1
00:00:09,797 --> 00:00:13,397
Sync and corrections by btsix
www.addic7ed.com
2
00:00:14,844 --> 00:00:16,845
2701! Get the fuck out!
3
00:00:16,846 --> 00:00:18,388
Is there a MedicAlert bracelet?
4
00:00:18,389 --> 00:00:20,890
- Did you get an ID on him?
- Student ID.
5
00:00:20,891 --> 00:00:22,809
- Name says Jackson Davis.
- That's a start.
6
00:00:22,810 --> 00:00:25,270
- Jackson, what's going on?
- Title 18!
7
00:00:25,271 --> 00:00:26,855
- Title section 508!
- Javadi, you're with us.
8
00:00:26,856 --> 00:00:28,648
We're gonna take good care
of you, Mr. Davis.
9
00:00:28,649 --> 00:00:30,150
- You're in a safe place.
- You're okay.
10
00:00:30,151 --> 00:00:31,317
- Get off!
- Trauma One.
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- Reasonableness! 2709!
- Okay, okay, Jackson.
12
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We're gonna need you to calm down
13
00:00:33,904 --> 00:00:35,655
to get the Taser barbs out of your neck.
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- Do you need to jump on that?
- Mm-mm.
15
00:00:37,366 --> 00:00:39,701
Covering calls for Dana.
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Stop talking to me.
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You can't! Title 2710...
18
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- Hard to assess pupils.
- [GRUNTS]
19
00:00:45,124 --> 00:00:46,833
- Hard to assess anything.
- Yeah, yeah.
20
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Wait till after he's sedated.
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- 10 of olanzapine.
- No, no.
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That'll take 15 minutes to kick in.
23
00:00:51,088 --> 00:00:53,339
Uh, 5 of droperidol puts him down in 5.
24
00:00:53,340 --> 00:00:55,175
No, you can't give it
without knowing his QT.
25
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Two beats of a rhythm strip
before he took off the leads.
26
00:00:57,928 --> 00:00:59,345
No.
27
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You can't be in here. Get out!
28
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That looks good. Go with the droperidol.
29
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Get the fuck out! Get off me!
30
00:01:04,727 --> 00:01:06,561
Do we take the Taser barbs out?
31
00:01:06,562 --> 00:01:08,063
- 2701.
- No.
32
00:01:08,064 --> 00:01:09,689
We got to wait till he calms down first.
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00:01:09,690 --> 00:01:12,358
Get off me, man. 2901, get out!
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Get out! 2710.
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Title 18, section... 1938.
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Mr. Randall, happy 20th anniversary
37
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and a very happy Fourth of July.
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00:01:22,411 --> 00:01:24,245
But no sex fireworks for you tonight.
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Give everything a chance to heal.
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Don't worry, I will.
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Thanks, Doc. Ow.
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We're going right back
through here, okay, ma'am?
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00:01:31,212 --> 00:01:32,462
Oh, thank you.
44
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Change the dressing twice a day.
45
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Doggy bag of the ointment
and nonstick gauze.
46
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Cool. I know the drill.
47
00:01:38,552 --> 00:01:40,261
Come back if it starts to ache or stink.
48
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Exactly. Good luck. Stay safe.
49
00:01:42,389 --> 00:01:44,057
Oh, shit, it's Daddy, with your daddy.
50
00:01:44,058 --> 00:01:46,726
Lord, what'd they get up to now?
51
00:01:46,727 --> 00:01:48,311
Treatin' and streetin'.
52
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"Pros from Dover."
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I'm sorry, Ms. Graham.
54
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I just saw the ASL note in your chart.
55
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This is Lindsey.
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We'll bring you back
as soon as possible.
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Stay with her.
58
00:02:00,616 --> 00:02:01,991
[INDISTINCT CHATTER]
59
00:02:01,992 --> 00:02:04,661
All right. Who here needs help?
60
00:02:04,662 --> 00:02:06,746
[INDISTINCT CHATTER]
61
00:02:06,747 --> 00:02:08,248
You? You need help?
62
00:02:08,249 --> 00:02:11,000
Oh, no, no, no, ma'am.
I've been on these since 1987.
63
00:02:11,001 --> 00:02:13,419
This one here, he got dizzy, fell down.
64
00:02:13,420 --> 00:02:15,630
Forgot my blood-pressure medication.
65
00:02:15,631 --> 00:02:18,425
I left it back home in Georgia.
66
00:02:19,969 --> 00:02:21,511
And presto.
67
00:02:21,512 --> 00:02:24,264
We're back, Mr. Digby,
with some IV antibiotics.
68
00:02:24,265 --> 00:02:27,934
First we scrub your outsides,
then we clean your insides.
69
00:02:27,935 --> 00:02:29,853
What do you need to document
in his chart?
70
00:02:29,854 --> 00:02:32,021
Uh, time started, time completed,
71
00:02:32,022 --> 00:02:33,481
and any adverse reactions.
72
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What else?
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00:02:36,110 --> 00:02:39,654
Um, lot number on the antibiotic vial.
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00:02:39,655 --> 00:02:41,447
Excellent. Mr. Digby.
75
00:02:41,448 --> 00:02:43,032
It's just Digby.
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00:02:43,033 --> 00:02:45,744
Digby, why'd you wait
so long to come see us?
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00:02:47,288 --> 00:02:49,664
I don't like going to doctors.
78
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Well, that makes two of us.
79
00:02:51,041 --> 00:02:52,750
We all need help from time to time.
80
00:02:52,751 --> 00:02:55,587
Think maybe we could arrange
for some ongoing care?
81
00:02:55,588 --> 00:02:58,506
I just kind of want
to get patched up, you know?
82
00:02:58,507 --> 00:03:00,216
I do know.
83
00:03:00,217 --> 00:03:03,636
But that's today. What's tomorrow?
84
00:03:03,637 --> 00:03:05,680
Sunday.
85
00:03:05,681 --> 00:03:08,641
Use the system.
That's what it's there for.
86
00:03:08,642 --> 00:03:11,144
Buddy of mine, Dylan,
knows all the angles.
87
00:03:11,145 --> 00:03:13,479
He even works the occasional miracle.
88
00:03:13,480 --> 00:03:15,983
You think maybe
I could have him stop by?
89
00:03:17,985 --> 00:03:19,527
I guess, yeah.
90
00:03:19,528 --> 00:03:20,612
Great.
91
00:03:20,613 --> 00:03:22,697
- How about a sandwich?
- Yeah.
92
00:03:22,698 --> 00:03:24,575
Yes, please.
93
00:03:27,119 --> 00:03:28,578
We always offer.
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Two most important things...
that they know we're here
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and that we'll never stop offering.
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Thanks for covering, Princess.
97
00:03:35,169 --> 00:03:36,586
Anytime.
98
00:03:36,587 --> 00:03:38,421
Yo, can I get some help over here?
99
00:03:38,422 --> 00:03:40,173
Yeah. What's going on, man?
100
00:03:40,174 --> 00:03:41,925
The crazy kid in there, screaming.
101
00:03:41,926 --> 00:03:43,885
- All right, have a seat.
- Yeah, that's him.
102
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Still going nuts.
103
00:03:45,512 --> 00:03:47,847
Probably meth... fucking animal.
104
00:03:47,848 --> 00:03:49,849
- What's your name, sir?
- You don't understand!
105
00:03:49,850 --> 00:03:52,060
Tony Chinchiolo, campus security.
106
00:03:52,061 --> 00:03:53,728
Yeah, I was at work when this happened,
107
00:03:53,729 --> 00:03:55,897
so I'm gonna need everything documented.
108
00:03:55,898 --> 00:03:57,232
Okay.
109
00:03:57,233 --> 00:03:59,901
All right. Heart rate's 89.
110
00:03:59,902 --> 00:04:01,653
Pulse ox 97.
111
00:04:01,654 --> 00:04:03,154
Scalp lac's tiny...
112
00:04:03,155 --> 00:04:04,155
- 5 millimeters.
- Ow.
113
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Should hold together with Dermabond.
114
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Kid threw a fucking chair at me.
115
00:04:07,910 --> 00:04:09,869
Work-related injury gets a full exam.
116
00:04:09,870 --> 00:04:11,955
- Jesse here will take you.
- Oh, no.
117
00:04:11,956 --> 00:04:13,456
I-I'm gonna stay here till the cops come
118
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so I can give my statement
and so I can watch him.
119
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Yeah.
120
00:04:17,753 --> 00:04:20,880
Trust me, you do not want
him getting out of there.
121
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Ow, fuck.
122
00:04:23,509 --> 00:04:27,136
- Did she say anything?
- No more than she said to you.
123
00:04:27,137 --> 00:04:29,514
Nothing going on at home.
Nothing at school.
124
00:04:29,515 --> 00:04:32,183
- And you believe her?
- There's some flags.
125
00:04:32,184 --> 00:04:34,394
Bruising in various stages of healing.
126
00:04:34,395 --> 00:04:35,728
She's a little withdrawn,
127
00:04:35,729 --> 00:04:37,730
doesn't engage much for girls her age.
128
00:04:37,731 --> 00:04:40,066
But she could just be a little shy...
129
00:04:40,067 --> 00:04:41,734
or scared of being in here.
130
00:04:41,735 --> 00:04:43,778
Or she's being abused.
131
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That too.
132
00:04:44,989 --> 00:04:46,656
We'll find out more when Dad shows up.
133
00:04:46,657 --> 00:04:48,701
Yep. If he shows up.
134
00:04:51,912 --> 00:04:54,038
I need a hand here!
135
00:04:54,039 --> 00:04:57,500
- [OBJECT SNAPS]
- There's the first barb out.
136
00:04:57,501 --> 00:04:59,252
All right, Javadi, you're up.
137
00:04:59,253 --> 00:05:01,921
[MONITOR BEEPING]
138
00:05:01,922 --> 00:05:03,756
Okay, so you're gonna want to clamp
139
00:05:03,757 --> 00:05:06,301
where the shaft meets the barb.
140
00:05:06,302 --> 00:05:07,552
- Mm-hmm.
- Yep.
141
00:05:07,553 --> 00:05:09,512
Stabilize the skin.
142
00:05:09,513 --> 00:05:11,973
Not so close so as to stick yourself.
143
00:05:11,974 --> 00:05:13,433
I've seen that once or twice.
144
00:05:13,434 --> 00:05:15,852
Uh, pull up at 90 degrees.
145
00:05:15,853 --> 00:05:17,603
Harder. Yep.
146
00:05:17,604 --> 00:05:18,938
Harder.
147
00:05:18,939 --> 00:05:19,939
Oh.
148
00:05:19,940 --> 00:05:21,941
Do we suture those?
149
00:05:21,942 --> 00:05:23,609
Nope, just a Band-Aid.
150
00:05:23,610 --> 00:05:26,112
- Mel, we need orders.
- Right.
151
00:05:26,113 --> 00:05:27,196
I got a rainbow.
152
00:05:27,197 --> 00:05:29,824
Uh, CBC...
153
00:05:29,825 --> 00:05:33,119
CMP, UA, blood alcohol, and tox screen.
154
00:05:33,120 --> 00:05:34,537
All of the above.
155
00:05:34,538 --> 00:05:35,872
Cap, if this young man's stable,
156
00:05:35,873 --> 00:05:37,290
can he go to Central 10 pronto?
157
00:05:37,291 --> 00:05:38,499
Double trauma at the back door.
158
00:05:38,500 --> 00:05:40,626
Okay, you heard the boss.
Let's get going.
159
00:05:40,627 --> 00:05:43,129
Today is starting to heat up.
160
00:05:43,130 --> 00:05:46,799
[INDISTINCT CHATTER, TELEPHONE RINGING]
161
00:05:46,800 --> 00:05:49,677
Mark Yee, 32-year-old restrained driver,
162
00:05:49,678 --> 00:05:51,137
auto versus motorcycle.
