"What?" "Happy birthday, baby boy." "Happy birthday, buddy." "Wait." "Make a wish." "One, two.." "Ooh." "Yay!" "Good job, honey." "You got him to his first year." "A toast to the parents." " Thank you." " Well..." "Well, we didn't drop him on his head." "Didn't swallow a safety pin." "We did it." "What are looking at?" "I don't know." "I'm just thinking." "It's Luke's birthday today." "Right." "That's right." "You had him..." "Same day that Joel died." "Birthday, death day, I..." "I'm not really sure how I'm supposed to feel." "Your kid is happy and healthy." "that's all that matters." "True." "I should probably get to work." "How are you doing?" "I'm good." "You know me." "I'm not that big on celebrating anniversaries." "Ask my ex." "Well, if you ever want to talk about it..." "Happy birthday to Luke." "Thank you." "Oh!" "Good morning." "Good morning." "Have you had breakfast yet?" "Why would I need breakfast when I have you?" "You saying I'm the most important meal of the day?" "I am." "And the most elusive." "We've kind of been like two ships." "My budget is due in less than a month." "I know, which is why you need a break." "My buddy Paul's giving us his cottage on Rosseau for the weekend." "Are you kidding me?" "Dust off your flip-flops, Dr. Bell." "We're going to cottage country." "Dawn here." "Yes." "That is great news." "Okay." "Yeah." "I'll be right up." "A donor heart just became available for a patient of mine." "Looks like I'm doing a transplant today." "Adios, flip-flops, just like that." "Oh, Lane, I'm so sorry." "I..." "For saving a life?" "Don't be." "Can I watch?" "Can I watch you do the transplant?" "That is against hospital policy." "I know." "I was on the board that made the policy." "Exactly." "So, what would we say to the staff?" "Whatever we want." "I mean, what's the point of having a little power if we can't use it, right?" "What do you have?" "Taylor Fenn, 16 years old, motocross champion." " Motocross?" " Yeah." "Hi." "I'm Dr. Reid." "Hi." "Nancy Fenn." "Hi." "Hi, Taylor." "You can call me Alex." "So, you race motorbikes?" "Yeah." "These bruises look old." "Uh, they're from a race in Fort Erie last month." "Missed the landing on the whip." "Ate it hard." "Bet you got a nice soil sample though." "Yeah, but I didn't even cry." "She's always covered in bruises, but this fall she just took." "Jammed the handlebars into my stomach pretty good." "I thought I should bring her in." "Good idea." "I'm just gonna feel your belly, okay?" "Severe abdominal bruising." "Oh, that looks way worse already." "Ow!" "Taylor, how long have you been racing?" "I got my first ktm when I was 9." "Aah!" "Localized tenderness in the upper left quadrant." " Her systolic just bottomed out." " What does that mean?" "Taylor, I'm gonna need you to listen to my voice" " and stay with me, okay?" " Oh, I feels so..." "Taylor?" "Taylor?" "Drop her head." " Honey?" " She's got to have internal bleeding." "We'll need to get her into the O.R. now." " Mom, I'm gonna ask you to move away." " Okay." " All right, Taylor." " Mom?" "Honey, it's okay." "I'm right here." "Yeah." "You two are in my E.R. today?" " Yes, sir." " At your service." " Have either of you actually operated?" " I have." "What about you?" "I came really close yesterday." "Close only counts in horseshoes and hand grenades." "Are you guys ready for this?" "You take the bag?" "What do we got?" "Bryn Stewart, 32, single penetrating gunshot wound to the temporal lobe." " That's my daughter." " Oh, sir, I'm sorry." "You're gonna have to stay out here." " I want to be with her." "I'm her father." " No, no, Dr. Williams," "Dr. Williams, it's okay." "It's okay." "You can come in and join." " Just stay clear while we work, okay?" " Thank you." "Can you tell me what happened?" "Uh, I found her." "I think she may have shot herself." "I don't even know where she found a gun." "Zach." "Gunshot." "B.P.'s 155 over 90." "Pulse is steady." "Pupils are fixed and dilated." "What does that mean?" "It means her brain isn't sending the responses it should be." "Okay." "I got multiple skull fractures here." "I need to see her spine." "Let's roll her." "On three." "One, two, three." "Okay." "Dr. Williams, check her motor responses." "What are you doing to her now?" "I'm checking to see if she has any feeling." "Zero response." "Let's get her up to