1 00:00:13,513 --> 00:00:15,639 What the hell is going on out there? 2 00:00:15,640 --> 00:00:17,850 - Somebody stole the rig. - Again? 3 00:00:17,851 --> 00:00:19,685 Hey, where do you guys think you're going? 4 00:00:19,686 --> 00:00:21,111 We'll be back in two minutes max. 5 00:00:21,112 --> 00:00:22,688 Antoine is going to show us his new motorcycle. 6 00:00:22,689 --> 00:00:24,648 Great. We always need organ donors. 7 00:00:24,649 --> 00:00:26,233 Yeah, someone stole your rig. 8 00:00:26,234 --> 00:00:27,651 Yeah, you weren't watching the screens? 9 00:00:27,652 --> 00:00:29,820 - How'd you miss it? - Oh, I saw it pull out. 10 00:00:29,821 --> 00:00:32,281 But I figured you were in it. Why'd you leave the keys in it? 11 00:00:32,282 --> 00:00:33,949 - It's protocol. - No, it's not. 12 00:00:33,950 --> 00:00:35,034 That's what I said. 13 00:00:35,035 --> 00:00:36,744 Yes, it is. 14 00:00:36,745 --> 00:00:39,955 And I... who steals a fucking ambulance at 10:00 a.m.? 15 00:00:39,956 --> 00:00:41,373 Easy... junkies, meth heads, 16 00:00:41,374 --> 00:00:42,875 thinking they just stole the candy store. 17 00:00:42,876 --> 00:00:44,460 Or a psych patient kicked loose last night. 18 00:00:44,461 --> 00:00:45,669 Y'all don't know. That thing is getting 19 00:00:45,670 --> 00:00:47,046 stripped, chopped, and shipped. 20 00:00:47,047 --> 00:00:49,215 - That's a pro job. - Shut the fuck up. 21 00:00:50,717 --> 00:00:52,676 Maybe another driver took it. Did you call your dispatch? 22 00:00:52,677 --> 00:00:53,886 Of course we called our dispatch. 23 00:00:53,887 --> 00:00:55,596 - Did you call the cops? - I can, 24 00:00:55,597 --> 00:00:57,347 but there are two having breakfast in the cafeteria. 25 00:00:57,348 --> 00:00:58,599 Help yourself. 26 00:00:58,600 --> 00:00:59,767 Hey. 27 00:00:59,768 --> 00:01:00,851 I'm good. Thanks. 28 00:01:00,852 --> 00:01:02,186 Protocol. 29 00:01:02,187 --> 00:01:03,812 Come on. 30 00:01:03,813 --> 00:01:05,355 I'd put $20 on the psych patient. 31 00:01:05,356 --> 00:01:07,274 Oh, I'll take that action. 32 00:01:07,275 --> 00:01:08,692 Hey, do we have crutches? 33 00:01:08,693 --> 00:01:09,985 Yeah, ortho locker just restocked. 34 00:01:09,986 --> 00:01:11,361 Okay, great. 35 00:01:11,362 --> 00:01:12,863 Can you bring back Sherry Davis next? 36 00:01:12,864 --> 00:01:14,198 Sterno mom with the hand burn? 37 00:01:14,199 --> 00:01:15,824 - Mm-hmm. - She split. 38 00:01:15,825 --> 00:01:17,242 Shit. When? 39 00:01:17,243 --> 00:01:18,744 I gave the kids two breakfasts each 40 00:01:18,745 --> 00:01:20,162 off the boarders' cart, and they left. 41 00:01:20,163 --> 00:01:21,997 In school probably? 42 00:01:21,998 --> 00:01:23,832 Did she say anything about coming back for wound care? 43 00:01:23,833 --> 00:01:25,834 Not to me. 44 00:01:25,835 --> 00:01:27,211 Fuck. 45 00:01:27,212 --> 00:01:28,337 I need rooms cleared and cleaned, 46 00:01:28,338 --> 00:01:29,963 so I'm shuffling the deck. 47 00:01:29,964 --> 00:01:31,381 Yeah, but why are you moving him into Pedes? 48 00:01:31,382 --> 00:01:33,050 I'm just about to extubate him. 49 00:01:33,051 --> 00:01:34,635 There's no kids in there at the moment. 50 00:01:34,636 --> 00:01:36,053 The family can have some privacy. 51 00:01:36,054 --> 00:01:37,638 There's nice pictures on the wall. 52 00:01:37,639 --> 00:01:38,680 What's the problem? 53 00:01:38,681 --> 00:01:39,723 There's no problem. 54 00:01:39,724 --> 00:01:41,350 There's no problem. 55 00:01:41,351 --> 00:01:43,227 Mrs. Smith does not need a cardiac monitor. 56 00:01:43,228 --> 00:01:44,603 She can get her Vanco in the hall. 57 00:01:44,604 --> 00:01:46,355 We've got one tele-bed available. 58 00:01:46,356 --> 00:01:48,065 Let's give it to Otis before someone else snags it. 59 00:01:48,066 --> 00:01:49,566 - Yep. - Leave the family 60 00:01:49,567 --> 00:01:51,110 in Central 7 alone until nuclear medicine 61 00:01:51,111 --> 00:01:52,569 is ready to take the kid. 62 00:01:52,570 --> 00:01:53,862 There's no sense in moving them twice. 63 00:01:53,863 --> 00:01:55,239 Aye-aye, Cap. 64 00:01:56,533 --> 00:01:58,034 Hey, Robby. 65 00:01:59,285 --> 00:02:00,702 - You're going to extubate? - Yes. 66 00:02:00,703 --> 00:02:02,079 Good. You shouldn't have intubated. 67 00:02:02,080 --> 00:02:03,372 Yeah, I remember you saying that, 68 00:02:03,373 --> 00:02:05,415 just like it was this morning. 69 00:02:05,416 --> 00:02:06,834 You want me to do it? 70 00:02:06,835 --> 00:02:08,544 No, why? 71 00:02:08,545 --> 00:02:10,212 Adamson. 72 00:02:10,213 --> 00:02:11,713 - Jesus! - Okay. 73 00:02:11,714 --> 00:02:13,215 There's something moving in there! 74 00:02:13,216 --> 00:02:14,758 - Ma'am, hold still. - Get it out! 75 00:02:14,759 --> 00:02:16,593 I can't help you if you keep moving your head. 76 00:02:16,594 --> 00:02:18,262 Get it fucking out! 77 00:02:18,263 --> 00:02:19,471 I can feel it! 78 00:02:19,472 --> 00:02:21,265 Arthropod in the EAC. 79 00:02:21,266 --> 00:02:22,766 Oh, my God. 80 00:02:22,767 --> 00:02:25,435 I better get in there. 81 00:02:25,436 --> 00:02:26,896 Yeah. 82 00:02:31,359 --> 00:02:34,111 How long will he live without the oxygen? 83 00:02:34,112 --> 00:02:36,238 It's difficult to say. 84 00:02:36,239 --> 00:02:38,574 Once the tube comes out, it could be anywhere 85 00:02:38,575 --> 00:02:41,785 from 30 minutes to several hours. 86 00:02:41,786 --> 00:02:44,121 When I extubate, we're gonna suction the back of his throat. 87 00:02:44,122 --> 00:02:46,290 We're going to give him some glycopyrrolate drops, 88 00:02:46,291 --> 00:02:48,584 which will cut down on his secretions. 89 00:02:48,585 --> 00:02:50,127 He'll get morphine for any pain. 90 00:02:51,671 --> 00:02:53,297 And we'll give him some oxygen in his nose 91 00:02:53,298 --> 00:02:55,049 as a comfort measure. 92 00:02:58,303 --> 00:03:00,137 Jesus. 93 00:03:00,138 --> 00:03:02,431 I don't... I don't think that I can go through with this. 94 00:03:02,432 --> 00:03:05,058 I mean, this... this is happening? 95 00:03:05,059 --> 00:03:07,978 Like, now? Like... like, today? 96 00:03:07,979 --> 00:03:10,564 We... we just decided that Dad is gonna 97 00:03:10,565 --> 00:03:12,316 die in this room, 98 00:03:12,317 --> 00:03:16,696 in a room with cartoon forest animals all over it? 99 00:03:18,323 --> 00:03:22,784 If you think about it, it's kind of perfect. 100 00:03:24,495 --> 00:03:27,289 Our... our dad worked on "Mister Rogers' Neighborhood" 101 00:03:27,290 --> 00:03:28,707 the whole time that we were growing up. 102 00:03:28,708 --> 00:03:30,626 Oh, no kidding. That's very cool. 103 00:03:30,627 --> 00:03:32,502 "Mister Rogers," the television program? 104 00:03:32,503 --> 00:03:33,921 - That's right. - Here in Pittsburgh? 105 00:03:33,922 --> 00:03:38,342 At WQED on Fifth Ave for 33 years. 106 00:03:38,343 --> 00:03:41,011 Dad worked with Jack Guest, the art director. 107 00:03:41,012 --> 00:03:43,805 So he helped, um, 108 00:03:43,806 --> 00:03:46,559 paint and build all those sets. 109 00:03:51,105 --> 00:03:53,816 I don't think that I can do this. 110 00:04:00,406 --> 00:04:01,782 Okay. 111 00:04:01,783 --> 00:04:04,952 Just to be clear, your father is dying, 112 00:04:04,953 --> 00:04:07,871 and you're choosing to allow that to occur naturally, 113 00:04:07,872 --> 00:04:10,040 rather than subject him to a torturous amount 114 00:04:10,041 --> 00:04:13,502 of procedures, which would only delay the inevitable. 115 00:04:13,503 --> 00:04:15,629 I just thought that it would be different. 116 00:04:15,630 --> 00:04:17,214 And I thought that there'd... 117 00:04:17,215 --> 00:04:18,548 we'd have more time. 118 00:04:18,549 --> 00:04:20,050 Is your family religious? 119 00:04:20,051 --> 00:04:21,051 Oh. 120 00:04:21,052 --> 00:04:22,511 God, no. 121 00:04:22,512 --> 00:04:24,555 No God. 122 00:04:27,267 --> 00:04:31,019 I had a teacher, mentor, 123 00:04:31,020 --> 00:04:34,398 who told me about a Hawaiian ritual 124 00:04:34,399 --> 00:04:37,859 called ho'oponopono, 125 00:04:37,860 --> 00:04:40,862 or "the four things that matter most." 126 00:04:40,863 --> 00:04:43,073 It's basically just a few key things 127 00:04:43,074 --> 00:04:44,574 that we can say when we're saying goodbye 128 00:04:44,575 --> 00:04:46,827 to a loved one that can really help 129 00:04:46,828 --> 00:04:49,455 at the early stages of loss. 130 00:04:50,623 --> 00:04:51,957 What are they? 131 00:04:51,958 --> 00:04:53,292 They're gonna sound really simple, 132 00:04:53,293 --> 00:04:54,793 but I swear I've seen them work. 133 00:04:54,794 --> 00:04:56,586 Okay. 134 00:04:56,587 --> 00:04:59,631 I love you. 135 00:04:59,632 --> 00:05:01,425 Thank you. 136 00:05:01,426 --> 00:05:03,260 I forgive you. 137 00:05:03,261 --> 00:05:05,013 Please forgive me. 138 00:05:06,431 --> 00:05:08,181 That's... that's it? 139 00:05:08,182 --> 00:05:09,266 Yep. 140 00:05:09,267 --> 00:05:10,767 Told you it was simple. 141 00:05:13,521 --> 00:05:14,981 Okay. 142 00:05:16,524 --> 00:05:18,567 Mr. Spencer, I'm gonna take this tube out 143 00:05:18,568 --> 00:05:20,194 of your throat now. 144 00:05:21,446 --> 00:05:24,781 What I want you to do is to take a very deep breath. 145 00:05:24,782 --> 00:05:26,491 Breathe in. 146 00:05:26,492 --> 00:05:27,951 And now blow it out. 147 00:05:29,120 --> 00:05:30,454 There we go. 148 00:05:40,465 --> 00:05:42,049 Okay. 149 00:05:42,050 --> 00:05:43,800 Okay. 150 00:05:43,801 --> 00:05:46,053 I'm gonna give you some oxygen in your nose. 151 00:05:48,723 --> 00:05:51,601 A couple drops under your tongue. 