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Sync and corrections by btsix
www.addic7ed.com'
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- The man is in his element.
- What's he doing?
3
00:00:20,228 --> 00:00:22,021
Age-old ritual, meant to capitalize
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off the unknown origins
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of Westbridge's current state
of affairs.
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Whoever guesses the reason they
went code black wins the pot.
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Ah, interesting.
We didn't do this at the VA.
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- You game?
- Of course.
9
00:00:34,200 --> 00:00:36,035
Now, how's this look to you?
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My wager is on flooding.
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They're going to be down for 3 hours,
12
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and we're going to get 20
of their patients.
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Put me down for flooding,
4 hours and 30 patients.
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Okay, okay, okay.
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Hey, Dr. Robby, looks like
you got some competition.
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Yes, it would appear that I do.
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All right, guys and gals, enough fun.
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We have people to take care of.
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You want to bring Langdon
back from triage
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for the extra hands?
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No, I do not.
I don't think that's necessary.
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We're doing just fine without him.
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You're the boss, boss.
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Daniel Ortiz,
tu licencia en el mostrador.
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Next.
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Hi. Uh, the doctor guy told me
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to put this mineral oil
on my eye for 20 minutes.
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That was 2 hours ago.
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We're really busy, but we'll get to you.
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- Oh, my God. Okay, when?
- I will check.
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Listen for your name to be called.
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- Thanks.
- Next.
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Excuse me.
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Uh, hi. I heard my brother
was brought here.
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- His name is Jackson Davis.
- Do you have ID?
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Yes, yes, um,
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I am his sister Jada Davis.
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I'm sorry. I just, uh...
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my friend told me that he was
brought in by campus police.
40
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There was some sort of fight
that broke out at his school.
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- Is he okay? Is he here?
- Don't know, hon.
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Can you just tell me
if he's a patient here?
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I'll check. Take a seat.
And I'll let you know.
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- Okay.
- Next.
45
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Is Harlow feeling lightheaded
or faint now?
46
00:02:00,954 --> 00:02:03,122
It's not as bad as it was before,
47
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but my head still hurts.
48
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And now my stomach does, too.
49
00:02:07,627 --> 00:02:10,880
Well, did she eat
before she took her ibuprofen?
50
00:02:12,048 --> 00:02:14,216
Ugh, it's not my...
51
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Breakfast is my least
favorite meal of the day.
52
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It's okay to look at me.
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I don't bite.
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I'm sorry.
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Um, we're going to get started
with some blood tests.
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Is that baby from
the bathroom going to be okay?
57
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She'll be fine.
58
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Uh, good news...
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nose swab came back negative for COVID,
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influenza, and RSV,
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but a lot of other viruses
can cause a cough.
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Lucky me.
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You can take off your mask.
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Pulse ox is at 91.
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Your oxygen level is down
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since we checked you an hour ago,
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and your temp is up to 102.4.
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Let's get you some Tylenol.
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Have you been outside today?
It's already stifling.
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00:03:03,349 --> 00:03:05,684
Could be heat-related,
but we're going to take you
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back to the big ER
for a full evaluation.
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Can't you just
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write me a prescription
for some medicine?
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I'm sure it's just a summer cold.
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- Got somewhere to be?
- Work.
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I know. It's Saturday.
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But I don't think I've had
a day off since...
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Well, your holiday weekend starts now.
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Hey, Javadi.
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What are you doing for your birthday?
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- Who told you?
- Word gets around.
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Nothing. I hate celebrating my birthday.
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You only turn 21 once.
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It's your birthday?
85
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Oh, that makes you a Cancer, right?
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I didn't peg you
for an astrology girlie.
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Yeah.
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Been spending too much time
around Santos.
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Yes, you have.
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I don't know how you guys do it.
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00:03:51,606 --> 00:03:54,191
Live together and work together?
92
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It's my cross to bear.
93
00:03:56,027 --> 00:03:58,695
It can't be as bad as having
to live with your parents.
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I don't know. I haven't lived
at home in years.
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- I kind of miss it.
- I can tell.
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You've been spending a lot
of time on that farm.
97
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"Farm"?
98
00:04:06,329 --> 00:04:08,288
Remember the burned farmer
who came in last year?
99
00:04:08,289 --> 00:04:10,457
Propane tank exploded,
he died in the ICU?
100
00:04:10,458 --> 00:04:12,292
Yeah, that was sad.
101
00:04:12,293 --> 00:04:14,086
Well, this guy has been playing house
102
00:04:14,087 --> 00:04:16,421
with his widow and their baby.
103
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Oh, that's messy.
104
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No.
105
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It's not like that, okay?
106
00:04:21,261 --> 00:04:22,928
I've been helping Amy out on the farm
107
00:04:22,929 --> 00:04:25,472
after her husband died,
and she is a friend.
108
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She's just a friend.
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Sure, just a friend, with farm benefits.
110
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What are farm benefits?
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00:04:31,729 --> 00:04:33,605
Oh, use your imagination.
112
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You ever see a milking machine?
113
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Oh, can we not talk about this, please?
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We're getting two runs rerouted
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from Westbridge already...
chest pain and belly pain.
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- Robby wants you three out back.
- Thank you.
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Come on.
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Dr. Santos, making progress
on your charting, I hope?
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Getting there.
120
00:04:49,789 --> 00:04:51,623
Deficient charts leave a gap
for the providers
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who give continuity of care
and delays hospital billing.
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Oh, I'd hate to delay billing.
123
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Timely documentation is essential.
124
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Let's fix this before end of shift.
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- I'm on it, boss.
- Good.
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00:05:07,557 --> 00:05:09,975
You wouldn't want to repeat
your R2 year again
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00:05:09,976 --> 00:05:11,853
because of this.
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Fuck.
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God, it's humid as shit out here.
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It is.
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What's going on at Westbridge?
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They're closed, so we're
covering their paramedic runs
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until they come back up.
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As if a holiday weekend wasn't enough.
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So, Dr. Al-Hashimi...
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Yes?
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Do we like her?
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She seems pretty cool so far.
139
00:05:37,920 --> 00:05:40,922
You're trying to gossip about
an attending with an attending?
140
00:05:40,923 --> 00:05:43,926
Dr. Robby doesn't mind. Do you?
141
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Oh, uh, that's a nice bike, by the way.
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00:05:48,514 --> 00:05:50,558
- Thank you.
- Yeah.
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00:05:52,769 --> 00:05:54,978
Pamela Perry, 48, abdominal pain
144
00:05:54,979 --> 00:05:58,023
with vomiting after eating
chilaquiles with fried eggs.
145
00:05:58,024 --> 00:06:01,276
BP 108 over 64, pulse 98, good sats.
146
00:06:01,277 --> 00:06:04,321
Okay, let's see how she feels
with some Zofran
147
00:06:04,322 --> 00:06:05,947
- and a liter wide open.
- Got it.
148
00:06:05,948 --> 00:06:08,200
- Yo, Whitaker.
- How are you feeling? OK?
149
00:06:08,201 --> 00:06:09,744
Not so good.
150
00:06:13,915 --> 00:06:15,707
- Who do we have here?
- Jean Samba...
151
00:06:15,708 --> 00:06:17,918
54, half an hour
of left-sided chest pain.
152
00:06:17,919 --> 00:06:21,213
History of hypertension,
on lisinopril and Crestor.
153
00:06:21,214 --> 00:06:22,923
Some relief with two nitro.
154
00:06:22,924 --> 00:06:25,342
Decent vitals, no STEMI on 12-lead.
155
00:06:25,343 --> 00:06:27,177
Gave him 324 of chewable aspirin.
156
00:06:27,178 --> 00:06:29,304
Okay, we're going to give you
a full evaluation, sir.
157
00:06:29,305 --> 00:06:32,474
Oh, if I am to die, God willing,
158
00:06:32,475 --> 00:06:34,810
I will see His pearly gates.
159
00:06:34,811 --> 00:06:36,186
What's the plan?
160
00:06:36,187 --> 00:06:37,646
Repeat 12-lead, check a troponin,
161
00:06:37,647 --> 00:06:38,980
admit for new onset angina.
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00:06:38,981 --> 00:06:40,649
Evaluate for PE, aortic dissection.
163
00:06:40,650 --> 00:06:42,567
- That goes without saying.
- Sounds good.
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I'm a minute behind you.
165
00:06:58,418 --> 00:07:00,085
And who do we have here?
166
00:07:00,086 --> 00:07:02,921
Vince Cole, 23, fell through
the skylight of a florist shop,
167
00:07:02,922 --> 00:07:04,589
10 feet down to a bunch of ferns.
168
00:07:04,590 --> 00:07:06,550
Complained of headache,
asking repetitive questions,
169
00:07:06,551 --> 00:07:08,218
and only responds to pain.
170
00:07:08,219 --> 00:07:09,761
Multiple lacs from the glass.
171
00:07:09,762 --> 00:07:13,932
BP, 118 over 72, pulse 98,
sats, 99 on 5 liters.
172
00:07:13,933 --> 00:07:15,350
No meds, no allergies.
173
00:07:15,351 --> 00:07:17,269
Hey, Vince, how'd you fall
through a skylight?
174
00:07:17,270 --> 00:07:18,603
Vince?
175
00:07:18,604 --> 00:07:20,147
Were you with him?
176
00:07:20,148 --> 00:07:22,190
Yeah, we were parkouring,
and he overshot a kong vault.
