03x02 - Episode 2

[bunniefuu]

PREVIOUSLY ON INTERNS

I'm here for Milan Kovac.
I'm an emergency doctor.

We called,
emergency services didn't reply.

Can you hear what I say?

He's overdosed,
he must be hospitalized.

- I'll call an ambulance.
- What ambulance? Treat him! We called them.

Poincaré Hospital ER.

Alyson's patient is decompensating.
No ERV is free.

We haven't had any ERVs since July.

The ER closes at 8 PM in summer.

She's in deep sh*t.

Our ERU is closed.

- We can't go out.
- She needs help.

Stop, Arben. That's final.

We're sending an ERV.

- Is Brun there?
- No.

We'll take him in.

Clear the hallway.

Did I say fetch him?

No other choice.

Where do we put him?

We can't keep him here.

I'm David,
Alyson's boyfriend.

I've heard about you.

- Fibrillating in trauma!
- Clear!

Fifth shock.

You have to take him.

It's urgent. We need help.

A bed in Corbeil.

It's over.

My leg.

It hurts. It's swollen.

- You tried the ER?
- It's closed.

Come in.

Hello, everyone.

May I look at your leg?

INTERNS

"EYES ARE TRICKY." - DAVID SALIBA

TO RÉGIS LACONO

STAFF RESIDENCE

What's wrong?

He seems feverish.

Thanks.

- Feel my hand?
- Yes.

- Does it hurt?
- Yes.

I'll fetch something to help.

We'll do an IV

for the pain
and tablets for the infection.

Can you lend me a hand?

- You're pricking me?
- It won't hurt. Breathe.

In with the nose,
out with the mouth.

Can you hold the pink bit
with your finger?

Great.

Well?

Antibiotics.

Try to rest now.

Lie down.
You'll see, you'll soon feel better.

A pillow...

- Are you OK?
- Yes.

I'll look after you, don't worry.
It'll be OK.

Try to leave us room.

Keep the passage free, please.

Mr. Mokrane?
Don't stay there, sir.

Mr. Mokrane?

Are you Mr. Mokrane?

No? Stay seated, then.

Mr. Mokrane?

Come with me.

Go in.

Fred..

Do Mr. Mokrane's form.

Send him to sector 2.

Rachid, can you help them in sector 3?

How's it going?

This one's discharged too?

Why is the EMS on strike?

Cos of last night's incident.

Because of us?

Of you.

We close at 8 PM.

What're you doing?

Hugo!

- Can you answer?
- Sure.

- Thanks.
- I'm helping out.

Poincaré ER, hello.

Yes, the ER closes at 8 PM.

Alright, goodbye.

- Can you all gather around? Please.
- Please.

Rachid.

Dorothée.

Everyone here?

Dr. Simoni..

Thank you.

The situation

is tense locally
with the EMS on strike.

It concerns

three departments

in the Paris area.

So how do we manage?

Can we deal with it?

Sorry.

It's not even 9 AM,
we're out of gurneys

and have 20 patients waiting.
What do we do?

- 18, precisely.
- 18.



By midday, it's packed here.

With 4 nurses instead of 8.

- 5.
- No, 4.

Marie-Rose, Rachid,
Dorothée and me.

- 5 with me.
- 5 of you.

You're our manager.

But I was a nurse before.

I remember how to do the job.

We're short of beds.

Too many are closed.

In internal medicine,
we have bed closure orders

and less staff.

In summer mode,
we have precisely 42% closed.

In the ICU too.

Things will even out tomorrow

and over the week.

It'd be wiser to open tonight.

I'm free.

Me too.

With the EMS halted,
we're here too.

We don't open at night!

We've no staff.

We're in summer mode too.

We get the message.

Can we reopen tonight?

Not without beds or staff.

We close at 8 PM as planned.

Favor discharges and transfers.

- Is that clear?
- Fine.

Thank you.

After the mess you made,
get coats and help us

with the overflow.

For admin, is help allowed?

Yes, it is.

Perfect.

Thank you, everyone.

Let's go.

A full range of tests.
He's on it.

Yes?

Freeing beds?

I can discharge 2.
Too soon for the rest.

Can I check?

- What for?
- To try to make room.

To make room?

Yes.

No.

Motorbike RTA coming in.

No, refuse it.

