04x02 - Sinkhole

[bunniefuu]

I'm on the transplant list.

A heart may come tomorrow or never.

- And what if it does come?

- I'll decide then.

Real doctors never stop learning.

I feel like I just hit

this giant fish line.

- I'm supposed to feel great about myself.

- But you don't.

Your increased patient load as

an NP's helping with wait times,

but if we're pushing too hard, Claire

Honestly, no.

The distraction's doing more

- than meds and therapy combined.

- I need to see my chart notes.

From that woman who says

you breached her confidence?

She didn't want my help.

I'm lying to myself, Bash.

How will you decide

who gets the one spot?

I'll make a call down

the road. But guys,

you're going to land on your feet.

This is the only place

that gave me a chance.

Yeah, you think that

this place saved you.

It makes sense that

you would be worried.

- (DOGS BARKING)

- (WHISTLES BLOWING)

I just need to get us somewhere safe.

What do you know about Canada?

Amira?

(IN ARABIC)

(DOOR SHUTS)

It's okay to answer me loudly sometimes.

If you don't use it, you'll lose it.

You're going to Sasha's cottage

for two nights, not two years.

- How was work?

- It was fine.

And then I took the subway the wrong way

thinking I was going

back to our old place.

This one's so much better.

We should never move again.

- (PHONE CHIMING)

- What's a "sinkhole?"

Amira, you know we're only here so that

we can be closer to your new school.

Sasha says they're going to be late

because "Newman Road is closed

because the Earth opened up

and swallowed a guy whole."

She's so dramatic.

I also told you that it was expensive

so we might need to figure out

something cheaper for next year.

Why? You get a raise

after residency, right?

If I still have a job, then, maybe.

- So negative. You will.

- Yeah

(IN ARABIC)

Do something fun for once, tonight.

What do you think I do when you leave?

Sit there, staring at the

wall until I come back.

Don't this time, though.

(DOOR SHUTS)

(GENTLE MUSIC)

(SIRENS WAILING)

(INDISTINCT CHATTER)

The hardest part for us is

not doing anything, okay?

But we can't just jump in there.

We have to wait until we

know what the risks are.

(OPENING THEME)

Hi, Magalie. Hopefully, you're the first

person under 40 who

listens to voicemails.

It's Connie, your transplant nurse.

You owe intake forms,

and also your first batch of blood work

is this Thursday at 10 A.M.

And I'd like to get your

pacemaker reporting set up.

I also want to remind you that

emergency doctors are more likely

to be exposed to the

most common kinds of viral

and bacterial infections, those

are putting your heart at risk.

Yeah, myocarditis,

endocarditis, pericarditis.

The panel already flagged this

one and put me on the list, Connie.

- Your resident's way behind.

- What's wrong with the elevators?

Service lift is up for patients.

Day shift got slammed

and Carmen's too slow.

"MCAT practice test?"

Arnold, are you trying for med school?

- Don't tell the other nurses.

- Okay, let me know if you need any help.

Thanks. I mean, if there's

any extra experience

you want to throw my way, I

won't say no but right now

You just want me to help us catch up.

Keep us in the loop and

be cautious, doctor LeBlanc.

Colds are viral.

So antibiotics won't really help.

You'll get all of the side effects,

none of the benefits. I can

recommend an over-the-counter

Or you can just hang up on me.

Sounds like you're having a fun night.

Also, didn't you work all day?

Oh, the cue is endless.

Wait, so you're not staying?

You know, I could order in.

I'm grabbing Holden from lacrosse

and Ash from board game club.

Taking them to McDonald's

before my shift.

God, I hate nights.

Sorry. But good for you.

For not giving in and

writing that guy the script.

And stopping myself from lecturing him

about unnecessary use of ABX

and population-level resistance.

Guess he'll just need to find a doctor

who isn't trying to prove his

lapses in judgment are behind him.

- Hmm.

- Ah, you know,

- I I can come tonight.

- To Holden's game?

I'll barely make the end of it.

Or maybe to McDonald's

I mean, your kids and your

live-in ex know about us anyway.

It won't be like this forever, Theo.

Goodnight.

