Transplant (2020) s03e08 Episode Script
And So It Goes
1
Amira, you forged my signature!
If I don't get in,
none of this will matter anyway.
I passed my citizenship exam
but I still have the
interview to go through.
You don't want me to be happy!
While we can't always control the wait,
we can improve how the
patient experiences it.
We were maxed out before
these policy changes.
ED nurses are moving to work to rule.
Fix this. Today.
If we revert to status quo,
will you take your
demands off the table?
Well, I get no satisfaction
from being right.
Do you think a guy like me's
gonna survive her politics?
- (SCOFFS)
- And if I go, what happens to you?
What happened? What is this?
You just ignored my direct instructions?
I will not have surgeons
who don't tell me
the whole story. Dr. Curtis, take over.
Dr. Esfahani?
What I said to him about
not wanting to be a victim anymore,
you're right. Uh, it did get personal.
I know it did, Bashir.
Do you think you can help me?
(EXHALING DEEPLY)
(PHONE RINGING)
(SOFT MUSIC)
Just one more minute,
Mister, uh Ham-Hamed.
Those are for me.
I guess this is the end
of a long journey, huh?
Quite the feat, getting
all your original documents
from an entire lifetime in order,
translated from Arabic.
Then photocopying, scanning,
cross-checking. Let me guess,
you colonized a Kinkos. (CHUCKLES)
It was a doctor's lounge, actually.
So you just answer any question he asks?
I'll be as transparent as I can.
Your favourite way to be.
- It's next Monday, right?
- Mm-hmm.
Why can't I connect to the printer?
Is this Memorial 6 or 14?
- I thought it was lounge two
- Ugh!
Where is my old passport?
They're not out to get you, right?
This is just like a
normal checklist thing?
Well, he has power, I have no idea how
- he's planning on using it.
- PR card.
They know you don't have
your med school transcripts?
I am providing everything
I had when I left.
- Oh, found it.
- Thank you.
All I have to do now is tell the truth
and hope they like me.
I called you Mr. Hamed. You're a doctor.
Yes, a medical resident.
Ah.
Is this why emergency
wait times are so long?
Staff taking long breaks
to use the office printer?
Do you even get breaks?
Um, they usually last about five minutes
- before you get called away.
- Huh.
(BEEPING)
- Mags! Mags!
- I know! I know! I'm sorry!
Ah
It's just A ripped
corner won't define you.
We can fix that. That's it.
Hamed! Are you on?
There's multiple victims
from an apartment fire.
What is this?
Um, yeah, I'll be right there.
Um it's a casualty
of an incoming trauma.
Oh. What was it?
Not an official question, but I just
(SIGHS) I do feel I get a better sense
of someone if this process
is um, conversational.
A patient jumped through a
third-story window to escape a fire.
So you make life and death
decisions all day for a living.
I guess we both do.
Welcome to your citizenship
interview, Bashir Hamed.
(SIGHS)
(INTRIGUING MUSIC)
What year did you leave Syria?
- Uh
- I am aware it's all over
your file, but my job is
to re-ask these questions.
Uh, we left uh Syria for Turkey
in March of 2016, and it took two years
to come to Canada.
We. Right.
You're not the only one
looking to become a Canadian,
there's also the minor, Amira Hamed?
Mm.
They told me only I needed
to come to the interview.
They were correct, they were correct.
Um, Amira's your sister,
she resides with you
at 623 Gormley Street, Toronto, Ontario,
apartment one-B?
Yes, she does.
Though she's staying with a friend.
A family friend.
It's
it's just for a change of pace.
It's it's only temporary.
Bashir, this isn't an interrogation.
If your case didn't have merit,
you wouldn't have made it to this point.
But many applicants become citizens
without being asked to do
this kind of interview, so
for some people, this
is as far as they get.
Well, in most cases, it's
because we find things
that we can't reconcile.
I mean, for example,
why do you have two residency
program confirmations?
I'm doing a dual residency,
uh, trauma surgery
and emergency medicine.
I'm embarrassed to admit I
don't know the difference.
Uh, as an ED doctor, I
treat ill or injured patients
until they can go home or are admitted.
And as a trauma surgeon,
I operate on them also.
Okay. So if I needed confirmation
from one of your superiors,
do I speak to Neeta Devi or Mark Novak?
(DEVI): You want to take
out a lobe of his lung?
He has a hemopneumo
likely from the shards of
glass in his lower lung.
Doesn't justify you going to
extreme lengths to rip it out.
Uh, Dr. Devi, imaging showing
that his injuries are extensive,
it does warrant aggressive action.
O2 sats 88 and falling.
Subcutaneous emphysema,
uh, Dr. Curtis, is there
bruising on that side?
- Yes, there is.
- Ecchymosis.
Let's start the transfusion.
My gut tells me if we
don't do a lobectomy now,
he's just gonna need one later.
(DEVI): Dr. Hamed, talk us through
the conservative treatment
for an emerg patient
- with this kind of lung trauma.
- Chest tube stabilization,
monitoring, and thoracic consult.
- Exactly.
- Yes but if we went down
that road, we would be
worried about what, June?
Hemorrhaging, and respiratory
distress could kill him.
And we don't want our
patient dying, right?
It's the first thing they
teach you in med school.
But that's not definitely
what's happening here.
It's just a possibility.
- Without further assessment
- Which we would do.
- We have the technology.
- Well, we can't know for sure.
Okay, what Dr. Hamed
should know for sure
is that this is his
chance to get in on more
than surgical scut after Dr.
Curtis sold him out upstairs.
- I don't agree with your choice of words.
- Oh, fine,
then you rightfully lambasted
him for disobeying you.
My point is this is Trauma OR
and it requires bold action.
Just do the chest tube, Mark.
Even with Bashir's cowardly abstention,
you are outvoted, Neeta.
I want an update as soon as he's stable.
Don't you technically
have to listen to her?
Is it just me or is she
uncharacteristically punchy today?
I suppose publicly losing
a labour fight will do that.
Uh, where am I?
Hey. You're at York Memorial Hospital.
You fell out of your apartment window
and sustained a serious lung trauma.
Not my apartment.
And I jumped.
The building was on fire. Ah
Can we push morphine five milligrams?
Ezra, is there anybody we
can call to be here with you?
I was caulking a tub.
The clients saved
themselves and left me,
can you believe that?
Sir, do you have asthma,
COPD or any lung d
(MACHINES BEEPING RAPIDLY)
And he's out again.
Uh Yeah, go ahead and
uh, prep a chest tube.
What? Five seconds ago you were adamant
- about doing a lobectomy.
- He'll likely still need one,
but his sudden burst of consciousness
is giving me pause and I
am nothing if not flexible.
Maybe yes.
Dr. Hamed, call around, see
if you can get a family history
so we can give him the
best chance possible.
He didn't seem to want that.
Okay, he also jumped
through broken glass
of a third-story
window, he's a survivor.
Alright, alright, to
your corners, residents.
Bash? Uh, I need you.
Guess I'm on phone duty.
Joyce?
(THEO): Seemed tense in there.
- (SIGHS)
- Novak's just on edge
because Devi's trying to rein him in.
Yeah, she's still licking her wounds.
That is crossfire you want to avoid.
Yeah, but with everything that
happened with Singh and June,
I don't know when I'll
get operative time again.
Is this a surgical consult?
Uh, no, actually, cultural?
Paramedics brought a kid in
from the fire, but he bolted.
A triage nurse found him here.
He hasn't said much, but I did
recognize a few words in Arabic.
I just need to convince him
to let us take a look
at the burn on his arm.
Hey, buddy.
Think you're ready to let
me take a look at your arm?
(IN ARABIC)
Farid.
No.
Um, we haven't been able
to track down any family
That building fire
that your patient jumped
to escape, was anyone else hurt?
None as notable as him.
Do these things get to you
or you're pretty numb by now?
You find ways to compartmentalize.
Still easier than
dissecting your entire life
to a complete stranger, hm?
I know how lucky I am to be here, sir.
And how fortunate I am
to get this opportunity.
(SHARP INHALE)
(INDISTINCT PA ANNOUNCEMENT)
Do you know how defeatist that sounds?
Like you don't deserve it,
like it's fated to go badly?