They know not to bring anyone.

They're right outside.

In here.

This is a hospital.
We'll take care of you.

Let's move her.

Ready?



Gently.

We'll examine you.

My colleague will do it.

Can you turn to the side
so we can take a look?

Can you shine it on her back?

It stings, that's normal.

It's gravel.

I'll do it gently.

- You brought her?
- Yes.

- Can I have a word?
- Sure.

- Sorry, honey.
- Hold on, sir.

- Who are you?
- Her husband.

I was driving the bike.
Sorry, honey.

- I'm here.
- You can't stay.

Tell my colleague what happened.

- Thanks.
- Step outside.

I'll explain...

What do we do with our RTAs?

Go elsewhere.

Everywhere else refuses.
It was an emergency.

Don't bring anyone.

Every hospital says that.
You were nearest.

Just try to stay calm
and let us do our job.

I am calm.

- This is a hospital.
- I'm not stupid!

Calm down, please.

All of you now?

It's light, she'll be home by 8 PM.

I'm not so sure.

Don't touch me!

- You neither!
- It's OK.

Calm down.

It's your colleague.

Have a seat.
Do you want some water?

Get him some.

Why can't I see her?

You can't go in the trauma room.

Sit, calm down
and tell me what happened.

- Sorry, is Lazare here?
- Try the office.

OK, thanks.

Why are you here?

I'm helping.

Is it a bad time?

- No.
- A hip fracture.

I need an orthopedic surgeon.

An ortho?

Forget it, no way.

C'mon, I'm serious.

Me too, there's no way.

It's summer mode.

A bowel surgeon on call
and outside orthos.

They only work Tuesdays.

This week's full.

And next week...

Next week..

Next week too.

There must be someone.

Sylvie!

Sylvie!

Are any orthos free?

You busy?

I'm doing a report.

- Can't you help?
- Right now?

OK, I'll finish this and come along.

See you later.

The acetabulum is here,

the trabeculae...

The femur here...

It's a Garden I.
I know this stuff.

A Garden III.

A Garden II.

- A III.
- A II, no doubt about it.

Neither III nor II,
but a I.

It's a Garden III. Look.

Why a III?

Zoom in here.

A horizontal trabecula.
So a III.

Those are artifacts.

Artifacts?

Zoom in.

A II. The cephalic
and cervical trabeculae align.

A Garden II?
With a valgus that size?

Yeah.

Excuse me.

I think she could be right.

It's a Garden II.

The angle's misleading.
It's a Garden II.

Misleading?

You refuse to accept it.

Are you high?

- A III.
- A II.

Just accept it.

Want one?

No thanks.

Look, Arben.

Female, 82,

neck of the femur.
What do you say?

Garden IV.

- What?
- No way!

Garden IV?

Look at the trabecula.

That's an artifact.

- Hi.
- You can see the mark.

Hi.

I came to get you.

- Me?
- I'll call you back.

It'll be tricky.

I can't leave.

Can I see the patient?

I'll take you.

That way.

- Have a good day.
- You too.

Why the coat?

I offered to help out.

With the EMS strike,
they're swamped.

Didn't they tell you to rest?

I told them I was fine.

After COVID,
you said you were done here.

They helped me,
so I'm helping them now.

That's a Garden I.

- Are you sure?
- You bet. It's the basics.

Your pals are a bit out of it.

They're no rocket scientists.

Right, they're out of it.

Mrs. Royer, this is Dr. Pintao.

I'll move your hand to free the rail.

Mrs. Royer...

Hold this.

Let's take a look at you.

Seen this?

Shortened external rotation.

It's a Garden I.

She's 82.

Surgery won't take her.

In her state,
it's give-up-itis next.

What's that?

Dr. Pintao just examined your grandma.

Delighted.
Lazare. I'm a surgeon.

It means losing the will to live?

It's a sort of withdrawal
by an elderly person.

- My grandma has give-up-itis?
- No.

Not yet.
But it's a risk if she waits too long.

You'll operate, then?

Of course. But surgery's full for now.

There's no room anywhere.

We're short of staff.

But maybe

you could take her here?

- How so?
- In a free room.

It's closed. We're in summer mode.

We can't.

We really regret this situation,

and we'll do our best
to find a solution.

We'll find a solution.

Alright?

It's going to be OK.