- (SIRENS WAILING)

- (HONKING)

Tell us your name, sir.

We're trying to get to you.

Why don't you just start

by telling us your name?

Can you hear me?

Kathryn, right?

Bashir, ED at Memorial.

Is that the van driver?

Hi. He's got his phone

with him. Called 9-1-1.

Kyle! My name is Kyle,

and I can't really move.

Kyle. Are you in your vehicle or out?

Out.

Did something land on you, Kyle?

Tell us whatever you can.

Yeah, something hit

my chest. It's dark

It hurts when I breathe. (COUGHING)

Kyle, this is Dr. Hamed.

Let me hear you take a deep

breath in and then out, okay?

Okay. (WHEEZING)

Not great, right?

I've practised so many times

for the ground to just

shifts like that right under me.

Hold on a second, Kyle.

Are they any closer to gaining access?

No. Every time they

get closer to the edge,

more of the ground collapses.

When the day four conference

cold started going around,

I decided to bail

before it took me down,

but then I got this pain

and vomited so Fail?

Well, you do have a temp.

But the pain speaks

to something other than a

cold. What kind of a conference?

Two hundred dentists. Exciting, right?

Can you lie down for me, please?

(GROANS)

Okay

- Does it hurt more if I press here?

- Ah, yeah.

Okay.

- Any blood when you pee?

- No.

Why? What's going on?

What aren't you telling me?

- I would rather do some imaging before

- No, no, no. Don't string me along.

I'm no MD, but I know

hedging when I see it!

Okay, well, right now my

differential includes kidney stones,

gallstones, appendicitis,

gastritis, ruptured cysts,

or ovarian torsion. Which is

why you need an ultrasound.

- I'm sorry. I overreacted.

- It's okay.

Carmen, about the woman in E

Does OHIP require special authorization

to cover extended autoimmune testing?

Because my joint pain guy in six

tracks with ankylosing spondylitis.

So refer him to a rheumatologist.

I don't trust the patient to follow up.

I thought I could do it myself.

No, your patient volumes need work.

Standard is four per hour.

You're at two point five.

- Let's double that tonight.

- Double?

But you keep telling me

about getting the full story

and catching what other doctors don't.

Yeah, you can still learn to

do that and move faster, Carmen.

Good evening, everybody.

I just got word from CCU

that three patients

with suspected pneumonia

just tested positive for legionnaires.

- All from some dental conference.

- Oh, God.

I just saw someone from that conference.

I wore a mask because

his cough was so flemmy.

No, legionnaires is usually

spread via ventilation

or aerosolized water,

not person-to-person.

But doesn't it have like

a 5 to 30% fatality rate?

Take the panic down

6000% and start protocols.

Negative pressure iso, masks, increased

handwashing, and enhanced cleaning.

The woman in E is a conference dentist.

I'm pretty sure it's a kidney stone,

but keep her masked and

send her to radiology, stat.

So that motivational speech,

was that to prove you

have the leadership skills

and deserve the one fellowship

spot that's up for grabs?

Maybe that's just me paying

forward some good leadership.

Instead of not-so-good.

By pawning off our most virulent

patients to the first-years.

- That's not what I was doing.

- Two more dentists

with legionnaire symptoms at triage

Give them the Leblanc's

human shield of a resident.

- You really want me to give them to Carmen?

- No.

Maybe. I don't know,

I'll get back to you.

At least that pasta beat

stale hospital muffins.

Yeah, I mean those muffins can

get me through some tough times.

(CHUCKLING)

Oh, looks like we're

hauling up the stairs.

Oh, not me actually.

I use the emerg lockers.

Right. Well, thanks for

This was fun.

Oh, yeah, you too, Toby.

If you want to do this again

the next time we're both

working nights, then

Yeah, maybe I'll check my schedule.

Or not.

Okay, I'll see you.

Your next patient is

connecting, Dr. Hunter.

Fast and forceful, right hand!

Leave it on the floor like

you're squashing a bug.

Hum, hello? You okay?

Oh, you're here.

Hold on. Take five, guys.

- Sorry, boxing class.

- I'm Dr. Hunter.

You did book an appointment, didn't you?

