02x08 - Scars

[bunniefuu]

You're being pushed out?

I'll find a way to get the board

back on-side again.

Dad's dying, Junie.

I don't know what it changes, so...

That's cold, even for you.

Cardiology. I told you
I wanted to explore it,

but you didn't hear me.

Yeah, well, I'm hearing you now.

- Here.
- You're giving us your car?

I need to purge a few things.

There's a detention order against me.

It's been two weeks.

You said Khaled would only
be in detention one day.

[KLINE]: He could be deported.

Sorry won't be good
enough, Doctor Hamed.

This is your fault.

[BANGING]

[DOOR CREAKING]

[BREATHING DEEPLY]

[INDISTINCT CHATTER]

Mr. Jackson, I have your results from...

Shh. You'll scare him.

- You see him too, right?
- I do.

Good. Then it's not the mushrooms.

[BIRD CHIRPING]

I'll be right back.

The house I bought in Leslieville.

Quick jog to the hospital.

Needs a little work...

Actually, needs a lot of work.

You wouldn't happen to know
a contractor, would you?

Well, my brother-in-law.

He's honest, but he's
also kind of a moron.

- [CHIRPING]
- I'll pa...

There you are.

Try not to move...

So Mr. Lee definitely has gout
but doesn't want to admit it

while Mrs. Watson thinks she
has everything but actually

just has dyspepsia and... you missed.

If you're gonna practice, pay attention.

- Sorry?
- She means me. The vein.

The trick is to get him
to accept a corticosteroid

before he gets a kidney
stone. Arnold, you with me?

Yeah. Right. Corticosteroid.

Why don't you try
tapping the vein, Jake?

- Tapping it?
- Yeah, tapping it.

Like this.

- See?
- Oh, yeah.

She needs antacids and
a bland diet for a few days.

- You got it!
- Hey!

That was exhausting.

No kidding.

Lightweights, both of you.

So I got your text about lunch,

but my sister's actually
coming to meet me.

She is?

Can I meet her?

Sure, okay.

But if you thought learning
how to put an IV was tough,

I mean... [CHUCKLING]

[BASHIR]: It flew that way.

Okay, I gotta go.

How did it even get in there?

- Oh, hey! What's going on?
- Hunting party.

We need something to coax it down.

Coax what down?

The model's an acute care
surgical response team.

It would decrease patient waiting times

and expand the scope of procedures
that we can do in emergency.

Do I want to know what's going on here?

It's a bird. We had it, then lost it.

- Shouldn't you be on rounds?
- What?

I was on my way. We were
just trying to catch it.

For patient safety.

And for our own amusement.

Okay, fun's over. Get
maintenance to handle it.

Sorry about the wait.

Good news: landing on
a wrist to break a fall

usually means a fracture, but
in your case it's just a sprain.

Doc, he looked me right into the eyes.

And I swear it felt like he
could see through my soul.

Who, the bird?

We tried freeing him but...
it seems he's trapped in here.

Or maybe we are.

That might be the mushrooms.

[CHUCKLING]

[HUBBUB]

[GENTLE MUSIC]

[CITY RUMBLE]

Six-month-old with complex
CHD choppered in from Timmins.

Did they say what kind of
congenital heart defect?

No and things can happen
fast with infants, Jake,

so if we ask you for something,
do it no questions asked, okay?

Oliver Campbell, tacky at 280.

Stabilized at the regional
hospital but thought it best

to fly him down considering
his heart history.

Second SVT episode
started as we were landing.

- We lost his line in transit.
- I'm Dr. Hunter,

this is Dr. Leblanc and Jake Cooper.

What's his previous heart status?

He was born with tricuspid atresia.

We adopted him at 2 months
when he was still in the NICU.

TA means the tricuspid
valve is missing or malformed

and blood doesn't flow correctly.

Any episodes of supraventricular
tachycardia before today?

- Nothing like this.
- Most TA patients need

a shunt put in early on,

- has that happened?
- Four months ago.

