Transplant - Third Season

As a Canadian citizen...

I'm moving back home, okay?

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

- No, get off me. - Ah!

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

Remember that night the group of us went out?

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

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

was leaving what you really wanted?

Every time we get somewhere, you reset.

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

which you know makes me need to chase you.

Then don't! Just stop.

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

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

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

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

- Hamed? - Yes.

- Bash. Bashir. - Denise Garneau.

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

A GI bug ran through a cluster of families,

and I've been on call every night.

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

It took us a while but we got them hydrated.

- Munich or Frankfurt? - Frankfurt.

Oh the gate chairs suck for sleeping there,

you done a stint like this before?

Where'd you say you were coming from?

Toronto. And no, not exactly like this.

Well, it's pretty straightforward.

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

others go between camps.

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

We have about 2500 displaced residents, give or take,

mostly Syrian, some from other parts of the region.

The government curbed registration

meaning they can't access social services.

We have two physicians, six nurses rotating in pairs.

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

hypertension, family planning.

You can stop me if you already know all this.

No, no, this is good.

Good you speak the language,

though it's afternoon now.

Toronto via where?

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

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

Here's your tent.

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

probably don't have it.

- Hamed, you with me? - Hmm?

Yeah, it's just the uh...

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

Hmm. Get some sleep.

Come find me when you remember who you are.

What's that?

Ah. It reads data from my pacemaker.

Cardiologists use them to keep logs of rhythms, and vitals

and it's supposed to automatically upload to my tablet

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

Yes, it will be, once I find one.

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

Oh, um, I have a meeting.

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

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

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

A little game on our way to our morning classes.

Elie.

Hamed Bashir.

Salaam Aleikum

Hi, Mr. Spurling?

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

You registered yesterday with abdominal pain

but left before seeing a doctor?

Hey! When are we going to get helped?

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

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

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

Yeah, you were telling us that you...

Yeah. Where are the labs for Mr. Rusinsky?

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

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

Oh! Or you can hang up on me.

Oh, sorry what? Wrong labs?

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

"impossible to get to everything" pile of patients?

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

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

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

I know you've been waiting, sir.

We have the results of your EKG

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

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

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

finally puked, and then this lady here tried to help

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

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

Lenore Callahan. Audrey here is really burning up.

Please, just call me a taxi.

I'll be better off at home than here.

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

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

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

Are you okay?

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

Um, I know the waits are long,

but everybody has been triaged according to how acute

their situation is and you will all get seen,

we're just asking for some patience.

So, feel more like yourself?

Yeah.

You been in a camp like this before?

Yeah and practiced there.

And in your Canadian hospital?

Uh, emergency medicine and trauma surgery residence.

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

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

the timing seemed right.

So you don't really know.

Westerners come for all sorts of reasons.

Adrenaline. Conviction. Curiosity. Being on the lam.

Not sure I qualify as a westerner.

- Hm. - And what about you?

Neurology in Lyon and hated it.

Got married to an internist and hated that too.

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

And you've been doing it ever since?

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

Don't forget to hydrate.

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

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

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

- has my back. - As does hospital admin.

We take prejudicial behaviour directed at our staff

very seriously. The instigator has been suspended without pay.

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

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

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

that she will not be getting a second chance.

- Okay. - June,

you did not deserve to be treated that way.

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

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

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

Fair enough.

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

Mark, could you um...

Yes! Well, in light of your recent work

in this novel specialized residency,

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

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

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

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

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

Um...

Ah, pelvic fracture.

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

With me, June.

EMT says you fell off your roof?

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

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

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

- June? - FAST shows an enlarged spleen.

Let's get sharper eyes.

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

lower extremity numbness and tingling.

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

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

June?

Okay, open book fracture with retroperitoneal bleeding.

External fixation?

Was thinking open reduction with internal fixation,

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

Obviously.

Uh, June can you rewrap that sling?

Hi. Babinski's negative.

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

One that's way down our list of priorities.

I disagree, sir.

- Okay. - Which has been noted, June.

Well how about, you let us do our thing

and we will have you ambulatory, uh,

that means walking again faster.

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

I yield to your obvious expertise.

- Fantastic. - 5mg of midazolam please.

I cross-checked results from 50 labs we sent out

in the last few hours and 35 are wrong.

- Wrong how? - Wrong test, wrong patient.

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

So they all need to be redone?

Claire, could you look after Mr. Maxwell?

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

Doctor Devi, you look different?

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

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

No must be ED specific,

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

Um, but before you call.

Can you walk with me?