- Uh, Dahab?

- Dahab, yes.

For two hours ago.

I wait, but no one comes, so I

decided to get on with my night.

Okay, hum. Sorry about that.

It says here in my notes that

you felt a pop in your chest.

Yesterday, some water went down

the wrong tube, and I coughed hard.

And then, pop. Scared me so

bad I went to the hospital

and after seven hours,

they told me to go home.

- And did they do any imaging?

- An X-ray that shows nothing.

And today, I'm feeling it more.

It's getting harder to breathe.

But you're still boxing.

I need to make a living, doctor.

Fair enough. Uh, any chance

it's related to injury?

If you got hit in the chest

or you pulled a muscle?

I'm no prizefighter, but I did

get punched in the face once.

And sometimes, the damage

isn't where you think it is.

No disrespect, but I'm a newcomer

and my insurance can't cover this.

Which means I'm paying

$150. I don't have it.

I'm a smart person, so how

do we figure out what's wrong?

Can you point to where the pain is?

Okay, now was that sharp and sudden,

or slow and gradual?

How do you feel now?

Sharp and sudden.

My arm and leg went tingling.

My heart was racing. I can't even stand.

And it's still sharp when I breathe in,

and I get these waves of dizzy.

Are you near a drugstore?

I need your blood

pressure and heart rate.

There are machines that'll do both.

They also sell something

called a pulse oximeter.

It's about $50, you can just

return it once you're done with it.

Just tell them it didn't

work. I need that number too.

What do I do with these readings?

Wait another two hours in the cue,

and then a different doctor?

I'm going to give you

my cellphone number.

You call me as soon as you're done.

Is the truck going to pull him out now?

His pleural cavity could

be filling up with fluids,

and if we don't get to him

soon, he's going to die.

Nobody's going anywhere

until the scene stabilizes.

- Sorry, who are you?

- I'm a doctor.

I heard him talking to the EMS. Kyle

- Someone call you?

- No, I have experience

- with this kind of field of work.

- Oh, you have experience

with sinkholes sucking vehicles in whole

and compromising the underground

infrastructure of Toronto.

Because it's a first for me.

Nothing else happens

until I know it's safe.

His life is at risk.

Hey, that grid leads under the road?

Yes, but unless the City Works

engineers tell me otherwise,

- the hydro vault's off limits.

- And if you can't pull him out in time?

Well, we better because

it's our only option.

I've got confined space and

trench rescue teams setting up.

If I send my team on foot,

the road could swallow them too.

And very likely crush our guys.

- You don't know that.

- You don't know how long

his lungs will hold or

if it even is collapsed.

It is. And if there is a

way we can get down there,

- I can help.

- This is a technical

rescue scene and Toronto

Fire has authority.

What kind of person, doctor or not,

sees an entire team

of workers and thinks,

"I'm the guy who really should be here."

Wait behind the barrier or

we're going to have a problem.

Okay, but we're at six and going up.

Alright, thanks.

Uh, Claire

I only called you at home for

sub-ideas. Not for you to come in.

I wasn't tired anyway.

Was that admitting

asking us to hold the legionnaire's

patients until they find beds?

I tried explaining they all

need dedicated monitoring

and that there's only four

of us on the floor, but

I'll do it. You just keep

what's already on your plate.

I don't mind some overflow

Feels like a million tiny needles

stabbing me in my back and stomach.

Kidney stones are no joke.

I swear that first doctor

knew it was kidney stones

the whole time. I kind of lost it

on her for hoarding information.

I mean, I know you're all

just trying to help, but

How long is it going to take to know

- if I also have legionnaires?

- Exposure window

is usually 10 days, but

I'm not seeing any antigens

on your PCR so maybe you got lucky.

Yeah. I feel real lucky.

Look, if you want to double down,

you can always wait and see if

the stone can pass on its own.

I think it's always best to

avoid invasive if it's an option.

Hello, Marissa.

My name is Mark Novak.

Good news, urology's decided

to blast your kidney

stone in the cutting-edge

operating theatre we call "Trauma OR".

So I will need you to not eat or

drink anything until you're through.

Mark, you're talking about ESWL, right?

