1 00:00:06,609 --> 00:00:10,800 Sync and corrections by btsix www.addic7ed.com 2 00:00:10,802 --> 00:00:12,636 You know where your son is now? 3 00:00:12,637 --> 00:00:15,264 No, but he hasn't done anything. 4 00:00:15,265 --> 00:00:16,807 Officer, why are you here? 5 00:00:16,808 --> 00:00:18,976 We received a call that her son, David, 6 00:00:18,977 --> 00:00:21,812 has created a list of girls he would like to eliminate. 7 00:00:21,813 --> 00:00:23,272 Who called you? 8 00:00:23,273 --> 00:00:25,399 Do you know anything about this list? 9 00:00:25,400 --> 00:00:26,817 Somebody called you. Who? 10 00:00:26,818 --> 00:00:28,402 Somebody from my hospital? 11 00:00:28,403 --> 00:00:31,655 Uh, Dr. McKay. 12 00:00:31,656 --> 00:00:33,657 - Air retinue, ETA now. - Who is that? 13 00:00:33,658 --> 00:00:35,409 Air retinue, ETA now. 14 00:00:35,410 --> 00:00:37,287 I will be right back. 15 00:00:39,247 --> 00:00:41,290 [ELEVATOR DINGS] 16 00:00:41,291 --> 00:00:45,044 Teddy, 28 years old, burned in a gas tank explosion. 17 00:00:45,045 --> 00:00:46,879 Paramedics estimate 90% BSA. 18 00:00:46,880 --> 00:00:48,505 Trauma 1's open. 19 00:00:48,506 --> 00:00:50,049 We managed to get a 20 gauge on the right AC. 20 00:00:50,050 --> 00:00:51,800 First liter of LR running wide open. 21 00:00:51,801 --> 00:00:54,178 Vitals are good, pulse ox 97. 22 00:00:54,179 --> 00:00:56,472 Teddy, are you in a lot of pain right now? 23 00:00:56,473 --> 00:00:58,849 [HOARSELY] Not as much as I should be. 24 00:00:58,850 --> 00:01:01,518 OK. 25 00:01:01,519 --> 00:01:03,854 Mainly third degree. 26 00:01:03,855 --> 00:01:06,690 Singed nasal hairs. Soot in oropharynx. 27 00:01:06,691 --> 00:01:08,442 Do you have family on the way? 28 00:01:08,443 --> 00:01:10,027 Amy. My wife. 29 00:01:10,028 --> 00:01:11,528 What happened? 30 00:01:11,529 --> 00:01:13,238 I was transferring gas from a 200-gallon 31 00:01:13,239 --> 00:01:15,365 fuel tank to my tractor. 32 00:01:15,366 --> 00:01:16,492 Kaboom. 33 00:01:16,493 --> 00:01:17,826 Let's set up for intubation. 34 00:01:17,827 --> 00:01:19,203 Whitaker, run the Parkland formula. 35 00:01:19,204 --> 00:01:21,038 OK, titrate morphine. Page Garcia. 36 00:01:21,039 --> 00:01:22,664 And I will be back for the intubation. 37 00:01:22,665 --> 00:01:23,958 On it, boss. 38 00:01:25,543 --> 00:01:27,544 Don't, don't, don't! Don't touch me! 39 00:01:27,545 --> 00:01:29,213 I'm fine. 40 00:01:29,214 --> 00:01:31,174 Jesus fucking Christ! 41 00:01:32,133 --> 00:01:34,551 [GROANS] 42 00:01:34,552 --> 00:01:37,179 - It's... it's OK. - OK. 43 00:01:37,180 --> 00:01:38,555 - I'm fine. - OK. OK, come here. 44 00:01:38,556 --> 00:01:39,973 - Holy shit! - Whoa, whoa, whoa, whoa! 45 00:01:39,974 --> 00:01:42,059 - Grabbing ice packs. - I got the cart. 46 00:01:42,060 --> 00:01:43,352 What happened? 47 00:01:43,353 --> 00:01:45,562 Just got punched. Just took a fall. 48 00:01:45,563 --> 00:01:47,106 OK. I'm fine. 49 00:01:47,107 --> 00:01:48,857 Who punched you? 50 00:01:48,858 --> 00:01:50,025 Just an unhappy patient. 51 00:01:50,026 --> 00:01:51,568 - A patient hit you? - Yeah. 52 00:01:51,569 --> 00:01:53,237 Happens all the time. I got my cheek broken. 53 00:01:53,238 --> 00:01:55,114 - I lost a tooth. - Oh. 54 00:01:55,115 --> 00:01:58,242 - We've all been assaulted. - Go get Ahmad. 55 00:01:58,243 --> 00:02:00,994 - Did you hit your head? - Uh, yep, probably, 56 00:02:00,995 --> 00:02:04,581 but no LOC, just... just a bloody nose. 57 00:02:04,582 --> 00:02:05,582 OK, pressure. 58 00:02:05,583 --> 00:02:07,251 OK, OK, OK. 59 00:02:07,252 --> 00:02:09,253 Any trouble seeing? Any double vision? 60 00:02:09,254 --> 00:02:11,421 - No. - I'll grab you new scrubs. 61 00:02:11,422 --> 00:02:13,423 - What about a headache? - A little, yeah. 62 00:02:13,424 --> 00:02:15,551 - We need to find her a room. - I do not need a room! 63 00:02:15,552 --> 00:02:16,969 Dave, move North 1 to the hall. 64 00:02:16,970 --> 00:02:18,595 - Follow my finger. - [BREATHING HEAVILY] 65 00:02:18,596 --> 00:02:22,933 Right, left, up, down. 66 00:02:22,934 --> 00:02:24,476 EOM is intact. 67 00:02:24,477 --> 00:02:26,228 Who did this? 68 00:02:26,229 --> 00:02:27,896 It was a pissed off patient, but he split, 69 00:02:27,897 --> 00:02:29,106 so just forget it. 70 00:02:29,107 --> 00:02:30,774 Forget... hell no. 71 00:02:30,775 --> 00:02:32,152 Look, I want a name. 72 00:02:33,653 --> 00:02:35,779 Doug Driscoll. Doug Driscoll. 73 00:02:35,780 --> 00:02:38,240 - That asshole in Chairs? - Yeah. 74 00:02:38,241 --> 00:02:39,283 I'm calling the cops. 75 00:02:39,284 --> 00:02:40,743 I'll get a wheelchair. 76 00:02:41,953 --> 00:02:43,746 Pupils are equal and reactive. 77 00:02:45,415 --> 00:02:47,416 No septal hematoma. 78 00:02:47,417 --> 00:02:49,585 Should someone call your husband? 79 00:02:49,586 --> 00:02:51,420 - Absolutely not. - OK. 80 00:02:51,421 --> 00:02:53,089 - [SIGHS] - Tell me when it's sore. 81 00:02:55,258 --> 00:02:56,800 Ah! [GASPING] 82 00:02:56,801 --> 00:02:59,261 Tender at the nasion. CT head and maxillofacial. 83 00:02:59,262 --> 00:03:00,804 I'll give them a heads up. 84 00:03:00,805 --> 00:03:02,264 Is that really necessary? 85 00:03:02,265 --> 00:03:03,724 You have at least one facial fracture. 86 00:03:03,725 --> 00:03:05,309 With the headache and the fall, 87 00:03:05,310 --> 00:03:07,769 I want to rule out anything intracranial. 88 00:03:07,770 --> 00:03:10,439 OK, who can step up for Dana 89 00:03:10,440 --> 00:03:11,565 while she's getting checked out? 90 00:03:11,566 --> 00:03:12,566 - Perlah. - Thank you. 91 00:03:12,567 --> 00:03:16,320 [BOTH SPEAKING TAGALOG] 92 00:03:16,321 --> 00:03:18,780 OK, guys, we got about three hours left in this shift, 93 00:03:18,781 --> 00:03:20,157 and I need everybody to step up. 94 00:03:20,158 --> 00:03:21,158 - Is that clear? - Yes. 95 00:03:21,159 --> 00:03:22,285 - Yep. - Yes, sir. 96 00:03:23,995 --> 00:03:25,287 I can't believe they allow you 97 00:03:25,288 --> 00:03:26,997 around med students, Langdon. 98 00:03:26,998 --> 00:03:28,165 Don't pick up any of his bad habits. 99 00:03:28,166 --> 00:03:29,458 You know the difference 100 00:03:29,459 --> 00:03:30,959 between surgeons and serial killers? 101 00:03:30,960 --> 00:03:32,169 Serial killers don't bill their victims. 102 00:03:32,170 --> 00:03:33,462 Cute. 103 00:03:33,463 --> 00:03:35,088 You guys staying ahead with his fluids? 104 00:03:35,089 --> 00:03:37,758 Per the Parkland, 4 per kilo times 90% burned. 105 00:03:37,759 --> 00:03:39,801 - Wow. - 27 liters over 24 hours. 106 00:03:39,802 --> 00:03:41,678 He's had two so far. 107 00:03:41,679 --> 00:03:44,264 Lactated ringers at 1.785 liters per hour 108 00:03:44,265 --> 00:03:45,474 for the next seven hours. 109 00:03:45,475 --> 00:03:46,475 I'll program the pump. 110 00:03:46,476 --> 00:03:48,477 We got a second IV. 111 00:03:48,478 --> 00:03:50,020 Hello, sir. I'm Dr. Garcia. 112 00:03:50,021 --> 00:03:51,521 Need to peek under these dressings. 113 00:03:51,522 --> 00:03:52,856 Are we ready to intubate? 114 00:03:52,857 --> 00:03:55,234 Wife should be here any minute. 115 00:03:55,235 --> 00:03:58,195 Whitaker, earlier, you said third degree. 116 00:03:58,196 --> 00:04:00,072 We refer to burns as either being full thickness 117 00:04:00,073 --> 00:04:01,698 or partial thickness. 118 00:04:01,699 --> 00:04:04,326 Looks like 60% to 70% full, 20% to 30% partial. 119 00:04:04,327 --> 00:04:05,869 Intubation meds? 120 00:04:05,870 --> 00:04:07,621 - 120 Rocuronium, 100 Ketamine. - Got it. 121 00:04:07,622 --> 00:04:08,872 Can you draw them up and hold them? 122 00:04:08,873 --> 00:04:10,165 Vitals are good, but gonna need 123 00:04:10,166 --> 00:04:12,376 a pan scan after intubation. 124 00:04:12,377 --> 00:04:13,710 Oh, my God! 125 00:04:13,711 --> 00:04:15,879 Oh, my God! No, no, no. 126 00:04:15,880 --> 00:04:17,547 Oh, Teddy. 127 00:04:17,548 --> 00:04:18,674 I... I'm Amy. 128 00:04:18,675 --> 00:04:20,050 I'm Teddy's wife. How is he? 129 00:04:20,051 --> 00:04:21,385 He's stable for now. 130 00:04:21,386 --> 00:04:23,595 - I'm OK, honey. - OK. 131 00:04:23,596 --> 00:04:25,222 Teddy, you've got severe burns 132 00:04:25,223 --> 00:04:26,890 covering most of your body. 133 00:04:26,891 --> 00:04:28,725 You've also burned the inside of your throat. 134 00:04:28,726 --> 00:04:30,936 Just to be safe, I need to put in a breathing tube, 135 00:04:30,937 --> 00:04:32,396 and you won't be able to speak. 136 00:04:32,397 --> 00:04:34,523 We need to do this now before his throat swells, 137 00:04:34,524 --> 00:04:36,358 and it becomes difficult for him to breathe. 138 00:04:36,359 --> 00:04:37,985 So if there's anything you two want to say to each other, 139 00:04:37,986 --> 00:04:40,737 this is the time to do it. 140 00:04:40,738 --> 00:04:41,738 OK. 141 00:04:41,739 --> 00:04:43,865 I'm gonna be OK. 142 00:04:43,866 --> 00:04:45,909 [CRYING] 143 00:04:45,910 --> 00:04:47,244 Can... can I kiss him? 144 00:04:47,245 --> 00:04:48,830 Yes, of course. 145 00:04:55,549 --> 00:04:56,586 - [CHUCKLES] - [COUGHING] 146 00:04:56,587 --> 00:04:57,587 Ready to intubate. 147 00:04:57,588 --> 00:04:58,755 Push Ketamine, then Roc. 148 00:04:58,756 --> 00:05:00,257 I'm right here, OK? 149 00:05:00,258 --> 00:05:01,758 Code stroke, emergency department. 150 00:05:01,759 --> 00:05:03,427 Code stroke, emergency department. 151 00:05:03,428 --> 00:05:06,347 - Ketamine is going in. - OK, I will be right back. 152 00:05:09,267 --> 00:05:11,601 Jane Doe, looks like she's in her 20s. 153 00:05:11,602 --> 00:05:14,396 Obvious aphasia, right-sided hemiparesis, and facial droop. 154 00:05:14,397 --> 00:05:16,273 - Hi. What's your name? - [MOANING] 155 00:05:16,274 --> 00:05:18,108 Nod your head if you understand. 156 00:05:18,109 --> 00:05:19,651 Receptive and expressive aphasia. 157 00:05:19,652 --> 00:05:21,278 No motor strength in the right arm. 158 00:05:21,279 --> 00:05:22,446 Open your mouth. 