163
00:05:51,138 --> 00:05:53,639
Altered with normal BP,
satting 99 on 2 liters.
164
00:05:53,640 --> 00:05:55,641
We're at the hospital now, Mark.
165
00:05:55,642 --> 00:05:57,435
What's wrong with him?
Why isn't he talking?
166
00:05:57,436 --> 00:05:59,270
His wife, Nancy, front-seat passenger,
167
00:05:59,271 --> 00:06:00,855
- declined transport.
- I'm fine.
168
00:06:00,856 --> 00:06:04,108
We weren't going all that fast.
The motorcycle ran the light.
169
00:06:04,109 --> 00:06:06,235
I'm Dr. Robby. This is Dr. Al-Hashimi.
170
00:06:06,236 --> 00:06:07,695
- Nice to meet you.
- And this is Nurse Dana.
171
00:06:07,696 --> 00:06:08,946
She's our charge nurse.
172
00:06:08,947 --> 00:06:10,490
We need to look over your husband.
173
00:06:10,491 --> 00:06:11,866
Hello. Let's step over here
for a minute, hon.
174
00:06:11,867 --> 00:06:13,159
Let them get to work, okay?
175
00:06:13,160 --> 00:06:15,244
Antoine, Larry, transfer out here.
176
00:06:15,245 --> 00:06:16,662
T-1 will be open in a sec.
177
00:06:16,663 --> 00:06:18,039
Aye, aye, Cap.
178
00:06:18,040 --> 00:06:20,375
One, two, three.
179
00:06:20,376 --> 00:06:22,168
- [GRUNTS]
- Incoming.
180
00:06:22,169 --> 00:06:23,836
Okay, Joy, you stay with me.
181
00:06:23,837 --> 00:06:26,215
Samira, you stay with Dr. Al-Hashimi.
182
00:06:28,050 --> 00:06:29,384
Open skull fracture.
183
00:06:29,385 --> 00:06:31,010
Tubed him for agonal respirations.
184
00:06:31,011 --> 00:06:32,762
BP 60 palp initially.
185
00:06:32,763 --> 00:06:35,140
Started a liter of NS,
but lost his pulse en route.
186
00:06:36,975 --> 00:06:39,060
Oh, boy, this doesn't look good.
187
00:06:39,061 --> 00:06:40,645
One, two, three.
188
00:06:40,646 --> 00:06:42,522
[GRUNTS] Joy, check his pupils.
189
00:06:42,523 --> 00:06:43,963
Somebody hand me a pair of scissors.
190
00:06:48,529 --> 00:06:50,113
8 millimeters. Nonreactive.
191
00:06:50,114 --> 00:06:53,032
AKA blown pupils, fixed and dilated.
192
00:06:53,033 --> 00:06:54,367
Oh. [GROANS]
193
00:06:54,368 --> 00:06:56,202
Crushed skull with tons
of gray matter extravasation.
194
00:06:56,203 --> 00:06:57,703
At least it was quick.
195
00:06:57,704 --> 00:06:59,580
- No helmet?
- Nope, 'cause he took
196
00:06:59,581 --> 00:07:01,040
the PennDOT Motorcycle Safety Course.
197
00:07:01,041 --> 00:07:02,458
Isn't that what you took, Robby?
198
00:07:02,459 --> 00:07:05,336
Hold compressions.
Yes, but I still wear a helmet.
199
00:07:05,337 --> 00:07:07,463
- Is he a donor?
- Also nope.
200
00:07:07,464 --> 00:07:08,756
That is too bad.
201
00:07:08,757 --> 00:07:11,509
Asystole. I think we are done here.
202
00:07:11,510 --> 00:07:13,302
- What's next door?
- The guy who hit him.
203
00:07:13,303 --> 00:07:14,720
Joy, you're with me.
204
00:07:14,721 --> 00:07:17,432
What about a moment
of reflection? I thought...
205
00:07:17,433 --> 00:07:19,225
He'll still be dead when we get back.
206
00:07:19,226 --> 00:07:22,228
Pulse ox 99. BP 108 over 72.
207
00:07:22,229 --> 00:07:23,312
EFAST negative.
208
00:07:23,313 --> 00:07:24,605
Hell of a lot better
than the guy next door.
209
00:07:24,606 --> 00:07:25,982
- How's the airway?
- Good volume.
210
00:07:25,983 --> 00:07:28,317
Good sats. Gag reflex...
211
00:07:28,318 --> 00:07:30,236
- [GAGS]
- Present.
212
00:07:30,237 --> 00:07:31,779
- Intubate?
- Maybe.
213
00:07:31,780 --> 00:07:32,989
- Maybe not.
- Mr. Yee?
214
00:07:32,990 --> 00:07:34,782
Joy, sternal rub
on his chest, like this.
215
00:07:34,783 --> 00:07:35,992
Really hard, please.
216
00:07:35,993 --> 00:07:37,994
- Mr. Yee?
- [GROANS]
217
00:07:37,995 --> 00:07:40,163
Spontaneous eye movement.
Responds to pain.
218
00:07:40,164 --> 00:07:42,165
GCS is 10. Borderline for intubation.
219
00:07:42,166 --> 00:07:45,084
No muscle tone... flaccid
paralysis in the left arm.
220
00:07:45,085 --> 00:07:46,627
- Same on the right.
- And both legs.
221
00:07:46,628 --> 00:07:48,629
Add towels to both sides of
the collar for more stability.
222
00:07:48,630 --> 00:07:50,840
Let's not make this worse.
223
00:07:50,841 --> 00:07:53,759
Pan scan with 3D
reconstruction of the spine.
224
00:07:53,760 --> 00:07:55,261
He's quadriplegic?
225
00:07:55,262 --> 00:07:57,638
If so, it's a low cervical injury.
226
00:07:57,639 --> 00:07:59,807
- Why is that, Joy?
- Uh...
227
00:07:59,808 --> 00:08:03,728
C3, 4, and 5 helps you
breathe to stay alive.
228
00:08:03,729 --> 00:08:05,313
Mr. Montrose...
229
00:08:05,314 --> 00:08:08,149
you can't just be wandering
around, talking to patients.
230
00:08:08,150 --> 00:08:09,984
Well, that's... that's what I do.
231
00:08:09,985 --> 00:08:11,569
I'm a greeter at Walmart.
232
00:08:11,570 --> 00:08:15,114
I get paid to wander
and to talk to folks.
233
00:08:15,115 --> 00:08:17,366
Well, as a... as a personal favor to me,
234
00:08:17,367 --> 00:08:20,495
can you at least stay
in your general vicinity?
235
00:08:20,496 --> 00:08:22,705
I can get you a wheelchair
while we wait for your X-rays,
236
00:08:22,706 --> 00:08:24,040
but it might take a minute.
237
00:08:24,041 --> 00:08:25,541
[CLEARS THROAT] My dear, I cannot sit.
238
00:08:25,542 --> 00:08:27,627
My backside is killing me
from where I fell on it,
239
00:08:27,628 --> 00:08:30,171
which is an embarrassing
admission to make
240
00:08:30,172 --> 00:08:32,882
- to such a lovely woman.
- [CHUCKLES]
241
00:08:32,883 --> 00:08:34,467
Well, thank you for the compliment,
242
00:08:34,468 --> 00:08:36,260
but there's no need to be embarrassed.
243
00:08:36,261 --> 00:08:37,762
You took a very nasty fall.
244
00:08:37,763 --> 00:08:40,640
Well, then may I say that
one look in your beautiful eyes
245
00:08:40,641 --> 00:08:42,850
and I think I'm falling again.
246
00:08:42,851 --> 00:08:46,145
[BOTH LAUGHING]
247
00:08:46,146 --> 00:08:47,605
What a charmer.
248
00:08:47,606 --> 00:08:49,857
Just for that, I'm gonna
get you a foam donut.
249
00:08:49,858 --> 00:08:52,235
It's the eighth wonder of the world.
250
00:08:52,236 --> 00:08:54,737
Pretty great laugh you got there, Doc.
251
00:08:54,738 --> 00:08:56,697
[CHUCKLES]
252
00:08:56,698 --> 00:08:59,075
Oh, God. My witch's cackle?
253
00:08:59,076 --> 00:09:00,868
Got CT results for Mr. Williams.
254
00:09:00,869 --> 00:09:02,412
Ah.
255
00:09:04,748 --> 00:09:06,833
Oh, wow.
256
00:09:08,752 --> 00:09:10,086
Okay.
257
00:09:10,087 --> 00:09:11,587
Okay.
258
00:09:11,588 --> 00:09:13,839
Ah. Right on time.
259
00:09:13,840 --> 00:09:15,883
Just... just getting full.
260
00:09:15,884 --> 00:09:17,718
Yeah, I'm ready for number five.
261
00:09:17,719 --> 00:09:19,595
- That's impressive.
- Uh-huh.
262
00:09:19,596 --> 00:09:21,847
Yeah, there's more where that came from.
263
00:09:21,848 --> 00:09:25,601
Although, uh, my intake is running low.
264
00:09:25,602 --> 00:09:27,395
Yeah, well, two more bottles
ought to do it.
265
00:09:27,396 --> 00:09:29,355
Then we'll drain your tooth,
and we'll get you out of here
266
00:09:29,356 --> 00:09:31,857
- before the fireworks tonight.
- Oh.
267
00:09:31,858 --> 00:09:33,025
Okay. Clamped.
268
00:09:33,026 --> 00:09:35,945
Ogilvie, make the change.
269
00:09:35,946 --> 00:09:38,823
- Okay.
- Mm-hmm.
270
00:09:38,824 --> 00:09:41,867
All right. Let her rip.
271
00:09:41,868 --> 00:09:44,370
- Flowing like a river.
- [CHUCKLES]
272
00:09:44,371 --> 00:09:47,248
I love me some fireworks.
273
00:09:47,249 --> 00:09:49,292
Oh, yeah?
274
00:09:49,293 --> 00:09:52,295
Shit, I-I met Mr. Zambelli...
275
00:09:52,296 --> 00:09:54,046
Lean forward.
276
00:09:54,047 --> 00:09:56,173
Many times on the field.
277
00:09:56,174 --> 00:09:58,843
Who's Mr. Zambelli?
278
00:09:58,844 --> 00:10:00,344
Son, you don't know fireworks
279
00:10:00,345 --> 00:10:02,888
if you don't know the name Zambelli.
280
00:10:02,889 --> 00:10:04,890
He helped Pittsburgh become
281
00:10:04,891 --> 00:10:07,476
the firework capital of America.
282
00:10:07,477 --> 00:10:09,812
You did know that, didn't you?
283
00:10:09,813 --> 00:10:11,480
- No.
- Ah.
284
00:10:11,481 --> 00:10:14,775
Y'all don't know nothing
about pyrotechnics.
285
00:10:14,776 --> 00:10:16,235
Stick to doctoring.
286
00:10:16,236 --> 00:10:18,405
Yes, will do.
287
00:10:24,411 --> 00:10:28,247
[SIGHS] I'm sure you have
some questions.
288
00:10:28,248 --> 00:10:31,667
I know it's a lot to take in.
289
00:10:31,668 --> 00:10:34,086
It's a tumor.
290
00:10:34,087 --> 00:10:35,254
It's a brain tumor.
291
00:10:35,255 --> 00:10:38,382
Well, it's a mass, about 4 centimeters,
292
00:10:38,383 --> 00:10:40,427
in the frontal lobe.
293
00:10:41,678 --> 00:10:43,721
Is it cancer?
294
00:10:43,722 --> 00:10:46,223
We can't say for sure right now.
295
00:10:46,224 --> 00:10:47,683
It could be many things...