It's a non-invasive procedure where

they use shockwaves to blast the stone.

It'll break it up. It'll

be easier for you to pass.

PCNL. It's a small scope.

Goes into your kidneys

and then lasers do the rest.

Because I'm suggesting

that we wait it up.

- (CHUCKLING)

- You've seen the size

of the stone, though, right?

I mean, there's moons orbiting it.

But, hey, you know,

if you want to prolong her agony,

the last thing I want to do

is step on anybody's toes.

So, that's your call, Dr. Curtis.

Who was the walking slice of toxicity?

He might be right.

PCNL isn't that invasive.

- You're kidding me

- No, it's really quite minor.

- We'll talk to urology first.

- No, I'm talking about you changing your mind

because that man gaslit you?

Oh, he does that.

So you can hear him

dismissing you like that?

Telling me what I'm allowed to eat.

I have half a mind to say

no just to stick it to him.

No, don't do that.

The food thing's real.

You're defending him.

Oh, no, no. No, no.

Sweetie, I was in a

bad marriage for years.

It took me swallowing a

half bottle of sleeping pills

for him to get the message.

And I finally got out,

but the whole thing really affected

my self-esteem for a long time.

Okay, hold on!

My medical opinion has

nothing to do with Mark Novak.

He's always been difficult and

I barely even notice him anymore.

Well, I can report him for you.

- There must be some way

- Marissa, Marissa.

Why don't we just focus

on your kidney stone?

Fine.

A few customers at my bar wanted

to keep partying after close.

So my last drink was 9 A.M.

I'm dizzy, barfy, my

head won't stop pounding.

Any other pain?

Other than my entire body.

Hey, what's with the mask? I don't

think this hangover is contagious.

No, it's just precautionary.

We've had patients

from a dental conference

with respiratory illness.

They were all at the same hotel so

- (BEEPING)

- Your blood pressure is 200 over 110.

It can spike with the alcohol,

but it should have come down by now.

Oh, no. I definitely have that.

You are diagnosed with

high blood pressure?

- That's pretty rare for 23.

- I know, I'm like this medical miracle.

And yes, my doctor

already gave me the speech

about eating right and

three drinks a week.

Anyways, look, someone told me

that when they're super hungover,

they just come here to get IV fluid.

You should probably listen to your

doctor instead of whoever that was.

Because hypertension can be seriously

complicated by lifestyle choices.

Well, screw me for thinking I'm

allowed to live a little, right?

I just Forget it. I'll

pound electrolytes at home.

Okay, can you hold on a second?

Carmen, if it's urgent enough to hover,

- just come in and get me.

- I don't know if it is, but

Your first rectal insertion?

It's basically a rite of passage.

- Did he say what it was?

- He won't even acknowledge

- that something is in there.

- Yeah, surprisingly,

that is not uncommon. My guess

would be some sort of metal?

Okay, but how do I get the full story?

You don't. Not now, remember our talk.

In this instance, your

problem is whatever metal

is in his rectum, not why it got there.

- You need to take it out.

- Alone?

Ask Arnold if you need

any help, he wants the EXP.

And put her on saline

until her BP comes down.

Captain, we're ready to move.

Nuh-uh. We still

haven't secured the area

so no one moves in until then.

We lost contact with the victim.

He was having trouble breathing.

(SIRENS WAILING)

(TENSE MUSIC)

(DRIPPING)

- (PHONE RINGING)

- How did it go, Dahab?

I used the machine four

times like you said.

People are very upset about it.

Blood pressure says 95 over 60.

Hold on, there's a bus.

Heart, 175. And finger clip is 95.

But if they don't let me return it,

I'm sending you the bill.

Okay, Dahab. I need you

to go to the emergency room

- for more testing.

- I'm not going back there.

I just rest for a few days.

Based on your vitals and symptoms,

you could have a ruptured aorta.

The artery responsible

for pumping your blood

might be leaking and if it

is, and you don't get treated,

you could die. Where are you right now?

On a bench outside pharmacy.

Okay, go to York Memorial Hospital.

I used to work there, it's

the place you want to be

- for cardiac emergencies.

- That's where I was.

