Transplant - Third Season

- You don't want me to be happy! - You have no safety net,

and you are just so unafraid of doing what you believe in!

Debby doesn't love you.

And you know she doesn't have years of stable Theo

to counter the recent record.

I used to cut myself, and I managed mostly to stop.

- Shay, you need help. - No.

The patient we should be discussing right now is you.

At my capacity as your cardiologist.

Actually you're not anymore.

The owner of my place is selling. I have to move.

- Well, you can stay with me. - No, I wasn't saying that.

No, it's just that when Amira comes back it might be...

This morning, Mags and I tried talking about the future

and I could not see it.

Even though I want to.

I think I'm gonna find some place else to live.

- Are you excited? - Yeah.

- Did you memorize the oath? - Will you relax?

Really? They said we didn't have to.

I wish they could see this.

Since we're getting our passports,

maybe we could plan a trip? New York's a short flight.

And you want to see a musical?

We can buy discount tickets at that booth in Times Square.

- Hi! - Hey!

Can I? Am I allowed to be in this room?

There's a place for friends and family.

- Okay, okay. - If we stay in New Jersey,

it's cheaper and we can take the train to Midtown.

- You guys look so nice. - Thank you. So do you.

- And take the train where? - Manhattan. Wanna come with us?

- If you'll take your places... - Holy crap!

Okay.

I'll ask you to stand and raise your right hand.

I swear or affirm...

I swear that I will be faithful

and bear true allegiance to His Majesty King Charles the Third King of Canada,

his heirs and successors and that I will faithfully observe

the laws of Canada which recognizes the Aboriginal

and Métis peoples and fulfill my duties as a Canadian citizen.

Keep that certificate safe.

It's proof you're a citizen and that you now share

the same rights and responsibilities as all Canadians.

Welcome to our family!

I wish they could be here too.

I'm moving back home. Okay?

Upper clinic's doing well.

Yeah, great turn out.

Hey, Theo!

Is Devi recruiting Bergeron to do the job you currently have?

You mean, the job I was covering temporarily?

No, it's more of a trial run to see which of us she wants

as senior supervising doctor.

Is it a little insulting? Yeah, it is Mags.

Hey, man. I've had to fight for every position I've had here so...

- What are you up to? - Four by now?

Look, I... I just need to talk to a doctor.

- This is a vaccine clinic... - So what?

Like, that is just dumb!

Hey, what's going on here?

Okay... I threw up after taking the morning-after pill and I can't afford another.

Look, I get this is a vaccine clinic,

but like, I thought I could get it here

because it's 100% an emergency.

- Okay. How old are you? - Why don't you just come with me?

Why, so you can lecture me about having sex?

- I'm 16. - Okay.

And you've been sexually active for...

I don't know... A year?

Are you on any birth control?

I got a prescription for this injection, but...

Where is it? It's like $45 a shot.

And your parents can't help you with that?

Yeah, the only birth control

my mother believes in is abstinence.

- Okay, uh... - Hey. Excuse me.

Can I get a quick-start dose of depo-provera please? Thank you.

Okay, Sadie, so, uh...

I can do it for you since you have a prescription,

just come with me. It'll last about three months,

maybe long enough for you to talk to your mom?

You're like, saving my life right now. Doctor...

Mags.

- Will it hurt? - It'll just pinch a little.

Ready? Just take a deep breath for me.

Here we go. All done.

Now, you just gonna wait 15 minutes to make sure

- that you feel okay. - And if I don't?

Uh...

Then you just... you tell someone,

and they'll come get me.

- Holy crap! Are you okay? - Yeah.

There's no blood. I should be fine!

- Are you sure because... - Yeah, yeah.

Code orange, emergency!

Sit tight.

Code orange...

What do we know?

Some angry gunman opened fire. Multiple people wounded...

We're told at least three major traumas routed here

and a bunch more minors injured in the panic.

What do you have, Daniel?

Jane Doe, GCS 8... at least two entries,

one in the abdomen, one in the head.

BP's 80 over 60, O2's falling, but she still has

- reflex response. - She was getting married?

Right on the steps outside City Hall.

That's where this happened?

All right, she needs Trauma OR.

I'll get June... Dr. Devi?

- Bash and Novak. - June's upstairs.

I'll set up a mini-triage in the suture room.

I'll cover Trauma Bay.

- Arnold! - Yeah?

Um, see if you can get more details on what happened?

Yeah, for sure!

- Activating MTP? - Yes, go...

Okay, one clear entry in the abdo, no exits.

- And one in her head. - One, two, three.

One exit through her back.

Head entry left lower occipital. No exit.

We need imaging. Lower her on three.

One, two, three... Ma'am, can you open your eyes?

- Claire, two large bore IVs... - Let's page neurosurgery.

Oh! Pain response, that is something...

What's going on with the abdomen?

There is signs of extensive internal bleeding.

She needs an ex-lap to clamp any bleeders so we can prep her for the OR.

On-call neurosurgeon's already in surgery.

- Okay. - Set me up for a craniotomy.

Why? Brain stem is intact.

Bullet is logged up against the temporal lobe, but hasn't pierced.

That is a hell of a hematoma though.

Craniotomy here?

She's already losing blood...

Evacuating the hematoma without knowing all the facts,

that would risk a larger bleed, no?

You'll notice her ICP's increasing,

her GCS is decreasing, her left pupil is blown out.

These are all signs of dangerous pressure on the brain.

So if we do this now, she stands a chance,

that's why it's worth the risk.

There's risky, and then there's stupid.

Claire!

Can you put these rings somewhere safe?

She's gonna need them when she wakes up. Okay, let's gown-up!

Clear!

21 minutes! No change.

- Charge to 200! - Hang more blood!

Blood bank's low on o-neg.

There is still a shockable rhythm people!

Sir, all the blood in the world wouldn't help.

She stroked out during the craniotomy.

Are you saying that I caused this?

It's okay...

You want to quit?!

Fine! If that's what you want!

That's it, everyone...

She's been down too long. No resp effort.

No response to stimuli. Time of death... 11:54...

- Let's take this moment to... - We could have kept going!

- Don't stop! - Please, you can't quit!

What the hell is he doing in here?

I told them I wouldn't consent to treatment until I saw her.

- Have you been shot? - His vitals are stable.

Hugo and his fiancee were separated in the panic...

- Sir, we did our best. - Her injuries were too severe,

I'm sorry.

We'd only just found each other again.

I want to see her one more time.

Sir, please, you need medical attention.

She's dead because of me!

Hugo!

Can you hear me?

Hugo?

Didn't you just get out of Trauma OR?

Bystander injured at City Hall.

I thought all the gunshot vics were through.

A good samaritan walked him in,

he was trampled by the crowd when everybody panicked.

Seemed okay, then complained his heart was fluttering.

Passed out just as they got here.

Did we know if he has any underlying heart problems?

Only that his name is Percy Campbell.

Hi, Theo. Need a hand?

Unstable heart rhythm from a knock to the chest...

Let's get a pulse ox, O2 and put him on a monitor, Claire.

Impact arrhythmia usually happens right away,

- and it's much more acute. - Yes, but in some rare cases,

it can cause erratic heart rhythm for a while first.

- Amiodorone drip to stabilize? - And cardioversion

if that doesn't work. Let's get the crash cart ready.

Uh... Theo?

- Wow. - Uh, okay...

Let's just keep treating him, just no extraordinary measures.

- Let's get a rhythm. - You're going to honour it?

- He's in V-tach. - Which means we still have time

to try meds and check the system.

Can we see if there's a DNR on file?