imaging." "I need to get a better sense of her injuries." "She's still alive, though, right?" "I mean, she's still breathing." "A machine is breathing for her, yes." "Cassie, will you take Mr. Stewart to somewhere a little more private, please?" "She's gonna pull through." "I know it." "She's a fighter." "Yes." "She is in very good hands." "Okay, guys, let's get her up to imaging and do a comprehensive apnea test." "Why am I still here?" "Don't know." "So, hell continues." "Great." "That is just great." "Okay, I'm trying to pack it off, but the blood just keeps coming." "Suction." "It's the spleen." "It's completely mulched." "Clamp." "Clamping the splenic hilum." "Give me those scissors." "Let's get this guy out of here." "Mm-hmm." "Here it comes." "Ready?" "Wow." "It is huge." "That is twice the normal size." "Uh, we have another problem." " What?" " She's hypotensive?" "Well, hang more blood." "I'm trying, but clearly she isn't clotting." "Autoimmune disease?" "Wouldn't explain the size of the spleen." "Toxoplasmosis?" "Sarcoidosis?" "Both could cause enlarged spleen." "Uh, her white blood count is off the charts." "Leukemia?" "She was covered in bruises, but I thought it was from the motorcycle accident." " If it's leukemia..." " Then we got to close her up and get her out of here before we kill her." "All right, team, our patient today is George Follows." "He is an active 46-year-old father of three, but he has hypertrophic cardiomyopathy." "For those of you who might not be familiar, that means that the muscles in his heart have stiffened, impeding the blood flow." "But we have a healthy new heart from a 26-year-old male who is no longer with us." "And we thank him." "And this is Lane Berkley." "He's a member of the board." "And her new boy toy." "He is here to observe this operation, to, um..." "To, uh, review the standard of practice for the surgical subcommittee that I'm currently chairing." "Unless, of course, anyone objects." "Oh, the more, the merrier." "I'm just happy to be here myself." "Okay, well, I'll just stay out of the way and let y'all do what y'all do." "They declared me brain-dead a little while ago." "Yeah." "I heard." "I'm sorry." "I always thought I'd be the one to watch him die." "Doctor, can you tell me how long it'll be before you try waking her up?" "Mr. Stewart, um..." "I'm not sure waking her up is gonna be possible." "Yes, it is." "And I'm gonna be here when she does." "We got unlucky this morning with that suicide." "But I got a new game plan." "Who's with me?" "Do we get to hear the plan first, or do we have to commit now?" "The new game plan is..." "no one else dies today, not in our E.R., not on our watch." "Yeah?" " Sure." " Absolutely." "Great." "I got a really good feeling about you two." "We are going to crush this." " Are you ready?" " Yes, sir." "Children, gather." "This is Doug Renfroe, okay?" "He was in a car accident." "He having abdominal trauma and possible concussion." "Cassie, run a F.A.S.T., please." "Doctor." "Hello, sir." "My name is Dr. Sekara." "I'm doug." "You were in an accident, Mr. Renfroe?" "Yeah." "S.U.V. came out of nowhere." "Where were you hit?" "In the car?" "Those were stupid questions." "No." "You're just going through the checklist." "It's good to be thorough." "F.A.S.T. is clear." "No free fluids." "Good." "Check his light reflex." "Pupils are equal and responsive." "All right." "Looks like today's your lucky today, Mr. Renfroe." "Sure doesn't feel like it." "You know what?" "Let's send him up to imaging just to be sure." "I want to get a head and chest C.T." "Remember our pact." "All right." "I'll call for an orderly." "No, no." "You guys will do it yourself." "Diligence, people, diligence." "Is this your first time seeing it up close?" "What's happening?" "The pump stopped." "Yeah." "I can see that." "Tim?" "We have a venous airlock." " What can I do?" " Hold this." "Okay, we need to lift the tube, get the air out." "Move, please." "Hang in there, George." "Okay, bubble's gone." "SATs are still dropping." "Why isn't the pump turning on?" "Give me a minute." "Yeah." "I don't have a minute." "Well, that seemed to work." "Very impressive, Dr. Bell." "First rule of surgery... it's better to be lucky than good." "I will put a new pump in the budget." "Thank you." "And I need to re-glove." "It's bad news, isn't