01x04 - Episode 4

[bunniefuu]

Difficult choice: cucumber or zucchini?

You have something here.

What about Garnier, Sandrine?

Conscious, he could be extubated
and started kinesiotherapy.

Frontal syndrome: breathes.

Okay, move to the ward.

New patient: 63 years old,
unconscious, brain haemorrhage.

- Anything else?
- Not with me.

The surveillance room?

Patient with fever: quinine 150 mg,

temperature stable.

Freitas: still needs ventilation.

Laurin: Clear improvement.

Said?

The patient is still in the
operating theater. We are waiting.

Lazare? Room Four?

Unsuccessful attempt to
switch to non-invasive ventilation,

the patient was observed.
Besides... nothing.

Nobody has any comments?
Nothing to add?

All right, let's go to work.

Someone might have ordered coffee?

Information for the three of us.

There are no beds available in
neurology, so ICU sent us guests from TIA.

Alyson, where were you yesterday?

I left.

I asked to be transferred,

because I was afraid that we would not
get credit without the internship tutors.

But I understood that I
prefer to work with you.

Adorable. Meanwhile,
we had to treat your patients.

Sorry.

Yet this.

And you, Chloe?

ICU, internal medicine, or both?

I told you, I can handle it.

Take that d*ck.

She has been extubated and
breathing on her own since yesterday,

we gaver her zitromax
and wait for a donor.

Not on the priority list?

Yes, but it has B Rh minus,

so it won't be easy
to find a liver for her.

In addition, it has a lot of burden:

numerous suicide
attempts, drug addiction...

I know, she was with us.

Excuse me.

- It's me.
- Wait a second.

Instructions?

Increased vigilance and
constant contact with the team.

Good luck.

Be right back.

I'm sorry, I couldn't talk.

- A celebration?
- No, I'm working.

So, did you admit patients from the ICU?

It's only five people,
the lightest cases.

- No philosophy, I'll get it.
- We agreed otherwise!

You're hurting the squad!

It's Wagner's patients, let
her f*cking worry herself!

Chloe, when will you start to
listen to what is said to you?

I can't burn bridges with her.

Only she matters to you?

You know you won't be back in the ICU.

With your heart...

It's not so simple.

How was the visit to the cardiologist?
What did he say?

Everything okay?

Perfect.

He says the valve is working
fine and my heart is doing great.

So lucky.
But take care of yourself.

That's why you switched programs in med school.

- I need to get back to work.
- Wait!

It's a pity you didn't stay
yesterday, it was great.

Mr. TIA has passed.

This means that a clot has
formed in the brain which...

TIA is a transient
ischemic attack.

A clot forms and disrupts
the circulation in the brain.

Short-term. Hence "transitory".

We're going to do some research.
First, the EKG.

There is no need to worry, it is
about finding the causes of the attack.

First semester huh?

I am a dermatologist who trained here as well.

so you don't have to
waste time translating.

I know the procedures.
EKG, angiography and all that.

Do you like what you are doing?

Yes.

I feel it. Well, get me
on my feet quickly.

We will try to.

See you soon. On the EKG.

Have a nice day.

Enjoy reading.

- Who wants coffee?
- Please.

I like such a kick in the morning.

You'll see, you'll
get it to the night.

Bernard will be pleased.

Its tonight.

You forgot the prescription
for four hundred four...

- But no.
- But yes.

Okay, I'll send it right away.

Chloe, the new gender-corrected
patient is still waiting for a test.

We have a new one?

Didn't you read the message?
It was written down centuries ago.

I'll look at him.

I'm sorry, you can't
drink our coffee.

You didn't contribute.

I understand, but we
ran out and didn't order...

It is not done.
You didn't even ask.

They don't have coffee in the cafe?

Six euros, enough for the filters.

What is she thinking?

Can I have some of that?

Help yourself.
It's from the wife of the dermatologist.

Nice. Cool grandmother.

What did the coronary angiography show?

Significant stenosis of
the right carotid artery.

Can I say something?

It's about yesterday.

- I acted like an idiot.
- Nothing happened.

It is not in my style.

Can we forget about it?

Make an agreement that
this was not the case at all.

- Agreed?
- Sure.

Why are you back?

Mrs. Legrand's lymphoma.
It gave me a headache.

I didn't know what to do.
I wanted to escape. I got confused.

And you got lost?

Admit it, you were strong.

And Arben? You didn't kiss him.

What are you talking about?

A story with Drobert.
He was even stronger.

I started the sex change
two and a half years ago.

I mean hormonal treatment:

sustanon injections
every three weeks.

The changes appeared
surprisingly quickly.

Especially the facial hair.

Then my voice lowered.

People started treating
me like a teenager:

they used the masculine
form and talked to me like you.

It was actually fun

but testosterone also
caused a certain nervousness,

which was quite difficult.