They did it here. They hoped
that it would hold him over

until he gets big enough for the more
invasive surgery in a few years.

His little heart's been
through so much already.

- It's okay.
- We'll bring his rate down,

try to isolate the cause.

One, two, three.

[CRYING]

[SIREN WAILING]

Malik Lawson, 17 years old,
type 1 diabetes

and severe hypoglycemia.

Blood glucose is 3 millimoles per litre.

Had a glucagon shot en route.

He started slurring his
words then passed out!

I couldn't get him to eat
or drink anything even though

I know it's what I'm supposed to do!

Did you get a hold of Mom and Dad?

We're not related, I'm his girlfriend.

And he's emancipated. We both are.

No, we need you to stay
outside, young lady.

Rhoda, push 0.7 milligrams of adenosine.

You have to shock him?

It's just a precaution in
case the meds don't work.

Veins are flat! Can't get a line.

- Intraosseus infusion then!
- 15 mm/15 gauge needle.

Run that down, Jake.

Use the medullary cavity in the tibia as

a "non-collapsible vein"
when the patient is critical.

- But even in a baby this small?
- Yeah, when we can't wait.

- Will it hurt him?
- He may feel it.

But we're gonna make
it as quick as we can.

- I can't watch.
- Baby, just go.

I'll stay with him.

Dr. Hunter. Rate's 300!

- Syncope. Non-responsive.
- Jake, get on bagging.

Smaller breaths. Thumb and two fingers.

Squeeze on one, release
on two-three, got it?

- Yes.
- And eyes on me.

Locating the tibial tuberosity,

then 1 cm below, 1 cm medial...

I'm in!

Decreased air entry on his right side.

That's because of his kidneys?

Large pleural effusion.
He needs the fluid out now.

60 cc syringe and a spinal needle!

Malik has chronic kidney
disease caused by his diabetes.

- We told you to wait outside.
- And I told you he needs me.

- Joanie, can you please?
- No, I need to stay with him!

It's okay. What's your name?

- Ruby Evans.
- Okay Ruby Evans, I'm Dr. Hamed.

I'm going to use this needle now
to drain the fluids from his lungs.

If you're going to stay, I need you
to take a deep breath

and help him by remaining calm.

Malik, I'm gonna move
your arm above your head.

[PANTING]

[INTENSE MUSIC]

One millimetre to the left...

Can someone please
explain what's happening?

We are giving medication to Oliver

to help reset his heart rhythm.

Okay. One, two.

No change. 1.4 milligrams more, Rhoda.

We thought we were done
after we adopted our third,

but uh, when we heard
about Oli we just...

- We knew that he needed us.
- It's really admirable,

taking on a baby with such
a complex heart status.

It's been really hard for Gary.

He worries so much.

But our little guy is a fighter, right?

One, two.

Give him a second.

[MACHINE BEEPING]

Heart rate's stabilizing.

We'll get him up to CICU.
Mags will take you. Okay?

Actually, I'll be
your resident there too.

We're gonna run some tests
and sort out what happened, sir.

Bruce. Thank you, all of you.

- Thank you.
- Of course.

Good job, little man.

You did it, huh?

There you are, yes. [GIGGLING]

Getting fluid now.

We'll do some blood tests
and get a urine sample

to check his kidneys, then
assess and make a plan.

We already have one. I'm
giving him one of my kidneys.

That's very generous of you but...

there are multiple complex
tests you'd have to do to conf...

We did them already. As soon
as we learned he had CKD.

Have we seen you here before Ruby?

Not here.

We did blood and tissue
typing, and serum too.

The doctors said there's
no way I'd be a match

but they were wrong.

Mal and I are meant to be.

We won't let anything come between us.

Elevated heart rate and a slight fever.

Mr. Garcia, I'm Dr. Curtis.

Yeah, we've met before.

My fiancee brought me
in a couple weeks ago.

That's right, you had that
great story about the...