They were rude and didn't listen.

Treated me like less than human.

Can I come to you? I'll pay.

It's not about money, Dahab.

I'm not insured for anything more

than virtual visits right now.

Theo, please I trust you.

Look, I hear that last

night went badly, right?

But hospitals are really just people.

And I will call ahead and make

sure you see the right ones.

- Plus, you have me on speed dial.

- Okay.

Okay, just go now, Dahab.

And let me know as soon

as you get there, okay?

(DRIPPING)

(CRASHING)

Bashir, you're a hero.

I can get them to see that.

They'll want to help you.

I get that it makes you uncomfortable.

It's just There are so many people

- on that list ahead of us.

- Not as likely to succeed

or as deserving of the chance.

A skilled doctor with a

little girl depending on him.

It could take years off the wait.

(TENSE MUSIC)

(CLEARING THROAT)

Claire. Claire!

(INDISTINCT CHATTER)

Any ideas for staff floats, Claire?

Bash worked today, he might come back.

- Great, can you try him?

- Yeah, sure.

Is that a makeshift ICU of dentists?

- Yeah.

- We just got official word.

CCU's full. No admissions.

How are we supposed

to function as an emerg

if we're basically a spillover

ward for everyone else?

And if we do get more dentists,

I don't know where

we're going to put them.

We do have one more case.

Although, she's a bartender.

Not a dentist. Your patient, Mags.

Josie with the hangover

has legionnaires?

- Don't tell me that she

- Slings drinks at the conference hotel? Yup.

Why didn't she say something?

I told her about

the precautions we're taking,

and she's already hyper-tensive

so high-risk and vulnerable

to severe illness.

I mean, she's so young.

I'm sure it never even occurred to her.

But her breathing is declining

so we moved her to three.

I'll check on her.

Let me know if you need backup in there.

I'm good.

(SCREAMING IN THE DISTANCE)

(COUGHING)

Kyle?

Kyle?

Kyle

Hey, Kyle. Can you hear me?

Hey, Kyle, can you hear me?

(GASPS)

(HEAVY BREATHING)

Where did you come from?

I'm Bashir.

I'm a doctor, we spoke

on the phone earlier.

(COUGHING) Feels like I'm drowning.

It's the fluid around your lungs.

And I need to make a hole

in your chest to drain it.

Here?

Yeah.

We need to lift up your shirt, okay?

This is lidocaine, local freezing.

Next, I'll make a small

hole in between your ribs

and put in a thin tube

so the fluid drains out.

Inside my chest?

How will you see what you're doing?

In the hospital, we use ultrasound,

but I know how to go on feel.

- What do you do for a living, Kyle?

- (GROANS)

I'm a teacher.

Okay, what do you teach?

Science. Middle-school science.

You're doing great.

Slow breaths.

(BREATHING DEEPLY)

Okay, Kyle.

Here we go.

(SCREAMING)

The worst is over.

Why is it still hard to breathe?

The fluid should be flowing out,

but there must be a blockage.

I'm going to use my mouth to clear it.

I'd be lying if I said it was

ideal sterility, but none of this is.

You're going to swallow my blood.

- I'll try not to.

- (GROANING)

Okay, Kyle.

I need both hands for this next part.

So you're going to

have to hold this tube.

No, no, no! I don't

think that's a good idea. No!

It's just for a couple of seconds

while I clear the blockage, okay?

Just right there.

It's really important

this doesn't come out

- of your chest, okay?

- Okay.

- So like this. Don't move.

- Okay! Okay.

- We're in this together, okay?

- Yeah.

(GROANING)

(HEAVY BREATHING)

(SIRENS WAILING)

Fragmenting the stone now.

Missed the action, Mark.

Yeah, just making sure that June's

got you all set up here, Toby.

- I'll start the contrast study.

- It was me. I'll move.

Field looks good.

I can secure the drain.

I'll check on it later.

Curious vibe between you two.

We went to dinner. It was a mistake.

You and Toby went on a date?

Why is that so funny, Mark?

Do you have any idea how

hard it is to meet people

- with our schedule? It's impossible.

- June, relax. We all need connection.