We'll look after her.

Thank you.

Lazare?

Alyson!

Be right back.

- Can you do a facial trauma?
- Sure.

Over there.

It's odd, but I'm happy to be with you.

Right.

Work fast.
Check him, and if nothing's broken

he can see his usual doctor.

Keep it moving along.

It's OK, but it stings.

Hello. I'll be right back.

OK, thanks.

Be sure not to touch it.

Move your a*s
instead of filling bottles, lend a hand.

- Calm down, sir.
- No.

- Calm down.
- No!

There.

Let me see my f*cking wife!

Move your asses!

f*cking b*stards!

I wanna see my wife!

You're pissing me off!

Sir, please keep it down.

There you are!

- Calm down.
- Get back to her!

Here's the other guy!

- What did I say?
- Screw that!

I'm here with no news!

I'll calm down when I want, OK?

- Leave the unit, please.
- No, I won't!

Quieten down, please.

Bring your friends!

- Screw this!
- People are trying to rest.

- You're pissing me off!
- Calm down.

- I'm calm!
- Don't touch me.

Don't touch me.

You don't touch me, sir!

Let me go, assholes!

Bring us a gurney!

A gurney!

All set? The brakes.
Turn him over.

Turn him over! Quick!

f*ck!

b*stards!

Lift him up a bit.

Go on, block him.

Let go of me!

Got it?

Let go of me, dammit!

The c**t pricked me!

- You all good?
- b*tch!

b*tch!

- b*tch!
- Be more polite.

I'll do you all!

Let's go.

Let me go.

Let go, as*h*le.

Pain in the a*s...

Can we get his jacket off?

Marcel, see to his wife.

It's OK, sir.
Put him on an IV.

Test him for toxins, alcohol,
and blood glucose.

Put him on oxygen.

He hit his head.

- Was he unconscious after the crash?
- I've no idea. I don't think so.

Asymmetric.
He needs a scan.

- What is it?
- We think he hit his head.

We'll check for concussion.

We'll run some tests, it'll be OK.

Get him transferred.

OK, I'll go back up.



It's erysipelas.

Got a marker?

A felt pen?

Perfect. Thanks.

Can you lift your leg?

What's that for?

To check if it spreads.

Is it phlebitis?

I need a Doppler ultrasound
and tests.

It's wiser to hospitalize you, OK?

We'll look after you.

Can you watch him for me?

- Of course.
- Thanks.

See you later.

Motorbike RTA, cranial trauma
with subdural hematoma.

Yes, all ready.

He's on his way.
I'll keep you posted.

Thank you.

Talk to you soon.

Paris central neurosurgery
can take the hematoma.

- To operate?
- We'll need an ERV.

That requires two carers.

We're swamped.
I need everyone here.

If we wait, we'll lose an hour.

That's huge in his state.

No vans go out. Follow the rules.

- We get by.
- We have an ERV.

Our Emergency Response Unit is closed.

The director knows.

We do nothing?

We do like others.

We call dispatch
and demand an ambulance.

His brain's filling with blood.

Right.

Right?

- You OK?
- No.

New patient in 106.
Possible phlebitis on erysipelas.

Run all tests.
I'll get a Doppler scan.

- I'll see to it.
- Thanks.

A yellow file?

No, a patient I took directly.

Directly?

No patients directly.

We're swamped as it is.

A hospital hospitalizes, right?

Ask Simoni, half his unit is empty.

We take no one, got that?

Right...

What do I do?

I'll be right back.

Can I have a word?

I need a bed here.

That's impossible.




One bed isn't a big deal.

I'd like to, but I can't.

Manuel...

Just one bed.

As a favor.

We don't have the staff.
We're in summer mode.

Just one bed.

I'm sorry.

- Was it a fight?
- No.

Paintball.

Paintball?

Without protection?

We have helmets,

but I was on my phone.

OK. You can use phones?

It was my mom.

So I had to answer.

Or you'd have ended up in the ER.

You get the idea.

Yes, I get it.

I'll examine you now.
Lean your head back.

- Like this?
- Great.

- Does it hurt?
- You bet.

I'll take you to the suture booth.

We'll clean it all up.

You need stitches.
I'll be right back.

All done. You can go home now.

Something wrong?

What's wrong?
Hold on, don't touch.