296
00:10:47,684 --> 00:10:50,853
uh, infection, inflammation,
297
00:10:50,854 --> 00:10:53,814
a benign cyst.
298
00:10:53,815 --> 00:10:57,109
Is it what made me fall?
299
00:10:57,110 --> 00:10:58,987
Yeah, possibly.
300
00:11:00,906 --> 00:11:03,699
We'd like to keep you here
and treat with dexamethasone,
301
00:11:03,700 --> 00:11:05,785
which is a steroid
to take down the swelling.
302
00:11:05,786 --> 00:11:07,286
- Hmm.
- And then we'll need
303
00:11:07,287 --> 00:11:10,289
a brain biopsy
to know exactly what it is.
304
00:11:10,290 --> 00:11:14,168
What, you're... you're gonna
cut open my head?
305
00:11:14,169 --> 00:11:16,504
It's just a small hole.
306
00:11:16,505 --> 00:11:20,383
We'll do a-a CT-guided
stereotactical biopsy
307
00:11:20,384 --> 00:11:22,718
- with a-a blunt, thin needle...
- [SIGHS]
308
00:11:22,719 --> 00:11:25,554
Which sounds crazy, but it's
actually pretty amazing.
309
00:11:25,555 --> 00:11:28,475
I mean, most patients
go home the next day.
310
00:11:32,312 --> 00:11:34,689
I don't know.
311
00:11:34,690 --> 00:11:38,234
What do you think I should do?
312
00:11:38,235 --> 00:11:41,696
I think this is a pretty good plan.
313
00:11:41,697 --> 00:11:43,114
- Okay.
- Yeah?
314
00:11:43,115 --> 00:11:47,159
BP 95 over 67.
315
00:11:47,160 --> 00:11:49,161
Seems a little on the low side.
316
00:11:49,162 --> 00:11:50,663
It is.
317
00:11:50,664 --> 00:11:52,873
Have you ever had
low blood pressure in the past?
318
00:11:52,874 --> 00:11:55,876
No, sir. My blood pressure's
always high.
319
00:11:55,877 --> 00:11:58,921
Hold still, sir.
No talking while we do the EKG.
320
00:11:58,922 --> 00:12:01,549
The Hansens all run high,
except for Monty.
321
00:12:01,550 --> 00:12:03,968
- He ran low, but he's dead.
- That's not helpful.
322
00:12:03,969 --> 00:12:06,846
You want to help,
quit playing family pharmacist.
323
00:12:06,847 --> 00:12:09,348
Pooling meds is how
we've always done it.
324
00:12:09,349 --> 00:12:10,683
You put everything in a big pile
325
00:12:10,684 --> 00:12:11,892
in the middle of the table...
326
00:12:11,893 --> 00:12:13,227
Well, look where that got us now.
327
00:12:13,228 --> 00:12:15,354
No, I'm gonna jump in here
and echo that sharing meds
328
00:12:15,355 --> 00:12:16,522
which haven't been prescribed to you
329
00:12:16,523 --> 00:12:17,857
is actually a real big no-no.
330
00:12:17,858 --> 00:12:18,858
How we doing on remembering
331
00:12:18,859 --> 00:12:20,276
what your brother might've taken?
332
00:12:20,277 --> 00:12:21,444
We could call back to the house.
333
00:12:21,445 --> 00:12:24,029
Great idea. Okay.
334
00:12:24,030 --> 00:12:26,407
Whatever little round pill
you took, sir,
335
00:12:26,408 --> 00:12:28,534
has caused your heart rate
and blood pressure
336
00:12:28,535 --> 00:12:30,745
to drop so low,
you're at risk of fainting,
337
00:12:30,746 --> 00:12:32,913
falling, or having a serious injury.
338
00:12:32,914 --> 00:12:34,039
Oh.
339
00:12:34,040 --> 00:12:35,708
We need to take him back to the ER
340
00:12:35,709 --> 00:12:36,751
so he can get a liter of fluids,
341
00:12:36,752 --> 00:12:38,085
we can check his blood tests
342
00:12:38,086 --> 00:12:39,420
and monitor his heart rate
and blood pressure
343
00:12:39,421 --> 00:12:41,589
till he recovers.
344
00:12:41,590 --> 00:12:43,257
Pulse ox holding steady at 99.
345
00:12:43,258 --> 00:12:44,425
Good tidal volume.
346
00:12:44,426 --> 00:12:46,093
How you doing there, Mr. Yee?
347
00:12:46,094 --> 00:12:47,470
Scanner can take him now.
348
00:12:47,471 --> 00:12:48,804
I'll check the results from upstairs.
349
00:12:48,805 --> 00:12:51,557
- Why is he so altered?
- Could be concussion.
350
00:12:51,558 --> 00:12:53,476
Maybe a small intracranial hemorrhage.
351
00:12:53,477 --> 00:12:56,020
All will be revealed
by the Donut of Truth.
352
00:12:56,021 --> 00:12:58,689
- Need a portable monitor.
- Joy, stay with him, please.
353
00:12:58,690 --> 00:13:00,649
See if the radiologist
can give us a STAT read.
354
00:13:00,650 --> 00:13:01,734
How is he?
355
00:13:01,735 --> 00:13:04,111
Did I hear someone say he's paralyzed?
356
00:13:04,112 --> 00:13:06,447
There are signs of weakness
in both arms and legs.
357
00:13:06,448 --> 00:13:08,824
But before we can make any prognosis,
358
00:13:08,825 --> 00:13:10,159
we'll need a full-body scan.
359
00:13:10,160 --> 00:13:12,495
Head CT will show us any brain injury.
360
00:13:12,496 --> 00:13:14,663
Neck CT will show us
any spinal-cord injury.
361
00:13:14,664 --> 00:13:17,416
Chest, abdomen, pelvis will
rule out any internal bleeding.
362
00:13:17,417 --> 00:13:18,459
Oh, my God.
363
00:13:18,460 --> 00:13:21,337
The scans should only take
about 15 minutes.
364
00:13:21,338 --> 00:13:24,131
In the meantime, perhaps you'd
let us look you over as well?
365
00:13:24,132 --> 00:13:26,425
I'm fine. The medics checked me.
366
00:13:26,426 --> 00:13:28,969
I just want to stay with my husband.
367
00:13:28,970 --> 00:13:31,263
Well, you can't go into the CT with him,
368
00:13:31,264 --> 00:13:33,474
but you can wait just outside
if you like.
369
00:13:33,475 --> 00:13:34,767
- Excuse me.
- Princess, this is Nancy.
370
00:13:34,768 --> 00:13:36,435
Mrs. Yee is gonna go
with her husband to CT.
371
00:13:36,436 --> 00:13:37,520
Will you show her where to go?
372
00:13:37,521 --> 00:13:40,190
- Sure. Come on in.
- Thank you.
373
00:13:41,983 --> 00:13:43,859
So what's the plan now?
374
00:13:43,860 --> 00:13:46,028
Keep observing me in my natural habitat?
375
00:13:46,029 --> 00:13:47,446
No telling what I might do next.
376
00:13:47,447 --> 00:13:49,031
I think I've got the gist.
377
00:13:49,032 --> 00:13:51,158
How about we each take a lap
and meet here
378
00:13:51,159 --> 00:13:52,660
when Mr. Yee is back from CT?
379
00:13:52,661 --> 00:13:54,578
Splitting up so soon?
380
00:13:54,579 --> 00:13:57,748
You're free to see
other people, Dr. Robinavitch.
381
00:13:57,749 --> 00:14:00,502
I'm looking for cooperation,
not commitment.
382
00:14:02,379 --> 00:14:05,089
[CHUCKLES] [DEVICE WHIRS]
383
00:14:05,090 --> 00:14:07,132
So you bandaged the burn yourself?
384
00:14:07,133 --> 00:14:08,926
Oh, no, no, no, no, no, no, no, no...
385
00:14:08,927 --> 00:14:11,011
Ma'am, you're... you're making
it difficult for me
386
00:14:11,012 --> 00:14:12,721
to see under this dressing.
387
00:14:12,722 --> 00:14:16,058
- Is that a tablecloth?
- Part of a window curtain.
388
00:14:16,059 --> 00:14:17,476
Cleaner than tablecloth.
389
00:14:17,477 --> 00:14:19,144
I'll wait for the doctor. Thank you.
390
00:14:19,145 --> 00:14:22,565
May I ask how this happened?
391
00:14:22,566 --> 00:14:24,316
For weeks on end, the kids with their
392
00:14:24,317 --> 00:14:26,652
guchnyy firecrackers,
going all day and night.
393
00:14:26,653 --> 00:14:28,696
Oh, i-is this a firecracker burn?
394
00:14:28,697 --> 00:14:31,699
No, sweetie,
this is from the full samovar
395
00:14:31,700 --> 00:14:34,660
I drop on the floor when the sh...
396
00:14:34,661 --> 00:14:37,246
the firecrackers started going on again.
397
00:14:37,247 --> 00:14:39,206
I'm sorry. What's a samovar?
398
00:14:39,207 --> 00:14:42,501
It is a big metal urn for coffee or tea.
399
00:14:42,502 --> 00:14:44,587
They can get super-duper hot,
400
00:14:44,588 --> 00:14:46,839
and I was never allowed to touch ours.
401
00:14:46,840 --> 00:14:48,257
Uh, hello, Mrs. Kovalenko.
402
00:14:48,258 --> 00:14:49,550
My name is Dr. Michael Robinavitch.
403
00:14:49,551 --> 00:14:51,218
Everybody calls me Dr. Robby.
404
00:14:51,219 --> 00:14:54,221
- Robinavitch? Jewish?
- You guessed it.
405
00:14:54,222 --> 00:14:57,725
And I see that you are
here today for a burn.
406
00:14:57,726 --> 00:14:59,143
Why don't we take a look?
407
00:14:59,144 --> 00:15:00,728
Oh, not married?
408
00:15:00,729 --> 00:15:02,438
No, I'm not married.
409
00:15:02,439 --> 00:15:05,065
[CHUCKLES] Do you attend synagogue?
410
00:15:05,066 --> 00:15:08,027
Uh, not for a while.
411
00:15:08,028 --> 00:15:11,989
I mean, High Holidays mostly.
412
00:15:11,990 --> 00:15:13,157
Where?
413
00:15:13,158 --> 00:15:14,825
- Ooh.
- [WHIMPERS]
414
00:15:14,826 --> 00:15:17,119
What did you put on this?
415
00:15:17,120 --> 00:15:18,704
- Where?
- On your burn.
416
00:15:18,705 --> 00:15:20,956
- Is this honey?
- Yes, honey.
417
00:15:20,957 --> 00:15:22,958
Where do you go on holy days?
418
00:15:22,959 --> 00:15:25,961
Uh, my grandparents, um...
419
00:15:25,962 --> 00:15:27,713
I grew up going to Rodef Shalom.
420
00:15:27,714 --> 00:15:28,714
You?
421
00:15:28,715 --> 00:15:31,009
Tree of Life.
422
00:15:32,719 --> 00:15:34,219
They're rebuilding.
423
00:15:34,220 --> 00:15:36,597
Yes, something new.
424
00:15:36,598 --> 00:15:40,100
Remember, Rebuild, Renew.
425
00:15:40,101 --> 00:15:42,520
That's the slogan.
426
00:15:44,564 --> 00:15:47,316
I'm sorry, did you say "honey"?
427
00:15:47,317 --> 00:15:49,485
You think honey's funny?
428
00:15:49,486 --> 00:15:51,487
Works like a charm.
429
00:15:51,488 --> 00:15:53,614
My father kept bees. I know.
430
00:15:53,615 --> 00:15:56,909
If the honey is medical grade
and the burns are not too bad,
431
00:15:56,910 --> 00:15:59,036
honey actually does have
some antibacterial
432
00:15:59,037 --> 00:16:00,621
and anti-inflammatory properties.
