13:43,230
Actually, the only good news is that I
debrided twice, so the wound looks fantastic.
262
00:13:43,232 --> 00:13:44,777
Free from Ryan's vomit, you mean.
263
00:13:44,779 --> 00:13:47,556
I'm using the back with insulation
because the last thing I need is sepsis.
264
00:13:47,557 --> 00:13:50,113
Aside from that, sweet and see how his kidneys recover.
265
00:13:50,115 --> 00:13:51,965
Which the kid is blaming us for.
266
00:13:51,967 --> 00:13:53,924
Olsen's requested an audience.
267
00:13:53,926 --> 00:13:55,390
Entitled little troll.
268
00:13:55,392 --> 00:13:57,207
I told you, residents, are a bad idea.
269
00:13:57,209 --> 00:13:58,389
I'm just laying here on the foam.
270
00:13:58,391 --> 00:14:00,751
Not my opinion, you develop it here.
271
00:14:00,753 --> 00:14:02,136
What is up with you?
272
00:14:02,138 --> 00:14:03,268
Don't compress.
273
00:14:03,270 --> 00:14:04,402
I know...
274
00:14:04,404 --> 00:14:05,736
what I'm doing.
275
00:14:05,738 --> 00:14:10,111
Look, I know things between us have been tricky, but it
seems like there's more bothering you than me having power.
276
00:14:10,112 --> 00:14:12,954
If you can't handle my friendly
responding to you, then that's on you.
277
00:14:12,956 --> 00:14:16,448
The way we work in here,
enter the knife, I need that.
278
00:14:16,450 --> 00:14:19,445
Okay, as weird as that is for me to
say, but not everyone can handle it.
279
00:14:20,652 --> 00:14:22,482
Can you respond, at least?
280
00:14:22,484 --> 00:14:24,352
Are you going to play
nice with the Ryan thing?
281
00:14:24,354 --> 00:14:25,532
I've got to know who. (?)
282
00:14:25,534 --> 00:14:26,734
Mark.
283
00:14:27,205 --> 00:14:30,072
Don't put your stability on
me, June. I never asked for that.
284
00:14:33,991 --> 00:14:35,990
We're all sucking it up today.
285
00:14:39,564 --> 00:14:41,563
It's a scapoid fracture.
286
00:14:41,565 --> 00:14:45,725
If you would have done the X-ray two months ago,
we would have put it in a cast to avoid the situation.
287
00:14:45,727 --> 00:14:47,473
That has been broken the whole time?
288
00:14:47,475 --> 00:14:49,274
I'm sorry to say so, yes.
289
00:14:49,276 --> 00:14:51,771
When this happens, the
pieces don't properly fuse.
290
00:14:51,773 --> 00:14:53,384
It's called nonunion.
291
00:14:53,386 --> 00:14:55,548
You seem happy that
this is happening to me.
292
00:14:55,550 --> 00:14:57,133
No. No, no.
293
00:14:57,135 --> 00:15:00,912
I'm just, no, I'm glad that we're on top of it now.
294
00:15:00,914 --> 00:15:02,260
So now what?
295
00:15:02,262 --> 00:15:06,281
Ah, a surgeon might need a bone
stimulator or maybe even graft.
296
00:15:06,283 --> 00:15:07,471
An operation?
297
00:15:07,473 --> 00:15:09,571
And then how many more weeks off work?
298
00:15:09,573 --> 00:15:10,572
Donald.
299
00:15:10,574 --> 00:15:12,022
I just saw your text.
300
00:15:12,024 --> 00:15:14,226
My wrist has been broken
for two months, Claire.
301
00:15:14,228 --> 00:15:16,244
You were supposed to call me about that X-ray.
302
00:15:16,866 --> 00:15:18,177
I did.
303
00:15:19,258 --> 00:15:22,912
I bet somewhere in your bag
there you will find the requisition.
304
00:15:23,837 --> 00:15:25,837
You're right. I'm sorry, it was me.
305
00:15:25,839 --> 00:15:28,122
I didn't mean to accuse you, Claire.
306
00:15:28,124 --> 00:15:31,148
Let's get Dr. LeBlanc
back to her regular scheduled
307
00:15:31,150 --> 00:15:34,006
programming and you and I can
talk to a surgeon about next steps.
308
00:15:35,114 --> 00:15:37,247
- I'll just get changed and call upstairs.
- Yeah.
309
00:15:37,249 --> 00:15:39,083
I'll write up a few
hydromoraphone for his pain.
310
00:15:39,084 --> 00:15:41,225
- He should tolerate them fine.
- Okay, thanks.
311
00:15:42,746 --> 00:15:47,678
Collation therapy should counteract the toxicity
over the next two days of infusions that will bind
312
00:15:47,679 --> 00:15:52,142
with the lead in your bloodstream and form a compound
that can be excreted from your body through your...
313
00:15:52,144 --> 00:15:53,623
Then Alexei will stay too.
314
00:15:53,625 --> 00:15:54,965
He won't be in any trouble.
315
00:15:54,967 --> 00:15:57,256
You'll be hooked up to monitors and IVs.
316
00:15:57,258 --> 00:16:00,013
There's no way to run
after an energetic toddler.
317
00:16:00,022 --> 00:16:04,179
And as much as we'd love to, we just
don't have the staff to look out for him.
318
00:16:04,457 --> 00:16:06,072
I know. Excuse me.
319
00:16:07,244 --> 00:16:09,842
- Hey.
- Would you care to fill me in, Dr. Hamid?
320
00:16:09,844 --> 00:16:11,298
It's Yuri Zalinger.
321
00:16:11,300 --> 00:16:13,475
He came in with
symptoms of lead poisoning.
322
00:16:13,477 --> 00:16:15,337
And yet he's had a bone scan and an MRI.
323
00:16:15,339 --> 00:16:18,746
There seems like an expensive way to get
somewhere that basic blood sort of taken us.
324
00:16:18,748 --> 00:16:22,391
If you're concerned about resources, I
believe it falls under the public health budget.
325
00:16:22,393 --> 00:16:25,860
So I heard, but I don't remember
approving any patient sharing initiatives.
326
00:16:25,862 --> 00:16:27,123
Dr. Debbie did.
327
00:16:27,125 --> 00:16:31,839
Well, I asked her to... I have experienced
working in refugee camps in Turkey, Syria, Lebanon.
328
00:16:31,841 --> 00:16:34,867
And if we had programs like this available,
we would have saved a lot more lives.