So I changed the dosage: instead
of every three weeks, every four.

And to be honest, I'm
ashamed to be here.

Never mind, I see you
are not interested in that.

I'll examine you right away.

I see that you are not
interested in my story.

I was signed up to Dr. Simoni.

I think it will be better

If I talk to him instead of you.

Did you repeat the Mauger's EKG?

Yes.

AND?

Everything is fine.

Have you called a neurologist?

Hey, I think I can get an
EKG and call a neurologist.

I can do without you.

I will not turn to Hugo and Alyson...

They have no experience.

And Chloe... I still don't
know if she's with us or not.

No problem, I'll take care of it.

Besides, I'm not very
skilled in dressing burns.

I am afraid that I will inflict
unnecessary pain on the patient.

Usually Jonathan
does it, but now...

To the point, Martine.

Second degree
burn, entire forearm...

Have you dealt
with such injuries?

Yes, I've seen them.

- But you didn't bandage?
- No.

Will you consult?

The lady asks for a doctor.

I am the partner
of Philippe Mauger.

Thank you for the
chocolates, that was nice.

What chocolates?

Didn't you talk to your friend?
Handsome intern.

What's going on in this ward?

We asked to be transferred to Lilas

and nobody bothered
to send the documents.

It seems we got an application...

I think!

Let's check together.

I called the burns unit

recommend flammazin
and a hydrocolloid dressing.

Who is coming with me?

Marie-Rose?

Okay, I'll go.

I will not hand over the poor
man to the hands of young nurses.

- Thanks.
- It's nothing.

- Hey, where are you going with that?
- Until 109. I'll give it back later.

Female, 30 years old,
mitral valve regurgitation.

Operated in October,
she recently started work.

She trained judo, could she
not come back to that?

I would have to see the patient.
Pictures alone are not enough.

Nothing comes of this.
Will you send herto me?

Well. Thank you.

See you soon.

All right?

Give me more morphine?

No. Blot out the pain with singing.

Will you take over?

You do it.

You have a better hand.

Flamazin.

Well?

I would forbid it.

- Judo?
- Everything.

For sure? The woman
is strong, athletic.

- It doesn't change anything.
- How's that?

Rest, return to work,
and finally judo - maybe at some point.

And let her not count on
a return to her former skill.

Ten percent of patients
live normally after surgery.

With a mitral valve
it's one percent.

Let's not play with statistics, I
would like to tell her that it's possible.

Sure it's possible.
Miracles do happen.

You can sail across the English
Channel without arms or legs.

But this is an exception, not the norm.

Thank you.

Don't give her any false hope.

What year are you on?

Third year.

Marcel is on duty with you today.
You'll see, everything will be fine.

Alyson, will you cover the patient
for gender reassignment in your spare time?

She's depressed.

Good luck.

Everyone is afraid
of the first night,

but take it easy,
everything will be fine.

I know, Martine. Thanks.

- It's me. What's up?
- Everything's fine.

It's about a visit. Should I cancel?

What visit?

That apartment on Val d'Or.

You obviously
don't want to see it.

Excuse me.

I really try my best.

I'm trying to help you, but I
don't know what you really want.

It's like, cancel or not?

Are you listening to me? Cancel your visit?

Can I call you back in a moment?

Thanks. Kisses.

Manuel?

Will you play with us?

Alyson, you are needed
on the ward - unit four. It's urgent.

I'm going.

Hemi-paralysis. Zero contact.

I'll call Chloe.

It's your call.

Mr. Mauger?

Please shake my hands.

Please squeeze!

Would you please blow your cheeks?

Can you hear me?
Puff up your cheeks, please!

Collect blood, apply
oxygen, and make an X-ray.

Radiology is not on call.

But there are interns.
Get me somebody.

Fast. And put on the oxygen.

Mr. Mauger? Can you hear me?

This is an internal medicine unit.

We need a radiologist, we
have a suspected stroke.

Immediately.

Mr. Mauger, I am touchng you.

I am stabbing your hand. Do you feel it?

Yes? Well.

And here?

You don't feel here. Not here either.

And here?

- What did they say?
- They'll come.

Reveal him.

Mr. Mauger, can you hear me?

Get him blood, damn it!

Unfortunately, it's a hemorrhagic stroke.

So there is nothing we can do?

Nothing.

You were waking me unnecessarily.

They sent us another patient,
even though we have a outbreak:

one intern comes and goes,

the other- half of the time
she spends on the ICU.

- I know, Arben.
- We need backup.

- I get it.
- So it's not enough.

Got a solution?

Abolish the quarantine.

I would like to, too.

So why not?

I stand on my
head to relieve you;

to find money for
salaries and replacements.

It was not me who introduced the
quarantine, but the Ministry experts.

They know their stuff.
Let's trust them.