177
00:07:22,191 --> 00:07:23,442
What, like, jumping off of buildings?
178
00:07:23,443 --> 00:07:24,734
People still do that?
179
00:07:24,735 --> 00:07:25,777
It was almost an Olympic sport.
180
00:07:25,778 --> 00:07:28,281
Now we know why it isn't.
181
00:07:30,825 --> 00:07:32,242
Pupils are equal and reactive.
182
00:07:32,243 --> 00:07:34,077
- What do you got?
- A 10-foot fall, altered.
183
00:07:34,078 --> 00:07:36,121
- That's a long way down.
- 10 feet is the threshold
184
00:07:36,122 --> 00:07:38,331
for trauma center activation...
10 feet, 10% mortality.
185
00:07:38,332 --> 00:07:41,001
0%, anything over 0% is a concern.
186
00:07:41,002 --> 00:07:43,837
Somebody's annoying, and it's not me.
187
00:07:43,838 --> 00:07:46,673
Hey, you said two. You missed one.
188
00:07:46,674 --> 00:07:48,133
Sent you backup, didn't I?
189
00:07:48,134 --> 00:07:50,469
One, two, three.
190
00:07:50,470 --> 00:07:53,513
Okay. Thanks, guys. Good to see you.
191
00:07:53,514 --> 00:07:54,639
Get the EFAST.
192
00:07:54,640 --> 00:07:57,017
Ogilvie, Joy, GCS, please.
193
00:07:57,018 --> 00:07:59,186
Uh, open your eyes, sir.
194
00:07:59,187 --> 00:08:01,271
Two for eyes, two for verbal.
195
00:08:01,272 --> 00:08:03,148
Uh, good lung sliding bilaterally.
196
00:08:03,149 --> 00:08:05,901
Joy, finish GCS.
197
00:08:05,902 --> 00:08:08,653
Squeeze my hand.
198
00:08:08,654 --> 00:08:10,489
He gets a 4 for motor.
199
00:08:10,490 --> 00:08:14,910
Pulse ox 99, heart rate 102,
blood pressure 114 over 78.
200
00:08:14,911 --> 00:08:17,579
- And EFAST is negative.
- Music to my ears.
201
00:08:17,580 --> 00:08:19,372
Somebody shooting a documentary here?
202
00:08:19,373 --> 00:08:21,166
Whoa, whoa, whoa,
you can't film in here.
203
00:08:21,167 --> 00:08:23,001
We've got patient-privacy laws.
204
00:08:23,002 --> 00:08:24,711
- What happened to your hand?
- Cut it.
205
00:08:24,712 --> 00:08:27,923
Can somebody show Spielberg
here out to the waiting room
206
00:08:27,924 --> 00:08:29,549
and get her registered
at triage, please?
207
00:08:29,550 --> 00:08:31,593
He's my creative partner...
I have his written consent
208
00:08:31,594 --> 00:08:33,386
to film everything for our TikTok page.
209
00:08:33,387 --> 00:08:34,971
Put the camera down.
210
00:08:34,972 --> 00:08:36,681
We have to drop this video
for the Fourth tonight.
211
00:08:36,682 --> 00:08:38,266
That literally means nothing to me.
212
00:08:38,267 --> 00:08:39,976
Seriously, Sean,
can you escort her out, please?
213
00:08:39,977 --> 00:08:41,853
Somebody will come and find you
once he's stabilized.
214
00:08:41,854 --> 00:08:43,271
Thank you.
215
00:08:43,272 --> 00:08:45,148
I would have let her stay
if she'd asked nicely.
216
00:08:45,149 --> 00:08:46,858
What is the, uh, story with surgery?
217
00:08:46,859 --> 00:08:48,610
You guys getting
any Westbridge transfers yet?
218
00:08:48,611 --> 00:08:50,237
Not yet, but I'm sure it's coming.
219
00:08:50,238 --> 00:08:52,781
Pan scan, head through pelvis.
Let's get him to CT ASAP.
220
00:08:52,782 --> 00:08:54,407
Absent gag.
221
00:08:54,408 --> 00:08:57,744
We need to intubate before CT.
222
00:08:57,745 --> 00:08:59,204
C-can I do it?
223
00:08:59,205 --> 00:09:00,622
Uh, I'm keeping a procedure log,
224
00:09:00,623 --> 00:09:02,457
and I need more intubations
on this rotation.
225
00:09:02,458 --> 00:09:04,793
If Dr. McKay wants to teach?
226
00:09:04,794 --> 00:09:06,545
Sure.
227
00:09:06,546 --> 00:09:08,213
Okay, uh, I need suction.
228
00:09:08,214 --> 00:09:11,132
8-oh tube, etomidate and sux,
end tidal CO2.
229
00:09:11,133 --> 00:09:12,551
Ambitious.
230
00:09:12,552 --> 00:09:15,053
He reminds me of someone
I know very well.
231
00:09:17,557 --> 00:09:19,474
Can you not?
232
00:09:19,475 --> 00:09:20,809
Yeah, sorry.
233
00:09:20,810 --> 00:09:22,811
Hot off the press.
234
00:09:22,812 --> 00:09:24,229
Okay.
235
00:09:24,230 --> 00:09:27,900
No STEMI, doesn't need
to go right to the cath lab.
236
00:09:29,860 --> 00:09:31,152
And orders are in.
237
00:09:31,153 --> 00:09:32,445
Whitaker, try another nitro
238
00:09:32,446 --> 00:09:34,072
and let me know
when the troponin's back.
239
00:09:34,073 --> 00:09:36,533
Yeah. Hey, hey, Jesse?
240
00:09:36,534 --> 00:09:38,285
Do you think you could repeat this
241
00:09:38,286 --> 00:09:41,288
but with the chest leads on his back?
242
00:09:41,289 --> 00:09:42,747
Why?
243
00:09:42,748 --> 00:09:45,584
T Waves are kind of high
with ST depression anterior.
244
00:09:45,585 --> 00:09:47,294
We see ST depression all the time.
245
00:09:47,295 --> 00:09:49,879
Yeah, but it could be a posterior MI.
246
00:09:49,880 --> 00:09:51,423
All right, run it by the attending.
247
00:09:51,424 --> 00:09:53,049
If they agree, we'll do it.
248
00:09:53,050 --> 00:09:54,676
Thank you.
249
00:09:54,677 --> 00:09:58,263
Uh, Victoria, if his CT's
normal, he'll need an LP.
250
00:09:58,264 --> 00:10:00,348
Got it.
251
00:10:00,349 --> 00:10:01,516
Dr. Al-Hashimi.
252
00:10:01,517 --> 00:10:04,102
This is Jada Davis, Jackson's sister.
253
00:10:04,103 --> 00:10:06,438
- Oh, thank you. Hi.
- Is he okay?
254
00:10:06,439 --> 00:10:07,939
And why is he asleep?
255
00:10:07,940 --> 00:10:10,275
Well, he was uncooperative
when he first arrived
256
00:10:10,276 --> 00:10:13,278
- and needed to be sedated.
- "Uncooperative"?
257
00:10:13,279 --> 00:10:16,448
That doesn't make any sense.
What happened?
258
00:10:16,449 --> 00:10:18,617
We're still trying
to piece the story together.
259
00:10:18,618 --> 00:10:20,702
He was brought in
by a campus security guard
260
00:10:20,703 --> 00:10:22,537
who Tased him after he was allegedly...
261
00:10:22,538 --> 00:10:24,122
- "Tased him"?
- Combative and violent.
262
00:10:24,123 --> 00:10:25,665
Wait, what do you mean, Tased him?
263
00:10:25,666 --> 00:10:27,459
We've treated his injury,
and now we're trying
264
00:10:27,460 --> 00:10:30,295
to understand why he was so agitated.
265
00:10:30,296 --> 00:10:32,172
Okay, this doesn't
sound like my brother.
266
00:10:32,173 --> 00:10:33,882
Well, his drug screen
came back negative,
267
00:10:33,883 --> 00:10:36,051
so now we're taking Jackson
to get a CT scan of his brain
268
00:10:36,052 --> 00:10:38,470
- to look for any abnormalities.
- Can I go with him?
269
00:10:38,471 --> 00:10:40,055
You can't go into the CT,
270
00:10:40,056 --> 00:10:42,599
but you can wait for him to come back.
271
00:10:42,600 --> 00:10:45,894
And then we can discuss next steps.
272
00:10:45,895 --> 00:10:48,063
Okay.
273
00:10:48,064 --> 00:10:49,814
Just did my first ER intubation.
274
00:10:49,815 --> 00:10:51,566
- That's great, man.
- Such a prick.
275
00:10:51,567 --> 00:10:53,151
- You got a second?
- What's up?
276
00:10:53,152 --> 00:10:55,654
12-lead on my chest-pain
patient shows no STEMI,
277
00:10:55,655 --> 00:10:59,699
but the anterior leads might be
suspicious for a posterior MI?
278
00:10:59,700 --> 00:11:01,701
Uh... agreed.
279
00:11:01,702 --> 00:11:03,662
Yeah, I was going to repeat,
but with the chest leads
280
00:11:03,663 --> 00:11:05,246
- on the back.
- V7 through V9.
281
00:11:05,247 --> 00:11:07,041
- Good idea.
- Thank you.
282
00:11:09,835 --> 00:11:12,170
Hey, Dr. Robby gave the
go-ahead for the back leads.
