"OK, you're with me." "What are the stats?" "Patient is unstable, BP 80/45, pulse 50, unresponsive." " Who's on duty?" " Julie Lemieux and Pierre Meilleur." "Are they in the OR like I asked?" "Blain, age 35, in OR 1 ." "Sirois, age 19, in OR 2." " Which one's mine?" " Both are." "We've tried everywhere to get Dr. Meilleur." " Is one of them more critical?" " Both are unstable." "The first is an intra-abdominal bleed." "Open him up and see." "Call Sophie to assist." "I did." "She was asleep in the residents' lounge." " What happened?" " Car-racing accident." "They were racing, but they got here at the same time." "Out of the way!" "OK!" "One, two, three!" "The X-ray machines are in the ORs." "Any other victims?" "Yes." "The families." "You ready?" "I can barely stand up, but other than that I'm fine." " Did you sleep?" " For an hour." " Who's first?" " BP's low for both." "Heads or tails?" " Who has the other one?" " Etienne." " Sophie, are you ready?" " Yeah." "Come with me." "I thought I'd be operating by myself more often in the ER." "I spend most of my time watching you." "I'm a resident." "I have seven years of experience." "Yes, Doctor." "Of course, Doctor." "I have two ORs today, so time to fly solo." " Now?" " Yes." "That's not what I meant." "You'll start, and then I'll go check on Etienne." "Emergency surgery isn't a fast" "Version of routine surgery." "I know." "Dr. Labrie?" "Are you taking your pulse?" "No, I was scratching my neck." "What's the plan?" "I cut, I expose the area and I control the bleeding." "I look around and I decide." "I fix or control the damage." "Look, there's already a problem." "You don't cut into a scar unless there's no choice." "Here there's no choice." "What do you think is your worst-case scenario?" "If he bleeds out?" "Wrong." "It's if he survives the accident and we kill him." "With three cuts, you should be in." "If you need more, you're not ready for the big time." " No word from Dr. Meilleur?" " No." " I'm starting the laparotomy." " I don't think that's wise." "Excuse me?" "You'd better wait for Dr. Lemieux." "She can't be in both ORs at once." " You're a senior resident." " I'm a doctor." "I know what to do." "What if you slip up?" "A 19-year-old is about to die because the boss is still in bed." "So what do I do?" "Stand around and do nothing until he's free?" "Number 10 scalpel." "Etienne?" "I told him to wait." "He wouldn't listen." "Cauterize it, Etienne." "Retractor." " You didn't like my incision?" " We'll settle that later." "I'm going to see what we have here." "He's bleeding less than the other one." "Good." " I could've done that." " Do you want to?" "Stomach looks perforated." "My question is, "Do you want to do it?"" "Balfour." " Everything OK here?" " Yes, fine." "Etienne didn't wait for me to start." "Are you surprised?" "Hemostat." "We learn from our mistakes like everyone else." "Only with us, when we get it wrong, people die." "Clip." "Why do we avoid cutting into scar tissue?" "We lose time with adhesions and intestinal loops." "We want to get straight to the problem." "85/60." "OK, we can close up." "Is it all right like this?" "Are you OK, Doctor?" "Sure." "Right..." "Stay calm." "It'll be fine." " Can I help?" " No, sweetheart, it's OK." " Can I go play with my friends?" " Sure, go ahead." "Hi, everyone!" "Julie!" "Mrs. Lemieux?" "My name is Antoine Légaré." "I'm a surgical resident." "We have to re-operate on your daughter." "Why?" "Julie suffered psychological trauma on top of her physical injuries." "Can I see the real doctor?" "I am a real doctor, ma'am." "One that's older..." " You're..." " A resident... and a fully qualified and licensed doctor." "Dr. Légaré, I..." "She has to make a full recovery, with no after effects." "You have a beautiful daughter." "We're going to fix her." "You'll see." "Trust us." "Thank you, Doctor." "It's going to be fine, darling." "I'm right here." " You have the tox screen?" " We didn't get it." "Keep him under close watch for the next 24 hours." "There's only one bed in the ICU." "Put Blain in the recovery room and Sirois in the ICU." "I don't want them fighting when they come around." "I'm done." "Are you still angry at Dr. Meilleur?" "He must've had a good reason." "When somebody's life is at stake, good reason or not, you take your calls." "If the man above answered every time, I'd agree." "But he often lets us down." "I know what rivalry is." "I see plenty of it every day." "What rivalry?" "Dr. Meilleur wanted to be department head." "You got the job, and he's making things difficult for you." "You're not saying that to the staff?" "I'm just saying what everybody is thinking." "In life, people aren't punished for what they think." "They're punished for what they say." "But we're alone now." "If what you said is true, he should lose his licence." "He missed three calls this week." "He didn't even answer his beeper." "Drop it!" "It's none of your business!" "Don't you