And you have this situation in hand.

Admit it. You prefer
the living to the dead.

Mr. Mauger!

Can you hear me? Where are we?

Do you feel the pinch?

Do you feel pain

I sat with him
all night, but...

You did everything right.

Although from the photos
you can see that it did nothing.

He needs to be sent to neurosurgery.

In this state?

Difficult choice:
cucumber or zucchini.

Don't worry, he doesn't understand.

That's for now!

Did you increase the heparin?

No, I'm waiting for the results.

Hey - a quick word?

I'm not hungry.

Eat, you're pale.

I am always pale. To a point.

I have to get something out of the
way, I won't be back before eight.

- You gotta jump out?
- Yes.

Can I?

Sure OK..

Can you handle it?

What will you do after quarantine?

In what sense?

Will you complete your
internship here or return to the ICU?

Why do you ask?
You don't have it.

In this situation, there is nothing
general practitioners can do.

That is why we will transfer
your husband to neurology.

For neurology?

Do you have Mr. Pater's card?

Please don't worry.

The most important thing is that your
husband's condition has stabilized...

Will he come out of it?

Of course. His condition will improve.

- May I ask youa question?
- I'm talking here.

It is important. Forgive me.

Excuse me. Be right back.

- It's not his wife.
- Who?

This woman.
This is not Dr.Mauger's wife.

- Sure it is.
- No.

Are you alright?

You are on duty all night,
tired and sleepy.

Maybe you got it wrong?

Don't make me crazy.
That's not her.

- How are you?
- All right.

Do you know Mrs. Mauger?
Wife of a guest with a stroke.

Yes.

Maybe I'm going crazy

but I saw Hugh talking
to the other Mrs. Mauger.

- Another.
- I know.

- He has two wives?
- Yes.

How the hell....?

One comes in the daytime
and the other in the evening.

Normal.

- What's up, are you on vacation?
- No.

I asked at the ministry.

They keep us in quarantine because
it is an unknown tropical virus.

Do you think they know
what they're doing?

Good thing I don't have
to answer that question.

I am glad that I am
not in their place.

In my opinion they are
exaggerating the risk.

- Are you a virologist?
- No.

I know. What would you do if you
were dealing with an unknown virus?

You see for yourself.

Rely on professionals.

We only have to sign
the overdue reports.

Fabrice still working in Cochin?

Why didn't you let us autopsy him?

We'll meet with the virologist,
you can ask him yourself.

You know him?

Yes, great guy.
Like everyone else here.

Only this case is not urgent.

You would talk differently
if you were in our ward.

You know it's not for us to decide.

Can I get a drag?

I'm a dummy : the patient
lives with two wives.

And so formore than twenty years.

What do we do with the second wife?
We notify her?

I do not know.
It would be proper to ask the patient.

Him? Now? Now he is more a
zucchini than a cucumber.

So what? Has he got better?

It got worse.

Zucchini is better than cucumber.

Worse.

Better. It grows higher
and has beautiful flowers.

And the cucumber will cover the ground.

Then he is closer to a cucumber.

Anyway, I doubt if he
remembers that he has two wives.

Do you think

How do you think you can
love two people at once?

Let's get back to work.

What do you want to know?

It is said to be an
unknown tropical virus.

Correct. Arbowirus
from the flavivirus family.

The ones with yellow fever.

Interesting case. I will devote
an article to him. It's cool.

Very.

Now that you've made it clear it's a
virus, why do you need quarantine?

Because we don't know
how the infection proceeds.

Whether the patient was infectious or not.

You don't know?

No. But probably not.

Then why don't you
lift the quarantine?

Because I am not absolutely sure
if there was an infection after all.

Nobody will take
this responsibility.

Better to wait
for it to be known.

So this is the
precautionary principle?

You decide if the
patient is infected or not,

the disease is serious or
not, and we don't have a clue

and we are grappling
with a real threat.

I don't understand this logic.

It's not about logic.

Give povidone iodine.

Alyson - s your Mrs. Mauger a tall,
bitchy brunette with heels?

Yes.

Damn - she's here!

And mine is sitting in the room
with my husband! They will meet!

Finish it yourself.

Sorry, I have to ask you
to leave, visitation is over.

Why? It's not over yet.

Today the visit is until 5 pm.

May I know what happened?

Of course. I called
the radiologist on duty,

who wanted to consult with
a colleague from the ward,

so he called and they talked.

To the point. Where is he?
Can I go to him?

No. We called, he took
the day off. Some holiday.

I'm not asking for the radiologist,
but for Philippe Mauger.

You cannot go to him either.

He is very tired. Maybe later.

Are you kidding me?
I want to see him!

All right, let me show you. It's there.

He was lying in the hall at the end of the corridor.

Correct. Over there.

Enough of these jokes!

Wait a minute, I'll go first.

