03x06 - Episode 6

[bunniefuu]

Did I say fetch him?
Where do we put him?

It's urgent. We need help.

We're full.
Taking him is too risky.

Chaos can't take over.
From now on, it's full triage.

- Who has the old Alzheimer?
- Mrs. Jeanin?

Brun wants me
to transfer a patient aged 89.

Do we put her with the others?

- His fit has lasted 3 days now.
- We'll take care of him.

Brun needs you to examine his daughter.
Her stomach hurts.

Ectopic pregnancy.

Brun has to know.

sh*t.

Anyone there?

Calm down! Can you hear me?

- I can't breathe.
- Sir, I'm doing my best.

- OK, things screwed up.
- The California's the problem.

Maybe Brun will understand.

No, he won't.

He has nothing to offer,
leading to this.

- Did you accept the oldies?
- The oldies? No.

Do others decide for my unit now?

Is your daughter OK?

Lucky you had the unit
for her last night.

I'm moving down south.
To Carpentras.

I have to get back to Poincaré.

There may be negligence
in the care home.

Their hygiene is appalling.

It's abuse.

I agree with you.

We can't send them back
in this state.

I'm opening Simoni's rooms
in sector 2.

As you know, that's ill*gal.

- Why make that decision?
- Emotions play no role in medicine.

They go back to the care home.

We saved those oldies from drowning

and now throw them overboard.

I can't do that.

INTERNS

"THERE'S NO DRAMA." - HUGO WAGNER

What can I say?

What came over you?

"We can put patients
in a disused unit,"

that's what you thought?

You thought
we'd put the 8 old folks here?

Your little old lady, Alyson.

What kind of care did she get?

Was she washed?

And what's that dog?

Whose idea was it to put patients here?

You both had that dumb idea?

It's serious.

For the patients.

It's dangerous for you.
You know that?

A hospital doesn't sort people
and send them home.

Answer me.
You know it's risky for you?

It was that or the street.

We really had no choice.

A hospital needs beds to work.

- It's either open or closed.
- But you do things by halves.

- I do things by halves?
- Not you.

The hospital.

Let's try to correct this crap.

Take them back to the ER
and do it officially.

We'll find real solutions, I promise.

Thank you.

- Sorry?
- Where's my dog?

Dr. Wagner has him.

You're in the Poincaré ER.

We'll look after you.
Don't worry.

Back to square one.

We'll look after you now.

You'll be fine here.

We'll wash you and feed you...

Yes, of course.

Do you mind?

She just called me.

- Dr. Olivier Brun for you.
- I know.

- I let him in?
- Yes, Dominique.

You can go in.

Hello, sit down.

How's your daughter?

She's OK, thank you.

We know it isn't easy for you.

We're here to help you.

Who is "we"?

You say
"we know", "we're here"...

- Who's we?
- No one.

A way of speaking. It's me,

the teams, your colleagues...

The big hospital family.

Exactly.

I sent for you
to try to find a way to ease your workload.

Firing me?

Not at all. We need you.

"We" again.

Yes, I said "we".

I was wrong to open closed rooms?

It was a mistake.

But mistakes happen lately.

Triage, bed and staff management...

it's a lot of work and responsibility.

You should step back and even delegate.

You can focus on the patients.

- Who'll replace me?
- No one.

- Who?
- No one. It's just reorganization.

Who? Wagner?

Simoni?

I asked Dr. Larouchi.

That better?

Know what the meeting's about?

What's this?

We're burying Kim.

He becomes chief next month.

So it's Halloween.

It's August.

We couldn't do it in November,
so we moved it.

What's the meeting about?

Unit reorganization.

A new one?

No, a new, new unit organization.

Rather a new, new, new
unit organization.

Hold on, maybe it's

a new, new, new, new
unit organization.

We're here to discuss
the new unit organization.

Lazare, can you...

Alyson, Hugo and David,
continue fast medicine, sector 4.

Like yesterday, then.

Yes, but differently.

I'll be on the walkway
with Stella and Lazare.