329
00:16:34,868 --> 00:16:35,972
Smart.
330
00:16:35,974 --> 00:16:38,280
Not everyone has the
personal experience to leverage.
331
00:16:38,282 --> 00:16:41,281
Makes it harder for us to
say no to that kind of pitch.
332
00:16:41,283 --> 00:16:44,227
These programs are good in theory, Dr. Hamed.
333
00:16:44,229 --> 00:16:49,327
But I doubt we'll ever see a dime from public health,
which means that we will be eating the extra costs.
334
00:16:49,329 --> 00:16:51,075
Are you asking me to pull Yuri?
335
00:16:51,077 --> 00:16:52,888
Bad optics. It's too late.
336
00:16:55,351 --> 00:16:56,883
We have a wrinkle.
337
00:16:57,443 --> 00:17:00,782
Did he just accuse me of
using my life story to get ahead?
338
00:17:00,784 --> 00:17:02,106
You did.
339
00:17:02,108 --> 00:17:04,141
I'm not saying it isn't offensive.
340
00:17:04,143 --> 00:17:07,382
But he's not wrong about
public funding being unreliable.
341
00:17:07,384 --> 00:17:11,181
He okays programs like this one,
he risks losing money we need elsewhere.
342
00:17:11,183 --> 00:17:14,939
And if he doesn't, then he
looks like an uncaring racist.
343
00:17:14,941 --> 00:17:18,060
Dr. Debbie made it seem like I
was on the exact right page,
344
00:17:18,061 --> 00:17:22,570
but Olson thinks the same idea makes me
look like I have no clue how things work here.
345
00:17:22,572 --> 00:17:25,258
The Gulf between those
two is above our pay grade.
346
00:17:26,881 --> 00:17:29,235
You said we had a wrinkle?
347
00:17:29,237 --> 00:17:33,030
Yuri won't let me place Alexei
with a family while he's in treatment.
348
00:17:33,032 --> 00:17:37,418
I get it, I'm a stranger,
but the kid can't stay here.
349
00:17:37,420 --> 00:17:40,363
I don't blame him, I wouldn't
trust us either in his shoes.
350
00:17:40,365 --> 00:17:42,016
But you do now, right?
351
00:17:43,258 --> 00:17:44,959
You see yourself in Yuri?
352
00:17:44,961 --> 00:17:46,960
Help him get to where you are.
353
00:17:50,150 --> 00:17:51,966
Let's say this is him, choose up. (?)
354
00:17:53,124 --> 00:17:55,438
- Are you sure about that, Arnold?
- Yep.
355
00:17:59,643 --> 00:18:00,843
Okay.
356
00:18:03,119 --> 00:18:05,412
Hi, I'm Theo Hunter.
357
00:18:05,414 --> 00:18:06,613
Theo Hunter.
358
00:18:06,615 --> 00:18:07,946
The Theo Hunter.
359
00:18:07,948 --> 00:18:08,947
Okay.
360
00:18:08,949 --> 00:18:10,813
You're Jonathan, right?
361
00:18:10,815 --> 00:18:12,859
Liz's live in acts.
362
00:18:12,861 --> 00:18:14,493
This is Ash.
363
00:18:14,495 --> 00:18:17,055
Hi. Yeah, if you'd
like I could go get Liz.
364
00:18:17,057 --> 00:18:21,536
She never sees us herself when we come. Protocol, she says.
365
00:18:21,538 --> 00:18:25,420
Also we've already been waiting
an hour and Ash is straining for air.
366
00:18:25,422 --> 00:18:27,520
You're asthmanic aren't you Ash?
367
00:18:28,466 --> 00:18:29,666
Yeah.
368
00:18:30,350 --> 00:18:32,109
It's been pretty bad today.
369
00:18:32,111 --> 00:18:35,415
Ash texted from school
saying they could barely brief.
370
00:18:35,417 --> 00:18:38,481
All right, well let's get a
big breath in and out, okay?
371
00:18:40,840 --> 00:18:46,893
Any triggers, exercise, allergens, what meds are you on?
372
00:18:46,895 --> 00:18:50,422
Big bad purple every morning,
little boy blue for attacks.
373
00:18:50,424 --> 00:18:53,219
Selmetarol and to selbutymol.
374
00:18:53,221 --> 00:18:54,378
Oh.
375
00:18:54,380 --> 00:18:58,530
And little boy blue hasn't done
anything to help with the wheezing today?
376
00:18:58,532 --> 00:19:05,074
They lost it and are aware that since insurance only covers
so many, the next one's coming out of their allowance.
377
00:19:05,076 --> 00:19:12,008
Okay, well, we'll be able to get your breathing sorted,
but I would like to do a chest X-ray just to be sure.
378
00:19:12,010 --> 00:19:13,675
X-Ray's not necessary.
379
00:19:13,677 --> 00:19:15,676
Nebulaizer's normally enough.
380
00:19:15,678 --> 00:19:17,256
Ash, you okay?
381
00:19:17,258 --> 00:19:21,840
John, are you sure this was DEFCON
enough to take them out of school?
382
00:19:21,842 --> 00:19:24,733
You could have answered one
of my 30 calls and decided yourself.
383
00:19:24,735 --> 00:19:28,127
Your boyfriend thinks it's serious
enough, if he wants to be getting an X-ray.
384
00:19:31,146 --> 00:19:37,020
Okay, well, I'm gonna go run down
that nebulizer and I'll let you guys talk.
385
00:19:39,046 --> 00:19:40,500
Be right back.
386
00:19:42,733 --> 00:19:45,723
Well, first meeting could
have gone worse, right?
387
00:19:45,725 --> 00:19:48,724
A week ago you wouldn't even
let me in the car for a pickup.
388
00:19:48,726 --> 00:19:51,725
Now you're assigning them to
me without even a heads up?
389
00:19:52,144 --> 00:19:53,522
Okay, fine.
390
00:19:53,918 --> 00:19:57,763
But I can't treat them
and you're a person I trust.
391
00:19:57,765 --> 00:20:00,456
And yet you're overruling an X-ray.
392
00:20:00,458 --> 00:20:02,116
Look, Ash does this.
393
00:20:02,118 --> 00:20:07,177
You know, when they came to us a few years ago,
they were always sick and they settled in and it got better.
394
00:20:07,179 --> 00:20:10,764
But now the John and I, you...
395
00:20:11,131 --> 00:20:14,326
Trust me, all Ash needs
to hear they're fine.