433
00:16:00,622 --> 00:16:03,207
However, these burns
are very deep in some places.
434
00:16:03,208 --> 00:16:05,584
They're going to need debridement.
435
00:16:05,585 --> 00:16:08,587
I'm glad you came in.
436
00:16:08,588 --> 00:16:10,422
That's what I thought.
437
00:16:10,423 --> 00:16:14,426
I was hoping no, but I figured as much.
438
00:16:14,427 --> 00:16:15,552
Not to worry.
439
00:16:15,553 --> 00:16:18,430
We are gonna have you
patched up and home
440
00:16:18,431 --> 00:16:20,099
in time for dinner and fireworks.
441
00:16:20,100 --> 00:16:21,976
No.
442
00:16:21,977 --> 00:16:23,477
No more fireworks.
443
00:16:23,478 --> 00:16:24,770
No.
444
00:16:24,771 --> 00:16:25,854
Okay.
445
00:16:25,855 --> 00:16:30,150
Anyone here treating Kylie Connors?
446
00:16:30,151 --> 00:16:31,652
She's my daughter.
447
00:16:31,653 --> 00:16:33,779
She's nine. I'm Benny Connors.
448
00:16:33,780 --> 00:16:36,198
Mr. Connors, I'm Dr. Santos.
449
00:16:36,199 --> 00:16:37,616
I'm treating Kylie.
450
00:16:37,617 --> 00:16:39,159
Is she okay? Can I see her?
451
00:16:39,160 --> 00:16:41,120
My... my girlfriend, Gina,
says she got a cut on her chin?
452
00:16:41,121 --> 00:16:42,204
Yeah, I can take you to her.
453
00:16:42,205 --> 00:16:43,956
She has a small laceration on her chin,
454
00:16:43,957 --> 00:16:46,208
but it was easily repaired
with medical superglue,
455
00:16:46,209 --> 00:16:48,377
- so no stitches necessary.
- Okay.
456
00:16:48,378 --> 00:16:50,921
She chipped a tooth,
but it's a baby tooth,
457
00:16:50,922 --> 00:16:52,715
so it won't need dental work.
458
00:16:52,716 --> 00:16:54,633
All right, well, that's a relief.
459
00:16:54,634 --> 00:16:57,136
Has Kylie had any previous injuries?
460
00:16:57,137 --> 00:16:58,804
Uh, yeah.
461
00:16:58,805 --> 00:17:01,056
She, um... she broke
her wrist last year.
462
00:17:01,057 --> 00:17:02,683
She was skateboarding.
463
00:17:02,684 --> 00:17:05,894
Dana, if you could get Dylan
to come to North 1,
464
00:17:05,895 --> 00:17:07,980
- and Ahmad.
- You bet.
465
00:17:07,981 --> 00:17:10,315
Okay, I got it now. One, two, three.
466
00:17:10,316 --> 00:17:11,567
Daddy, you came.
467
00:17:11,568 --> 00:17:13,402
Baby, what's going on, huh?
468
00:17:13,403 --> 00:17:15,112
My tooth broke, and my chin got cut.
469
00:17:15,113 --> 00:17:18,365
Oh, no. [SMOOCHES]
470
00:17:18,366 --> 00:17:19,575
What happened?
471
00:17:19,576 --> 00:17:21,827
She was running up the stairs.
472
00:17:21,828 --> 00:17:24,496
- Gina was chasing me.
- We were playing.
473
00:17:24,497 --> 00:17:27,041
As I was saying, Mr. Connors,
the laceration is pretty minor.
474
00:17:27,042 --> 00:17:28,083
On the stairs?
475
00:17:28,084 --> 00:17:30,252
- It was an accident.
- Perhaps we can...
476
00:17:30,253 --> 00:17:31,837
An accident that wouldn't have happened
477
00:17:31,838 --> 00:17:33,172
if you weren't running up the stairs.
478
00:17:33,173 --> 00:17:34,339
Do you understand what I'm saying?
479
00:17:34,340 --> 00:17:36,842
This is the last thing
that I need right now,
480
00:17:36,843 --> 00:17:38,510
is her mother finding out
that she got hurt
481
00:17:38,511 --> 00:17:40,179
- when she's with you.
- It was an accident.
482
00:17:40,180 --> 00:17:41,680
And before you get all high and mighty,
483
00:17:41,681 --> 00:17:43,682
- I've got questions of my own.
- Like what?
484
00:17:43,683 --> 00:17:45,017
Hey, Mr. Connors.
485
00:17:45,018 --> 00:17:46,852
I'm sorry, I meant to be here
when you arrived.
486
00:17:46,853 --> 00:17:48,854
I'm Dylan Easton.
I'm with Social Services.
487
00:17:48,855 --> 00:17:50,022
We have insurance. Thank you.
488
00:17:50,023 --> 00:17:51,648
Perhaps we can step outside
and chat for a second?
489
00:17:51,649 --> 00:17:53,567
I can fill you in on where we are.
490
00:17:53,568 --> 00:17:55,444
Hey, uh, Jesse, do you want
to keep Kylie entertained
491
00:17:55,445 --> 00:17:57,112
- for a few minutes while I...
- Absolutely.
492
00:17:57,113 --> 00:17:58,155
Borrow her dad?
493
00:17:58,156 --> 00:17:59,323
We'll just head down to the family room.
494
00:17:59,324 --> 00:18:01,533
It's a little quieter there.
495
00:18:01,534 --> 00:18:03,327
Why do I got to talk to a social worker?
496
00:18:03,328 --> 00:18:05,829
Anytime a child is injured,
we have some standard questions
497
00:18:05,830 --> 00:18:07,331
that we ask parents and caregivers.
498
00:18:07,332 --> 00:18:10,501
Good. That's fine. Great. Ask me here.
499
00:18:10,502 --> 00:18:14,046
Well, we noticed
some bruising on Kylie's body,
500
00:18:14,047 --> 00:18:17,466
some old, some new,
on her back and legs.
501
00:18:17,467 --> 00:18:19,676
- Any idea how she got those?
- Yeah, soccer.
502
00:18:19,677 --> 00:18:20,886
She plays for a club team.
503
00:18:20,887 --> 00:18:22,179
They're, you know, little girls,
504
00:18:22,180 --> 00:18:24,264
but they play like they're
in "The Hunger Games."
505
00:18:24,265 --> 00:18:26,391
Well, I understand that you and Kylie do
506
00:18:26,392 --> 00:18:29,269
a fair amount of roughhousing.
507
00:18:29,270 --> 00:18:31,271
What?
508
00:18:31,272 --> 00:18:33,982
I'm sorry. Are you fucking kidding me?
509
00:18:33,983 --> 00:18:35,150
Where are you going with this?
510
00:18:35,151 --> 00:18:36,443
Are you saying that I hurt my daughter?
511
00:18:36,444 --> 00:18:37,736
Mr. Connors, nobody's saying that...
512
00:18:37,737 --> 00:18:38,904
Oh, no, no, no, no, no, no, no, no.
513
00:18:38,905 --> 00:18:40,072
- Gina!
- Mr. Connors...
514
00:18:40,073 --> 00:18:41,448
Just... just... Gina!
515
00:18:41,449 --> 00:18:42,449
Sir, take a breath.
516
00:18:42,450 --> 00:18:43,617
Gina, what did you say to them?
517
00:18:43,618 --> 00:18:45,452
Nothing. I said that you're a great dad.
518
00:18:45,453 --> 00:18:46,954
Okay. What else?
519
00:18:46,955 --> 00:18:48,455
That you guys like to wrestle.
520
00:18:48,456 --> 00:18:49,665
- Jesus Christ.
- What?
521
00:18:49,666 --> 00:18:51,166
They wanted to know where
all her bruises are from.
522
00:18:51,167 --> 00:18:53,085
Who the fuck are you to talk
about me and my daughter?
523
00:18:53,086 --> 00:18:54,586
- Who the fuck am I?
- Yeah, that's what I'm asking.
524
00:18:54,587 --> 00:18:55,754
Who the fuck am I?
525
00:18:55,755 --> 00:18:57,131
Hey, big man, take
one more fucking step...
526
00:18:57,132 --> 00:18:59,550
Hey, that's enough.
You need to calm down.
527
00:18:59,551 --> 00:19:01,552
Hey, everybody, back the fuck up!
528
00:19:01,553 --> 00:19:02,928
Stop! Stop! Stop! Stop!
529
00:19:02,929 --> 00:19:06,014
Kylie's platelets are only 9,000.
530
00:19:06,015 --> 00:19:08,016
- What does that mean?
- [SIGHS]
531
00:19:08,017 --> 00:19:10,894
It's... it's not what we thought.
532
00:19:10,895 --> 00:19:13,230
It's probably ITP.
533
00:19:13,231 --> 00:19:15,566
What the hell is ITP?
534
00:19:15,567 --> 00:19:17,819
Something we can treat.
535
00:19:23,992 --> 00:19:26,618
- You feel that?
- Mm, no.
536
00:19:26,619 --> 00:19:28,287
Excellent.
537
00:19:28,288 --> 00:19:30,205
This is looking very good.
538
00:19:30,206 --> 00:19:32,291
Ah. Tell Mr. Kovalenko.
539
00:19:32,292 --> 00:19:35,878
[LAUGHTER]
540
00:19:35,879 --> 00:19:37,171
Mrs. Kovalenko?
541
00:19:37,172 --> 00:19:39,131
Yes? Yana, please.
542
00:19:39,132 --> 00:19:43,051
Yana, you mentioned
that you dropped the samovar
543
00:19:43,052 --> 00:19:46,513
when you heard firecrackers.
544
00:19:46,514 --> 00:19:47,557
Yeah.
545
00:19:50,560 --> 00:19:54,354
I was on my way inside...
546
00:19:54,355 --> 00:19:57,482
October 27, 2018...
547
00:19:57,483 --> 00:20:00,403
to the synagogue
when the shooting started.
548
00:20:05,116 --> 00:20:08,076
There was nothing I could do.
549
00:20:08,077 --> 00:20:09,703
I went in...
550
00:20:09,704 --> 00:20:12,247
after the police arrived.
551
00:20:12,248 --> 00:20:14,334
I felt I had to.
552
00:20:16,169 --> 00:20:18,420
I'm better now.
553
00:20:18,421 --> 00:20:20,881
But...
554
00:20:20,882 --> 00:20:24,259
[VOICE BREAKING]
New Year's Eve, Fourth of July,
555
00:20:24,260 --> 00:20:27,763
when... when kids have their fireworks
556
00:20:27,764 --> 00:20:30,558
and firecrackers, I...
557
00:20:32,727 --> 00:20:35,687
There is no clock on how long it takes.
558
00:20:35,688 --> 00:20:37,189
[SCOFFS]
559
00:20:37,190 --> 00:20:38,899
No clock.
560
00:20:38,900 --> 00:20:41,777
You must be joking.
561
00:20:41,778 --> 00:20:43,862
[KNOCK AT DOOR]
562
00:20:43,863 --> 00:20:45,197
- Robby?
- Yep.
563
00:20:45,198 --> 00:20:47,366
- Mark Yee is back from CT.
- Oh, okay.
564
00:20:47,367 --> 00:20:48,867
Um, Perlah, why don't we go
ahead and see if we can put
565
00:20:48,868 --> 00:20:50,702
a nonstick dressing on this?
566
00:20:50,703 --> 00:20:52,955
And I will come back, and we can discuss
567
00:20:52,956 --> 00:20:54,373
aftercare instructions.
568
00:20:54,374 --> 00:20:55,874
Yeah, you got it, boss.
569
00:20:55,875 --> 00:20:57,961
Thank you, Doctor.