283
00:11:12,171 --> 00:11:14,005
Sorry, man, I got a call report
284
00:11:14,006 --> 00:11:16,549
on a septic patient going to the ICU.
285
00:11:16,550 --> 00:11:18,176
Busy today, huh?
286
00:11:18,177 --> 00:11:20,428
Uh, well, it's 10:15.
287
00:11:20,429 --> 00:11:22,514
We're actually just getting started.
288
00:11:22,515 --> 00:11:24,015
- Oh.
- There she is.
289
00:11:24,016 --> 00:11:28,353
Dr. Mohan, uh, this is
Lorrie Diaz, Orlando's wife.
290
00:11:28,354 --> 00:11:29,854
- Thank you, Perlah.
- Thank you.
291
00:11:29,855 --> 00:11:31,022
- Hi, Mrs. Diaz.
- Hi.
292
00:11:31,023 --> 00:11:32,774
Let me take you to your husband.
293
00:11:32,775 --> 00:11:34,401
Ay, mi amor.
294
00:11:34,402 --> 00:11:36,736
I'm sorry you have to be here alone.
295
00:11:36,737 --> 00:11:39,948
I missed my first bus transfer and...
296
00:11:39,949 --> 00:11:42,033
Anyway...
297
00:11:42,034 --> 00:11:43,034
Hey.
298
00:11:43,035 --> 00:11:45,245
How'd I get here?
299
00:11:45,246 --> 00:11:46,913
You fell at your construction site.
300
00:11:46,914 --> 00:11:48,623
A coworker brought you in.
301
00:11:48,624 --> 00:11:50,834
He's a lot better
but doesn't remember anything.
302
00:11:50,835 --> 00:11:54,212
That's common after a concussion or DKA.
303
00:11:54,213 --> 00:11:55,839
DKA?
304
00:11:55,840 --> 00:11:59,134
It's a serious complication
of your husband's diabetes.
305
00:11:59,135 --> 00:12:01,094
How serious? Can he go home?
306
00:12:01,095 --> 00:12:03,555
We still have to clear the
ketones from his bloodstream.
307
00:12:03,556 --> 00:12:06,474
He'll need to be
on an insulin drip for a while
308
00:12:06,475 --> 00:12:08,893
until things get back to normal.
309
00:12:08,894 --> 00:12:12,230
Best if he stays in the hospital.
310
00:12:12,231 --> 00:12:13,732
It's okay, Mom.
311
00:12:13,733 --> 00:12:15,984
Things are headed in
the right direction, Mrs. Diaz.
312
00:12:15,985 --> 00:12:18,403
- He's going to be better.
- Mm.
313
00:12:20,740 --> 00:12:23,241
Sorry. I got to check his blood sugar.
314
00:12:23,242 --> 00:12:25,911
- Oh, do you mind?
- Absolutely.
315
00:12:26,996 --> 00:12:30,123
So the thing is...
316
00:12:30,124 --> 00:12:32,751
we don't have health insurance.
317
00:12:32,752 --> 00:12:34,127
So...
318
00:12:34,128 --> 00:12:37,505
I don't think that we can afford this.
319
00:12:37,506 --> 00:12:41,176
I'll have our case manager,
Noelle Hastings, come by.
320
00:12:41,177 --> 00:12:43,428
She's an expert in health insurance.
321
00:12:43,429 --> 00:12:46,139
She might have some options
for you for coverage.
322
00:12:46,140 --> 00:12:47,807
- Okay.
- Thank you.
323
00:12:52,646 --> 00:12:54,856
- Crap.
- What's wrong?
324
00:12:54,857 --> 00:12:57,734
Uh, some of the leads
aren't sticking here.
325
00:12:57,735 --> 00:12:59,861
Can I lay down now? I'm tired.
326
00:12:59,862 --> 00:13:01,571
Yeah, as soon as we're done here.
327
00:13:01,572 --> 00:13:04,324
Whitaker, Louie's all numb.
His tooth is ready for you.
328
00:13:04,325 --> 00:13:05,742
That's great.
329
00:13:05,743 --> 00:13:08,828
Hey, I'm having some trouble
here with adherence.
330
00:13:08,829 --> 00:13:10,789
Oh. Of course you are.
331
00:13:10,790 --> 00:13:12,624
Uh, try this.
332
00:13:12,625 --> 00:13:14,334
Oh, yeah. That makes sense.
333
00:13:14,335 --> 00:13:17,545
Uh, you think you could...
334
00:13:18,839 --> 00:13:21,007
Do you mind if I paint
some sticky stuff on you?
335
00:13:21,008 --> 00:13:22,300
Oh.
336
00:13:22,301 --> 00:13:25,970
If you must prolong
the inevitable, so be it.
337
00:13:25,971 --> 00:13:28,640
You'll get to lie down afterwards.
338
00:13:28,641 --> 00:13:30,475
No success with the mineral oil.
339
00:13:30,476 --> 00:13:32,644
That's what I said.
340
00:13:32,645 --> 00:13:34,395
So now what?
341
00:13:34,396 --> 00:13:35,814
You can wait one to two weeks
342
00:13:35,815 --> 00:13:38,066
for the superglue
to break down on its own.
343
00:13:38,067 --> 00:13:40,151
I'm hosting
a Fourth of July party tonight.
344
00:13:40,152 --> 00:13:42,362
You want me to show up like this?
345
00:13:42,363 --> 00:13:46,407
The other option is I trim
your eyelashes halfway down.
346
00:13:46,408 --> 00:13:49,244
That'll lower the strength of
the glue holding them together.
347
00:13:49,245 --> 00:13:51,621
Let's do that.
348
00:13:51,622 --> 00:13:53,833
Lie back, please.
349
00:13:57,503 --> 00:14:00,004
I need you to hold your head
perfectly still,
350
00:14:00,005 --> 00:14:01,548
keep your eye closed.
351
00:14:01,549 --> 00:14:04,217
My eye can't open. That's why I'm here.
352
00:14:04,218 --> 00:14:06,846
No, I mean, your other eye, too.
353
00:14:11,600 --> 00:14:13,351
Okay, here we go.
354
00:14:13,352 --> 00:14:15,436
Perfect, Mr. Samba.
355
00:14:15,437 --> 00:14:17,730
All good here.
356
00:14:17,731 --> 00:14:20,400
Feeling... dizzy.
357
00:14:20,401 --> 00:14:24,237
We'll put you down in a second.
358
00:14:24,238 --> 00:14:25,780
Holy shit.
359
00:14:25,781 --> 00:14:29,534
ST elevation, V7, V8, V9.
360
00:14:29,535 --> 00:14:32,203
- It's a posterior STEMI.
- What's that?
361
00:14:32,204 --> 00:14:34,205
It's the worst kind of heart attack.
362
00:14:34,206 --> 00:14:36,875
Mr. Samba.
363
00:14:36,876 --> 00:14:38,293
Mr. Samba!
364
00:14:38,294 --> 00:14:40,795
Hey, I could use
a second set of hands here!
365
00:14:40,796 --> 00:14:42,380
Pulseless V tach.
366
00:14:42,381 --> 00:14:44,632
Start compressions.
367
00:14:44,633 --> 00:14:46,426
Charging to 200.
368
00:14:49,013 --> 00:14:51,514
Clear.
369
00:14:51,515 --> 00:14:53,892
Okay, resume compressions.
370
00:14:53,893 --> 00:14:55,518
Code STEMI. It was posterior.
371
00:14:55,519 --> 00:14:57,020
Yeah, good call.
372
00:14:57,021 --> 00:14:59,689
- You put the defib pads on?
- Yeah, just in case.
373
00:14:59,690 --> 00:15:01,566
Hold compressions.
374
00:15:04,445 --> 00:15:06,946
- Normal sinus.
- All right.
375
00:15:06,947 --> 00:15:08,698
Got a strong pulse. Check the BP.
376
00:15:08,699 --> 00:15:11,034
All right, we'll prep him for cath lab.
377
00:15:12,328 --> 00:15:15,496
Hey, Mr. Samba, you're going to be okay.
378
00:15:15,497 --> 00:15:16,915
No pearly gates today.
379
00:15:16,916 --> 00:15:20,585
- Really good pickup, Whitaker.
- Thank you.
380
00:15:20,586 --> 00:15:22,629
Ah...
381
00:15:22,630 --> 00:15:24,797
Has a patient ever flirted with you?
382
00:15:24,798 --> 00:15:26,466
Sure. Why?
383
00:15:26,467 --> 00:15:28,760
There was this guy this morning...
384
00:15:28,761 --> 00:15:30,428
he turned out to be a criminal,
385
00:15:30,429 --> 00:15:32,263
but, yeah, it was a nice distraction
386
00:15:32,264 --> 00:15:33,431
from the deposition.
387
00:15:33,432 --> 00:15:34,766
You still worried about that?
388
00:15:34,767 --> 00:15:36,267
Yep. Yeah, counting down the hours.
389
00:15:36,268 --> 00:15:38,519
There are five left,
if you're wondering.
390
00:15:41,607 --> 00:15:43,066
Hi, Miss Ronson.
391
00:15:43,067 --> 00:15:44,317
Phylicia, please.
392
00:15:44,318 --> 00:15:45,902
Phylicia, I'm Dr. King.
393
00:15:45,903 --> 00:15:47,487
This is my colleague Dr. Santos.
