Transplant

Oh, sorry.

Dinner, my place?

I thought we finished with all that about five years ago.

Doctor Amed?

Bash.

Lockdown. Code silver.

Lockdown. Code Silver.

Can I help?

No. I got it. It's fine. Go.

I'll go find some gauze and come right back.

No. There's gauze in the cabinet. I can make it. Go.

You'll be okay, I can stop the bleeding as soon as the shooter clears.

You're going to be okay.

Can you move?

Did you see him?

The last shots came from hallway J.

- You shouldn't be in the open. - Are you okay?

I've got a through-and-through to the neck.

Another in the thigh.

Mine's an abdominal wound and a shot to the right humerus.

I applied a tourniquet to try and stabilize his pressure,

but it's still dropping in critical.

Pressure right there.

There might not be anything else you can do for him.

Well, maybe if I...

Maybe if I bolus him with fluids,

we'll keep him going until we can activate massive contusion.

Get down, get down.

Lights on.

That concludes the active shooter drill.

- God... - Thank you everyone.

Well, I lost mine, how'd you manage to stabilize yours?

Bash?

Bash?

Hey, don't worry, I was going to die no matter what you did.

And now we find out how we did.

My guy was gonna die all along.

If I had no hope of saving him, what was the point?

Maybe that was the point. To see how you'd handle it.

- Well then, I failed. - Pretty sure it's not pass or fail.

Whole purpose of the drill is to make sure

we're prepared for the real thing.

Alright, thanks.

We're gonna have a full post-mortem with the observers tomorrow.

We're gonna review the tape,

and we're gonna discuss any course corrections in depth.

In the interim,

I want you to think about how you're feeling right now.

And how you responded to the situations you've faced.

You were trying to solve a problem that couldn't be solved.

You should've called that patient and moved on.

Learn to control what you can, and let go of what you can't.

Right? You're an island. But you work on a team.

You could've stopped the bleeding quicker

if you'd let Dr. Hamed help you get supplies.

Calm under pressure, no surprise there, but you took huge risks.

You can't save lives if you've sacrificed your own.

Huh? Alright.

Changed your mind?

I... I pressed the wrong button.

Heard there was an active shooter drill today.

Always cracks a few residents.

Did your patient fake die?

Fake lived, actually.

Mr. Gomes?

I'm Dr. Hamed.

I understand you've been experiencing some

chest pains and dizziness.

- When did this start? - Earlier this week.

I was trying to ignore it,

but I think that was a bad idea because...

now my left arm is tingling.

Deep breath.

It can't be... it can't be a heart attack, right?

I mean, I'm too young.

Are you a smoker, Mr. Gomes?

Kevin. No, never.

I got scared straight by that

shrivelled lung they showed us in sixth grade.

Any family history of heart problems?

Not that I know of.

They don't keep me in the loop on everything.

Hello, I'm Dr. Leblanc.

You're from Station 19 around the corner?

Take a deep breath.

Best post I've had.

Busy, though. We stretched three times last night.

Mm.

Do you wear a respirator?

The tanks are only good for 20 minutes,

sometimes we're in longer.

They're heavy, so we just ditch them when they run out.

Did you run out last night?

Yeah.

We pulled a couple from a bad house fire.

Got in as fast as we could, but they didn't make it.

Have you ever been diagnosed with high blood pressure?

No. I eat right, I exercise,

I don't drink.

I just can't catch a break right now.

First I, uh... First I lose my job, and then...

And then I had to move.

Deep breath. Deep breath.

Alright. Your blood pressure is high,

and your heart rate has elevated since you got here.

Is that what you were feeling before?

What do you... What do you think is wrong with me?

Um, we'll order some tests.

Uh, some blood work and an ECG, and uh...

Try not to worry, this is standard procedure.

Right. Thanks, Doc.

My dad was a firefighter,

and he always said you save the next one.

Yeah.

Okay.

Mm. Your nails are blue.

How long have they been like that?

They are? I dunno.

And your O2 sats are 88%.

I want to send you for pulmonary function testing.

I've been doing this ten years. I bounce back every time.

Yeah, I don't doubt it. But you're here now,

so better be safe than sorry, right?

If the thing you loved was slowly killing you,

would you, A, stop and save yourself,

or B, continue and risk it?

I would decide not to follow you down this particular

rabbit hole today.

Oh my God, it's your birthday!

I baked cupcakes and I totally forgot about them.

When do you have time to bake?

I know, I needed something to relax me.

You know what could help you to relax? Sleeping.

- Did you do something special? - Mel threw the annual barbecue.

Some friends, some family, some coconut cream pie.

- Oh, that's nice. - It was.

You know, usual suspects.

We should shake things up and let's go for drinks tonight.

- A kid in four is waiting for you. - Okay?

How'd this happened?

Rolled it during soccer practice, and wiped out.

Could've walked it off, but Coach forced me to come.

My mom's on her way.

You should consider a beard.

Beards are in. Plus it'll help with your chin.

Okay, good to know.

How's the pain on a scale from 1 to 10?

Six.

Eight when you do that!

Well, it's probably a sprain, but we'll X-ray.

Either way, you're gonna have to rest it.

But playoffs are coming up.

But you gotta think long-term.

You push it now, it could only make it worse.

And uh, I'll get a nurse in here disinfect these scrapes.

- Does it hurt when I press? - No. All good.

What happened to your ribs?

Nothing. They're fine.

Danny is binding.

If it wasn't on the chart, I'd never have known he was born a girl.

What did he say?

Not much,

he clammed up when I asked about the tensor bandage.

I'm worried he's cutting off circulation.

What's the protocol?

Is this your first transgender patient?

No, I saw some adults when I was doing residency,

but never someone this young.

But I'm just treating this kid for a sprained ankle.

He may not have anyone he trusts to help him with this.

Sorry.

Sir, you really have to hold still, okay? Ah!!

Uh, nurse?

Ugh... So stupid. I should've had security there.

Dr. Curtis, are you okay?

Yeah, just blood splatter from a displaced IV.

The patient is an intravenous user.

You need to fill out an incident report.

Get blood work on him, including HIV, Hep B, Hep C.

I want you to start PEP immediately.

Uh, I have surgery today, so...

Not anymore.

- I can draw your blood. - I'll go to the lab.

Blood work is normal, as is your ECG, so no evidence of a heart attack.

Then what was I feeling?

You're tachycardic, which means you have an elevated heart rate.

Is that serious?

We need to determine the underlying cause.

Do you still feel numbness?

It... It comes and goes,

along with this splitting headache.

Well, the next step is an echo and then a stress test, but...

What's happening to me?

Kevin?

I need help over here!

You were saying something about an X-ray?

We'll get you one right away, now just give me a minute.

Kevin Gomes, the heart patient. Is he in the echo lab?

Uh no, you sent him for a CT to rule out stroke.

When?