I'm just prepping for the
possibility that it might.
In other words, doomsaying.
Yeah, I'll float that
in group therapy today.
I have so many theories about
what you say in that room.
No, it's just a few of us
from similar backgrounds
examining our collective issues.
Or probably don't say.
Ms. Webber, hi. This is Dr. Hamed,
he's our surgical resident.
I asked him to come and talk to you.
'Cause I swallowed a set of keys
and you have no clue
how to get them out?
How did this happen?
I sleepwalk.
Usually, I just open the fridge,
rifle through cupboards
trying to fill cravings.
Last night, I-I guess
I just got creative.
So, just two keys on the ring?
House, classroom,
mercifully no novelty
keychains or anything.
I was hoping that they would
pass before I had to get to work
but oh! The stomach pain. Yeah.
You're a teacher?
Yeah, uh, adult ed.
Well, you'll need an
endoscopy procedure,
so we'll sedate you
and put a flexible tube
down your throat to get the keys out.
Uh, does that mean painkillers?
Yeah, don't worry, you
won't feel anything.
You don't understand. I
can't go near that stuff.
See? One for every time
I tried to get clean.
I don't know why the
last try took, but it did.
I can't start all over again.
Yeah, we understand,
Kit. We're gonna make sure
that you're comfortable
before administering
medication of any kind, right?
Absolutely, I'll uh,
clarify on your chart
not to prescribe any opioids
and I'll speak to the surgeon myself.
I spent so many years apologizing
for the stupid mistakes
I made while using.
I just can't let something I did
while I was asleep ruin my progress.
Alright. Of course.
Uh, does everything look okay?
We'll know more once we dig in.
You're a doctor after landing
here only five years ago.
You are building a life for your sister.
Honestly, Bashir, on paper,
you're a model citizen.
What we do now is just confirm
that the data matches the man.
- I'll need that.
- Oh.
(BASH): Ezra?
Ezra. How could you be out of bed?
Oh, I'm Liam. Ezra's brother.
Yeah. Liam got a call about us
needing a family medical history.
Yeah, I'm not sure I'm
gonna be much help there,
we were adopted into different families.
I only found out that Ezra
existed a few months ago.
I'm certain he'll be
relieved you're here.
I'm not so sure about that.
The first and only time we met,
he said he never wanted to see me again.
That that could be a problem.
What did you say the name
of that document was again?
IMM-1000 Record of Landing.
They would have handed
it to you at the airport
when you arrived in Canada.
Uh, in all my instructions
to prepare for this interview,
I-I don't remember seeing that one.
Well, we do say everything pertinent
to encourage the widest possible
interpretation of what you need.
I do remember being handed
papers when our plane landed,
but uh, it was hectic,
maybe that one got missed.
No, trust me, nobody lands without one.
You know, it probably
got buried in some box
in some storage locker in the
basement of your apartment.
(SIGHS) Maybe, though uh,
we've lived in eight different
apartments since then, so
Eight places in five years.
Yes, um, newcomers
often have a hard time
getting landlords to trust them.
We moved four times the first year
- and then, every year since.
- Well
I mean, they should've
told you at the airport
that the IMM-1000 (CHUCKLES)
it's basically your
new birth certificate.
In other words, it is a
document you hold on to.
It was a long process.
I had to apply for access
to the adoption record,
which is how I found
out that we were only
three months old when we were separated.
There's something wrong
with his lungs, isn't there?
Uh I know how this sounds,
but I could feel it this morning.
Yeah, it's similar to
the feelings I've had
my whole life, like a phantom limb?
Uh, Liam, Ezra hasn't been
conscious for very long
and we haven't been able
to get a medical history.
Well, like I say, I
don't really know him.
But you have identical DNA, so
even your own medical history
could shed some light
if you're comfortable?
There's not much to tell,
I've been pretty healthy,
I'm allergic to peanuts.
Uh, I had pneumonia, twice, as a kid.
My parents said I was colicky.
I wonder if he was too.
Must have been quite the shock,
- learning you were a twin.
- Oh, the best kind.
Immediately, I made this
huge list of questions.
You know, did he put ketchup
on his grilled cheese?
Does he cry easily too?
It was just so exciting
to get to discover
this like, missing piece? You know?
But then when I finally
tracked him down,
he didn't wanna meet.
Sir, do you drink or smoke?
It's just that there are some
studies that link twin DNA
to uh, lifestyle choices?
I drink socially.
Um, I tried smoking at 17,
but my father scared me straight.
I won the lottery with my family but
it wasn't the same with Ezra.
He told you that when you met in person?
It was more like, when I saw how he was
eking out a life, I could kind of tell.
Things really went south
when I offered to help.
I don't know, I was
so excited to meet him,
I got carried away,
and I guess he felt like
I was judging him, and
maybe I was. I don't
I just wanted him to be okay, you know?
- (MACHINES BEEPING RAPIDLY)
- He's tachycardic.
- What's going on? Is he okay?
- Just wait there, Liam.
900 CC's in less than an hour,
he's losing too much blood.
Okay, milk the tube for clots,
I'm gonna start a central line.
I think Novak was right, his
lung is too damaged to save.
Instead of removing it, we can
try repairing it surgically?
A pulmonary tractotomy
could stop the bleed.
If I say no, you just
going to ignore me?
Go behind my back? Again?
I know I let my instincts take over.
I'm sorry about that, June.
Is this you trying to get back
on track with operating hours?
I'm not working you. I'm not Novak.
What's that supposed to mean?
It's just the way the two of you
were undermining Devi earlier?
Oh! So when I do it, it's careerist,
and when you do it, it's what, passion?
No, Bash, you work the system
just like the rest of us.
(KIT): You betrayed me! All of you!
- You got this?
- Yeah, I got it.
I wanna talk to the doctors
that let this happen!
- Kit
- You!
You promised that I would have options!
That someone would make sure!
- Kit, slow down, please.
- No!
They gave me fentanyl!
You said they wouldn't,
but they did! But hey, at
least they got rid of these!
That's all that matters, right?!
Okay, okay, what is this?
The road to hell! And
don't try telling me
that I'm wrong, because when I woke,
I saw the meds that
they gave me on my chart!
You just came out of an endoscopy,
- you should be upstairs.
- You don't understand.
Even when I'm asleep, my
body is trying to find a hit.
You asked for no opioids
and we disregarded that?
Or forgot, or didn't give a flying
No, no, no, I made
specifications on her chart,
I called the surgeon.
I should've followed up.
And I should've been with her.
(SIGHS) Look, Ms. Webber,
if the surgeons had trouble
controlling your pain
or your heart rate, they may have added
a small infusion of fentanyl
to your IV. I'm very sorry.
I don't care about your reasons!
I worked so hard to forget what
it's like to feel this good.
- Oh! Okay, okay!
- We need a gurney over here!
I've got you, I've got you.
- Okay.
- The endoscopy could've caused
a small gastric tear. We
need to get her to imaging.
(GRUNTING)
We're better than this. We have to be.
Dr. Hamed, we need to move on.
Um, so the uh
Um, the uh, IMM-1000,
what happens if I don't find it?
Mm. And so it goes.
In the interest of progress
then, let's talk through
the uh, entry exit date stamps
on your expired Syrian passport.
One of my jobs is to
confirm that you've been
physically present in
the country 1,095 days
out of the last five years.
That won't be hard. I
I haven't left once since arriving.
We'll also be looking at the
date stamps before you came.
So, you do have those uh, translated?
- Yes. Mm-hmm.
- Notarized?
I do. Uh, though, I was unclear
as to how they are relevant.
Well, we don't just
want to know who you are.
We need to know who you were.
During the war in Syria
then, you trained as a doctor.
While finishing my residency
and uh, working at my parents' clinic.
They were both physicians.
Okay. So it was a family business.
'Kay, let's see.
October 2011, you crossed
the border to Jordan?
To visit family.
In those days, the border
was easier to manage.
In 2012, you went over multiple times
but always to Turkey?
(STAMMERS)
Fighting had started,
so you had to be smuggled across,
and uh, Syrian Free Army
stamped your passport
every time you came back.
It was always a risk.
What about August 2013?
(IN ARABIC)
Bashir.