I personally don't date doctors

because it's too close to home,

but I don't care if you

and Toby are a thing.

Not a thing. And I don't need

your help or your life advice.

- (CHOKING)

- Increased heart rate.

Resps. She aspirated. It's food.

Did the nurse ask her if she had

eaten today and tell her to fast?

- And you did, too.

- You think as a health care

professional you wouldn't

take that as casual advice.

I think she might've done it

to get back at you for being

you know, yourself. Eating I mean.

You think this woman

found me so distasteful

that she deliberately

jeopardized her own operation

and put her life at risk

in order to prove that?

June, that's

You didn't see her when

you left. Totally triggered.

People use that word a lot,

but what they mean is "annoyed".

It was way more than that.

She started going off

about her a*usive marriage.

And she wanted to

report you on my behalf.

I told her not to.

But that is hospital pudding.

Fine. Let's just

Let's get her tubes

and get on with this.

- Oh, Mags!

- Yeah?

Um Sorry.

Your bartender's O2 sats are down at 90.

Because she's hypertensive.

I paged RT like a million years ago.

Could you please go get them and

drag them down if you have to?

I think it's better that you go there.

- They're not going to listen to me.

- Yeah, it's 8 floors up.

I know.

Cardio sucks so

Rock, paper, scissors?

No, Arnold, I can't.

- Right, I didn't mean to. Sorry.

- It's okay. No worries.

(LINE RINGING)

"This is Bashir,

please leave a message."

(COUGHING)

You should be breathing

a lot better now.

- These yours?

- Oh, yeah. Thank you.

(COUGHING)

Your pupils look fine.

Um, not to state the obvious,

but since I can move and breathe now,

can we just go out the way you came in?

No, that's no longer an option.

How wrong was I thinking

my parking spot was a coup?

Because the street never tickets

and it's pretty safe and quiet.

- It's true. I don't live far.

- Are you close?

My van is my house.

Oh

It's a choice, by the way.

I have very few material needs.

- No judgment.

- I got divorced

and we were trying to share

a condo even after, but

Bashir, are you crying?

Okay, got a signal here.

It's Captain David. Hey, I

was right about his lungs.

He's breathing much better now.

- And no, I'm not crying. My eyes are itching.

- Hamed? What the hell?

Same. And I am dizzy. Is it sewer gas?

We teach a WorkSafe unit at school.

It's called hydrogen sulfite.

And one of the many

reasons to wait, Hamed.

Now I've got two people breathing

toxic fumes instead of one.

- Now I can get us both out.

- Do not do that.

The hydro vault is not

a safe way out or in.

And that gas is highly flammable.

One spark and the whole street could go.

You're going to sit tight this time

and wait for a hazmat

team to identify the risks.

What are you doing down here, man?

(CRUMBLING)

I guess you're happy I'm

getting my wake-up call.

Of course not. But I really do

understand how you feel right now.

How could this get so bad so fast?

We were waiting for respiratory therapy,

but I need to intubate you now.

I'll start by sedating

you with propofol.

Then I'll insert a tube

Please, I read all that stuff

about people who go on vents

and they never get off of them.

Josie, I know that you're scared,

but with your increased risk,

you need the extra help to breathe.

I don't want to be

someone who needs that.

But the reality is you are.

- And if we don't try

- It turns out the metal thing

was actually a battery and it's stuck.

I'm afraid if I pull it out,

I'll melt his rectum with acid,

- and I want to

- Carmen!

You said not to be afraid

not to interrupt you.

I also reminded you about judgment.

Don't interrupt when

it means pulling me away

from a life-and-death

situation. Figure it out!

Sounds like you might

need some help in here.

No, we're fine. Josie's

increasing in resp distress.

We were discussing intubation

and Carmen was going.

There's not much to discuss.

It's okay, I got this. Leblanc,

Go. Handhold your resident.

Hi, Josie? We're going to get

you some help breathing, yes?

It's okay. Leblanc, go, go, go.

Don't worry, Josie. We got you.

- Did you make it?

- They hook me up

with wire and put sticker on me.

Then, took them off and told me to wait.

That's a good sign. Now if your

EKG was abnormal, you'd know.