it?" "Taylor, you have something called acute myeloid leukemia." "Oh, no." "Um, what does..." "what does that actually mean?" "It means that your bone marrow cells aren't maturing the way that they're supposed to." "So, believe it or not, it's actually lucky that you crashed on your bike." "Yeah, lucky." "Cancer." "Super lucky." "The sooner we know about it, the better chance we have to cure it." "Um..." "Can I... can I still ride?" "Not for a while." "We'll need to give you induction chemotherapy and then a stem cell transplant, but that's further down the road." "So, we do need a donor." "Can mom be my donor?" "No." "I'm sorry, Taylor." "The results are back, and your mother isn't a match." "Am I gonna die?" "No." "No, you're not." "Oh, baby, it's okay to cry." "You don't have to be so brave all the time." "I'll give you some time." "No." "Can I... can I just talk to you for a second privately?" "Of course." "Honey, I'll be back in a second." "I can't believe... this is just... it's too much." "It's a lot to wrap your head around." "I'm not her mother." "She was my sister's kid." "I've had her..." "I've had her since she was a baby." "We didn't even ever know who the father was, and-and I don't even think that she would remember her mo..." "Janice." "Okay, then." "We need to get your sister in here right away." "No, no, no." "No, wait a minute." "You don't understand." "My..." "My sister... she's a junkie." "She's out for herself and she always has been and I..." "I can't invite her into our lives." "I understand that." "I do." "But leukemia progresses rapidly." "We need to get her biological mother in here as soon as possible." "She's our best chance at getting Taylor better." "Okay." "She's not gonna show." "It's only five past." "We keep this between us." "Complete confidentiality." "Taylor never knows." "Let's just take this one step at a time, all right?" "Okay." "Hey." "What's going on?" "Where's Taylor?" "You must be Janice." "This is Dr. Reid." "Um, come on, Janice." "Let's sit down." " No." "Your phone call really freaked me out." " Yeah, well, this isn't about you." "It's about Taylor." "She's been diagnosed with an acute form of leukemia." "She has cancer." "Yes." "Why didn't you tell me on the phone?" "Because I didn't know how you would react." "You didn't know how I would react?" " See?" "This is exactly what I was afraid of..." " Ladies, please." "Janice, Taylor needs a stem cell transplant." "We were hoping that you'd be a match." "When's the last time you used?" "I'm clean." "I will have to do a blood test to verify that." "Right." "Okay?" "And I will also test you for HIV, Hep B, C." "It's standard protocol for any potential donor." "Sure." "I'll do whatever if it'll help my little girl." "Thank you." "Come on." "Nancy?" "All right, people, let's get this thing out of there." "Dr. Lin?" "Ready, ready." "Bucket." "Lane, you okay?" "Lane!" "Oh!" "Somebody help him, please." "I'm sorry you had to leave the transplant surgery to come and stitch me up." "Well, when the chief of surgery asks you to stitch up her boyfriend..." "You do what she says." "That's right." "Yeah, I guess we came up with that policy for a reason after all." "Hold still." "So, now I'm just gonna be a joke, a punch line in the doctor's lounge." "Oh, trust me doctor's lounge gossip has a short shelf life." "So, uh did she say anything after I fainted?" "What do you mean?" "Well, I mean, did she laugh?" "No." "Of course not." "She was just mostly concerned." "Mm." "It's gonna be fine." "Seriously." "I just need to know how expensive a makeup gift I need to buy her." "Any advice?" "You could try the hospital gift shop." "I'm rather partial to the stuffed chihuahua with the Hope Zion t-shirt." "Here we go." " Good to go." " Yeah." " Hey." " Hey." "There he is." "We got, uh, Mrs. Bardsley in bed 1 all stitched up." "She's just waiting for her husband to pick her up." "Mr. Farrah, bed 2, just needs a T.B. booster, and then he's good to go." "And I just talked to the surgical step-down ward." "Our doored cyclist is in the clear." "Doug Renfroe, our MVC... he has a mild concussion and two cracked ribs." "And what is your suggested course of action?" "Tape him up, send him home." "Right." "And what happens when Mr. Renfroe gets home and feels drowsy, falls asleep, and never wakes up again?" "I