What the hell's in my eye?

- What is it?
- Not the eyebrow, my eye.

In my eye, it's burning!

Hold on, keep still.

I'll look. Don't touch.

Breathe.

OK, I'll do it gently.

Breathe calmly so I can take a look.

I'll go slowly.

OK, I'll give you a painkiller.

Don't touch it.

I can't see a thing.

I see nothing in your eye, sir.

Come with me.

Be right back.

Can I see his x-rays?

Let's see..

No fracture.

Discharge him with an ice pouch
and tell him to see his doctor.

That's all?

What else until the swelling goes?

I could check

for foreign bodies.

Leave that to his doctor.

Intra-ocular is an emergency.

We only have emergencies here.

Do as I say.

- Can I have a word?
- Yes.

That hip fracture...

The Garden I?

If you want.

I thought I'd put her in sector 4.

With Simoni?

It's full.

And the closed rooms?

He'll never agree.

He won't know?

I can't leave her in the corridor.

- You'd do the same?
- Yes.

We muddle by.

What's wrong?

I'm not sure.

- Shall I take a look?
- OK.

To the sides.

OK, we're all done.

Well?

I say a globe rupture.

- Think so?
- Yes, a hernia of the iris.

That gives you 6 hours to step in.

How long left?

- 2 hours 45.
- I may be wrong.

Get an ophthalmologist.

There isn't one.

What about your guy?

Call him.

No choice. We muddle by.

- See you later.
- Thanks.

Goodbye, sir.

Goodbye.

Please stare at the hot-air balloon.

A few measurements.
You're doing great.

Yeah?

It's me. Everything OK?

Yeah.

Busy?

What do you want?
Go ahead.

I need an ophthalmologist
and we don't have one.

Possible globe rupture at paintball.

Globe rupture?

I think so.

David, are you there?

I'll finish and come over.

OK, thanks.

A doctor?

Yes, with the ER. You?

No, I'm an actor.

We're sh**ting a series here.

It's a fake coat.

- Any tips for me?
- Too busy.

But the steth around the neck,

that's tacky.

Move it closer.

It's a better bed.

Come here.

- Ready?
- Go.

There, that's good.

All done.

- It's over.
- What is this?

Does Simoni know?

No.

The hip fracture.

Too long on a gurney.

That's why.

Hugo, can we talk?

Got your health card?

What's the deal?

A patient I can't register.

He needs a Doppler scan.

You'll run tests in my name?

That's right.

Come with me.

Will she stay here?

Until we find room in surgery.

- Justine, right?
- Yes.

See you later.

- Thanks.
- My pleasure...

The code is 0000.



Use a fake name.

Here, for instance, we put Wagner,

Hugo.

A fake date of birth...



A fake social security number,
any number.

Create, then access.

You can order what you want.

Bio tests?

X-rays, anything.

You click here to print.

There you go.

Erase it all after.

Take the file

with the man and the red cross

and erase it.
No more patient.

- Who taught you that?
- Brun.

We did it during COVID
for unidentified patients.

- Thanks.
- See you later.

He's on his way to neurosurgery.

Motorbike RTA
with subdural hematoma.

Yes, I'll hold.

They're driving me mad.

It's hell today.

Brun knows we won't finish by 8?

No, he doesn't know.

It's off to a bad start.

I still say we close at 8.

Let's organize things differently.

We need a framework
and it's my responsibility.

We can't keep making the same mistakes.

How long can we last understaffed,
without beds?

Who'll screw up first?

The biker's convulsing!

Hello?

Yes, I'll hold.

Get me an OPA, quick!

Can you hear me, sir?

Rivotril 1 mg by IV over 3 minutes.

Can you hear me?

Rivotril?

It's injected.

He'll calm down now.

Go ahead.

Convulsive fit, male, 49,

subdural hematoma,


Drainage scheduled,
we just need an ERV.

Eto-celo and we intubate.

Move the bed.

I need gloves.

- An 8 probe.
- Eto-celo injected.

I'm in.

Arben?

It's clear.

How long for the ERV?

An hour or two at best.

Seriously?

Yes.

That's too long.

Alright, let's take a look.

Say if I hurt you.

Open it nice and slowly.

Try to follow the tiny white light.

You're doing a great job.

I'll add a drop

and then examine you.

Tell me if it hurts.

