- il y a 8 heures
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11:45Nous ne pouvons toujours pas leur donner le moon.
11:48Show Miss Pinto comment faire de la paix avec sa maladie
11:51et avec les limites de la médecine modern.
11:55Surtout, c'est tout nous pouvons faire.
12:07Elle est votre plus grand fan.
12:12Oui, je suis toujours ici.
12:16Il est mon chef de la maison.
12:18Je ne peux pas juste faire un changement.
12:20Je ne sais pas comment je me sens de lui.
12:29Hey, tu fais un run pour ça ?
12:30Je vais retourner à la maison pour le PT.
12:32Je vais vous aider.
12:33Je vais vous aider.
12:34Je vais vous aider, Julie.
12:34Merci.
12:42Je vais vous aider.
12:44Merci.
12:45Merci.
13:00Merci.
13:11Merci.
13:12Merci.
13:16Merci.
13:19Merci.
13:32Merci.
13:32Merci.
13:32Merci.
13:55Merci.
14:03Merci.
14:17Merci.
14:19Merci.
14:19Merci.
14:30Merci.
14:37Merci.
14:38Merci.
14:39Merci.
14:51Merci.
14:53Merci.
14:54Merci.
15:01Merci.
15:01Merci.
15:05Merci.
15:06Merci.
15:19Merci.
15:20Merci.
15:28Merci.
15:43Merci.
16:01...
16:31Take all the time you need.
16:33We want you at full strength.
16:42Hey, so...
16:43What do we think of her?
16:45Ah, too early to tell.
16:47You got time for a consult?
16:49Hi Kevin, I'm Dr. Matra.
16:51It's a pleasure to meet you and thank you for your service.
16:56Mind if I take a look at that leg?
16:58Yeah, your call.
16:59So the last guy I tried got covered in blood.
17:04Does that hurt?
17:06No, nothing compared to my prosthesis.
17:08That thing rubs like hell.
17:10Increased echogenicity in the lateral quadrant
17:13and loss of normal architecture.
17:21Thickening medially as well.
17:23Not as bad as it sounds.
17:25You ruptured an abnormal blood vessel,
17:27which is unfortunately a complication from an infection.
17:30So I need more antibiotics.
17:33Unfortunately, it's too advanced for that.
17:35Most likely you'll need a stump revision.
17:42You mean...
17:43You're gonna take more of my leg?
17:48Above the knee?
17:50Sorry, man.
17:55I mean, honestly, you know, after winning the Weiss Award,
17:59I'm currently fielding multiple offers,
18:00like Yale, Hopkins.
18:02So maybe you could tell me what you think
18:04Westside has to offer me.
18:08You know what, we're actually running short on time.
18:11Sorry about that, but why don't we do this?
18:12How about if you have any questions about the program,
18:14you just shoot me an email?
18:17Uh...
18:23I'm just gonna need a minute.
18:36Hey, Proxen, you feeling okay?
18:38Oh, I'm fine.
18:39Just a tough day.
18:47What was that look for?
18:49Nothing.
18:49Okay, come on.
18:50You clearly want me to ask.
18:54She told me that I don't belong here.
18:56That this whole thing I'm doing
18:58is misguided and narcissistic.
19:00What?
19:01Sonya, why would she say that?
19:02You know, she's never liked me.
19:04And, apparently, she has a thing for you.
19:09Okay, you might want to just go easy on the medication.
19:11I had another memory where I heard her talking about it.
19:16I guess I never told you?
19:18Uh, no, no.
19:19And I kind of wish you didn't tell me now.
19:21You're my chief resident, right?
19:22Don't you want to know if one of your third years
19:24is trying to undermine?
19:26You know I love you, right?
19:30Hey, what is it?
19:32What's wrong?
19:34I just remembered you telling me you love me
19:41in the parking garage?
19:44Yeah, yeah, that was the day of your accident.
19:52You're really starting to have a lot of memories.
20:06Well, this is a pleasant surprise.
20:08I figured you and Nora could use a home-cooked meal,
20:12judging by all the DoorDash you ordered this last week.
20:14Hey, if you're gonna judge, you can get your own account.
20:17And pay for food myself.
20:18Pretty sure that's child abuse.
20:20Is that who I think it is?
20:22Hey!
20:23How are you feeling?
20:24Oh, I couldn't tell you.
20:26I'm too tired.
20:27Is someone cooking?