159 00:05:22,447 --> 00:05:24,656 [MOANING, CHOKING] 160 00:05:24,657 --> 00:05:27,451 Gag reflex present. 161 00:05:27,452 --> 00:05:29,119 Left motor intact. 162 00:05:29,120 --> 00:05:31,246 BP's 150 over 88. 163 00:05:31,247 --> 00:05:32,998 - Where should we go? - AccuCheck is 73. 164 00:05:32,999 --> 00:05:34,458 Straight to Radiology. 165 00:05:34,459 --> 00:05:36,752 CT brain without contrast, perfusion scan, 166 00:05:36,753 --> 00:05:38,378 CT angio head and neck. 167 00:05:38,379 --> 00:05:40,630 - Hey, Crowe, wanna hang back? - Yeah. 168 00:05:40,631 --> 00:05:41,965 So you didn't get a name on her? 169 00:05:41,966 --> 00:05:43,133 Uh, we looked. 170 00:05:43,134 --> 00:05:44,968 Couldn't find a wallet or an ID. 171 00:05:44,969 --> 00:05:46,471 But we had to jam out of there 'cause it was a Code Stroke. 172 00:05:46,472 --> 00:05:47,971 - Who called 911? - Well, apparently, 173 00:05:47,972 --> 00:05:49,598 our Jane Doe is a professional gamer. 174 00:05:49,599 --> 00:05:51,475 She was a no-show for some big tournament. 175 00:05:51,476 --> 00:05:53,852 So her teammate in Dubai calls another teammate in Houston, 176 00:05:53,853 --> 00:05:56,021 who called 911 here. 177 00:05:56,022 --> 00:05:57,481 Who gets a stroke in their 20s? 178 00:05:57,482 --> 00:05:59,107 That's what you get to figure out. 179 00:05:59,108 --> 00:06:02,153 OK, come find me after the scan results are back. 180 00:06:06,407 --> 00:06:08,116 Who called the cops on David Saunders? 181 00:06:08,117 --> 00:06:09,659 I did. 182 00:06:09,660 --> 00:06:11,578 Mom! 183 00:06:11,579 --> 00:06:13,163 Harrison? 184 00:06:13,164 --> 00:06:15,832 Hey. Hey. 185 00:06:15,833 --> 00:06:17,667 Are you OK? How'd you get here? 186 00:06:17,668 --> 00:06:19,503 With Dad. 187 00:06:19,504 --> 00:06:22,672 Chad Ashcroft, 39, skateboarding accident. 188 00:06:22,673 --> 00:06:24,508 Deformity of the right ankle. 189 00:06:24,509 --> 00:06:25,842 No LOC, good vitals. 190 00:06:25,843 --> 00:06:28,053 Got four of morphine en route. 191 00:06:28,054 --> 00:06:29,846 Skateboarding? Really? 192 00:06:29,847 --> 00:06:30,889 I'm fine, by the way. 193 00:06:30,890 --> 00:06:33,016 You know this guy? 194 00:06:33,017 --> 00:06:35,310 Unfortunately. 195 00:06:35,311 --> 00:06:37,479 - Ah! - Looks trimalleolar. 196 00:06:37,480 --> 00:06:38,522 I was hoping for a dislocation. 197 00:06:38,523 --> 00:06:39,689 40 hospitals in Pittsburgh, 198 00:06:39,690 --> 00:06:40,982 and you just had to choose mine? 199 00:06:40,983 --> 00:06:42,192 You think I want to be in this shithole? 200 00:06:42,193 --> 00:06:43,527 I told him to take me to Presby. 201 00:06:43,528 --> 00:06:44,861 You were the closest hospital, 202 00:06:44,862 --> 00:06:46,613 so here we are. Where should we put him? 203 00:06:46,614 --> 00:06:48,490 - On the curb? - Ah. 204 00:06:48,491 --> 00:06:49,866 Are you two family? 205 00:06:49,867 --> 00:06:52,536 - Ex. - Ex. 206 00:06:52,537 --> 00:06:55,414 This is Chad, Harrison's dad. 207 00:06:55,415 --> 00:06:58,917 Oh, nice to finally put a face to a name. 208 00:06:58,918 --> 00:07:00,335 What's open? 209 00:07:00,336 --> 00:07:02,045 McKay, stay with your kid. 210 00:07:02,046 --> 00:07:04,172 Let's take this half-pipe prince 211 00:07:04,173 --> 00:07:05,758 to South 19. 212 00:07:11,472 --> 00:07:14,724 - Hey, what's the golden rule? - No hospitals. 213 00:07:14,725 --> 00:07:18,145 OK, let's add "no skating without a helmet ever again." 214 00:07:18,146 --> 00:07:19,981 - You hear me? - Yes, Mom. 215 00:07:24,777 --> 00:07:26,571 When was the last time you took a bath? 216 00:07:28,322 --> 00:07:29,364 Where's Robby? 217 00:07:29,365 --> 00:07:31,409 Intubating the burn patient. 218 00:07:33,161 --> 00:07:35,538 Ma'am, can you close your eyes for me? 219 00:07:37,707 --> 00:07:39,082 Robby, it's Samira. 220 00:07:39,083 --> 00:07:41,918 Jane Doe's CT came back... no bleed, 221 00:07:41,919 --> 00:07:44,546 but there was a carotid artery dissection left neck 222 00:07:44,547 --> 00:07:46,006 with a thrombus that threw a clot 223 00:07:46,007 --> 00:07:48,551 to the left middle cerebral artery. 224 00:07:49,594 --> 00:07:50,677 OK, got it. 225 00:07:50,678 --> 00:07:52,179 We'll wait. 226 00:07:52,180 --> 00:07:53,388 With no intracranial hemorrhage, 227 00:07:53,389 --> 00:07:55,098 she might be a TNK candidate. 228 00:07:55,099 --> 00:07:57,934 But couldn't TNK cause a brain bleed and kill her? 229 00:07:57,935 --> 00:08:00,437 TNK is still the best clot-busting possibility. 230 00:08:00,438 --> 00:08:03,607 Um, shouldn't we do endovascular therapy? 231 00:08:03,608 --> 00:08:06,776 I mean, it's the safest option to... 232 00:08:06,777 --> 00:08:10,614 What do you call a Tyrannosaurus under stress? 233 00:08:10,615 --> 00:08:12,073 What? 234 00:08:12,074 --> 00:08:13,450 A nervous Rex. 235 00:08:13,451 --> 00:08:15,202 Dr. King, meet Dr. Mehta, 236 00:08:15,203 --> 00:08:17,371 one of our esteemed stroke neurologists. 237 00:08:18,788 --> 00:08:19,794 How's the patient? 238 00:08:19,796 --> 00:08:21,291 NIH stroke scale of 27, 239 00:08:21,292 --> 00:08:23,710 no last known well time. 240 00:08:23,711 --> 00:08:27,130 Dr. Mehta, should we take her to EVT? 241 00:08:27,131 --> 00:08:28,632 Not yet. 242 00:08:28,633 --> 00:08:29,966 We'll take her for a spin in the MRI, 243 00:08:29,967 --> 00:08:31,635 check for irreversible damage first. 244 00:08:31,636 --> 00:08:33,303 If there's a diffusion-flare mismatch, 245 00:08:33,304 --> 00:08:34,971 she's still in the window for thrombolytics. 246 00:08:34,972 --> 00:08:36,598 And she still gets EVT... 247 00:08:36,599 --> 00:08:38,184 two-for-one special. 248 00:08:40,311 --> 00:08:42,103 What type of person is best suited 249 00:08:42,104 --> 00:08:43,772 to work with an MRI machine? 250 00:08:43,773 --> 00:08:45,357 A trained technician. 251 00:08:45,358 --> 00:08:47,817 Someone with a magnetic personality. 252 00:08:47,818 --> 00:08:49,152 [CHUCKLES] 253 00:08:49,153 --> 00:08:50,487 That one's new. 254 00:08:50,488 --> 00:08:51,614 [CHUCKLES] 255 00:08:53,533 --> 00:08:54,824 Somebody punched her? 256 00:08:54,825 --> 00:08:56,618 A patient. Broke her nose. 257 00:08:56,619 --> 00:08:57,994 Is she OK? 258 00:08:57,995 --> 00:08:59,955 Robby checked her out, sent her to CT. 259 00:08:59,956 --> 00:09:01,456 Sorry to interrupt the hot goss, 260 00:09:01,457 --> 00:09:02,999 but what about me? 261 00:09:03,000 --> 00:09:06,169 Uh, you got some pretty good cuts here, sir. 262 00:09:06,170 --> 00:09:07,254 We're working on closing them up 263 00:09:07,255 --> 00:09:09,256 to prevent infection. 264 00:09:09,257 --> 00:09:11,341 Yeah, can you call in a plastic surgeon? 265 00:09:11,342 --> 00:09:14,761 Uh, the lacerations aren't that deep. 266 00:09:14,762 --> 00:09:16,596 Medical glue should do the trick. 267 00:09:16,597 --> 00:09:18,181 If you have any extra, do you want 268 00:09:18,182 --> 00:09:20,183 to maybe apply some to his lips? 269 00:09:20,184 --> 00:09:22,018 Your son was worried about you 270 00:09:22,019 --> 00:09:24,354 and wanted to make sure you were OK. 271 00:09:24,355 --> 00:09:26,022 - Are you OK? - Yeah, totally. 272 00:09:26,023 --> 00:09:28,525 Just a few battle wounds. [CHUCKLES] 273 00:09:28,526 --> 00:09:30,694 Uh, did you hear? Dana got assaulted. 274 00:09:30,695 --> 00:09:32,195 - What? - Yeah. Patient. 275 00:09:32,196 --> 00:09:33,405 Broke her nose. 276 00:09:33,406 --> 00:09:34,864 When can I get out of here, please? 277 00:09:34,865 --> 00:09:36,908 We're waiting for Radiology to come down 278 00:09:36,909 --> 00:09:39,369 with a portable X-ray machine 279 00:09:39,370 --> 00:09:42,038 so we can take a better look at your leg. 280 00:09:42,039 --> 00:09:44,374 You'll need a splint and eventually a cast. 281 00:09:44,375 --> 00:09:45,667 Ah, hear that? 282 00:09:45,668 --> 00:09:47,586 Your dad's gonna have a cool cast. 283 00:09:47,587 --> 00:09:49,713 Big Harry in the house. Up top. 284 00:09:49,714 --> 00:09:52,173 Mateo! 285 00:09:52,174 --> 00:09:54,509 I told my dad that we went skateboarding last weekend. 286 00:09:54,510 --> 00:09:56,553 - Ah! - So he took me today, 287 00:09:56,554 --> 00:09:57,887 - and... - Ah. 288 00:09:57,888 --> 00:10:00,056 Then he fell and broke his leg. 289 00:10:00,057 --> 00:10:01,891 [WHISPERING] Yeah, I can see that. 290 00:10:01,892 --> 00:10:03,810 [NORMALLY] Hey, man. Mateo. 291 00:10:03,811 --> 00:10:05,478 Hey. 292 00:10:05,479 --> 00:10:07,022 Ugh. 293 00:10:07,023 --> 00:10:08,732 You wanna go raid the break room with me? 294 00:10:08,733 --> 00:10:11,901 I hear there's a bag of Takis with your name on it. 295 00:10:11,902 --> 00:10:14,070 Sure. Yeah, yeah. 296 00:10:14,071 --> 00:10:15,739 But not too much sugar. 297 00:10:15,740 --> 00:10:17,365 Says the man who eats Cap'n Crunch for breakfast. 298 00:10:17,366 --> 00:10:18,825 No, not anymore. 299 00:10:18,826 --> 00:10:21,411 Chloe makes me an acai bowl every morning. 300 00:10:21,412 --> 00:10:25,665 Oh, Chloe, the gift that keeps on giving. 301 00:10:25,666 --> 00:10:28,251 I already apologized for that. 302 00:10:28,252 --> 00:10:30,837 How are those lacs coming, Dr. Santos? 303 00:10:30,838 --> 00:10:32,881 - Good. All done. - Mm-hmm. 304 00:10:32,882 --> 00:10:34,132 I'm gonna go check on Radiology. 305 00:10:34,133 --> 00:10:35,634 I'll come with you. 306 00:10:35,635 --> 00:10:37,385 Sooner we get you in, sooner we get you out. 307 00:10:37,386 --> 00:10:39,095 BOTH: Thank you. 308 00:10:39,096 --> 00:10:42,350 [INDISTINCT CHATTER] 309 00:10:47,897 --> 00:10:49,939 Dr. McKay. 