We'll be radical.
Only major emergencies

or minor cuts and sprains.
No bed-blockers.

Chloé, you'll be a free electron,
where I can't be.

You'll be my right hand.

No pun intended.

Arben...

Back up Olivier in trauma
for the worst emergencies.

- And the ERU?
- Closed.

Day or night, closed.

Any questions?

Yes.

I have an old lady, 89, in sector 2...

I was getting to today's arrivals.

- Mrs. Jeanin?
- Yes.

And Mr... whatever.

Mr. Gerard.

Mr. Gerard...

Send them home.

No need for hospitalization.

Dismiss chronic conditions.

Dismiss them?

Olivier?

Won't you see them?

I checked their notes.
We can't keep them here.

Leave emotion aside.

Let's get to work.

Lazare and Stella, go on.

What the hell is this?

You know they can't be sent home.

You said you'd take them.

I know.

What do we do?

It's not his decision now.

Back to the California.

OK, Mrs. Jeanin?

Not too cold?

- Did that hurt?
- Yes.

- Your stomach hurts?
- Yes.

I'll take a look.

- OK, sir?
- No.

With more oxygen
you'll feel better, OK?

Thank you.

Good boy.

It'll be OK, sir.

Breathe.

Try not to move.

It's OK.

There, everything's OK.

Arben, take notes.

Go ahead.

Open wound at the eyebrow.



Broken nose
with a 3 cm wound on the nose.

Bruising and wound on the left torso.


with possible fracture.

Bite marks.

Did a dog bite you, sir?

Prophylaxis for rabies?

Sorry, can I go?

My kids are alone at home.

Who are you?

He's the one who brought him.

Put him on a paracetamol drip.

Full blood work and toxins.

Come with me.

- How did he end up like that?
- No idea.

I was at home and I heard

noise, cries, a dog barking.

I saw 5 guys leave.

I found him by the trash cans,
so I brought him here.

You called the police?

He said not to, just to bring him here.

- Any family to call?
- I don't know.

OK, alright.

- Can I go now?
- Yes.

Thanks,
we'll take care of him.

You're going to be fine.

Sir, look at me.

We'll give you a shot for the pain.

We'll look after you,
it'll be fine.

Her liver function tests suck.

What about ALT?

Twice normal.

That's OK.

And bilirubin?

Bilirubin is at 78.

- Nothing to worry about.
- It's high.

And the rest?

Normal, but she's not well.
Her stomach hurts.

Isn't that why she came in?

Her gaze has changed.

Her gaze has changed?

It's different.

Maybe you regret
taking her back to the Calif.

- The Calif?
- The California.

Give her a scan maybe.

- Is her belly surgical?
- No.

No need for a scan, then.

Give her Normacol to evacuate it.

Yes, a laxative.

C'mon, I know Normacol.

- It's just...
- Spare her a laxative.

Hugo!

- What's up?
- Your guy's asking for you.

My guy? What guy?

I dunno.

Some kid, 18.

He knows you.

He said he knows me?

He asked for the young, handsome, friendly
Dr. Hugo Wagner.

That's him there. Know him?

I know him.

Victor! Thanks.

You OK?

Yes.

Here alone?

Yes.

Can I talk to you?

Yes, come on.

- All good?
- Yes, thanks.

- How can I help?
- Hospitalize me.

It's tricky here.

Elsewhere, then.

Where are your parents?

Not here. They don't know.

I do as I want, I'm 18.

I'm scared I might harm them.

Lazare, I'll see to him, OK?

Follow me.

Try to keep still.

Do I suture anyway?

No, not with bites.

- Do a compression dressing.
- Got it.

What dog was it?

Some kind of pit bull, I think.

- All good?
- Yes.

I'll press down.

I can't breathe.

Normal, with a broken rib.

I'll prick you again.
Don't move.

Gently.

There, it's done.

- He's just on paracetamol?
- For now.

Add morphine.

We're out of morphine.

- Out of morphine?
- Again.