dare go around saying things like that, not you!" "I can't always be there to defend you." "Doctor!" "I'm Michel Blain's wife." "I mean, his ex-wife." "So far, he's doing well." " What happened?" " An accident." "Yeah, but how did it happen?" "Have you talked to the police?" "They wouldn't tell me." "They're investigating." "If they don't know, then I..." "Could you please take your daughter somewhere else?" " I don't have a sitter." " Wait with her downstairs." "No, I'd rather stay here, in case..." "David!" "He's the head of the ER." "Right, we talked earlier." "Dr. Roche will take care of you." "Please take your daughter downstairs." "We'll call you." "Will Michel make it?" "We hope so." " Your father-in-law is downstairs." " My ex-father-in-law." "He can't die." "I can't do this on my own." " Come, let's go for a smoke." " I don't smoke." "Well, I do." "You've just stepped into another world:" "the world of tragic accidents... attempted murders, failed suicides, the strange universe known as emergency medicine." "You'll learn how to save people from the brink of death, how to control a hemorrhage, how to amputate a limb, how to repair internal organs..." "Your cases will haunt you." "Your days will be 28 hours long." "Your families will criticize you for it." "Remember that the good you do will never equal the mistakes you make." "I couldn't do it myself." "I strayed from that path... and wandered into psychiatry." "Sorry." "You'll learn how to lie for the well-being of your patients." "If, however..." " Sorry!" " The door." "If you can't avoid telling them the truth, you still have to do so without neglecting your main mission, which is to keep the patient alive at any price, guided by your beliefs and your instincts." "How do you deal with illness?" "Accidents?" "Trauma?" "How do you deal with death?" "I want to hear your thoughts about death." "What are you doing?" "I'm recharging my batteries." "You coming in or going out?" "I'm hovering." "In front of you is a lifeless shell of flesh and bone." "Technically, this shell is no longer of any interest to you." "But..." "Mr. X here does remind us of something." "Not life." "The fragility of life... the insignificance of the body, even though it is the vessel for this life that means so much to us." "Sophie?" "Why do you want to be a surgeon?" "To be like Daddy." "I like the edge." "The edge?" "When things can sway one way or the other." "I don't know, I like being able to make a difference." "The man who just went by is Mr. Blain's father." "You met his ex." "She's in the family lounge." "You should know they're not on speaking terms." " Where are the kid's parents?" " Over there." " Who do you want to start with?" " Mr. Blain." "Have the others wait." "Meilleur was on duty, and he's coming in now?" "I'll take care of him later." "Have a nice sleep?" "Yeah." "I didn't even hear you leave." "I don't have time, Mathieu." "I have to go." "Go ahead." " Mr. Blain." " Yes." " Dr. Julie Lemieux." " Hello, Doctor." "We operated on your son." "If his pressure changes, let me know." " And if he comes to?" " That too." " Dr. Lemieux will want to see him." " She's got her hands full." "We paged you all night." "Where were you?" "Resting." "Resting?" "Yeah, resting." "You have his lab results?" " Are you deaf?" " This is Julie's patient." "Look, we work as a team here." "He's the hospital's patient." "I'll get them for you." "Is your son on any medication?" "No." "Nothing?" "He takes care of himself." "His body mass index is 35." " What's that mean?" " He eats too much." "Well, maybe, but as young as he is..." " Does he exercise?" " Every now and then." "Any drugs?" "Not that I know of." "No, he loves life." "Why are you asking me this?" "If you know anything, tell me." "It's important." "Isn't he OK?" "He's not out of the woods yet." "Why not?" "It was a serious accident." "We don't know how he'll react." "It depends on his physical condition, which includes any drugs he takes." "Let's say he did take something..." "He takes..." "I mean, once in a while, he might take..." "I know it's not a drug, but..." "But?" "I'm sure it's not dangerous." "Let me be the judge of that." "He doesn't want his ex to know." "Know what?" "Listen, I'm no example myself." " I'm separated..." " Mr. Blain, what was he taking?" "Something that keeps you feeling young and strong." "Anyway, it's legal." "We buy it online." "There are a bunch of letters in the name." " D-H-E-A?" " Right." "The patient was taking DHEA." "Move him to the ICU stat." "That explains why he's not improving." "You don't have any beds." "Take one of mine." "Number 4 is free for a transfer." "I couldn't operate last night." " You were on duty." " I was drunk." "I won't put lives at risk." "If I'm not at my best, I won't operate." "Drunk, but honest." "That's not what they told me." "They're a family of liars!" "Could you please not talk like that in front of your daughter?" "What