310 00:10:49,940 --> 00:10:51,232 Somebody hit Dana? 311 00:10:51,233 --> 00:10:52,567 I specifically told you 312 00:10:52,568 --> 00:10:53,902 to leave Theresa Saunders alone, 313 00:10:53,903 --> 00:10:55,236 and you called the cops on her son? 314 00:10:55,237 --> 00:10:56,613 We talked about it. 315 00:10:56,614 --> 00:10:58,907 A decision... a decision was not made. 316 00:10:58,908 --> 00:10:59,949 So I made it. 317 00:10:59,950 --> 00:11:01,451 It was not yours to make! 318 00:11:01,452 --> 00:11:03,620 No, it was yours, and you didn't do it. 319 00:11:03,621 --> 00:11:06,414 I didn't do it because it wasn't warranted. 320 00:11:06,415 --> 00:11:07,957 Wasn't it? 321 00:11:07,958 --> 00:11:09,376 If Theresa left, how are we gonna get David 322 00:11:09,377 --> 00:11:11,294 assessed for his risk to others? 323 00:11:11,295 --> 00:11:13,546 I couldn't live with myself if something terrible happened. 324 00:11:13,547 --> 00:11:15,382 Yeah, well, now the police are involved, 325 00:11:15,383 --> 00:11:17,926 so you may have ruined this kid's life forever. 326 00:11:17,927 --> 00:11:20,553 And what about the girls on this list? 327 00:11:20,554 --> 00:11:22,472 Are you telling me their safety, 328 00:11:22,473 --> 00:11:25,266 their lives, are worth less than his? 329 00:11:25,267 --> 00:11:26,976 I can live with this one. 330 00:11:26,977 --> 00:11:28,479 And now you can too. 331 00:11:38,239 --> 00:11:40,490 [BUTTON BEEPS] 332 00:11:40,491 --> 00:11:44,369 Uh, distal tibia and fibula with an unstable mortise. 333 00:11:44,370 --> 00:11:47,455 Hold on. Show us the lateral, please. 334 00:11:47,456 --> 00:11:49,165 - [BEEPS] - Here you go. 335 00:11:49,166 --> 00:11:51,376 - [CLICKS TONGUE] - Mm. 336 00:11:51,377 --> 00:11:53,545 Not two... three breaks. 337 00:11:53,546 --> 00:11:54,879 Jesus. 338 00:11:54,880 --> 00:11:56,673 What, so now I get a cast? 339 00:11:56,674 --> 00:12:00,677 Uh, no, splint and surgery to stabilize the bones 340 00:12:00,678 --> 00:12:02,512 with plates and screws so they can heal properly. 341 00:12:02,513 --> 00:12:04,139 Ugh, how long am I gonna be stuck here? 342 00:12:04,140 --> 00:12:06,015 [CHUCKLES] That is above my pay grade. 343 00:12:06,016 --> 00:12:07,308 - [GROANING] - Gabriel. 344 00:12:07,309 --> 00:12:08,643 [CRYING] 345 00:12:08,644 --> 00:12:10,270 But you may want to cancel 346 00:12:10,271 --> 00:12:12,647 any dinner reservations you may have. 347 00:12:12,648 --> 00:12:16,860 Set up for a double splint, posterior leg and sugar tong. 348 00:12:16,861 --> 00:12:18,862 Oh, is that gonna be painful? 349 00:12:18,863 --> 00:12:20,488 There may be some discomfort. 350 00:12:20,489 --> 00:12:22,532 I assure you, we will prescribe 351 00:12:22,533 --> 00:12:23,950 proper pain medication 352 00:12:23,951 --> 00:12:26,119 to provide you with adequate relief. 353 00:12:26,120 --> 00:12:28,663 Draw up 100 of propofol, 50 of fent. 354 00:12:28,664 --> 00:12:30,999 Whatever, just knock me out. 355 00:12:31,000 --> 00:12:33,210 With pleasure. 356 00:12:35,254 --> 00:12:36,671 [BACKGROUND CHATTER] 357 00:12:36,672 --> 00:12:39,340 Perlah, which of our patients 358 00:12:39,341 --> 00:12:40,759 can we send on their merry way? 359 00:12:40,760 --> 00:12:41,926 Right. 360 00:12:41,927 --> 00:12:43,386 Barry, yoga split lip, 361 00:12:43,387 --> 00:12:45,555 moved from North 1 to the Hall; 362 00:12:45,556 --> 00:12:46,723 Walter, road rash 363 00:12:46,724 --> 00:12:48,516 with the rat killing dog, South 20; 364 00:12:48,517 --> 00:12:50,727 and Vince, basketball elbow fracture, 365 00:12:50,728 --> 00:12:52,103 outside Central 2. 366 00:12:52,104 --> 00:12:53,855 OK, you can run another set of vitals 367 00:12:53,856 --> 00:12:55,440 on Crosby's papa and discharge. 368 00:12:55,441 --> 00:12:57,192 You can tell Ortho to get their head out of their ass 369 00:12:57,193 --> 00:12:58,693 and take Joel Embiid with them. 370 00:12:58,694 --> 00:13:00,445 And you can release Yoga Barry, but tell him 371 00:13:00,446 --> 00:13:02,071 to refrain from doing any handstands 372 00:13:02,072 --> 00:13:03,239 for at least 48 hours. 373 00:13:03,240 --> 00:13:04,616 Copy that. 374 00:13:04,617 --> 00:13:07,994 Go, go. You heard the man. 375 00:13:07,995 --> 00:13:09,913 I do not know how Dana does this every day. 376 00:13:09,914 --> 00:13:13,708 Haha, running the ER is a Sisyphean task. 377 00:13:13,709 --> 00:13:15,251 So this is a punishment? 378 00:13:15,252 --> 00:13:17,170 - No. - Sisyphus. 379 00:13:17,171 --> 00:13:19,672 Sisyphus pissed off the gods, so they punished him 380 00:13:19,673 --> 00:13:23,593 by making him push this massive boulder up a hill for eternity. 381 00:13:23,594 --> 00:13:28,014 One must imagine Sisyphus happy. 382 00:13:28,015 --> 00:13:29,599 You're doing great. 383 00:13:29,600 --> 00:13:31,726 Hey, Ahmad. 384 00:13:31,727 --> 00:13:33,853 Is Theresa still out in Chairs talking to those cops? 385 00:13:33,854 --> 00:13:35,188 - Yeah. - Will you do me a favor 386 00:13:35,189 --> 00:13:36,606 and just kind of keep an eye on it? 387 00:13:36,607 --> 00:13:38,233 Don't let her leave without talking to me. 388 00:13:38,234 --> 00:13:40,610 - OK. - Any word on Driscoll? 389 00:13:40,611 --> 00:13:42,946 I issued an alert throughout PTMC security 390 00:13:42,947 --> 00:13:45,281 and called the cops with his home address from his chart. 391 00:13:45,282 --> 00:13:46,449 They want a statement from Dana. 392 00:13:46,450 --> 00:13:47,784 She's in CT. 393 00:13:47,785 --> 00:13:50,912 Let's... let's, um, clear her medically, 394 00:13:50,913 --> 00:13:53,623 and then she can decide when she wants to talk to them. 395 00:13:53,624 --> 00:13:55,124 What about other hospitals? 396 00:13:55,125 --> 00:13:56,626 - You let them know? - Notified. 397 00:13:56,627 --> 00:13:58,628 Everyone's on the lookout for this guy, Driscoll. 398 00:13:58,629 --> 00:14:00,964 - Thanks, Ahmad. - You got it. 399 00:14:00,965 --> 00:14:03,174 Glad to know the authorities are looking for this psycho, 400 00:14:03,175 --> 00:14:05,635 but what are you gonna do to protect the rest of us? 401 00:14:05,636 --> 00:14:08,346 Violence against health care workers is a national problem. 402 00:14:08,347 --> 00:14:10,056 And it's only getting worse. 403 00:14:10,057 --> 00:14:11,599 No surprise there's a nursing shortage everywhere. 404 00:14:11,600 --> 00:14:13,142 I hear you, I hear you, I hear you, I hear you, 405 00:14:13,143 --> 00:14:14,936 and it is unacceptable. 406 00:14:14,937 --> 00:14:16,646 What the hell kind of circus are you running down here? 407 00:14:16,647 --> 00:14:17,981 My God. You're like a bad penny. 408 00:14:17,982 --> 00:14:19,607 Where is Dana? How is she? 409 00:14:19,608 --> 00:14:21,901 She's all right. We sent her to CT to make sure. 410 00:14:21,902 --> 00:14:24,070 Did you fill out an incident report? 411 00:14:24,071 --> 00:14:25,989 I don't know, I was more concerned with her 412 00:14:25,990 --> 00:14:27,574 having a skull fracture than with your liability. 413 00:14:27,575 --> 00:14:29,117 How'd a guy from the waiting room 414 00:14:29,118 --> 00:14:30,451 get back here without anyone noticing? 415 00:14:30,452 --> 00:14:32,245 Wow, Gloria! What a great question. 416 00:14:32,246 --> 00:14:34,122 Our hard-working nurses were just asking me 417 00:14:34,123 --> 00:14:35,623 what steps the hospital plans to take 418 00:14:35,624 --> 00:14:37,166 to ensure their safety in the future. 419 00:14:37,167 --> 00:14:38,835 Maybe you would like to explain to them 420 00:14:38,836 --> 00:14:40,128 why you've denied my request 421 00:14:40,129 --> 00:14:41,337 for additional security measures 422 00:14:41,338 --> 00:14:43,172 three times in the last four months? 423 00:14:43,173 --> 00:14:46,677 If nurses don't feel safe, they're not gonna come to work. 424 00:14:48,804 --> 00:14:52,181 First off, the safety of all our employees is paramount... 425 00:14:52,182 --> 00:14:54,183 Do you remember the last nursing strike? 426 00:14:54,184 --> 00:14:55,977 Yeah, that was a real shit show. 427 00:14:55,978 --> 00:14:57,854 Maybe this is something our union rep should know about? 428 00:14:57,855 --> 00:14:59,480 OK, well, just take a beat 429 00:14:59,481 --> 00:15:01,858 and remember that PTMC is a family. 430 00:15:01,859 --> 00:15:03,693 - Come on. - A dysfunctional family. 431 00:15:03,694 --> 00:15:05,528 You should be worried about the nurses' satisfaction 432 00:15:05,529 --> 00:15:06,696 and the safety of... 433 00:15:06,697 --> 00:15:08,656 We are worried about everyone. 434 00:15:08,657 --> 00:15:10,700 We worry... Robby. 435 00:15:10,701 --> 00:15:12,493 Robby. 436 00:15:12,494 --> 00:15:13,953 Dr. Robby, I got a question for you. 437 00:15:13,954 --> 00:15:15,496 Shoot. 438 00:15:15,497 --> 00:15:17,874 Uh, we're working on Chad in 19, McKay's ex. 439 00:15:17,875 --> 00:15:19,543 He's a nightmare. 440 00:15:23,422 --> 00:15:26,675 [INDISTINCT CHATTER] 441 00:15:38,395 --> 00:15:41,440 [INDISTINCT CHATTER] 442 00:15:43,192 --> 00:15:44,692 Here's your driver's license 443 00:15:44,693 --> 00:15:46,527 and insurance card, Mr. Pugliesi. 444 00:15:46,528 --> 00:15:48,863 Have a seat, and the triage nurse will call you back soon. 445 00:15:48,864 --> 00:15:50,615 - Thank you. - Hello. 446 00:15:50,616 --> 00:15:52,575 Uh, my... my son, he needs help, his eye. 447 00:15:52,576 --> 00:15:53,868 Let me ask you about your eyes. 448 00:15:53,869 --> 00:15:55,411 Do you see the line you just cut? 449 00:15:55,412 --> 00:15:57,288 What? No, please. It's an emergency. 450 00:15:57,289 --> 00:15:58,873 You think everybody's waiting for manicures? 451 00:15:58,874 --> 00:16:00,083 He caught a line drive to the eye. 452 00:16:00,084 --> 00:16:01,542 We're so sorry, ma'am. 453 00:16:01,543 --> 00:16:03,378 We thought this was the line for pediatrics. 454 00:16:03,379 --> 00:16:04,797 I'm 16. 455 00:16:06,382 --> 00:16:08,424 I'm doing this 'cause you're a minor and you have manners. 456 00:16:08,425 --> 00:16:09,884 Thank you so much. 457 00:16:09,885 --> 00:16:10,969 Name and date of birth? 458 00:16:10,970 --> 00:16:13,596 Everett Young. December 7, 2008. 459 00:16:13,597 --> 00:16:15,223 I'll get your insurance information from your father. 