396
00:20:14,791 --> 00:20:16,790
All right, nebulizer, it is, boss.
397
00:20:16,792 --> 00:20:17,992
Thank you.
398
00:20:19,549 --> 00:20:22,815
Well, there is a way we're
going to fix your dad. (?)
399
00:20:23,224 --> 00:20:24,838
- Doctor Hamed.
- Hi.
400
00:20:24,840 --> 00:20:25,839
Who's this?
401
00:20:25,841 --> 00:20:31,525
This is Alexei, his father had to make a
call to arrange childcare, so we are on a tour.
402
00:20:31,527 --> 00:20:33,671
Hi, Alexei, I'm Nita.
403
00:20:35,498 --> 00:20:37,647
I got your note about Olson.
404
00:20:37,964 --> 00:20:43,156
Let me worry about him. But when you
have a moment, I do want to speak in my office.
405
00:20:43,385 --> 00:20:45,333
Okay, great.
406
00:20:49,107 --> 00:20:51,244
Doctor, we have to go to the street. (?)
407
00:20:52,258 --> 00:20:54,989
Hey, Donald, has the surgeon not been in?
408
00:20:54,991 --> 00:20:56,762
Not since you left before.
409
00:20:58,244 --> 00:21:02,097
I have been through every paper
and I can't find that X-ray or requisition
410
00:21:02,098 --> 00:21:04,492
and no mis-calls or
texts from Claire either.
411
00:21:04,494 --> 00:21:07,185
I don't want to make things
worse and I know I'm scattered.
412
00:21:07,911 --> 00:21:11,441
But I don't think this was my
fault, and Claire tried to say it was.
413
00:21:11,697 --> 00:21:17,696
Okay, well, maybe there was a
system glitch or some kind of human error.
414
00:21:17,698 --> 00:21:18,697
Let me just go check.
415
00:21:18,699 --> 00:21:22,531
Then maybe give me something for the
pain because I'm still waiting for that, too.
416
00:21:28,770 --> 00:21:30,042
Thanks for meeting.
417
00:21:30,044 --> 00:21:32,806
No, anything to asuage hurt feelings.
418
00:21:32,808 --> 00:21:34,242
Poor guy, doesn't know where he is?
419
00:21:34,244 --> 00:21:36,416
No, he came in unconscious
and we had to intubate.
420
00:21:36,418 --> 00:21:39,492
He has a family member who's
driving down but still about a day away.
421
00:21:40,418 --> 00:21:42,572
I heard about the residence complaint.
422
00:21:42,574 --> 00:21:46,078
As this came to me through
surgical channels, Dr. Debbie, I'm on it.
423
00:21:46,080 --> 00:21:49,609
Maybe so, but the incident happened
in my department, so my purview.
424
00:21:49,611 --> 00:21:50,850
Incident?
425
00:21:51,374 --> 00:21:52,530
Seriously?
426
00:21:52,532 --> 00:21:56,057
The young man feels that a
gentler language could have been used.
427
00:21:56,059 --> 00:21:59,385
He lied about vital information. Twice.
428
00:21:59,387 --> 00:22:01,054
You gonna back me up on this June?
429
00:22:01,056 --> 00:22:03,006
Uh, he did.
430
00:22:03,008 --> 00:22:04,342
Yes.
431
00:22:04,344 --> 00:22:09,493
Ryan claims that an
environment of fear incited his mistake.
432
00:22:09,495 --> 00:22:10,942
That's crap.
433
00:22:11,966 --> 00:22:13,551
Patient's life was in danger.
434
00:22:13,553 --> 00:22:16,113
He's going to have to face way
more intense situations than that.
435
00:22:16,114 --> 00:22:17,946
And if he crumbles, what good is he?
436
00:22:17,948 --> 00:22:20,570
Even so, that justification
has fallen out of favor, Mark.
437
00:22:20,572 --> 00:22:24,698
Okay. Let's coddle them because that'll work out
so well for people who've been crushed by forklifts.
438
00:22:25,502 --> 00:22:27,975
Well, what is that even supposed to mean?
439
00:22:27,977 --> 00:22:32,270
That it used to be permissible to
berate residents into panic attacks?
440
00:22:32,272 --> 00:22:34,122
It was practically a sport for my attending.
441
00:22:34,124 --> 00:22:39,066
It's a radical thought, but it might be nice for new
residents to come up without being repeatedly traumatized.
442
00:22:39,068 --> 00:22:40,776
It's hard to disagree with that.
443
00:22:40,778 --> 00:22:44,737
Then again, Mark makes a fair
point about coddling, like saying yes to
444
00:22:44,739 --> 00:22:49,248
ill-advised public health initiatives
to keep from offending a resident.
445
00:22:49,250 --> 00:22:52,732
That was about encouraging a valid holistic interest.
446
00:22:52,734 --> 00:22:58,734
And Hamed's enthusiasm is not going to pay for unnecessary
diagnostics, which as you'll recall, is my purview.
447
00:23:00,816 --> 00:23:02,835
He needs increased presidoses. (?)
448
00:23:02,837 --> 00:23:05,163
It could be worsening sepsis, but it's hard to tell.
449
00:23:05,165 --> 00:23:08,517
This mess is not a good look for trauma OR.
450
00:23:08,519 --> 00:23:11,080
So whatever your personal
feelings, I need the two of you to make
451
00:23:11,082 --> 00:23:14,447
sure that Ryan feels supported
and the patient is stabilized.
452
00:23:14,449 --> 00:23:15,649
Isn't that over?
453
00:23:16,752 --> 00:23:19,026
In that case, you can have the future.
454
00:23:19,028 --> 00:23:22,178
Do, say whatever you want to Ryan, I am out.
455
00:23:23,538 --> 00:23:25,231
Godspeed, Dr. Curtis.
456
00:23:26,817 --> 00:23:28,480
Do you have a minute?
457
00:23:28,482 --> 00:23:30,935
You do not need to
hold the bag for Novak.
458
00:23:30,937 --> 00:23:32,754
I know he's great in trauma OR.
459
00:23:32,756 --> 00:23:34,149
He is trauma OR.
460
00:23:34,151 --> 00:23:35,719
Someone's got to do it.
461
00:23:36,084 --> 00:23:39,430
Anyways, I, uh, got it.
462
00:23:41,596 --> 00:23:43,350
That was spirited?
463
00:23:43,352 --> 00:23:47,654
You should know I've chosen the
Maggie Leblanc for the Emerge Fellowship.
