Transplant (2020) s04e08 Episode Script

All I Have Is How I Feel

Mac Hinkley. Owen's GP.
What you don't know about
is his mass cell activation syndrome.
Owen has MCAS?
I've been taking a hormone
therapy to stimulate ovulation.
You're trying for a baby.
Did you change your
mind about having a kid?
- My body changed it for me.
- I heard Novak's gone AWOL.
- Yeah.
- I think we should use this
as a reason to move
him out of Trauma OR.
If you have pain, Claire,
that pain should be managed.
I don't understand why'd you
even come back to this place.
- What interview?
- St-Agnes.
They offered me everything.
And then I got this feeling
that it wasn't for me.
Claire told me that she
and Bishop used to mock me
for being a naive little idiot.
Well, I fell in love with that idiot.
I guess that makes you an idiot, too.
I guess so.
- This is effective when, June?
- Four weeks.
They're gonna be the only hospital
in the Midwest with a Trauma OR.
They're using ours as a model,
except it's gonna be bigger
with three operating theatres.
How long have you been speaking?
Well, it all happened really fast.
They reached out a week ago,
I accepted the offer yesterday.
So multiple ORs, and they're hiring
fellows to run surgical teams.
Their team leaders are already in place,
I'm just coming on as a staff surgeon.
And why would you leave an
arrangement where you have
a supervisory role to
be just another body?
Wait, wait, don't tell me. Money.
We have invested a lot in
your development, Dr. Curtis.
And this, uh
This leaves us in the lurch.
I figured Mark Novak
could easily step in
That's not an option.
- The zipper won't shut.
- Just come eat.
- We'll fix that later.
- I can't go if it doesn't fit.
Amira, I know two months sounds
like a really long time, but
Did you know one third of
London died of the plague?
That was like 400 years ago.
It's one of the most haunted by
ghosts cities in the world, too.
There are subway stations
people literally avoid.
- Was this a bad idea, Bashir?
- Yeah, you're right.
- I'll call Mr. Redican now.
- Wait
Or you can just
take the flight, and if for
whatever reason you hate it,
up to and including
ghosts and the plague,
- you remember our deal?
- You'll always come get me.
Always. Are you hungry?
I made my world famous pancakes.
Oh, here.
Mags left you something.
It's an expensive face serum.
Don't tell her I ruined the surprise.
I'm missing your graduation
from residency on Friday.
Hey, it's okay.
We'll celebrate when you get back, okay?
Hmm? Now go eat, we'll
make sure it fits.
Pick a card, any card.
Not with your hurt one.
I heard we have a broken finger.
They were busy at registration.
Samuel's mom had to make a call,
and I could tell he was scared.
Well, I see my resident
here's already got you started.
Um We'll be right back, okay, Sam?
Six of hearts, am I right?
Owen. Why aren't you in school?
The air pollution's bad today
and that's definitely an MCAS trigger.
And did you text Mac
because your GP should know?
- How'd you even get here?
- I started feeling
breath stuff and itchy
arms. The streetcar sucked.
Everybody was eating something
or smelled like something.
Did you know Mac says
I still can't drive
when I'm 16 because it's not safe?
Okay, look. I know you
don't love the waiting room,
but we have a cue here
for a reason, buddy.
I was scared. I texted you, Theo.
You did? Because I forgot
to charge my phone overnight
so it's plugged in somewhere.
Okay, let's sit down in here, okay?
Shouldn't be too loud in
here. We can do our drill.
Arms out.
Alright, no hives or rashes.
No swelling.
Other side.
Breathing sounds good, buddy.
Guy at that desk is eating a sandwich.
Well, no problem because pretty
sure you're good to go, pal.
Last time, your mom told
me to put you on a Uber.
You're kicking me out? And
those cars aren't safe for me.
- The last driver was a smoker.
- I'm sorry, Owen.
Look, I will drive you
to school in one hour.
That is more than
enough time to figure out
if there's gonna be a reaction, okay?
You know, it never fails to amaze me
how quickly people go to just
caring about how things affect them.
I mean, did you expect
her to be happy about it?
Sorry, just, uh Lou, do you mind
dimming the lights over the chairs?
The kid's scanning the room
like he's The Terminator.