460 00:16:15,224 --> 00:16:17,100 - Take a seat. - What? No, we're not waiting. 461 00:16:17,101 --> 00:16:19,645 Show her. Show her. 462 00:16:22,439 --> 00:16:23,940 OK, then. 463 00:16:23,941 --> 00:16:25,525 Come around to the double doors. 464 00:16:25,526 --> 00:16:27,777 [DOOR BUZZES] 465 00:16:27,778 --> 00:16:30,113 - Tenecteplase on deck? - All set. 466 00:16:30,114 --> 00:16:33,574 She's 62 kilos, 0.25 per kilo is 15.5 milligrams. 467 00:16:33,575 --> 00:16:35,451 - Push over 10 seconds. - What's the status? 468 00:16:35,452 --> 00:16:36,786 Diffusion flare mismatch means 469 00:16:36,787 --> 00:16:38,121 she's less than four hours into it. 470 00:16:38,122 --> 00:16:39,622 - Getting TNK now. - Sounds great. 471 00:16:39,623 --> 00:16:41,249 Would you mind hanging down here for a bit? 472 00:16:41,250 --> 00:16:42,750 I could use your expertise on this. 473 00:16:42,751 --> 00:16:44,460 Can't believe you have the nerve to ask. 474 00:16:44,461 --> 00:16:46,505 Good one. OK, keep me posted. 475 00:16:48,966 --> 00:16:50,174 50 on board. 476 00:16:50,175 --> 00:16:51,634 Anything I can do to help in here? 477 00:16:51,635 --> 00:16:54,762 [SLURRING] No, I'm pretty good. 478 00:16:54,763 --> 00:16:56,639 How are you doing? 479 00:16:56,640 --> 00:16:59,100 [CHUCKLES] Not as good as you, apparently. 480 00:16:59,101 --> 00:17:00,685 Push another 25. 481 00:17:00,686 --> 00:17:02,854 Wet the splints now, please. 482 00:17:02,855 --> 00:17:06,315 You can help lift his leg for the splint. 483 00:17:06,316 --> 00:17:10,653 And we're at 75, mm-hmm. 484 00:17:10,654 --> 00:17:12,655 When we lift his leg, it's really gonna hurt him, 485 00:17:12,656 --> 00:17:15,616 but he won't remember... benefits of propofol. 486 00:17:15,617 --> 00:17:18,661 Pulse ox 99, good end tidal CO2. 487 00:17:18,662 --> 00:17:20,788 Mm-hmm. 488 00:17:20,789 --> 00:17:22,248 Hey, Chad? 489 00:17:22,249 --> 00:17:23,791 Chad. 490 00:17:23,792 --> 00:17:25,626 [SLURRING] Ow. 491 00:17:25,627 --> 00:17:27,170 Perfect. 492 00:17:27,171 --> 00:17:29,130 Let's do this. 493 00:17:29,131 --> 00:17:31,884 [SLURRING] Ow. 494 00:17:33,844 --> 00:17:36,512 I feel sad. 495 00:17:36,513 --> 00:17:38,014 Uh, don't worry. 496 00:17:38,015 --> 00:17:40,683 We'll have you fixed up good as new. 497 00:17:40,684 --> 00:17:45,188 [SLURRING] What does he have that I don't have? 498 00:17:45,189 --> 00:17:48,066 I mean, sure, he's younger. 499 00:17:48,067 --> 00:17:51,235 And that hair. 500 00:17:51,236 --> 00:17:53,071 Who? 501 00:17:53,072 --> 00:17:55,531 [SLURRING] Mateo. 502 00:17:55,532 --> 00:17:57,158 - Oh. - [CHUCKLING] 503 00:17:57,159 --> 00:18:00,369 [SLURRING] What's his story anyway? 504 00:18:00,370 --> 00:18:03,915 Is she having sex with him? 505 00:18:03,916 --> 00:18:07,251 Well, if she isn't, she probably should. 506 00:18:07,252 --> 00:18:08,753 Stop. 507 00:18:08,754 --> 00:18:11,339 [SNORTING] 508 00:18:11,340 --> 00:18:13,549 Who do we have the pleasure of meeting this afternoon? 509 00:18:13,550 --> 00:18:16,344 Everett Young, 16, took a line drive to the left eye. 510 00:18:16,345 --> 00:18:18,346 - Tachy at 118. - Oof. 511 00:18:18,347 --> 00:18:19,555 4 of morphine, 4 of Zofran. 512 00:18:19,556 --> 00:18:20,724 Excuse me. 513 00:18:23,227 --> 00:18:24,811 It was easily 100 miles per hour. 514 00:18:24,812 --> 00:18:26,687 Oof. Did you pass out? 515 00:18:26,688 --> 00:18:28,189 - Uh, no, ma'am. - OK. 516 00:18:28,190 --> 00:18:29,732 Baseball is a fun activity. You any good? 517 00:18:29,733 --> 00:18:31,400 [SCOFFS] Any good? 518 00:18:31,401 --> 00:18:34,403 He's got a 95 mile an hour fastball, a 12-6 slider, 519 00:18:34,404 --> 00:18:37,573 a 0.94 ERA, and he's a southpaw. 520 00:18:37,574 --> 00:18:39,033 What's that? 521 00:18:39,034 --> 00:18:41,869 That's a future Cy Young. 522 00:18:41,870 --> 00:18:43,663 I don't know what that is either. 523 00:18:43,664 --> 00:18:45,331 Ms. Javadi is a student doctor. 524 00:18:45,332 --> 00:18:47,667 She's a bit of a prodigy herself, actually. 525 00:18:47,668 --> 00:18:49,836 Do you mind if she helps out? 526 00:18:49,837 --> 00:18:51,587 - No, ma'am. - OK. 527 00:18:51,588 --> 00:18:53,589 Tell me how many fingers I'm holding up. 528 00:18:53,590 --> 00:18:57,093 Um... ah, I can't tell. 529 00:18:57,094 --> 00:18:59,262 Oh, my God. Oh, my God. 530 00:18:59,263 --> 00:19:01,223 OK, tell me when the light turns on. 531 00:19:04,434 --> 00:19:05,601 Now? 532 00:19:05,602 --> 00:19:07,603 - Light perception only. - Mm-hmm. 533 00:19:07,604 --> 00:19:08,938 Do you want a portable slit lamp? 534 00:19:08,939 --> 00:19:10,439 Definitely, yeah. 535 00:19:10,440 --> 00:19:11,941 Javadi, what do you think of the anterior chamber? 536 00:19:11,942 --> 00:19:13,276 - Hyphema? - Exactly. 537 00:19:13,277 --> 00:19:14,443 Grade 4. 538 00:19:14,444 --> 00:19:17,572 - Yeah, meaning? - Javadi. 539 00:19:17,573 --> 00:19:19,782 Meaning blood is filling up the front eye chamber. 540 00:19:19,783 --> 00:19:21,784 He'll need an emergency evaluation by ophthalmology. 541 00:19:21,785 --> 00:19:23,244 OK, is that why he can't see? 542 00:19:23,245 --> 00:19:24,704 That's part of it. Yeah. 543 00:19:24,705 --> 00:19:26,873 You see how the eye is pushing out? 544 00:19:26,874 --> 00:19:28,958 There seems to be a collection of blood behind the eyeball. 545 00:19:28,959 --> 00:19:30,960 The eye pressure is too high. We have to act quickly. 546 00:19:30,961 --> 00:19:33,629 - OK, well, check the pressure! - We're going to right now. 547 00:19:33,630 --> 00:19:35,007 Can you get Robby? 548 00:19:36,466 --> 00:19:39,511 [KEYBOARD CLACKING] 549 00:19:41,346 --> 00:19:43,139 It looked like you were having 550 00:19:43,140 --> 00:19:46,309 a pretty intense conversation with Robby earlier. 551 00:19:46,310 --> 00:19:48,561 Everything OK? 552 00:19:48,562 --> 00:19:50,813 Uh, it was nothing. 553 00:19:50,814 --> 00:19:52,481 Nothing? 554 00:19:52,482 --> 00:19:53,941 Yeah, well, not nothing, 555 00:19:53,942 --> 00:19:56,360 but nothing for you to be concerned about. 556 00:19:56,361 --> 00:19:58,112 An intern has a problem around here, 557 00:19:58,113 --> 00:19:59,488 they come to the senior resident, 558 00:19:59,489 --> 00:20:01,158 not the attending. 559 00:20:03,160 --> 00:20:04,452 He is my attending, 560 00:20:04,453 --> 00:20:06,787 and I wanted his input on a patient. 561 00:20:06,788 --> 00:20:09,123 Is that not OK with you? 562 00:20:09,124 --> 00:20:12,210 Just, um... 563 00:20:12,211 --> 00:20:14,962 come to me first next time. 564 00:20:14,963 --> 00:20:16,505 Got it? 565 00:20:16,506 --> 00:20:17,506 Yep. 566 00:20:17,507 --> 00:20:18,675 Got it. 567 00:20:25,849 --> 00:20:26,974 Are you a junior? 568 00:20:26,975 --> 00:20:28,100 Yeah. 569 00:20:28,101 --> 00:20:29,769 You thinking about college? 570 00:20:29,770 --> 00:20:32,313 I have some D1 interest, but... 571 00:20:32,314 --> 00:20:33,689 where'd you go to college? 572 00:20:33,690 --> 00:20:36,317 Uh, Pitt for undergrad and now med school. 573 00:20:36,318 --> 00:20:37,818 Didn't wanna leave town? 574 00:20:37,819 --> 00:20:39,862 Look up at the ceiling for some numbing drops. 575 00:20:39,863 --> 00:20:42,531 It's not exactly an option to live anywhere but home 576 00:20:42,532 --> 00:20:44,700 when you go to college at 13. 577 00:20:44,701 --> 00:20:46,202 Wow. 578 00:20:46,203 --> 00:20:48,788 Add some drops to the fluorescein strip. 579 00:20:48,789 --> 00:20:50,373 I was thinking about California, 580 00:20:50,374 --> 00:20:52,208 maybe UCLA or USC. 581 00:20:52,209 --> 00:20:53,542 - Hold still. - Hey, maybe you go 582 00:20:53,543 --> 00:20:54,669 straight to the Majors, huh? 583 00:20:54,670 --> 00:20:56,045 College can wait. 584 00:20:56,046 --> 00:20:57,088 I don't know. 585 00:20:57,089 --> 00:20:58,256 I do. 586 00:20:58,257 --> 00:20:59,882 Ev's got a God-given gift. 587 00:20:59,883 --> 00:21:01,884 It's why we spent every weekend doing travel ball 588 00:21:01,885 --> 00:21:04,053 when he was young... pro camp, showcases. 589 00:21:04,054 --> 00:21:06,722 He's not throwing away his shot at the Majors. 590 00:21:06,723 --> 00:21:08,432 Uh, we have to check for a puncture 591 00:21:08,433 --> 00:21:10,351 before we can measure the pressure. 592 00:21:10,352 --> 00:21:12,728 Look straight ahead and try not to move your eyes, OK? 593 00:21:12,729 --> 00:21:15,064 - Yes, ma'am. - Lights going out. 594 00:21:15,065 --> 00:21:17,441 Hello. I'm Dr. Robinavitch. 595 00:21:17,442 --> 00:21:19,110 Everybody calls me Dr. Robby. 596 00:21:19,111 --> 00:21:20,861 Hey, Greg Young. This is my boy, Everett. 597 00:21:20,862 --> 00:21:22,238 Nice to meet you both. 598 00:21:22,239 --> 00:21:23,739 OK, I will take that slit lamp, 599 00:21:23,740 --> 00:21:26,033 and you can calibrate for tonometry. 600 00:21:26,034 --> 00:21:27,660 - OK. - They're holding CT for him. 601 00:21:27,661 --> 00:21:29,412 Let's take a look. 602 00:21:29,413 --> 00:21:31,706 Negative Seidel. 603 00:21:31,707 --> 00:21:34,208 No globe rupture. OK, go with the Tono-Pen. 604 00:21:34,209 --> 00:21:36,252 OK. Hold still. 605 00:21:36,253 --> 00:21:37,838 OK. 606 00:21:42,426 --> 00:21:44,927 Left eye pressure 58. 607 00:21:44,928 --> 00:21:47,430 - Is that high? - Yes, it is. 1% lido with epi. 608 00:21:47,431 --> 00:21:49,098 Push one of Versed, and open a lateral canthotomy tray. 609 00:21:49,099 --> 00:21:50,433 - Excuse me. - What? 610 00:21:50,434 --> 00:21:52,268 - Whoa. - Without a CT? Isn't that... 611 00:21:52,269 --> 00:21:53,602 Exactly what the patient needs? 612 00:21:53,603 --> 00:21:56,689 Yes, it is, Dr. McKay. 613 00:21:56,690 --> 00:21:58,316 OK. 614 00:21:58,317 --> 00:22:00,318 Uh, we're gonna lie you back a little, Everett, OK? 615 00:22:00,319 --> 00:22:02,945 We need to do a little minor surgery 616 00:22:02,946 --> 00:22:04,613 to relieve the pressure behind your eye. 617 00:22:04,614 --> 00:22:06,615 So we are going to cut a small opening 618 00:22:06,616 --> 00:22:08,617 on the side of your eye, not in your eye. 619 00:22:08,618 --> 00:22:09,618 - Got it? - Yeah. 620 00:22:09,619 --> 00:22:11,787 Do you wanna watch? 