- the jellyfish, right?
- In Miami.

I got stung and the
first thing I said was,

"Hi, I'm Sam, can you pee on my leg?"

Oh, yeah. You just need to rub
sand on it to mitigate the sting.

That's what you said last time.

What brings you here, Mr. Garcia?

The stomach pains came back yesterday

and then the nausea really hit during

our groomsmen photos this morning.

I remember. You had acute pancreatitis.

It's very rare for a 28-year-old.

We put you on fluids and kept you
under observation for a couple hours.

At least your organs
made an impression, Sam?

Can you just do what you did last time

and then get me out of
here for my ceremony?

It's supposed to be
sunset at Cherry Beach.

Let's see what your
pancreas has to say before

I make you any promises. [SIGHING]

So he's gonna need a cbc,
chem, lft's, lipase, bbg.

- And CT abdo.
- Got it.

You really don't remember him?

I see a lot of patients
for a short period of time.

I'm supposed to remember
all their stories?

Okay, what major life event
happened to me last week?

You got promoted?

I turned 30.

You ate one of the cupcakes.

Marnie Jensen's asthma symptoms
aren't relieving with her inhaler.

She's been fighting a cold,
her chest is congested.

Did a peak-flow test
and she's in the red.

Hi Marnie, I'm Theo.

We're gonna take care of you, okay?

- Action plan, Jake?
- Nebulize with albuterol?

He just gets to guess?

This is a teaching
hospital and he's a student.

But how is she with nebulizer, Mom?

Unless you popped out of
my uterus seven years ago,

maybe call me Shelley?

And the bronchodilator
that works is ipratropium.

- Albuterol gives her headaches.
- That's... good to know.

Jake will set that up
for you right away.

Thank you.

Mr. Kline, it's Bashir Hamed again.

It's been two months since
Khaled was in immigration hold.

There must be some way I can help.

Please call me back.

You're renovating a house?

Did you manage to sell
your place in Sudbury?

No, not yet.

And you still have your rental
for when you go back home?

I know what I'm doing, Bash.

You know you can kick
Malik back to peds.

No, he's 17, I'll stay on.

Hey guys, so I kept
thinking I knew Ruby,

maybe she'd been here before.

This has been running on the local news.

Her mother is a school
board trustee in Etobicoke.

And she reported her
missing three days ago.

So much for being emancipated.

Does that mean Malik isn't either?

Iris checked. He is.

Do we call it in?

She's not a patient so there's
no confidentiality issue.

She's been pretty clear
she doesn't want that.

She's a minor who's
been reported missing.

I think we have a duty to let
her mother know she's safe.

Keep me in the loop, Bash.

Bishop wants to see you.

[GENTLE MUSIC]

So...

this isn't good news.

Ray Grisholm has filed
a malpractice suit

for the events which led to his daughter

having to be mechanically
ventilated for the rest of her life.

What, is he...

I mean, is he suing the hospital? Or us?

All of the above, unfortunately.

He's been given power of attorney

and he's running with it.

I know you weren't there
when it happened, Mags,

but the suit names all doctors who
were involved in Kelsey's treatment.

We took a necessary
action to save her life.

- I took the action.
- All our options were tragic.

I stand by the choice we made.

This is happening because a father...

needs somewhere to put his anger.

What do we do now?

Contact your insurer,

get them to arrange for a lawyer.

Otherwise, your jobs.

Do not let this get into your heads.

Sir, I know this is the last
thing you need right now.

With you fighting to keep your position.

Don't worry about me, Bashir.

Tell me what I can do to manage this?

You can play it safe. Toe the line.

Toe the line.

Everything you do is
going to be scrutinized.

I know it's unfair,

but you already have to be
better than everyone else.

Starting now,

you need to go out of your
way to follow protocol.

No more pushing the boundaries,
no unnecessary risks.

Don't give them any ammunition.

Do you hear me?

Hey, Gary.

Well, he's looking better.