Great. Close your eye.

You're brave, that's good.

Let's look again.

Open wide.

When did you last eat?

Around 8 AM.

OK, great. Close your eye.

Not easy to diagnose,
but it's a ruptured globe.

Hugo was right.

Great.

- Only an op can save his eye.
- He'll go blind?

The goal is to keep the eye,
whether he can use it or not.

I'll put a shield on it.
Call an eye surgeon.

There are none.

I'll put a shield on it.

I'll need your help.

Hold the compress nice and gently.

That's great.

We'll have to operate.

But don't worry, it'll be fine.

There's no eye surgeon.

No eye surgeon here?

Yes, but not in summer.

Is this Club Med?

Exactly.

I'll call the guys at Rothschild,
and send him by ERV.

We'll transfer you, sir.

There's no ERV.

sh*t...

What then?

We use my car?

That suits me.

I don't mind.

Stay here.

I'll just do the transfer.

OPERATING THEATERS

It's easier to do a Doppler
in the rooms.

I know, but I wanted to save you time.

Excuse me.

I'll wipe it off.

I'm done, sir.

You can sit up.

It's deep vein thrombosis alright.

Hugo Wagner?

Like Hugo?

Yes, that's...

surprising.

It's a pretty common name.

Mr. Wagner?

No, his name's Moussa Traoré.

Mr. Traoré..

A clot in your leg
is making your calf swell.

Try to avoid walking.

The doctor will prescribe treatment.

I'll let you take him back?

Can you take this?

See you later.

Thanks.

There.

- You'll be OK here.
- Thank you.

See you later.

How do you feel?

This new bed's comfier.

Better, isn't it?

It's nice here, quieter.

Call me if you need me.

If she's in pain or hungry.

I'll be back later.

Alright?

- OK, thank you.
- See you later.

Thank you.

Hugo...

Why do you have a patient
in one of my closed rooms?

Everywhere's full.

I know it's not easy.
We have no carers at night.

So we close, reluctantly.

I'll take turns with Rachid and Lazare.

They don't work for me.

Anything happens, I'm to blame.

Your patient can't stay here, OK?

I'll find a solution.

I'm counting on you.

I'll sign your discharge papers.

Leave them at reception.

Any pain,
take the paracetamol prescribed.

Goodbye.

Did you tell Hugo
to put his patient in my unit?

I tell no one anything.

You should slow down a bit.

You shouldn't do stitches all day.

It's not your job.

We could get dinner.

I'll eat with the others.

You can't forget your love life
because of a damaged hand.

I'm forgetting nothing.

Know how long it will take?

No.

Depends what he finds.

Eyes are tricky.

- Well?
- It went OK.

We saved the eye.

How much will he recover?

I can't say.

Bravo, it was a tough diagnosis.

He had a close call.

A game soon?

You bet.

Thank you.

Thanks.

Gotta get back.

Where?

Poincaré. I haven't finished.

I'll come too.

Careful.

Let's go.

This is dicey.

An hour lost is huge for him.

How many patients?

For now, 12.

- And those 7?
- Unregistered.

What's the difference?

They didn't come via triage.

So who registers them?

Reception.

Reception, rather than triage?

Two separate counts?

I have 5 outside.

Registered?



- So 2...
- I have 9 registered.



I've 5 new in sector 4.

- Seen doctors?
- Not yet.

OK, so more to register.

Why does it say 7 there?

- It doesn't work.
- That?

- Why not?
- No idea.

- Tell us.
- I'm telling you.



I didn't know.

Do the update.

How many?

- How many underway?
- 2.

- Discharged when?
- No idea yet.

We can't know.

Of course.

- How many patients?
- 3.



Underway?
Can't you let us work?

I'm assessing to let you work.

I can't say.

- How many?
- Arben! How many?

- 2.
- Thank you.

So that's how many?

It adds up to 30 or so.

It's 6:30 PM.
How can we see 30 patients?

We close at 8 PM as usual.

Unregistered ones won't be seen.

- You have 90 minutes.
- If we stay open, it'll be held against us.

So let's go.

OK, thanks.

Excuse me.

Just one thing.

I know I'm in no position
to give my opinion

and I know it's tough for you,

but looking from the outside,
your thing isn't working.

You need to make a radical decision.
Don't be soft.