621 00:22:11,788 --> 00:22:14,290 No, I'll... I'll sit down. 622 00:22:14,291 --> 00:22:16,667 Javadi, step up so you can see. 623 00:22:16,668 --> 00:22:19,754 Dr. McKay, Chad is splinted and is awaiting Ortho 624 00:22:19,755 --> 00:22:21,130 for surgery to take him. 625 00:22:21,131 --> 00:22:22,423 Thanks for the update. 626 00:22:22,424 --> 00:22:23,424 [CLEARS THROAT] 627 00:22:23,425 --> 00:22:25,468 Versed's on board. 628 00:22:25,469 --> 00:22:27,136 Numbing medicine here, OK? 629 00:22:27,137 --> 00:22:28,262 OK. 630 00:22:28,263 --> 00:22:31,974 Pinprick and some burning. 631 00:22:31,975 --> 00:22:32,975 Ouch. 632 00:22:32,976 --> 00:22:35,144 What... is Dana gonna be OK? 633 00:22:35,145 --> 00:22:37,104 It's gonna take more than a punch to the face 634 00:22:37,105 --> 00:22:38,481 to keep that mama down. 635 00:22:38,482 --> 00:22:39,482 She's tough. 636 00:22:39,483 --> 00:22:40,649 Yeah. 637 00:22:40,650 --> 00:22:42,818 Um, hi. 638 00:22:42,819 --> 00:22:44,820 I'm sorry to bother you. 639 00:22:44,821 --> 00:22:46,822 Hi. 640 00:22:46,823 --> 00:22:51,494 Uh, I... I just wanna make sure that Teddy's not in any pain. 641 00:22:51,495 --> 00:22:53,662 Oh, he's heavily sedated. 642 00:22:53,663 --> 00:22:55,915 - He can't feel a thing. - Right. 643 00:22:55,916 --> 00:22:59,126 It's just that when I look at him, I just... 644 00:22:59,127 --> 00:23:02,338 I just feel so helpless. 645 00:23:02,339 --> 00:23:05,341 Look, his, uh, CT scans came back negative 646 00:23:05,342 --> 00:23:06,884 for internal injuries. 647 00:23:06,885 --> 00:23:09,970 He's on IV therapy to replace any lost fluids. 648 00:23:09,971 --> 00:23:12,390 I assure you, we are doing everything we can 649 00:23:12,391 --> 00:23:14,350 to give him the best treatment possible. 650 00:23:14,351 --> 00:23:15,351 Thank you. 651 00:23:15,352 --> 00:23:16,352 Yeah. 652 00:23:16,353 --> 00:23:17,813 Teddy's ring. 653 00:23:19,815 --> 00:23:21,524 Um... 654 00:23:21,525 --> 00:23:25,820 I had to cut it off because of the swelling. 655 00:23:25,821 --> 00:23:28,906 Hopefully you can find a good jeweler to fix it. 656 00:23:28,907 --> 00:23:31,326 I don't know how it works. 657 00:23:33,703 --> 00:23:36,622 [SNIFFLING] 658 00:23:36,623 --> 00:23:40,000 Um... 659 00:23:40,001 --> 00:23:43,379 do you have a best friend, Doctor... 660 00:23:43,380 --> 00:23:48,008 Oh, it's a another year to go till you can call me "Doctor." 661 00:23:48,009 --> 00:23:50,386 You can just call me Whitaker, though. 662 00:23:50,387 --> 00:23:54,056 Do you have a best friend, Whitaker? 663 00:23:54,057 --> 00:23:59,186 Uh, I have three older brothers. 664 00:23:59,187 --> 00:24:02,440 I guess they're kind of my best friends. 665 00:24:02,441 --> 00:24:04,775 They kind of tortured me growing up, so maybe not. 666 00:24:04,776 --> 00:24:07,695 [CHUCKLES] But yeah. 667 00:24:07,696 --> 00:24:11,115 Teddy's been my best friend since we were 15. 668 00:24:11,116 --> 00:24:13,617 High school sweethearts? 669 00:24:13,618 --> 00:24:17,288 We were just a couple of nerdy aggies who, uh... 670 00:24:17,289 --> 00:24:21,250 we met in 4-H, and we fell in love. 671 00:24:21,251 --> 00:24:22,293 I'm sorry. 672 00:24:22,294 --> 00:24:23,794 No, it's fine. 673 00:24:23,795 --> 00:24:27,256 I'm a third generation Nebraska farm kid myself. 674 00:24:27,257 --> 00:24:28,924 Get out. 675 00:24:28,925 --> 00:24:32,094 Well... well, if you're ever homesick, you should, uh... 676 00:24:32,095 --> 00:24:35,347 you should come by our farm sometime. 677 00:24:35,348 --> 00:24:37,391 That's very kind. 678 00:24:37,392 --> 00:24:38,767 [CHUCKLES] 679 00:24:38,768 --> 00:24:40,060 I need some help in here! 680 00:24:40,061 --> 00:24:42,229 [RAPID BEEPING] 681 00:24:42,230 --> 00:24:43,898 - What's going on? - Respiratory distress. 682 00:24:43,899 --> 00:24:45,733 Sats are dropping, 87%. 683 00:24:45,734 --> 00:24:48,068 Uh, lung injury from the fire? 684 00:24:48,069 --> 00:24:49,737 It's not just the low sats. The vent's showing 685 00:24:49,738 --> 00:24:51,697 high peak pressure, low tidal volume. 686 00:24:51,698 --> 00:24:54,408 - Uh, restrictive pattern? - Most likely. 687 00:24:54,409 --> 00:24:55,784 I'll grab Robby and Langdon. 688 00:24:55,785 --> 00:24:56,869 Wait, wait, wait, wait, wait, wait. 689 00:24:56,870 --> 00:24:58,746 What's that? What's going on? 690 00:24:58,747 --> 00:25:00,789 Ventilator is having trouble pumping air into Teddy's lungs. 691 00:25:00,790 --> 00:25:02,124 Burnt skin loses elasticity. 692 00:25:02,125 --> 00:25:03,542 Now his chest wall is too tight. 693 00:25:03,543 --> 00:25:04,919 What can you do? 694 00:25:04,920 --> 00:25:07,004 We're gonna have to cut the burnt skin, 695 00:25:07,005 --> 00:25:08,964 release pressure on the chest wall, 696 00:25:08,965 --> 00:25:10,424 help Teddy breathe. 697 00:25:10,425 --> 00:25:13,093 So after you cut his eye, he'll see again? 698 00:25:13,094 --> 00:25:14,970 This will give us our best shot 699 00:25:14,971 --> 00:25:16,764 at preserving his vision, yes. 700 00:25:16,765 --> 00:25:19,141 Dr. McKay, are you ready to do the honors? 701 00:25:19,142 --> 00:25:21,268 Who, me? 702 00:25:21,269 --> 00:25:22,937 We are a teaching hospital. 703 00:25:22,938 --> 00:25:24,355 Are you still here to learn? 704 00:25:24,356 --> 00:25:26,149 Yes. Yeah. 705 00:25:30,820 --> 00:25:31,862 [GRUNTS] 706 00:25:31,863 --> 00:25:33,864 OK. 707 00:25:33,865 --> 00:25:37,035 You can release that hemostat now. 708 00:25:40,830 --> 00:25:43,083 Pair of scissors. 709 00:25:44,334 --> 00:25:45,918 The length of the crushed area 710 00:25:45,919 --> 00:25:47,753 is going to be your guide for the length of your cut. 711 00:25:47,754 --> 00:25:48,880 OK. 712 00:25:50,674 --> 00:25:51,799 Good. 713 00:25:51,800 --> 00:25:53,343 Toothed forceps. 714 00:25:59,933 --> 00:26:02,394 Feeling for the inferior... 715 00:26:05,063 --> 00:26:07,523 And superior crus. 716 00:26:07,524 --> 00:26:09,400 How can you see with all that blood? 717 00:26:09,401 --> 00:26:11,026 You can't. It's all tactile. 718 00:26:11,027 --> 00:26:14,029 It feels like two guitar strings. 719 00:26:14,030 --> 00:26:15,740 Metzenbaum. 720 00:26:20,787 --> 00:26:22,204 [SQUELCHING] 721 00:26:22,205 --> 00:26:23,872 Inferior... 722 00:26:23,873 --> 00:26:26,333 Yeah. 723 00:26:26,334 --> 00:26:29,378 And superior. 724 00:26:29,379 --> 00:26:30,421 Nice. 725 00:26:30,422 --> 00:26:32,840 Good. 726 00:26:32,841 --> 00:26:34,341 Oh, that's a lot of blood. 727 00:26:34,342 --> 00:26:36,010 OK, let's get a repeat pressure. 728 00:26:36,011 --> 00:26:38,179 It's getting a lot brighter in here. 729 00:26:40,140 --> 00:26:42,641 Pressure of 18. 730 00:26:42,642 --> 00:26:44,143 Perfect. 731 00:26:44,144 --> 00:26:46,061 CT can take him as soon as we dress the wound. 732 00:26:46,062 --> 00:26:48,230 Let's page Ophthalmology and tell them to prep for surgery. 733 00:26:48,231 --> 00:26:49,565 Doc, thank you. Thank you. 734 00:26:49,566 --> 00:26:50,899 My pleasure, my pleasure. 735 00:26:50,900 --> 00:26:53,569 Good luck to you, Everett. 736 00:26:53,570 --> 00:26:55,321 Hey. 737 00:26:55,322 --> 00:26:57,239 Thanks for letting me do that. 738 00:26:57,240 --> 00:26:59,074 You sound surprised. 739 00:26:59,075 --> 00:27:00,576 Yeah, I figured after the whole Theresa thing, 740 00:27:00,577 --> 00:27:02,536 you might bench me. 741 00:27:02,537 --> 00:27:05,664 [SIGHS] Am I still pissed that you went behind my back? 742 00:27:05,665 --> 00:27:07,249 Absolutely. 743 00:27:07,250 --> 00:27:08,584 And if you ever do it again, you can bet your ass 744 00:27:08,585 --> 00:27:09,793 that I will bench you. 745 00:27:09,794 --> 00:27:11,629 But this is a teaching hospital, 746 00:27:11,630 --> 00:27:14,089 and teachers can still learn stuff. 747 00:27:14,090 --> 00:27:19,428 I saw a sad, confused boy, and that's all I thought about. 748 00:27:19,429 --> 00:27:21,765 I did not think enough about those girls. 749 00:27:24,684 --> 00:27:26,101 Any word on Dana? 750 00:27:26,102 --> 00:27:28,270 She should be coming back from CT soon. 751 00:27:28,271 --> 00:27:29,938 Burn victim's tanking. We need you. 752 00:27:29,939 --> 00:27:33,609 Oh, my God, I can't wait for this shift to be over. 753 00:27:33,610 --> 00:27:37,279 [MYSTICAL MUSIC PLAYING] 754 00:27:37,280 --> 00:27:40,449 Hey, bud, you doing OK? 755 00:27:40,450 --> 00:27:43,285 Yeah. Mateo hooked me up. 756 00:27:43,286 --> 00:27:45,871 Right, I can see that. 757 00:27:45,872 --> 00:27:48,957 How's Dad? 758 00:27:48,958 --> 00:27:54,088 He's gonna need surgery, but he's gonna be OK. 759 00:27:54,089 --> 00:27:57,132 You know, I was thinking, since your dad's gonna be 760 00:27:57,133 --> 00:28:00,052 laid up for a while, maybe you'd wanna stay with me 761 00:28:00,053 --> 00:28:02,429 until he gets better? 762 00:28:02,430 --> 00:28:04,139 For real? 763 00:28:04,140 --> 00:28:05,140 For real. 764 00:28:05,141 --> 00:28:06,476 What do you think? 765 00:28:12,524 --> 00:28:15,192 I'll take that as a yes. [CHUCKLES] 766 00:28:15,193 --> 00:28:17,486 This procedure is called an escharotomy. 767 00:28:17,487 --> 00:28:20,447 We need to cut the skin so that the chest wall can expand. 768 00:28:20,448 --> 00:28:21,699 That sounds painful. 769 00:28:21,700 --> 00:28:23,325 Whitaker? 770 00:28:23,326 --> 00:28:24,993 He's still heavily sedated. 771 00:28:24,994 --> 00:28:26,870 He won't feel a thing. 772 00:28:26,871 --> 00:28:29,665 This is gonna help Teddy breathe. 773 00:28:29,666 --> 00:28:31,208 Sat's 83. 774 00:28:31,209 --> 00:28:32,793 Peak pressure is over 40. 775 00:28:32,794 --> 00:28:34,336 Tidal volume is only 300. 