Is Bruce checking in at home?

Did you figure out what's wrong?

Well, Oli has a condition called
Wolff-Parkinson-White syndrome.

It's an extra electrical pathway

that can cause dangerously high
heart rate like you saw earlier today.

You mean it wasn't
just his heart defect?

He has a new thing?

He does, yes.

Can what happened today happen again?

Potentially regularly.

Or never.

Or somewhere in between...

All of this is so much
harder than we realized.

What do we do now?

You digest the information.

I'm gonna talk to Dr. Fisher
and get back to you.

[GENTLE MUSIC]

How long did it take
you to feel settled here?

Should that have happened by now?

I can't imagine...

It's just been so long since
I've had to start new anywhere.

For your nurse
practitioner clinical hours,

will you be leaving us?

Who called about my daughter Ruby?

That was me, Ms. Evans.
I'm Bashir Hamed.

They're actually just
down this hallway...

Ah okay.

Thought you weren't going to call.

Social worker was asking
me about my parents,

then suggested a group home.

You're not going back
to a place like that.

You're not alone, babe, you have me.

Ruby Josephine Evans,

you step away from that
boy right this minute!

Don't upset him! He's sick.

What are you even doing here?!

How can you ask me
that? Ruby, you ran off.

- I was afraid you were dead!
- Well, I'm not!

I can handle myself!

And this doctor tells me
you said you were emancipated

and you want to give away
an organ? Over my dead body!

It's my body, it's my kidney

and I can do what I want with it!

Explain to her I'm the only
one who can help him!

He knows that you can't
make that choice on your own.

Why do you think he called me?

Parental consent is required
for a minor to donate an organ.

But he could die!

You don't know him or
what he's been through!

I love him and I wanna do this for him!

Spend three weeks with him
without a roof over your head

then tell me you love him.
This is foolish!

Just because you got knocked up
by the first guy who looked at you

doesn't mean what Malik
and I have isn't real!

You're coming with me,
we're phoning the police

and you're gonna apologize
for this mess that you created.

If he dies, it's your fault.

[SIGHING]

She's still struggling to breathe.

I know for a fact ipratropium
works for her asthma.

Which made us think
maybe it's not asthma.

How long has Marnie
been fighting a cold for?

Two weeks. It was maybe
four days after she got back.

- Back from where?
- Bali.

With her father.

Would you give us a second?

You always ask about
international travel

with a respiratory illness. What...

Sometimes, it's okay
if I don't know things

because you haven't told
me. But other times it's not.

You keep moving the goal posts on me.

There's also the question
of you making it sound like

we don't know what's
going on with her kid.

Does that mean that we do?

Marnie's X-ray shows
some indication of TB.

But that is news that you have to
dole out carefully to avoid panic.

Do I look like I'm panicking?

TB as in tuberculosis?

It can mimic asthma,

and with Marnie's travel history,

it's something we need to consider.

Okay. What happens now?

We'll move her to a negative
pressure isolation room

while we work to rule it out.

- Your husband, has he been ill?
- We're divorced.

I'll call him. Ask about his boys too.

Jake, can you ask Rhoda
to set up the room?

This is just a precaution...

Do you get a disproportionate
amount of panicky moms,

or are you just not a good listener?

I don't need to be bubble-wrapped.

I'll... I'll let you know
when I hear from the lab.

My hero.

How's the SVT baby?

Ugh. He's so tiny and he's
been through so much already.

How do you deal with that kind of thing?

Apparently by irritating

people with aggressive
emotional support.

[CHUCKLING]

Mags, are you dating my student?

I mean it's not like I'm wearing
his varsity jacket or anything.

- Why, is that a problem?
- It's a bit weird,

but whatever.

I already said yes, Charles.

CT results for Sam Garcia.

Pancreatic abscess.

It's not uncommon after
acute pancreatitis.

He's gonna need the OR for drainage.

So, I guess that means
no sunset wedding?