570
00:21:04,884 --> 00:21:07,386
[DOOR CLOSES]
571
00:21:07,387 --> 00:21:10,180
[INDISTINCT CHATTER]
572
00:21:10,181 --> 00:21:12,724
Vitals stable. Pulse ox holding at 99.
573
00:21:12,725 --> 00:21:14,810
Okay. Heart and lungs look good.
574
00:21:14,811 --> 00:21:16,937
[CELL PHONE RINGS]
575
00:21:16,938 --> 00:21:19,273
- Dr. Mohan.
- Dr. Robby?
576
00:21:19,274 --> 00:21:22,567
Yeah? [SIGHS]
577
00:21:22,568 --> 00:21:25,153
Please make him be okay.
578
00:21:25,154 --> 00:21:27,072
I can assure you that we
are gonna do absolutely...
579
00:21:27,073 --> 00:21:29,741
Everything you can. I know.
580
00:21:29,742 --> 00:21:31,326
God, this is all my fault.
581
00:21:31,327 --> 00:21:34,246
- Mrs. Yee...
- Oh, he's been so stressed.
582
00:21:34,247 --> 00:21:36,623
So I planned this weekend away
at Seven Springs,
583
00:21:36,624 --> 00:21:39,251
but he didn't want to go
because of work.
584
00:21:39,252 --> 00:21:42,337
So we fought this whole morning.
585
00:21:42,338 --> 00:21:44,798
And then I...
586
00:21:44,799 --> 00:21:48,093
I said awful things.
587
00:21:48,094 --> 00:21:50,095
Those can't be the last words
we say to each other.
588
00:21:50,096 --> 00:21:51,763
Doctor, please.
589
00:21:51,764 --> 00:21:54,683
Good news. CT looks normal.
590
00:21:54,684 --> 00:21:56,435
No bleeding inside the skull.
591
00:21:56,436 --> 00:21:59,271
C-spine, no fractures seen.
592
00:21:59,272 --> 00:22:01,648
- He didn't break his neck?
- Then why is he paralyzed?
593
00:22:01,649 --> 00:22:03,275
You can have spinal injuries
594
00:22:03,276 --> 00:22:05,068
without radiologic abnormalities.
595
00:22:05,069 --> 00:22:07,946
Sometimes it doesn't show up
on CT, only on MRI.
596
00:22:07,947 --> 00:22:10,325
- [CELL PHONE RINGS]
- Dr. Mohan.
597
00:22:13,161 --> 00:22:14,287
Are you sure?
598
00:22:17,290 --> 00:22:19,124
Okay.
599
00:22:19,125 --> 00:22:21,209
Critical potassium level, 1.2.
600
00:22:21,210 --> 00:22:22,794
Wow.
601
00:22:22,795 --> 00:22:24,421
- Okay.
- That's crazy low.
602
00:22:24,422 --> 00:22:26,465
Uh, extremely low potassium
with generalized weakness
603
00:22:26,466 --> 00:22:28,383
and no cervical injury.
604
00:22:28,384 --> 00:22:29,718
We may be looking at...
605
00:22:29,719 --> 00:22:31,553
Hypokalemic periodic paralysis.
606
00:22:31,554 --> 00:22:32,679
What is that?
607
00:22:32,680 --> 00:22:34,306
It's a rare condition
where potassium gets shifted
608
00:22:34,307 --> 00:22:36,475
into the cells,
causing profound weakness,
609
00:22:36,476 --> 00:22:37,642
just like paralysis.
610
00:22:37,643 --> 00:22:39,353
- Will he get better?
- Yes.
611
00:22:39,354 --> 00:22:41,063
Back to normal in a few hours.
612
00:22:41,064 --> 00:22:42,397
In a f...
613
00:22:42,398 --> 00:22:44,149
Replete slowly. 10 MEQ of KCl...
614
00:22:44,150 --> 00:22:47,152
[CRYING] Thank you so much.
615
00:22:47,153 --> 00:22:48,695
Did you hear that, Mark?
616
00:22:48,696 --> 00:22:52,491
Oh, baby, you're gonna get better.
617
00:22:52,492 --> 00:22:54,701
Oh, baby.
618
00:22:54,702 --> 00:22:56,536
All right, DD. Hey, come on now, man.
619
00:22:56,537 --> 00:22:58,497
Oh, how you doing, Duante?
620
00:22:58,498 --> 00:23:00,040
- Fine.
- Great.
621
00:23:00,041 --> 00:23:01,500
If you're fine, you go home.
622
00:23:01,501 --> 00:23:02,542
- Really?
- Yeah.
623
00:23:02,543 --> 00:23:05,670
Mm-mm. Hey, tell them.
624
00:23:05,671 --> 00:23:08,256
Me and my sister were making bracelets,
625
00:23:08,257 --> 00:23:12,260
and I put beads up my nose.
626
00:23:12,261 --> 00:23:13,762
How many?
627
00:23:13,763 --> 00:23:15,180
One on each side.
628
00:23:15,181 --> 00:23:17,849
I got to ask...
why'd you stick them up there?
629
00:23:17,850 --> 00:23:19,559
See how many will fit?
630
00:23:19,560 --> 00:23:21,478
To shoot them out like rockets.
631
00:23:21,479 --> 00:23:22,562
Mm.
632
00:23:22,563 --> 00:23:23,939
But I breathed in,
633
00:23:23,940 --> 00:23:26,942
and they went deeper
and now won't come out.
634
00:23:26,943 --> 00:23:28,777
Did you try anything at home?
635
00:23:28,778 --> 00:23:30,445
Yeah, I tried blowing in his mouth,
636
00:23:30,446 --> 00:23:32,155
but just got a little snot on my cheek.
637
00:23:32,156 --> 00:23:33,323
"A" for effort, Dad.
638
00:23:33,324 --> 00:23:36,034
Okay, we need to take a look
with a little flashlight.
639
00:23:36,035 --> 00:23:37,911
- Okay?
- Okay.
640
00:23:37,912 --> 00:23:39,454
This is what I have to look forward to?
641
00:23:39,455 --> 00:23:41,748
This and so much more.
642
00:23:41,749 --> 00:23:44,376
Red bead below the inferior turbinate.
643
00:23:44,377 --> 00:23:46,878
I...
644
00:23:46,879 --> 00:23:48,255
got a blue one.
645
00:23:48,256 --> 00:23:50,882
Afrin, benzocaine, Katz extractor?
646
00:23:50,883 --> 00:23:53,051
Yep. Dad, looks like we got
to go up and get them.
647
00:23:53,052 --> 00:23:55,720
- No way he's sitting still.
- Oh, he'll be numbed up.
648
00:23:55,721 --> 00:23:56,930
You don't know this child.
649
00:23:56,931 --> 00:23:59,933
Hey, Duante, you like video games?
650
00:23:59,934 --> 00:24:01,810
Everybody does.
651
00:24:01,811 --> 00:24:04,062
We have a 3D video game.
652
00:24:04,063 --> 00:24:06,022
- Yeah.
- Cool.
653
00:24:06,023 --> 00:24:07,150
[CHUCKLES]
654
00:24:10,611 --> 00:24:13,488
That's KCl and saline
at 10 MEQ per hour.
655
00:24:13,489 --> 00:24:15,615
We avoid dextrose
because the insulin response
656
00:24:15,616 --> 00:24:16,992
drops the K even more.
657
00:24:16,993 --> 00:24:19,828
If it's genetic, why didn't
it happen when he was a kid?
658
00:24:19,829 --> 00:24:22,205
It usually starts after the teen years.
659
00:24:22,206 --> 00:24:23,331
And it can be intermittent.
660
00:24:23,332 --> 00:24:26,418
Sometimes it's triggered
by intense exercise or stress.
661
00:24:26,419 --> 00:24:28,420
We've been married eight years.
662
00:24:28,421 --> 00:24:30,589
We've had fights. He's never collapsed.
663
00:24:30,590 --> 00:24:32,090
If his thyroid gets overactive,
664
00:24:32,091 --> 00:24:33,925
that brings it on later in life.
665
00:24:33,926 --> 00:24:36,511
I ordered TSH, T3, T4.
666
00:24:36,512 --> 00:24:38,847
So now we just wait?
667
00:24:38,848 --> 00:24:41,099
[MONITORS BEEPING RAPIDLY]
668
00:24:41,100 --> 00:24:42,434
Bag him. Starting compressions.
669
00:24:42,435 --> 00:24:45,103
- Charge to 200.
- What is happening?
670
00:24:45,104 --> 00:24:47,105
Low potassium
can harm electrical activity
671
00:24:47,106 --> 00:24:48,648
- in the heart.
- Charged.
672
00:24:48,649 --> 00:24:50,650
- Clear.
- Clear.
673
00:24:50,651 --> 00:24:52,487
Resuming compressions.
674
00:24:53,988 --> 00:24:57,949
- So your little girl was ITP?
- Go figure.
675
00:24:57,950 --> 00:25:00,452
Nothing like a zebra
to kick-start your morning.
676
00:25:00,453 --> 00:25:03,121
Well, it's better than the alternative.
677
00:25:03,122 --> 00:25:04,664
True.
678
00:25:04,665 --> 00:25:06,875
ITP.
679
00:25:06,876 --> 00:25:09,377
So that's, uh, intra...
680
00:25:09,378 --> 00:25:11,046
Immune thrombocytopenia.
681
00:25:11,047 --> 00:25:14,549
Used to be called idiopathic
thrombocytopenic purpura.
682
00:25:14,550 --> 00:25:16,384
Know what "idiopathic" means?
683
00:25:16,385 --> 00:25:18,470
That we don't know the exact cause.
684
00:25:18,471 --> 00:25:20,347
It means the patient is pathetic
685
00:25:20,348 --> 00:25:22,808
and the doctor is an idiot.
686
00:25:24,352 --> 00:25:26,228
Just checked on baby Jane Doe.
687
00:25:26,229 --> 00:25:28,939
Looking good. Taking formula well.
688
00:25:28,940 --> 00:25:30,774
We're here to take a statement.
689
00:25:30,775 --> 00:25:33,568
We're looking for a Tony Chinchiolo.
690
00:25:33,569 --> 00:25:37,155
Yo! Right over here, boys!
691
00:25:37,156 --> 00:25:39,157
Well, officers.
692
00:25:39,158 --> 00:25:41,493
Heard you had some trouble
over at the campus library.
693
00:25:41,494 --> 00:25:43,828
Shit. Let me just say...
694
00:25:43,829 --> 00:25:46,498
new appreciation
for what you guys do every day.
695
00:25:46,499 --> 00:25:49,000
Frickin' junkie jungle, right?
696
00:25:49,001 --> 00:25:51,169
At the campus library?
697
00:25:51,170 --> 00:25:52,379
Yeah.
698
00:25:52,380 --> 00:25:53,672
Thumb and forefinger make a C.
699
00:25:53,673 --> 00:25:55,382
Bottom three fingers make an E
for jaw lift.
700
00:25:55,383 --> 00:25:57,425
One breath every five seconds.
Come here, try it.
701
00:25:57,426 --> 00:25:59,344
About two minutes since defibrillation.
702
00:25:59,345 --> 00:26:02,430
- Holding compressions.
- Normal sinus.
703
00:26:02,431 --> 00:26:04,599
Carotid. Strong carotid.
Okay, let's try for BP.
704
00:26:04,600 --> 00:26:06,226
Why don't we check after the shock?
705
00:26:06,227 --> 00:26:08,186
2024 ACLS guidelines.
706
00:26:08,187 --> 00:26:10,188
Patients can remain pulseless
for a little bit,
707
00:26:10,189 --> 00:26:11,648
even after successful defib.
708
00:26:11,649 --> 00:26:14,150
He came back with one shock.
That's as good as it gets.
709
00:26:14,151 --> 00:26:16,570
- 104 over 68.