for?" "She shouldn't have to deal with your grown-up concerns." "Her father almost got himself killed." "She should know why." "No, that's not helpful." "The Blains are a bunch of liars." "I won't raise my daughter like that." "Ever." "Where's the other family?" "That other crazy idiot must have a family?" "You're coming with me, OK?" "No." "You're coming with me." "You need to calm down." "Am I being annoying?" "Say it." " Ma'am..." " I'm annoying." "This isn't just a matter of life or death for Michel." "It is for me, too, and for her." "I work 60 hours a week." "I can't raise her by myself." "He never takes her." "And now he goes and gets himself in a crash." " So did you see Meilleur?" " Yes." "What was his excuse?" " He wasn't at his best." " Settle this once and for all." "It's wrecking morale in the department." "You want me to get rid of him?" "Why not?" "What's your operation?" "Don't change the subject." "You always tell the truth, honey, don't you?" "You once said, since your mother died, you've always told the truth." "Now you're going to lie to protect a guy who doesn't deserve it?" "Always tell the truth." "Every time you lie, it hurts my heart." "The more lies you tell, the more it hurts." "Let us remember what Jesus said." "His friend Lazarus..." "ISÈLE LAMARCHE 1939-1974" "WIFE OF MARC LEMIEUX" " Are you going to eat the apple?" " No." " Then we'll throw it out." " No." "Lie down for a little." "Listen, I know you've gone through a few things with Michel, but..." "With you too." "I didn't help." "True enough." "But now..." "I'll do my part." "It's important, so Michel can get better, for you... and for her, too." "Do you know what happened?" "No." "An accident is an accident." "The other guy is 19." "Yes?" "Give him hydromorphone sub-Q." "Start with 2 milligrams every 6 hours." "I'll come by later." "You have a minute?" "For you, always." "There's a problem with Sophie." "What kind of problem?" "I'm concerned about her state of mind." "The others don't like her." "She's the one who doesn't like them." "Would you do your residency in a hospital your mother runs?" "Well, that's Sophie Léveillée." "Her dad, a top surgeon who offs himself, and her mom, the head honcho here." "How could any of them like her?" "Meilleur's the one who worries me." "He drinks." "I've never seen him drunk." "When he's wasted, he doesn't show up." "Julie!" "Something's wrong with Mr. Blain." "Hello." "Did you treat two traffic-accident victims this morning?" "The street racers?" "We need a word with the families." "You have to talk to them right now?" " Yeah." " The timing's really bad." "There's an eyewitness." "Says the younger one is to blame." "To blame?" "A race is a race." "Racing is one thing." "But forcing a car off the road?" "That's NASCAR." "Brain death." "We lost him." "Come in." "So what's wrong?" "Sophie is not fitting into the group." "Third warning." "She won't interact." "She won't socialize." "She isn't nice to them and they reject her." "It's her own fault to an extent." "What do you want me to do about it?" "Send her to bed without dessert?" "My daughter's 25." "Do what you want." "I'm not her father." "She's got Julien's bad genes." "And my bad genes, too." "She's got his talent and your stubbornness." "Is stubbornness a good thing?" "Julie Lemieux really likes her." "Meilleur called." "I can do without this bickering between surgeons." "Meilleur?" "Preemptive strike." "He didn't answer his beeper." "Darveau's going to drop in to defend his wife." "The usual mess." "This is normal behaviour for people who deal with death on a daily basis." "It has to come out somehow!" "What's your problem with Sophie?" "She's not strong enough to be a surgeon." "I won't pass her." "Don't project your problems onto other people." " Sophie's got what it takes." " No." "I explained brain death to Mr. Blain." "He's agreed to the organ donation." "Go ahead." "Don't ever do that to me again." "I could've broken it to him." "And tell him if you'd been here, his son might still be alive?" "You're the boss, but I'm the one who knows if I'm fit to operate." "If I lose a patient, it's on my head." " Well, we did lose one." " Not because of the surgery." "Sophie didn't get a tox screen." "You're going to blame me." "You decide if you're fit to operate." "But I decide on official positions." "Understood?" "All's well that ends well then." "Politically speaking, I mean." "Right, sorry about that." "What were we talking about?" "Oh yes!" "Do you go to school?" "Yes." " What grade?" " Sunny Hill." "Sunny Hill isn't a grade." "Sunny Hill is my kindergarten." "Oh, right!" "Sorry." "You couldn't sleep anymore?" "Aren't you tired?" " Are you hungry?" " Yes." "I know a place where we can go eat." "What about my mom?" "See that lady over there?" "We'll tell her where we're going, and she'll tell your mom." "And your mom will come meet us." "Sound good?" "Let's go." "Thank you for the organ donation." "It's