776 00:28:34,337 --> 00:28:35,671 I want you to watch Dr. Langdon 777 00:28:35,672 --> 00:28:37,381 as he makes this vertical incision. 778 00:28:37,382 --> 00:28:39,341 Then you're gonna do the exact same thing on your side 779 00:28:39,342 --> 00:28:40,467 and follow his instructions. 780 00:28:40,468 --> 00:28:41,510 I'm sorry, I just... 781 00:28:41,511 --> 00:28:42,678 I don't think I can watch it. 782 00:28:42,679 --> 00:28:43,846 Jordan, would you... 783 00:28:43,847 --> 00:28:46,014 [CRYING] 784 00:28:46,015 --> 00:28:48,767 Start at lateral clavicle. 785 00:28:48,768 --> 00:28:51,855 [SQUELCHING] 786 00:28:53,690 --> 00:28:58,318 Down anterior axillary 787 00:28:58,319 --> 00:29:01,363 to lower rib margin. 788 00:29:01,364 --> 00:29:03,532 That tissue is really popping out. 789 00:29:03,533 --> 00:29:04,700 Which illustrates what? 790 00:29:04,701 --> 00:29:07,202 The pressure underneath. 791 00:29:07,203 --> 00:29:08,704 Your turn. 792 00:29:08,705 --> 00:29:09,705 [EXHALES SHARPLY] 793 00:29:09,706 --> 00:29:11,750 Here goes. 794 00:29:14,753 --> 00:29:16,378 - A little more pressure. - Yeah. 795 00:29:16,379 --> 00:29:17,755 Need to make a decisive incision 796 00:29:17,756 --> 00:29:20,716 to get through the eschar into sub-Q. 797 00:29:20,717 --> 00:29:22,593 Go back a little deeper on that first section. 798 00:29:22,594 --> 00:29:25,012 OK. 799 00:29:25,013 --> 00:29:26,722 Yep. 800 00:29:26,723 --> 00:29:28,223 - Yep, good. - Uh-huh. 801 00:29:28,224 --> 00:29:30,726 Looking good. 802 00:29:30,727 --> 00:29:32,186 OK. 803 00:29:32,187 --> 00:29:35,272 Now the horizontal incision, Dr. Langdon. 804 00:29:35,273 --> 00:29:41,321 And connecting the two incisions. 805 00:29:44,991 --> 00:29:46,742 That ought to do it. 806 00:29:46,743 --> 00:29:48,368 Peak pressure's already down to the 30s. 807 00:29:48,369 --> 00:29:50,579 And tidal volume is coming up. 808 00:29:50,580 --> 00:29:51,997 Sat's 91. 809 00:29:51,998 --> 00:29:53,999 That was wild. 810 00:29:54,000 --> 00:29:55,834 Let's dress these wounds and send off a blood gas. 811 00:29:55,835 --> 00:29:57,085 Well done, 812 00:29:57,086 --> 00:29:59,922 and very well taught, Dr. Langdon. 813 00:29:59,923 --> 00:30:01,633 Thank you. 814 00:30:07,305 --> 00:30:09,014 [BACKGROUND CHATTER] 815 00:30:09,015 --> 00:30:12,100 [PHONE RINGING] 816 00:30:12,101 --> 00:30:15,979 You think Wholey's will still be open by the time we get off? 817 00:30:15,980 --> 00:30:17,272 - No. - No. No. 818 00:30:17,273 --> 00:30:18,649 Damn. 819 00:30:18,650 --> 00:30:19,942 I was hoping to surprise Abby and the kids, 820 00:30:19,943 --> 00:30:21,276 grill up some salmon for dinner. 821 00:30:21,277 --> 00:30:24,321 Mm, such an adrenaline junkie. 822 00:30:24,322 --> 00:30:25,989 What'd you call me? 823 00:30:25,990 --> 00:30:28,408 Your ice plunges. Marathon man. 824 00:30:28,409 --> 00:30:29,618 Surprise, here's a dog. 825 00:30:29,619 --> 00:30:31,620 Surprise, here's some salmon. 826 00:30:31,621 --> 00:30:33,288 [LAUGHTER] 827 00:30:33,289 --> 00:30:35,123 Who pissed in your cornflakes? 828 00:30:35,124 --> 00:30:36,458 Oh, oh. 829 00:30:36,459 --> 00:30:38,001 What, I touch a nerve? 830 00:30:38,002 --> 00:30:40,421 You're regretting buying that dog, aren't you? 831 00:30:49,013 --> 00:30:50,305 Ew. 832 00:30:50,306 --> 00:30:51,473 Ooh, Robby. 833 00:30:51,474 --> 00:30:53,141 Dana's CT results are back. 834 00:30:53,142 --> 00:30:55,435 No intracranial hemorrhage, no skull fracture, 835 00:30:55,436 --> 00:30:57,479 non-displaced nasal fracture, 836 00:30:57,480 --> 00:31:00,274 but the rest of the facial bones look intact. 837 00:31:00,275 --> 00:31:01,567 Any hemorrhaging into the sinuses? 838 00:31:01,568 --> 00:31:03,485 - Nada. - Great. 839 00:31:03,486 --> 00:31:05,946 We could really use her back on the floor. 840 00:31:05,947 --> 00:31:09,157 - [CLEARS THROAT] - What? I'm just saying. 841 00:31:09,158 --> 00:31:10,659 Mind if I give her the good news? 842 00:31:10,660 --> 00:31:12,911 No, go for it... and anything else she needs. 843 00:31:12,912 --> 00:31:14,163 I got it. 844 00:31:21,421 --> 00:31:24,214 About the whole thing with Santos 845 00:31:24,215 --> 00:31:26,383 and the seizure patient... 846 00:31:26,384 --> 00:31:28,343 What about it? 847 00:31:28,344 --> 00:31:32,348 I'm sorry for laying into her so hard. 848 00:31:34,225 --> 00:31:36,351 Why do I feel there's a "but" coming? 849 00:31:36,352 --> 00:31:39,187 But I don't think she's a team player. 850 00:31:39,188 --> 00:31:40,230 How so? 851 00:31:40,231 --> 00:31:42,316 She's cherry-picking cases. 852 00:31:42,317 --> 00:31:44,526 She gave Whitaker a shitty nickname 853 00:31:44,527 --> 00:31:45,986 after his patient died this morning. 854 00:31:45,987 --> 00:31:47,696 She's... she's even harassing Javadi 855 00:31:47,697 --> 00:31:49,615 to get a rec from her mom for surgery. 856 00:31:49,616 --> 00:31:51,533 [LAUGHS] If she wants to be in surgery, 857 00:31:51,534 --> 00:31:52,618 what's she doing in the ER? 858 00:31:52,619 --> 00:31:54,036 That's a great question. 859 00:31:54,037 --> 00:31:56,038 Why don't you ask her new BFF, Garcia? 860 00:31:56,039 --> 00:31:58,665 I know that you've seen those two. 861 00:31:58,666 --> 00:32:00,375 I'm the only one calling her out, 862 00:32:00,376 --> 00:32:02,669 so she has an axe to grind. 863 00:32:02,670 --> 00:32:05,881 You've always said that being in the Pitt 864 00:32:05,882 --> 00:32:08,050 is like playing a team sport. 865 00:32:08,051 --> 00:32:09,718 A team has to be able to trust each other. 866 00:32:09,719 --> 00:32:13,348 If we have one weak link, this whole place goes to shit. 867 00:32:15,433 --> 00:32:16,893 Good meeting. 868 00:32:22,899 --> 00:32:24,232 Call Zauzy in Family Med. 869 00:32:24,233 --> 00:32:25,859 They open up their urgent care at 5:00. 870 00:32:25,860 --> 00:32:27,569 Let them know we're sending up the two hockey kids. 871 00:32:27,570 --> 00:32:29,279 Yep, Zauzy in Fam Med. 872 00:32:29,280 --> 00:32:30,781 OK, copy that. 873 00:32:30,782 --> 00:32:32,866 And, uh, please check in on Earl. 874 00:32:32,867 --> 00:32:34,076 Poor thing got caught 875 00:32:34,077 --> 00:32:35,285 in the crosshairs of that mom fight. 876 00:32:35,286 --> 00:32:36,578 Maybe bring him another sandwich. 877 00:32:36,579 --> 00:32:38,580 - Yeah, OK. - Good. 878 00:32:38,581 --> 00:32:40,040 No egg salad. 879 00:32:40,041 --> 00:32:42,584 Dana, I got you. OK? Rest up, bud. 880 00:32:42,585 --> 00:32:44,753 [SIGHS] You can take the girl out of the ER, 881 00:32:44,754 --> 00:32:47,255 but you can't take the ER out of the girl. 882 00:32:47,256 --> 00:32:49,049 Old habits die hard. 883 00:32:49,050 --> 00:32:50,092 Let me take a look? 884 00:32:50,093 --> 00:32:51,760 [BREATHING SHARPLY] 885 00:32:51,761 --> 00:32:55,681 Oh, she's a real beauty, all right. 886 00:32:55,682 --> 00:32:57,766 But your CT came back clean... 887 00:32:57,767 --> 00:33:00,102 nothing Mother Nature can't heal on her own. 888 00:33:00,103 --> 00:33:01,436 Hmm. Too bad. 889 00:33:01,437 --> 00:33:03,397 I was hoping for a free nose job. 890 00:33:03,398 --> 00:33:04,773 Probably get hazard pay. 891 00:33:04,774 --> 00:33:05,774 Two for one. 892 00:33:05,775 --> 00:33:07,401 [BOTH LAUGH] 893 00:33:07,402 --> 00:33:10,405 [SIGHING] 894 00:33:13,616 --> 00:33:14,616 Ooh. 895 00:33:14,617 --> 00:33:16,118 Ugh. 896 00:33:16,119 --> 00:33:18,036 [CHUCKLES] 897 00:33:18,037 --> 00:33:22,124 You know, you're cleared to go back to work if you want... 898 00:33:22,125 --> 00:33:24,084 or home. 899 00:33:24,085 --> 00:33:26,628 Oh, not ready yet. 900 00:33:26,629 --> 00:33:28,338 [SIGHS] You? 901 00:33:28,339 --> 00:33:30,632 Nope. 902 00:33:30,633 --> 00:33:32,843 Got a lot to think about. 903 00:33:32,844 --> 00:33:34,095 Yeah. 904 00:33:35,847 --> 00:33:37,472 Been a pretty fucked up day. 905 00:33:37,473 --> 00:33:39,641 [BOTH LAUGH] 906 00:33:39,642 --> 00:33:41,309 What do you call a group of brains 907 00:33:41,310 --> 00:33:43,311 who form a singing group? 908 00:33:43,312 --> 00:33:44,312 What? 909 00:33:44,313 --> 00:33:45,480 A glia club. 910 00:33:45,481 --> 00:33:46,690 Oh. [LAUGHS] 911 00:33:46,691 --> 00:33:48,316 Good one. 912 00:33:48,317 --> 00:33:50,318 Keep me posted if there are any changes. 913 00:33:50,319 --> 00:33:52,612 [LINE BEEPS] 914 00:33:52,613 --> 00:33:55,282 Um, what's with Dr. Mehta and the... 915 00:33:55,283 --> 00:33:57,076 the jokes? 916 00:33:58,661 --> 00:34:01,329 You know why they say laughter is the best medicine? 917 00:34:01,330 --> 00:34:02,914 Because it's true. 918 00:34:02,915 --> 00:34:04,249 Laughter releases endorphins. 919 00:34:04,250 --> 00:34:06,377 Endorphins help relieve pain. 920 00:34:07,920 --> 00:34:10,130 Um, so... 921 00:34:10,131 --> 00:34:13,633 Dr. Mehta thinks that if a joke helps raise spirits 922 00:34:13,634 --> 00:34:16,261 and makes people feel better, then he's all for it. 923 00:34:16,262 --> 00:34:18,096 It's his special sauce. 924 00:34:18,097 --> 00:34:19,264 [LAUGHS] 925 00:34:19,265 --> 00:34:20,766 Um, do you have a special sauce? 926 00:34:20,767 --> 00:34:23,685 I'm pretty data-driven, but I really like 927 00:34:23,686 --> 00:34:26,063 to talk to my patients about their lives. 928 00:34:26,064 --> 00:34:28,024 Makes them feel important. 929 00:34:30,068 --> 00:34:33,403 She's waking up. 930 00:34:33,404 --> 00:34:35,405 How are you feeling? 931 00:34:35,406 --> 00:34:36,990 [SLURRING] OK. 932 00:34:36,991 --> 00:34:40,035 Are you trying to say "OK"? 933 00:34:40,036 --> 00:34:41,161 Yes! 934 00:34:41,162 --> 00:34:43,330 The thrombolytics are working. 935 00:34:43,331 --> 00:34:46,500 Um, can you, uh, lift your right leg for me? 936 00:34:46,501 --> 00:34:47,834 That's OK. 937 00:34:47,835 --> 00:34:50,254 Um, try moving it from side to side. 938 00:34:51,631 --> 00:34:54,217 Can you tell us your name? 939 00:34:55,259 --> 00:34:57,511 [SLURRING INDISTINCTLY] 940 00:34:57,512 --> 00:35:03,309 Oh, um, maybe you can type it out on the screen here. 941 00:35:07,563 --> 00:35:09,731 Vera. 942 00:35:09,732 --> 00:35:11,609 OK, uh, and what's your last name? 943 00:35:15,113 --> 00:35:16,531 Mullahy? 