Either find the staff

to keep the hospital working 24/7,

- or close.
- Who are you?

Dr. Saliba, ophthalmologist,
Alyson's partner.

OK, thanks.

We close at 8 PM anyway.

Let the patients know.
Is that clear?

- Yes.
- Let's go.

- What was that?
- No idea. Sorry, it wasn't planned.

Come with me.

It's crazy, butting in like that.

Excuse me!

I'm Nathalie Ferrand,
the director here.

As you know, the ER closes at 8 sharp.

Anyone not yet registered
should come back tomorrow at 8 AM,

or go to the nearest hospital.

You can register at reception

for 8 AM tomorrow.

Fever and vomiting.

Alyson!

Lumbago.

Can you take it?

Thanks.

Here, you take it.

It's not Club Med here.

You'll find a coat in the laundry room.

Off you go.

David, we move fast here.

We have problems today, sorry.

Anyone not on the list, come back.

Otherwise, you can go to Bondy.

I'm no doctor, OK.

Only some have registered.

He's not the only one waiting.

No violence here.

He jumped the queue!

You f*cking b*stard!

He keeps jumping the queue!

Nathalie's been hit!

Are you OK?

You're bleeding.

Does it hurt?

No, it's OK.

Up to date with your shots?

I think so.

Lie down.

They really got you.

You're a fighter.

So you are a doctor?

I guess so.

I did right to regularize you.

Thanks.

I think we ought to close.

I can't go on.

No reaction?

You've stopped believing too?

I'll prick you.

Here we are, Mrs. Royer.

You'll be good here.

I'll take care of you.

We'll let you rest.

Thank you.

Let's go.

It's nice here.

I'm just next door.

Good evening.

- Babybel cheese melted on a steak?
- No thanks.

No takers?

- I'll have one.
- Good.

I'll bring my fryer.

Where does it hurt?

- Tell the lady.
- It's itching all over my body.

Can I see where?

It itches here and here.

It's a week since he took his pills.

- It's too hot.
- Stay here!

Victor, calm down!

Stop, please!

Just shut up, please.

Your hand.

I'm Laura. OK, Victor?

Look at me, breathe
and let's sit down.

Let's sit.

We'll step back.

I want quiet.

We can't go on.

I know, but we can't take him.

He hasn't slept in two days.

We need help.

Ma'am, we're closed.

The ER is closed.

He can't stay like this.

Look at him.

Victor, calm down!

Who are you?

He needs to see a doctor right now!

Understand? Do something!

Wait here.

She'll get someone.

Someone to help you.

Shut the hell up.

- Olivier?
- What?

An emergency, sorry.

- I'm coming.
- Thanks.

Try to sleep a bit.

You need to rest.

I can't.

Calm down.

Take my hand.

There.

Calm down now.

He can't stay here in that state.

STAFF RESIDENCE

It's Chloé.

I woke you?

Got the keys to the first floor?

It's condemned for renovation.

I know.

Do you have the padlock keys?

f*cking as*h*le.

You're all f*cking assholes.

f*ck!

Let me out
of this f*cking sh*t hospital!

He's talking suicide.

I want to leave!

Come here.

Sit down.

- Let go of me.
- Sit down.

What's your name?

- Shut up.
- I'm Olivier.

- And you?
- f*ck you.

What's your name?
I'm Olivier.

What's your name?

What's your name?

I'm Olivier.

And you?

Victor.

Alright, Victor,

I know you're suffering and in pain,

but we'll look after you.

It won't be here, but calm down first.

That's good,
breathe slowly.

We won't give up on you.

I promise. Breathe with me.

Go to Mondor or Avicenne.

They're open.
We'll call to let them know.

Go now.

- Avicenne?
- Yes.

- Sorry, we can't do more.
- Or Mondor?

We'll call them now.

- Sorry.
- Victor, come on.

I'll tell them you're coming.

Come on, Victor.

Hello? Avicenne?

It's Poincaré.

We're sending a patient, 18, raving.

Delirium.

You really can't?

OK, thanks anyway.

Block the door.

The beds are still here.

There's water.

And electricity.

It's a real mess, though.

It's not so bad.

The light's on. Any problem, shout.
My colleague's one floor up.

Alright.

Don't worry, I'm here.

- Good night.
- Thank you.