Is he a candidate for
percutaneous drainage?

Possibly. But either way,

I can't get him in before tonight, so.

Unless we did an endoscopic
ultrasound-guided drainage in emerg?

That's not something we
would normally do, is it?

Not traditionally. But we could

if we had an acute care
surgical response team.

So you want to send
less patients up to OR?

Well, patients who have
been surgically diagnosed

spend hours waiting for
an OR slot. Often in real pain.

Appendectomies, splenectomies, scopes.

All things that we can
handle in a trauma OR.

Your groom would be
a compelling example.

So do I tell him that there's
a chance he's getting married today?

I have to get a radiologist
to agree to do guidance first

and of course, Dr. Singh's sign off.

Interrogate and let me know.

Where's Ruby?

She's with her mother.

I know the plan was to
give you a kidney but...

I don't care about that!
I just want her to be okay.

Malik, we tested your renal function.

And you've lost 90%.

- Okay.
- I'll start you on fluids.

And we'll get you on a transplant list,

but realistically that
could take five years.

So until then I just...

survive.

You'll start dialysis

and it will become
a regular part of your life.

[GENTLE MUSIC]

Where have you been staying?

Friends' couches.

After that, Ruby rented
a room with her savings.

I tried saying no but...

Ruby.

If I were her mom, I'd hate me too.

Look, it must be difficult
trying to maintain

your diet and blood sugar
levels, moving around so much.

I keep up with my insulin.

I know, but our social
worker has resources...

I tried that when I left
home. It was just as bad.

- Malik, you can't do this...
- I don't have to

talk to you about this!

Look, I get you just wanna help

but there's nothing
you can do about this.

Oliver Campbell has
Wolff-Parkinson-White Syndrome

on top of his heart defect?

And this was the first onset of it.

Will they have a decision today?

I assume you gave the
parents the surgical option.

Radio frequency ablation? I...

Not yet, I didn't think I should
raise it without asking you.

It's either that or wait and see.

Well, ablation is risky.

He could have a stroke,
or sustain damage

that could hurt his chances
of open heart surgery later.

A surgery he might not
make it to if SVT events

like the one he had today
lead to sudden cardiac death.

Then you think they should ablate?

I think they need to
know all their options

to make an informed choice.

They're going to ask me what to do.

And you should answer them.

Mags, you lived their reality.

Tricuspid atresia wasn't my issue.

But you know what that
little boy is going through.

What all of them are.

Sam Garcia meets the criteria
for endoscopic drainage.

Taking a liberal view, maybe.

He's still at risk for sepsis,
and necrotizing pancreatitis

always needs
multidisciplinary management.

His wedding's today.

And iif we did it in emerg,
maybe he'd make it?

And maybe Bishop told you
he wants to start operating

in trauma and you saw
a chance to step up?

I'd be getting in on
cutting-edge procedures.

And diverting patients and
therefore funding from OR.

[SCOFFING] You have to be smart.

I know I do, that's why I'm here.

Except this is becoming a bad habit.

You come to me before
you walk into something.

I flag the risks and you do it anyway.

If you don't trust my advice,
don't waste my time.

Hey, about what Bishop said earlier.

Yeah, well I called my insurer

and they put me in touch with a lawyer.

Do they think we could lose our license?

Well, she did say to prepare
for it to take a minute.

And that it's a rite of passage.

But, most doctors come through fine.

I know you're not most doctors.

Look, it's unfair you're
wrapped up in all of this.

Well, I am. I am.

And I'm trying to follow Bishop's advice

and stay focused on
the job. You should too.

[BIRD CHIRPING]

The bird, he's in the ducts.

[RATTLING]

[HEAVY BREATHING]

[DOOR CREAKING]

[PANTING, GROANING]

[WHIMPERING]

- Ruby?
- I think I cut too deep.

[SOBBING]

He's young.

He's only two years younger than me.

But still a student?

I took a couple years to travel.

Nothing wrong with some
real world experience.