(MAN COUGHING)
(WHISTLING)
Hey.
You were smuggling medical
supplies into the country.
Um, medicine, syringes, gauze, um
When rebels or protesters
needed care at the state hospital,
they would be arrested.
And your family hospital was
- it was underground.
- It was both.
We treated the regular
patients business as usual,
but my parents found quieter spots
to treat those who were
wounded in the conflict,
until the rebels took over Aleppo.
Dr. Hamed, you're a war hero.
I (SCOFFS)
I-I was just doing what many others did.
Forgive me, I have to ask.
What is it like for
someone who cut his teeth
as a revolutionary
to get used to the um,
endless bureaucracy I assume
he finds in a hospital here?
(IN ARABIC)
Fentanyl, IV push.
Okay. Full and partial thickness.
We should be able to avoid escharotomy
if we're thorough with the debridement.
Agreed. Cauterization's painful,
especially for kids. Did
he tell you how old he was?
I'm guessing around 11.
It's young to be on your own.
Well, he told me his mother works,
and there's no school today.
The neighbour that usually
watches over him got called away.
Can you remove the excess tissue here?
You know, Bash, the uh, firemen think
the blaze started in Farid's unit
when he was making some food.
Did he tell you anything like that?
Careful you don't go too deep there.
It's necessary to avoid infection.
They know it was an accident.
When Children's Aid gets here,
maybe you can help
him explain it to them.
You called CAS? Why?
Because I had to.
He's He's an unsupervised
kid who started a fire
with no word from his parents.
We have a duty of care.
- Theo, you don't understand.
- How can I understand
when you're not telling
me what he's saying?
They're not documented.
He knew there would
be questions about it,
that's why he didn't
want to call his mother.
I promised I wouldn't tell anybody,
but if CAS finds out,
then the system could find out,
and they could get deported.
- (STAMMERS)
- I didn't I didn't know.
I walked him right into
the thing he was afraid of.
(SIRENS WAILING)
Ezra, your lung is still bleeding
so we're going to have to intubate you.
What, so someone else
can make these decisions?
No way. What are my options?
Okay, well, we can do a surgical repair
called a pulmonary tractotomy.
- Okay.
- Or we can do a lobectomy,
which means removing the
lobe of your lung, or
Wait. So I can live
without a lobe of my lung?
In theory, yes, but you
had pneumonia as a child?
(HEAVY BREATHING) How did you know that?
There was scarring on the other lung,
and we made the assumption because Liam
also had pneumonia as a child.
And I bet your lungs healed
just perfectly, right?
Why are you even still here?
So you're telling me
I've got no good options?
Our most aggressive
approach is a transplant.
Now, usually it's difficult
to find suitable donors
Unless your exact genetic match
happens to be standing in front of you.
(LAUGHS) Why would you do that?
- You don't know me.
- I want to.
You won't let me.
So this is what, emotional blackmail?
- For a lung?
- Ezra
Stop trying to save me.
(EZRA COUGHS)
Look, I get it, okay? I
pushed too hard when we met.
I never meant to make you
feel bad about yourself.
If I want him to leave,
you have to make him, right?
- Ezra
- I would do anything
to just take that back and try again.
I was happy with my life
until I knew you existed.
And now, I wish I could forget you.
(COUGHS)
There are no border
crossings between 2013
and when you finally left
the country for good in 2016.
You want to know about
my time in prison.
Yes.
I've been very open
about that part of my life
since I made my first
refugee claim, sir.
Think of it like this.
When my father had his heart attack,
I had to keep explaining
his uh, symptoms
from the beginning to every
doctor that came by our room.
The good news is, I'm the last doctor.
Were your trips over the border
the reason for your arrest?
Not directly.
One of the conditions of citizenship
is not having been convicted of a crime
in the years leading to coming,
meaning I am going to
need more information
on what happened, Dr. Hamed.
(SIGHS)
Soldiers stopped me at a checkpoint.
Then they took me to one of
the regime's secret prisons.
My family didn't even know where I was.
(INDISTINCT CONVERSATION)
(LAUGHS)
(SIGHS)
Alright, enrollment affidavit
signed and witnessed.
I have officially attended
the same boring school
through most of grade eight.
Did they give you any trouble
about your registration papers?
Mrs. Gerwitch said they get
a lot of these immigration
requests from kids.
- Report card.
- Um, I don't think they need your grades, but
Wait you got a 92 in science?
And a 93 in math.
Ooh! Slay queen.
- (PHONE CHIMES)
- I'm not gonna say that again.
Habibti, I'm proud of you.
Uh, Bash, Lucy from CAS is on her way.
- I'll meet you at Farid's room?
- Okay.
Amira, you know you can
come home whenever you want.
And you can still be
mad at me when you do.
I like mac and cheese too.
But sometimes when I cook,
I leave the stove on.
Do you think that's
what happened, Farid?
No, he already said he turned it off.
The appliances are spotty
in those old apartment buildings.
You know, getting a landlord
in there to fix anything
is like pulling teeth.
Do you go to school in Toronto?
(TRANSLATING INTO ARABIC)
And your parents, what
kind of job do they work?
(TRANSLATING)
(SPEAKING ARABIC)
Uh, his mother cleans offices
and uh, his father doesn't live here.
Where does Dad live?
Um, why do you need to know that?
Just trying to build a better picture
of his situation, to
know how we can best help.
(SPEAKING ARABIC)
- Dr. Hamed?
- Look, he's scared.
He doesn't want to answer
any more questions, okay?
(CLEARS THROAT)
Uh, maybe we can try again later.
Fine.
I'll keep looking for his
mother and I'll circle back.
And uh, what if uh, you can't find her?
At some point we'd have to
place Farid in foster care
until we can make a
more detailed assessment.
The more facts we
have, the better, guys.
You asked Farid not to answer
any more of her questions.
He should not have to talk
about his family status,
it's too much for him to carry.
Hey, Bash, I get that
you feel for this kid,
but you're basically just telling him
not to trust any of us.
- Well, what if it was Amira?
- But it isn't.
She wants to come home.
But she thinks if she gives in,
it means that she didn't
get through to you.
And I said she did, and that
she needs to stop being stubborn
and that as the person
responsible for her,
- you have to have rules.
- Theo, look,
you're betraying her
confidence, so, just
(SCOFFS)
Should he still be here?
He asked if he could stay in the hallway
if he stayed out of the way.
And what's this I
hear about you lobbying
for pulmonary tractotomy instead
of lobectomy for the brother?
Well, given his history
of lung weakness,
keeping more of the lung
gives Ezra the best chance.
We see this one differently, you and me.
Well, yeah, it's your call, Dr. Novak.
Really?
Is that all you have
to say on the subject?
Shouldn't you be empathically
following your instincts
and not resting until
you're proving me wrong?
- Sorry?
- Don't be.
Unlike Curtis, who finds
that behaviour off-putting,
it's what I like about
you. So please, tell me
how you really feel,
because I know it's not
what you're saying. You
disagree with me because?
Because I think your agenda
to prove the capability of Trauma OR
is clouding your judgment.
There it is.
Told me the truth.
That means I will too.
It's happening by degree,
but I think you're becoming
more worried about protecting your job
than taking the kind of
risks that we need to take.
And you should know
that all I care about
are the patients' lives.
(TENSE MUSIC)
(IN ARABIC)
Okay, Mom.
These experiences, they gut us
in ways we're never prepared for.
And processing them, it isn't linear.
In business school, they put us
in small teams for case studies.
Everyone is 20 years
younger than me, but uh
whenever I try to tell them what I know,
all they hear is the
old guy with the accent
and just shrug it off.
(SCOFFS)
Must annoy the living crap out of you.
My daughter has this game on her phone.
A cookie that chases other
cookies and eats them,
getting fatter each time it catches one.
That's how I feel.
Do you feel like the cookie who eats?
Or are you one of the
cookies that gets eaten?
The cookie who eats.
As if
the anger inside of me
consumes everything.
And it is affecting
all of my relationships.
(HIGH-PITCHED RINGING)
(TENSE MUSIC)
Dr. Hamed.
- Dr. Hamed.
- Hm?
I thought I lost you for a second.
I wasn't convicted of any crimes, sir.