394
00:15:47,488 --> 00:15:48,988
What brings you in today?
395
00:15:48,989 --> 00:15:51,407
I've had this pretty bad cough
for a few days now.
396
00:15:51,408 --> 00:15:52,659
Do you smoke?
397
00:15:52,660 --> 00:15:54,327
Are coughing up anything,
any chest pain?
398
00:15:54,328 --> 00:15:56,120
No, no, and no.
399
00:15:56,121 --> 00:15:58,331
I honestly think I picked it up at work.
400
00:15:58,332 --> 00:16:00,124
- It was going around.
- Oh, where do you work?
401
00:16:00,125 --> 00:16:02,877
- I'm in corporate at PNC Bank.
- Sit forward, please.
402
00:16:02,878 --> 00:16:04,587
It could be an office bug.
403
00:16:04,588 --> 00:16:07,967
Or I got it from the gym.
I'm there all the time.
404
00:16:12,179 --> 00:16:14,806
Do you have anything to ask, Dr. Santos?
405
00:16:14,807 --> 00:16:16,307
What?
406
00:16:16,308 --> 00:16:18,226
Do you have any questions
to ask our patient?
407
00:16:18,227 --> 00:16:20,144
Uh, no, I'm good.
408
00:16:20,145 --> 00:16:21,729
Okay. What'd you hear?
409
00:16:21,730 --> 00:16:24,023
Maybe some crackles at the right base.
410
00:16:24,024 --> 00:16:27,652
Okay, well, we're going
to need a chest X-ray
411
00:16:27,653 --> 00:16:28,903
to check your lungs.
412
00:16:28,904 --> 00:16:30,321
Will that take long?
413
00:16:30,322 --> 00:16:32,031
Maybe I can still make it to the office.
414
00:16:32,032 --> 00:16:34,742
It shouldn't.
415
00:16:34,743 --> 00:16:38,205
- You can go put the orders in.
- Yeah.
416
00:16:40,666 --> 00:16:43,501
- How are we doing in here?
- Oh, this is thrilling.
417
00:16:43,502 --> 00:16:46,254
Definitely worth $200,000
worth of student debt.
418
00:16:46,255 --> 00:16:47,630
Ha.
419
00:16:47,631 --> 00:16:49,298
Superficial ones get a steri-strip.
420
00:16:49,299 --> 00:16:51,300
Full thickness, try Dermabond.
421
00:16:51,301 --> 00:16:53,469
How can you tell
they need a suture, Joy?
422
00:16:53,470 --> 00:16:55,638
If the edges are
under significant tension.
423
00:16:55,639 --> 00:16:57,515
I didn't realize your name was Joy.
424
00:16:57,516 --> 00:17:00,101
I'm going to have to tell my
parents how trendy they were.
425
00:17:01,770 --> 00:17:04,272
CT head, neck, chest,
abdomen, and pelvis,
426
00:17:04,273 --> 00:17:06,357
- all normal on preliminary read.
- Lucky guy.
427
00:17:06,358 --> 00:17:07,817
Little bit of oozing.
428
00:17:07,818 --> 00:17:09,485
Uh, pressure for two minutes.
429
00:17:09,486 --> 00:17:12,113
Lidocaine and epi if that doesn't work.
430
00:17:12,114 --> 00:17:14,240
Are the admit orders in
for Surgical ICU?
431
00:17:14,241 --> 00:17:15,908
Fuck!
432
00:17:15,909 --> 00:17:17,201
What?
433
00:17:17,202 --> 00:17:19,704
- This.
- Ah.
434
00:17:19,705 --> 00:17:22,707
- Irrigation saline.
- It's just a small cut.
435
00:17:22,708 --> 00:17:24,751
It is a work-related blood exposure,
436
00:17:24,752 --> 00:17:26,586
which means you're a patient now.
437
00:17:26,587 --> 00:17:27,795
- Are you serious?
- Needle stick?
438
00:17:27,796 --> 00:17:29,380
Piece of glass.
439
00:17:29,381 --> 00:17:31,549
- Here you go.
- Thanks.
440
00:17:32,718 --> 00:17:34,385
No past records on this guy.
441
00:17:34,386 --> 00:17:36,387
We don't know HIV or hepatitis status.
442
00:17:36,388 --> 00:17:40,099
I'll put the orders in,
HIV antibody, Hep B surface,
443
00:17:40,100 --> 00:17:41,476
and Hep C.
444
00:17:41,477 --> 00:17:43,478
She needs post-exposure medication.
445
00:17:43,479 --> 00:17:44,812
Maybe not.
446
00:17:44,813 --> 00:17:47,231
For occupational exposure,
the rapid HIV test
447
00:17:47,232 --> 00:17:50,193
- takes an hour or two.
- Subcutaneous puncture wound.
448
00:17:50,194 --> 00:17:52,820
No risk of joint or tendon involvement.
449
00:17:52,821 --> 00:17:55,364
Elevate, pressure, and then a Band-Aid.
450
00:17:55,365 --> 00:17:57,408
Give yourself a dose of PEP if you want
451
00:17:57,409 --> 00:17:58,868
while you're waiting for results.
452
00:17:58,869 --> 00:18:00,536
Start a chart,
and I'll find another nurse
453
00:18:00,537 --> 00:18:01,788
for your blood draw.
454
00:18:01,789 --> 00:18:03,581
Great.
455
00:18:03,582 --> 00:18:05,958
Looks like we've got a couple
more diverted from Westbridge.
456
00:18:05,959 --> 00:18:07,960
Any estimate on their downtime?
457
00:18:07,961 --> 00:18:10,588
Not yet.
458
00:18:10,589 --> 00:18:12,465
Time to pull Dr. Langdon from triage?
459
00:18:12,466 --> 00:18:14,175
No, no. First day back.
460
00:18:14,176 --> 00:18:16,761
I want to let him
kind of ease into things.
461
00:18:16,762 --> 00:18:19,013
Understood. I'll keep an eye on it.
462
00:18:19,014 --> 00:18:21,099
Thank you very much.
463
00:18:21,100 --> 00:18:22,683
Thinking about changing your bet?
464
00:18:22,684 --> 00:18:25,144
I am just weighing my odds.
465
00:18:25,145 --> 00:18:29,107
Don't worry. I'll buy you
a drink with my winnings.
466
00:18:34,530 --> 00:18:36,280
Your brother should be back shortly.
467
00:18:36,281 --> 00:18:39,117
There was a little holdup at CT.
468
00:18:39,118 --> 00:18:41,452
Um, should I be worried?
469
00:18:41,453 --> 00:18:44,622
Let's wait and see
what his test results say.
470
00:18:44,623 --> 00:18:47,291
This is just, um...
471
00:18:47,292 --> 00:18:49,710
this just doesn't make any sense.
472
00:18:49,711 --> 00:18:51,838
It doesn't sound like my brother at all.
473
00:18:51,839 --> 00:18:54,632
He's the... the friendliest guy I know.
474
00:18:54,633 --> 00:18:56,926
He never even gets angry, barely yells.
475
00:18:56,927 --> 00:18:59,554
He's never had an episode
like this in the past?
476
00:18:59,555 --> 00:19:02,974
No, or not that I know of.
477
00:19:02,975 --> 00:19:05,143
He's in a great relationship.
478
00:19:05,144 --> 00:19:06,894
And he's in law school
479
00:19:06,895 --> 00:19:09,605
'cause he wants to help people.
480
00:19:09,606 --> 00:19:12,567
He always tells me that I should, um...
481
00:19:12,568 --> 00:19:14,861
follow my dreams,
482
00:19:14,862 --> 00:19:18,157
even if it means
my parents may disown me.
483
00:19:19,950 --> 00:19:21,492
Should I call them?
484
00:19:21,493 --> 00:19:24,495
I think that's a good idea.
485
00:19:24,496 --> 00:19:26,999
This... this could be pretty serious.
486
00:19:31,587 --> 00:19:33,755
- Thanks.
- Mm-hmm.
487
00:19:39,678 --> 00:19:42,263
The new radiologist is a hottie.
488
00:19:42,264 --> 00:19:43,848
Okay.
489
00:19:43,849 --> 00:19:45,266
Um...
490
00:19:45,267 --> 00:19:48,436
his head CT is normal, as
are his blood and urine tests.
491
00:19:48,437 --> 00:19:50,354
Then... then what's wrong with him?
492
00:19:50,355 --> 00:19:52,398
We're not, um, sure yet.
493
00:19:52,399 --> 00:19:55,109
There is another test... a-a spinal tap.
494
00:19:55,110 --> 00:19:56,819
This could be, um, an infection
495
00:19:56,820 --> 00:19:59,363
in the fluid that surrounds
the brain... viral encephalitis.
496
00:19:59,364 --> 00:20:01,699
Um, it can also cause...
497
00:20:01,700 --> 00:20:04,827
altered mental status and confusion.
498
00:20:04,828 --> 00:20:07,288
Can you treat it, if it is?
499
00:20:07,289 --> 00:20:08,665
Yes.
500
00:20:10,250 --> 00:20:11,334
Okay.
501
00:20:11,335 --> 00:20:13,085
Okay.
502
00:20:13,086 --> 00:20:15,421
I'll go find Dr. Al-Hashimi,
and... and we'll do it together.
503
00:20:15,422 --> 00:20:17,591
- Thank you.
- Of course.