already talked to his roommate, advised him of the concussion protocol." "What is our motto today?" "I went through the checklist with him." " I was very..." " Say it." "No one else dies today." "That's right, and in order to achieve that, we need to give 110%, right?" "That's right." "So, I need you to go see Doug, give him some ibuprofen for his headache, and continue to keep an eye on him." "Thanks, man." "Okay, Janice." "Oh, can you take those off for me, please?" "And roll up your sleeve." "Great." "Thank you." "Get a good look." "I'm assuming the other arm is the same?" "There is some damage you can't undo." "Okay, well, make a fist." "Great." "I'm having some trouble finding a usable vein." "Yeah, well, can't you just stick me somewhere else?" "Well, normally in these circumstances," "I would use a central line, and I'd draw the blood from there, but that's not a good idea for you." "For me." "How long did you say you've been clean?" "Janice, I need to know." "When was the last time you used?" "Yeah." "I don't know." "Well, if I put in a central line and you used it to do drugs, you would most likely overdose." "I want to see her." "Right now." "I want to see Taylor." "I'm sorry." "Nancy's not comfortable with that." "Well, she better get comfortable with it, okay?" "'Cause I'm not doing anything until I see my kid." "Every vessel attached." "Open clamp." "Prepare to take him off pump." "Preparing to take him off." "Give me an amp of epi." "It's fibrillating." "Shouldn't it be contracting by now?" "Give it a minute." "Dr. Bell, should we shock?" "Yes." "Paddles." "Charge to 10." "Discharge." "Not kicking in." "Once more." "Charge to 20." "Discharge." "Come on, George." "Third time's a charm." "Charge to 30." "Discharge." "Asystole." "We got a stone heart." "It's not salvageable?" "How does that happen?" "I don't know." "Maybe it was on ice too long in transit." "Keep his pH and electrolytes stable, and we got to look for a new heart." "A new heart?" "How do... how do we do that?" "Page Charlie." "Okay." "Hey." "You had a suicide this morning." "She came into the E.R." "Yeah." "She's in the ICU, brain-dead." "Are you sure?" "Yeah." "She had a full work-up, was legally declared." "Were her organs damaged?" "No." "The transplant that I'm doing... the donor heart is unusable." "Okay." "What's her blood type?" ""O."" "That's amazing." "That is amazing." "No, no, Dawn, Dawn, she's not a candidate." "Her father's in the ICU, and he's insisting that she stay on life support, so..." "Yeah." "Sorry." "I don't care what my father wants." "I want to help that man in there." "Some good should come out of all of this." "Oh, Dawn?" "Yeah?" "How long you got?" "Well, I can keep him on pump for a couple of hours, but after that, even with a new heart, his chances of waking up are slim to none." "You got to do something." "Convince my father to let me die." "Let me see what I can do." "Thanks, Charlie." "Get inside the O.R. with the cast and crew of saving hope at ctv.ca/savinghope" "God, look at her." "She's so grown up." "I hear she races dirt bikes, that she's really good at it." "Of course she's good." "We better go." "Can I just hug her first?" "I don't think that's a good idea." "Please." "Janice, you can't go in there." "Hey." "What the hell is going on?" " Did you let her in there?" " No." "Would it be such a crime if she did?" "Yeah, actually, it would." "What, you think I'm gonna sell her crack?" "I gave birth to her, Nancy, okay?" "Like I'm gonna hurt her." "Well, you won't because I won't let you." "Right." "I'm a screw-up." "I lied about being clean." "Oh so she's using again." "Of course." "Excuse me." "Little help in here!" "Taylor, how are you feeling?" "Taylor!" "What's happening?" " You need to back away." " Why... why is she like this?" "Her temperature's up." "Incision looks clean." "Could be a clot in a portal vein." "Let's get her on clot busters and back up to the ICU." " Let's go." "Move out of the way!" " Taylor?" "You need to move, please." "Let's go!" "Honey?" "Okay, mama's here." "I should go." "You don't have to leave." "No, it seems that me passing out is the least of your problems." "People pass out in surgery all the time." "I embarrassed you." "Okay, I am truly coming to dread that sound." "Dawn here." "Yeah." "We're still waiting." "Dr. Harris is on it." "Good