They had me for almost a year,
tortured me, and then just let
me go without any explanation.
All because one of my
best friends from childhood
gave my name as a doctor supporting
the rebellion to save his own life.
(SIREN WAILING)
You stuck with Kit through imaging?
Yeah. I didn't let her out of my sight.
Contrast CT confirms a tear.
Probably exacerbated by her
coming down here post-op.
Radiologist agrees, it's a slow bleed,
- but we gotta get on it.
- She needs surgery to repair it.
Which she won't consent to,
and she's refusing
any kind of pain relief
even though she's really hurting.
If my status on the
surgical floor was better,
they would have taken my
chart notes more seriously.
Yeah, I agree, it's all your fault.
Or our system has failed
Kit at every level,
and I've already asked the
hospital to look into how,
but if you would be
happier blaming yourself,
I can just cancel it.
Bash. They can't find Farid.
Go.
Somebody come get him? A parent?
No, he was just here, he was sleeping.
Get security to look in
every room on the floor.
- Yeah.
- And outside.
- Yeah. Got it.
- He couldn't be far.
What?
Did you sneak him out?
Of course not, Theo.
Well, maybe the CAS worker took him.
Lucy wouldn't have done
that without telling us.
And I would?!
He must have ran off.
Okay, well, then you were right,
I I scared him.
We have to tell her the whole story.
- No, no, no, Theo, we can't
- I know how important it is
for you to protect Farid,
Bash, but sometimes,
especially with kids,
in order to help them,
you have to betray their confidence.
(PA ANNOUNCEMENT): Code blue,
Trauma OR. Code blue, Trauma OR.
(ALARM BEEPING)
- Hey! What's going on in there?
- I'll find out!
Can you wait?! Please, please, please.
A second before that page happened,
my heart started racing.
Now, I don't care about his anger
or that he wants nothing to do with me,
even if he never wants to see me again,
he's my brother,
and I'll do whatever I can to help him.
- Charging, 20 J.
- Pausing compressions.
Clear.
Still in v-fib.
- Resume compressions.
- (BASH): What happened?
Midway through lobectomy,
he went into v-fib.
- Try him at 25.
- Charging.
Only option now is pneumonectomy.
You're going to take out the whole lung?
- If we can get him back.
- Charged.
Clear!
(MACHINES BEEPING RAPIDLY)
Sinus rhythm.
We have a pulse.
This is why I ruled out tractotomy.
His entire lung is
bleeding. Half measures
aren't gonna cut it. We
have to go all the way
- or we lose him, so if you can't handle it
- Okay, so let's go all the way!
- Transplant.
- The brother?
- He's still here.
- Pressure's ticking down.
- Are we holding or moving?
- Hold on a second, please.
Even if he were to say yes,
we're in here now,
there's no time to
stop and change plans.
Look, even if you could
remove his injured lung
without him coding
again, his remaining lung
isn't strong enough to
keep him alive on his own.
Listen, Bash, he's already
given us a pretty firm no
to his brother's lung.
He's been an architect
- of his own misfortune. All day.
- I will talk to him.
Ninety over seventy. Guys?
What about Liam? Giving up a lung
- for someone he barely knows?
- He felt his own heart racing
before you called the
code. He will do it.
- Bashir
- Dr. Novak, you wanted me
to speak my mind, I'm speaking it.
Liam has to be the solution.
It doesn't matter if
any one of us believes
he feels Ezra's pain.
Okay? They are tied together.
Two parts of a whole.
It's the only way Ezra is
going to pull through. Please.
Okay, look, we can deal
with the most severe bleeds,
so let's just put him on awake ECMO
and give him the chance to consent.
You're buying into this, June?
Looks like you're outnumbered, Mark.
(CHUCKLES)
You really think you can
get them both to say yes?
I know I have to try.
Okay. Let's go.
(PHONE RINGING)
(INDISTINCT CHATTER)
(INDISTINCT CONVERSATION)
(DOOR OPENS)
Sorry about that. It's just
something I needed to dig up.
It occurred to me uh,
you left me hanging on the anecdote.
The guy who fell out of the window.
You're obviously under no obligation,
but I feel like I need to
know what happened to him.
It was actually pretty intense.
His lung failed and his estranged
identical twin brother showed up
and offered to donate one of his own.
Wow.
But he didn't want it.
He'd rather die than take a lung? Why?
I think meeting his twin,
my patient felt that his future
was somehow stolen from him.
That his brother was a version of him
that he could have been,
had his life gone a different way.
(SOFT MUSIC)
(MACHINES BEEPING)
(RAPID BEEPING)
(CHANDLER): What do you
say to a person like that
to convince him to want to help himself?
Ezra?
(BASH): I say what I always
end up saying to people
when they lose hope.
It's never too late to start again.
Firefighters are on their
way to check out Farid's unit.
I'll go speak to all his
neighbours and his teachers too.
We'll find him. I promise.
All I care about is keeping Farid safe.
(INDISTINCT CHATTER)
I already told Dr. Leblanc, no way.
I understand you're nervous, Kit.
But how do you feel? Right now?
- Still angry.
- Deservedly.
We haven't done a great
job at earning your trust.
What else?
Dizzy. Tired. Nauseated.
All normal after a procedure.
- Or early withdrawal.
- That's a possibility. Yes.
The dosage they gave you
has likely worn off by now,
so we're gonna keep you on IV fluids
and an anti-nauseant.
It's also a possibility that
everything you're feeling
is due only to your stomach injury.
(SIGHS) They're saying I
have to go through it again,
and it's actually surgery this time?
You scratched off your sobriety mark.
I asked the nurse for a pen.
I failed.
And the sooner I face that, the better.
No, Kit, you did not fail.
We failed you, okay?
And that mark is not
scratched off in permanent ink.
What if her surgery didn't involve
any painkillers or sedatives?
Well, I'm not sure that's an option,
given the location of her rupture.
Unless we use a spinal block.
An epidural for an open
lap. Yeah, that could work.
- Yeah.
- Can somebody translate?
Dr. Leblanc is proposing a procedure
closer to a cesarian section.
We keep you awake, we give you an IV
that blocks the nerves
from your spine to numb you.
Well, how do I know
what happened last time
won't happen again?
Mark? A second?
Yeah? What's up?
Ms. Webber has a gastric tear.
It's a small tear. Uh, it's manageable.
Okay. You want me to send her
upstairs for a laparoscopy?
What would you say to
an open lap in Trauma OR
but it has to be an epidural,
and no painkillers, no
fentanyl, no ketamine.
I would say, um
What is your favourite
sport, Ms. Webber?
Uh. Baseball?
Great. We'll discuss the
pennant race to distract you.
- Bash, show me the imaging?
- Mm.
(SIGHS)
This is gonna work?
You know what? I think it will.
- You want to talk her through it?
- Yeah.
Let's go set that up.
He says he's thrilled for the challenge,
especially since they proved
they couldn't hack it upstairs.
The
letter of employment for
your citizenship application.
Thank you.
You know, my wife and son are dual,
and I'm the lone holdout.
Is it really worth the
agony of the process?
- I'll let you know.
- Right.
I've been meaning to ask how
you've been adjusting to life here.
Oh, it's good.
- And hard.
- Mm-hmm.
Yeah, sometimes I'm not
sure which comes out ahead.
You made this happen, Dr. Devi.
It's a little thing.
Not to Kit.
(MACHINES BEEPING)
(SOFT MUSIC)
Okay, well
Thanks.
That's it?
You want me to keep going?
No, I-I just
Thank you.
I um, I had someone in
the office call Customs
and dig up the duplicate
while we were chatting.
Your IMM-1000 record of landing.
Consider it the birth certificate
of a new Canadian, Dr. Hamed.
(SIREN BLIPPING)
Amira.
- Hi.
- Hi.
Was I
Your brother texted me to
be here at this exact time.
Me too.
I think maybe he wanted
us to be here together?
And he decided to keep that to himself
until we both needed to know.
Hm.
His interview was supposed
to be done like an hour ago.
Did he tell you if it went okay?
No, I don't I don't know. You?
Nope.
Celebratory cupcakes?
Or condolence cupcakes?
Guess we'll see.
(CHUCKLES)
Are you nervous?