- Good squeeze. Good EF.
710
00:26:16,571 --> 00:26:18,613
Spontaneous respirations.
Okay, let's lift him up.
711
00:26:18,614 --> 00:26:20,991
He's breathing on his own...
excellent sign.
712
00:26:20,992 --> 00:26:22,325
Oh, God.
713
00:26:22,326 --> 00:26:25,787
- Can I touch him?
- Of course.
714
00:26:25,788 --> 00:26:27,163
Oh, Mark.
715
00:26:27,164 --> 00:26:30,208
- Hey.
- [GROANS SOFTLY]
716
00:26:30,209 --> 00:26:32,002
Oh, shit.
717
00:26:32,003 --> 00:26:33,336
We need a gurney!
718
00:26:33,337 --> 00:26:35,171
Nancy?
719
00:26:35,172 --> 00:26:38,425
Mrs. Yee?
720
00:26:38,426 --> 00:26:39,926
Weak carotid. Shallow breaths.
721
00:26:39,927 --> 00:26:41,761
Did she vasovagal from stress?
722
00:26:41,762 --> 00:26:42,929
Can't assume that.
723
00:26:42,930 --> 00:26:44,764
Positive seat belt si... oh, shit.
724
00:26:44,765 --> 00:26:46,474
Hang two units of O-neg
on the rapid infuser.
725
00:26:46,475 --> 00:26:48,059
Somebody call Garcia. Shit.
726
00:26:48,060 --> 00:26:49,894
We really should have insisted
on examining her.
727
00:26:49,895 --> 00:26:51,229
Okay, I got the head.
728
00:26:51,230 --> 00:26:53,565
Platelets are these
tiny things in the blood
729
00:26:53,566 --> 00:26:55,108
that help it clot.
730
00:26:55,109 --> 00:26:58,570
And thrombocytopenia is fancy
for "low platelets,"
731
00:26:58,571 --> 00:27:00,989
which explains why your skin
bruises so easily.
732
00:27:00,990 --> 00:27:02,240
And what causes it?
733
00:27:02,241 --> 00:27:04,326
It's actually her immune system
734
00:27:04,327 --> 00:27:06,411
that's causing
the destruction of platelets.
735
00:27:06,412 --> 00:27:08,413
Sometimes it's a triggered response
736
00:27:08,414 --> 00:27:11,750
to, uh, an environmental factor
or virus.
737
00:27:11,751 --> 00:27:14,669
And what's the treatment?
What are you giving her?
738
00:27:14,670 --> 00:27:17,255
We'll be treating her
with high-dose steroids
739
00:27:17,256 --> 00:27:20,175
to suppress the immune system
and IV immunoglobulin,
740
00:27:20,176 --> 00:27:22,969
which reduces the destruction
of the platelets in the spleen.
741
00:27:22,970 --> 00:27:24,262
Can I go home?
742
00:27:24,263 --> 00:27:26,264
You're gonna have to stay
in the hospital
743
00:27:26,265 --> 00:27:27,932
for about three days
744
00:27:27,933 --> 00:27:30,268
to make sure
that the treatment is working.
745
00:27:30,269 --> 00:27:31,978
Okay. Okay.
746
00:27:31,979 --> 00:27:33,980
So when can she get
a room in the hospital?
747
00:27:33,981 --> 00:27:35,649
That is an excellent question.
748
00:27:35,650 --> 00:27:37,233
I'm going to see
if I can make that happen
749
00:27:37,234 --> 00:27:38,360
sooner rather than later,
750
00:27:38,361 --> 00:27:40,278
- but it might take a while.
- Okay.
751
00:27:40,279 --> 00:27:42,280
GPS says I should be there
by 11:00.
752
00:27:42,281 --> 00:27:45,116
Do you have any other
questions for me, ma'am?
753
00:27:45,117 --> 00:27:47,869
No. I'm sure I will,
but I'll let you go for now.
754
00:27:47,870 --> 00:27:49,204
Thank you, Benny.
755
00:27:49,205 --> 00:27:50,455
All right.
I'll see you when you get here.
756
00:27:50,456 --> 00:27:52,123
See you soon, baby. I love you.
757
00:27:52,124 --> 00:27:54,960
Bye, Mom. Love you too.
758
00:27:56,295 --> 00:27:58,129
There you are.
759
00:27:58,130 --> 00:27:59,464
And there you are.
760
00:27:59,465 --> 00:28:02,384
Don't try to charm me.
You promised to stay put.
761
00:28:02,385 --> 00:28:04,135
I was going to come right back.
762
00:28:04,136 --> 00:28:05,970
My backside is killing me.
763
00:28:05,971 --> 00:28:09,182
I need to keep moving,
or I get all achy and stiff.
764
00:28:09,183 --> 00:28:12,310
Well, I got you
this foam donut to sit on
765
00:28:12,311 --> 00:28:15,146
- while we wait for your X-rays.
- Hmm.
766
00:28:15,147 --> 00:28:17,649
Dr. Hazel Eyes, it says here
767
00:28:17,650 --> 00:28:22,570
that it's only supposed to take
an hour or two for an X-ray.
768
00:28:22,571 --> 00:28:25,490
Well, the patient passport
holiday edition
769
00:28:25,491 --> 00:28:27,200
would better reflect reality.
770
00:28:27,201 --> 00:28:29,494
It could be double that.
771
00:28:29,495 --> 00:28:31,287
There's no need for reality.
772
00:28:31,288 --> 00:28:33,581
We romantics...
773
00:28:33,582 --> 00:28:37,085
prefer la reve, the dream.
774
00:28:37,086 --> 00:28:38,712
We do, do we?
775
00:28:38,713 --> 00:28:40,797
Oui.
776
00:28:40,798 --> 00:28:44,092
♪ La mer qu'on voit danser ♪
777
00:28:44,093 --> 00:28:46,886
♪ Le long des golfes clairs ♪
778
00:28:46,887 --> 00:28:49,097
♪ A des reflets
d'argent, la mer ♪
779
00:28:49,098 --> 00:28:50,515
[LAUGHS] Right.
780
00:28:50,516 --> 00:28:54,060
♪ Des reflets
changeants sous la pluie ♪
781
00:28:54,061 --> 00:28:56,354
Hey, save a dance for me.
782
00:28:56,355 --> 00:28:58,940
Uh, yeah, okay, I will.
783
00:28:58,941 --> 00:29:00,358
- Dr. McKay?
- Yes.
784
00:29:00,359 --> 00:29:01,568
This is Gretchen Williams.
785
00:29:01,569 --> 00:29:03,445
- Actually, it's Lambdin.
- Ah.
786
00:29:03,446 --> 00:29:05,697
You called about my
ex-husband, Michael Williams.
787
00:29:05,698 --> 00:29:07,782
Yeah. Yes, yes. Thank you for coming in.
788
00:29:07,783 --> 00:29:10,076
You were, um, listed
as his emergency contact.
789
00:29:10,077 --> 00:29:11,453
Yeah, I don't know why.
790
00:29:11,454 --> 00:29:14,205
We have been divorced for years.
791
00:29:14,206 --> 00:29:15,540
Is he all right?
792
00:29:15,541 --> 00:29:18,710
He's... he's going
through a lot right now.
793
00:29:18,711 --> 00:29:20,421
Would you like to see him?
794
00:29:22,381 --> 00:29:23,631
Uh, okay.
795
00:29:23,632 --> 00:29:27,385
Leo, can you zoom in and please
hold it a little steadier?
796
00:29:27,386 --> 00:29:28,971
Okay.
797
00:29:31,182 --> 00:29:32,599
Okay.
798
00:29:32,600 --> 00:29:34,225
Atorvastatin.
799
00:29:34,226 --> 00:29:35,852
Simvastatin.
800
00:29:35,853 --> 00:29:37,145
Ezetimibe.
801
00:29:37,146 --> 00:29:39,689
Those are all
high-cholesterol medications.
802
00:29:39,690 --> 00:29:41,399
Can you go to the right?
803
00:29:41,400 --> 00:29:43,693
Lisinopril.
804
00:29:43,694 --> 00:29:45,695
Losartan. Propranolol.
805
00:29:45,696 --> 00:29:47,697
Wait, wait, that's it.
806
00:29:47,698 --> 00:29:49,240
Wendy's pile.
807
00:29:49,241 --> 00:29:50,408
Yellowish bottle,
808
00:29:50,409 --> 00:29:52,577
little, round blue pills,
just like I said.
809
00:29:52,578 --> 00:29:54,579
- Propranolol?
- Bingo, little lady.
810
00:29:54,580 --> 00:29:57,081
Okay, yeah, well, this makes
a lot of sense now.
811
00:29:57,082 --> 00:30:01,085
Um, propranolol is a
high-blood-pressure medication.
812
00:30:01,086 --> 00:30:03,922
Those are 20 milligrams each,
813
00:30:03,923 --> 00:30:06,090
and the starting dose is 40 mgs.
814
00:30:06,091 --> 00:30:07,926
How many pills did you take?
815
00:30:07,927 --> 00:30:10,762
No, ma'am. I-I went
just before I came here.
816
00:30:10,763 --> 00:30:12,472
Dad.
817
00:30:12,473 --> 00:30:15,266
Um... pill... how many pills
did you take?
818
00:30:15,267 --> 00:30:20,021
Oh, uh, I think four, maybe five.
819
00:30:20,022 --> 00:30:21,856
That is a lot. Okay.
820
00:30:21,857 --> 00:30:24,108
Full stomach, mind you.
821
00:30:24,109 --> 00:30:27,320
Well, um, the good news is,
it has a short half-life,
822
00:30:27,321 --> 00:30:29,948
so, um, we're gonna need to keep you
823
00:30:29,949 --> 00:30:31,616
for about four hours to monitor.
824
00:30:31,617 --> 00:30:33,868
But then you'll be able to rejoin
825
00:30:33,869 --> 00:30:35,870
for all the late-afternoon festivities.
826
00:30:35,871 --> 00:30:38,331
- All right.
- Whoo!
827
00:30:38,332 --> 00:30:40,083
- [MONITOR BEEPING RAPIDLY]
- Unit 3 and 4 running in.
828
00:30:40,084 --> 00:30:41,960
BP 84 over 56. Heart rate 112.
829
00:30:41,961 --> 00:30:43,753
Free fluid's much bigger than before.
830
00:30:43,754 --> 00:30:45,797
She's not turning the corner.
OR is holding a room.
831
00:30:45,798 --> 00:30:47,382
I'll let the husband know.
832
00:30:47,383 --> 00:30:48,716
Why did you guys wait
so long to check her?
833
00:30:48,717 --> 00:30:50,510
Good vitals in the field. No distress.
834
00:30:50,511 --> 00:30:51,845
She refused to sign in.
835
00:30:51,846 --> 00:30:53,221
You should have convinced her.
836
00:30:53,222 --> 00:30:54,639
20/20 hindsight. She was stable.
837
00:30:54,640 --> 00:30:55,682
Until she wasn't.
838
00:30:55,683 --> 00:30:57,475
Next time, I'll use
my X-ray vision goggles.
839
00:30:57,476 --> 00:30:59,477
Let's get her upstairs.
840
00:30:59,478 --> 00:31:02,230
Got to do an accu-check
on my DKA patient.
841
00:31:02,231 --> 00:31:04,065
Thanks for the backup.
842
00:31:04,066 --> 00:31:05,860
Anytime.
843
00:31:09,363 --> 00:31:12,074
Now, try and lift your arm, Mark.
844
00:31:14,034 --> 00:31:15,994
I'm trying. Can't do it.
845
00:31:15,995 --> 00:31:20,498
But you are getting stronger,
and your speech is improving.
846
00:31:20,499 --> 00:31:22,834
How did I lose so much potassium?
847
00:31:22,835 --> 00:31:26,129
You didn't lose it.