- What's left?
- Tramadol, Acupan or ketamine.

Ketamine, then.

- How much?
- 1 mg.

Hold on, keep still.

Don't move, I'll prick you again.

Stay here for now.

Alright?

I'll try to find a specialist
to talk to you and help you.

- What?
- Come here.

Everything OK with your patient?

I think we should switch.

- Switch?
- I'd rather Chloé dealt with him.

But he asked for me.

That's too much emotion.

There'll be less with Chloé.

Exactly.

And there's enough to do already.

No emotion, avoid emotion.

He's on a loop.

It's dumb.
Medicine requires emotion.

It's going well for us.

Right, Laz? Larouchi is cool.

Yeah, he's ace on the walkway.

This is gross.

It's gluten-free pasta.

Kim!

- Who validated gluten-free pasta?
- I dunno.

No gluten and no lactose
in canteens now.

It's imposed without asking us.

Like they imposed Larouchi.

Larouchi's your obsession.

No, he's just too harsh.

Your Messiah is all hot air.

Chill, she just prefers
Larouchi to Brun.

Seriously, you moderate debates now?

People have preferences, that's all.

Hello.

Do you mind!

Just a second.

I'm here with some concerns
about tonight's party.

As you know,

the hospital has serious problems

and I find it inappropriate.

It would be better
to postpone the party.

Is that a total ban
or can we decide?

It's my feeling
and the advice I give you.

- So we do as we want.
- Yeah, change nothing.

Enjoy your meal. Thank you.

She's not wrong.

Don't want to party?

It's not right, a party tonight.

Both views are valid.

Contradicting everything I say?

- Not at all.
- You do it every time.

I'm adding nuance.

- Every word!
- I give my opinion.

- Stop, it's a drag.
- Calm down, guys.

We never fought like that with gluten.

- Right.
- Not true.

His name's Victor Barret, he's 18.

On Haldol twice a day
since he was 15.

He's had 3 fits
with hallucinations,

self-aggressiveness
and attempted acting out.

Since COVID,
we have no secure unit,

so you have to take him.

OK, I'll hold.

Well?

I don't know.

Yes, I'm still here. Go ahead.

Thanks.

I called everywhere.
Hospitals, clinics, institutions...

Tell the parents to fetch him.
We can't keep him.

He's over 18, I can't.

Tell him to do it.

He won't.

Persuade him.

Yes.

Mrs. Belkacem, her liver tests, please.

Why can't he come here?

He's a schizo.

So?

- This is the ICU.
- Precisely.

You have staff 24/7.
I can get here in 5 minutes.

What's going on?

She wants to put
her mental patient here.

A mental patient?

A young schizophrenic of 18
with no bed.

We could watch him here.

With the ER closing at 8 PM,
we'll try anything.

You'll find a better solution, I'm sure.

- You called me?
- Yes, come in.

- What's up?
- I'll put Victor in the California.

My patient?

Larouchi refuses to keep him here.

- Do I know him?
- No.

An agitated schizophrenic, 18.

- I say no.
- Me too.

If we sedate him, it'll be OK.

- Could he have a fit?
- Sure, he's had 3 here.

- He could turn violent.
- Bad idea.

- Unless we knock him out.
- We can't do that.

It's a bad idea.

There's not a lot we can do.

- Chloé's right.
- Asked my mom?

What do you think?

Sorry.

Right now? I'm on my way.

Sorry, gotta go.

What do we do?

I'll sedate him,

put him in the California
and he'll sleep.

Unbelievable.

Why ask if she's already decided?

It's this hospital.

You can't have a place
that's neither closed or open.

You already said that.

How do you feel?

Better.

The meds ease the pain.

It still hurts when I breathe,
but it's OK.

I was scared.

I thought I was dying.

Things look good,
despite blood in the lungs.

But the bleeding has stopped.
We double-checked.

Is that why I find it hard breathing?

We'll keep you under observation.

But we close at 8 PM.

If everything's OK,
you'll have to go home.

Tonight?

If we've no reason to keep you.