464
00:23:47,656 --> 00:23:49,416
Why don't you walk me
through your thinking?
465
00:23:49,418 --> 00:23:50,838
I've already told her.
466
00:23:50,840 --> 00:23:52,749
It's my decision, so I made it.
467
00:23:52,751 --> 00:23:54,938
Once I tell the others, we can announce.
468
00:23:54,940 --> 00:23:56,881
Sounds good to me.
469
00:23:57,298 --> 00:23:59,839
Yury, only for two nights, you said you'd try.
470
00:23:59,841 --> 00:24:04,349
I did, neighbor who watches him when I
can't take him on jobs has her brother this week.
471
00:24:04,351 --> 00:24:06,199
And he's been in and out of jail.
472
00:24:06,201 --> 00:24:07,200
Not an option.
473
00:24:07,202 --> 00:24:09,285
- But that's only one person.
- There's nobody else.
474
00:24:09,287 --> 00:24:12,117
Yes, there is. Lucy would not put
him with someone who isn't safe.
475
00:24:12,119 --> 00:24:14,884
If I can't keep him with me,
then there's nothing left to say.
476
00:24:14,886 --> 00:24:16,093
But you need treatment.
477
00:24:16,095 --> 00:24:20,743
You keep saying that, but beyond the stomach
pain in headaches, which I can handle, I'm fine.
478
00:24:20,745 --> 00:24:21,930
No, you're not.
479
00:24:21,932 --> 00:24:23,723
Your blood pressure is through the roof.
480
00:24:23,725 --> 00:24:26,437
You could have a stroke. Then
what would happen to Alexi? Hmm?
481
00:24:26,878 --> 00:24:30,603
Um, when I first got here, I would have said no, too.
482
00:24:31,178 --> 00:24:34,331
I would have taken it all out myself
and it would have been a mistake.
483
00:24:34,878 --> 00:24:37,544
I have made so many mistakes.
484
00:24:37,546 --> 00:24:38,908
Then take him.
485
00:24:38,910 --> 00:24:42,691
If you watch Alexi, I'll know he's
safe and stay here for treatment.
486
00:24:42,693 --> 00:24:44,131
I would, Yuri.
487
00:24:44,133 --> 00:24:45,903
I would, but they don't allow that.
488
00:24:45,905 --> 00:24:47,708
I could lose my job, I'm sorry.
489
00:24:50,748 --> 00:24:52,358
Then let us go.
490
00:24:53,791 --> 00:24:55,790
We're survivors, him and me.
491
00:24:55,792 --> 00:24:57,241
We will manage.
492
00:25:08,031 --> 00:25:12,552
Mags, did you ask the social
worker to help keep them organized? (?)
493
00:25:12,554 --> 00:25:14,210
Because I was on that.
494
00:25:14,212 --> 00:25:17,211
Yeah, it's just because you
just started full time again today.
495
00:25:17,213 --> 00:25:20,629
Right. So you can go above and beyond
with every patient, but I'm in over my head?
496
00:25:20,631 --> 00:25:28,068
That's not what I... You didn't order the X-ray
and there's no record of a requisition or any follow-up.
497
00:25:28,070 --> 00:25:32,180
Donald's in pain. I can fit him in tonight. He
's going to need Aurith in a bone graft. (?)
498
00:25:32,182 --> 00:25:34,909
How long until he goes back to work?
499
00:25:34,911 --> 00:25:38,952
Eight weeks and it'll be a while tonight, so stay
on top of this pain management, he's in discomfort.
500
00:25:41,884 --> 00:25:46,232
Oh, and Dr. Leblanc, I understand
that congratulations are in order.
501
00:25:46,697 --> 00:25:48,696
The Emergency Medicine Fellowship.
502
00:25:49,384 --> 00:25:51,271
Yeah, I wasn't aware that that was out.
503
00:25:51,273 --> 00:25:52,272
Yeah, thank you.
504
00:25:52,274 --> 00:25:54,274
Mags, that's amazing. Way to go.
505
00:25:54,276 --> 00:25:55,906
I'm going to suck up to you more intensely.
506
00:25:55,907 --> 00:25:56,906
Yeah, you better.
507
00:25:56,908 --> 00:25:57,907
Congrats.
508
00:25:57,909 --> 00:25:58,908
Thanks.
509
00:25:58,910 --> 00:26:00,078
Happy for you, Mags.
510
00:26:00,080 --> 00:26:02,562
That's a nice feeling being
at the beginning of something.
511
00:26:02,564 --> 00:26:03,563
Thank you.
512
00:26:03,565 --> 00:26:07,596
I do think that you and I have that in
common the way that we prioritize this place.
513
00:26:07,598 --> 00:26:12,726
And I am living proof that you can both work here
and manage our health issues, but I'm not doing it all.
514
00:26:12,734 --> 00:26:13,963
I'm fine.
515
00:26:13,965 --> 00:26:15,120
Claire.
516
00:26:15,122 --> 00:26:16,257
Claire.
517
00:26:16,258 --> 00:26:17,933
Can I make one mistake?
518
00:26:17,935 --> 00:26:23,174
I will apologize to Donald, but I will not advertise my
health problems for sympathy just because it worked for you.
519
00:26:23,176 --> 00:26:25,545
So you do your job and
let me do mine, please.
520
00:26:39,864 --> 00:26:41,952
Hey, first day back, how'd it go?
521
00:26:41,954 --> 00:26:42,953
Awkward.
522
00:26:42,955 --> 00:26:43,954
Yours too, I hear?
523
00:26:43,956 --> 00:26:44,955
Buy you a drink later?
524
00:26:44,957 --> 00:26:45,956
Uh, sure.
525
00:26:45,958 --> 00:26:46,957
Only, why?
526
00:26:46,959 --> 00:26:48,838
Just, I know how much one of that job.
527
00:26:48,840 --> 00:26:50,861
You know, great for my Mags, but still.
528
00:26:50,869 --> 00:26:52,113
Sorry, man.
529
00:26:52,115 --> 00:26:54,782
Ah, wait, you, you, you knew already, right?
530
00:26:55,584 --> 00:26:58,470
Yeah, I'll let you know later about that drink, okay?
531
00:27:35,323 --> 00:27:36,523
Ash,
532
00:27:37,244 --> 00:27:40,400
I told Jonathan that you two could
go, when the nebulizer ran through.
533
00:27:40,401 --> 00:27:41,929
Somebody should have came and got you.