20:28You try looking a little less surprised
20:31than I'll throw dessert into.
20:33Plus, I was hoping if I fed you,
20:35maybe we could talk about my senior project proposal.
20:37Oh, my God.
20:39I forgot to read it.
20:40Oh, that's my fault, sweetheart.
20:42I had him pull a double shift last night.
20:44Lucky for Dad, Bolognese takes time,
20:45and I brought a hard copy.
20:47I'm on it.
20:50What did Mom think?
20:51Um, she hasn't read it either.
20:53She's been kind of busy with her TMS.
20:55She's back to that?
20:56What's TMS?
20:57She didn't tell you?
20:58She got a few memories back.
21:03Uh, no, she didn't mention it.
21:05Of what?
21:06I guess she got some at the hospital with that cop,
21:08and then some more a few days ago,
21:10something about a restaurant.
21:16Ah, this rounds on me.
21:24Claire, I know you asked for privacy,
21:26but it's time to do your labs.
21:31What the hell is going on?
21:32I just wanted to help.
21:37You had your injection couriered from Mexico?
21:41And who is this?
21:42A friend and a nurse practitioner.
21:45Have you ever performed a lumbar puncture?
21:47I've assisted on several.
21:48Okay, put the needle down.
21:49Step away from my patient before I call security.
21:51No, no, wait.
21:53Just close the curtain and give us ten minutes.
21:55You don't want to help me?
21:56Fine.
21:56But do not get in the way of the only hope I have
21:59to hold my life together.
22:00Claire, an improperly administered injection
22:02could leave you paralyzed.
22:05It could kill you.
22:05I don't care!
22:07You stop this.
22:08I'll try something else.
22:10But I am not going back to the way things were.
22:12Do you understand me?
22:22Give me this panel now.
22:30So, before your clinical rotation started,
22:32you spent your summers doing internships
22:34at NIH and Mayo.
22:36Bit of a overachiever, huh?
22:38I just did what I had to do.
22:40I mean, I worked my ass off for that med school scholarship,
22:43but most of the people I'm up against went to Harvard
22:45and Yale, right?
22:47Yeah, yeah.
22:47That why you got here today five hours early?
22:49Too eager?
22:50No, no, never.
22:52And it looks like you made the most of Case Western,
22:56summa cum laude, Alpha Omega Alpha,
22:58and a publication and circulation journal.
23:00Yeah, that's why I stayed on a few extra months.
23:02I was doing research on aortic bowel stenosis.
23:04Wanted to see it through.
23:05Then when this position opened up off-cycle,
23:07it felt like kismet.
23:08Why is that?
23:10Oh, well, my father used to work here.
23:13He was an attending in this department, actually.
23:16I'm kind of following in his footsteps.
23:18Clark, as in Brian Clark?
23:20That's him, yeah.
23:21Wow, okay, yeah, I only met him a few times,
23:23but he always seemed like a great guy.
23:26I was very sorry to hear that he passed.
23:29Yeah, way too young.
23:33Look, I know you've been here since like 9 a.m.,
23:35but if you can stay a little longer,
23:38I'd love for you to meet Dr. Ridley.
23:40Wait, are you serious?
23:42Yeah.
23:42Oh, my God.
23:44Thank you.
23:45Well, don't thank me quite yet.
23:47I'm just a good cop.
23:53Have they started?
23:55No, no, why?
24:03What's going on?
24:04Secondary labs came back.
24:05His prothrombin time is through the roof.
24:07You operate now, he'll bleed out.
24:09Why isn't his liver functioning?
24:11This can't all be from the infection.
24:12No, we must be missing something.
24:16Can you track down the records from his original amputation?
24:19The name's Kevin Cross.
24:21No, I heard you the first time, I'm just not seeing it.
24:23I don't think we ever treated him.
24:25That can't be right.
24:26Anyone injured in Afghanistan would have went to Ramstein.
24:28It would have been March 2013 of BKA.
24:31I don't know what to tell you, man.
24:33According to my records, Kevin Cross was never here.
24:35Sorry, I gotta go now.
24:42120 over 81.
24:43That's good, right?
24:45No headache, vision changes, any numbness, tingling anywhere.
24:49I'm fine, really.
24:52Well, the good news is your transaminases are leveling off.
24:55I added a fresh frozen plasma to help your clotting.
25:00Look, I'm sorry.