152 00:05:53,895 --> 00:05:55,687 You okay? 153 00:05:55,688 --> 00:05:57,022 Tired. 154 00:05:57,023 --> 00:05:58,690 You can rest. 155 00:05:58,691 --> 00:06:00,650 Close your eyes if you want. 156 00:06:00,651 --> 00:06:03,111 Your children are here. 157 00:06:03,112 --> 00:06:07,074 Uh, Dad, you just... you just rest, okay? 158 00:06:07,075 --> 00:06:09,159 We're right here. 159 00:06:09,160 --> 00:06:11,245 I'm right here. 160 00:06:23,216 --> 00:06:24,800 Come find me. 161 00:06:24,801 --> 00:06:26,551 Okay, take a deep breath for me. 162 00:06:26,552 --> 00:06:29,554 Jesus, everybody's going to this concert tonight. 163 00:06:29,555 --> 00:06:31,681 I wonder if there's any decent passes left. 164 00:06:31,682 --> 00:06:33,141 Another deep breath. 165 00:06:34,352 --> 00:06:35,894 Oh, my God, Jenna. 166 00:06:35,895 --> 00:06:37,771 You're never gonna believe who DM'd me. 167 00:06:37,772 --> 00:06:39,481 I fucking told you this would happen. 168 00:06:39,482 --> 00:06:41,191 I'm sure Jenna is happy you're here to support her, 169 00:06:41,192 --> 00:06:43,562 but perhaps you could wait outside until we finished. 170 00:06:43,563 --> 00:06:44,563 Excuse me? 171 00:06:44,564 --> 00:06:46,696 Excuse me, I'm in the middle of an examination. 172 00:06:46,697 --> 00:06:49,345 Yeah, and I'm gonna stay with my friend for as long as she needs me. 173 00:06:49,346 --> 00:06:50,826 I'm the one who brought her here. 174 00:06:50,827 --> 00:06:52,202 Gold star for you. 175 00:06:52,203 --> 00:06:54,704 Hey. It's fine. I'm fine. 176 00:06:54,705 --> 00:06:56,958 - Are you sure? - Yeah. 177 00:07:04,424 --> 00:07:05,549 Thank you. 178 00:07:05,550 --> 00:07:08,009 I wanted her to leave. 179 00:07:08,010 --> 00:07:09,679 How are you doing? 180 00:07:11,806 --> 00:07:14,891 I called Nick's dad an asshole 181 00:07:14,892 --> 00:07:17,562 and told him to go ask his son. 182 00:07:18,896 --> 00:07:20,982 Why would I say that? 183 00:07:22,275 --> 00:07:24,067 Uh, why don't you tell me about school? 184 00:07:24,068 --> 00:07:25,444 What are you studying? 185 00:07:25,445 --> 00:07:26,570 What? 186 00:07:26,571 --> 00:07:28,697 Do you do any sports? 187 00:07:28,698 --> 00:07:31,616 Are you into any extracurricular activities? 188 00:07:31,617 --> 00:07:33,076 I don't... 189 00:07:33,077 --> 00:07:34,911 I don't know why you're asking me that. 190 00:07:34,912 --> 00:07:36,913 Well, it's important that you focus on the good things 191 00:07:36,914 --> 00:07:39,291 in your life right now. 192 00:07:39,292 --> 00:07:41,168 How? 193 00:07:41,169 --> 00:07:43,712 A boy... a very sweet boy 194 00:07:43,713 --> 00:07:45,839 that I barely even knew is dead. 195 00:07:45,840 --> 00:07:47,382 And I just fucking made it worse. 196 00:07:47,383 --> 00:07:48,842 You just need to... 197 00:07:48,843 --> 00:07:50,343 And his father thinks I killed him, 198 00:07:50,344 --> 00:07:52,387 and you're asking me if I play sports? 199 00:07:52,388 --> 00:07:55,557 Jenna, Jenna, I can tell how upset you are right now. 200 00:07:55,558 --> 00:07:57,267 I see how painful this is. 201 00:07:57,268 --> 00:08:00,145 We don't even do drugs. 202 00:08:00,146 --> 00:08:03,106 We were studying. I mean, how does that happen? 203 00:08:03,107 --> 00:08:05,276 I can't imagine how hard this must be for you. 204 00:08:07,653 --> 00:08:09,906 I just really want to go home. 205 00:08:11,282 --> 00:08:14,117 Well, your vitals are excellent. 206 00:08:14,118 --> 00:08:16,829 When your parents arrive, they can take you. 207 00:08:18,664 --> 00:08:20,040 Thank you. 208 00:08:20,041 --> 00:08:21,918 We're here if you need anything. 209 00:08:25,796 --> 00:08:28,006 Oh, well, that went south. 210 00:08:28,007 --> 00:08:29,674 A couple of observations? 211 00:08:29,675 --> 00:08:30,800 Please. 212 00:08:30,801 --> 00:08:32,260 How thin is your skin? 213 00:08:32,261 --> 00:08:33,803 - Rhino. - Good. 214 00:08:33,804 --> 00:08:35,263 Distraction is a terrible strategy. 215 00:08:35,264 --> 00:08:36,640 When a patient says, "I'm hurting," 216 00:08:36,641 --> 00:08:38,308 we don't respond, "What's your major?" 217 00:08:38,309 --> 00:08:39,976 Oh, I wasn't trying to diminish... 218 00:08:39,977 --> 00:08:41,311 Additionally, "I" statements work better 219 00:08:41,312 --> 00:08:42,938 than "you" statements. 220 00:08:42,939 --> 00:08:44,481 "I can see how painful this is" acknowledges 221 00:08:44,482 --> 00:08:46,107 the reality of the situation and invites 222 00:08:46,108 --> 00:08:47,651 further examination. 223 00:08:47,652 --> 00:08:49,778 "You need to move on" has the opposite effect. 224 00:08:49,779 --> 00:08:51,821 Understood, but in my personal experience... 225 00:08:51,822 --> 00:08:54,157 Your personal experience isn't germane here. 226 00:08:54,158 --> 00:08:55,659 Germane? 227 00:08:55,660 --> 00:08:58,245 Relevant, pertinent, appropriate. 228 00:08:58,246 --> 00:09:00,247 Well, I respectfully disagree. 229 00:09:00,248 --> 00:09:02,082 My life gives me a perspective that's... 230 00:09:02,083 --> 00:09:04,459 Are you aware you have an aggressive energy, Trinity? 231 00:09:04,460 --> 00:09:08,129 Even this conversation feels confrontational. 232 00:09:08,130 --> 00:09:11,508 We bring our education to the job, not our baggage. 233 00:09:11,509 --> 00:09:12,842 Got it. 234 00:09:12,843 --> 00:09:14,929 Thank you. Will do. 235 00:09:16,055 --> 00:09:17,764 Good news or bad news first? 236 00:09:17,765 --> 00:09:18,974 What's the good news? 237 00:09:18,975 --> 00:09:20,517 Ear canal is numb. 238 00:09:20,518 --> 00:09:23,103 Simple flush with saline will fix the problem. 239 00:09:23,104 --> 00:09:24,688 What's the bad news? 240 00:09:24,689 --> 00:09:26,856 You've got a dead bug in your ear. 241 00:09:28,859 --> 00:09:30,360 A cockroach. 242 00:09:33,197 --> 00:09:35,824 We were in here for maybe 35, 40 minutes, tops. 243 00:09:35,825 --> 00:09:37,534 I go outside, it's gone. 244 00:09:37,535 --> 00:09:39,077 Seriously, there's nothing on the radio? 245 00:09:39,078 --> 00:09:41,162 Not yet. The keys were inside? 246 00:09:41,163 --> 00:09:43,873 Yes, I leave them in there in case somebody needs to move it. 247 00:09:43,874 --> 00:09:45,083 You're not supposed to leave the keys. 248 00:09:45,084 --> 00:09:46,585 That's what I said. 249 00:09:46,586 --> 00:09:48,211 You take the keys so nobody steals it. 250 00:09:48,212 --> 00:09:49,838 So what the fuck is security for? 251 00:09:49,839 --> 00:09:51,047 Oh, I'm about to show you. 252 00:09:51,048 --> 00:09:52,215 - Oh, yeah? - Hey, guys, 253 00:09:52,216 --> 00:09:53,375 can we congregate somewhere else? 254 00:09:53,376 --> 00:09:55,051 Give a little room. We got a new guest checking in. 255 00:09:55,052 --> 00:09:56,886 Guys, Ahmad, we got to keep this area clear. 256 00:09:56,887 --> 00:09:59,848 - Everybody, please. - Hey, 5 bucks on "Chop Shop." 257 00:09:59,849 --> 00:10:02,543 Wendell Stone, 52, chief rigger from Pitfest. 258 00:10:02,544 --> 00:10:04,044 Isolated trauma to the left chest 259 00:10:04,045 --> 00:10:05,606 when a speaker tower came down on him. 260 00:10:05,607 --> 00:10:07,230 Looks like multiple rib fractures. 261 00:10:07,231 --> 00:10:09,316 Pulse 110, BP 130 over 85... 262 00:10:09,317 --> 00:10:10,651 Decent sats at 96. 263 00:10:10,652 --> 00:10:13,069 - 50 of fent in the field. - Got it? 264 00:10:13,070 --> 00:10:14,571 How we doing, Mr. Stone? 265 00:10:14,572 --> 00:10:15,822 Mr. Stone was my dad. 266 00:10:15,823 --> 00:10:17,032 Just Stone. 267 00:10:18,659 --> 00:10:19,826 Damn. 268 00:10:19,827 --> 00:10:21,494 They woke the Kraken. 269 00:10:21,495 --> 00:10:23,204 When's he due for his next round? 270 00:10:25,249 --> 00:10:27,917 40 minutes ago. 271 00:10:27,918 --> 00:10:30,378 Perfect. 272 00:10:30,379 --> 00:10:31,546 Mr. Driscoll? 273 00:10:31,547 --> 00:10:33,298 Mr. Doug Driscoll? 274 00:10:33,299 --> 00:10:35,258 About fucking time. 275 00:10:35,259 --> 00:10:38,053 See you later, suckers. 276 00:10:38,054 --> 00:10:41,264 - Excuse me. - Sorry. 277 00:10:41,265 --> 00:10:42,766 "Jiya" Yi Chen? 278 00:10:42,767 --> 00:10:44,392 I have some Tylenol for "Jiya" Yi Chen. 279 00:10:44,393 --> 00:10:45,477 Yes, please. 280 00:10:45,478 --> 00:10:47,103 Over here. 281 00:10:47,104 --> 00:10:48,438 Jia Yi. 282 00:10:48,439 --> 00:10:49,773 Jia Yi Chen. Here you go. 283 00:10:49,774 --> 00:10:51,647 How much longer until we can see the doctor? 284 00:10:51,648 --> 00:10:53,376 Uh, we have to wait for a bed to open up. 285 00:10:53,377 --> 00:10:54,545 Might be a little while. 286 00:10:54,546 --> 00:10:56,089 Pretty popular today. 287 00:10:57,031 --> 00:10:58,907 The medicine should help. 288 00:10:58,908 --> 00:11:00,116 Four of morphine. 289 00:11:00,117 --> 00:11:01,553 No abdominal tenderness. 290 00:11:01,554 --> 00:11:02,826 - What have we got? - What have we got? 291 00:11:02,827 --> 00:11:03,959 Jinx, you owe me a Coke. 292 00:11:03,960 --> 00:11:05,622 - Isolated chest trauma with... - Stop. 293 00:11:05,623 --> 00:11:07,457 I want to hear from Dr. Santos. 294 00:11:07,458 --> 00:11:09,918 Isolated chest trauma with obvious flail chest. 295 00:11:09,919 --> 00:11:11,461 No hemopneumo on POCUS. 296 00:11:11,462 --> 00:11:12,921 Good sats and vitals. 297 00:11:12,922 --> 00:11:14,297 Excellent presentation. 298 00:11:14,298 --> 00:11:16,591 Sir, I'm Dr. Garcia from Surgery. 