It's kind of your thing too.
Yeah.
♪
Amira, you forged my signature!
If I don't get in,
none of this will matter anyway.
I passed my citizenship exam
but I still have the
interview to go through.
You don't want me to be happy!
While we can't always control the wait,
we can improve how the
patient experiences it.
We were maxed out before
these policy changes.
ED nurses are moving to work to rule.
Fix this. Today.
If we revert to status quo,
will you take your
demands off the table?
Well, I get no satisfaction
from being right.
Do you think a guy like me's
gonna survive her politics?
- (SCOFFS)
- And if I go, what happens to you?
What happened? What is this?
You just ignored my direct instructions?
I will not have surgeons
who don't tell me
the whole story. Dr. Curtis, take over.
Dr. Esfahani?
What I said to him about
not wanting to be a victim anymore,
you're right. Uh, it did get personal.
I know it did, Bashir.
Do you think you can help me?
(EXHALING DEEPLY)
(PHONE RINGING)
(SOFT MUSIC)
Just one more minute,
Mister, uh Ham-Hamed.
Those are for me.
I guess this is the end
of a long journey, huh?
Quite the feat, getting
all your original documents
from an entire lifetime in order,
translated from Arabic.
Then photocopying, scanning,
cross-checking. Let me guess,
you colonized a Kinkos. (CHUCKLES)
It was a doctor's lounge, actually.
So you just answer any question he asks?
I'll be as transparent as I can.
Your favourite way to be.
- It's next Monday, right?
- Mm-hmm.
Why can't I connect to the printer?
Is this Memorial 6 or 14?
- I thought it was lounge two
- Ugh!
Where is my old passport?
They're not out to get you, right?
This is just like a
normal checklist thing?
Well, he has power, I have no idea how
- he's planning on using it.
- PR card.
They know you don't have
your med school transcripts?
I am providing everything
I had when I left.
- Oh, found it.
- Thank you.
All I have to do now is tell the truth
and hope they like me.
I called you Mr. Hamed. You're a doctor.
Yes, a medical resident.
Ah.
Is this why emergency
wait times are so long?
Staff taking long breaks
to use the office printer?
Do you even get breaks?
Um, they usually last about five minutes
- before you get called away.
- Huh.
(BEEPING)
- Mags! Mags!
- I know! I know! I'm sorry!
Ah
It's just A ripped
corner won't define you.
We can fix that. That's it.
Hamed! Are you on?
There's multiple victims
from an apartment fire.
What is this?
Um, yeah, I'll be right there.
Um it's a casualty
of an incoming trauma.
Oh. What was it?
Not an official question, but I just
(SIGHS) I do feel I get a better sense
of someone if this process
is um, conversational.
A patient jumped through a
third-story window to escape a fire.
So you make life and death
decisions all day for a living.
I guess we both do.
Welcome to your citizenship
interview, Bashir Hamed.
(SIGHS)
(INTRIGUING MUSIC)
What year did you leave Syria?
- Uh
- I am aware it's all over
your file, but my job is
to re-ask these questions.
Uh, we left uh Syria for Turkey
in March of 2016, and it took two years
to come to Canada.
We. Right.
You're not the only one
looking to become a Canadian,
there's also the minor, Amira Hamed?
Mm.
They told me only I needed
to come to the interview.
They were correct, they were correct.
Um, Amira's your sister,
she resides with you
at 623 Gormley Street, Toronto, Ontario,
apartment one-B?
Yes, she does.
Though she's staying with a friend.
A family friend.
It's
it's just for a change of pace.
It's it's only temporary.
Bashir, this isn't an interrogation.
If your case didn't have merit,
you wouldn't have made it to this point.
But many applicants become citizens
without being asked to do
this kind of interview, so
for some people, this
is as far as they get.
Well, in most cases, it's
because we find things
that we can't reconcile.
I mean, for example,
why do you have two residency
program confirmations?
I'm doing a dual residency,
uh, trauma surgery
and emergency medicine.
I'm embarrassed to admit I
don't know the difference.
Uh, as an ED doctor, I
treat ill or injured patients
until they can go home or are admitted.
And as a trauma surgeon,
I operate on them also.
Okay. So if I needed confirmation
from one of your superiors,
do I speak to Neeta Devi or Mark Novak?
(DEVI): You want to take
out a lobe of his lung?
He has a hemopneumo
likely from the shards of
glass in his lower lung.
Doesn't justify you going to
extreme lengths to rip it out.
Uh, Dr. Devi, imaging showing
that his injuries are extensive,
it does warrant aggressive action.
O2 sats 88 and falling.
Subcutaneous emphysema,
uh, Dr. Curtis, is there
bruising on that side?
- Yes, there is.
- Ecchymosis.
Let's start the transfusion.
My gut tells me if we
don't do a lobectomy now,
he's just gonna need one later.
(DEVI): Dr. Hamed, talk us through
the conservative treatment
for an emerg patient
- with this kind of lung trauma.
- Chest tube stabilization,
monitoring, and thoracic consult.
- Exactly.
- Yes but if we went down
that road, we would be
worried about what, June?
Hemorrhaging, and respiratory
distress could kill him.
And we don't want our
patient dying, right?
It's the first thing they
teach you in med school.
But that's not definitely
what's happening here.
It's just a possibility.
- Without further assessment
- Which we would do.
- We have the technology.
- Well, we can't know for sure.
Okay, what Dr. Hamed
should know for sure
is that this is his
chance to get in on more
than surgical scut after Dr.
Curtis sold him out upstairs.
- I don't agree with your choice of words.
- Oh, fine,
then you rightfully lambasted
him for disobeying you.
My point is this is Trauma OR
and it requires bold action.
Just do the chest tube, Mark.
Even with Bashir's cowardly abstention,
you are outvoted, Neeta.
I want an update as soon as he's stable.
Don't you technically
have to listen to her?
Is it just me or is she
uncharacteristically punchy today?
I suppose publicly losing
a labour fight will do that.
Uh, where am I?
Hey. You're at York Memorial Hospital.
You fell out of your apartment window
and sustained a serious lung trauma.
Not my apartment.
And I jumped.
The building was on fire. Ah
Can we push morphine five milligrams?
Ezra, is there anybody we
can call to be here with you?
I was caulking a tub.
The clients saved
themselves and left me,
can you believe that?
Sir, do you have asthma,
COPD or any lung d
(MACHINES BEEPING RAPIDLY)
And he's out again.
Uh Yeah, go ahead and
uh, prep a chest tube.
What? Five seconds ago you were adamant
- about doing a lobectomy.
- He'll likely still need one,
but his sudden burst of consciousness
is giving me pause and I
am nothing if not flexible.
Maybe yes.
Dr. Hamed, call around, see
if you can get a family history
so we can give him the
best chance possible.
He didn't seem to want that.
Okay, he also jumped
through broken glass
of a third-story
window, he's a survivor.
Alright, alright, to
your corners, residents.
Bash? Uh, I need you.
Guess I'm on phone duty.
Joyce?
(THEO): Seemed tense in there.
- (SIGHS)
- Novak's just on edge
because Devi's trying to rein him in.
Yeah, she's still licking her wounds.
That is crossfire you want to avoid.
Yeah, but with everything that
happened with Singh and June,
I don't know when I'll
get operative time again.
Is this a surgical consult?
Uh, no, actually, cultural?
Paramedics brought a kid in
from the fire, but he bolted.
A triage nurse found him here.
He hasn't said much, but I did
recognize a few words in Arabic.
I just need to convince him
to let us take a look
at the burn on his arm.
Hey, buddy.
Think you're ready to let
me take a look at your arm?
(IN ARABIC)
Farid.
No.
Um, we haven't been able
to track down any family
That building fire
that your patient jumped
to escape, was anyone else hurt?
None as notable as him.
Do these things get to you
or you're pretty numb by now?
You find ways to compartmentalize.
Still easier than
dissecting your entire life
to a complete stranger, hm?
I know how lucky I am to be here, sir.
And how fortunate I am
to get this opportunity.
(SHARP INHALE)
(INDISTINCT PA ANNOUNCEMENT)
Do you know how defeatist that sounds?
Like you don't deserve it,
like it's fated to go badly?
I'm just prepping for the
possibility that it might.