504
00:20:21,470 --> 00:20:24,889
Just what we thought...
it's a fracture of your coccyx.
505
00:20:24,890 --> 00:20:26,390
It's your tailbone.
506
00:20:26,391 --> 00:20:28,726
Yeah, see, these pieces here
507
00:20:28,727 --> 00:20:31,896
should be lined up with that part here.
508
00:20:31,897 --> 00:20:33,898
- Do I need surgery?
- No.
509
00:20:33,899 --> 00:20:37,611
No, no, these heal pretty well,
but it'll take about six weeks.
510
00:20:39,071 --> 00:20:41,280
"Six weeks"?
511
00:20:41,281 --> 00:20:43,741
I have dinner dates every weekend.
512
00:20:43,742 --> 00:20:46,077
You can keep your...
513
00:20:46,078 --> 00:20:48,120
still keep your dinner plans.
514
00:20:48,121 --> 00:20:52,250
Dinner starts at Pino's,
the best Italian in town.
515
00:20:52,251 --> 00:20:53,584
Mm-hmm.
516
00:20:53,585 --> 00:20:55,836
A nightcap at my place usually follows,
517
00:20:55,837 --> 00:20:58,256
and then breakfast in bed.
518
00:20:58,257 --> 00:21:00,508
Ah, okay.
519
00:21:00,509 --> 00:21:01,968
Well, in that case, you might...
520
00:21:01,969 --> 00:21:04,679
you might need to take a little break.
521
00:21:04,680 --> 00:21:08,307
My greatest joy
in life is my social calendar.
522
00:21:08,308 --> 00:21:10,477
- Mm.
- Hmm?
523
00:21:15,190 --> 00:21:17,984
Is there something else you can do?
524
00:21:17,985 --> 00:21:21,362
W-well, there... there is a procedure
525
00:21:21,363 --> 00:21:23,614
to push the fragments back in place.
526
00:21:23,615 --> 00:21:26,617
- It could help it heal faster.
- Now we're talking.
527
00:21:26,618 --> 00:21:29,120
Yeah, but it'll hurt pretty
bad but only for a second.
528
00:21:29,121 --> 00:21:30,914
I can take it.
529
00:21:32,541 --> 00:21:34,041
Okay.
530
00:21:34,042 --> 00:21:36,503
Come here. Back in the gown.
531
00:21:46,471 --> 00:21:48,472
How's it going over here?
532
00:21:48,473 --> 00:21:50,767
Better now.
533
00:21:52,811 --> 00:21:54,896
Uh...
534
00:21:56,023 --> 00:22:00,151
Oh, the X-ray is back on your foot,
535
00:22:00,152 --> 00:22:02,695
and no fracture.
536
00:22:02,696 --> 00:22:06,240
So, um, ACE wrap,
ice, rest, and elevate,
537
00:22:06,241 --> 00:22:08,910
and you can take ibuprofen
if you need it.
538
00:22:10,245 --> 00:22:11,662
So that's it?
539
00:22:11,663 --> 00:22:13,664
Well, if it's... if it's
too painful to bear weight,
540
00:22:13,665 --> 00:22:16,959
we can give you crutches
to use for a day or two.
541
00:22:16,960 --> 00:22:19,253
So I won't be seeing you again.
542
00:22:19,254 --> 00:22:22,214
Uh...
543
00:22:22,215 --> 00:22:24,675
as a patient, no, but...
544
00:22:24,676 --> 00:22:27,261
it was nice meeting you, Brian.
545
00:22:27,262 --> 00:22:29,931
It was nice meeting you, too, Dr. McKay.
546
00:22:45,072 --> 00:22:47,865
You know, I was...
I was going to go check out
547
00:22:47,866 --> 00:22:51,410
a few of the art galleries
in Lawrenceville tonight.
548
00:22:51,411 --> 00:22:54,288
Have you been to that one
on 40th and Butler?
549
00:22:54,289 --> 00:22:56,791
No, I was, um, gonna go by.
550
00:22:56,792 --> 00:22:59,210
Maybe around 9:00?
551
00:22:59,211 --> 00:23:01,504
Okay.
552
00:23:01,505 --> 00:23:03,632
- Cool.
- Cool.
553
00:23:05,884 --> 00:23:07,968
Dude, I resuscitated that parkour guy
554
00:23:07,969 --> 00:23:09,178
and... and intubated a STEMI.
555
00:23:09,179 --> 00:23:10,513
I think I can handle this.
556
00:23:10,514 --> 00:23:12,765
It's best if you watch the first one.
557
00:23:12,766 --> 00:23:14,350
How's that tooth feeling?
558
00:23:14,351 --> 00:23:16,936
The whole side of my face is numb.
559
00:23:16,937 --> 00:23:19,355
That's how we like it.
560
00:23:19,356 --> 00:23:22,775
Okay, we've got a...
561
00:23:22,776 --> 00:23:24,860
a fluctuant gumline at...
562
00:23:24,861 --> 00:23:27,530
Tooth number 23, lateral incisor.
563
00:23:27,531 --> 00:23:31,075
- With an extension to an...
- Apical abscess.
564
00:23:31,076 --> 00:23:33,994
- Right again.
- Ah, the kid's smart.
565
00:23:33,995 --> 00:23:37,164
Hook up the Yankauer.
Get ready to retract the gum.
566
00:23:37,165 --> 00:23:39,750
Hey, Louie,
this is a temporary fix, okay?
567
00:23:39,751 --> 00:23:42,253
You're going to need to get
that tooth pulled by a dentist.
568
00:23:42,254 --> 00:23:44,130
Hey, you going to find me one?
569
00:23:44,131 --> 00:23:46,757
We can have you talk to Dylan.
570
00:23:46,758 --> 00:23:49,009
Is Dr. Collins around?
571
00:23:49,010 --> 00:23:51,512
Sister always helps me out.
572
00:23:51,513 --> 00:23:54,932
Uh, Dr. Collins finished her residency,
573
00:23:54,933 --> 00:23:57,810
took up a job in Portland
as an attending physician.
574
00:23:57,811 --> 00:23:59,019
"Portland"?
575
00:23:59,020 --> 00:24:01,021
Yeah, I think that's where she's from.
576
00:24:01,022 --> 00:24:02,314
She's adopting a baby.
577
00:24:02,315 --> 00:24:04,525
Wanted to be closer to her family.
578
00:24:04,526 --> 00:24:06,444
Well, that's a beautiful thing.
579
00:24:06,445 --> 00:24:09,489
- We're set.
- Okay. Ready?
580
00:24:10,991 --> 00:24:14,493
Okay, 3-cc syringe,
581
00:24:14,494 --> 00:24:18,497
20-gauge needle
entering at the juiciest part,
582
00:24:18,498 --> 00:24:21,042
aiming for the apex.
583
00:24:23,086 --> 00:24:25,045
- Send that for culture?
- No.
584
00:24:25,046 --> 00:24:26,589
Pen V.K. for a few days.
585
00:24:26,590 --> 00:24:28,841
Bugs in the mouth are old school.
586
00:24:28,842 --> 00:24:31,093
Ah, just like me.
587
00:24:32,721 --> 00:24:34,054
Both parents work,
588
00:24:34,055 --> 00:24:35,973
but neither of them
have health coverage?
589
00:24:35,974 --> 00:24:39,143
Orlando and his wife have
multiple part-time jobs
590
00:24:39,144 --> 00:24:41,228
that don't offer insurance.
591
00:24:41,229 --> 00:24:42,855
Can they qualify for Medicaid?
592
00:24:42,856 --> 00:24:45,733
Unfortunately, no, because
their combined annual income
593
00:24:45,734 --> 00:24:48,068
is over the Medicaid threshold
for a family of five.
594
00:24:48,069 --> 00:24:49,653
So they make too much money?
595
00:24:49,654 --> 00:24:51,822
And not enough at the same time.
596
00:24:51,823 --> 00:24:53,699
They live over the poverty line,
597
00:24:53,700 --> 00:24:57,661
and yet they are still living
paycheck to paycheck.
598
00:24:57,662 --> 00:24:59,497
I think their best option
599
00:24:59,498 --> 00:25:01,832
would be to buy private insurance
600
00:25:01,833 --> 00:25:03,709
through the Affordable Care Act.
601
00:25:03,710 --> 00:25:05,669
Thank you.
602
00:25:05,670 --> 00:25:08,547
My parents don't have insurance?
603
00:25:08,548 --> 00:25:10,508
I'm sorry, Ana.
604
00:25:10,509 --> 00:25:13,260
How much will it cost
to keep my dad in the hospital?
605
00:25:13,261 --> 00:25:15,888
I don't know.
606
00:25:15,889 --> 00:25:21,060
But the ER visit alone will
likely be in the thousands.
607
00:25:21,061 --> 00:25:24,731
We will figure something out, okay?
608
00:25:29,027 --> 00:25:30,736
Purple top for the CBC.
609
00:25:30,737 --> 00:25:33,697
Red top for chemistries and serologies.
610
00:25:33,698 --> 00:25:35,116
Okay.
611
00:25:36,743 --> 00:25:38,702
- Ready?
- Uh, yeah.
612
00:25:38,703 --> 00:25:42,540
I can be a hard stick, though.
613
00:25:42,541 --> 00:25:44,334
Now or never, hon.
614
00:25:45,710 --> 00:25:47,753
Okay.
615
00:25:47,754 --> 00:25:50,756
One, two...