299 00:11:16,592 --> 00:11:17,634 I need surgery? 300 00:11:17,635 --> 00:11:18,802 Not necessarily. 301 00:11:18,803 --> 00:11:20,053 No blood in the belly on FAST. 302 00:11:20,054 --> 00:11:21,805 You got this? 303 00:11:21,806 --> 00:11:23,306 Abdomen is benign. 304 00:11:23,307 --> 00:11:25,809 CT chest, abdomen, pelvis with contrast, 305 00:11:25,810 --> 00:11:28,269 which I trust way more than your ultrasound skills. 306 00:11:29,647 --> 00:11:31,439 And more morphine, for God's sake. 307 00:11:31,440 --> 00:11:33,483 No, no, no, no. Don't knock me out. 308 00:11:33,484 --> 00:11:35,592 I gotta stay on top of the crew doing the put in. 309 00:11:35,593 --> 00:11:37,108 - The what? - The festival. 310 00:11:37,109 --> 00:11:40,657 We'll block all the nerves going to the broken ribs. 311 00:11:40,658 --> 00:11:42,158 Roll to the right. 312 00:11:42,159 --> 00:11:44,515 You'll be awake and pain-free. 313 00:11:44,516 --> 00:11:46,452 Yeah, that's what I'm talking about. 314 00:11:46,453 --> 00:11:47,997 That's a ton of intercostal blocks. 315 00:11:47,998 --> 00:11:49,332 Nope, one shot. 316 00:11:49,333 --> 00:11:51,042 Serratus anterior blocks down to T-9. 317 00:11:51,043 --> 00:11:53,169 You kids and your crazy regional blocks. 318 00:11:53,170 --> 00:11:55,505 Dr. Santos, call me with the CT results. 319 00:11:55,506 --> 00:11:57,466 Extension 1121. 320 00:11:59,635 --> 00:12:01,511 Gabe's the same age that I was 321 00:12:01,512 --> 00:12:03,346 when we made our first layout. 322 00:12:03,347 --> 00:12:04,973 You remember that, Dad? 323 00:12:04,974 --> 00:12:06,349 The... the two level track in the basement 324 00:12:06,350 --> 00:12:07,684 of the Clovis house? 325 00:12:07,685 --> 00:12:09,185 - O. - That's right. 326 00:12:09,186 --> 00:12:10,687 Yeah, it was an O gauge. 327 00:12:10,688 --> 00:12:13,440 It limited the cars we could use, but... 328 00:12:13,441 --> 00:12:14,816 That layout was a beauty. 329 00:12:14,817 --> 00:12:16,192 Hmm. 330 00:12:16,193 --> 00:12:18,945 Doctor, does that sound he's making 331 00:12:18,946 --> 00:12:20,990 mean it could be any minute? 332 00:12:22,533 --> 00:12:23,867 No, no. 333 00:12:23,868 --> 00:12:25,118 It just means that he's having trouble 334 00:12:25,119 --> 00:12:26,953 handling his secretions. 335 00:12:34,378 --> 00:12:36,630 Mr. Spencer, this should help. 336 00:12:46,182 --> 00:12:49,392 I'm also going to give you a scopolamine patch 337 00:12:49,393 --> 00:12:51,269 behind your ear. 338 00:12:51,270 --> 00:12:53,104 That will cut down on his secretions 339 00:12:53,105 --> 00:12:54,731 for the next 24 hours. 340 00:12:54,732 --> 00:12:56,733 Do you think he has 24 hours? 341 00:12:56,734 --> 00:12:58,401 There's really no way to know. 342 00:12:58,402 --> 00:12:59,736 Let's give another two of morphine. 343 00:12:59,737 --> 00:13:01,070 Repeat PRN. 344 00:13:01,071 --> 00:13:02,071 We're going to give him something 345 00:13:02,072 --> 00:13:03,573 to keep him comfortable. 346 00:13:03,574 --> 00:13:06,744 Doctor, what were those four things again? 347 00:13:07,953 --> 00:13:09,579 I love you. Thank you. 348 00:13:09,580 --> 00:13:12,081 I forgive you. Please forgive me. 349 00:13:12,082 --> 00:13:13,542 That's easy. 350 00:13:14,627 --> 00:13:16,336 I love you, Dad. 351 00:13:16,337 --> 00:13:19,923 I've loved every minute we've gotten to spend together. 352 00:13:19,924 --> 00:13:22,050 Thank you. 353 00:13:22,051 --> 00:13:24,928 You're the best dad a boy could have wanted. 354 00:13:24,929 --> 00:13:26,513 You... you never missed a game. 355 00:13:26,514 --> 00:13:28,932 You always made time for me to play catch 356 00:13:28,933 --> 00:13:30,558 or to build models or... 357 00:13:32,228 --> 00:13:34,020 When you helped me with my homework... 358 00:13:36,273 --> 00:13:38,483 Or when we would wake up 359 00:13:38,484 --> 00:13:40,485 before everybody else... 360 00:13:40,486 --> 00:13:42,445 And make sandwiches. 361 00:14:03,467 --> 00:14:04,801 Be right back. 362 00:14:54,977 --> 00:14:56,019 They spotted it. 363 00:14:56,020 --> 00:14:57,562 East on 376. 364 00:14:57,563 --> 00:14:58,813 Ho, ho! 365 00:14:58,814 --> 00:15:00,023 Oh, let's go. 366 00:15:00,024 --> 00:15:01,691 It is on now. 367 00:15:01,692 --> 00:15:03,693 $15 on crash, another $5 on junkies. 368 00:15:03,694 --> 00:15:05,028 Give me $8 on catch with another... 369 00:15:05,029 --> 00:15:06,029 Uh-uh-uh. 370 00:15:06,030 --> 00:15:07,363 Multiples of 5 only. 371 00:15:07,364 --> 00:15:08,823 I'm not touching your stripper bills. 372 00:15:08,824 --> 00:15:10,199 Yo, what's that shit? 373 00:15:10,200 --> 00:15:11,242 Hey! 374 00:15:11,243 --> 00:15:12,702 Wanna keep it down? 375 00:15:12,703 --> 00:15:15,538 This is a hospital, not Rivers Casino. 376 00:15:15,539 --> 00:15:17,165 Keep talking. I'ma find Robby. 377 00:15:17,166 --> 00:15:18,374 Mm-hmm. 378 00:15:18,375 --> 00:15:20,335 I'm alive! 379 00:15:20,336 --> 00:15:22,545 Psych wanted to transition him to oral meds. 380 00:15:22,546 --> 00:15:25,715 There's an order for an olanzapine tablet at 9:30 a.m. 381 00:15:25,716 --> 00:15:27,175 Yeah, that's on us. 382 00:15:27,176 --> 00:15:28,885 I've been with criticals all morning. 383 00:15:28,886 --> 00:15:30,720 He needs to go upstairs to behavioral health. 384 00:15:30,721 --> 00:15:32,055 We're too busy down here to dispense 385 00:15:32,056 --> 00:15:33,723 psych meds on a schedule. 386 00:15:33,724 --> 00:15:34,891 Understood. 387 00:15:34,892 --> 00:15:36,893 What options are we left with? 388 00:15:36,894 --> 00:15:38,686 Either we let him tire himself out, 389 00:15:38,687 --> 00:15:40,313 or we go in and stick him. 390 00:15:40,314 --> 00:15:42,065 I'm worried he's gonna hurt himself. 391 00:15:42,066 --> 00:15:44,525 He's in partial soft restraints. 392 00:15:44,526 --> 00:15:47,570 What we really need is a Pavulon blow dart. 393 00:15:50,616 --> 00:15:51,699 Hold it. 394 00:15:51,700 --> 00:15:52,867 You caught me! 395 00:15:52,868 --> 00:15:54,410 And I was almost over the wall. 396 00:15:54,411 --> 00:15:56,037 Go easy on me, warden. 397 00:15:56,038 --> 00:15:57,580 I need an order for an agitated psych patient. 398 00:15:57,581 --> 00:15:58,957 Been here for days. 399 00:15:58,958 --> 00:16:00,124 Methamphetamine induced psychosis. 400 00:16:00,125 --> 00:16:01,584 The Kraken? 401 00:16:01,585 --> 00:16:02,919 We really shouldn't call him that. 402 00:16:02,920 --> 00:16:04,754 - How about a B-52? - No, no, no. 403 00:16:04,755 --> 00:16:06,381 That would take way too long, tie up the staff. 404 00:16:06,382 --> 00:16:08,049 - QTC? - Normal. 405 00:16:08,050 --> 00:16:10,593 Five of midazolam, five of Haldol, and Mister... 406 00:16:10,594 --> 00:16:11,886 Krakozhia. 407 00:16:11,887 --> 00:16:13,181 - You're joking. - No. 408 00:16:13,182 --> 00:16:15,556 Mr. Krakozhia will be out like a light in under a minute. 409 00:16:15,557 --> 00:16:17,350 It hardly seems as offensive 410 00:16:17,351 --> 00:16:19,102 to call him Kraken if his name is actually... 411 00:16:19,103 --> 00:16:21,270 - Irritable five-month-old. - Clearly. 412 00:16:21,271 --> 00:16:22,772 I'll be right there. 413 00:16:22,773 --> 00:16:25,317 Um, I need more coffee. 414 00:16:26,777 --> 00:16:28,111 You doing okay, Cap? 415 00:16:28,112 --> 00:16:29,737 Yeah, why? 416 00:16:29,738 --> 00:16:31,490 Can't have you going over the wall. 417 00:16:33,993 --> 00:16:36,619 Tomas Cordera, Mr. Tomas Cordera, 418 00:16:36,620 --> 00:16:37,745 please come to the window. 419 00:16:37,746 --> 00:16:39,038 I have your insurance card. 420 00:16:39,039 --> 00:16:41,083 Tomas Cordera. 421 00:16:47,840 --> 00:16:50,091 - Yes? - Cordera. 422 00:16:50,092 --> 00:16:53,511 It's actually Tasha Cordera, and "Ms." 423 00:16:53,512 --> 00:16:55,138 Okay. 424 00:16:55,139 --> 00:16:56,597 Do you want to come on back? 425 00:16:56,598 --> 00:16:58,307 Go through those doors. 426 00:16:58,308 --> 00:16:59,642 You cut your arm? 427 00:16:59,643 --> 00:17:00,810 - Yes. - Okay. 428 00:17:00,811 --> 00:17:02,229 No problem. 429 00:17:06,525 --> 00:17:09,170 Hi. I'm Dr. McKay. 430 00:17:09,171 --> 00:17:11,607 This is Victoria Javadi, student doctor. 431 00:17:11,608 --> 00:17:13,628 - Hello. Tasha. - Hi. 432 00:17:13,629 --> 00:17:15,246 Sorry for the long wait, Tasha. 433 00:17:15,247 --> 00:17:16,648 Do you mind if I take a quick peek? 434 00:17:16,649 --> 00:17:18,484 - Yeah. - Okay. 435 00:17:20,581 --> 00:17:21,914 All right. 436 00:17:21,915 --> 00:17:23,499 Not too bad. 437 00:17:23,500 --> 00:17:25,334 Definitely gonna need a few stitches, though. 438 00:17:25,335 --> 00:17:26,627 Why don't you come on back? 439 00:17:26,628 --> 00:17:28,087 And we'll get you patched up, okay? 440 00:17:28,088 --> 00:17:29,130 All right. 441 00:17:29,131 --> 00:17:30,757 Okay. 442 00:17:30,758 --> 00:17:31,841 Okay. 443 00:17:31,842 --> 00:17:34,469 How big is the pneumothorax? 444 00:17:34,470 --> 00:17:36,345 Got it. Thanks. 445 00:17:36,346 --> 00:17:38,097 What's a pneumothorax? 446 00:17:38,098 --> 00:17:40,099 Uh, just a little air leaking 447 00:17:40,100 --> 00:17:41,851 from the big bruise in your lung. 448 00:17:41,852 --> 00:17:43,019 Oh. 449 00:17:43,020 --> 00:17:44,187 Getting short of breath here. 450 00:17:44,188 --> 00:17:45,354 Pain? 451 00:17:45,355 --> 00:17:46,647 No, all that's gone. 452 00:17:46,648 --> 00:17:48,649 Good. The block worked. 453 00:17:48,650 --> 00:17:51,360 Sats are down to 85 on 5 liters. 