In other words, doomsaying.
Yeah, I'll float that
in group therapy today.
I have so many theories about
what you say in that room.
No, it's just a few of us
from similar backgrounds
examining our collective issues.
Or probably don't say.
Ms. Webber, hi. This is Dr. Hamed,
he's our surgical resident.
I asked him to come and talk to you.
'Cause I swallowed a set of keys
and you have no clue
how to get them out?
How did this happen?
I sleepwalk.
Usually, I just open the fridge,
rifle through cupboards
trying to fill cravings.
Last night, I-I guess
I just got creative.
So, just two keys on the ring?
House, classroom,
mercifully no novelty
keychains or anything.
I was hoping that they would
pass before I had to get to work
but oh! The stomach pain. Yeah.
You're a teacher?
Yeah, uh, adult ed.
Well, you'll need an
endoscopy procedure,
so we'll sedate you
and put a flexible tube
down your throat to get the keys out.
Uh, does that mean painkillers?
Yeah, don't worry, you
won't feel anything.
You don't understand. I
can't go near that stuff.
See? One for every time
I tried to get clean.
I don't know why the
last try took, but it did.
I can't start all over again.
Yeah, we understand,
Kit. We're gonna make sure
that you're comfortable
before administering
medication of any kind, right?
Absolutely, I'll uh,
clarify on your chart
not to prescribe any opioids
and I'll speak to the surgeon myself.
I spent so many years apologizing
for the stupid mistakes
I made while using.
I just can't let something I did
while I was asleep ruin my progress.
Alright. Of course.
Uh, does everything look okay?
We'll know more once we dig in.
You're a doctor after landing
here only five years ago.
You are building a life for your sister.
Honestly, Bashir, on paper,
you're a model citizen.
What we do now is just confirm
that the data matches the man.
- I'll need that.
- Oh.
(BASH): Ezra?
Ezra. How could you be out of bed?
Oh, I'm Liam. Ezra's brother.
Yeah. Liam got a call about us
needing a family medical history.
Yeah, I'm not sure I'm
gonna be much help there,
we were adopted into different families.
I only found out that Ezra
existed a few months ago.
I'm certain he'll be
relieved you're here.
I'm not so sure about that.
The first and only time we met,
he said he never wanted to see me again.
That that could be a problem.
What did you say the name
of that document was again?
IMM-1000 Record of Landing.
They would have handed
it to you at the airport
when you arrived in Canada.
Uh, in all my instructions
to prepare for this interview,
I-I don't remember seeing that one.
Well, we do say everything pertinent
to encourage the widest possible
interpretation of what you need.
I do remember being handed
papers when our plane landed,
but uh, it was hectic,
maybe that one got missed.
No, trust me, nobody lands without one.
You know, it probably
got buried in some box
in some storage locker in the
basement of your apartment.
(SIGHS) Maybe, though uh,
we've lived in eight different
apartments since then, so
Eight places in five years.
Yes, um, newcomers
often have a hard time
getting landlords to trust them.
We moved four times the first year
- and then, every year since.
- Well
I mean, they should've
told you at the airport
that the IMM-1000 (CHUCKLES)
it's basically your
new birth certificate.
In other words, it is a
document you hold on to.
It was a long process.
I had to apply for access
to the adoption record,
which is how I found
out that we were only
three months old when we were separated.
There's something wrong
with his lungs, isn't there?
Uh I know how this sounds,
but I could feel it this morning.
Yeah, it's similar to
the feelings I've had
my whole life, like a phantom limb?
Uh, Liam, Ezra hasn't been
conscious for very long
and we haven't been able
to get a medical history.
Well, like I say, I
don't really know him.
But you have identical DNA, so
even your own medical history
could shed some light
if you're comfortable?
There's not much to tell,
I've been pretty healthy,
I'm allergic to peanuts.
Uh, I had pneumonia, twice, as a kid.
My parents said I was colicky.
I wonder if he was too.
Must have been quite the shock,
- learning you were a twin.
- Oh, the best kind.
Immediately, I made this
huge list of questions.
You know, did he put ketchup
on his grilled cheese?
Does he cry easily too?
It was just so exciting
to get to discover
this like, missing piece? You know?
But then when I finally
tracked him down,
he didn't wanna meet.
Sir, do you drink or smoke?
It's just that there are some
studies that link twin DNA
to uh, lifestyle choices?
I drink socially.
Um, I tried smoking at 17,
but my father scared me straight.
I won the lottery with my family but
it wasn't the same with Ezra.
He told you that when you met in person?
It was more like, when I saw how he was
eking out a life, I could kind of tell.
Things really went south
when I offered to help.
I don't know, I was
so excited to meet him,
I got carried away,
and I guess he felt like
I was judging him, and
maybe I was. I don't
I just wanted him to be okay, you know?
- (MACHINES BEEPING RAPIDLY)
- He's tachycardic.
- What's going on? Is he okay?
- Just wait there, Liam.
900 CC's in less than an hour,
he's losing too much blood.
Okay, milk the tube for clots,
I'm gonna start a central line.
I think Novak was right, his
lung is too damaged to save.
Instead of removing it, we can
try repairing it surgically?
A pulmonary tractotomy
could stop the bleed.
If I say no, you just
going to ignore me?
Go behind my back? Again?
I know I let my instincts take over.
I'm sorry about that, June.
Is this you trying to get back
on track with operating hours?
I'm not working you. I'm not Novak.
What's that supposed to mean?
It's just the way the two of you
were undermining Devi earlier?
Oh! So when I do it, it's careerist,
and when you do it, it's what, passion?
No, Bash, you work the system
just like the rest of us.
(KIT): You betrayed me! All of you!
- You got this?
- Yeah, I got it.
I wanna talk to the doctors
that let this happen!
- Kit
- You!
You promised that I would have options!
That someone would make sure!
- Kit, slow down, please.
- No!
They gave me fentanyl!
You said they wouldn't,
but they did! But hey, at
least they got rid of these!
That's all that matters, right?!
Okay, okay, what is this?
The road to hell! And
don't try telling me
that I'm wrong, because when I woke,
I saw the meds that
they gave me on my chart!
You just came out of an endoscopy,
- you should be upstairs.
- You don't understand.
Even when I'm asleep, my
body is trying to find a hit.
You asked for no opioids
and we disregarded that?
Or forgot, or didn't give a flying
No, no, no, I made
specifications on her chart,
I called the surgeon.
I should've followed up.
And I should've been with her.
(SIGHS) Look, Ms. Webber,
if the surgeons had trouble
controlling your pain
or your heart rate, they may have added
a small infusion of fentanyl
to your IV. I'm very sorry.
I don't care about your reasons!
I worked so hard to forget what
it's like to feel this good.
- Oh! Okay, okay!
- We need a gurney over here!
I've got you, I've got you.
- Okay.
- The endoscopy could've caused
a small gastric tear. We
need to get her to imaging.
(GRUNTING)
We're better than this. We have to be.
Dr. Hamed, we need to move on.
Um, so the uh
Um, the uh, IMM-1000,
what happens if I don't find it?
Mm. And so it goes.
In the interest of progress
then, let's talk through
the uh, entry exit date stamps
on your expired Syrian passport.
One of my jobs is to
confirm that you've been
physically present in
the country 1,095 days
out of the last five years.
That won't be hard. I
I haven't left once since arriving.
We'll also be looking at the
date stamps before you came.
So, you do have those uh, translated?
- Yes. Mm-hmm.
- Notarized?
I do. Uh, though, I was unclear
as to how they are relevant.
Well, we don't just
want to know who you are.
We need to know who you were.
During the war in Syria
then, you trained as a doctor.
While finishing my residency
and uh, working at my parents' clinic.
They were both physicians.
Okay. So it was a family business.
'Kay, let's see.
October 2011, you crossed
the border to Jordan?
To visit family.
In those days, the border
was easier to manage.
In 2012, you went over multiple times
but always to Turkey?
(STAMMERS)
Fighting had started,
so you had to be smuggled across,
and uh, Syrian Free Army
stamped your passport
every time you came back.
It was always a risk.
What about August 2013?
(IN ARABIC)
Bashir.
(MAN COUGHING)
(WHISTLING)
Hey.