534
00:27:42,356 --> 00:27:45,849
John had a work thing. Liz is
driving me home when she's finished.
535
00:27:47,258 --> 00:27:49,279
Something you want to say to me, Ash?
536
00:27:50,206 --> 00:27:52,413
Are you the reason she and John split up?
537
00:27:52,781 --> 00:27:56,946
It's more complicated than that and
something you should probably talk to her about.
538
00:27:56,948 --> 00:27:59,429
Liz is the only mom I have.
539
00:27:59,989 --> 00:28:03,259
So, if you hurt her, you're gonna regret it.
540
00:28:03,261 --> 00:28:04,655
Fair enough.
541
00:28:05,685 --> 00:28:06,998
Feel better?
542
00:28:10,844 --> 00:28:12,044
Ash?
543
00:28:12,271 --> 00:28:14,451
Hey, Ash, what's going on?
544
00:28:15,230 --> 00:28:17,127
All right, come on.
545
00:28:19,817 --> 00:28:21,553
All right, hey.
546
00:28:23,223 --> 00:28:24,499
Hey, Ash?
547
00:28:24,837 --> 00:28:26,037
Ash?
548
00:28:26,332 --> 00:28:29,035
Hey, you're having a reaction to
one of the drugs in the nebulizer.
549
00:28:29,037 --> 00:28:32,563
Hey, Ash, hey, hey, what'd you call it? Uh...
550
00:28:32,565 --> 00:28:34,104
Uh, little boy blue?
551
00:28:34,386 --> 00:28:37,378
You had a reaction to a little boy
blue before I need to know Ash.
552
00:28:37,635 --> 00:28:38,873
I lied.
553
00:28:39,533 --> 00:28:42,414
I ran out because I take extra sometimes.
554
00:28:42,416 --> 00:28:44,064
Did you do that today? Hey?
555
00:28:44,066 --> 00:28:47,127
Extra meaning what more
than two or four puffs?
556
00:28:47,340 --> 00:28:48,800
No, like 40.
557
00:28:50,131 --> 00:28:51,879
I like the way it feels.
558
00:28:51,881 --> 00:28:54,585
Well, that combined with the
nebulizer, that's way to much albutamol.
559
00:28:54,586 --> 00:28:57,384
All right, it's making your heart work way too hard, okay?
560
00:28:57,386 --> 00:28:59,385
Can somebody get me a wheelchair?
561
00:29:03,310 --> 00:29:05,633
Are you hungry, Alexi?
562
00:29:06,151 --> 00:29:07,730
You want some apples?
563
00:29:08,074 --> 00:29:09,274
Apples.
564
00:29:09,879 --> 00:29:11,243
He's so cute.
565
00:29:11,245 --> 00:29:12,890
What did you say he belongs to?
566
00:29:12,892 --> 00:29:14,891
Just a friend in a bind.
567
00:29:14,893 --> 00:29:18,758
Yeah, you don't have any
friends with kids who aren't the...
568
00:29:18,760 --> 00:29:20,974
Oh, we haven't met all of my friends.
569
00:29:20,976 --> 00:29:24,061
Because this one's actually a patient.
570
00:29:24,063 --> 00:29:25,997
Look, his dad needed treatment,
571
00:29:25,999 --> 00:29:29,686
So, I picked Alexi up and
now we're babysitting for two nights. Hmm?
572
00:29:30,778 --> 00:29:34,016
Bashir, are you even allowed to do that?
573
00:29:34,018 --> 00:29:38,530
Why not you and Alexi sit on the new couch, hm?
574
00:29:38,532 --> 00:29:40,015
Yeah, right.
575
00:29:40,017 --> 00:29:43,335
Then him or probably me spills food
576
00:29:43,336 --> 00:29:47,674
and you freak out because you're not
able to return it if you don't get that job.
577
00:29:49,438 --> 00:29:50,724
I didn't.
578
00:29:50,891 --> 00:29:52,471
I found out today.
579
00:29:54,862 --> 00:29:57,479
So what does that mean?
Nothing.
580
00:29:57,481 --> 00:30:01,333
There is almost six months left of
my residency, so I'm still employed.
581
00:30:01,335 --> 00:30:04,810
But you can't stay where you are after. Can you?
582
00:30:05,951 --> 00:30:07,601
You like it there.
583
00:30:07,971 --> 00:30:09,483
Are you okay?
584
00:30:09,867 --> 00:30:11,583
Are we okay?
585
00:30:11,585 --> 00:30:13,180
You know, we're fine.
586
00:30:13,182 --> 00:30:15,478
We're starting over as nothing new for us.
587
00:30:15,480 --> 00:30:17,996
Well, I'm staying on the floor just in case.
588
00:30:17,998 --> 00:30:20,349
Just sit on the couch.
589
00:30:24,677 --> 00:30:26,296
I wrote a prep adenosine. (?)
590
00:30:26,298 --> 00:30:27,491
Veins are flat.
591
00:30:27,493 --> 00:30:29,493
Then find me the I/O I'll get access to the left tibia.
592
00:30:29,494 --> 00:30:31,888
Now, hold on. I found an entry in
the hand. I can make this word.
593
00:30:31,889 --> 00:30:33,890
- Daroda, we don't have time?
- Can you just trust me, please?
594
00:30:33,891 --> 00:30:34,890
What happened?
595
00:30:34,892 --> 00:30:37,687
SVT from an overdose of sibutamol.
596
00:30:37,689 --> 00:30:40,109
How is that possible? Did
you dose the nebulizer wrong?
597
00:30:40,111 --> 00:30:42,355
No. Ash told me and
I've seen this before.
598
00:30:42,357 --> 00:30:44,881
They get a body stone if they
hit the inhaler enough times. (?)
599
00:30:44,883 --> 00:30:46,264
Why would they do that?
600
00:30:46,266 --> 00:30:47,573
Adenosine's prepped.
601
00:30:47,575 --> 00:30:49,199
You want to stop their heart?
602
00:30:49,201 --> 00:30:50,532
Line's in, ready to push.
603
00:30:50,534 --> 00:30:54,172
Liz, we need to get the heart rate
under control and we have to do it now, okay?
604
00:30:54,174 --> 00:30:55,374
Okay.
605
00:30:55,489 --> 00:30:56,689
Push in.
606
00:31:01,811 --> 00:31:03,240
Come on, come on, come on.
607
00:31:06,724 --> 00:31:07,924
Ash.
608
00:31:11,864 --> 00:31:13,083
Nice stick.