454 00:17:51,361 --> 00:17:54,906 His lung contusions need some help. 455 00:17:54,907 --> 00:17:56,866 Start BiPAP, 10 over 5. 456 00:17:56,867 --> 00:17:59,327 That'll open up the bruised parts of your lung. 457 00:17:59,328 --> 00:18:00,828 Thanks. 458 00:18:00,829 --> 00:18:02,497 Good news is, you don't need surgery, 459 00:18:02,498 --> 00:18:05,208 but I'll let Dr. Garcia know about the CT. 460 00:18:05,209 --> 00:18:07,585 Oh. She likes you. 461 00:18:07,586 --> 00:18:10,213 I met her two hours ago. 462 00:18:11,715 --> 00:18:13,801 Must have made a strong first impression. 463 00:18:16,386 --> 00:18:18,221 Any fever, vomiting, or cough? 464 00:18:18,222 --> 00:18:19,388 None of that. 465 00:18:19,389 --> 00:18:20,723 Good feedings? 466 00:18:20,724 --> 00:18:22,391 Was she full term at birth? 467 00:18:22,392 --> 00:18:23,559 Normal delivery. 468 00:18:23,560 --> 00:18:25,061 Childhood vaccines? 469 00:18:25,062 --> 00:18:27,855 Um, yeah, two months and four months. 470 00:18:27,856 --> 00:18:29,315 To get an accurate temperature... 471 00:18:29,316 --> 00:18:30,483 What's your differential diagnosis? 472 00:18:30,484 --> 00:18:32,068 Gotta rule out the worst first. 473 00:18:32,069 --> 00:18:33,319 We need to check with a rectal thermometer. 474 00:18:33,320 --> 00:18:34,403 Is that really necessary? 475 00:18:34,404 --> 00:18:36,572 It's really important. 476 00:18:36,573 --> 00:18:38,574 Ooh, I know. 477 00:18:38,575 --> 00:18:40,368 I know. 478 00:18:40,369 --> 00:18:43,746 We gotta rule out any serious bacterial infection, 479 00:18:43,747 --> 00:18:46,040 sepsis, pneumonia, 480 00:18:46,041 --> 00:18:48,835 pyelo, appendicitis, meningitis. 481 00:18:48,836 --> 00:18:50,628 You think she has meningitis? 482 00:18:50,629 --> 00:18:53,756 No, we're just discussing hypothetical possibilities. 483 00:18:53,757 --> 00:18:55,424 Temp 99.2. 484 00:18:55,425 --> 00:18:59,595 Making meningitis extremely unlikely. 485 00:18:59,596 --> 00:19:03,724 Heart rate 164, sats 99. 486 00:19:03,725 --> 00:19:07,645 This is Dr. Robby, our senior physician. 487 00:19:07,646 --> 00:19:09,105 Hi, nice to meet you. 488 00:19:09,106 --> 00:19:10,648 Hi, hi. 489 00:19:10,649 --> 00:19:12,441 Afebrile, alert, good vitals. 490 00:19:12,442 --> 00:19:13,818 Doctors Mohan and King were 491 00:19:13,819 --> 00:19:15,820 just about to start their physical. 492 00:19:15,821 --> 00:19:18,614 Why don't you go check on our students, and I'll handle this? 493 00:19:18,615 --> 00:19:19,907 Mm-hmm. 494 00:19:19,908 --> 00:19:21,117 Oh. 495 00:19:26,373 --> 00:19:28,291 So why are you sticking me again? 496 00:19:28,292 --> 00:19:30,585 You came in an hour after the chest pain. 497 00:19:30,586 --> 00:19:32,067 If it's a heart attack, it can take 498 00:19:32,068 --> 00:19:34,088 more time for the heart damage to show up in the blood... 499 00:19:34,089 --> 00:19:35,631 put your finger on that... 500 00:19:35,632 --> 00:19:37,800 even with the normal EKG. 501 00:19:37,801 --> 00:19:39,386 That's why we repeat the test. 502 00:19:40,554 --> 00:19:41,637 Lift your arm up. 503 00:19:41,638 --> 00:19:43,223 Thank you. 504 00:19:44,808 --> 00:19:47,393 All right, let's get you back to the waiting room. 505 00:19:47,394 --> 00:19:48,978 - What? No. - Yeah. 506 00:19:48,979 --> 00:19:50,271 No, all I've been doing is waiting. 507 00:19:50,272 --> 00:19:52,315 - I'm supposed to see a doctor now. - Soon. 508 00:19:52,316 --> 00:19:53,817 I'll let you know. 509 00:19:57,779 --> 00:19:59,530 This is a fucking joke. 510 00:19:59,531 --> 00:20:01,325 Yeah, it's good to laugh. 511 00:20:03,118 --> 00:20:05,621 Laughing our way to being a third world country. 512 00:20:07,831 --> 00:20:09,333 Remind you of home? 513 00:20:11,752 --> 00:20:12,877 Okay, I know we're not supposed 514 00:20:12,878 --> 00:20:14,378 to pick favorites here. 515 00:20:14,379 --> 00:20:16,339 I'ma keep my eye on you. 516 00:20:16,340 --> 00:20:17,841 Yeah. 517 00:20:21,845 --> 00:20:23,179 You do that. 518 00:20:23,180 --> 00:20:24,556 Oh, yeah. 519 00:20:29,519 --> 00:20:31,354 So, Tasha, it was a decanter? 520 00:20:31,355 --> 00:20:33,773 A beautiful Baccarat carafe. 521 00:20:33,774 --> 00:20:37,151 I was, uh, showing a colleague how to polish it, 522 00:20:37,152 --> 00:20:39,862 and the neck broke with my arm still inside... 523 00:20:39,863 --> 00:20:42,198 - Mm. - So not my finest. 524 00:20:42,199 --> 00:20:43,658 Did it shatter? 525 00:20:43,659 --> 00:20:46,494 No, no, it cracked cleanly in two. 526 00:20:46,495 --> 00:20:49,205 But as a reflex, I jerked my arm back, 527 00:20:49,206 --> 00:20:51,457 and that's what did it. 528 00:20:51,458 --> 00:20:54,377 Reflexes, I have regretted a few of my own. 529 00:20:54,378 --> 00:20:57,588 Good. Now inject to other side. 530 00:20:57,589 --> 00:20:59,924 Single layer, straight edges, 531 00:20:59,925 --> 00:21:01,759 about as straightforward as it gets. 532 00:21:01,760 --> 00:21:04,887 Oh, good. That's a relief. 533 00:21:04,888 --> 00:21:07,181 What's going on? 534 00:21:07,182 --> 00:21:08,557 Hypoxic to 78. 535 00:21:08,558 --> 00:21:09,684 BP's crashing. 536 00:21:09,685 --> 00:21:11,018 Systolic's 82. 537 00:21:11,019 --> 00:21:12,186 Pulse is thready. 538 00:21:12,187 --> 00:21:13,729 I should intubate. 539 00:21:13,730 --> 00:21:15,231 Does he need a massive transfusion protocol? 540 00:21:15,232 --> 00:21:17,692 No. Absent breath sounds on the left, 541 00:21:17,693 --> 00:21:19,277 tracheal deviation to the right. 542 00:21:19,278 --> 00:21:21,237 14 gauge angiocath now. 543 00:21:21,238 --> 00:21:23,281 Put him on a non-rebreather. 544 00:21:23,282 --> 00:21:25,199 What are you doing? 545 00:21:25,200 --> 00:21:28,411 Tension pneumothorax from the BiPAP's positive pressure. 546 00:21:32,833 --> 00:21:34,250 You hear that? 547 00:21:34,251 --> 00:21:36,377 Who the hell ordered BiPAP? Garcia? 548 00:21:36,378 --> 00:21:38,045 No, his... his sats were down. 549 00:21:38,046 --> 00:21:39,255 I did. 550 00:21:39,256 --> 00:21:40,423 You did? 551 00:21:40,424 --> 00:21:42,717 Without running it by me? 552 00:21:42,718 --> 00:21:44,051 Can I put in a chest tube? 553 00:21:44,052 --> 00:21:45,177 He doesn't need a chest tube. 554 00:21:45,178 --> 00:21:46,512 He needs a pigtail catheter. 555 00:21:46,513 --> 00:21:48,264 And I'll be doing it. 556 00:21:48,265 --> 00:21:51,058 Sats and pressure both coming up. 557 00:21:51,059 --> 00:21:53,269 Draw up 75 of ketamine. 558 00:22:00,736 --> 00:22:02,403 Why is she still crying? 559 00:22:02,404 --> 00:22:04,071 Fontanelle soft and flat. 560 00:22:04,072 --> 00:22:06,824 Pupils equal and reactive, tracking across midline. 561 00:22:06,825 --> 00:22:08,492 Dr. Mohan, keep it focused, please. 562 00:22:08,493 --> 00:22:10,411 Mucous membranes nice and moist. 563 00:22:12,581 --> 00:22:16,792 Hard to hear over the crying, but lungs are clear. 564 00:22:16,793 --> 00:22:18,961 Heart rate's tachy but normal. 565 00:22:18,962 --> 00:22:22,757 Soft abdomen, no obvious signs of tenderness. 566 00:22:22,758 --> 00:22:25,134 - So basically a normal exam. - Then what's wrong? 567 00:22:25,135 --> 00:22:26,969 Give us a little time to finish our exam. 568 00:22:26,970 --> 00:22:28,637 Yeah, I know. I know. 569 00:22:28,638 --> 00:22:31,807 What am I looking for, Dr. King? 570 00:22:31,808 --> 00:22:33,142 Uh, cellulitis? 571 00:22:33,143 --> 00:22:35,479 Edema from nephrotic syndrome? 572 00:22:36,813 --> 00:22:38,481 - Diagnosis made. - What is it? 573 00:22:38,482 --> 00:22:40,399 Hair tourniquet. 574 00:22:40,400 --> 00:22:42,401 Mother's wet hair can wrap around the toe multiple times. 575 00:22:42,402 --> 00:22:44,320 When it dries, it tightens and cuts off circulation. 576 00:22:44,321 --> 00:22:45,654 My hair? 577 00:22:45,655 --> 00:22:48,282 I... I showered before nursing her. 578 00:22:48,283 --> 00:22:49,784 Easy to miss, Mom. 579 00:22:49,785 --> 00:22:51,494 But we caught it early, so there won't be 580 00:22:51,495 --> 00:22:52,828 any permanent damage to the toe. 581 00:22:52,829 --> 00:22:54,246 Treatment, Dr. Mohan? 582 00:22:54,247 --> 00:22:55,498 Uh, it's too tight for scissors. 583 00:22:55,499 --> 00:22:56,999 - Do we have Nair? - We do indeed. 584 00:22:57,000 --> 00:22:59,335 Nair? Like from the drugstore? 585 00:22:59,336 --> 00:23:00,961 10 minutes, should dissolve it right off 586 00:23:00,962 --> 00:23:03,005 and stop the crying. 587 00:23:04,841 --> 00:23:06,217 Hey, you're okay. 588 00:23:06,218 --> 00:23:07,676 What's up? 589 00:23:07,677 --> 00:23:09,011 We're gonna give the wild one a shot. 590 00:23:09,012 --> 00:23:10,388 Have the order, meds on the way, 591 00:23:10,389 --> 00:23:11,680 but we need bodies. 592 00:23:11,681 --> 00:23:13,057 I call the head. 593 00:23:13,058 --> 00:23:14,558 - I got kicked last time. - Right arm. 594 00:23:14,559 --> 00:23:16,143 - Left arm. - Right leg. 595 00:23:16,144 --> 00:23:17,895 - Need one more. - Uh, two more. 596 00:23:17,896 --> 00:23:19,522 I'm just here to observe and speak with the patient 597 00:23:19,523 --> 00:23:21,357 - once he's under control. - Oh. 598 00:23:21,358 --> 00:23:22,858 Hey, Robby! 599 00:23:22,859 --> 00:23:24,860 Can... can you help us with Mr. Krakozhia? 600 00:23:24,861 --> 00:23:27,238 - No. - Coward! 601 00:23:27,239 --> 00:23:30,074 Whitaker... just the man we need. 602 00:23:30,075 --> 00:23:31,534 Come over here, please. 