You were smuggling medical
supplies into the country.
Um, medicine, syringes, gauze, um
When rebels or protesters
needed care at the state hospital,
they would be arrested.
And your family hospital was
- it was underground.
- It was both.
We treated the regular
patients business as usual,
but my parents found quieter spots
to treat those who were
wounded in the conflict,
until the rebels took over Aleppo.
Dr. Hamed, you're a war hero.
I (SCOFFS)
I-I was just doing what many others did.
Forgive me, I have to ask.
What is it like for
someone who cut his teeth
as a revolutionary
to get used to the um,
endless bureaucracy I assume
he finds in a hospital here?
(IN ARABIC)
Fentanyl, IV push.
Okay. Full and partial thickness.
We should be able to avoid escharotomy
if we're thorough with the debridement.
Agreed. Cauterization's painful,
especially for kids. Did
he tell you how old he was?
I'm guessing around 11.
It's young to be on your own.
Well, he told me his mother works,
and there's no school today.
The neighbour that usually
watches over him got called away.
Can you remove the excess tissue here?
You know, Bash, the uh, firemen think
the blaze started in Farid's unit
when he was making some food.
Did he tell you anything like that?
Careful you don't go too deep there.
It's necessary to avoid infection.
They know it was an accident.
When Children's Aid gets here,
maybe you can help
him explain it to them.
You called CAS? Why?
Because I had to.
He's He's an unsupervised
kid who started a fire
with no word from his parents.
We have a duty of care.
- Theo, you don't understand.
- How can I understand
when you're not telling
me what he's saying?
They're not documented.
He knew there would
be questions about it,
that's why he didn't
want to call his mother.
I promised I wouldn't tell anybody,
but if CAS finds out,
then the system could find out,
and they could get deported.
- (STAMMERS)
- I didn't I didn't know.
I walked him right into
the thing he was afraid of.
(SIRENS WAILING)
Ezra, your lung is still bleeding
so we're going to have to intubate you.
What, so someone else
can make these decisions?
No way. What are my options?
Okay, well, we can do a surgical repair
called a pulmonary tractotomy.
- Okay.
- Or we can do a lobectomy,
which means removing the
lobe of your lung, or
Wait. So I can live
without a lobe of my lung?
In theory, yes, but you
had pneumonia as a child?
(HEAVY BREATHING) How did you know that?
There was scarring on the other lung,
and we made the assumption because Liam
also had pneumonia as a child.
And I bet your lungs healed
just perfectly, right?
Why are you even still here?
So you're telling me
I've got no good options?
Our most aggressive
approach is a transplant.
Now, usually it's difficult
to find suitable donors
Unless your exact genetic match
happens to be standing in front of you.
(LAUGHS) Why would you do that?
- You don't know me.
- I want to.
You won't let me.
So this is what, emotional blackmail?
- For a lung?
- Ezra
Stop trying to save me.
(EZRA COUGHS)
Look, I get it, okay? I
pushed too hard when we met.
I never meant to make you
feel bad about yourself.
If I want him to leave,
you have to make him, right?
- Ezra
- I would do anything
to just take that back and try again.
I was happy with my life
until I knew you existed.
And now, I wish I could forget you.
(COUGHS)
There are no border
crossings between 2013
and when you finally left
the country for good in 2016.
You want to know about
my time in prison.
Yes.
I've been very open
about that part of my life
since I made my first
refugee claim, sir.
Think of it like this.
When my father had his heart attack,
I had to keep explaining
his uh, symptoms
from the beginning to every
doctor that came by our room.
The good news is, I'm the last doctor.
Were your trips over the border
the reason for your arrest?
Not directly.
One of the conditions of citizenship
is not having been convicted of a crime
in the years leading to coming,
meaning I am going to
need more information
on what happened, Dr. Hamed.
(SIGHS)
Soldiers stopped me at a checkpoint.
Then they took me to one of
the regime's secret prisons.
My family didn't even know where I was.
(INDISTINCT CONVERSATION)
(LAUGHS)
(SIGHS)
Alright, enrollment affidavit
signed and witnessed.
I have officially attended
the same boring school
through most of grade eight.
Did they give you any trouble
about your registration papers?
Mrs. Gerwitch said they get
a lot of these immigration
requests from kids.
- Report card.
- Um, I don't think they need your grades, but
Wait you got a 92 in science?
And a 93 in math.
Ooh! Slay queen.
- (PHONE CHIMES)
- I'm not gonna say that again.
Habibti, I'm proud of you.
Uh, Bash, Lucy from CAS is on her way.
- I'll meet you at Farid's room?
- Okay.
Amira, you know you can
come home whenever you want.
And you can still be
mad at me when you do.
I like mac and cheese too.
But sometimes when I cook,
I leave the stove on.
Do you think that's
what happened, Farid?
No, he already said he turned it off.
The appliances are spotty
in those old apartment buildings.
You know, getting a landlord
in there to fix anything
is like pulling teeth.
Do you go to school in Toronto?
(TRANSLATING INTO ARABIC)
And your parents, what
kind of job do they work?
(TRANSLATING)
(SPEAKING ARABIC)
Uh, his mother cleans offices
and uh, his father doesn't live here.
Where does Dad live?
Um, why do you need to know that?
Just trying to build a better picture
of his situation, to
know how we can best help.
(SPEAKING ARABIC)
- Dr. Hamed?
- Look, he's scared.
He doesn't want to answer
any more questions, okay?
(CLEARS THROAT)
Uh, maybe we can try again later.
Fine.
I'll keep looking for his
mother and I'll circle back.
And uh, what if uh, you can't find her?
At some point we'd have to
place Farid in foster care
until we can make a
more detailed assessment.
The more facts we
have, the better, guys.
You asked Farid not to answer
any more of her questions.
He should not have to talk
about his family status,
it's too much for him to carry.
Hey, Bash, I get that
you feel for this kid,
but you're basically just telling him
not to trust any of us.
- Well, what if it was Amira?
- But it isn't.
She wants to come home.
But she thinks if she gives in,
it means that she didn't
get through to you.
And I said she did, and that
she needs to stop being stubborn
and that as the person
responsible for her,
- you have to have rules.
- Theo, look,
you're betraying her
confidence, so, just
(SCOFFS)
Should he still be here?
He asked if he could stay in the hallway
if he stayed out of the way.
And what's this I
hear about you lobbying
for pulmonary tractotomy instead
of lobectomy for the brother?
Well, given his history
of lung weakness,
keeping more of the lung
gives Ezra the best chance.
We see this one differently, you and me.
Well, yeah, it's your call, Dr. Novak.
Really?
Is that all you have
to say on the subject?
Shouldn't you be empathically
following your instincts
and not resting until
you're proving me wrong?
- Sorry?
- Don't be.
Unlike Curtis, who finds
that behaviour off-putting,
it's what I like about
you. So please, tell me
how you really feel,
because I know it's not
what you're saying. You
disagree with me because?
Because I think your agenda
to prove the capability of Trauma OR
is clouding your judgment.
There it is.
Told me the truth.
That means I will too.
It's happening by degree,
but I think you're becoming
more worried about protecting your job
than taking the kind of
risks that we need to take.
And you should know
that all I care about
are the patients' lives.
(TENSE MUSIC)
(IN ARABIC)
Okay, Mom.
These experiences, they gut us
in ways we're never prepared for.
And processing them, it isn't linear.
In business school, they put us
in small teams for case studies.
Everyone is 20 years
younger than me, but uh
whenever I try to tell them what I know,
all they hear is the
old guy with the accent
and just shrug it off.
(SCOFFS)
Must annoy the living crap out of you.
My daughter has this game on her phone.
A cookie that chases other
cookies and eats them,
getting fatter each time it catches one.
That's how I feel.
Do you feel like the cookie who eats?
Or are you one of the
cookies that gets eaten?
The cookie who eats.
As if
the anger inside of me
consumes everything.
And it is affecting
all of my relationships.
(HIGH-PITCHED RINGING)
(TENSE MUSIC)
Dr. Hamed.
- Dr. Hamed.
- Hm?
I thought I lost you for a second.
I wasn't convicted of any crimes, sir.
They had me for almost a year,
tortured me, and then just let
me go without any explanation.