Oh. She's defending you. She likes you.

[LAUGHING] Don't get too excited.

She once carried a sock
around for months

telling us it was her soulmate.

I was four! I was four!

And it was a really cute sock, okay?

- [PAGER BEEPING]
- You already have to go?

It's just an update.

Is it the patient this morning?

You should've seen her.

She saved a baby's life.

Yes, she's a force of
nature and always has been.

- Okay, you can go now.
- Oh my God, Cam!

What? You'll have to run off,

and I can't talk about him if he's here.

[LAUGHING]

Okay, that's fine.

Very nice to meet you, Camille.

I look forward to hearing

if I'm good enough for your sister.

But nobody is.

You can't honestly tell me
you see yourself with him.

He's sweet. He's funny. He's smart.

And he will do anything
you want to make you happy.

At least he's in keeping
with your pattern.

No, he's not! What pattern?
What are you talking about?

It's either someone
who withholds validation

or someone who worships you.

You honestly don't see that?

Look I get it. You've
had a terrible few months.

But letting this boy
fall in love with you

so you can feel better about yourself,

it's the wrong answer, Mag.

Just once I wish you could
tell me what I want to hear.

Do we have a patient with bedsores?

Because I'm an expert,
if you want advice.

Did you need me for something, Arnold?

Sam's pain's is at an 8.

And not just because he
finally told his fiancee

he can't make their wedding.

Give him another
10 milligrams of morphine.

It's gonna be a few
hours before his surgery.

How do you know so much about bedsores?

Before I came to emerg,
I was a hospice nurse.

Hard to avoid them in that field.

Why?

[PHONES RINGING]

- Oh, baby...
- Don't, okay?

I already know what you're thinking.

Baby, I was afraid to ask if
this was starting up again.

You have experience with this?

When I was little, it was
just pinching and scratching.

Then it got worse.

Seeing a psychologist has helped.

Yeah, once you accepted I needed to.

I wasn't raised to reach out for help

with problems like these.

Many people aren't.

She's given me some good
tools, but sometimes it's...

I don't know.

A hard pattern to break?

This is why Malik's bad for you, honey.

- He's too unstable.
- You're wrong, Mom.

Sharing our burdens makes us stronger.

I know his and he knows mine.
And, look...

No fresh cuts,

just old scars.

Today was the first time in months.

He helps me, you need
to let me help him back.

Those are the only options?

Do this ablation procedure or
wait and see if the SVT recurs?

There's medication that we can
try to prevent future episodes,

but there's no guarantee.

No. No surgery.

You heard her.

These episodes could keep
happening if we don't do it.

It could. Not will.

The medication might
help. We should wait.

You wanted to wait to chopper him here,

- but if we hadn't brought him...
- He's just a baby, Bruce!

How much more can we
ask him to go through?

What about you?

What would you do if he was yours?

I don't know.

Because both options are terrible!

I'm sorry.

Do we...

Do we need to decide this second?

No. And if you do choose the ablation,

it won't be today. So...

Take your time, think about it.

[GENTLE MUSIC]

What's happened to Malik?

We were about to start dialysis
when his breathing worsened.

- What's going on?
- Fluid in his lungs again.

- Claire?
- On it.

[MACHINE BEEPING RAPIDLY]

What do you need, Bash?

Help with thoracentesis.
Guide placement.

Puncturing now.

About to enter pleural cavity.

Good.

- O2 sats aren't really moving.
- This is the second time

this has happened to him,
he's in kidney failure.

The fluid's gonna
continue to accumulate.

He needs the OR VATS pleurodesis.

- What does that mean?
- It's a surgical procedure

that seals up the space
between his chest and his lungs,

or this will keep happening.

Thoracics can't take him
for at least another 8 hours.

- Excuse me.
- Can he wait that long?

He'll have to. I'll put a drain in,

and we'll monitor him
until they have time.

Unless we do a chemical
pleurodesis here.