25:01Okay, I know that I put you in a bad position.
25:05You did.
25:15Thanks, Elise.
25:16Hey!
25:18How'd it go in there?
25:19How did she take the news?
25:21Oh, yeah!
25:22As well as could be expected.
25:24But Dr. Walker has found a group at NYU
25:27launching an autogalus stem cell trial for MS patients.
25:31You're bleeding.
25:32Oh!
25:34Oh, God.
25:37Uh, excuse me?
25:41Amy?
25:42Uh...
25:43You okay?
25:45Found what we're looking for.
25:46Turns out Kevin wasn't in Afghanistan at the time of the accident.
25:49What?
25:50Why would he lie about that?
25:51Any number of reasons why a soldier might not come clean about where he was stationed.
25:54Point is, his operation wasn't in Germany.
25:57It was in Georgia.
25:58And that matters because?
26:00They also replaced his hip.
26:01Now the hip's asymptomatic, but arthroplasties can degenerate into metal on metal.
26:05And 12 years ago in Georgia, they would've used a cobalt alloy, not titanium.
26:10Cobalt toxicity would explain the fistula, infection, high PT.
26:13He has metallosis.
26:14Good catch, TJ.
26:15I just hope we're not too late to fix it.
26:20Double shot.
26:21Yeah.
26:21Not a minute.
26:23What can I do for you, John?
26:26I wanted to talk to you about Amy and the treatment protocol you have her on.
26:29I don't discuss my patients or their treatment protocols.
26:32Are you aware she's having nosebleeds?
26:34And her ID badge scanned the pixis for multiple doses of naproxen today.
26:38You're surveilling her pixis access?
26:40It's my job to know what's happening with my staff, not just be your friend.
26:45Headaches and nosebleeds aren't uncommon for TMS patients.
26:48Well, they're not particularly desirable in doctors.
26:51She's doing what she needs to do.
26:53Come on, let's get real.
26:54I think we both know that memory recovery is a pipe dream at best, but at worst,
26:59it'll make her emotional, irrational, distracted.
27:02So if she's really trying to get back to where she was, you're not doing her any favors.
27:06There you go again, acting like you know what's best for her.
27:09Well, guess what?
27:09It's not up to you, and it never was.
27:12You're the only one who doesn't seem to get that.
27:25Welcome back.
27:26Dr. Brandt said the surgery went well.
27:28Turns out your hip replacement was the culprit, but he fixed you up.
27:33And the necrosis in the stump wasn't as widespread as we feared.
27:37Which means the revision was minimal.
27:39Your knee's still intact.
27:41Wait.
27:42Really?
27:45With physical therapy and a new prosthetic, it'd be good as new.
27:49Let me change that for you.
27:52You really think this one will be different?
27:54I hate to be one of those annoying doctors with their promises, but yeah, I do.
28:00Well, then I guess I owe you an apology.
28:04No, man.
28:05I think maybe you were right about me.
28:09My whole life I've been a man with a mission.
28:11Son of cops, military, med school.
28:16Until last week.
28:18You took a bullet on the job.
28:20And became just another thing my friends had to worry about.
28:25Now, I'm out of commission for God knows how long, and I keep replaying it in my mind.
28:31Asking myself why I jumped that guy.
28:33What is it I'm so desperate to prove?
28:36I don't know.
28:39Maybe I do have a hero complex.
28:41I was just being bitter, and I am the last person who should make you doubt yourself.
28:50My whole life I've been a waste of space.
28:54Pissed away my 20s.
28:55Joined the military at 31, hoping to find some purpose.
29:01Never you made it out of basic.
29:07I mishandled a grenade.
29:09Blew my own leg off.
29:11I wore the uniform for six weeks, and what do I have to show for it?
29:18It doesn't matter how long you wore the uniform.
29:20Most people are never brave enough to put it on.
29:23You remember that, next time you feel anything other than proud.
29:28I can try.
29:34Hey.
29:36You know what, let me do this.
29:37It's my turn anyway.
29:39Don't argue with that.
29:40I'm sorry, I haven't been much help today.
29:43I wasn't expecting Katie to come.
29:44I love having her here.
29:46It's Amy being here I could do without.
29:49Come on, I think that's unfair.
29:51So that phone call you had earlier today had nothing to do with her?
29:55This should be our time, Michael.
29:57I know, and it is.
29:59I think we can both agree her memories coming back must be destabilizing.