616
00:25:50,757 --> 00:25:52,550
three.
617
00:25:52,551 --> 00:25:54,760
- Good blood return.
- Oh, thank God.
618
00:25:54,761 --> 00:25:56,137
Pop one on.
619
00:26:00,559 --> 00:26:02,726
You're supposed to release
the tourniquet now.
620
00:26:02,727 --> 00:26:04,813
Right. Sorry.
621
00:26:08,024 --> 00:26:09,942
Lab won't take it without your initials,
622
00:26:09,943 --> 00:26:11,360
time, and date drawn.
623
00:26:11,361 --> 00:26:12,820
- How you feeling?
- Peachy.
624
00:26:12,821 --> 00:26:16,365
Hopefully I get to do this
several times every day.
625
00:26:16,366 --> 00:26:17,951
All set.
626
00:26:19,160 --> 00:26:21,579
Keep some pressure here for a minute.
627
00:26:21,580 --> 00:26:23,790
Initials, time, and date.
628
00:26:25,667 --> 00:26:26,960
Oh.
629
00:26:29,588 --> 00:26:31,381
Shit.
630
00:26:32,966 --> 00:26:34,758
Environmental to North.
631
00:26:34,759 --> 00:26:37,052
Sorry.
632
00:26:37,053 --> 00:26:38,846
How is he?
633
00:26:38,847 --> 00:26:41,432
He's stable. He's doing great.
634
00:26:41,433 --> 00:26:44,184
Doesn't look great.
635
00:26:44,185 --> 00:26:45,769
Is there brain damage?
636
00:26:45,770 --> 00:26:48,939
The head CT showed
no bleeding or skull fracture.
637
00:26:48,940 --> 00:26:50,649
It's most likely a bad concussion.
638
00:26:50,650 --> 00:26:53,819
It's hard to know when
he'll regain consciousness.
639
00:26:53,820 --> 00:26:55,863
- Did he break any bones?
- We don't think so.
640
00:26:55,864 --> 00:26:58,449
He should thank those ferns.
641
00:26:58,450 --> 00:27:00,284
Uh, chest and abdomen CT scans
642
00:27:00,285 --> 00:27:02,828
also showed no major internal injuries.
643
00:27:02,829 --> 00:27:04,663
Mm-hmm.
644
00:27:04,664 --> 00:27:06,416
What's that?
645
00:27:09,753 --> 00:27:11,795
Whoa, whoa, whoa, whoa, whoa.
646
00:27:11,796 --> 00:27:14,633
We need respiratory therapy in here!
647
00:27:16,051 --> 00:27:17,593
Okay.
648
00:27:17,594 --> 00:27:20,137
One, two, three, over.
649
00:27:20,138 --> 00:27:21,597
You got a problem with the vent?
650
00:27:21,598 --> 00:27:22,973
No, he's bleeding from the back.
651
00:27:22,974 --> 00:27:24,391
Got to prone him to take a look.
652
00:27:24,392 --> 00:27:26,769
Back away, Tanya. One, two, three, up.
653
00:27:26,770 --> 00:27:28,604
One, two, three, over.
654
00:27:28,605 --> 00:27:30,522
- Good.
- Oh, shit.
655
00:27:30,523 --> 00:27:32,399
- Left-flank area.
- Careful. Careful, everybody.
656
00:27:32,400 --> 00:27:34,026
- There might be glass.
- That's a lot of blood.
657
00:27:34,027 --> 00:27:35,402
2-centimeter simple laceration.
658
00:27:35,403 --> 00:27:36,945
Open a suture kit, 4-0 Prolene.
659
00:27:36,946 --> 00:27:38,697
He wasn't bleeding
when we flipped him on arrival.
660
00:27:38,698 --> 00:27:40,532
No, but when we moved him around for CT,
661
00:27:40,533 --> 00:27:42,326
it might have rubbed off a clot.
662
00:27:42,327 --> 00:27:43,535
Slow venous oozing.
663
00:27:43,536 --> 00:27:45,996
I might need a figure of eight.
664
00:27:50,669 --> 00:27:52,753
Yeah, little piece of glass in there.
665
00:27:52,754 --> 00:27:54,421
It's just under the skin.
666
00:27:54,422 --> 00:27:56,215
- Is it a loose fragment?
- Yeah, I can wiggle it around.
667
00:27:56,216 --> 00:27:57,591
- Here, I'll pull it out.
- No, don't...
668
00:27:57,592 --> 00:27:59,009
Shit.
669
00:27:59,010 --> 00:28:01,011
Uh, that's... it's bigger
than I thought it would be.
670
00:28:01,012 --> 00:28:02,429
- Shit.
- That looks arterial.
671
00:28:02,430 --> 00:28:04,515
Can I get some 4-by-4s
over here, please?
672
00:28:04,516 --> 00:28:06,016
Oh, I'm going to be sick.
673
00:28:06,017 --> 00:28:07,518
Put some pressure
on this from all sides.
674
00:28:07,519 --> 00:28:08,686
Hard and deep, please.
675
00:28:08,687 --> 00:28:10,062
I can push it back in. BOTH: No!
676
00:28:10,063 --> 00:28:11,397
No, you've done enough damage.
677
00:28:11,398 --> 00:28:12,981
Should I keep pulling it out, then?
678
00:28:12,982 --> 00:28:15,401
Absolutely not. The glass
was tamponading a vessel.
679
00:28:15,402 --> 00:28:18,529
Not anymore. BP's down. Page surgery!
680
00:28:22,117 --> 00:28:25,119
- Ah, I was looking for you.
- Well, you found me.
681
00:28:25,120 --> 00:28:27,913
Um, the X-ray came back
on the lady with the cough.
682
00:28:27,914 --> 00:28:29,915
Weird infiltrate. Have you seen it yet?
683
00:28:29,916 --> 00:28:32,042
No, I've been trying
to catch up on my charting.
684
00:28:32,043 --> 00:28:33,585
Right here.
685
00:28:33,586 --> 00:28:35,838
Yep, stringy right lower lobe.
686
00:28:35,839 --> 00:28:38,757
It looks like aspiration pneumonia.
687
00:28:38,758 --> 00:28:40,175
Think about it.
688
00:28:40,176 --> 00:28:43,303
How do oral and gastric fluids
end up in lungs?
689
00:28:43,304 --> 00:28:46,223
Um, dysphagia, swallowing disorders.
690
00:28:46,224 --> 00:28:48,892
But she's not an old person
choking on their food.
691
00:28:48,893 --> 00:28:51,061
Right, and there's protracted vomiting.
692
00:28:51,062 --> 00:28:52,771
Okay, maybe recent gastroenteritis,
693
00:28:52,772 --> 00:28:54,565
food poisoning.
694
00:28:54,566 --> 00:28:56,734
Yeah, or...
695
00:28:56,735 --> 00:28:58,277
or...
696
00:28:58,278 --> 00:29:00,279
An eating disorder.
697
00:29:00,280 --> 00:29:02,072
You think she's bulimic?
698
00:29:02,073 --> 00:29:05,284
I mean, she's fixated on working out.
699
00:29:05,285 --> 00:29:08,954
Check the, uh, enamel
behind her front incisors.
700
00:29:08,955 --> 00:29:10,914
Um, oh, it's, uh...
701
00:29:10,915 --> 00:29:13,625
if it's not in the differential,
702
00:29:13,626 --> 00:29:16,712
it won't be in the diagnosis.
703
00:29:16,713 --> 00:29:18,088
You know that...
704
00:29:18,089 --> 00:29:20,967
Yeah, you know... you know that.
705
00:29:25,847 --> 00:29:27,264
Nice job on the tap.
706
00:29:27,265 --> 00:29:28,766
Thanks.
707
00:29:28,767 --> 00:29:32,144
Hi. You called for a consult
on Jackson Davis?
708
00:29:32,145 --> 00:29:33,771
Yes, we did.
709
00:29:33,772 --> 00:29:37,775
I'll let Victoria present the case.
710
00:29:37,776 --> 00:29:39,443
This is Jada, Jackson's sister.
711
00:29:39,444 --> 00:29:41,737
This is Dr. Jefferson from psychiatry.
712
00:29:41,738 --> 00:29:43,071
"Psychiatry"?
713
00:29:43,072 --> 00:29:44,782
Do you think this is
a mental-health problem?
714
00:29:44,783 --> 00:29:46,825
We thought it best
to cover all our bases.
715
00:29:46,826 --> 00:29:49,203
We'll know more
once I speak with your brother.
716
00:29:49,204 --> 00:29:51,164
Okay.
717
00:29:52,957 --> 00:29:55,459
Hi, Jackson.
718
00:29:55,460 --> 00:29:58,629
Jackson, can you wake up?
719
00:29:58,630 --> 00:30:01,090
- Jackson.
- They said he's sedated.
720
00:30:03,635 --> 00:30:05,929
I'll come back a little later.
721
00:30:07,806 --> 00:30:09,306
- Oh, that was fast.
- Yeah.
722
00:30:09,307 --> 00:30:11,975
Next time, maybe wait
until the patient wakes up
723
00:30:11,976 --> 00:30:13,519
before calling me down.
724
00:30:13,520 --> 00:30:14,895
Psychiatrists do best
725
00:30:14,896 --> 00:30:18,565
when we can actually talk
to our patients.
726
00:30:18,566 --> 00:30:20,651
I got a little ahead of myself.