It got shifted into cells.
848
00:31:26,130 --> 00:31:28,381
When it comes back,
you'll return to normal.
849
00:31:28,382 --> 00:31:29,632
Where's Nancy?
850
00:31:29,633 --> 00:31:31,676
She had an injury to her
spleen right about here
851
00:31:31,677 --> 00:31:33,553
with some internal bleeding.
852
00:31:33,554 --> 00:31:34,929
Oh, God.
853
00:31:34,930 --> 00:31:36,306
She passed out from blood loss.
854
00:31:36,307 --> 00:31:38,558
We were able to transfuse her,
and she's now on her way
855
00:31:38,559 --> 00:31:40,768
to surgery to repair that damage.
856
00:31:40,769 --> 00:31:42,979
This is my fault.
857
00:31:42,980 --> 00:31:46,649
She was trying to... [SIGHS]
858
00:31:46,650 --> 00:31:51,112
She booked a trip for us, for me.
859
00:31:51,113 --> 00:31:54,032
I fought her the whole time.
I've been...
860
00:31:54,033 --> 00:31:57,076
[SIGHS]
861
00:31:57,077 --> 00:31:58,912
Please don't...
862
00:31:58,913 --> 00:32:01,873
oh, my God, please don't let her die.
863
00:32:01,874 --> 00:32:03,249
Please.
864
00:32:03,250 --> 00:32:06,003
I can assure you
that she is in excellent hands.
865
00:32:08,047 --> 00:32:09,756
Is this how it works?
866
00:32:09,757 --> 00:32:12,216
How what works?
867
00:32:12,217 --> 00:32:14,761
You think things are important...
868
00:32:14,762 --> 00:32:18,264
that everything's so important.
869
00:32:18,265 --> 00:32:20,434
And then you end up here and see.
870
00:32:23,479 --> 00:32:26,814
Yeah, that is how it works.
871
00:32:26,815 --> 00:32:29,734
No, it's a small hole.
872
00:32:29,735 --> 00:32:32,236
Like the size of a dime, right, Doc?
873
00:32:32,237 --> 00:32:34,697
Mm-hmm. Yeah, even smaller.
874
00:32:34,698 --> 00:32:36,741
It's a minor enough procedure
875
00:32:36,742 --> 00:32:39,327
that most patients go home the next day.
876
00:32:39,328 --> 00:32:40,411
And then?
877
00:32:40,412 --> 00:32:42,580
And then they'll know what it is
878
00:32:42,581 --> 00:32:43,831
and how to treat it.
879
00:32:43,832 --> 00:32:46,961
- Isn't that right?
- Yeah, exactly.
880
00:32:48,921 --> 00:32:51,881
I'm sorry that they called you.
881
00:32:51,882 --> 00:32:53,883
I never updated the form, I guess.
882
00:32:53,884 --> 00:32:56,011
No, no, it's okay. I'm...
883
00:32:57,596 --> 00:33:01,432
You know, they called, and I
was just kind of surprised.
884
00:33:01,433 --> 00:33:03,476
[BOTH CHUCKLE]
885
00:33:03,477 --> 00:33:05,229
Well, you didn't have to come.
886
00:33:06,939 --> 00:33:08,148
But I did.
887
00:33:11,652 --> 00:33:13,945
I heard you got married.
888
00:33:13,946 --> 00:33:15,613
Congratulations.
889
00:33:15,614 --> 00:33:17,366
Thank you.
890
00:33:19,284 --> 00:33:21,996
I hope he treats you well.
891
00:33:23,789 --> 00:33:25,874
You deserve to be happy.
892
00:33:29,044 --> 00:33:31,170
[SIGHS]
893
00:33:31,171 --> 00:33:35,383
I'm really sorry you're going
through this, Michael.
894
00:33:35,384 --> 00:33:37,593
Yeah.
895
00:33:37,594 --> 00:33:40,513
Me too.
896
00:33:40,514 --> 00:33:43,559
But you know me... I'm a survivor.
897
00:33:47,896 --> 00:33:52,442
Why don't I-I leave you guys
to talk for a few minutes?
898
00:33:52,443 --> 00:33:55,029
I have a patient to check on.
899
00:33:56,405 --> 00:33:58,407
- Sure.
- Yeah.
900
00:33:59,908 --> 00:34:02,368
Mr. Diaz should be improving
after 2 liters.
901
00:34:02,369 --> 00:34:03,828
Blood sugar?
902
00:34:03,829 --> 00:34:05,830
Down from 521 to 436.
903
00:34:05,831 --> 00:34:07,165
That's good, right?
904
00:34:07,166 --> 00:34:08,541
Moving in the right direction.
905
00:34:08,542 --> 00:34:10,710
Were you able to get ahold of your mom?
906
00:34:10,711 --> 00:34:13,004
Yes. She's on her way.
She doesn't have a car.
907
00:34:13,005 --> 00:34:15,423
She takes buses, so it takes longer.
908
00:34:15,424 --> 00:34:18,259
- I'm sorry.
- Don't be.
909
00:34:18,260 --> 00:34:21,846
Current insulin is 0.1 units
per kilo per hour.
910
00:34:21,847 --> 00:34:22,889
Next steps?
911
00:34:22,890 --> 00:34:24,557
Once the glucose is down to 250,
912
00:34:24,558 --> 00:34:27,226
reduce the insulin to
0.05 units per kilo per hour.
913
00:34:27,227 --> 00:34:28,853
Because you can normalize
the blood sugar
914
00:34:28,854 --> 00:34:31,314
before you clear the ketones,
and you don't get hypoglycemia.
915
00:34:31,315 --> 00:34:34,067
But as treatment continues,
you'll have to give IV dextrose
916
00:34:34,068 --> 00:34:36,527
to keep the blood glucose
in between 150 and 200
917
00:34:36,528 --> 00:34:37,820
while the insulin drip
clears the ketones.
918
00:34:37,821 --> 00:34:39,614
Obviously.
919
00:34:39,615 --> 00:34:41,366
I'm sorry, what?
920
00:34:43,077 --> 00:34:44,368
Got it.
921
00:34:44,369 --> 00:34:46,287
Duante, what are you doing
in there, son?
922
00:34:46,288 --> 00:34:47,747
I'm a rabbit,
923
00:34:47,748 --> 00:34:50,041
grabbing all the carrots
before the farmer gets me.
924
00:34:50,042 --> 00:34:51,667
Keep going.
925
00:34:51,668 --> 00:34:55,296
This is a Katz extractor
with a tiny balloon at the end.
926
00:34:55,297 --> 00:34:57,381
What we're gonna do is, we're
gonna slip it past the bead,
927
00:34:57,382 --> 00:34:59,008
inflate the balloon,
try to pull out the bead.
928
00:34:59,009 --> 00:35:01,219
- Is it painful?
- No, he's... he's numbed up.
929
00:35:01,220 --> 00:35:02,762
Made it to level three.
930
00:35:02,763 --> 00:35:04,138
And pretty distracted.
931
00:35:04,139 --> 00:35:06,390
Dad's gonna hold your head still, okay?
932
00:35:06,391 --> 00:35:08,976
- Look up.
- Okay.
933
00:35:08,977 --> 00:35:12,897
Now go back, perpendicular,
934
00:35:12,898 --> 00:35:14,983
below the turbinates.
935
00:35:16,318 --> 00:35:18,903
You guys ever hear of John O'Donohue?
936
00:35:18,904 --> 00:35:20,113
- Mm-mm.
- No.
937
00:35:20,114 --> 00:35:21,572
I've been reading him a lot lately.
938
00:35:21,573 --> 00:35:24,951
He's got this book of, um, blessings.
939
00:35:24,952 --> 00:35:27,245
And there's this one about fatherhood.
940
00:35:27,246 --> 00:35:29,956
Really stuck with me. [BEAD CLATTERS]
941
00:35:29,957 --> 00:35:32,375
Voilà. One red bead.
942
00:35:32,376 --> 00:35:34,794
Yeah? How's it go?
943
00:35:34,795 --> 00:35:38,673
The ending goes,
"May you be gentle and loving,
944
00:35:38,674 --> 00:35:40,591
"clear and sure.
945
00:35:40,592 --> 00:35:43,469
"May you trust in the unseen Providence
946
00:35:43,470 --> 00:35:45,805
"that has chosen you to be a family.
947
00:35:45,806 --> 00:35:49,892
"May you stand sure
on your ground and know
948
00:35:49,893 --> 00:35:53,187
"that every grace you need
will unfold before you
949
00:35:53,188 --> 00:35:55,690
like all the mornings of your life."
950
00:35:55,691 --> 00:35:57,775
Hmm. That's good.
951
00:35:57,776 --> 00:36:02,780
I'd add, support your woman
and pack good snacks.
952
00:36:02,781 --> 00:36:04,323
That's beautiful.
953
00:36:04,324 --> 00:36:07,285
And it turns out, there's
no handbook for fatherhood.
954
00:36:07,286 --> 00:36:11,289
So I will take all the wisdom I can.
955
00:36:11,290 --> 00:36:14,251
[BEAD CLATTERS] Blue bead out.
956
00:36:19,131 --> 00:36:20,673
Anything else?
957
00:36:20,674 --> 00:36:23,301
You tell me. I have my own report to do.
958
00:36:23,302 --> 00:36:24,385
Anything I left out?
959
00:36:24,386 --> 00:36:25,803
Labs are back on that kid.
960
00:36:25,804 --> 00:36:27,305
We'll follow up with Mr. Davis.
961
00:36:27,306 --> 00:36:30,184
Yeah, when Mr. Davis
comes off the ceiling.
962
00:36:33,187 --> 00:36:35,313
Jackson Davis...
963
00:36:35,314 --> 00:36:37,648
tox screen negative for cocaine,
964
00:36:37,649 --> 00:36:42,111
amphetamines, marijuana,
PCP, benzos, and opioids.
965
00:36:42,112 --> 00:36:44,405
- So no drugs in his system?
- Nope.
966
00:36:44,406 --> 00:36:46,699
Taser barbs on the back
of the victim's neck?
967
00:36:46,700 --> 00:36:48,160
Yep.
968
00:36:50,996 --> 00:36:53,122
Changes things, Tony.
969
00:36:53,123 --> 00:36:54,749
- Hey, Louie.
- [GROANS]
970
00:36:54,750 --> 00:36:57,543
- How we doing?
- Not so good.
971
00:36:57,544 --> 00:36:59,879
I could really use a drink.
972
00:36:59,880 --> 00:37:02,548
I f-feel a-a little empty.
973
00:37:02,549 --> 00:37:04,133
Okay, well, empty is what we want.
974
00:37:04,134 --> 00:37:06,219
And it looks like we are there.
975
00:37:06,220 --> 00:37:09,680
Hey, well, if I can't get
a drink, my tooth.
976
00:37:09,681 --> 00:37:11,182
You... you got to do something.
977
00:37:11,183 --> 00:37:12,350
We're gonna get right to that.
978
00:37:12,351 --> 00:37:16,103
Let's hang some IV antibiotics,
3 grams of Unasyn.
979
00:37:16,104 --> 00:37:18,189
Excellent.
980
00:37:18,190 --> 00:37:19,398
He's gonna be right back.
981
00:37:19,399 --> 00:37:20,858
We're gonna numb it up and drain it.
982
00:37:20,859 --> 00:37:22,693
- Ten minutes, tops, okay?
- Oh.
983
00:37:22,694 --> 00:37:25,238
Hey, uh, you said you met Mr. Zambelli,
984
00:37:25,239 --> 00:37:27,365
the fireworks guy, on the field.
985
00:37:27,366 --> 00:37:28,366
What field was that?
986
00:37:28,367 --> 00:37:32,036
Uh, n-no more talking.
You got to fix my tooth.