30:03For her or for you?
30:06You should have seen the look on your face when Katie told us.
30:08I'm not allowed to have complicated feelings about my ex-wife remembering the worst years of our lives.
30:13Wow, so now our marriage is part of the worst years of your life.
30:15You know that's not what I meant.
30:17Just tell me this.
30:18What exactly are you afraid of?
30:19Because I think that you're scared that she'll remember why she left you and then she won't be pining after
30:23you anymore.
30:24No, that's just not-
30:40Hey, I love you and I meant what I said at the hospital.
30:44I'm in this.
30:57Claire, have you been up and about?
31:03Dr. Larson?
31:04Uh, I haven't- I haven't left the bed.
31:06Why?
31:07Are you having chest pain?
31:08Uh-uh.
31:10How about palpitations?
31:12Nausea?
31:13I'm just a little dizzy, I guess.
31:16Is anything wrong?
31:17Your heart's acting up a bit.
31:18I'm gonna settle it down.
31:23Crash car, what's going on?
31:25I could use your help in here.
31:27Claire, this is Dr. Howler.
31:29He's gonna help stabilize your rhythm and fix that dizziness, okay?
31:32Hey, Claire, how long have you been feeling this way?
31:34Just a few minutes.
31:36I'm gonna start proprapinol.
31:37Do you have any history of heart problems?
31:39No, none.
31:41Uh, complication from hepatitis.
31:44It's not from her hepatitis.
31:46I injected her with intrathecal stem cells about an hour ago.
31:49It's probably from a fluid bolus in PrEP.
31:52You gave her a non-FDA drug treatment set from Mexico.
31:59Claire, she's VTAC.
32:03Charging to 200.
32:09Clear.
32:27Oh, wait.
32:27I can explain.
32:28Stay with your patient.
32:29Get a beta-block drip going and a full loading dose of amiodar on board,
32:32and then you monitor her blood pressure.
32:33She's not out of the woods yet.
32:35Neither do you.
32:39What are you going to do next?
32:47krótskf2
32:48.
32:48How cars has eaten with Spray,
32:49?
32:49I'm away from KA-ER?
32:55I'm an idiot.
32:56Il y a un peu comme ça.
32:57Tu sais, il y a un peu, excepté...
33:01Les yeux, elles sont tous les Nora.
33:03Entre toi et moi, je pense qu'il y a Nora's lungs, aussi.
33:09Je sais comment vous êtes heureux, mais je suis sûr que c'est aussi vraiment difficile.
33:14Pour vous aussi, non ?
33:17Je pense que Nora est vivant dans un grand shadow.
33:23Je devrais avoir entendu vous arrêter.
33:26Qu'est-ce que c'est ?
33:26Nous sommes juste venus à l'entendre, c'est tout.
33:35Une partie de vous, c'est toujours mon père, non ?
33:46Une partie de moi toujours.
33:55Je pense que j'ai donné la peur, je dirais.
33:59C'est bon.
34:01Est-ce que ça va me déqualifier de la trial ?
34:04J'ai parlé à Dr. Rodriguez, et il a décidé de garder vous en,
34:08de l'entendre à l'entendre.
34:11C'est bon.
34:15C'est...
34:15C'est...
34:16C'est...
34:17C'est...
34:19d'acqu'est bon.
34:24C'est ...
34:25...
34:25...
34:26...
34:26...
34:35C'est...
34:36...
34:36...
34:42Just make the most of it, yeah?
34:48So that's it? All's well that ends well?
34:50You don't understand. Those treatments were saving her life.
34:53You were lecturing me earlier about how I'm chief resident.
34:55Tell me, how do you expect someone in that position to keep quiet about this?
34:58Then go report me to Joan.
35:00I'm not going to do that. And you know that, which is part of the problem.
35:03Because you still love me.
35:11I will never do that to you again.
35:30I asked you to stop this.
35:32I do remember that.
35:35Sorry.
35:38Okay, you don't look sorry.
35:40No.
35:43How do I look?
35:57You out of here?
35:58And not a second too soon.
36:00Before you fly the coop, Joan wants to see the whole department.
36:03She's calling in all hands at 7 p.m.?
36:05Mm-hmm.
36:06Damn, this woman is no joke.
36:08I'll help you with your stuff.
36:13You knew, didn't you?
36:15About Kevin.
36:18So, when I asked you why somebody would lie about their injury...