luck with the heart, Dawn." "I really mean that." "Okay, you know what?" "I feel like there's something that I'm supposed to say to you, but I don't know what that is." "There's nothing to say." "I'm sorry I didn't protect you." "What's that supposed to mean?" "I went against my gut." "I knew it was a bad idea bringing you in there." "Well, why did you do it?" "Because I didn't want to disappoint you." "Is that supposed to make me feel better?" "I got a guy in there with an open chest cavity and no heart to put in it." "I don't..." "I don't need this." "Okay." "I don't need this, either, then." "Lane?" "Hey!" "Doug!" "What?" "Just making sure you're rousable here." "Dude, if you're trying to arouse me, there are better ways." "Keep testing him." "All right." "Okay, I want you to give me three animals starting with the letter "s."" "What?" "Hey, man, I'd love to go home now." "Look, I know, but Dr. Miller... he's being a bit..." "I just can't discharge you until I know you can pass the concussion protocol test." "Fine." "Uh, animals that start with "s."" "Uh, sheep, snake, and, uh..." "I don't know." "Sushi?" "It's a fish." "Okay." "I might accept that." "Okay." "Give me the capital of Saskatchewan." "Saskatoon." "Actually, it's Regina." "See?" "Not doing so good there, Doug." "That doesn't prove that I have a concussion." "It just proves I'm dumb." "Okay, last one..." "I want you to give me three numbers, then repeat them to me in reverse." "13, 42, 99." "99, 42, 13." "Okay." "Very good." "They're my nana's lotto numbers." "She plays them every week." "Oh, yeah?" "She ever win?" "Once. 500 bucks." "She gave it to the church." "She sounds like an awesome lady." "No." "She's a bitch." "But I should still visit her when I get out of here." "Okay." "I'll be back to check on you in a bit." "Brush up on your geography, and I'd say you're good to go." "So far, so good." "All right." "Good." "Well, let's keep it up." "Push to the finish." "Eye on the prize, right?" "Coaching my kid's soccer team." "Oh, yeah?" "How are they doing?" "Last place." "It's them." "It's not me." "About time someone came to look in on her." "Uh, Mr. Stewart, I didn't introduce myself before." "I'm Dr. Harris." "I was part of the E.R. Trauma team that, uh... saw Bryn." "Um, I understand that you're asking to keep her on life support." "If you're here to convince me otherwise..." "No, no, no." "I'm-I'm..." "I'm not here to convince you of anything." "That's-that's not my job." "Then why are you here?" "I'm here to let you know what your options are so that, uh, you have all the information you need to make the best decision for Bryn." "I know what's right for Bryn." "Okay." "Um..." "Bryn has sustained a massive cranial trauma." "She has zero brain activity." "Now, has anyone had the opportunity today to speak to you about organ donation?" "I'd like you to leave." "Now." "Mr. Stewart, I'm just..." "Get out!" "Okay." "Where are you going?" "To tell Dr. Bell that she needs a plan "B"" "or plan "C" or whatever she wants to call a new plan at this particular point." "So, that's it?" "You're just giving up?" "Look, we don't have much of a choice here, okay?" "I can't exactly tell your father that his daughter's ghost wants a transplant to happen, so..." "Then he wins." "Again." "He wins again?" "He made my life a living hell." "Now he's bent on keeping me here." "My father..." "Started touching me when I was 8, told me if I ever told my mother, it would kill her." "So I didn't." "I protected her." "I kept it all to myself until I..." "I put that gun to my head because of him, because of what he did to me." "Please." "You are the only one who can help me now." "It's gonna be really embarrassing if I have to call security on you." "I came to apologize." "What are you doing?" "You see, I just became a father, too." "And, uh, I have no idea what it is you must be going through right now, what, uh... what it must be like to see your child like this." "No, you don't." "And the fact that she did this to herself..." "I mean, I..." "I can't even imagine the guilt you must feel..." "That there were signs you should have seen of how much she was hurting inside." "But you can't blame yourself." "I do." "You know, as fathers, we try to protect our-our children from every-every cruelty." "But you can't be there every second