Has SPD and gets life-threatening
allergic reactions to lots of stimuli.
- Yeah, no problem, Theo.
- Thanks.
Cleveland's only five hours away.
Four, the way I drive.
Hi. You missed morning espresso time.
Yeah, yeah, I was restless at like five.
Her plane just pulled out of the gate.
I'm getting a play-by-play.
Ah, yeah, there was a
small moment of panic
right before we got to the airport.
But as soon as we found
her group, she was happy.
Oh, well, speaking of
being happy at airports.
Uh-huh. Oh, sorry. (PHONE RINGING)
That'd better not be
her changing her mind.
Hey. Salaam alaikum, Saleh.
W'alaikum al-salaam, Mags.
Amira just left this
morning so we're processing.
How is he handling that?
Actually, better than you
and I expected it, I think.
I'm ending this meeting right now.
- Mags is very busy.
- Goodbye.
And important.
She asked me to, but that means
me learning French,
and, uh I'm not sure.
Wait, you're moving?
I know you offered to
sponsor us to Canada.
Thank you.
We did really consider it.
Yeah, Gaziantep's, uh
it's a nice place to live.
Did you ask security
to lower overhead lights
for a pediatric patient
and also watch him?
Um, lights, yes, but I
never said to watch him.
- It's Owen, why?
- The kid slipped off.
What? I literally just left him?
Lou's worried he messed up,
and also, Owen's not registered.
Yeah, we have a routine.
I get him out fast.
- Cover me while I go find him.
- Theo, you have patients.
Owen has been dealt more
hardship than anyone deserves.
Alright, he lost his
dad, he's in constant
terror learning his MCAS triggers.
- This system is not set up to help him.
- What about his mother?
Uh, she's around,
just overwhelmed by the challenge.
You almost lost your
job ignoring the rules.
You try colouring inside the lines for
all of five minutes before putting me,
your direct supervisor, in the
role of having to let you do
whatever you want just
because you and me are
- whatever we are.
- Wait, are you saying
I've taken advantage of my
boss being my girlfriend?
Am I even your girlfriend, Theo?
How would I know? You
make all the rules,
I'm just supposed to do as I'm told.
Then tell me what you
want instead of constantly
straining against the structure here
and dumping all of your
confusion into your patients.
Alright, fine, okay?
I will call his GP, are you happy?
- Wanna talk about that? Okay.
- I really don't.
Hey, I was thinking Chicago.
Like an Al Capone walking
tour and live music.
- You two going away?
- Yeah, we're talking about it.
Or we can rent a cottage and get
you a true Canadian lake experience.
Those are both great options, but
C'mon, stage one rejection
is common for almost
every heart recipient.
- Mags, how long have you been in stage one?
- Not long. And we've adjusted meds,
we wouldn't be going that
far, and I don't want this
- to get in the way.
- Look, I agree
- with what you're saying, but
- Mags?
Um, all my patients' painkiller scripts
and notes on why they're needed.
You don't have to show your
math for my sake, Claire.
- Actually, I do.
- I have a second, Claire,
if you want me to take care of the meds.
I just wanted to let you know
that we're paying for
a year of counselling.
I didn't realize that union caps at 500.
Does that mean admin knows?
About the request, but
not why it was made.
Um, I was wondering what
are you reporting obligations
with the college of nurses?
In your annual licence renewal,
you're asked to
self-report, but what you
choose to say or not say is up to you.
You really think that's the right call?
Claire, this department needs you.
So do I.
Dr. Devi.
I'm sorry, I know that Novak
wasn't your first choice.
I just loathe that man.
If you had come to me sooner,
we could've gone to Olsen together.
Transition already in
place, but the way it is now,
he just expects me to
beg Mark to come back.
Look, I know that this
is personal for you,
but I never agreed to push
him out in the first place,
and I did come to you about that.
I'm moving to Cleveland.
- Yeah.
- Like for life?
This big fancy private
hospital recruited me.
- Congrats, June.
- Thanks.
Yeah, they have, like, three operating
theatres, and a new Trauma OR so
You can't just rip us apart.
- I never said we would.
- Stop pulling, Paul.
I'm not pulling, you're twisting.
- Uh, Rhoda, what?
- They're stuck.