36:22Wasn't my story to tell.
36:24Well, for what it's worth...
36:27I don't think you have a hero complex.
36:28I think maybe you're just a hero.
36:33I'll be damned.
36:35Sonia Matra has a soft side.
36:37Mm-hmm.
36:39Don't tell me you're sneaking out of here without saying goodbye.
36:41Nah, the new chief wouldn't allow that.
36:43But hey, thanks for the nudge today.
36:46I'm glad I talked to Kevin.
36:47Yeah, well, I find, in my experience, the best way to get out of funk is to be of service
36:51to someone else.
36:52I don't know if I'd call it a funk.
36:55Please.
36:56What?
36:56What matters is Kevin's going to be okay.
36:59And I will, too.
37:00Happy to hear.
37:02Do you need a ride home tonight after the meeting?
37:05Headed that way.
37:06Thanks.
37:06But my parents are coming to get me.
37:09Appreciate it, though.
37:10Yeah.
37:11Anytime.
37:16Florence Nightingale never offered me a ride home.
37:37Whatever it is, you're strong enough to fight it.
37:40And I'm here.
37:45It's, um, it's, it's, it's home to us.
37:51So there's a good chance it'll turn into leukemia.
37:56Then we'll cross that bridge, okay?
37:59Sorry.
38:02I know it's not what you want to hear right now, but if it gets bad and you start to
38:08experience deficits, you, you can't perform surgery anymore.
38:16That's a hell of a bedside manner you've got there.
38:19Look, I'm just saying that you can't operate if your hand's shaking.
38:24I would never do anything to jeopardize a patient, and I don't need you to tell me that.
38:31You want to see us?
38:40I wanted to talk about Claire Pinto's spontaneous ventricular tachycardia earlier today.
38:51She didn't tell you that either.
38:53Well, it's a rare complication of hepatitis.
38:55Very rare.
38:57More likely, it's an adverse reaction to an intrathecal shot, which happened to occur just hours after a courier signed
39:03in a package from Mexico to Claire.
39:05I think we all need to stop assuming the worst.
39:08Do you deny giving that woman the shot?
39:14Let me put this plainly.
39:17Your ex-husband is the CMO.
39:20Your boyfriend was your chief resident, and your best friend is your neurologist, which means you've been given too wide
39:26a birth.
39:26What you've accomplished since your accident is remarkable, but I've been reviewing your cases, and your behavior is concerning.
39:34You're reviewing my cases?
39:36Yes, of course.
39:37You know I have always taken pride in your success, but you took advantage of our friendship today.
39:43And let's be clear, kiddo, you're still auditioning.
39:49Now, if you'll join me in the IMO, I have a few announcements to make.
40:00Nosebleeds, naproxen, an IT injection from Mexico?
40:03Why am I hearing about that from Joan?
40:05It was a pretty busy day with patients.
40:07I was going to tell you.
40:09We need to slow down your treatment.
40:10No, Gina.
40:11No.
40:12It's working.
40:13I had two new memories today.
40:16I'm not saying we stop.
40:18But if we continue the TMS, we do it my way.
40:22Slow, steady, no secrets.
40:24We clear?
40:25Yeah.
40:32Oh, my God.
40:39Sous-titrage Société Radio-Canada
41:32I'm about to make your day.
41:34My dad's plans fell through tonight, so he can't use his floor-side tickets to the Timberwolves game.
41:42Um, that sounds great, but I got, I got Mia.
41:45Oh, I, I thought it was Rachel's, uh, turn.
41:52Never mind, some other time.
41:54Yeah.
41:55Okay, I think we have a quorum. Let's get started.
41:58First, uh, I want to thank you all for a great first day.
42:03From what I've seen so far, I can work with this.
42:06We have a talented group, and I'm excited to captain the ship.
42:10I know that there has been some disarray in this department and some issues with leadership,
42:15but make no mistake, I am here to make this the best hospital in the country.
42:21And that starts with making each of you better.
42:24With every patient, every day, we will be smarter, more efficient, leaner and meaner.
42:33In two months, there will be an official evaluation.
42:36Some of you will not survive it.
42:40If that scares you, good.
42:43It means you want this, and for the best of the best, fear is a motivator, not a deterrent.
42:49Now we will see who rises to the challenge and who doesn't.
42:55See you all tomorrow.
43:06See you all tomorrow.
43:38See you all tomorrow.
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