944 00:35:18,282 --> 00:35:20,535 Well, hello, Vera Mullahy. 945 00:35:23,287 --> 00:35:24,663 - Hey. - Oh. 946 00:35:24,664 --> 00:35:27,332 - Hey. - Chad's a real piece of work. 947 00:35:27,333 --> 00:35:29,251 I appreciate you dealing with him. 948 00:35:29,252 --> 00:35:32,922 You know, it was actually kind of fun. 949 00:35:34,298 --> 00:35:35,632 I did not have that on my bingo card. 950 00:35:35,633 --> 00:35:38,552 Well, you know, patients under propofol 951 00:35:38,553 --> 00:35:40,346 are always a good time. 952 00:35:42,348 --> 00:35:43,473 Yeah? 953 00:35:43,474 --> 00:35:44,766 What did he say? 954 00:35:44,767 --> 00:35:46,726 Nothing. 955 00:35:46,727 --> 00:35:49,271 Nothing to worry about, unless you're concerned 956 00:35:49,272 --> 00:35:52,440 he still has a thing for you. 957 00:35:52,441 --> 00:35:55,736 Oh, please, euthanize me if I ever even consider it. 958 00:35:58,281 --> 00:35:59,614 But, you know, if I could go back, 959 00:35:59,615 --> 00:36:01,283 I wouldn't change a thing. 960 00:36:01,284 --> 00:36:03,618 Without Chad, I wouldn't have Harrison. 961 00:36:03,619 --> 00:36:05,912 You're very lucky. 962 00:36:05,913 --> 00:36:08,456 I know, right? 963 00:36:08,457 --> 00:36:09,624 [SIGHS] All right. 964 00:36:09,625 --> 00:36:11,043 Thanks again. 965 00:36:12,628 --> 00:36:14,254 I was getting ready to take her up 966 00:36:14,255 --> 00:36:16,423 when she developed angioedema, and her sats dropped. 967 00:36:16,424 --> 00:36:17,757 [RAPID BEEPING] 968 00:36:17,758 --> 00:36:19,593 A little bit of stridor. 969 00:36:19,594 --> 00:36:21,428 Swollen lips, swollen tongue. 970 00:36:21,429 --> 00:36:23,138 Vera, this is a side effect of the medication we gave you. 971 00:36:23,139 --> 00:36:24,472 [MOANING] 972 00:36:24,473 --> 00:36:26,141 Sats are up with high flow nasal. 973 00:36:26,142 --> 00:36:27,642 It's anaphylaxis. Get Robby. 974 00:36:27,643 --> 00:36:29,769 Angioedema is not always anaphylaxis. 975 00:36:29,770 --> 00:36:32,272 I know, but it can progress to it and cause an obstruction. 976 00:36:32,273 --> 00:36:34,024 If it's just angioedema, I can reverse 977 00:36:34,025 --> 00:36:35,650 the swelling fast with IV epi. 978 00:36:35,651 --> 00:36:37,485 BP's 165 over 85. 979 00:36:37,486 --> 00:36:39,487 Prep Ketamine and Roc for intubation. 980 00:36:39,488 --> 00:36:41,364 Hold on. Wait, wait. But Dr. Mohan, you just said... 981 00:36:41,365 --> 00:36:42,866 We're not intubating yet. 982 00:36:42,867 --> 00:36:44,367 But she's gonna arrest. 983 00:36:44,368 --> 00:36:45,660 What happened? 984 00:36:45,661 --> 00:36:47,162 Angioedema with stridor. 985 00:36:47,163 --> 00:36:49,122 Respiratory is on their way. 986 00:36:49,123 --> 00:36:51,124 - We should intubate, right? - Good BP and O2 sats. 987 00:36:51,125 --> 00:36:53,168 Epinephrine can reverse the swelling right away. 988 00:36:53,169 --> 00:36:54,794 I pushed 10 mics of IV epi. 989 00:36:54,795 --> 00:36:57,464 Starting her drip at 5 cc's, 5 mikes per minute. 990 00:36:57,465 --> 00:36:58,882 Sats are holding at 95 on high flow. 991 00:36:58,883 --> 00:37:00,342 BP is good. 992 00:37:00,343 --> 00:37:02,010 Vera, we're gonna sedate you 993 00:37:02,011 --> 00:37:03,345 so that we can help you breathe better. 994 00:37:03,346 --> 00:37:05,263 Or not. Let's just wait a minute. 995 00:37:05,264 --> 00:37:06,431 How'd you get that epi drip hung so fast? 996 00:37:06,432 --> 00:37:07,682 Bedside drip. 997 00:37:07,683 --> 00:37:09,309 I mixed 1 milligram with a liter. 998 00:37:09,310 --> 00:37:10,769 Nice. 999 00:37:10,770 --> 00:37:12,354 Are we intubating? Are we not intubating? 1000 00:37:12,355 --> 00:37:13,521 Not. 1001 00:37:13,522 --> 00:37:14,981 Stridor is improving. 1002 00:37:14,982 --> 00:37:16,691 Is it getting easier to breathe? 1003 00:37:16,692 --> 00:37:18,193 Mm-hmm, hmm. 1004 00:37:18,194 --> 00:37:20,111 Speech is coming back. 1005 00:37:20,112 --> 00:37:24,032 50 diphenhydramine, 125 Solumedrol. 1006 00:37:24,033 --> 00:37:26,493 Do you think Dr. Mehta will want her intubated 1007 00:37:26,494 --> 00:37:28,536 - for the thrombectomy? - Not necessarily. 1008 00:37:28,537 --> 00:37:30,538 If she can talk and move during the procedure, 1009 00:37:30,539 --> 00:37:33,541 then they can monitor any changes in the neuro exam. 1010 00:37:33,542 --> 00:37:35,835 Slo-Mo, No-Mo! 1011 00:37:35,836 --> 00:37:40,548 Sorry, I think Dr. Mehta is rubbing off on me. 1012 00:37:40,549 --> 00:37:41,883 We're taking him up to our burn unit. 1013 00:37:41,884 --> 00:37:43,510 He'll be in great hands. 1014 00:37:43,511 --> 00:37:45,553 They've had lots of experience with cases like Teddy's. 1015 00:37:45,554 --> 00:37:47,222 What now? 1016 00:37:47,223 --> 00:37:51,893 We will continue with IV fluids and pain meds. 1017 00:37:51,894 --> 00:37:53,853 We'll support his breathing with the ventilator, 1018 00:37:53,854 --> 00:37:55,563 and we'll keep his wounds clean, 1019 00:37:55,564 --> 00:37:57,107 look for any signs of infection. 1020 00:37:57,108 --> 00:38:01,111 And later, the plastic surgeons can do skin grafts. 1021 00:38:01,112 --> 00:38:03,113 He's gonna be OK. 1022 00:38:03,114 --> 00:38:05,865 Teddy's condition is very critical, so no promises. 1023 00:38:05,866 --> 00:38:07,367 But our team is gonna do everything they can 1024 00:38:07,368 --> 00:38:10,328 to give him the best chance possible. 1025 00:38:10,329 --> 00:38:12,414 I'll make sure to stop by the ICU, 1026 00:38:12,415 --> 00:38:14,082 check in on both of you. 1027 00:38:14,083 --> 00:38:16,751 I can't begin to thank you enough, Dr. Whitaker. 1028 00:38:16,752 --> 00:38:19,088 Oh, uh, student doctor. 1029 00:38:22,300 --> 00:38:25,760 Oh, uh, don't forget about dinner at the farm. 1030 00:38:25,761 --> 00:38:29,848 And, uh, make sure to brush up on your diaper-changing skills. 1031 00:38:29,849 --> 00:38:31,224 Oh, with seven nieces and nephews, 1032 00:38:31,225 --> 00:38:33,018 I'm a Diaper Genie, so... 1033 00:38:33,019 --> 00:38:35,770 [CHUCKLES] 1034 00:38:35,771 --> 00:38:38,940 You know you just called yourself a trash can, right? 1035 00:38:38,941 --> 00:38:43,278 Before you grab your next patient, um, call Kiara. 1036 00:38:43,279 --> 00:38:45,572 Have somebody go upstairs and talk to the wife. 1037 00:38:45,573 --> 00:38:47,282 Amy? Why? 1038 00:38:47,283 --> 00:38:48,950 We wanted to give her hope, but the reality is, 1039 00:38:48,951 --> 00:38:51,119 her husband's not gonna make it. 1040 00:38:51,120 --> 00:38:52,412 He's stable. 1041 00:38:52,413 --> 00:38:53,830 His chance of dying in the next week 1042 00:38:53,831 --> 00:38:55,749 is over 90%. 1043 00:38:55,750 --> 00:38:57,459 He's young, he's strong. 1044 00:38:57,460 --> 00:39:00,003 - Maybe he's the 10%. - Maybe. 1045 00:39:00,004 --> 00:39:01,504 But he's a lot more likely to die of sepsis 1046 00:39:01,505 --> 00:39:03,423 before his kid is born. 1047 00:39:03,424 --> 00:39:04,842 Call Kiara. 1048 00:39:12,475 --> 00:39:15,727 The CT shows a hairline orbital floor fracture. 1049 00:39:15,728 --> 00:39:17,228 But thanks to the canthotomy, 1050 00:39:17,229 --> 00:39:19,147 the hematoma isn't pushing on his eyeball. 1051 00:39:19,148 --> 00:39:21,233 Will I be able to see? 1052 00:39:22,401 --> 00:39:24,486 That's why you need surgery. 1053 00:39:24,487 --> 00:39:26,780 The ophthalmologists will drain the blood inside the front 1054 00:39:26,781 --> 00:39:28,615 of your eye and replace it with the clear fluid 1055 00:39:28,616 --> 00:39:30,408 you need to see, OK? 1056 00:39:30,409 --> 00:39:31,785 They're ready for you now. 1057 00:39:31,786 --> 00:39:32,994 Hey, hey, hey. 1058 00:39:32,995 --> 00:39:34,287 Don't worry, bud. 1059 00:39:34,288 --> 00:39:35,623 All right? 1060 00:39:38,417 --> 00:39:41,503 So... so he has the surgery, stays overnight, 1061 00:39:41,504 --> 00:39:43,004 he goes home tomorrow? 1062 00:39:43,005 --> 00:39:44,547 It depends on how the surgery goes 1063 00:39:44,548 --> 00:39:46,841 and what his post-op results are like. 1064 00:39:46,842 --> 00:39:48,676 Give or take. 1065 00:39:48,677 --> 00:39:51,513 It could be as soon as tomorrow, yeah. 1066 00:39:51,514 --> 00:39:53,348 OK. 1067 00:39:53,349 --> 00:39:54,849 So he could be... 1068 00:39:54,850 --> 00:39:57,977 could be game-ready by Thursday. 1069 00:39:57,978 --> 00:40:00,021 Sir, your son is freaking out 1070 00:40:00,022 --> 00:40:02,524 because he may never see out of his left eye again. 1071 00:40:02,525 --> 00:40:04,984 - Yeah, that's... - No, no, forget baseball 1072 00:40:04,985 --> 00:40:07,028 and just be his dad. 1073 00:40:07,029 --> 00:40:09,323 God, it can't be that fucking hard. 1074 00:40:10,616 --> 00:40:12,951 - [SCOFFS] - Uh, there's a waiting room 1075 00:40:12,952 --> 00:40:15,286 up by surgery, sixth floor. 1076 00:40:15,287 --> 00:40:17,497 Right off the elevator. You can't miss it. 1077 00:40:17,498 --> 00:40:19,290 Angioedema responded to epi, 1078 00:40:19,291 --> 00:40:21,042 diphenhydramine, and steroids. 1079 00:40:21,043 --> 00:40:23,379 Excellent. 1080 00:40:25,256 --> 00:40:27,799 Thank you. 1081 00:40:27,800 --> 00:40:29,593 You're very welcome. 1082 00:40:31,303 --> 00:40:34,639 Which neurotransmitter makes the best adhesive? 1083 00:40:34,640 --> 00:40:36,850 - I don't know... - Glutamate! 1084 00:40:36,851 --> 00:40:38,059 "Glue" -tamate. 1085 00:40:38,060 --> 00:40:39,686 Am I right? 1086 00:40:39,687 --> 00:40:41,730 Nicely done, Dr. King. [LAUGHS] 1087 00:40:44,024 --> 00:40:45,900 That was really quick thinking back there. 