- How do you feel?

- Scared.

It hurts worse now, and

I feel sick to my stomach.

I'll stay with you

until you get seen again.

Tell me when you got into boxing.

Back home. When they

started restricting women

from going to the gym.

My friend and I would work

out in my basement in secret.

No music so we didn't draw

attention to ourselves.

(CHUCKLING) That's pretty incredible.

- Dahab Sayeed?

- They're calling me.

- Stay here.

- You bet.

Uh, just say what I texted you.

I just ran up and down

eight flights of stairs

Doctor Hunter sent me.

He thinks I may have a ruptured aorta.

You don't have an OHIP card.

Health insurance?

I have an Interim Federal

Health Certificate.

It covers hospital visits.

Okay, that doesn't matter.

Just tell them how you feel.

My pain is ten of ten.

- Can you manage?

- Dr. Hunter sent me.

I need to see Nurse Claire.

Take the forms, bring them

back to me when you're done.

Is that Rhoda? What forms?

What is she doing now?

Theo, I thought you worked here.

Dahab, just put her on the

phone. She isn't hearing you.

Miss, please. He can tell you.

Referring physicians need to

call the main hospital line.

Rhoda! Rhoda! It's Theo Hunter.

Theo? This your patient?

You know she can't skip the

line just because we're busy.

Damn it, Rhoda, are you deaf?

You're not hearing what she's saying.

And you don't even work here.

(GROANS)

(SIGHING)

Hey, stop.

You heard what he said about a spark.

So were you right? Would I have died?

And what David said about

their risk assessment?

You knew that, but you

came down here anyway.

Fine, yeah, no. Say nothing.

You're just the last person

I'm ever going to talk to,

but let's both just drift

into the void in silence.

Are you a doctor?

No, nurse practitioner. Hi, I'm Claire.

You're the one Theo said

to ask for my information.

Theo Hunter? You a patient of his?

Ugh! Does no one talk to

each other in this place?

- I know he called you.

- I can see you're upset, ma'am,

but please do not take

it out on me our staff.

Theo said I could die.

You have to do something.

If you cannot remain calm,

I'm going to need to call security.

- Hey!

- (VOMITING)

(CELLPHONE RINGING)

- Theo?

- Claire.

Dahab, what's going on?

You haven't answered any of my calls.

Claire, Claire, is she okay?

They took her back to X-ray

and now she's in an exam room.

And she's vomiting brown

liquid. What do I do?

I thought she had a

ruptured aorta, but

Brown like coffee grounds?

It tastes awful.

No, Theo. I think it's stool.

Okay

Alright, we got you.

- Claire! Claire!

- (COUGHING AND VOMITING)

What did you want to ask me?

I mean, so much. It was so

easy for you to risk your life

to save mine, but

Now, like, k*lling you to

wait for them to save us.

- That's not a question.

- Okay.

Let's start small. You

said you live near here?

What else? Wife, husband, kids?

- No, I live with my sister.

- How old?

- Fifteen.

- Grade nine?

She go to the neighborhood school?

It'd be hilarious if I was her teacher.

She goes to the Art school in Etobicoke.

But she likes sciences there, too.

She says she wants to keep

all her future possibilities open.

Where'd you grow up?

Aleppo.

(COUGHING)

Kyle, are you feeling okay?

I mean, for breathing sewer

gas and the tube in my chest.

My sister and I immigrated here

because I saved a woman's life and

we got the attention of a man who

- helped us.

- Wow. Okay.

Elliot. That's his name.

He found us overseas when

we were very desperate.

He put us on the right lists,

raised money to sponsor us,

and when we landed here,

we lived in his house

with his wife and young kids.

We had a small, one-room

basement apartment.

He showed me how to register

for my sister's schools.

He helped me figure out how

to study for my medical boards.

And he even lent me more money

when it was time to take them.

That's pretty miraculous.

It was.

But?

- (RUMBLING)

- (SCREAMING)

I think they're coming for us.

(COUGHING)

Kyle! Hey, hey, hey! Kyle! Kyle!

Hey!

Kyle! Hey!

They're coming.

Theo, it hurts.