Yeah, I can see that, but why?
I'm fixing up a bedroom in the house.
Veda touched the glue,
and then touched me.
Even though, I told her not to.
Okay, well, can we walk them to a room?
We tried with wheelchairs,
but it's hard to time it without
Ripping off a whole mess of skin.
Paul, maybe if you lie back, and Veda,
- you can stand facing him.
- No, no, no.
Veda should lie down,
she's got health problems.
Oh, so you're chivalrous now
after chucking out
45 years of marriage?!
- What kind of health problems?
- On meds for bum kidneys.
And moving bedrooms is not
chucking out our marriage.
Okay, let's just switch positions here.
Okay, slowly, careful. Okay, okay,
and one, two, three
Perfect, carefully.
Pharmacy was out of acetone
so I had to raid internal.
Well, the internet said to try
mayonnaise, but it didn't work.
And then, Paul's chest started hurting.
Do you mean his skin? Because
some people have a reaction
Oh, no. It's inside like
a tight band's across it.
And my heart's racing.
You didn't tell us you
were having chest pain?
His rate is fast and irregular.
Do you have a history of heart problems?
- No.
- Maybe the chemical
in the adhesive that's
acting as a stimulant?
BP's 95 over 65.
But he he's gonna be okay, right?
Dr. Hamed's gonna pour the acetone now.
It's like nail polish remover.
It usually works with glue.
Alright, now, gently try
to separate yourselves.
- No, it's no good.
- Careful.
- I need to lie down
- Paul!
- Paul!
- He's in AFib?
- Arnold, page cardiology.
- Yup.
Wait, is he dying? Can you help him?
His heart rhythm is unstable.
We're gonna shock and try and reset him.
Except can we even do that
while they're still attached?
We don't have a choice, but
she could get a big jolt.
Charging 200.
- What are you waiting for?
- We're just not sure
of the effect that it will have on you,
but there's definitely a risk here.
I don't care. Just help him!
- Alright, clear.
- Look out.
Okay, okay, okay. Mags, are you
Where's Veda?
- Lie back, sir, lie back.
- Veda?
- Veda, can you hear me?
- Pulse is good.
Okay, we're gonna
need vitals, blood gas.
Bedside glucose, IV bolus, and ECG stat.
Arnold, have dialysis on standby, ASAP.
- Are you okay?
- Yeah.
- You paged?
- Here she is.
Dr. Curtis, this is Margot.
Margot had elective
rhinoplasty last week,
and she discovered that
she has von Willebrand.
It's a bleeding disorder.
Usually, a mild one.
Until things spiralled out of control,
she ended up in ICU where we met.
I'm better now. And apparently,
my nose will be perfect.
Which is where you come in, Dr. Curtis,
because it was supposed to be twofer.
The surgeons were supposed
to take out her tonsils
at the same time, but when the
bleeding started, they reneged.
Which is understandable.
For the cowardly, yes, but I
told Margot that that's not you.
I see.
So you want me to remove
her tonsils in Trauma OR.
They're aberrantly large.
And all I see when I look at myself.
No, absolutely not.
It's okay, it's okay.
I got it, I got it.
June Um, June.
Do you want me to take on this dumb
risk all because you miss Trauma OR?
Or I'm trying to help you get used
to being guided by profit motive.
I see, so word travels fast.
But is this your way of
I treated her during her recovery.
Her sleep apnea is serious.
She needs constant CPAP,
and Trauma OR was
built to solve problems
that the bureaucracy can't
and, you know, end of story.
- End of story?
- Yeah.
So those are your only
thoughts on me leaving?
World's largest rubber
stamp is in Cleveland.
Sorry, too fast for me.
Nothing, we were just, uh Nevermind.
Plus, staying on top of stress,
never easy during those
early months in a new country,
I get it, but I'd be here to help
in any way that I could, okay?
Then, you have room in
your practise, doctor?
Elliot. And I don't
have my own practise,
I rotate between walk-in clinics,
but if Madiha texts me when
she lands, we'll sort it out.
- Thank you, gentlemen.
- Yeah.
Hey, um How come you
never joined a practise?
Oh, uh
I wanted time at home
when the kids were little,
and the freedom to go overseas
with the Red Cross when I could.