727
00:30:20,652 --> 00:30:22,778
Um, will do.
728
00:30:22,779 --> 00:30:24,905
Thank you.
729
00:30:24,906 --> 00:30:26,907
Sorry.
730
00:30:26,908 --> 00:30:29,868
Pressure's up
with one unit type specific.
731
00:30:31,955 --> 00:30:33,747
What the fuck? He was stable.
732
00:30:33,748 --> 00:30:36,667
- Slight change in status.
- Okay, get the clamp ready.
733
00:30:36,668 --> 00:30:39,044
Who's the genius who pulled that out?
734
00:30:39,045 --> 00:30:41,046
I thought it was a loose fragment.
735
00:30:41,047 --> 00:30:43,090
Next time, leave
the decisions to the adults.
736
00:30:43,091 --> 00:30:45,426
Okay, Dr. McKay, ready to go?
737
00:30:49,889 --> 00:30:51,557
- Whoa.
- Hoo.
738
00:30:51,558 --> 00:30:52,891
Looks like an icicle.
739
00:30:52,892 --> 00:30:54,935
Christmas in July.
740
00:30:54,936 --> 00:30:57,855
Hey, Sophie, can you answer that?
741
00:30:57,856 --> 00:30:59,857
Okay, I am injecting the X-stat.
742
00:30:59,858 --> 00:31:00,858
- Hello?
- What is that?
743
00:31:00,859 --> 00:31:02,401
It's a syringe filled
744
00:31:02,402 --> 00:31:05,195
with tiny, rapid-expanding
hemostatic sponges.
745
00:31:05,196 --> 00:31:06,697
Okay, got it. Thanks.
746
00:31:06,698 --> 00:31:09,074
Radiology attending says
a resident missed something.
747
00:31:09,075 --> 00:31:10,701
There's a radiopaque foreign body
748
00:31:10,702 --> 00:31:13,036
in the left paralumbar musculature.
749
00:31:13,037 --> 00:31:14,371
Not anymore.
750
00:31:14,372 --> 00:31:16,248
Sounds like
"first week in July" syndrome.
751
00:31:16,249 --> 00:31:17,749
Mm-hmm.
752
00:31:17,750 --> 00:31:20,168
Okay.
753
00:31:20,169 --> 00:31:23,630
- That looks pretty dry.
- On the surface.
754
00:31:23,631 --> 00:31:26,258
Okay, let's turn him back down.
755
00:31:26,259 --> 00:31:30,095
Okay, one, two, three, over.
756
00:31:30,096 --> 00:31:32,764
One, two, three, flip.
757
00:31:32,765 --> 00:31:35,684
One, two, three, down.
758
00:31:35,685 --> 00:31:37,603
All right, CT is ready to rescan.
759
00:31:37,604 --> 00:31:39,521
Interventional radiology
is holding a room.
760
00:31:39,522 --> 00:31:41,982
Look at you... so on top of things.
761
00:31:41,983 --> 00:31:43,859
Hasta la próxima.
762
00:31:43,860 --> 00:31:46,194
How you doing over here?
763
00:31:46,195 --> 00:31:47,821
Definitely not great.
764
00:31:47,822 --> 00:31:50,115
Right, well, let's get you a ginger ale.
765
00:31:50,116 --> 00:31:53,118
So we never, ever remove
a deep foreign body in the ER.
766
00:31:53,119 --> 00:31:55,078
We always leave that to surgery.
767
00:31:55,079 --> 00:31:57,456
It won't happen again.
768
00:31:57,457 --> 00:32:00,083
I was just coming to find you.
769
00:32:00,084 --> 00:32:01,251
Sure you were.
770
00:32:01,252 --> 00:32:03,128
It's almost like you're avoiding me.
771
00:32:03,129 --> 00:32:04,504
Me? Never.
772
00:32:04,505 --> 00:32:06,131
No, I'm just having one
of those busy days,
773
00:32:06,132 --> 00:32:08,425
you know, living the dream,
saving America's tired,
774
00:32:08,426 --> 00:32:10,636
poor, huddled masses
yearning to breathe free.
775
00:32:10,637 --> 00:32:13,430
- You're a saint.
- I tell myself that every day.
776
00:32:13,431 --> 00:32:15,974
I heard you had a, uh, motorcycle crash
777
00:32:15,975 --> 00:32:18,977
- come through about an hour ago.
- Yeah.
778
00:32:18,978 --> 00:32:20,854
Couldn't save him.
779
00:32:20,855 --> 00:32:23,190
And, no, he was not wearing a helmet.
780
00:32:23,191 --> 00:32:24,816
Interesting.
781
00:32:24,817 --> 00:32:27,361
One motorcycle crash is not
going to scare me off my trip.
782
00:32:27,362 --> 00:32:29,321
I didn't say it should.
783
00:32:29,322 --> 00:32:32,574
I hope he died doing what he loved.
784
00:32:32,575 --> 00:32:35,369
That's... optimistic.
785
00:32:35,370 --> 00:32:37,664
"Glass half full" kind of guy.
786
00:32:39,165 --> 00:32:41,833
- I am not on your couch.
- I'm aware.
787
00:32:41,834 --> 00:32:44,461
- Conflict of interest here.
- Why? Because we're friends?
788
00:32:44,462 --> 00:32:47,547
Ooh, look at you, using the F word.
789
00:32:47,548 --> 00:32:49,007
That's growth.
790
00:32:49,008 --> 00:32:50,300
I use F words all the time.
791
00:32:50,301 --> 00:32:51,802
I guess this therapy must be working.
792
00:32:51,803 --> 00:32:54,304
Ah, I got somebody new for you.
793
00:32:54,305 --> 00:32:56,890
She takes no shit. You'll love her.
794
00:32:56,891 --> 00:32:58,183
I hope so.
795
00:32:58,184 --> 00:33:01,853
The last two have not
exactly been... my speed.
796
00:33:01,854 --> 00:33:05,148
Meaning what, empathetic?
797
00:33:05,149 --> 00:33:07,651
Look, sometimes it just takes
a little while
798
00:33:07,652 --> 00:33:09,486
to, you know, find the right fit.
799
00:33:09,487 --> 00:33:10,862
Well, it's going to have to wait,
800
00:33:10,863 --> 00:33:12,155
because I'm going
on my sabbatical tomorrow.
801
00:33:12,156 --> 00:33:13,699
There's always Zoom therapy.
802
00:33:13,700 --> 00:33:16,786
Motorcycle trip is zoom therapy.
803
00:33:18,746 --> 00:33:21,707
I'll bet somebody set off
fireworks in the shitter.
804
00:33:21,708 --> 00:33:24,084
How dumb is that?
805
00:33:24,085 --> 00:33:26,211
You think people are smart?
806
00:33:26,212 --> 00:33:28,506
Yeah.
807
00:33:30,383 --> 00:33:31,967
What's up, man?
808
00:33:31,968 --> 00:33:34,219
You want to get on the books?
809
00:33:34,220 --> 00:33:35,595
Uh, yeah.
810
00:33:35,596 --> 00:33:37,347
Yeah, yeah. May... maybe. Yeah.
811
00:33:37,348 --> 00:33:38,348
Hey, look here.
812
00:33:38,349 --> 00:33:40,100
I only take real money,
813
00:33:40,101 --> 00:33:42,102
none of that "I owe you" bullshit.
814
00:33:43,688 --> 00:33:45,272
Okay, I have money, okay?
815
00:33:45,273 --> 00:33:48,567
My first direct deposit
finally hit, so...
816
00:33:48,568 --> 00:33:50,736
Nice. Hmm.
817
00:33:50,737 --> 00:33:54,239
Put me down for $40...
818
00:33:54,240 --> 00:33:56,700
for power outage.
819
00:33:56,701 --> 00:33:58,744
Nice.
820
00:33:58,745 --> 00:34:01,371
We got a big baller on our hands.
821
00:34:01,372 --> 00:34:03,040
- Congrats, Doctor.
- Thank you.
822
00:34:03,041 --> 00:34:04,916
I like this side of you, man.
823
00:34:04,917 --> 00:34:07,627
- Any improvement?
- No.
824
00:34:07,628 --> 00:34:09,254
What kind of super glue did you use?
825
00:34:09,255 --> 00:34:12,215
Does it matter?
My eye is still fucking shut.
826
00:34:12,216 --> 00:34:14,051
Okay, there's one other thing I can try.
827
00:34:14,052 --> 00:34:16,053
No. I'm done. I asked for Dr. J earlier,
828
00:34:16,054 --> 00:34:18,138
and I would like to see her now.
829
00:34:18,139 --> 00:34:20,057
I haven't been
in the hospital for a while.
830
00:34:20,058 --> 00:34:21,892
I don't know a Dr. J.
831
00:34:21,893 --> 00:34:25,354
She's one of the best doctors
in Pittsburgh.
832
00:34:30,151 --> 00:34:33,445
Oh, Dr. J.
833
00:34:33,446 --> 00:34:34,571
Hmm.
834
00:34:34,572 --> 00:34:36,656
- Do what you must, milady.
- Mm-hmm.
835
00:34:36,657 --> 00:34:40,577
Okay, first, I need to get
a good grip for the reduction.
836
00:34:40,578 --> 00:34:42,871
Uh-huh.
837
00:34:42,872 --> 00:34:44,372
Here we go.
838
00:34:44,373 --> 00:34:45,999
Try to relax.