609
00:31:13,085 --> 00:31:15,217
Try to have fate next time, son.
610
00:31:17,531 --> 00:31:18,731
You okay?
611
00:31:24,670 --> 00:31:26,808
It's been hard since my promotion.
612
00:31:26,810 --> 00:31:29,240
Being everything to everyone at home too.
613
00:31:30,577 --> 00:31:32,542
Should have trusted your instincts.
614
00:31:32,544 --> 00:31:34,241
Don't worry about it.
615
00:31:34,242 --> 00:31:37,488
Ash likes you, which
is kind of a big deal.
616
00:31:37,490 --> 00:31:39,023
Very picky kid.
617
00:31:39,025 --> 00:31:43,371
Good to know, especially after
the talk I got and I'm not hurting you.
618
00:31:45,383 --> 00:31:46,839
You should come to the house.
619
00:31:47,485 --> 00:31:49,532
For dinner with all of us this weekend.
620
00:31:53,369 --> 00:31:56,410
In addition, Arnold has a natural
curiosity about the human body
621
00:31:56,412 --> 00:31:59,528
and his functions and his
passion for learning is evident.
622
00:31:59,530 --> 00:32:02,241
Does natural curiosity about the
human body sound weird or sexual?
623
00:32:02,242 --> 00:32:05,241
Mm, yeah, try anatomy instead.
624
00:32:07,782 --> 00:32:09,532
We're off the clock.
625
00:32:10,985 --> 00:32:16,241
Boss, you told Arnold you would write him
a reference letter for med school weeks ago?
626
00:32:16,242 --> 00:32:17,952
It's due tomorrow.
627
00:32:17,954 --> 00:32:19,241
It is?
628
00:32:19,557 --> 00:32:21,953
Arnold, why didn't you say anything?
629
00:32:21,955 --> 00:32:26,831
We were just writing that draft and I
figured maybe you could read it and sign off.
630
00:32:28,389 --> 00:32:30,417
You haven't been easy to talk to.
631
00:32:31,388 --> 00:32:33,024
You're right, sorry.
632
00:32:33,026 --> 00:32:35,522
Uhm... Yeah, send it.
633
00:32:35,856 --> 00:32:38,085
- I'll get to it before I go.
- Thanks.
634
00:32:55,681 --> 00:32:58,365
Bleeding gums after
lower body crush injury.
635
00:32:58,367 --> 00:33:00,241
I really want the poor guy to pull through.
636
00:33:00,242 --> 00:33:03,241
And if he doesn't, then you're
under scrutiny because of the resident.
637
00:33:03,242 --> 00:33:05,750
Well, I needed was for Novak to just...
638
00:33:05,751 --> 00:33:08,680
He couldn't just admit that the
kid didn't need to be demeaned.
639
00:33:08,682 --> 00:33:11,579
Yeah, did Ryan really lie
about checking his urine?
640
00:33:11,581 --> 00:33:14,630
Because no doctor I've ever
worked for would take that lightly.
641
00:33:14,632 --> 00:33:17,978
Okay, look, I remember when I was in first
year, we hid a file behind the surgical desk.
642
00:33:17,979 --> 00:33:19,492
Days without humiliation.
643
00:33:19,494 --> 00:33:22,241
The number always hovered around
two, now I guess I'm back down to zero.
644
00:33:22,242 --> 00:33:23,241
Same.
645
00:33:23,242 --> 00:33:25,241
I think the bar's close enough for us to walk.
646
00:33:25,242 --> 00:33:27,106
- No, you don't have to buy me a drink.
- I do.
647
00:33:27,108 --> 00:33:28,946
You just beat out a tough crew for that job.
648
00:33:28,948 --> 00:33:33,449
Yeah, including my ex-boyfriend who's probably
now spiraling into a pit of existential despair
649
00:33:33,451 --> 00:33:36,554
about how he's eternally
unemployable and will never be able
650
00:33:36,556 --> 00:33:38,739
to give his sister the
light that she deserves.
651
00:33:41,753 --> 00:33:44,129
I think we might be on the wrong block.
652
00:33:44,131 --> 00:33:45,867
I'm not supposed to be drinking anyway.
653
00:33:45,869 --> 00:33:47,465
Why can't you just let us celebrate?
654
00:33:47,467 --> 00:33:49,354
Because you feel guilty about Bash?
655
00:33:50,021 --> 00:33:53,860
Claire told me I only got the job
because Debbie pities me for my health issues.
656
00:33:53,862 --> 00:33:56,862
What? No, Meg, you got the
job because you deserve it.
657
00:33:56,864 --> 00:33:58,559
Yeah, you should have seen her today.
658
00:33:58,561 --> 00:34:03,972
Claire, first she was late, then she missed a
patient's X-ray, now he's surgical intervention.
659
00:34:03,974 --> 00:34:08,024
One minute, she's her sweet old self, and
then I offered to help, and she just blew up on me.
660
00:34:08,026 --> 00:34:09,936
Yeah, like with Bash.
661
00:34:09,938 --> 00:34:12,403
You know myth about the five
stages being linear,
662
00:34:12,404 --> 00:34:16,335
but in reality, you either experience them all
at the same time or just completely out of order.
663
00:34:17,049 --> 00:34:19,090
- June.
- What, I can't evolve.
664
00:34:19,092 --> 00:34:20,292
Okay.
665
00:34:21,410 --> 00:34:24,915
Except I ordered her patient pain
meds, and I don't think they ever got to help.
666
00:34:25,721 --> 00:34:28,241
But you think Claire took his pain meds?
667
00:34:30,271 --> 00:34:33,948
I guess that if she has something to hide,
that would explain her pushing you away.
668
00:34:33,950 --> 00:34:36,241
What are you going to do? About Novak.
669
00:34:36,242 --> 00:34:40,600
I need him, so what I always do is
suck it up and apologize on his behalf.
670
00:34:42,058 --> 00:34:45,993
For our 50 days, no cutting, too, so
that means we're not only celebrating you. We're...
671
00:34:45,995 --> 00:34:47,233
June!
672
00:34:47,694 --> 00:34:50,586
Oh. How are you feeling?
673
00:34:51,281 --> 00:34:53,279
- Down?
- Yeah?
674
00:34:54,761 --> 00:34:56,475
- Think I'm scared.
- Hmm.
675
00:34:57,568 --> 00:34:59,479
Like, what's going to happen without the cutting?