Certainly not the path to wealth.
That wasn't about you
stress in those early months.
- Um, thanks for taking her on.
- Yeah.
You can do it with me.
- Be her doctor?
- Yeah.
I won't have a place to
practice in a few weeks.
Well, I could stand to
offload some walk-in hours,
and I don't know. This
kind of community medicine
seems like the type of
work that you'd be drawn to.
Elliot, I know I'm still
going to need to make a living,
but I wasn't asking.
Of course not.
Old habits.
Plastics is optimistic
about our superglue couple.
How's the wife?
Getting set up for
dialysis. Her kidneys failed.
Is that because of the shock?
I notice you skipped a beat
when we shocked that woman,
is that like a stage
one rejection situation?
Yeah, they upped my meds, but
they don't seem to be worried.
Novak has a patient
with a bleeding disorder.
He wants me to take her
tonsils out in Trauma OR.
He says it's a medical thing,
she says it's a cosmetic thing,
and I'm pretty sure
that he just wants me
to go in there and mess
things up because he
Are we seriously not
gonna talk about this?
Like, do I really have
to do the emotional work
- for everyone in my life?
- Okay, just calm down, alright.
I get it, you're upset that I'm leaving.
I'd support anything you wanted,
but the fact that you would
do this without even telling me
that you were considering it
They called, and then the
next day, they made the offer.
- What would you even have said?
- I would have asked you
how you were feeling about
the pregnancies not taking.
Not good.
What do you want me to say?
If you're suggesting that that's
why I took the job, Mags
Biology is random and cruel.
You can't blame yourself for that.
Of course, you'd say that.
You get things that I don't.
- Look, biology screwed me, too.
- It's not what I mean.
I'm talking about connection and love.
Those things come to
you, and I wanna believe
- that I can have them, too, but
- Yeah, well, you do.
And as someone who does love you, June,
if this job is what you want, great.
But if you're just running, don't go.
Paul, your heart rhythm is normal now,
but it would probably be a good idea
to get on beta blockers. So
we'll refer you to a cardiologist.
And, uh, what about Veda?
She's never needed dialysis before.
Well, uh, a few years ago,
they told me that my
kidneys had reduced function.
And I had to have a stent put in.
Unfortunately, Veda,
you're going to need
outpatient treatment for
the foreseeable future.
- Which means what?
- Frequent dialysis,
additional medication,
lifestyle adjustments at home.
I, um Is it maybe, you know,
worth considering some kind of
Well, assisted living situation.
What, another bedroom isn't far enough?
What, you'd rather just
push me into a home?
What if you need more
than I can give?!
- Maybe we should go.
- Wait, wait.
Dialysis appointments are a lot, right?
Paul, stop, please!
I've been feeling this
from you for a long time.
Why can't you just admit I'm
not what you want anymore?
But I never wanted to hurt you.
I thought maybe if I
just had some space.
Your cycle's over, Veda.
You two should go.
Amira lands in 45 minutes.
Oh, don't pretend you haven't
been tracking her flight.
- Just trying not to think about it.
- It's okay if you have, though.
Look, about our trip.
It's not that I don't
want to go, it's just
The truth is, not when I'm
about to be out of a job.
Then, let me pay.
Oh, what, does that offend
your fragile male ego?
No. No, it's not about
the money or my ego.
It's the uncertainty.
Can we just do it when I'm more sorted?
Like, really, are you upset?
Because I know I'm being dumb,
it's just how my brain works.
- Bashir.
- And I'm trying
It's fine.
It's probably smarter for
me to stay close to home
these days anyways, so
Yeah, and with Amira away,
we have all the freedom in the world.
I just got a new family.
No, I'm not ready to be an empty nester.
Well, at least you and
I are glued together.
- Oh
- That's That's funny, right?
- That's good.
Owen is not at school, he is not home,
he is not answering his phone.
He's annoyed because I made him leave.
There's more. His school
says he hasn't been in a week.
I know he hates it, but he's signing in
- at his homeroom, and then
- So his mother doesn't find out.
They're talking about
calling Children's Aid.
If that kid gets into the system
It'll kill him. Look, I'll drive around
- the neighbourhood a few times.
- I'll do it.
We were making progress
before you got involved.