All because one of my
best friends from childhood
gave my name as a doctor supporting
the rebellion to save his own life.
(SIREN WAILING)
You stuck with Kit through imaging?
Yeah. I didn't let her out of my sight.
Contrast CT confirms a tear.
Probably exacerbated by her
coming down here post-op.
Radiologist agrees, it's a slow bleed,
- but we gotta get on it.
- She needs surgery to repair it.
Which she won't consent to,
and she's refusing
any kind of pain relief
even though she's really hurting.
If my status on the
surgical floor was better,
they would have taken my
chart notes more seriously.
Yeah, I agree, it's all your fault.
Or our system has failed
Kit at every level,
and I've already asked the
hospital to look into how,
but if you would be
happier blaming yourself,
I can just cancel it.
Bash. They can't find Farid.
Go.
Somebody come get him? A parent?
No, he was just here, he was sleeping.
Get security to look in
every room on the floor.
- Yeah.
- And outside.
- Yeah. Got it.
- He couldn't be far.
What?
Did you sneak him out?
Of course not, Theo.
Well, maybe the CAS worker took him.
Lucy wouldn't have done
that without telling us.
And I would?!
He must have ran off.
Okay, well, then you were right,
I I scared him.
We have to tell her the whole story.
- No, no, no, Theo, we can't
- I know how important it is
for you to protect Farid,
Bash, but sometimes,
especially with kids,
in order to help them,
you have to betray their confidence.
(PA ANNOUNCEMENT): Code blue,
Trauma OR. Code blue, Trauma OR.
(ALARM BEEPING)
- Hey! What's going on in there?
- I'll find out!
Can you wait?! Please, please, please.
A second before that page happened,
my heart started racing.
Now, I don't care about his anger
or that he wants nothing to do with me,
even if he never wants to see me again,
he's my brother,
and I'll do whatever I can to help him.
- Charging, 20 J.
- Pausing compressions.
Clear.
Still in v-fib.
- Resume compressions.
- (BASH): What happened?
Midway through lobectomy,
he went into v-fib.
- Try him at 25.
- Charging.
Only option now is pneumonectomy.
You're going to take out the whole lung?
- If we can get him back.
- Charged.
Clear!
(MACHINES BEEPING RAPIDLY)
Sinus rhythm.
We have a pulse.
This is why I ruled out tractotomy.
His entire lung is
bleeding. Half measures
aren't gonna cut it. We
have to go all the way
- or we lose him, so if you can't handle it
- Okay, so let's go all the way!
- Transplant.
- The brother?
- He's still here.
- Pressure's ticking down.
- Are we holding or moving?
- Hold on a second, please.
Even if he were to say yes,
we're in here now,
there's no time to
stop and change plans.
Look, even if you could
remove his injured lung
without him coding
again, his remaining lung
isn't strong enough to
keep him alive on his own.
Listen, Bash, he's already
given us a pretty firm no
to his brother's lung.
He's been an architect
- of his own misfortune. All day.
- I will talk to him.
Ninety over seventy. Guys?
What about Liam? Giving up a lung
- for someone he barely knows?
- He felt his own heart racing
before you called the
code. He will do it.
- Bashir
- Dr. Novak, you wanted me
to speak my mind, I'm speaking it.
Liam has to be the solution.
It doesn't matter if
any one of us believes
he feels Ezra's pain.
Okay? They are tied together.
Two parts of a whole.
It's the only way Ezra is
going to pull through. Please.
Okay, look, we can deal
with the most severe bleeds,
so let's just put him on awake ECMO
and give him the chance to consent.
You're buying into this, June?
Looks like you're outnumbered, Mark.
(CHUCKLES)
You really think you can
get them both to say yes?
I know I have to try.
Okay. Let's go.
(PHONE RINGING)
(INDISTINCT CHATTER)
(INDISTINCT CONVERSATION)
(DOOR OPENS)
Sorry about that. It's just
something I needed to dig up.
It occurred to me uh,
you left me hanging on the anecdote.
The guy who fell out of the window.
You're obviously under no obligation,
but I feel like I need to
know what happened to him.
It was actually pretty intense.
His lung failed and his estranged
identical twin brother showed up
and offered to donate one of his own.
Wow.
But he didn't want it.
He'd rather die than take a lung? Why?
I think meeting his twin,
my patient felt that his future
was somehow stolen from him.
That his brother was a version of him
that he could have been,
had his life gone a different way.
(SOFT MUSIC)
(MACHINES BEEPING)
(RAPID BEEPING)
(CHANDLER): What do you
say to a person like that
to convince him to want to help himself?
Ezra?
(BASH): I say what I always
end up saying to people
when they lose hope.
It's never too late to start again.
Firefighters are on their
way to check out Farid's unit.
I'll go speak to all his
neighbours and his teachers too.
We'll find him. I promise.
All I care about is keeping Farid safe.
(INDISTINCT CHATTER)
I already told Dr. Leblanc, no way.
I understand you're nervous, Kit.
But how do you feel? Right now?
- Still angry.
- Deservedly.
We haven't done a great
job at earning your trust.
What else?
Dizzy. Tired. Nauseated.
All normal after a procedure.
- Or early withdrawal.
- That's a possibility. Yes.
The dosage they gave you
has likely worn off by now,
so we're gonna keep you on IV fluids
and an anti-nauseant.
It's also a possibility that
everything you're feeling
is due only to your stomach injury.
(SIGHS) They're saying I
have to go through it again,
and it's actually surgery this time?
You scratched off your sobriety mark.
I asked the nurse for a pen.
I failed.
And the sooner I face that, the better.
No, Kit, you did not fail.
We failed you, okay?
And that mark is not
scratched off in permanent ink.
What if her surgery didn't involve
any painkillers or sedatives?
Well, I'm not sure that's an option,
given the location of her rupture.
Unless we use a spinal block.
An epidural for an open
lap. Yeah, that could work.
- Yeah.
- Can somebody translate?
Dr. Leblanc is proposing a procedure
closer to a cesarian section.
We keep you awake, we give you an IV
that blocks the nerves
from your spine to numb you.
Well, how do I know
what happened last time
won't happen again?
Mark? A second?
Yeah? What's up?
Ms. Webber has a gastric tear.
It's a small tear. Uh, it's manageable.
Okay. You want me to send her
upstairs for a laparoscopy?
What would you say to
an open lap in Trauma OR
but it has to be an epidural,
and no painkillers, no
fentanyl, no ketamine.
I would say, um
What is your favourite
sport, Ms. Webber?
Uh. Baseball?
Great. We'll discuss the
pennant race to distract you.
- Bash, show me the imaging?
- Mm.
(SIGHS)
This is gonna work?
You know what? I think it will.
- You want to talk her through it?
- Yeah.
Let's go set that up.
He says he's thrilled for the challenge,
especially since they proved
they couldn't hack it upstairs.
The
letter of employment for
your citizenship application.
Thank you.
You know, my wife and son are dual,
and I'm the lone holdout.
Is it really worth the
agony of the process?
- I'll let you know.
- Right.
I've been meaning to ask how
you've been adjusting to life here.
Oh, it's good.
- And hard.
- Mm-hmm.
Yeah, sometimes I'm not
sure which comes out ahead.
You made this happen, Dr. Devi.
It's a little thing.
Not to Kit.
(MACHINES BEEPING)
(SOFT MUSIC)
Okay, well
Thanks.
That's it?
You want me to keep going?
No, I-I just
Thank you.
I um, I had someone in
the office call Customs
and dig up the duplicate
while we were chatting.
Your IMM-1000 record of landing.
Consider it the birth certificate
of a new Canadian, Dr. Hamed.
(SIREN BLIPPING)
Amira.
- Hi.
- Hi.
Was I
Your brother texted me to
be here at this exact time.
Me too.
I think maybe he wanted
us to be here together?
And he decided to keep that to himself
until we both needed to know.
Hm.
His interview was supposed
to be done like an hour ago.
Did he tell you if it went okay?
No, I don't I don't know. You?
Nope.
Celebratory cupcakes?
Or condolence cupcakes?
Guess we'll see.
(CHUCKLES)
Are you nervous?
It's kind of your thing too.
Yeah.
♪