676
00:34:59,480 --> 00:35:03,154
My ability to handle things, my
endless capacity for pain and suffering.
677
00:35:03,156 --> 00:35:07,640
Maybe you don't deserve endless pain and suffering,
and I don't think that you won't be able to handle things.
678
00:35:07,642 --> 00:35:09,642
You're right. About evolving.
679
00:35:10,326 --> 00:35:13,811
Wait. Did you see your
patient's gums were bleeding?
680
00:35:13,813 --> 00:35:14,971
Yeah, why?
681
00:35:14,973 --> 00:35:18,352
Because damaged tissue after
crushing tree can pump cellular debris
682
00:35:18,354 --> 00:35:20,967
into the bloodstream and send
his clotting system into overdrive.
683
00:35:20,969 --> 00:35:21,968
DIC.
684
00:35:21,970 --> 00:35:25,892
If it's consuming clotting factors and
platelets faster than they can be replaced...
685
00:35:26,169 --> 00:35:28,216
Go. Go if you need to take care.
686
00:35:29,242 --> 00:35:30,386
Thanks.
687
00:35:30,388 --> 00:35:32,241
Congratulations, seriously.
688
00:35:33,689 --> 00:35:35,356
Yes, see you. (?)
689
00:35:48,793 --> 00:35:50,050
Hello?
690
00:35:50,052 --> 00:35:52,858
You forgive me if I don't apologize for waking you.
691
00:35:52,860 --> 00:35:56,725
I drove out to Branson last night, only
to scare the hell out of Yuri's neighbor,
692
00:35:56,727 --> 00:35:59,832
who had no idea why he was checking
on a child who wasn't staying with her.
693
00:35:59,834 --> 00:36:04,394
And then I drove all the way back
for Yuri to tell me that you took Alexi.
694
00:36:05,034 --> 00:36:06,864
Only for a night or two.
695
00:36:06,866 --> 00:36:08,469
Except it won't be.
696
00:36:08,471 --> 00:36:11,586
Yuri crashed, started seizing from hypocalcemia.
697
00:36:11,588 --> 00:36:13,991
But we can regulate that.
698
00:36:13,993 --> 00:36:16,124
You might just need slower dosage.
699
00:36:16,126 --> 00:36:20,289
They moved him into ICU, they're saying
he'll need to stay impatient two weeks now.
700
00:36:20,291 --> 00:36:22,549
Okay, well then let me keep him.
701
00:36:22,551 --> 00:36:25,658
You said to reach Yuri, this is how I'm doing it.
702
00:36:25,660 --> 00:36:28,241
I told you to get him to trust us.
703
00:36:28,242 --> 00:36:30,369
But all you've done is prove
that he can't, and now I have
704
00:36:30,370 --> 00:36:33,845
to place his son with strangers
without the father's buy-in.
705
00:36:35,585 --> 00:36:37,309
You're right. You're right.
706
00:36:37,311 --> 00:36:40,241
I'll, I'll, I'll, I'll come in.
707
00:36:40,242 --> 00:36:41,241
I'm sorry.
708
00:36:41,242 --> 00:36:43,241
It's not me you should be apologizing to.
709
00:36:54,424 --> 00:36:58,999
Mr. Cassavelli's suffered an industrial
accident and crush injury yesterday.
710
00:36:59,415 --> 00:37:03,762
He has fought through kidney
failure and cascading complications.
711
00:37:03,764 --> 00:37:05,241
How are you feeling, Dom?
712
00:37:05,242 --> 00:37:07,664
I couldn't be alive, Dr. Curtis, thank you.
713
00:37:07,666 --> 00:37:12,962
Ryan, can you please walk us through the
clotting disorder that this patient was treated for?
714
00:37:12,964 --> 00:37:15,954
I hadn't had a chance to review the chart.
715
00:37:15,956 --> 00:37:17,207
Oh.
716
00:37:19,242 --> 00:37:21,491
Let's move on to patient room C.
717
00:37:24,415 --> 00:37:27,414
Ryan, can you walk with me this way?
718
00:37:27,662 --> 00:37:28,862
Yeah.
719
00:37:35,522 --> 00:37:36,667
Look.
720
00:37:36,669 --> 00:37:39,860
The way you were treated the other
day was unacceptable and I apologize.
721
00:37:40,455 --> 00:37:43,413
Shouldn't Dr. Novak be here for this too?
722
00:37:43,415 --> 00:37:46,883
You had the right to make a
complaint and this is just addressing it?
723
00:37:46,885 --> 00:37:48,070
Okay.
724
00:37:48,072 --> 00:37:50,755
I thought there was going to be more of a formal meeting.
725
00:37:51,575 --> 00:37:53,241
I'm a little blindsided.
726
00:37:53,242 --> 00:37:57,072
Okay. You feel blindsided because
I'm apologizing to you or because
727
00:37:57,074 --> 00:37:59,425
I called you out for being
unprepared for your rounds, Ryan?
728
00:37:59,426 --> 00:38:04,241
I asked my supervising doctor if I could be
excused from that patient because of how it affected me.
729
00:38:04,242 --> 00:38:06,241
That's not exactly how this works, Ryan.
730
00:38:06,242 --> 00:38:08,389
You don't get to pick and choose
so you can hide from your mistakes.
731
00:38:08,390 --> 00:38:10,567
You knew it was your mistake, not mine.
732
00:38:10,569 --> 00:38:13,721
And now you're giving me a fake
apology and trying to retrometize.
733
00:38:13,723 --> 00:38:16,241
You need to shut up,
you entitled little troll.
734
00:38:16,740 --> 00:38:19,466
You know, Ryan, if you knew
anything about real trauma,
735
00:38:19,468 --> 00:38:23,071
you would get it together, face
your mess, and do the damn work.
736
00:38:31,201 --> 00:38:32,401
Claire.
737
00:38:34,536 --> 00:38:38,241
I know doctors aren't supposed to be in here,
but I just wanted to see if Donald had his surgery.
738
00:38:38,242 --> 00:38:40,241
Yeah, he came through fine.
739
00:38:40,242 --> 00:38:44,633
And he told me about our social workers
plan to get his healthcare under control.
740
00:38:46,294 --> 00:38:48,799
Yeah, that was the right move, Mags.
741
00:38:48,801 --> 00:38:50,511
How long do you think that'll stick?
742
00:38:50,513 --> 00:38:55,241
Yeah, knowing Donald, I have a feeling
he'll still need help from time to time.
743
00:38:55,242 --> 00:38:56,806
Yeah, we all do.