Seen the way I look?

We won't abandon you.
Nurses will change the dressings daily.

I can't go home.

I can't!

You saw me, doctor!

We'll keep an eye on you

and decide this afternoon, OK?

Promise?

Yes, I'm just next door.

We'll let you rest now.

Try to sleep a bit.

Rest now, OK?

Let's go.

You're off to Carpentras?

What?

Your father called and told me.

You could have let me know.

I'm not leaving.

He invents stuff, you know him.

It's odd he called me.

He's very tired lately.

He's not tired.

He's totally senile.

You realize that?

Is someone caring for him?
Medically, I mean.

Yeah.

Who?

I am.

Hire someone.

I can help.

I know.

You need to relax.

Sleep.

I don't feel good here.

I hear voices.

Yes, there really are voices.

The benzos aren't helping.

- Hello?
- Chloé?

It's me.
I'm at the California.

Victor can't sleep.
Can I increase the benzos?

No, it's a big dose already.

I know, but he's stressing out here.

You can't do anything.

Just be patient.

I understand.

I'll be right back.

Kim!

- Kim!
- Yeah?

Can you make less noise?

Who are we bothering here?

Give me a hand.

I'm working in a duty room.

sh*t, sorry, I didn't know.

So if you could stop the music...

You hate us partying?

No, but I need peace.

You're weird lately.

- You've changed.
- If you say so...

How's the trauma patient?
He's the last one left.

As you're due some rest,
I'll stay tonight.

I'll keep him under observation,
it's wiser.

No.

No.

I'm on duty. Get some rest.

I relieve you
and the patient goes home.

Isn't it too soon to let him leave?

Give me one medical reason
to hospitalize him.

It's not that simple.
It's a range of things.

Get rid of emotion.

It's tough,
but we need to be distant to make it.

We don't have
one good reason to keep him.

It's impossible.

It'll only get worse later.

What do we do?

What're you doing?

A new arrival.

Very funny.

I'm serious.
Male, 18, behavioural problems.

OK, your schizo.

- Your mom said no.
- I know.

Hugo...

Explain.

Of course.

Male, 18, behavioural problems
with raving...

Grow up, will you?
Why the drama?

There's no drama.

You've a new patient.
It's up to you to take care of him.

You've no choice.
He's here, he's yours.

You're not rational.

You refused a 20-year-old

who died in an ERU van.

An ICU case though.

Now, it's a schizo
requiring observation.

So observe him.

All we ask is you do your share.

What do we do?

Get the notes.
We'll keep him here.

How do you feel?

Your hemoglobin is stable.

So no bleeding.

You're worried,
but you have to go home.

You can't stay.

I'll ensure it goes as smoothly as possible.

Alright?

I don't want to leave.

Keep me, please.

I'm safe here.

I know.

But I can't.

One night.

Just one night.

Why did you call the hospital?

Why?

I didn't call your hospital.

You're sick and need help.

We need to get help.

You won't look after me anymore?

You can't leave me, Arben.

I thought you'd forgotten me.

Not at all.

- Feeling OK?
- Yes.

We aren't going far.

OK.

STAFF RESIDENCE

How's the pain?

It's OK.

My chest still hurts, but it's OK.

OK, that will pass.

Want the light on?

- Yes, I prefer it on.
- OK.

If you need me, I'm next door.

Doctor?

Thank you.

He should be OK.

Thank you for accepting him.

We don't accept anyone.

We just do our job.

What's that?

- It's Halloween.
- Halloween?

They're celebrating up there.

Not great timing.

Indeed.

My dear sisters and brothers,

we have gathered

in honor of our brother, Kim,

a young intern who left too soon.

Let us pray.

Put your d*ck on my shoulder

Put your d*ck where?

Put your d*ck on my shoulder

Put your p*ssy on my snout

Put your p*ssy on my snout

Put your p*ssy where?

Put your p*ssy on my snout

Nice costume.

You made an effort.

Thanks.

Want a drink?

Stop worrying, she's not that sick.