- That's a risk in emerg.
- It's talc in a chest tube.

It'll expedite dialysis.
We know he needs it.

It makes sense, Bash.

Call an attending?

You guys should wait outside.

- I wanna stay. Please!
- Baby. Let's let them work.

We need talc, 10 grams in
a 250 ml sterile isotonic

sodium chloride solution.

I'll start on the tube,
you wanna prep the agent?

- Bash?
- What's happening?

He needs a chemical pleurodesis.

Are you sure you don't want in on this?

You guys have it.

I need a 28 French
and two guarded clamps.

[DRAMATIC MUSIC]

So, scale of one to Titanic?

You were fine. Cam is insane.

- Because if I said anything...
- No.

Marnie is negative for TB.

That's a relief.

Although I guess it means
that we're back to not knowing.

Did you want me to
work up a differential?

Sure, but respirology
will have to weigh in.

And this is complex
so you're aware of the expectations.

You know certain fungal
infections can mimic TB.

I'd look into any environmental
exposures if I were you.

She did say that she was
playing on a compost pile

with her brothers.

You're incredible.

Why are you still here?

Go, go cross-reference
with her symptoms.

[INDISTINCT CHATTER]

The wedding came to him?

We didn't think Sam was a good candidate

for draining in trauma.

Hmm. Not to mention
Dr. Singh detested my idea

of an acute care surgical response team.

Yeah, passionately.

And the kidney failure
patient? The ED pleurodesis?

What will he make of that?

I haven't mentioned it yet but...

That patient was a candidate,

and I'll defend it to any surgeons

that wants to take issue.

How are you doing, June?

Being Chief Resident, caught
between the egos and the politics...

It's just hard to know whose
interests you're serving,

you know, who you can trust.

All I know is patient
first is our true north.

Keep an open mind about
what I'm proposing.

If you find a candidate that fits
the bill, I'll have your back.

Khaled appealed his asylum case

because you said he had a chance.

Now he's stuck in jail!

[KLINE]: I've been trying to
argue for his conditional release.

- Beyond that...
- Don't say there's nothing I can do.

I'm sorry doctor, but it is the case.

Listen, I'll call if anything changes.

Dr. Hamed, how long do
these sessions usually take?

His dialysis.

Three hours, four times a week.

Well, I feel for him,

but he's gonna have to learn
to make health his priority.

What alone? Without any support?

- She's just a child!
- Your daughter got him to do

what apparently no one
else can, confide in her.

And like it or not, she trusts him too.

This is none of your damn business.

She got sick from my compost pile?

I'll have Jake here explain it

since we have him to
thank for the revelation.

Yeah, well, Marnie likely has

"allergic bronchopulmonary
aspergillosis".

It's an infection from a fungus
commonly found in compost bins.

And the effects resemble asthma, or TB.

But the good new is, it's not
contagious and totally treatable.

Wow. Okay. So what are the next steps?

Well, we'll swab to confirm,

but Marnie will be on
the mend for a few days.

Shall I go fix you boys some c*ck

while you finish chatting?

Wow, the second a man's in the room.

Stand down, soldier.
I have a magnetic presence.

- It's why you fell for me.
- And why I left you.

Have you been doing this all day?

Stop terrifying the doctors.

You're not scared of
me, are you, Dr. Hunter?

[MACHINE BEEPING RAPIDLY]

It's happening again!

He was awake and smiling and then...

Let's give him 0.7 milligrams
of adenosine, Nelly.

Okay. One, two.

- Why isn't it working?
- He's still at 300 bpm.

We need to cardiovert. 3.5 joules.

On my mark. Ready, and clear!

Again. 7 joules.

Ready, and clear!

[BEEPING]

Give him a minute.

Come on, come on, Oli.

Okay, he's stabilizing.

[SIGHING]

This isn't going to stop, is it?

I think you should do the ablation.

- You said it could k*ll him!
- There are risks either way.

But your son is a fighter,

and it gives him the best chance.