744
00:39:04,828 --> 00:39:06,492
Hydromorphone.
745
00:39:08,044 --> 00:39:09,241
Mags, what is this?
746
00:39:09,242 --> 00:39:11,997
If you have pain, Claire, that pain should be managed.
747
00:39:12,511 --> 00:39:16,172
We both know the harm prevention
protocols when it comes to opioid use
748
00:39:16,174 --> 00:39:21,608
tend to shut out people who meet them
and know how to use them responsibly.
749
00:39:21,610 --> 00:39:25,071
Based on my actions lately, are
you sure that's the word you want to use?
750
00:39:25,073 --> 00:39:26,273
Yeah.
751
00:39:28,328 --> 00:39:29,954
I know you, Claire.
752
00:39:34,242 --> 00:39:36,356
There is physical pain, yeah.
753
00:39:36,649 --> 00:39:42,768
But every patient I see, I think, is
this the person who stabbed me?
754
00:39:44,415 --> 00:39:47,414
I never saw their face and I am so angry.
755
00:39:50,242 --> 00:39:52,785
And I hear myself being terrible to people.
756
00:39:53,879 --> 00:40:00,241
I just can't stop and I, how do I
know which pain I'm medicating?
757
00:40:04,242 --> 00:40:07,884
We're going to make an
accountability plan for the painkillers.
758
00:40:07,886 --> 00:40:11,615
So that they stay under
control and find you a counselor.
759
00:40:12,875 --> 00:40:14,558
You're not alone with this.
760
00:40:15,842 --> 00:40:17,042
Claire.
761
00:40:17,668 --> 00:40:18,868
Thank you.
762
00:40:26,592 --> 00:40:29,241
Sorry, you found out about the job the way you did.
763
00:40:29,242 --> 00:40:32,241
That was unprofessional.
764
00:40:33,309 --> 00:40:35,423
I tried to find you, but.
765
00:40:35,425 --> 00:40:37,314
Yeah, I had to.
766
00:40:37,316 --> 00:40:43,425
Rush off with a patient's child and prove Olson's point
about using your background in public health to work us.
767
00:40:43,427 --> 00:40:46,347
I didn't mean to make things
more complicated for you.
768
00:40:46,349 --> 00:40:47,549
No, you did.
769
00:40:47,551 --> 00:40:52,241
And while you're a skilled doctor in so many ways,
this is an example of why you didn't get the fellowship.
770
00:40:52,243 --> 00:40:58,018
This instinct to leap blindly,
you just can't seem to shake it.
771
00:40:59,935 --> 00:41:01,596
What happens now?
772
00:41:02,242 --> 00:41:08,404
You try not to abscond with any more children
and hopefully leave here with a glowing recommendation.
773
00:41:10,688 --> 00:41:16,677
They live close. They promised to
bring Alexi by to see me every day I'm here.
774
00:41:17,410 --> 00:41:20,125
I want to believe them, but I can't.
775
00:41:20,127 --> 00:41:22,126
I'm so sorry about all of this.
776
00:41:22,128 --> 00:41:23,328
Yuri.
777
00:41:24,350 --> 00:41:29,235
But if you Lucy trusts this
families, then we can too. Hmm?
778
00:41:29,702 --> 00:41:36,241
You know, you may not be able to see it now,
but eventually all of this will be behind you.
779
00:41:40,434 --> 00:41:43,240
You should have seen
Ryan's face. Kid's so smug.
780
00:41:43,242 --> 00:41:44,595
Saw myself simmering.
781
00:41:44,597 --> 00:41:46,241
And then you just lost it on him.
782
00:41:46,243 --> 00:41:49,241
Yeah, but it did help you
get to the end of day 50.
783
00:41:49,243 --> 00:41:50,598
Mm-hmm.
784
00:41:50,600 --> 00:41:52,067
Did you want white or red?
785
00:41:52,069 --> 00:41:54,377
Actually, before you open that, I...
786
00:41:54,379 --> 00:41:58,812
Yeah, dinner is going to have a little extra
husband and there are two kids, one of them...
787
00:41:58,814 --> 00:42:00,701
June...
788
00:42:00,703 --> 00:42:03,241
It's hard not to feel like I'm
being collected, you know?
789
00:42:03,242 --> 00:42:04,241
Yeah.
790
00:42:04,242 --> 00:42:06,241
This sounds complicated.
791
00:42:06,242 --> 00:42:07,524
Hi. Hey.
792
00:42:07,526 --> 00:42:08,671
Congrats.
793
00:42:08,673 --> 00:42:10,240
No, you didn't have to do that.
794
00:42:10,242 --> 00:42:11,442
Yeah, he did.
795
00:42:14,710 --> 00:42:16,894
Guys, it's not ornamental, you want to make it eat?
796
00:42:16,896 --> 00:42:18,294
No, yeah, I got it.
797
00:42:19,835 --> 00:42:21,006
Is that you?
798
00:42:21,008 --> 00:42:22,340
I don't know.
799
00:42:22,342 --> 00:42:23,721
Uh, no.
800
00:42:25,703 --> 00:42:27,241
Oh, that's my phone.
801
00:42:28,540 --> 00:42:32,183
Yeah, the screen's garbled, but... that's...
802
00:42:32,184 --> 00:42:33,928
- Hello?
- Hello?
803
00:42:33,930 --> 00:42:35,241
Magily, is that you?
804
00:42:35,242 --> 00:42:36,442
Yes.
805
00:42:36,444 --> 00:42:39,241
Mags, this is Connie from your transplant team.
806
00:42:39,242 --> 00:42:40,241
I've been trying to reach you.
807
00:42:40,242 --> 00:42:44,038
Yeah, I'm sorry, my phone
died, is everything all right?
808
00:42:44,040 --> 00:42:47,003
There's a heart waiting and it's a perfect match.
809
00:42:47,005 --> 00:42:50,297
If you decide to take it, we need
you at the hospital now, basically.
810
00:42:51,048 --> 00:42:53,240
Mags, I need you to confirm.
811
00:42:53,242 --> 00:42:55,181
Are you accepting this heart?
812
00:43:03,242 --> 00:43:09,241
Welcome to the Ultimate Murder Mystery Game,
where players in celebrity contestants are out to win big.
813
00:43:09,242 --> 00:43:12,241
Who can you trust?
814
00:43:12,242 --> 00:43:18,043
The Traders Canada, new episode,
Monday at 10/8 Mountain on CTV.67180
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