- Is that Valerie?
- Who?

Philippe's second wife.

That's why you tried to ask
me to go? No need, I'll wait.

Do we have it right? It will pass?

There is a chance for improvement.

You may consider going home,

but this will require
specialized equipment and time.

The problem is that
my place is quite small.

Plus three floors.

It would not be easy to adapt them.

Valerie, on the other hand, has a
one-level apartment with a large terrace.

It would be more comfortable there...
with a wheelchair...

You're exaggerating, my
terrace is only 12 meters.

On the other hand, you live one step
away from the rehabilitation center.

How long will rehabilitation take?

Couple months.

You see for yourself!

Philippe said you
took early retirement.

You'll be available, now.

It will be better this way, right?

So how will this go?
Which of you ladies takes him?

Chloe, this is Arben.
I'm sorry, I'm a little late.

The subway stopped.
I'll call you when we move.

Have you introduced combination therapy?

I added bactrim because it
doesn't respond to zitromax.

Temperature still not dropping.

What dose?

- Go, they need you.
- Can you do it?

Thanks.

"You have taken
early retirement,

you'd better take care of him.

Did they know about themselves?

Maybe one of them accompanied
him to his lover like a child to school?

I feel sorry for the poor man.

The poor man? The guy is lucky:

he is looked after by two
nannies at the same time.

For a change.

Hugo, Alyson, can I ask you?

Sir...

Please tell me how does it hurt?
On a scale of zero to ten?

A moment ago it was nine.

- You have to increase the morphine.
- He already has a pump.

- What does Arben say?
- He's not answering.

I'll look for Chloe.

How can I help? Arrange it differently?

This is Chloe, will you bring Pierre?

Blood needs to be drawn.

It's about the burn case. He suffers a
lot, we don't know how to help.

Will you take the blood for testing?
I can't wait for the nurse.

Dr. Simoni forbade dealing
with patients from the ICU.

Relax, I won't talk.

What did he get?

Morphine. And a benzodiazepine.

Let's try the ketamine.

We'll give you ketamine, okay?

It brings quick relief.

You can go and you can handle it.

Change the dressing
and I'll issue a prescription.

Be careful...

See you tomorrow? If you
don't run to another hospital.

See you tomorrow.

- What happened?
- Trains are not running.

What is anger about, Nathalie?

But I am very calm.

What went in your
head to say I sent you?

Thanks to that, they let me
see a virologist from the Institut Cochin.

Have you been to the institute?

The unknown virus is no big deal,
thousands of them fly in the air.

They agreed with me. An
unmanned hospital is more dangerous.

Who are you?

You have no idea about my work
and are you trying to lecture me?

Damn - you are forgetting your place!

I know my place!

Really? Your place is
with Genton in the mortuary.

Enough of this sh*t, okay?

An hour ago, her condition worsened.

Fever, hypotension,
kidney failure,

three times the
level of creatinine.

I do not know what's going on.

Sugar?

Normal.

Sinus rhythm disturbances?

Fast alpha waves.

Too high or too low potassium?

No. I don't know, I'll check.

I have the results. Normal potassium.

Give her amiodarone.

You will not come?

Wagner has been up for 48
hours, I have to change her.

I'll try to send someone.
Give her amiodarone and call back.

You got it.

Amiodarone - two ampoules intravenously.

Offense alone is not enough.

You are hopeless.

How is this possible?

Simple: I have three brothers.

I'm an only child.

They got the metro system back. I'll go now.



Liter of saline.

Marion, if you can hear
me, open your eyes.

Look at me.

Can you hear me

- Did you come from Fiamma?
- Yes.

- Still busy?
- Yes.

The patient has supraventricular
arrhythmia, fever and hypotension.

It's Lazare.

Supraventricular arrhythmia.
Rush. Negative pressure.

Glasgow: seven.

Oxygenation: 80.

- The BP is dropping!
- I will intubate!

- Lazare - don't stand here!
- I'll get out of the way.

- Sedation?
- Wait a minute.

Come on!

OK done.

The tube is ready.

Pass the probe.

She's in.

You can clamp.

Everything is fine. Working well.

Raise her head.

All set. Thank you.

Ventricular tachycardia!

Paddles!

I'm getting ready.

Ready - on 4!

Stand back!

Again. Stand back!

Third attempt! Stand back!

She's in cardiac arrest!

One milligram of adrenaline and a massage!

Ready.

I'm giving adrenaline.

- Did it go?
- Yes.

OK - let me take over?

Please, Marion.

- What now damnit?
- Repeat the adrenaline.

One milligram.

Adrenalin!

I'll go now.

- Give you a lift?
- Thanks, you don't have to.

See you tomorrow.

Good evening.

It's been like this for 50 minutes.

Come on. It's done.

Come on.

Come with me.

The death took place at 21.53.