603 00:23:31,535 --> 00:23:33,119 Whoa, what did I miss? 604 00:23:33,120 --> 00:23:34,954 A little drama from a tension pneumo. 605 00:23:34,955 --> 00:23:36,330 You could have called me. 606 00:23:36,331 --> 00:23:38,207 - We got it under control. - Good. 607 00:23:38,208 --> 00:23:40,668 And Dr. Santos learned what can happen 608 00:23:40,669 --> 00:23:43,337 when you put a patient with a small pneumothorax 609 00:23:43,338 --> 00:23:45,339 - on BiPAP. - Ah. 610 00:23:45,340 --> 00:23:46,882 Thumb scalpel. 611 00:23:46,883 --> 00:23:48,717 He was hypoxic. I thought it would help. 612 00:23:48,718 --> 00:23:50,386 But you didn't discuss it with me, 613 00:23:50,387 --> 00:23:53,055 and he almost died. Dilator. 614 00:23:53,056 --> 00:23:56,642 You need to run every order by a senior resident or attending. 615 00:23:56,643 --> 00:23:58,060 That's why it's a four-year program. 616 00:23:58,061 --> 00:24:00,229 Now, when you do this procedure, 617 00:24:00,230 --> 00:24:03,899 you want to make sure to never, ever lose this guidewire. 618 00:24:03,900 --> 00:24:06,735 That gets sucked in the chest, you're screwed. 619 00:24:06,736 --> 00:24:08,405 Now, ready for the pigtail. 620 00:24:10,574 --> 00:24:12,074 What the hell are you doing? 621 00:24:12,075 --> 00:24:14,076 Pneumo is tiny. It'll resolve spontaneously. 622 00:24:14,077 --> 00:24:16,537 Yeah, it was tiny until the patient went on BiPAP. 623 00:24:16,538 --> 00:24:17,955 Are you fucking kidding me? 624 00:24:17,956 --> 00:24:19,248 Guidewire out. 625 00:24:19,249 --> 00:24:20,541 His sats were down. 626 00:24:20,542 --> 00:24:21,750 I... I gave the order. 627 00:24:21,751 --> 00:24:24,587 Without clearing it with me. 628 00:24:24,588 --> 00:24:26,714 Honest mistake from the rookie. 629 00:24:26,715 --> 00:24:28,633 That's how we learn. 630 00:24:31,303 --> 00:24:33,888 If she knew everything, she'd be your attending, 631 00:24:33,889 --> 00:24:36,265 not an intern. 632 00:24:36,266 --> 00:24:37,933 That is very true. 633 00:24:37,934 --> 00:24:39,268 Besides, it could have happened on its own 634 00:24:39,269 --> 00:24:41,020 without the BiPAP. 635 00:24:41,021 --> 00:24:43,022 Wow. Beautiful moment. 636 00:24:43,023 --> 00:24:44,607 A lot of love in the room. 637 00:24:44,608 --> 00:24:46,442 If you'll excuse me. 638 00:24:46,443 --> 00:24:48,195 Nice save. 639 00:24:51,948 --> 00:24:53,282 It's Wheeler. 640 00:24:53,283 --> 00:24:55,284 Dr. Abbot said to come back at 6:30, 641 00:24:55,285 --> 00:24:58,287 and he'd still be here, but we overslept. 642 00:24:58,288 --> 00:25:00,080 I forgot to charge my phone. 643 00:25:00,081 --> 00:25:01,415 I'm really sorry. 644 00:25:01,416 --> 00:25:03,042 Okay, let's see. 645 00:25:03,043 --> 00:25:04,668 Wheeler, Kristin? 646 00:25:04,669 --> 00:25:06,295 It... it's Kristi, and... 647 00:25:06,296 --> 00:25:07,963 and I'm her mom. 648 00:25:07,964 --> 00:25:09,924 Dr. Abbot went off duty at 7:00, 649 00:25:09,925 --> 00:25:11,258 but that's no problem. 650 00:25:11,259 --> 00:25:12,635 We'll get you back. 651 00:25:12,636 --> 00:25:13,969 Have a seat until we call your name. 652 00:25:13,970 --> 00:25:15,023 - Okay. - Thank you. 653 00:25:15,024 --> 00:25:16,639 - Thank you so much. - You're welcome. 654 00:25:16,640 --> 00:25:19,141 Next. 655 00:25:24,940 --> 00:25:27,316 - How you guys doing? - Good, thanks. 656 00:25:27,317 --> 00:25:29,818 We missed our appointment, but otherwise, we're fine. 657 00:25:29,819 --> 00:25:31,946 Oh, no. 658 00:25:31,947 --> 00:25:33,489 Have you been here long? 659 00:25:33,490 --> 00:25:35,491 I've been here about four hours. 660 00:25:35,492 --> 00:25:36,909 Oh. 661 00:25:36,910 --> 00:25:38,160 We were here two nights ago. 662 00:25:38,161 --> 00:25:39,620 We waited seven hours. 663 00:25:39,621 --> 00:25:40,829 Hmm. 664 00:25:40,830 --> 00:25:42,623 It's all bullshit. 665 00:25:42,624 --> 00:25:45,335 Can't believe somebody hasn't died out here. 666 00:25:52,175 --> 00:25:53,926 How we doing? 667 00:25:53,927 --> 00:25:56,303 No change. 668 00:25:56,304 --> 00:25:58,264 I... I've been doing all the talking. 669 00:25:58,265 --> 00:26:00,474 Do you want to... 670 00:26:00,475 --> 00:26:02,269 say some things? 671 00:26:06,439 --> 00:26:08,357 What is there to say? 672 00:26:08,358 --> 00:26:09,483 I'm sad. 673 00:26:09,484 --> 00:26:11,193 I'm angry. 674 00:26:11,194 --> 00:26:13,237 I don't want him to go. 675 00:26:13,238 --> 00:26:15,864 There's so much that I wish were different. 676 00:26:15,865 --> 00:26:18,076 It's not fair. 677 00:26:22,279 --> 00:26:23,372 Tell him. 678 00:26:23,373 --> 00:26:24,915 I am telling him. 679 00:26:24,916 --> 00:26:27,376 I'm telling both of you. 680 00:26:27,377 --> 00:26:29,462 It's not fair. 681 00:26:31,256 --> 00:26:33,925 I wanted what you had. 682 00:26:38,263 --> 00:26:40,973 I love you, Dad. 683 00:26:40,974 --> 00:26:46,687 And I'm thankful for everything you did to provide for us. 684 00:26:46,688 --> 00:26:50,816 But you weren't the dad I wanted, because I didn't... 685 00:26:50,817 --> 00:26:55,572 I didn't play baseball or build models or fish. 686 00:26:57,115 --> 00:27:00,034 My friends' dads all had grown-up jobs. 687 00:27:00,035 --> 00:27:03,162 They didn't tell silly jokes or talk in character voices 688 00:27:03,163 --> 00:27:06,082 or make up stories. 689 00:27:08,752 --> 00:27:11,545 I was embarrassed, and I... 690 00:27:11,546 --> 00:27:14,256 I didn't want my friends to meet you. 691 00:27:14,257 --> 00:27:16,885 - Helen. - It's true. 692 00:27:18,803 --> 00:27:21,973 I'm ashamed to admit it, but it's true. 693 00:27:23,933 --> 00:27:25,893 I left for college, and I... 694 00:27:25,894 --> 00:27:28,480 I stayed away. 695 00:27:32,442 --> 00:27:35,653 I could have gone fishing. 696 00:27:35,654 --> 00:27:38,531 I should have gone fishing. 697 00:27:40,450 --> 00:27:44,079 And I'm... I'm curious now. 698 00:27:50,210 --> 00:27:52,461 And I forgive you, Dad, for not being the man 699 00:27:52,462 --> 00:27:54,046 that I wanted you to be. 700 00:27:54,047 --> 00:27:55,381 But I am... 701 00:27:55,382 --> 00:27:58,384 I am so grateful that you weren't. 702 00:27:58,385 --> 00:28:03,138 The world needed you to be exactly as you are. 703 00:28:03,139 --> 00:28:05,474 It got... it got serious, and... 704 00:28:05,475 --> 00:28:07,101 and it turned ugly. 705 00:28:07,102 --> 00:28:11,146 And you and your friends built 706 00:28:11,147 --> 00:28:14,651 the Neighborhood of Make-Believe. 707 00:28:16,444 --> 00:28:18,988 What an incredible gift. 708 00:28:24,619 --> 00:28:26,704 Oh, Daddy. 709 00:28:26,705 --> 00:28:30,332 I am so sorry. 710 00:28:30,333 --> 00:28:34,169 Please, please forgive me. 711 00:28:44,723 --> 00:28:47,225 Come find me when it's time. 712 00:28:52,480 --> 00:28:53,814 No news chopper coverage. 713 00:28:53,815 --> 00:28:55,190 No eye in the sky. 714 00:28:55,191 --> 00:28:56,316 Not even a damn drone. 715 00:28:56,317 --> 00:28:57,359 No mystery here. 716 00:28:57,360 --> 00:28:58,986 The cop said east on 376. 717 00:28:58,987 --> 00:29:00,154 They're headed to Swissvale. 718 00:29:00,155 --> 00:29:01,488 I have a cousin in Swissvale. 719 00:29:01,489 --> 00:29:03,031 Says it's crazy. 720 00:29:03,032 --> 00:29:04,658 Fellas, they are not going to Swissvale. 721 00:29:04,659 --> 00:29:06,660 They're crossing the line. Canada, baby. 722 00:29:06,661 --> 00:29:09,037 That's the other way, genius. See, I'm taking all your money. 723 00:29:09,038 --> 00:29:10,497 - No, you're not. - You're taking his money. 724 00:29:10,498 --> 00:29:12,561 - You think so? - I'm breaking up this sewing circle. 725 00:29:12,562 --> 00:29:14,501 Antoine, you're supposed to be in triage. 726 00:29:14,502 --> 00:29:15,836 Dennison needs a knee immobilizer and crutches. 727 00:29:15,837 --> 00:29:17,546 Go on. 728 00:29:17,547 --> 00:29:19,214 Paolo, take postural vitals on Thorpe in North 5, 729 00:29:19,215 --> 00:29:21,884 and a repeat potassium draw on Fontaine in South 18. 730 00:29:21,885 --> 00:29:23,719 Larry, you're coming with me. 731 00:29:23,720 --> 00:29:25,220 Okay, we have a quorum. 732 00:29:25,221 --> 00:29:27,014 - Meds finally here? - Yep. 733 00:29:27,015 --> 00:29:28,891 - Guy's got some energy. - Let's do this. 734 00:29:28,892 --> 00:29:30,392 Donahue, right leg. Larry, left leg. 735 00:29:30,393 --> 00:29:31,769 Kim, right arm. 736 00:29:31,770 --> 00:29:33,353 I call left arm. Perlah takes the head. 737 00:29:33,354 --> 00:29:34,897 And our young man here will inject. Clear? 738 00:29:34,898 --> 00:29:36,356 - Yeah. - Pulse ox? 739 00:29:36,357 --> 00:29:37,900 - Right here. - Good luck. 740 00:29:37,901 --> 00:29:40,903 IM injection to the mid-anterior left thigh. 741 00:29:40,904 --> 00:29:42,404 Everybody ready? 742 00:29:42,405 --> 00:29:44,531 Yo, Whitaker. 743 00:29:44,532 --> 00:29:45,699 You play any ball? 744 00:29:45,700 --> 00:29:47,326 What, football? 745 00:29:47,327 --> 00:29:48,994 No, dodgeball. 746 00:29:48,995 --> 00:29:50,329 Of course football. 747 00:29:50,330 --> 00:29:51,872 Yeah, some peewee. 748 00:29:51,873 --> 00:29:53,415 You know, I was actually a pretty good kicker. 749 00:29:53,416 --> 00:29:55,000 Not helpful. 750 00:29:55,001 --> 00:29:56,376 Look, Larry and I are gonna block for you. 751 00:29:56,377 --> 00:29:57,753 Come in right behind us. 752 00:29:57,754 --> 00:29:59,087 When we split and go for his legs, 753 00:29:59,088 --> 00:30:00,881 you go right up the middle. 