rare, but there's a patient here who needs it." "If we had known about the drug..." "All this to sleep with 20-year-old girls." "I know he was working out, but... he was my child, my son." "He just wanted to look good." "Ever since... she left him, he was down in the dumps." "Right, it was my fault he was speeding." "It was because I left him." " Don't start!" " I didn't!" " Please!" " No, let him speak." "You'll see." "It's all my fault." "Well, I've got some news for you." "There's a problem over there I didn't create on my own." "He's responsible for 50% of that problem!" " Don't talk about her like that!" " Please..." "Charlotte's not a problem for you or him." "Now she's just my problem." "Did he think about her when he got in his car?" "Did he think he had a 5-year-old daughter waiting for him?" " Is Mr. Blain dead?" " Yes." " Complications from the surgery?" " The surgery, yeah." "What?" "No clue?" "Go see Dr. Lemieux." "She forgot to ask the anesthetist to check the dosages." "It's her mistake, not yours." "She was in both ORs." "We couldn't have known about the drug." "Yeah, that's my point." "She's the boss." "You should've been here." "If you're not in the OR, you can't make a mistake." "The kidneys." "Take this to the administrator or I will." " I said no." " So you're taking the blame?" " I was in charge." " This is nuts." "You know the rules as well as I do." "Hello." "This is Charlotte." "I was with your grandpa and your mom." "Who are you?" "I operated on your dad." "I'm his doctor." "Do you want to go see your mom?" "She's not coming up." "Give my daddy this." "So our young man is getting a brand-new kidney?" " Yeah." " He's doing well." "Think you can handle life without dialysis?" "I don't know." "Everything looks good." "I need you to sign some papers." "Dad..." "He's out of danger." " And the other man?" " Not as lucky." "The police explained that..." "Kevin was out of control." "They could charge him with reckless driving." "Actually..." "Sorry..." "They will be charging him." "That's usually how it goes." "What?" "In my line of work." "People don't realize how little it takes to ruin a life." "Especially at 19." "It's not a matter of age." "We all think we're invulnerable." "And we all want to test the boundaries." "Excuse me." "Michel wet the bed until he was 12." "Did they tell you that?" "Because now you have one of his kidneys." "I'm no doctor, but maybe that..." "Anyway, as far as drinking goes, they're good kidneys." "No..." "Here, lie back." "I just want to get to know you a little." "But... why?" "You're taking a part of my son with you." "That entitles me to something, doesn't it?" "Sure." "Do you want to know anything about me?" "No." "Not really." "Would you like to meet his daughter?" "Charlotte is 5." "She's an absolutely..." "I only had one son." "Just one." "Where do you live?" "I'll take care of you." "Here." "Are you comfortable?" "Who are you?" "My son gave him one of his kidneys." "Mr. Blain?" "Who told you?" "It's all right." "There's no problem." "Who told you that?" "Nobody." "I found out on my own." "Are you OK?" "Come with me." "You know the blonde upstairs?" "She said:" ""I was pumping it all night." ""I hope I wasn't the one who killed him."" "Don't go see the administrator about Meilleur." "Just drop it." "We all have to stand behind Julie." "We can't do that if everybody's arguing and taking sides." "Right." "Do you know something you're not telling me?" "One of the victims died because..." "Sophie forgot something, a rudimentary mistake." "Usually, you get a tox screen right away." "Etienne Labrie did it for the other one." "He had nothing in his system." "Sophie's patient did." "Meilleur said it was your wife's fault to spare Sophie." "Knowing that, you still don't want me to go see the administrator?" "Julie's the one who asked Pierre to blame her, to protect her pride." "Anyway, the patient was stuffed full with synthetic hormones." "Even a horse wouldn't have survived." "Multiple fractures... major abdominal trauma." "It probably wouldn't have changed a thing." "But it's still a mistake." "Julie shouldn't lie to cover up other people's blunders." "Twice in one day!" "Sophie has talent, but not the nerve." "Meilleur is a little unstable but he's a gifted surgeon." "Can we afford to let him go?" "It's up to him to prove he deserves to stay." "Sophie?" "What?" "Want something to eat?" "No, I'm not hungry." "Go ahead." "The wounded live within you." "Their pain is your life." "Of all emotions  escaping death is the strongest for us all." "Some of you are more prepared than others." "But... who's to say which one of you might one day save my life?" "Translation by Shonda Secord" "Subtitles by Vision Globale" "Can't somebody else take this?" "As long as your indulgences stay a secret, we can manage, but the rumours are spreading." "I won't operate with a Korsakoff." "But I agree to operate with a paranoid materialist!"