Transplant - Third Season

I know you were a trauma surgeon back home.

What do you say to specializing in that here?

I'm not sure that's even an option.

You deserve to be here.

All you have to do is accept it.

Plans are underway to build a permanent Trauma OR.

- Congratulations, Jed. - I resigned this morning.

Today is my last day.

I'm switching residencies.

I know what Bishop meant to you.

It's actually not about him, it's about me.

You're telling me that Marcus had a stepdaughter

that I've never heard of. How is that possible?

I just told my father's 17-year-old stepdaughter

that she could come live with me. So...

I know of an organization that matches specialists

with communities up north, and flies them up there,

and they're always looking for doctors.

Tonight, with Amira, that's how I remember you.

I mean, I know I'm busy working, but...

All you do is survive.

What else is in your life?

Hi.

Please wait until your number is called.

Is it true we have to take a test?

I do.

But only if we qualify, which we'll find out today.

Are you nervous?

I'm excited.

You should be too, habibti.

If we becoming citizens, you can vote and get a passport.

You could even run for office one day.

Is she okay?

Bashir, what's wrong with her?

They're working on power lines

and our network keeps crashing.

Careful, ma'am.

We need to try and stop the bleeding.

- Stop! - He's not even breathing.

- Don't touch him. - I know CPR.

Then you know the first thing to do is look and listen.

- I called it in. - That's a live power line.

It could be carrying a current.

His chest is moving. It's shallow, but he's breathing.

And his heart is still pumping based on the way his blood

- is pooling, so we have time. - You're a doctor.

Paramedics are coming.

Best thing we can do until we have all the facts

is absolutely nothing.

Uh, excuse me, ma'am, I noticed you're having difficulty breathing.

I was wondering if you needed any help. I'm a doctor.

I take medication for high blood pressure.

Okay. Are you having any pain in your chest?

- Yes. - Why don't you drink this

and I can check your pulse? I'm Bashir.

- I'm Rose. - Hey, Rose.

- How long have you been waiting? - Hmm! All morning.

I'm supposed to take my citizenship test.

Uh, my sister and I are just starting the process.

- We came here from Syria. - Jamaica.

But I came in 1993.

Why did it take you so long to apply?

Uh... I'm sorry, that's none of my business.

I raised a family here, I'm totally assimilated.

But being in this room...

Reminds you that you aren't.

Mm.

There was nothing you could've done to save his life.

- Everyone says that. - I mean it.

I'm a psychiatrist, but I'm also an MD.

His neck broke on impact. There was no fixing that.

Uh, my therapist in Sudbury

thinks I'm ready to see patients again.

Well, you're not running from what happened.

A good sign. Coming back is the right call,

- as long as you're vigilant. - Vigilant?

I mean, I'm...

I'm doing everything I can to process what happened.

A man died.

And you spent nine days alone in the woods.

It'll take longer than a month to work through that.

So if you find yourself needing help, speak up.

Ah, what a mess.

His blood vessels are a pretty abstract arrangement.

- You good? - I can figure it out.

Retracting the mesenteric portal vein.

- Easy does it. - Watch the ducts.

Good. Now start dissecting.

With technique like that, Ajay should be begging you

to stay on as Chief Resident.

Well, I mean one term is standard.

I guess he just figured someone else was up.

Lost interest, you mean.

I will too, if you don't apply for my GI fellowship spot.

Is that even open to fourth years?

If they deserve it.

Okay, let's close.

Internal cardiac defibrillator.

Test model versus grapefruit. 80 joules.

Holy!

Mags?

Do we need to get you a med student

to help organize this...

- What are you doing? - I'm comparing the ICD device

we're studying to the ones already on the market.

Ours delivers a more consistent shock

while leaving a smaller physical footprint,

but the leads are prone to shifting...

We're not adding a citrus column to our study data.

And that would be "no" to the med student.

I have my own system.

Uh-huh.

- Is she okay? - Yeah, she'll be fine.

That's it?

You're not even gonna tell me what's wrong with her?

It wasn't her heart, she's just afraid.

Of what?

Dr. Curtis?

Did your security company reach you?

Apparently, your alarm went off.

No, but I think I know who the intruder is.

- Everything okay? - Yeah.

Okay. Do you mind?

Um, Mr. Lee here presented with nausea

and a fever after feeling ill at work.

Meaning I threw up during the sales presentation

I flew into town to make. Some business trip...

Do you still have your appendix, Mr. Lee?

I thought that too, but there was no guarding when I pressed on the right.

- Ah! - Mm.

Don't forget Rovsing's sign.

Sometimes, when you press on the left and the appendix reveals itself...

Referred pain. So imaging to confirm and call up to OR?

You know what, they're wall to wall right now,

so what if you see how long the wait is and get back to me?

Thank you.

Bash? Action out front.

Some kind of accident down the street.

Excuse me.

Alexander Gordon, 42 years old,

electrocuted on a power line.

BP 80 over 60, rate's 130. GCS 10.

His 02 Sats are 80 %. He's tachy, and his temp's way up.

Hyperthermia is common with electrical burns.

No evidence of surface burns,

I did a quick neurological exam, but he'll need CT.

His femur's shattered and I don't know for sure,

but I think there's fluid in his belly.

I'll call ortho for the femur

and tell Dr. Novak we need Trauma OR.

Dr. Devi, are you okay?

People don't fall from the sky every day.

I'll meet you in there.

- C-arm's in position. - Everyone, hands off.

We'll need 2 large bore IVs.

Activate MTP and prep one gram TXA.

Sats are falling!

- 32 French, Claire, hemopneumo. - Where am I?

You're at York Memorial Hospital, Alex. Try not to move.

- Pack with fresh gauze. - Why does it hurt to breathe?

Probably for a lot of reasons. At a minimum, it's because your lung is collapsed.

We're going to put in something called a chest tube.

How are you doing, Alex?

- It hurts! - Why does it hurt so bad?

10mg morphine.

We're going to give you something for the pain, Alex,

try to remain as still as possible.

Waiting on film and putting in a chest tube, boss.

Your call in Trauma OR, Dr. Novak.

Image is up.

That explains the fluid in his abdomen.

Looks like his pancreas is melting.

The current needed somewhere to land.

It has to come out here. Now.

Any less invasive options to consider before major surgery?

Not if we want to avoid the infection due to dead tissue.

- Well, let's get him prepped. - Dr. Hamed, you're gonna assist.

Claire, see if Ortiz from General's available,

or if he knows anybody good who is.

You've resected a pancreas before?

We'll walk him through it.

Okay, you got your hands full, Claire.

I will page Ortiz.

Alex, the electrical current

caused severe damage to your pancreas.

We need to take it out right now, okay?

- No, no, no! - I need Callum, where's Callum?

If we don't do this right now, you're going to die.

- Do you und... - He's seizing!

Hypocalcaemia from the pancreatic injury can cause seizures.

I have to intubate. Dr. Novak, this can't wait.

Okay, let's get Ativan and calcium to calm the seizure.

Let's go!

Yeah, I apologize, it was a mistake.

It's just that my... new roommate

forgot her alarm codes.

So, yeah, you know, it's fine.

Just, uh, send me the bill.

Does Shay know you're calling her your roommate?

Well, it's that or father-stepdaughter, so...