Okay. It'll take a few days to schedule

and Dr. Fisher will do
the procedure, but I promise

that I'll be with you
every step of the way.

[GENTLE MUSIC]

[DEEP EXHALE]

You didn't mention me that you
treated Ruby for cutting herself.

I'm just going over
today's patient intakes.

It was right before Malik
crashed again. I'm sorry.

It's not that. It's just,
you realize that

with her history of self-harm,

it's unlikely she'll be
able to donate a kidney.

Even if she keeps it under control?

Still a tough sell.

Donors often experience
depression post-op.

There's pretty strict
rules on mental health.

Then it's a death sentence
for this kid, Theo.

Look, man, I heard about the lawsuit.

I know what it's like.

- You've been sued?
- I'm being sued.

For custody.

- Theo, I...
- Just... You have to tell them.

Ruby and Malik.

They need to know what they're facing.

Since when did you start drinking
fancy apricot beer, anyways?

You're free to buy your own.

I feel like I'm 16 again and
you're bootlegging for me.

I did that one time.

You ended up throwing up
all over Taneesha's car.

Which she made me pay
to have it cleaned.

You're the one who insisted
I go camping with you guys.

- Remember?
- I had no choice.

What do you mean, you had no choice?

Dad took out a second mortgage
on the house without telling Mom.

I came home, she's screaming,
packing up all his stuff.

So I had to get you out of
the house for the weekend.

When we got back, she was fine.

And Dad was "on the road" for a month.

Yeah, but he was
a management consultant!

He always travelled for...

That one wasn't for work.

She threw him out and he
wormed his way back in.

Again.

What else am I remembering wrong?

[GENTLE MUSIC]

I'm sorry that you had to
build those walls, June.

I have enough bad memories, you know.

I just wanted you to have good ones.

Well, you're off the hook.

It's time for Dad's night meds.

You should change his mattress.

Gel or foam will help the bedsores.

Isn't that kind of helpful
advice against the rules?

I'm giving you advice, not him.

And trusting you not to tell
me whether or not you take it.

Thanks, Junie.

Yeah.

Is that your secret identity?

Yeah I keep the cape in the bag.

You know, in case I see
a cat in a tree on my way home.

So, Marnie's in respirology now

with a much less accommodating doctor.

Justin's gonna spend the night
with her since I took the day.

So?

Wow, you're really going
to make me ask you, huh?

Ask what?

If you wanna come home with me.

To be clear, if you
wanna have sex with me.

- [CHUCKLING]
- Yeah. Um...

- What about your husband?
- Ex-husband.

Though I'm sure he'd be
delighted if you felt compelled

to ask him for his blessing.

- You know, I'm your daughter's doctor.
- Ex-doctor.

What else you got?

- I thought you hated me.
- Don't overthink it.

I'm sorry. I know this isn't
what you wanted to hear.

There must be something you can do!

There isn't.

- It's okay, babe.
- No!

We'll make dialysis work
until you get a kidney.

I'll find us a place to
live, get a part-time job.

I'll go to one of the group homes
if the social worker's still around.

I can reach out if
you think you're ready.

- Mal, you don't want that!
- Ruby, it's better this way.

I'm not dragging you down with me.

Stop this foolishness, both of you.

He'll come and live with us.

He can stay in our guest room.

I'll make sure he gets to dialysis.

No, Ms. Evans, I couldn't do that.

You deserve a fair
chance to fight this off.

I'm not taking no for an answer.

If I can't convince you,
I know Ruby can.

You don't know how
much this means to me.

We'll find a way to get through.

[SOFT MUSIC]

It's a good thing you're doing.

What choice did I have?

Turn my back and lose my daughter?

I don't like this thing between them.

But I can't stop it.

All I can do now is let it happen.

[BIRD CHIRPING]

[WINGS FLUTTERING]

[RUMBLING]

[MAN PANTING]

[SQUEAKING]

[DRAMATIC MUSIC]