This whole ridiculous idea
of getting a driver's licence.
Look, you and I met after Owen jumped
off a cliff to try and hurt himself.
How much progress were you making?
Mac, I think he took my car keys.
- He knows where I park.
- Oh, Theo, what the hell!
Look, I've only got a minor burn
and an asthma kid waiting in handoff.
- Keep an eye on them for me?
- Your patients?
I don't work here.
If I went looking for Owen,
neither of us would be
risking our licences.
That's why he comes to me.
Because he knows I will
do whatever I need to.
If you want him found,
Mac, just have my back.
- Stop messing with her.
- What now, Leblanc?
Well, maybe you're not aware
of it, but she did everything
she could to save you from yourself.
And she looks up to you. And
you're using that to, what,
get her to kick the door on her way out.
And all of that to make
yourself feel better
about ruining the one good
thing you had going on here.
You should be her friend
or leave her alone.
- Hey, you good?
- Yeah, where are you going
- looking all stressed out?
- This app is supposed
to GPS locate my car, but it just
keeps spinning and doing this.
- You lost your car?
- No, a teenage patient stole it.
It's a long story. I just
I want him to be okay.
Well, if you want your GPS to work,
your location services have to be on.
Thank you.
So Last week as a medical resident.
- Congratulations, Bashir.
- Thank you.
I'm also graduating
from being a patient.
- Oh?
- It occurred to me
that I won't have extended medical
insurance to cover our sessions.
And, you know, I didn't want
to take advantage of our dynamic
by asking you for any favours so
I deserved that.
I want you to know,
though, I'm impressed
that you've kept coming
to our regular sessions
after we course corrected.
Yeah Can I ask you a question?
Absolutely. Get them all in
while somebody else is still paying.
Will I ever feel like a regular person?
Hmm. I guess it depends on
what you mean by that question.
I'm not sure I can explain it.
I know that facing an uncertain future,
it's got you feeling in your head.
My My friend Saleh,
we grew up together
and I left, he stayed.
Now he has a medical outreach
job in a nice town in Turkey,
and hearing that affected me.
Because part of you
still wants that life?
No, that's not exactly it.
And don't tell me it's never wrong
to feel my feelings
because sometimes it is.
- What?
- It's just,
from where I sit,
it's evident all the work
that you've been doing
to get to this place.
And just so you know, extended
medical insurance or not,
in case of an emergency,
you can always call.
See, that's what I meant.
People thinking they need to save me.
- I hate it.
- Well, in that case,
- call and I'll send you a bill.
What is this? Owen!
- Is this your vehicle, sir?
- Yes!
- Sir, don't do that.
He's lucky I saw him before he
killed someone behind the wheel.
You gotta let him out of here.
He has a medical condition.
Dispatch, we might need
an ambulance. Standby.
- Hey, guys. Clear the area.
Hey, don't do that. Step
back from the vehicle.
- It's okay, Owen, I'm here. It's okay.
I just wanted to prove I could
I'm sorry.
- Owen? Owen?
- What's happening to him?
He's having an allergic reaction
to something in your cruiser.
It's probably the food.
Just give me a second to get him stable,
and then we'll get him to a hospital.
- We got this, right, bud?
Alright. Just breathe.
- Breathe.
- Hey. You worked it out?
- Ha!
She glued us back together
while I was sleeping.
I came in to check on
him, and there it was.
- Why?
- I panicked.
The thought of being
alone with everything.
I never said I was
walking out of your life.
I'll still be around to help.
We can't unsay what's been said.
Well, maybe I wish I
hadn't pushed so hard.
Well, maybe things will be
better now that the truth is out.
Well, we will, uh, find
someone to get you guys unstuck.
Uh, hey, Mags, um I've
I've changed my mind about the cottage.
I think it's close
enough to home for you,
and it's a good idea for
us to get away for a while.
And for me to clear my head. And
You know, at first, it was
the uncertainty, but now I'm
Really? You would let me pay?
Um when it's you offering,
it doesn't feel like charity so
- Good. Because it isn't.
- I know.
And at the risk of pushing it too far,
what if you let me pay for rent, too?
Just for however long it takes
for you to clear your head.
Part of me wonders, what if
instead of looking for a job,
I open a clinic.