I know. They're going to

help you. Where's Claire?

She went to call for

a doctor. Here she is.

Claire? Okay, I think it

might be a ruptured diaphragm.

If her bowel herniated, it

could be at risk for perforation.

- She needs urgent OR.

- Okay, on it. What else?

An NG to decompress the

bowel and remove any stool.

- You can wait for someone.

- Okay. Talk to her while I prep?

Dahab. Claire's going to

put a tube down your nose.

- It'll hurt but not for long.

- I can take it.

I have no doubt. Dahab, this is Liz.

She and Claire have you from here.

- Theo?

- You can't stay?

You're in great hands. I promise.

We'll talk later, okay?

(SIGHING)

I was handling things

earlier with Josie.

- Who?

- That woman you intubated.

Oh, right.

ICU got a bed opening, by the way.

So she's stabilizing

quickly. You're welcome.

For steamrolling me?

No! I was trying to help you.

Seemed like Carme needed you.

Oh, please. You don't care

about holding residents' hands.

No, but you do. Like,

you made that big show

of trying to teach

her the right lessons.

So I thought you might want to

Yeah, you know? You're right.

I don't.

They have no idea

what's going on for us.

Or what kind of stresses

we are all carrying.

And coddling them does nothing

to prepare them for reality.

And it's dumb. So yeah,

sometimes, we're going to lose it.

And there are more important things

to worry about than hurt feelings.

- Hey.

- Hey.

You said that this

operation would be easy.

But I woke up with pain in my throat

and the nurse said that I almost choked.

Right, well, I was pretty clear

about the dangers of

eating before surgery.

Look, if you decided

to disregard Dr. Novak

to make a point or to get back at him.

I haven't eaten anything for 16 hours.

You're accusing me of

risking my life over that guy?

Marissa, it's just, you know,

what you said about your ex.

- And then about the pills

- That was totally different.

I was in a much darker place.

One that I have worked

really hard to move beyond.

Okay, alright, maybe it was

slow digestion. I'm sorry.

I don't know you,

but I know trauma and

if you really thought that that

was something I was capable of,

maybe it's because some part of you is.

I'm going to leave the

drain in until morning.

And then you should be good to go.

(COUGHING)

(COUGHING)

Here, Bash. Put this on.

That man owes you his life.

They need to check Kyle's

tube for blockages and flow.

They're on it. You just try and breathe.

You okay?

My decisions put you on the spot today.

The chest tube, though. Impressive.

Guess you weren't lying

about having field experience.

When I heard somebody

was down there, I just

Jumping in is what I know how to do.

When I was younger and a call

would come into the station,

I'd always be pulling for fire.

The calm just felt wrong to me.

Not anymore.

Hi, Connie. It's Magalie.

I got your message.

And I will be sending

in the forms tomorrow.

Also, I had to move blood work

because I'm on shift that day.

But lab said that they could accommodate

so you can be expecting that next week.

Thank you. What happened to you?

Uh Long story.

I came as soon as I could.

Yeah, it's a long story

here, too. That's covered.

But when we couldn't reach you,

we called in Kinio and Shulman.

Oh, okay.

That's not a great

look, ignoring your calls

when you're competing for a job.

No, I think based on tonight,

it's advantage Leblanc.

Good, she should enjoy

that while it lasts.

I really want that job, Bash.

I'm going to do

everything I can to get it.

You'll need to.

Going home to sleep?

You? Breakfast with Amira?

- How is she?

- She's out of surgery.

You were right. Ischemic bowel.

- She'll be fine.

- That's good.

What kind of a fallout should I expect?

I'll admit it was unorthodox,

but she said you're the only reason

she even came back to the hospital.

And I blew up my entire

life two years ago

for a chance to stay at Memorial

because I felt a calling.

I mean, you can think I'm naive

or stupid if you want, but

I know I can still make a contribution

and I'm not going to

give up on that or myself.

I don't think that's stupid, Theo.

(CHEERING)

Bashir

Hi, Elliot.

What are you How long has it been?

Six years.

Everything okay? Amira, she's

I wasn't sure if you

wanted to see me again.

I just thought

What do you want, Bashir?