754 00:30:00,882 --> 00:30:02,257 - End zone, baby. - Okay, yeah. 755 00:30:02,258 --> 00:30:04,384 - Got it. - Okay. 756 00:30:04,385 --> 00:30:06,178 You ready? 757 00:30:06,179 --> 00:30:09,932 One, two, three. 758 00:30:09,933 --> 00:30:12,017 Okay, Mr. Krakozhia, we're here to help you. 759 00:30:12,018 --> 00:30:14,269 We're here to help you... oh, God! 760 00:30:14,270 --> 00:30:16,271 What do I do? Ahh! 761 00:30:16,272 --> 00:30:18,398 Shit. 762 00:30:18,399 --> 00:30:20,234 Ahh! 763 00:30:20,235 --> 00:30:22,152 Oh. 764 00:30:22,153 --> 00:30:23,320 That's it. 765 00:30:23,321 --> 00:30:25,322 Congrats, kid. 766 00:30:25,323 --> 00:30:27,074 You just earned your yellow wings. 767 00:30:27,075 --> 00:30:28,826 Okay, midazolam will take him down in a minute. 768 00:30:28,827 --> 00:30:30,278 We'll monitor him for 20. 769 00:30:30,279 --> 00:30:31,831 After that, the Haldol will have kicked in. 770 00:30:31,832 --> 00:30:33,004 Yeah, he's settling down now. 771 00:30:33,005 --> 00:30:34,590 Do I really need to be here for 20 minutes? 772 00:30:34,591 --> 00:30:35,668 Why? You got a date? 773 00:30:35,669 --> 00:30:37,167 - I mean, I'm covered in... - I'm kidding. 774 00:30:37,168 --> 00:30:38,418 Thanks for your help. 775 00:30:38,419 --> 00:30:39,962 Go get cleaned up. 776 00:30:39,963 --> 00:30:41,455 Okay. Thanks, everyone. Good work. 777 00:30:41,456 --> 00:30:43,131 I know I don't need to say it, but let's try 778 00:30:43,132 --> 00:30:44,962 to stay on top of Mr. Krakozhia's med schedule. 779 00:30:44,963 --> 00:30:46,009 - Ugh. - Sorry. 780 00:30:46,010 --> 00:30:47,220 Yeah, thanks. 781 00:30:47,221 --> 00:30:48,637 Can I help you get new scrubs? 782 00:30:48,638 --> 00:30:51,473 Oh, no, it's good. I'm gonna... 783 00:30:51,474 --> 00:30:54,310 Uh, thank you for the offer, though. 784 00:30:58,398 --> 00:31:00,315 So, Tasha, you work in a restaurant? 785 00:31:00,316 --> 00:31:02,484 No, take it in two bites. 786 00:31:02,485 --> 00:31:04,111 - Okay. - Rotate your wrist. 787 00:31:04,112 --> 00:31:05,988 Follow the curve of the needle. 788 00:31:05,989 --> 00:31:09,283 Exit at 90 degrees, same distance from the wound. 789 00:31:09,284 --> 00:31:10,742 Good. 790 00:31:10,743 --> 00:31:12,953 Yes, I'm the sommelier at Altius. 791 00:31:12,954 --> 00:31:15,455 Oh, Altius is supposed to be amazing. 792 00:31:15,456 --> 00:31:16,999 Sorry. What... what is it you do? 793 00:31:17,000 --> 00:31:19,334 I'm the sommelier, the wine steward. 794 00:31:19,335 --> 00:31:20,711 Ah. 795 00:31:20,712 --> 00:31:22,170 We have the best cellar in the city. 796 00:31:22,171 --> 00:31:23,505 I don't mind bragging. 797 00:31:23,506 --> 00:31:25,048 Ah, it sounds like a great gig. 798 00:31:25,049 --> 00:31:27,889 - Do you have to go to school for that? - Oh, my. Yeah. 799 00:31:27,890 --> 00:31:28,969 Yeah, I have a degree. 800 00:31:28,970 --> 00:31:30,220 - Mm, cool. - Okay. 801 00:31:30,221 --> 00:31:31,555 How's that? 802 00:31:31,556 --> 00:31:32,806 Really good. 803 00:31:32,807 --> 00:31:34,516 First tie is a surgeon's knot. 804 00:31:34,517 --> 00:31:35,893 Wrap the suture twice. 805 00:31:35,894 --> 00:31:37,311 Grab the short end. 806 00:31:37,312 --> 00:31:38,562 Pull with just enough tension. 807 00:31:38,563 --> 00:31:40,188 Bring the wound edges together. 808 00:31:40,189 --> 00:31:42,900 Not too tight or she'll have railroad tracks. 809 00:31:42,901 --> 00:31:46,028 So, Tasha, what's your favorite wine you've ever tasted... 810 00:31:46,029 --> 00:31:47,864 or most expensive? 811 00:31:49,032 --> 00:31:51,116 Same answer for both... 812 00:31:51,117 --> 00:31:54,328 a 2011 Domaine de la Romanée-Conti. 813 00:31:54,329 --> 00:31:56,496 Three more instrument ties. 814 00:31:56,497 --> 00:31:58,040 Great. 815 00:31:58,041 --> 00:32:00,459 Square knots, single wrap around the needle driver. 816 00:32:00,460 --> 00:32:01,960 Is that French? 817 00:32:01,961 --> 00:32:03,295 As French as it gets, 818 00:32:03,296 --> 00:32:04,713 - a burgundy. - Ah. 819 00:32:04,714 --> 00:32:06,298 And how much does that cost? 820 00:32:06,299 --> 00:32:09,134 I sold that bottle for $18,000. 821 00:32:09,135 --> 00:32:10,844 Not here. 822 00:32:10,845 --> 00:32:12,137 That was in New York. 823 00:32:12,138 --> 00:32:13,347 Are you kidding? 824 00:32:13,348 --> 00:32:16,224 18 grand for a bottle of wine? 825 00:32:16,225 --> 00:32:17,851 I mean, was it really that good? 826 00:32:17,852 --> 00:32:19,561 Life changing. 827 00:32:19,562 --> 00:32:21,730 And I know something about life changing. 828 00:32:21,731 --> 00:32:24,524 Maybe one day. 829 00:32:24,525 --> 00:32:28,403 I'm still not old enough to drink... legally. 830 00:32:28,404 --> 00:32:31,740 That's a little scary. 831 00:32:31,741 --> 00:32:34,034 And I'm about 18 grand short and a friend of Bill's, 832 00:32:34,035 --> 00:32:37,704 so I'll have to take your word for it too. 833 00:32:37,705 --> 00:32:39,581 My only extravagance these days is moisturizer. 834 00:32:39,582 --> 00:32:42,459 I hear you. 835 00:32:42,460 --> 00:32:44,920 Jenna, I have some people here to see you. 836 00:32:44,921 --> 00:32:46,964 - Jenna, oh. - Oh, my God. 837 00:32:46,965 --> 00:32:48,423 Hi. 838 00:32:48,424 --> 00:32:49,716 Oh, my God. I'm glad you're okay. 839 00:32:49,717 --> 00:32:51,259 I'm so sorry. 840 00:32:51,260 --> 00:32:52,905 I have no idea how this happened, I swear. 841 00:32:52,906 --> 00:32:54,148 Is she, um... 842 00:32:54,149 --> 00:32:56,098 Yes, she's cleared medically. You may take her home. 843 00:32:56,099 --> 00:32:58,100 Here's some discharge instructions, 844 00:32:58,101 --> 00:32:59,768 but no more pills unless they're 845 00:32:59,769 --> 00:33:01,228 from a doctor or pharmacy. 846 00:33:01,229 --> 00:33:02,854 Yeah. I won't. 847 00:33:02,855 --> 00:33:04,272 We're giving you some fentanyl test strips. 848 00:33:04,273 --> 00:33:06,024 These work on pills and liquids. 849 00:33:06,025 --> 00:33:08,026 And this is a Narcan spray. 850 00:33:08,027 --> 00:33:10,445 Please, just keep it in your purse just in case 851 00:33:10,446 --> 00:33:12,114 if you're at a party, and someone's out of it. 852 00:33:12,115 --> 00:33:13,615 Yeah, thank you. 853 00:33:13,616 --> 00:33:14,950 You realize how lucky you are? 854 00:33:14,951 --> 00:33:16,118 Yes? 855 00:33:16,119 --> 00:33:17,870 Yeah, I... I do. 856 00:33:22,542 --> 00:33:24,793 Mr. and Mrs. Bradley, I just spoke to nuclear medicine, 857 00:33:24,794 --> 00:33:26,586 and they are ready to take Nick 858 00:33:26,587 --> 00:33:28,964 for the cerebral perfusion study test in a few minutes. 859 00:33:28,965 --> 00:33:30,132 Can we stay with him? 860 00:33:30,133 --> 00:33:31,633 Absolutely. 861 00:33:31,634 --> 00:33:33,510 The test itself involves radiation imaging, 862 00:33:33,511 --> 00:33:35,178 so you'll have to wait just outside the door. 863 00:33:35,179 --> 00:33:36,471 But Dave will take you down. 864 00:33:36,472 --> 00:33:37,848 I'll show you where you can be. 865 00:33:37,849 --> 00:33:39,307 He'll also bring you back here. 866 00:33:39,308 --> 00:33:41,018 The results take about an hour or so, 867 00:33:41,019 --> 00:33:44,146 and I'll come find you when I get them. 868 00:33:44,147 --> 00:33:46,648 And we'll take it from there. 869 00:33:46,649 --> 00:33:47,941 Thank you, Doctor. 870 00:33:47,942 --> 00:33:49,694 Okay. 871 00:33:52,363 --> 00:33:54,948 So sorry to keep you waiting. 872 00:33:54,949 --> 00:33:56,825 I'm Dr. Heather Collins. 873 00:33:56,826 --> 00:33:59,619 You must be Kristi and Lynette Wheeler? 874 00:33:59,620 --> 00:34:00,954 - Yes. - Yes. 875 00:34:00,955 --> 00:34:02,622 We were supposed to see Dr. Abbot. 876 00:34:02,623 --> 00:34:04,791 Yes, Dr. Abbot is an amazing physician, 877 00:34:04,792 --> 00:34:07,294 but even he needs sleep occasionally. 878 00:34:07,295 --> 00:34:08,754 I guess I just got tired. 879 00:34:08,755 --> 00:34:10,505 And I forgot to charge my phone, 880 00:34:10,506 --> 00:34:12,299 - and we overslept. - Mm. 881 00:34:12,300 --> 00:34:14,259 I use an old-fashioned alarm clock since med school. 882 00:34:14,260 --> 00:34:15,594 Never fails. 883 00:34:15,595 --> 00:34:16,678 That's what I have at home. 884 00:34:16,679 --> 00:34:18,430 I just forgot to bring it. 885 00:34:18,431 --> 00:34:20,140 Okay. 886 00:34:20,141 --> 00:34:22,976 I see we're doing a medication abortion today, correct? 887 00:34:22,977 --> 00:34:24,603 Yep. 888 00:34:24,604 --> 00:34:26,646 Well, since I didn't initially assess you, 889 00:34:26,647 --> 00:34:28,690 do you mind if I ask a few questions? 890 00:34:28,691 --> 00:34:30,025 Get up to speed? 891 00:34:30,026 --> 00:34:31,359 No. 892 00:34:31,360 --> 00:34:33,028 Thanks. 893 00:34:33,029 --> 00:34:35,405 Is this your first pregnancy? 894 00:34:35,406 --> 00:34:36,740 Yes. 895 00:34:36,741 --> 00:34:38,366 And you're 17? 896 00:34:38,367 --> 00:34:41,828 When did your last menstrual cycle start? 897 00:34:41,829 --> 00:34:44,748 Um, I'm not exactly sure. 898 00:34:44,749 --> 00:34:46,374 End of June... 899 00:34:46,375 --> 00:34:48,210 23rd maybe? 900 00:34:48,211 --> 00:34:49,836 Any allergies to medication? 901 00:34:49,837 --> 00:34:50,921 No. 902 00:34:50,922 --> 00:34:52,380 Any surgeries in the past? 903 00:34:52,381 --> 00:34:54,549 No. 904 00:34:54,550 --> 00:34:56,468 I need to do another quick ultrasound 905 00:34:56,469 --> 00:34:58,512 to make sure everything is okay for the medication. 906 00:34:58,513 --> 00:35:00,388 Do you want to put on a gown 907 00:35:00,389 --> 00:35:02,474 to make sure you don't get gel all over your clothes? 