That's Yeah, but
Like, what kind of a clinic?
Mag, wait, are you in pain?
Uh, it's just usual
discomfort is up like 20%.
My BP was also low earlier.
I thought maybe I'd just run
it by Viri just to be safe.
Yeah, it's a good idea.
- Would you come with me?
- Of course.
Owen is stable. They're
on their way back.
He'll need a bed for tonight.
You obviously know that someone else
would have sat on Theo's patients.
Why open yourself up
to this kind of risk?
Oh, he made a pretty strong case.
And I can't help but notice you
haven't exactly ratted us out.
Guess we're both in the
business of enabling Theo.
I admit to seeing a bit of myself
in him, but what's your excuse?
Did you miss a dose of tacrolimus?
No, my whole life revolves
around that stupid pill alarm.
She's never more than
a few minutes late.
- Even when she's on shift.
- Are you seeing a higher level
of lymphocyte infiltration?
Your white count is elevated,
but you're still stage one.
Okay, so I am overreacting.
Not necessarily. And
I trust your instincts.
So I'll switch you
to the 12-hour tacro,
and I'll add a pulse
of high dose steroids
as a preventative measure.
- Prednisone gives her heartburn.
- Prednisone gives me heartburn.
- I can tack on a PPI.
Just another pill to remember.
Should we discuss admission
just for a day or two
to get us over this bump?
Not yet. If it gets worse, we can talk.
But I'm comfortable sending you home
since you both know what to look for.
Cough, shortness of breath, chills.
Fever, swelling, ascites.
We'll do a repeat echo tomorrow
and another biopsy in a week
when the meds take effect.
No work until this is under control.
If you feel anything new or different
- We'll call.
- You'll come in.
And they'll page me and your surgeon.
Should she be on her portable ECG?
Because she's had trouble
with arrhythmia before.
That's not the worst idea.
I know you hate this, Mags, but
Yeah, to go through all
this just to be here, it's
But it's okay, it's okay.
It's better to be sure.
I'll be back in about a
half an hour to check on him.
What are you still doing here?
I should be asking you that.
Uh I mean, I work here.
Why though? All the
rules, the bureaucracy.
You don't have any space to be
the kind of doctor you wanna be.
Yeah, and what kind is that?
You're a born family doctor.
I know because so am I.
Look, you should take
over my family practise.
- So I can retire.
- Whoa, Mac, that
No, you were right. Owen trusts
you because you fight for him.
I don't have that fight anymore.
I wasn't sure anyone still did.
Okay, but you don't understand.
I turned down a family
practise to be here.
Well, maybe it wasn't
right for you then.
But it is now.
At least, give it some thought.
Look, you barely know me.
You have no idea what's right for me.
Liz does though.
And she feels the same way.
Hey. Do you need anything?
I think I'm just gonna
go get some water.
- Do you want me to do it?
- No, that's fine.
You have an early shift tomorrow.
I'll just go watch something in
Amira's room if I can't sleep.
It's morning in London.
Still nothing from the boss?
Not since that bloody airport selfie.
Well, that's good, right?
That means that she's having
fun and forgot all about us.
Yeah, because if Amira was not okay
My parents like to say that
they only ever hear from me
- when I need to complain.
- That's not true.
You check in with them all the time.
I guess I should trust Amira
to let me know she needs me.
Hey, uh, that couple with the glue,
do you get the sense they fell
apart slowly or all at once?
Well, they were incapable of facing
the hardest truths between them.
The idea of you paying
rent, it bothers me.
I know.
You never answered my
question. About a clinic.
Yeah, uh, I referred Elliot a patient,
- and he suggested I take her on.
- Mmm.
There is an empty office I've
walked by a hundred times so
But if it doesn't work out,
it'd be such a huge risk,
and I don't know, I'm torn.
- Bash
- Mmm.
Torn is okay.
And like clockwork,
the past three nights.
Three A.M. existential scream.
Yeah, if it escalates to violence,
- I'm not going out there.
- Not gonna make a chest tube
with a shard of broken beer
bottle and a plastic straw?
Something's not right.
No, your readings were in range.
I know, I just still feel off.
- (BEEP)
- I hear some fluids.
- 38.
That's up there
considering the steroids.