987
00:37:32,037 --> 00:37:33,704
Yeah, deal.
988
00:37:33,705 --> 00:37:35,374
[GRUNTS]
989
00:37:39,795 --> 00:37:42,463
You're Muslim?
990
00:37:42,464 --> 00:37:45,049
I am.
991
00:37:45,050 --> 00:37:46,550
Thank you.
992
00:37:46,551 --> 00:37:48,470
Oh, for what?
993
00:37:49,763 --> 00:37:52,181
After the shooting, it was the Muslims
994
00:37:52,182 --> 00:37:55,685
that came together for us
in support and...
995
00:37:55,686 --> 00:37:57,478
walked with us.
996
00:37:57,479 --> 00:37:59,105
You raised money.
997
00:37:59,106 --> 00:38:00,856
You...
998
00:38:00,857 --> 00:38:03,734
paid for all the funerals.
999
00:38:03,735 --> 00:38:06,320
Anyway...
1000
00:38:06,321 --> 00:38:07,780
thank you. [DOOR OPENS]
1001
00:38:07,781 --> 00:38:10,908
Hello. How's it going in here?
1002
00:38:10,909 --> 00:38:12,785
Did I miss all the gross stuff?
1003
00:38:12,786 --> 00:38:14,829
- Timed it perfectly.
- Excellent.
1004
00:38:14,830 --> 00:38:17,164
My job is all about delegation
and time management.
1005
00:38:17,165 --> 00:38:19,458
- Oh, not for much longer.
- That is very true.
1006
00:38:19,459 --> 00:38:21,085
W-why for not longer?
1007
00:38:21,086 --> 00:38:24,088
Because tomorrow I am leaving
to go on sabbatical.
1008
00:38:24,089 --> 00:38:27,300
He's leaving us for
three months on a motorcycle.
1009
00:38:27,301 --> 00:38:29,927
Motorcycle? You're joking.
1010
00:38:29,928 --> 00:38:32,638
- Why would you do this?
- Why? Why?
1011
00:38:32,639 --> 00:38:34,849
- Why? Because...
- You're middle-aged man.
1012
00:38:34,850 --> 00:38:36,600
Don't be stupid.
1013
00:38:36,601 --> 00:38:38,561
Don't hold back.
Tell me how you really feel.
1014
00:38:38,562 --> 00:38:41,147
Forgive me for being blunt,
Dr. Robinavitch,
1015
00:38:41,148 --> 00:38:43,774
but how old are you, huh... 50?
1016
00:38:43,775 --> 00:38:45,818
- Ish.
- Ish.
1017
00:38:45,819 --> 00:38:49,822
50-ish-year-old man on a motorcycle...
1018
00:38:49,823 --> 00:38:50,823
very sad.
1019
00:38:50,824 --> 00:38:52,533
[LAUGHTER]
1020
00:38:52,534 --> 00:38:55,579
[INDISTINCT CHATTER]
1021
00:39:01,960 --> 00:39:03,712
I, um...
1022
00:39:05,505 --> 00:39:07,798
I-I-I don't know what to say.
1023
00:39:07,799 --> 00:39:10,134
Have you ever heard of ITP?
1024
00:39:10,135 --> 00:39:11,136
I never did.
1025
00:39:13,305 --> 00:39:15,514
I really appreciate you
bringing her here, okay?
1026
00:39:15,515 --> 00:39:17,808
Of course. What do you think I am?
1027
00:39:17,809 --> 00:39:19,143
Oh, that's right.
1028
00:39:19,144 --> 00:39:20,811
You think I'm some kind of child abuser.
1029
00:39:20,812 --> 00:39:22,480
- No, I never said that...
- The fuck you didn't.
1030
00:39:22,481 --> 00:39:24,523
In front of all those people,
you made it sound like
1031
00:39:24,524 --> 00:39:25,691
she might have been getting hurt
1032
00:39:25,692 --> 00:39:27,985
while I was watching her,
like it was my fault.
1033
00:39:27,986 --> 00:39:29,236
You basically said
the same thing about me.
1034
00:39:29,237 --> 00:39:30,905
No, I said that you guys roughhouse...
1035
00:39:30,906 --> 00:39:32,531
that's all... because you do.
1036
00:39:32,532 --> 00:39:34,742
You know I would never hurt my daughter.
1037
00:39:34,743 --> 00:39:36,827
Actually, I don't.
1038
00:39:36,828 --> 00:39:39,747
I've known you six months.
You could be anybody.
1039
00:39:39,748 --> 00:39:41,832
Okay, well, I am sorry
for what I said, okay?
1040
00:39:41,833 --> 00:39:43,542
I was upset, and I-I was worried.
1041
00:39:43,543 --> 00:39:45,086
And I just... I said something stupid.
1042
00:39:45,087 --> 00:39:46,420
- And I just...
- You think?
1043
00:39:46,421 --> 00:39:47,671
Will you just fucking let me finish?
1044
00:39:47,672 --> 00:39:49,799
You are finished!
1045
00:39:49,800 --> 00:39:50,926
We're finished.
1046
00:39:53,095 --> 00:39:54,804
Well, happy fucking Fourth of July.
1047
00:39:54,805 --> 00:39:56,098
Yeah, happy Independence Day.
1048
00:39:58,266 --> 00:40:01,185
[INDISTINCT CHATTER]
1049
00:40:01,186 --> 00:40:03,938
Excuse me? [GRUNTS]
1050
00:40:03,939 --> 00:40:05,898
Yes? What can I do for you?
1051
00:40:05,899 --> 00:40:08,109
Uh, my wife and I were in an accident.
1052
00:40:08,110 --> 00:40:11,487
Um, she's in surgery right now.
1053
00:40:11,488 --> 00:40:13,447
Would you mind holding
my phone up for me
1054
00:40:13,448 --> 00:40:15,908
so I could record a message for her?
1055
00:40:15,909 --> 00:40:17,576
Of course I will.
1056
00:40:17,577 --> 00:40:18,577
Happy to.
1057
00:40:18,578 --> 00:40:21,372
Oh, good, I have the same one.
1058
00:40:21,373 --> 00:40:23,125
I know how this works.
1059
00:40:25,085 --> 00:40:27,378
Okay.
1060
00:40:27,379 --> 00:40:28,546
Ready?
1061
00:40:28,547 --> 00:40:30,881
- Go.
- [CLEARS THROAT]
1062
00:40:30,882 --> 00:40:32,049
[SIGHS]
1063
00:40:32,050 --> 00:40:34,218
Hi, my love.
1064
00:40:34,219 --> 00:40:37,054
[CLEARS THROAT] So, uh...
1065
00:40:37,055 --> 00:40:41,058
I was listening
to this couple argue, uh...
1066
00:40:41,059 --> 00:40:42,893
and they were yelling.
1067
00:40:42,894 --> 00:40:45,439
Both so angry.
1068
00:40:47,357 --> 00:40:52,027
And I just wanted you to know, um...
1069
00:40:52,028 --> 00:40:54,029
that I was wrong.
1070
00:40:54,030 --> 00:40:58,909
I was so wrong, and...
and I'm sorry about all of it.
1071
00:40:58,910 --> 00:41:00,370
Uh...
1072
00:41:02,080 --> 00:41:03,622
Hey.
1073
00:41:03,623 --> 00:41:05,583
- How you doing?
- [SIGHS]
1074
00:41:05,584 --> 00:41:07,626
I haven't seen him in, like, four years.
1075
00:41:07,627 --> 00:41:10,463
Oh. I can't imagine.
1076
00:41:10,464 --> 00:41:12,631
- That must have been...
- So crazy.
1077
00:41:12,632 --> 00:41:14,925
You know, things were not good
at the end.
1078
00:41:14,926 --> 00:41:17,470
He was a really different person.
1079
00:41:17,471 --> 00:41:21,932
Huge temper, not like
when we first got married.
1080
00:41:21,933 --> 00:41:23,852
I'm so sorry.
1081
00:41:25,145 --> 00:41:27,188
Could that mass
have been there for a while
1082
00:41:27,189 --> 00:41:30,316
and only recently got worse?
1083
00:41:30,317 --> 00:41:31,609
Yes.
1084
00:41:31,610 --> 00:41:34,445
Could it be responsible
for how much he changed?
1085
00:41:34,446 --> 00:41:36,655
You know, his... his moods and tempers?
1086
00:41:36,656 --> 00:41:40,868
He was... he was getting
into fights with strangers.
1087
00:41:40,869 --> 00:41:43,371
It's possible. [SIGHS]
1088
00:41:49,961 --> 00:41:51,421
Oh.
1089
00:41:53,757 --> 00:41:55,550
Thank you.
1090
00:41:57,719 --> 00:42:01,805
Um, unless he's asked you to change it,
1091
00:42:01,806 --> 00:42:05,142
would you please leave me as...
1092
00:42:05,143 --> 00:42:06,769
the emergency contact?
1093
00:42:06,770 --> 00:42:08,772
Yeah, absolutely.
1094
00:42:13,944 --> 00:42:17,238
[DOOR OPENS]
1095
00:42:17,239 --> 00:42:19,990
[SIGHS]
1096
00:42:19,991 --> 00:42:22,493
Okay, I'm sending Mrs. Kovalenko home
1097
00:42:22,494 --> 00:42:23,702
with burn dressing
1098
00:42:23,703 --> 00:42:25,829
but not before she turned my sabbatical
1099
00:42:25,830 --> 00:42:28,499
- into a midlife crisis.
- No comment.
1100
00:42:28,500 --> 00:42:30,501
- Wound check, two days.
- Got it.
1101
00:42:30,502 --> 00:42:32,086
What about Kylie, this little girl?
1102
00:42:32,087 --> 00:42:34,004
- She gone up yet?
- Hopefully soon.
1103
00:42:34,005 --> 00:42:36,215
Hey, we're starting to clear
some space around here.
1104
00:42:36,216 --> 00:42:38,342
- Yep.
- [TELEPHONE RINGING]
1105
00:42:38,343 --> 00:42:41,888
PTMC Charge Nurse.
Go ahead, Medic Command.
1106
00:42:43,431 --> 00:42:45,182
Is this a drill?
1107
00:42:45,183 --> 00:42:46,350
Is this a joke?
1108
00:42:46,351 --> 00:42:47,686
It's the Fourth of fucking July.
1109
00:42:52,691 --> 00:42:54,483
Got it. Thanks.
1110
00:42:54,484 --> 00:42:56,318
- What's up?
- Westbridge has a Code Black
1111
00:42:56,319 --> 00:42:58,237
and is closing to internal disaster.
1112
00:42:58,238 --> 00:43:00,281
Central's diverting all
their ambulance traffic to us.
1113
00:43:00,282 --> 00:43:02,408
- What's the issue?
- Comspec didn't say.
1114
00:43:02,409 --> 00:43:03,492
Shit, it could be anything
1115
00:43:03,493 --> 00:43:05,077
from a flooding toilet
to a power outage.
1116
00:43:05,078 --> 00:43:06,704
- How long?
- Didn't know.
1117
00:43:06,705 --> 00:43:09,039
A couple of doctors
probably got the holiday flu,
1118
00:43:09,040 --> 00:43:11,000
and they're understaffed.
1119
00:43:11,001 --> 00:43:12,585
[CHUCKLES]
1120
00:43:12,586 --> 00:43:15,879
How come? How long? How many?
1121
00:43:15,880 --> 00:43:17,965
Mm, mm, mm.
1122
00:43:17,966 --> 00:43:21,302
Sounds like a betting grid to me.
1123
00:43:21,303 --> 00:43:23,305
We are back.
1124
00:43:24,723 --> 00:43:27,209
Oh, I should have left last night.
1125
00:43:27,211 --> 00:43:31,243
Sync and corrections by btsix
www.addic7ed.com