What?

Stop worrying, she's not that sick.

I'm worrying cos she needs proper care.

She's an old lady.

In a real hospital,

she wouldn't get
better care and attention.

Yeah, right.

Wait, what did I say now?

Nothing at all.

Admit Poincaré sucks.

Nothing works, it's true.

You never get it,
but always have an opinion.

You just mouth off.

I can't say anything right now.

You trivialize everything.

You can't see
Poincaré is my whole life.

Seeing it collapse is a shock,

and you talking like that
is unbearable.

Think we've changed?

You have, but me not so much.

I'm fond of you, Dr. Lévêque.

I'm fond of you too, Dr. Wagner.

Very fond.

It's David.

Answer.

Yeah?

It's sh*t, get here fast.

Calm down. What's wrong?

f*cking get here fast!

Calm down, breathe.

What's going on?

He's spewing blood!

- Call the ER!
- Stop yelling!

Can you hear me?

That's it, breathe.

- I'll get the oxygen.
- OK.

We'll look after you.

Help me with this.

Breathe.

Keep the mask on.

What's up?

Hemoptysis
with respiratory insufficiency.

Hook this up.

Breathe.

Breathe.

Massive pneumothorax
with hemothorax.

- The trauma room.
- No, we manage here.

We're not on the street!

We are on the street.
His notes.

David, his notes!

Hugo, the ICU has blood pouches.

Get a lot, it'll be messy.

Arben, call Chloé.

Get intubation and puncture gear.

Help me decompress.

With a finger?
Without a nurse?

David will help.

Me?

Yes, you.

- Move!
- Get gloves and scissors for his shirt.

- sh*t, Larouchi!
- Get down.

Get down.

OK, Bunny?

Don't tell on me.

Good night, Bunny.

Use a lot, go on.

That's good.

Scalpel.

Are you sure?

I've done this before.

OK, Olivier, like a p*stol.

Compress!

sh*t...

It's not working.

It's not working!

Compress!

He's desaturating!

Are you OK?

Compress, come on!

We have to intubate.
Where are they?

Get the gear now!

Quick!

Hakim, stay with me!

Stay with me!

Your mother agreed?

Did your mother agree?

Yes, you can believe me.

Want to call her?

No, I believe you.

I'll call her for you.

- It's OK.
- Too bad if I wake her.

No, don't wake her.

- Sure?
- Yes, we're good.

All we have is O negative.

Great.

Is it good?

Pretty tasty.

Thanks.

I can't tell
if it's his heart or the bass beat.

Pericardial tamponade.

- Tamponade?
- Yes.

Your steth.

You're right.

He needs surgery.

Too late.
He'll go into arrest first.

- Massage?
- No use with a tamponade.

He needs puncture surgery.

She's right.

It's the only way.



We puncture now.

Blind? That's madness.

- What else?
- No choice.

Alyson, compress, Betadine.

Hugo, a 60 syringe and a trocar.

We puncture him?

Yes, we puncture him.

Thanks.

sh*t, nothing...

Try near the sternum.

Still nothing.

Go deeper.

I might hit the ventricle.

What's a tamponade?

Go deeper.

I might perforate the heart.

He's right. Try.

OK, here goes.

I have blood.
Am I in the ventricle?

- In the heart?
- 170.

Accumulated blood.

- It's the hematoma. Carry on.
- Sure?

The heartbeat's falling.

We'll save you, buddy.

Even if you can't hear me.

That's good.

It'll work.

Hugo...

Coffee?

No, thanks.

- Coffee, Alyson?
- Yes.

OK, here's what you'll do.

You'll all leave.

I'll stay here.

I'll see to the patients,

declare Mrs. Jeanin's death,
take responsibility.

No one needs to know
how we got here, OK?

I'm staying too.

The California was my idea.

It's my unit.

I stand by it.

I stand by it too.

Me too.

Me too.

Yeah.

Come with me.

You mustn't stay.

They won't go without you.

I realized long ago
this holds me back.

But your career awaits you.