You think we should go in?
- Yeah, okay.
- I'll call an ambulance.
Can't we just drive?
Okay, I'll text Viri.
Might as well get a head start.
Where were you even stashing that?
Under the bed.
Good thing you never
clean or sweep or tidy up.
What does that say?
60% chance of showers.
They're here.
Good evening, sir, you called 911?
Yeah. Bash, c'mon. She's inside.
Mags is six months post-op
from a heart transplant.
We're just being extra cautious here.
Hey, Mags, I'm Lori, this is Derek.
Bash tells us you're a
heart transplant patient?
- Uh-huh.
- Where's your team at?
Memorial CICU.
We're gonna take your vitals, okay?
Rate's 165, BP is 90 over 75.
Temp's 38.1. We're ED doctors.
- Both at Memorial?
- (BOTH): Yes.
But we promised not to get
in your way or anything.
You wanna tell us what happened?
I've been at level one rejection
for, um a couple of weeks.
But today, I've been increasingly off.
(CLEARS THROAT) Chest pain,
increased heart rate.
Tonight, fever, chills, dizziness.
We called ahead. Her
team will meet us there.
Okay. We better get moving then.
We're gonna help you
up on the stretcher.
No, I can do it.
Do you want me to call your family?
I texted Cam already.
My parents are in Sicily, remember?
Right. Their reunification trip.
You know, they both told me separately
that my heart got them back together.
Like some bad romance novel. (CHUCKLES)
- Pressure's dropped slightly.
I don't regret any of it.
Mags, stop.
It doesn't go that way, not that fast.
We both know it sometimes does.
And all I have is how I feel.
- No, wait, listen
- No, you listen.
I believe in you.
And you can do whatever you want.
When we get there,
they'll adjust your
meds, up your steroids.
They know how to treat this.
We've increased the steroids.
And immunosuppressants.
We'll start prophylactic antimicrobials.
If we don't see results in the
next hour, we'll recalibrate.
Yeah, when we went to bed,
she was tired but fine,
and then, when her fever started
It's possible she picked up an infection
that's exacerbating things.
I should never have let her go home.
- Bashir
- Would you guys either
come in here or talk louder?
I was about to tell Bashir
that the twenty minutes it took
to get here wouldn't have
changed where we are now.
What's the plan?
Your lungs are struggling a little.
I know. My SATS are crap.
One option is CICU and intubate
to mitigate the risk of sepsis.
It would take stress off the lungs
and help the meds do their work.
Are you suggesting to do that now?
Not concretely.
Waiting to see how you respond
to the infusion is another option.
Intubation and CICU.
I mean
I don't want to, but
I feel like I need to.
Then I'll get the wheels in motion.
Thank you.
Do you want another blanket
or some ice chips or anything?
If they're gonna intubate me,
I need to tell you something.
I really hated you
the first night we met.
You were so confident in your instincts.
I was jealous.
I had never trusted myself like that.
You do now, though.
I'll talk to work and
make sure all your shifts
are covered for the
next couple of weeks.
I think it's gonna be longer than that.
Let's just take it as it comes.
- Hi.
- Hi.
- I'm scared.
- I know. I'm here.
Your SATS just ticked up.
It's probably the meds working.
You know, if you're not
sure about the intubation,
wait and see is still an option.
- I'm sure.
- Okay.
Would it be weird if
Cam slept in Amira's room
for a couple of nights?
If she wants to come and be helpful,
and I don't want you being my nurse?
No, that's fine.
You can rest if you want.
I've got you.
- What is it?
I don't know.
- She's in V-tach.
- Um, do you have lidocaine?
Yeah. On it.
We're almost there, Mags.
They're going to help you.
- Mags?
- What happened?
V-tach. It came on quickly.
Get her into B, attach pads, call RT.
On it.
Charge. Everyone clear.
No change. 26 minutes.
Again. Charge.
No change.
Again. Charge.
- Clear.
Stop contracting.
Wait, uh Why isn't
anyone doing anything?
I'm so sorry, Bashir.
Why? What happened?
The arrhythmia stopped her heart.
We shocked and did many rounds of CPR,
but despite all of our efforts,
we were unable to save her.
Are you telling me she died?
I'll give you some time.
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