Transplant - Third Season

I'm going to Lebanon. It's just something I need to do.

Doctor Curtis, I didn't know that you were...

- working, this morning. - She's picking my brain about Western.

We're looking to open up our own trauma OR and could use her.

I used to cut myself.

Speaking of things that can't be fixed,

I'd like you to help me die.

Percy tried self-immolating on the steps of Parliament

during a climate summit.

Antiseptic, bandages, blood pressure cuff...

- Thanks for checking in. - This kind of bruising

is often evident of a sexual assault.

Identify my husband, you mean?

- Oh my God, it's Claire! - Out of the way! Out of the way! Out of the way!

I take responsibility for what happened, Claire.

I stand behind my decision to close the doors.

- Do you stand behind me? - Based on what you heard,

do you think there's a problem with the valve?

- You can talk to me. - Only I can't.

I got used to my life being bigger. And now...

What about you? Are you finding what you are looking for?

You must need to hear this to move on!

I knew there would still be some valve dysfunction,

but I didn't think it would be that bad.

A residual leak is steadily getting worse.

Dr. Fisher seemed to think I was bouncing back.

Dr. Fisher should've listened more closely.

Your heart is dilating and ejection fraction is decreasing.

If we don't deal with it eventually we're on the road to heart failure.

Are you about to tell me that I need a heart transplant?

Am I even a candidate for that?

There's a case to be made, yes.

The surgery would put you out of commission for at least a year,

but it's the only permanent solution.

What if I don't want that?

Well, then we take a management approach.

I stay on top of your monitoring and you do your best

to prioritize your energy and your exertion levels.

Prioritizing, meaning do less.

I'd re-frame it as do things differently.

Okay, except how? Because I've tried that before,

and I keep getting pulled back to baseline.

Then maybe it isn't sustainable.

What, my job?

Are you telling me to quit?

Look, I'd never say that, Mags.

But if you keep going the way you're going, you're gonna die.

Like what am I supposed to do with that?

Take some time. Talk it over with your support system.

You held your own in there this morning.

I could've done a better job avoiding the epigastric vessels.

No, no. Something to practice,

- unless you're planning another trip? - No.

Good. I'd hate to see you getting distracted

now that they've finally agreed to count your Trauma OR hours.

Must feel good. You're gonna be surgeon again.

To be honest Dr. Singh, I've never let myself

believe that would actually happen.

Does that mean I can't trust you to handle

- post-op with this patient? - No, that's not...

I just meant...

She had pneumonia six weeks ago.

We thought we'd weathered it but the coughing flared back up,

then she was up all night with this fever.

At least you had each other to spell off.

We're not together, Dr. Hunter.

This was Mike's week.

Uh, Theo. Um, so Kira was a preemie?

Yeah. Born at 28 weeks.

They had to give steroids to help her lungs along.

The hope was there wouldn't be any residual complications, but...

Every little bug hits her so hard.

Doesn't matter how careful we are, we're powerless against exposure.

Do you think the pneumonia is back?

You don't have to pull punches. It's better if we know.

Let's just...

I think Kira has bronchiolitis obliterans.

It's a very serious inflammatory response in the lungs.

There's gotta be something you can do.

For now, bronchodilators, high flow O2,

fluids and close observation.

She'll bounce back.

We're gonna do everything we can to help her try.

But sounds like Kira is a fighter.

Yeah...

Any pain?

Won't really matter in a few minutes, will it?

I mean, I guess not. But I can make you more comfortable.

What'd I say about fanfare?

- Right. - Do your job.

Run down next steps.

You asked for an injection,

so I'll administer the medication through your line.

The first one will put you into a deep sleep.

And you won't feel a thing while the medication does its work.

Protocol requires me to ask you one more time.

Do I have your full and willing consent?

- You do. - And you don't want a witness?

Okay.

Is there anything else you want to say?

Thanks, Curtis.

Yeah.

We're covered for tonight?

I talked a few residents into swapping shifts.

- Smooth otherwise. - Great!

I was surprised to see we're back to uh...

wait time monitoring?

With IT's help to display it on screens this time.

Nurses only have to update the system once an hour.

Admin's way of playing ball after what happened to Claire?

They had no choice but to admit some changes needed to be made.

So um, does this mean that things have settled between you and Olsen?

Right.

Meredith, there's fluid compressing your lungs,

making it hard for you to breathe.

I thought it was a panic attack.

No, um, this is called a Pectus Bar or a Nuss Bar.

It's a steel rod used to treat chest wall deformation.

I have a metal bar in my chest?

It's usually implanted in kids then removed a few years later.

Do you remember getting it?

How long has it been hurting?

I guess a while,

but lately, I've been feeling different.

Sort of like something shifted...

Well, it almost certainly has.

I'm going to have to put in a chest tube to drain the fluid

but it would help knowing why it was never removed,

so can you ask your parents or...?

- No. I can't do that. - Well, if it's okay with you,

could you give me access to your medical records

so I can get the full story myself?

I don't even know my real name.

Well, you can talk to me. Or we have people here that's...

Three days ago,

I walked away from the man who calls himself my father.

He also happens to be the man who abducted me when I was a child.

Wait, are you saying he stole you?

I don't know if he had that bar put in

or if my real parents did or...

I thought my life was normal.

But I've always had these nightmares.

Once I acknowledged they might be real, I couldn't unsee them.

Then one day I just...

I took the emergency money he keeps in the drawer and... left.

Have you tried calling the police?

- Or telling someone? - No.

You can't either.

Kid in Exam 3, what's the story there?

Uh, popcorn lung, as much monitoring as we can handle.

Did you want me to show the parents the family room?

Yeah but when it comes to making decisions,

they're not actually together so it could get a little messy.

So then it gets messy, Theo.

- Welcome back. - Hey! You too.

- Are you back? - Part time, admin duties only.

Checking labs, playing traffic cop,

oh and babysitting the wait time monitor.

Claire, I was so sorry to hear about what happened.

Bash, uh Meredith Watson.

Yeah, um, are you keeping an eye on her drain?

Fluid's still yellow. Uh...

But she says it feels that her body is rejecting that bar.

Yeah, because it's been in there five years too long.

An adult with a chest stabilizer?

Yeah, her explanation was uh...

Can you see if she needs more pain relief?

Yup.

Hey hey! The prodigal returns.

Ah. Three weeks late. We were getting worried about you.

Speak for yourself. Cholera outbreak under control?

Uh, it's improving, but they still need more help.

Well, that's never not true.

There's always a few that stick in your brain, at least for me.

Yeah. There was the woman with endocarditis I wrote you about.

She's in Amman post-op.

And a young couple who went through an ectopic pregnancy

that asked me to help them try again.

Discharge in A needs your sign-off.

Thanks.

That's gotta be weird. Leaving home just to come back home?

Yeah it's...

Oh, Percy!

- What? - His father texted from City hall, nothing.

You said he's tried this before?

Yeah once, on Parliament Hill. But the news said something

about the Environment Minister being there for meetings.

And you've been helping him outside of the system?

Yeah, with expired meds, and supplies that are damaged,

things we would have thrown out anyway.

Percy!

- No! - No! Theo don't.

Don't! Let me go! Let me go!

Theo, don't!

It's too late.

- Amira, hi. - Hey, uh...

Am I allowed to wait here? All the chairs in reception are...

Full of sick people? No, let's go invade the on-call room.

You know, I couldn't sleep last night

and I tried your soufflé recipe like three times