1088 00:40:45,901 --> 00:40:48,111 I'm really sorry if it seemed like I doubted you. 1089 00:40:48,112 --> 00:40:49,779 I didn't. I just... 1090 00:40:49,780 --> 00:40:52,532 Honestly, I surprised myself a bit. 1091 00:40:52,533 --> 00:40:53,741 Yeah? 1092 00:40:53,742 --> 00:40:55,743 Well, you trusted your gut. 1093 00:40:55,744 --> 00:40:57,954 Maybe that's your special sauce. 1094 00:40:57,955 --> 00:40:59,414 Maybe. 1095 00:40:59,415 --> 00:41:02,417 Um, Dr. Mohan, 1096 00:41:02,418 --> 00:41:05,044 what if I don't have special sauce? 1097 00:41:05,045 --> 00:41:07,088 Of course you do. 1098 00:41:07,089 --> 00:41:08,465 Just be yourself. 1099 00:41:08,466 --> 00:41:10,134 It'll come. 1100 00:41:18,100 --> 00:41:21,269 So now might be a good time to go over 1101 00:41:21,270 --> 00:41:23,229 some doctor-patient interaction guidelines. 1102 00:41:23,230 --> 00:41:24,439 I'm sorry. That dad was just such... 1103 00:41:24,440 --> 00:41:26,608 - So overbearing. - An asshole. 1104 00:41:26,609 --> 00:41:28,359 I'm sorry. 1105 00:41:28,360 --> 00:41:31,196 Look, do I think he needed to chill out a little bit? 1106 00:41:31,197 --> 00:41:32,447 Yes. 1107 00:41:32,448 --> 00:41:34,741 But he's a parent, and this might be 1108 00:41:34,742 --> 00:41:36,117 his way of coping with the stress 1109 00:41:36,118 --> 00:41:37,952 of a very frightening situation. 1110 00:41:37,953 --> 00:41:40,705 I'm sorry. I don't know what came over me. 1111 00:41:40,706 --> 00:41:42,248 No, I do. 1112 00:41:42,249 --> 00:41:43,750 You and that baseball kid 1113 00:41:43,751 --> 00:41:46,170 are two pressure cooker prodigies in a pod. 1114 00:41:47,630 --> 00:41:49,923 Just as physicians, we gotta learn 1115 00:41:49,924 --> 00:41:51,841 to keep our emotions in check and not let 1116 00:41:51,842 --> 00:41:53,426 our personal experiences interfere 1117 00:41:53,427 --> 00:41:56,137 with our professional responsibilities. 1118 00:41:56,138 --> 00:41:58,848 How long did it take you to learn that? 1119 00:41:58,849 --> 00:42:00,475 I'm still learning. 1120 00:42:00,476 --> 00:42:03,645 And I also learned to never get on your bad side. 1121 00:42:03,646 --> 00:42:06,147 - [CHUCKLES] - Yo, yo, yo. 1122 00:42:06,148 --> 00:42:08,358 - Hey. - Almost quitting time. 1123 00:42:08,359 --> 00:42:10,527 I so appreciate you helping me out with Harrison. 1124 00:42:10,528 --> 00:42:12,654 - Oh. - And my douchebag ex. 1125 00:42:12,655 --> 00:42:14,322 - Hey, we all have them. - Yeah. 1126 00:42:14,323 --> 00:42:16,616 Oh. Totally. 1127 00:42:16,617 --> 00:42:18,284 Me too. Me too. 1128 00:42:18,285 --> 00:42:20,328 Yeah. 1129 00:42:20,329 --> 00:42:21,829 I'm always happy to help. 1130 00:42:21,830 --> 00:42:22,914 Yeah. 1131 00:42:22,915 --> 00:42:24,499 So I get off in a couple hours. 1132 00:42:24,500 --> 00:42:26,084 Do you mind just doing a loop every once in a while 1133 00:42:26,085 --> 00:42:27,335 to make sure he's not burning the place down? 1134 00:42:27,336 --> 00:42:28,670 - Can do. - Great. 1135 00:42:28,671 --> 00:42:30,171 And, you know, a new foot massage place 1136 00:42:30,172 --> 00:42:31,673 just opened in the Strip District. 1137 00:42:31,674 --> 00:42:33,132 Do you wanna go on Sunday? 1138 00:42:33,133 --> 00:42:34,342 - For sure. Yeah, yeah. - OK, cool. 1139 00:42:34,343 --> 00:42:36,135 I'm free Sunday... 1140 00:42:36,136 --> 00:42:39,138 um, to... to help or just do... 1141 00:42:39,139 --> 00:42:40,515 yeah, whatever. Wherever. 1142 00:42:40,516 --> 00:42:42,350 Oh, my God. 1143 00:42:42,351 --> 00:42:45,311 I mean, Harrison would love a sitter closer to his own age. 1144 00:42:45,312 --> 00:42:46,854 I... [LAUGHS] I'll get your number 1145 00:42:46,855 --> 00:42:48,398 and text you the address? That's awesome. 1146 00:42:48,399 --> 00:42:49,691 - Oh. - Thank you. 1147 00:42:49,692 --> 00:42:50,817 Oh, sure. 1148 00:42:50,818 --> 00:42:52,778 Dr. Santos, a moment, please? 1149 00:42:56,907 --> 00:42:58,534 [CLEARS THROAT] 1150 00:43:00,494 --> 00:43:03,413 So how's your first day going? 1151 00:43:03,414 --> 00:43:05,206 So far, so good. 1152 00:43:05,207 --> 00:43:06,583 Getting along with everyone? 1153 00:43:06,584 --> 00:43:07,667 Yeah, pretty much. 1154 00:43:07,668 --> 00:43:11,045 Except Langdon? 1155 00:43:11,046 --> 00:43:13,423 So in this ER, we all need to work together 1156 00:43:13,424 --> 00:43:15,216 as a single unified entity. 1157 00:43:15,217 --> 00:43:17,510 And if two people on my team can't work together, 1158 00:43:17,511 --> 00:43:19,721 it kind of throws the rhythm of the place off. 1159 00:43:19,722 --> 00:43:21,347 Understood. 1160 00:43:21,348 --> 00:43:24,851 My duty, regardless of personal relationships, 1161 00:43:24,852 --> 00:43:28,563 is to make sure everybody on my team is doing OK. 1162 00:43:28,564 --> 00:43:33,735 So are you doing OK? 1163 00:43:33,736 --> 00:43:35,737 Uh, it's not a big deal. 1164 00:43:35,738 --> 00:43:37,364 I can handle it. 1165 00:43:38,991 --> 00:43:42,410 Handle what? 1166 00:43:42,411 --> 00:43:44,704 Nothing. It... it's fine. 1167 00:43:44,705 --> 00:43:47,081 I... 1168 00:43:47,082 --> 00:43:50,418 I don't wanna get anyone in trouble. 1169 00:43:50,419 --> 00:43:53,254 Hmm. 1170 00:43:53,255 --> 00:43:55,590 OK, if there is anything... 1171 00:43:55,591 --> 00:43:57,634 anything that could affect my ER, 1172 00:43:57,635 --> 00:43:59,093 I need to know about it, 1173 00:43:59,094 --> 00:44:01,764 and you have a responsibility to tell me. 1174 00:44:11,273 --> 00:44:12,899 - Hey. - Hey. 1175 00:44:12,900 --> 00:44:15,401 Did they catch the bastard who sucker punched you? 1176 00:44:15,402 --> 00:44:16,903 I haven't heard. 1177 00:44:16,904 --> 00:44:19,947 Well, when they do, just send him to me. 1178 00:44:19,948 --> 00:44:22,909 I can make it look like an accident. 1179 00:44:22,910 --> 00:44:24,243 [CHUCKLES] 1180 00:44:24,244 --> 00:44:25,745 I might just take you up on that. 1181 00:44:25,746 --> 00:44:27,873 Mm, you betcha. 1182 00:44:30,459 --> 00:44:33,586 You've been paroled! 1183 00:44:33,587 --> 00:44:34,962 - Are you sure? - Yeah. 1184 00:44:34,963 --> 00:44:36,798 - Oh. - OK. Yeah. 1185 00:44:36,799 --> 00:44:38,091 Ow. OK. 1186 00:44:38,092 --> 00:44:40,426 Yep. Go check on Myrna. 1187 00:44:40,427 --> 00:44:41,969 - You got a sec? - Bless you. 1188 00:44:41,970 --> 00:44:43,137 For you, boss, I got two. 1189 00:44:43,138 --> 00:44:44,722 What's up? 1190 00:44:44,723 --> 00:44:47,810 [INDISTINCT CHATTER] 1191 00:45:00,656 --> 00:45:01,823 [SIGHS] 1192 00:45:01,824 --> 00:45:03,658 I heard there's been 1193 00:45:03,659 --> 00:45:06,994 some inconsistencies with meds intended for your patients. 1194 00:45:06,995 --> 00:45:08,622 What? 1195 00:45:10,499 --> 00:45:14,836 Frank, have you been helping yourself to benzos from the ER? 1196 00:45:14,837 --> 00:45:17,256 Yeah, I've been stealing blood too. 1197 00:45:20,843 --> 00:45:22,969 I asked you a question. 1198 00:45:22,970 --> 00:45:25,430 Wait, are you serious? 1199 00:45:25,431 --> 00:45:26,849 What are you doing? 1200 00:45:28,350 --> 00:45:29,809 Really? 1201 00:45:29,810 --> 00:45:31,853 Santos? 1202 00:45:31,854 --> 00:45:34,439 Whatever the hell she told you is bullshit. 1203 00:45:34,440 --> 00:45:36,315 [SIGHS] 1204 00:45:36,316 --> 00:45:37,692 I didn't mention Santos. 1205 00:45:37,693 --> 00:45:39,777 You didn't have to. 1206 00:45:39,778 --> 00:45:42,822 I told you, she is trouble. 1207 00:45:42,823 --> 00:45:45,658 Have you ever taken a patient's medication? 1208 00:45:45,659 --> 00:45:46,951 This is insane. 1209 00:45:46,952 --> 00:45:48,202 This is completely fucking insane. 1210 00:45:48,203 --> 00:45:49,620 I need you to open your locker. 1211 00:45:49,621 --> 00:45:51,038 - Yeah, right. - Open your locker. 1212 00:45:51,039 --> 00:45:52,206 - You're gonna regret... - [BANGING] 1213 00:45:52,207 --> 00:45:53,541 Open your fucking locker, 1214 00:45:53,542 --> 00:45:55,919 or I will have security smash it open. 1215 00:45:59,256 --> 00:46:02,301 [KEYPAD BEEPING] 1216 00:46:12,394 --> 00:46:14,438 [SIGHS] 1217 00:46:17,107 --> 00:46:18,441 Is the imprint code on these pills 1218 00:46:18,442 --> 00:46:20,569 gonna match Louie's Librium? 1219 00:46:28,619 --> 00:46:29,744 Go home, Frank. 1220 00:46:29,745 --> 00:46:31,245 No, no, it's not like you think. 1221 00:46:31,246 --> 00:46:33,581 You remember, whenever I helped my parents move, 1222 00:46:33,582 --> 00:46:35,249 I was too cheap to pay for movers. 1223 00:46:35,250 --> 00:46:36,751 I hurt my back. I told you that. 1224 00:46:36,752 --> 00:46:38,586 You teased me about it, remember? 1225 00:46:38,587 --> 00:46:41,005 Well, our own Dr. Hagan prescribed me 1226 00:46:41,006 --> 00:46:42,715 some pain meds and muscle relaxants. 1227 00:46:42,716 --> 00:46:44,008 I was just weaning myself off. 1228 00:46:44,009 --> 00:46:45,092 It was just for maintenance. I'm done. 1229 00:46:45,093 --> 00:46:46,260 Robby, come on. 1230 00:46:46,261 --> 00:46:47,678 You know me, Robby. 1231 00:46:47,679 --> 00:46:48,679 You know me, man. 1232 00:46:48,680 --> 00:46:50,181 I'm sorry. I fucked up. 1233 00:46:50,182 --> 00:46:52,058 - I just... I... I was trying to... - Trying to what? 1234 00:46:52,059 --> 00:46:53,392 Steal pills without getting caught? 1235 00:46:53,393 --> 00:46:55,102 No, it's not like... you don't under... 1236 00:46:55,103 --> 00:46:56,562 - I don't fucking understand? - It's not like you think! 1237 00:46:56,563 --> 00:46:58,439 I'm not high. I'm not high. 1238 00:46:58,440 --> 00:47:00,441 You've seen what I do, Robby. 1239 00:47:00,442 --> 00:47:04,487 Could a drug addict do what I do? 1240 00:47:04,488 --> 00:47:06,281 Apparently. 1241 00:47:09,076 --> 00:47:11,786 And I just fucking let him! 1242 00:47:11,787 --> 00:47:13,913 You're done. 1243 00:47:13,914 --> 00:47:17,458 Leave now, or I will have Ahmad escort you out. 1244 00:47:17,459 --> 00:47:20,002 Robby, please. 1245 00:47:20,003 --> 00:47:21,713 You are done. 1246 00:47:26,218 --> 00:47:27,469 [SHOUTING] What? 1247 00:47:32,874 --> 00:47:38,898 Sync and corrections by btsix www.addic7ed.com