908 00:35:02,475 --> 00:35:03,893 Okay. 909 00:35:05,228 --> 00:35:06,728 I'll be right back. 910 00:35:06,729 --> 00:35:08,480 Thank you. 911 00:35:08,481 --> 00:35:10,023 Joyce, our sickler, is doing well 912 00:35:10,024 --> 00:35:11,399 on the exchange transfusion. 913 00:35:11,400 --> 00:35:12,818 Awaiting a telemetry bed. 914 00:35:12,819 --> 00:35:14,402 Quinn, the midnight vaper, 915 00:35:14,403 --> 00:35:16,571 is still in sinus after cardioversion. 916 00:35:16,572 --> 00:35:18,740 Uh, four hours of cardiac monitoring starting now, 917 00:35:18,741 --> 00:35:20,158 and you can discharge him. 918 00:35:20,159 --> 00:35:21,368 Our Good Samaritan's hanging in, 919 00:35:21,369 --> 00:35:23,078 stable vitals and neuro checks. 920 00:35:23,079 --> 00:35:25,038 Yeah, I want to get a repeat head CT in an hour, 921 00:35:25,039 --> 00:35:26,748 rule out any increased bleeding. 922 00:35:26,749 --> 00:35:28,750 And Mr. Gold was stool positive for campylobacter, 923 00:35:28,751 --> 00:35:30,544 has gone home on azithromycin. 924 00:35:30,545 --> 00:35:32,420 Well, I hope he loads up on water and electrolytes. 925 00:35:32,421 --> 00:35:34,131 The guy filled up half a dozen bedpans. 926 00:35:34,132 --> 00:35:35,632 Must be a record. 927 00:35:35,633 --> 00:35:37,425 Without sounding like a broken record, 928 00:35:37,426 --> 00:35:38,802 everything okay with you? 929 00:35:38,803 --> 00:35:40,137 That's your third cup before 11:00. 930 00:35:40,138 --> 00:35:41,555 Yeah, I'm not sleeping great. 931 00:35:41,556 --> 00:35:42,931 It's fucking with me a little bit. 932 00:35:42,932 --> 00:35:44,410 But I've got four days off next week. 933 00:35:44,411 --> 00:35:46,393 I think I'm gonna get out of Dodge and head for the hills. 934 00:35:46,394 --> 00:35:47,936 I wish you would. What'd Shakespeare say... 935 00:35:47,937 --> 00:35:49,437 "Physician, heal thyself"? 936 00:35:49,438 --> 00:35:51,231 What? Have you been talking to Collins? 937 00:35:51,232 --> 00:35:52,774 Not Shakespeare. 938 00:35:52,775 --> 00:35:54,317 Luke, the disciple, 939 00:35:54,318 --> 00:35:56,069 who probably heard it from Paul the Apostle. 940 00:35:56,070 --> 00:35:57,279 But what do I know? I'm Jewish. 941 00:35:57,280 --> 00:35:58,309 It's not my book. 942 00:35:58,310 --> 00:36:00,031 Shakespeare had nothing to do with it, though. 943 00:36:00,032 --> 00:36:01,449 Yeah. 944 00:36:01,450 --> 00:36:03,118 Maybe a little time off would be good. 945 00:36:03,119 --> 00:36:04,411 Oh. You have everything? 946 00:36:04,412 --> 00:36:06,204 Yeah, I think so. 947 00:36:16,883 --> 00:36:17,966 Is that... 948 00:36:17,967 --> 00:36:19,593 Yeah. 949 00:36:19,594 --> 00:36:22,387 Let's go, sweetheart. 950 00:36:22,388 --> 00:36:25,974 Wait. Um, Mr. Bradley? 951 00:36:25,975 --> 00:36:28,643 I just wanted to apologize for the way I spoke to you. 952 00:36:28,644 --> 00:36:29,853 Please wait. Please. 953 00:36:29,854 --> 00:36:31,771 There's no excuse. 954 00:36:31,772 --> 00:36:33,440 I was gonna ask a nurse to give you this, 955 00:36:33,441 --> 00:36:36,610 but it's my number and email. 956 00:36:36,611 --> 00:36:41,198 If I can ever be of any help in any way, please. 957 00:36:41,199 --> 00:36:43,450 I don't know who you are. 958 00:36:43,451 --> 00:36:44,659 - Oh. - Oh. 959 00:36:44,660 --> 00:36:47,038 I'm sorry. I'm Jenna. 960 00:36:48,456 --> 00:36:52,084 I met Nick at orientation, and he was really sweet. 961 00:36:55,046 --> 00:36:56,880 We were in the same econ class, 962 00:36:56,881 --> 00:36:58,798 and we had this really big test coming up. 963 00:36:58,799 --> 00:37:01,343 So some of us made this kind of study group. 964 00:37:01,344 --> 00:37:04,638 And we'd stay up way too late drinking coffee 965 00:37:04,639 --> 00:37:06,848 and then have a really hard time falling asleep. 966 00:37:06,849 --> 00:37:09,684 And one girl said 967 00:37:09,685 --> 00:37:12,812 she knew how to get Xanax, 968 00:37:12,813 --> 00:37:16,191 but was too afraid to go pick it up. 969 00:37:16,192 --> 00:37:19,737 Nick was just being nice when he said he'd do it. 970 00:37:22,531 --> 00:37:25,700 I am so sorry. 971 00:37:25,701 --> 00:37:27,702 I really hope he pulls through this. 972 00:37:27,703 --> 00:37:30,538 I'm praying he pulls through this. 973 00:37:30,539 --> 00:37:32,874 He will. 974 00:37:32,875 --> 00:37:34,334 Uh, yeah. 975 00:37:34,335 --> 00:37:35,795 Thank you. 976 00:37:37,713 --> 00:37:39,547 You should go. 977 00:37:39,548 --> 00:37:42,260 I'm sure your parents want to take you home. 978 00:37:48,641 --> 00:37:51,893 All right. Come on. 979 00:37:53,437 --> 00:37:55,855 Sorry about earlier. 980 00:37:55,856 --> 00:37:58,775 I think I still have a lot to learn. 981 00:37:58,776 --> 00:38:00,403 You do. 982 00:38:02,822 --> 00:38:04,072 Looks good. 983 00:38:04,073 --> 00:38:05,573 Nice job, Doc. 984 00:38:05,574 --> 00:38:07,492 Thank you for the trust. 985 00:38:07,493 --> 00:38:09,160 Now keep it clean and dry, 986 00:38:09,161 --> 00:38:10,912 and we'll see you for a wound check in two days. 987 00:38:10,913 --> 00:38:12,872 You did great. I didn't feel a thing. 988 00:38:12,873 --> 00:38:14,666 Sutures out in a week, but come back sooner 989 00:38:14,667 --> 00:38:16,251 for any redness, fever, or drainage. 990 00:38:16,252 --> 00:38:17,585 - Okay? - Okay. 991 00:38:17,586 --> 00:38:19,546 Thank you. 992 00:38:19,547 --> 00:38:21,256 Um, I couldn't help but notice. 993 00:38:21,257 --> 00:38:23,675 There's a misgendering error on your chart. 994 00:38:23,676 --> 00:38:25,051 I'm really sorry about that. 995 00:38:25,052 --> 00:38:26,428 I've gone ahead and fixed it here 996 00:38:26,429 --> 00:38:27,762 and on your insurance data file, 997 00:38:27,763 --> 00:38:30,598 but it shouldn't happen again. 998 00:38:30,599 --> 00:38:32,100 Wow. 999 00:38:32,101 --> 00:38:34,769 I am... 1000 00:38:34,770 --> 00:38:36,271 Thank you. 1001 00:38:36,272 --> 00:38:37,439 Truly. 1002 00:38:37,440 --> 00:38:38,732 Thank you both. 1003 00:38:38,733 --> 00:38:40,484 Yeah, of course. 1004 00:38:42,945 --> 00:38:44,154 That was cool. 1005 00:38:44,155 --> 00:38:45,280 Didn't think to check that. 1006 00:38:45,281 --> 00:38:47,282 Good catch. 1007 00:38:47,283 --> 00:38:49,242 Oh, any other medications? 1008 00:38:49,243 --> 00:38:53,121 The only medicine is Tylenol, and she has no allergies. 1009 00:38:53,122 --> 00:38:54,497 Hi, I'm Dr. Mohan. 1010 00:38:54,498 --> 00:38:56,416 Hello. Nice to meet you. 1011 00:38:56,417 --> 00:38:58,084 Oh, let me catch her up. 1012 00:38:58,085 --> 00:39:00,420 Jia Yi is a 12-year-old with six weeks 1013 00:39:00,421 --> 00:39:02,589 of constant pain in the suprapubic area. 1014 00:39:02,590 --> 00:39:05,175 There's no fever, no dysuria, 1015 00:39:05,176 --> 00:39:07,302 no nausea, vomiting, diarrhea, 1016 00:39:07,303 --> 00:39:08,803 no vaginal discharge. 1017 00:39:08,804 --> 00:39:10,972 And the urine pregnancy test is negative. 1018 00:39:10,973 --> 00:39:12,724 A... a pregnancy test? 1019 00:39:12,725 --> 00:39:14,267 Of course it's negative. 1020 00:39:14,268 --> 00:39:15,935 She has a stomachache. 1021 00:39:15,936 --> 00:39:17,812 Tell me a little bit more about your pain. 1022 00:39:17,813 --> 00:39:20,398 Can you give me a number from 1 to 10, 10 being the worst? 1023 00:39:20,399 --> 00:39:23,068 It was like a two the first few weeks. 1024 00:39:23,069 --> 00:39:24,277 Then it went up to a five. 1025 00:39:24,278 --> 00:39:26,988 Now it's worse, like a seven. 1026 00:39:26,989 --> 00:39:28,823 And when was your last menstrual period? 1027 00:39:28,824 --> 00:39:30,325 - Haven't had it. - This month? 1028 00:39:30,326 --> 00:39:31,993 No, never. 1029 00:39:31,994 --> 00:39:34,579 A few of my friends got theirs. I'm still waiting. 1030 00:39:34,580 --> 00:39:36,790 She's only 12. 1031 00:39:36,791 --> 00:39:38,875 Okay. We'll be back for an exam. 1032 00:39:38,876 --> 00:39:41,754 Why don't you change into a gown open in the back? 1033 00:39:44,382 --> 00:39:45,715 It's weird. 1034 00:39:45,716 --> 00:39:48,176 I mean, no period, 1035 00:39:48,177 --> 00:39:51,346 but she has early secondary sexual characteristics... 1036 00:39:51,347 --> 00:39:54,724 you know, breast development, widening hips. 1037 00:39:54,725 --> 00:39:56,810 Yeah, it's primary amenorrhea. 1038 00:39:56,811 --> 00:39:58,186 What are you thinking? 1039 00:39:58,187 --> 00:40:00,313 Could be a pituitary dysfunction or... 1040 00:40:00,314 --> 00:40:01,689 Okay, how are we doing? 1041 00:40:01,690 --> 00:40:03,316 Are we moving anybody out of here? 1042 00:40:03,317 --> 00:40:04,901 We're trying. Asthma cleared after two nebs, 1043 00:40:04,902 --> 00:40:06,236 went home with steroids and albuterol. 1044 00:40:06,237 --> 00:40:07,695 I like that. Who else? 1045 00:40:07,696 --> 00:40:09,531 Uh... 1046 00:40:09,532 --> 00:40:11,699 Hire scabs that don't know zip ties from airline cable? 1047 00:40:11,700 --> 00:40:14,285 Fuck around and find out. 1048 00:40:14,286 --> 00:40:15,870 Come Monday, that promoter is gonna have 1049 00:40:15,871 --> 00:40:17,455 my lawyer's shoe so far up his ass, 1050 00:40:17,456 --> 00:40:18,998 he's gonna be flossing with the laces. 1051 00:40:18,999 --> 00:40:20,208 How are we doing in here? 1052 00:40:20,209 --> 00:40:21,459 Vitals are perfect. 1053 00:40:21,460 --> 00:40:24,170 Satting 98 on 4 liters. 