of every day." "You can't live their whole lives for them." "I tried to be a good father." "I did." "I know you did." "But you can rest now." "Your job is done." "Your daughter's at peace." "And if it will give you some peace knowing that your daughter helped save a life..." "Then we can do that." "And if not, that's okay, too." "He's not gonna sign it, is he?" "That is one gorgeous heart." "You know, Dawn, I'd..." "I'd stick around to watch you do your thing, but I heard that can be dangerous, so I'm just gonna wait outside." "Hardy har har." "Take care of that heart." "I'll do my best." "Aorta and the pulmonary vein are tightened." "We're ready." "It's ready to go." "Is it tight enough?" " Tighter than a nun's..." " Okay, don't finish that." "I'm making an executive decision here, Doug." "Our time together has officially come to an end." "No more skill-testing questions?" "Nope." "I'm afraid not." "Hey, uh, can I get some pain meds for the road?" "I could give you some more ibuprofen." "Well, how about something with a little more kick?" "Nothing that would be impeding your cognition." "Ah." "Captain buzzkill." "Hey, that's me." "See you around, Saskatoon." "We managed to break up the clot that was stopping blood flow." "She's getting stronger, but she's not out of the woods yet." "There you go." "The kid's gonna be okay." "She almost died, Janice." "I know." "I was there." "I have good news." "I have your test results." "You are a match." "Oh, my... oh, my god!" "Thank god!" "Oh, but what about the drugs?" "I'll get clean." "I can get you into detox." "Once you're clean, you can start donating." "You're gonna do this, right?" "You have to." "I'll do it." "But I want to meet her." "For real this time." "Okay." "If I let you meet her, do you promise not to tell her who you really are?" "What would you do if it was your kid?" "Taylor's very sick." "She's very weak, and news like this could be deeply upsetting to her." "She needs to be strong right now." "Her health is the priority." "Is it gonna work?" "Vent on." "Leave some blood behind." "What's happening?" " Yes." " Yes." "Whoo!" "My heart, it took." "It did." "Thank you." "It doesn't hurt anymore." "Taylor, we have fantastic news." "Hey, honey." "It's gonna be okay." "We found a match." "This is Janice." "And she's gonna save your life." "Really?" "Yeah." "Have we met?" "We have." "Yeah." "You wouldn't remember." "It was a... it was a long time ago." "I'm, um..." "Are you okay?" "I'm just an old friend of your mom's." "Right on." "Yeah." "Mr. Herdman is going to take it easy on the yard work for a while." "Good." "And I wrote the businessman a scrip for methocarbamol and made him promise to follow up with his G.P." "We stuck to our plan, we were diligent, and..." " No one else died today." " No one else died today." "I feel like we should hug." "Do you guys want to have a big hug right now?" "Let's just do that." "What the hell is this?" "Male, early 20s." "Found him collapsed at a bus stop close by, vital signs absent." "Flatline throughout?" "Hold on the CPR." "20 minutes?" "Time of death, 9:04 P.M." "I sent him home." "His C.T. was clear." "You did everything right." "But I sent him home." "Hey, this is all on me." "I set a game plan this morning that was impossible to see through." "We do our best, we give it everything we got, and even still some people die." "That's just the way this works, and it sucks." "But the people we see tomorrow have nothing to do with the ones we lost today." "No short-term memory, Dr. Sekara, you hear me?" "Get over it." "Dev..." "You came back." "I did." "I'm sorry for earlier." "I was feeling really..." "really sorry for myself." "Apology accepted." "Oh." "So, muskoka is definitely out." "But there are a number of other ways that we can... entertain ourselves." "Lane, that heart transplant was incredible." "It was just..." "I mean, when the first heart didn't take," "I thought that was it because that's usually how it goes, right?" "And then it just... stop talking." "Okay, I know." "I'm sorry." "I'm just..." "Shut up." "What?" "Mm." "Take off your skirt." "Okay." "Slow down." "I'm..." "Take off your skirt." "Hey, slow down." "Get your hands..." "Shh." "Shh." "Shh." "I got you." "I got you." "Shh!" "I know what you did to her." "What are you talking about?" "You can't hurt her anymore."