1054 00:40:24,171 --> 00:40:25,380 Nice. 1055 00:40:25,381 --> 00:40:27,006 So I can go back to work now? 1056 00:40:27,007 --> 00:40:28,383 With six rib fractures, a bruised lung, 1057 00:40:28,384 --> 00:40:29,509 and a catheter in your chest? 1058 00:40:29,510 --> 00:40:30,802 Not the best idea. 1059 00:40:30,803 --> 00:40:32,470 But I do respect the work ethic. 1060 00:40:32,471 --> 00:40:34,889 Ritchie, get Cecil on FaceTime again. 1061 00:40:34,890 --> 00:40:36,391 I need to see this shit myself. 1062 00:40:36,392 --> 00:40:37,608 Do me a favor. 1063 00:40:37,609 --> 00:40:39,226 Call Dr. Gregorian in thoracic 1064 00:40:39,227 --> 00:40:41,192 and see if he'll take Stone as a personal favor to me, 1065 00:40:41,193 --> 00:40:43,552 and make sure he knows he doesn't need any real babysitting. 1066 00:40:43,553 --> 00:40:45,567 - He's stable. We just need a bed. - Copy that. 1067 00:40:45,568 --> 00:40:48,236 Projectile vomiting is better with ondansetron. 1068 00:40:48,237 --> 00:40:50,238 Labs normal, awaiting a PO challenge. 1069 00:40:50,239 --> 00:40:51,573 What about Minu, the fall lady? 1070 00:40:51,574 --> 00:40:54,068 Antibiotics on board, pain free, on the OR schedule at 3:00 p.m. 1071 00:40:54,069 --> 00:40:55,743 We parked her in the hall for a few hours. 1072 00:40:55,744 --> 00:40:57,120 Okay, good. 1073 00:40:57,121 --> 00:40:59,914 A little jelly on the belly. 1074 00:40:59,915 --> 00:41:01,207 Sorry. 1075 00:41:01,208 --> 00:41:02,710 It's cold. 1076 00:41:04,503 --> 00:41:06,421 And just to be sure, you're not being 1077 00:41:06,422 --> 00:41:10,091 treated for any blood clots, taking any anticoagulants? 1078 00:41:10,092 --> 00:41:11,969 No, I don't take any medicines. 1079 00:41:23,939 --> 00:41:26,774 Is everything okay? 1080 00:41:26,775 --> 00:41:28,276 Yeah. 1081 00:41:28,277 --> 00:41:30,195 There it is. There it is. 1082 00:41:30,196 --> 00:41:31,863 Chopper 7, I knew you wouldn't let me down. 1083 00:41:31,864 --> 00:41:33,114 Here we go. 1084 00:41:33,115 --> 00:41:34,616 Wait, where is it? 1085 00:41:34,617 --> 00:41:36,075 Well, it sure as shit ain't Swissvale. 1086 00:41:36,076 --> 00:41:37,452 - Hmm. - They're out in Monroeville... 1087 00:41:37,453 --> 00:41:38,786 - Mm-hmm. - Trailing PPD. 1088 00:41:38,787 --> 00:41:40,288 What are they doing out there? 1089 00:41:40,289 --> 00:41:41,623 They're driving till the wheels fall off. 1090 00:41:41,624 --> 00:41:43,500 And it's almost outside our catch. 1091 00:41:43,501 --> 00:41:45,919 I got $10 that say they don't make it to the county line. 1092 00:41:45,920 --> 00:41:47,337 - They coming back. - I don't know. 1093 00:41:47,338 --> 00:41:48,963 Yeah, yeah, yeah, yeah, I'll take that. 1094 00:41:48,964 --> 00:41:50,590 They're Westmoreland's problem now. 1095 00:41:50,591 --> 00:41:51,799 - Mm. - Yep. 1096 00:41:51,800 --> 00:41:53,009 - Uh-oh. - It's on the news? 1097 00:41:53,010 --> 00:41:54,260 Yes, ma'am. 1098 00:41:54,261 --> 00:41:55,803 Where are they? 1099 00:41:55,804 --> 00:41:57,639 They're headed east toward Monroeville. 1100 00:41:57,640 --> 00:41:59,558 Let me see. 1101 00:42:06,482 --> 00:42:10,151 Give me $20 on junkies, caught, outside our zone. 1102 00:42:10,152 --> 00:42:12,028 Well, damn. 1103 00:42:12,029 --> 00:42:14,615 All right. 1104 00:42:18,661 --> 00:42:20,828 - Soft, non-tender. - Okay. 1105 00:42:20,829 --> 00:42:22,997 Jia Yi, we're going to check below the waist. 1106 00:42:22,998 --> 00:42:24,791 You'll be all covered up. Would you like Dad to stay? 1107 00:42:24,792 --> 00:42:26,668 Yes, please. Don't go. 1108 00:42:26,669 --> 00:42:29,003 Okay, I'm here. I'm here. 1109 00:42:29,004 --> 00:42:32,799 All right, knees up, but keep your feet on the bed. 1110 00:42:32,800 --> 00:42:35,468 And let the knees flop apart. 1111 00:42:35,469 --> 00:42:37,763 We're just gonna take a quick look. 1112 00:42:40,891 --> 00:42:42,475 You'll feel me touch your upper leg 1113 00:42:42,476 --> 00:42:44,352 so we can see where you pee. 1114 00:42:44,353 --> 00:42:45,728 Any pain? 1115 00:42:45,729 --> 00:42:47,648 No, it's okay. 1116 00:42:50,776 --> 00:42:51,985 Okay. 1117 00:42:51,986 --> 00:42:53,653 You can put your legs back down. 1118 00:42:53,654 --> 00:42:55,989 You did great, and we know how we can help you. 1119 00:42:55,990 --> 00:42:57,365 Thank you. 1120 00:42:57,366 --> 00:42:59,743 Dad, can we step out for a minute? 1121 00:43:02,329 --> 00:43:04,915 Yay. Good job. 1122 00:43:07,585 --> 00:43:10,003 What's... what's wrong with her? 1123 00:43:10,004 --> 00:43:11,546 Her mother died of colon cancer. 1124 00:43:11,547 --> 00:43:12,922 Is it... 1125 00:43:12,923 --> 00:43:14,882 No, that has nothing to do with this. 1126 00:43:14,883 --> 00:43:17,385 Do you know what a hymen is? 1127 00:43:17,386 --> 00:43:20,179 I... not really. 1128 00:43:20,180 --> 00:43:22,724 When the baby is developing in the womb, 1129 00:43:22,725 --> 00:43:24,350 there's a membrane called the hymen 1130 00:43:24,351 --> 00:43:26,144 which blocks the vaginal passage. 1131 00:43:26,145 --> 00:43:27,895 Before birth, most of it goes away, 1132 00:43:27,896 --> 00:43:30,565 but sometimes it doesn't. 1133 00:43:30,566 --> 00:43:32,734 - Is that dangerous? - No, not at all. 1134 00:43:32,735 --> 00:43:34,402 The good news is that your daughter 1135 00:43:34,403 --> 00:43:37,238 has an imperforate hymen totally blocking the vagina. 1136 00:43:37,239 --> 00:43:40,199 We saw what looks to be about three months of 1137 00:43:40,200 --> 00:43:43,661 violaceous menstrual blood bulging from behind it. 1138 00:43:43,662 --> 00:43:45,038 Oh, my God. 1139 00:43:45,039 --> 00:43:47,749 It's totally curable and an easy fix. 1140 00:43:47,750 --> 00:43:49,208 Your daughter needs minor surgery 1141 00:43:49,209 --> 00:43:50,752 best done under anesthesia 1142 00:43:50,753 --> 00:43:52,920 in an operating room by a gynecologist. 1143 00:43:52,921 --> 00:43:54,964 Then she'll be okay? 1144 00:43:54,965 --> 00:43:57,426 Yes, totally back to normal. 1145 00:43:58,927 --> 00:44:00,595 Thank you. 1146 00:44:00,596 --> 00:44:02,388 We, uh... 1147 00:44:02,389 --> 00:44:06,309 we lost Jia Yi's mother when Jia Yi was six. 1148 00:44:06,310 --> 00:44:11,272 And I do my best to fill her place. 1149 00:44:11,273 --> 00:44:13,692 But as she gets older... 1150 00:44:15,527 --> 00:44:17,570 Her mother would have known what to do. 1151 00:44:17,571 --> 00:44:20,908 I'm sure you do great. She's going to be fine. 1152 00:44:22,493 --> 00:44:24,328 Thank you. 1153 00:44:28,123 --> 00:44:29,791 We should let her know. 1154 00:44:29,792 --> 00:44:32,461 I'll do the talking this time. 1155 00:44:35,047 --> 00:44:36,923 Housekeeping is turning over South 20. 1156 00:44:36,924 --> 00:44:38,257 Damn, we're good. 1157 00:44:38,258 --> 00:44:39,425 What's it like when I'm not here? 1158 00:44:39,426 --> 00:44:40,968 I hate to break it to you, 1159 00:44:40,969 --> 00:44:42,470 but I run a tight ship with or without you. 1160 00:44:42,471 --> 00:44:43,721 More fun with me, though, right? 1161 00:44:43,722 --> 00:44:45,473 - Jokes are better. - Always. 1162 00:44:45,474 --> 00:44:47,809 But your tell is the hairier it gets, 1163 00:44:47,810 --> 00:44:50,978 the funnier you get, and you are on fire today. 1164 00:44:50,979 --> 00:44:53,941 Dr. Robby, it's time. 1165 00:45:01,365 --> 00:45:02,990 Hey. 1166 00:45:12,584 --> 00:45:14,836 Is he still with us? 1167 00:45:14,837 --> 00:45:18,214 Those are called agonal respirations. 1168 00:45:18,215 --> 00:45:19,799 Close to the end. 1169 00:45:21,427 --> 00:45:25,346 He said our mother's name a few minutes ago. 1170 00:45:25,347 --> 00:45:27,515 Marge. 1171 00:45:27,516 --> 00:45:29,016 Did he? 1172 00:45:29,017 --> 00:45:32,019 Like she was here in the room with us. 1173 00:45:32,020 --> 00:45:36,858 And... and then he smiled and just closed his eyes. 1174 00:45:40,362 --> 00:45:42,155 How are you both holding up? 1175 00:45:42,156 --> 00:45:43,531 I'm exhausted. 1176 00:45:43,532 --> 00:45:45,366 Yeah, I... I... 1177 00:45:45,367 --> 00:45:47,285 I think I'm doing okay. 1178 00:45:47,286 --> 00:45:50,371 Oh, Jereme, I am so glad that you are here. 1179 00:45:50,372 --> 00:45:51,914 Same. 1180 00:45:51,915 --> 00:45:55,585 I... I couldn't go through this by myself. 1181 00:45:55,586 --> 00:45:57,378 You don't have to. 1182 00:45:57,379 --> 00:45:59,338 Sara and I are here. 1183 00:45:59,339 --> 00:46:01,716 I know. Thank you. 1184 00:46:01,717 --> 00:46:04,093 I need you. 1185 00:46:04,094 --> 00:46:07,055 It's good that your families live close. 1186 00:46:08,640 --> 00:46:11,727 This becomes a primary relationship now. 1187 00:46:13,020 --> 00:46:16,022 You're the last witnesses to each other's lives. 1188 00:46:16,023 --> 00:46:18,150 You hold the memories. 1189 00:46:19,568 --> 00:46:22,446 Scary thought, the way my memory's going. 1190 00:46:23,614 --> 00:46:26,574 I just had the craziest idea. 1191 00:46:26,575 --> 00:46:28,576 You know what we should think about doing? 1192 00:46:28,577 --> 00:46:31,329 Why don't we take the boat out, like, this weekend? 1193 00:47:26,218 --> 00:47:27,760 Oh, no. 1194 00:47:56,206 --> 00:47:58,958 Bactrim twice a day, warm soaks, 1195 00:47:58,959 --> 00:48:01,711 and we'll see you here again in two days for a wound check. 1196 00:48:01,712 --> 00:48:03,462 Do you have any questions? 1197 00:48:03,463 --> 00:48:05,506 Hey, I need a gurney in here! 1198 00:48:05,507 --> 00:48:07,675 Now! 1199 00:48:07,676 --> 00:48:09,510 Gurney!