839
00:34:46,000 --> 00:34:49,044
Deep breath, with your mouth open.
840
00:34:49,045 --> 00:34:50,462
Not how I imagined
841
00:34:50,463 --> 00:34:52,964
our first intimate encounter.
842
00:34:52,965 --> 00:34:56,051
Okay, got it.
843
00:34:56,052 --> 00:34:58,762
Now, on three, okay?
844
00:34:58,763 --> 00:35:00,806
One...
845
00:35:00,807 --> 00:35:04,101
Ah! Motherfucker.
846
00:35:04,102 --> 00:35:06,645
Ho-ho! You said "on three."
847
00:35:06,646 --> 00:35:07,854
I... I know.
848
00:35:07,855 --> 00:35:10,273
Sorry. It keeps you from tensing up.
849
00:35:10,274 --> 00:35:12,109
Okay, I think that worked.
850
00:35:12,110 --> 00:35:14,194
- How does it feel?
- Can I sit up?
851
00:35:14,195 --> 00:35:17,280
- Uh-huh.
- Oh.
852
00:35:17,281 --> 00:35:18,533
Oh.
853
00:35:20,993 --> 00:35:24,037
Oh, my God.
854
00:35:24,038 --> 00:35:26,289
Oh.
855
00:35:26,290 --> 00:35:29,376
That is definitely better.
856
00:35:29,377 --> 00:35:31,378
Oh, my God.
857
00:35:31,379 --> 00:35:33,421
Great.
858
00:35:33,422 --> 00:35:35,006
Can I give you a hug?
859
00:35:35,007 --> 00:35:37,592
Mm, maybe... maybe later, okay?
860
00:35:40,263 --> 00:35:43,223
Aspiration pneumonia?
How does that happen?
861
00:35:43,224 --> 00:35:45,892
It's when bacteria
from the mouth or stomach
862
00:35:45,893 --> 00:35:47,936
get into the breathing tube,
863
00:35:47,937 --> 00:35:49,688
uh, when you're choking,
864
00:35:49,689 --> 00:35:52,941
if you're eating or vomiting.
865
00:35:52,942 --> 00:35:54,067
Oh.
866
00:35:54,068 --> 00:35:55,944
Do you ever drink a lot of alcohol,
867
00:35:55,945 --> 00:35:58,155
maybe so much that you pass out?
868
00:35:58,156 --> 00:36:00,198
No, I'm not a big drinker.
869
00:36:00,199 --> 00:36:03,910
Have you had the stomach flu
recently, food poisoning?
870
00:36:03,911 --> 00:36:05,538
No and no.
871
00:36:06,831 --> 00:36:09,750
Do you mind if we take
a look inside your mouth?
872
00:36:16,340 --> 00:36:19,843
You can lean your head back...
873
00:36:19,844 --> 00:36:21,678
and open up wide.
874
00:36:25,558 --> 00:36:27,225
What?
875
00:36:27,226 --> 00:36:31,313
The enamel on the back
of your teeth is worn away.
876
00:36:31,314 --> 00:36:33,398
What does that mean?
877
00:36:33,399 --> 00:36:34,858
Um, it can happen
878
00:36:34,859 --> 00:36:37,360
if someone makes themselves
vomit repeatedly.
879
00:36:37,361 --> 00:36:40,572
All the stomach acid
dissolves the enamel.
880
00:36:40,573 --> 00:36:43,658
What does that have to do
with having pneumonia?
881
00:36:43,659 --> 00:36:45,286
It may have caused it.
882
00:36:47,330 --> 00:36:50,207
Can you just give me some medicine?
883
00:36:50,208 --> 00:36:51,792
Yeah, we can do that.
884
00:36:55,254 --> 00:36:57,923
Dr. J, finally.
885
00:36:57,924 --> 00:37:00,717
It is so nice to meet you, Dr. J.
886
00:37:00,718 --> 00:37:04,222
This is Willow, your new patient.
887
00:37:05,389 --> 00:37:07,557
I'm actually a student doctor.
888
00:37:07,558 --> 00:37:10,143
I, uh, watch all of your videos.
889
00:37:10,144 --> 00:37:12,145
The one about coping
with difficult coworkers
890
00:37:12,146 --> 00:37:13,813
was super helpful.
891
00:37:13,814 --> 00:37:15,398
I got to watch that.
892
00:37:15,399 --> 00:37:18,109
Um, um, so... so what is
Willow's health issue?
893
00:37:18,110 --> 00:37:21,988
Uh, my eye... it's superglued shut.
894
00:37:21,989 --> 00:37:24,783
Halfway trim
and mineral oil didn't work?
895
00:37:24,784 --> 00:37:26,284
Nope.
896
00:37:26,285 --> 00:37:29,329
Then... then I would suggest
cutting the full lash down.
897
00:37:29,330 --> 00:37:32,290
I concur, Dr. J.
898
00:37:32,291 --> 00:37:35,752
As long as you're the one doing it.
899
00:37:35,753 --> 00:37:37,337
Oh.
900
00:37:37,338 --> 00:37:39,381
Okay, yeah, sure.
901
00:37:39,382 --> 00:37:41,591
Um, yeah.
902
00:37:41,592 --> 00:37:44,928
Uh, sit back for me.
903
00:37:44,929 --> 00:37:46,972
I'll get you to close both your eyes
904
00:37:46,973 --> 00:37:49,057
and be as still as possible.
905
00:37:49,058 --> 00:37:50,058
Okay.
906
00:37:50,059 --> 00:37:51,434
All you, Doc.
907
00:37:51,435 --> 00:37:54,854
Thank you, Dr. Langdon.
908
00:37:54,855 --> 00:37:57,483
Okay, here we go.
909
00:37:59,443 --> 00:38:02,487
How many followers do you have, Dr. J?
910
00:38:02,488 --> 00:38:05,491
More than you'd guess, Dr. Langdon.
911
00:38:08,369 --> 00:38:09,536
There.
912
00:38:13,708 --> 00:38:15,458
You did it.
913
00:38:21,132 --> 00:38:23,883
Oh, my God. This looks terrible.
914
00:38:23,884 --> 00:38:28,681
I can still put a false lash
on it, though, right?
915
00:38:32,143 --> 00:38:34,686
How are you feeling, Mr. Diaz?
916
00:38:34,687 --> 00:38:37,022
Much better.
917
00:38:37,023 --> 00:38:39,190
We need to talk about how your diabetes
918
00:38:39,191 --> 00:38:42,777
progressed to this place.
919
00:38:42,778 --> 00:38:45,196
This is Student Dr. Kwon.
920
00:38:45,197 --> 00:38:47,908
What you say here remains between us.
921
00:38:50,036 --> 00:38:53,955
I'm taking a lower dose
of insulin than I should be.
922
00:38:53,956 --> 00:38:57,417
How much of your prescribed
dose are you using at a time?
923
00:38:57,418 --> 00:38:59,044
Half.
924
00:38:59,045 --> 00:39:01,004
I used to have insurance through work,
925
00:39:01,005 --> 00:39:03,882
but I lost that job
when the pandemic hit.
926
00:39:03,883 --> 00:39:06,551
It was easy to keep up
with my medication then.
927
00:39:06,552 --> 00:39:09,012
I had a great primary doctor, too.
928
00:39:09,013 --> 00:39:11,890
Now I'm kind of on my own.
929
00:39:11,891 --> 00:39:14,267
Do you have a glucose monitor?
930
00:39:14,268 --> 00:39:16,019
Uh, yes.
931
00:39:16,020 --> 00:39:18,396
But I can't afford
the test strips every week.
932
00:39:18,397 --> 00:39:20,023
They're too expensive.
933
00:39:20,024 --> 00:39:22,400
Can we not talk about this
in front of my family?
934
00:39:22,401 --> 00:39:24,027
- Hi.
- Hi.
935
00:39:24,028 --> 00:39:25,862
There are my girls.
936
00:39:25,863 --> 00:39:28,239
- Did you call your brothers?
- They're still at soccer.
937
00:39:28,240 --> 00:39:31,368
I have good news.
I started a GoFundMe for Dad.
938
00:39:31,369 --> 00:39:32,702
A what?
939
00:39:32,703 --> 00:39:34,412
To help raise money
for Dad's medical care
940
00:39:34,413 --> 00:39:36,998
- since we don't have insurance.
- No, no.
941
00:39:36,999 --> 00:39:40,043
- Take it down, now.
- But why?
942
00:39:40,044 --> 00:39:42,003
I work hard. I don't need charity.
943
00:39:42,004 --> 00:39:43,588
But, Dad, we've already...
944
00:39:43,589 --> 00:39:45,799
Ana, you heard me!
945
00:39:45,800 --> 00:39:46,841
Take it down.
946
00:39:46,842 --> 00:39:48,426
Jesus, Orlando.
947
00:39:48,427 --> 00:39:51,846
No necesito eso.
948
00:39:51,847 --> 00:39:54,974
Louie, thought I'd sneak
back here to check on you.
949
00:39:54,975 --> 00:39:57,102
- How we doing in here?
- Good.
950
00:39:57,103 --> 00:40:01,022
- Tooth's feeling much better.
- Glad to hear it.
951
00:40:01,023 --> 00:40:03,691
Looks like you're stuck with us
for the next three hours.
952
00:40:03,692 --> 00:40:05,610
We need to monitor your blood pressure.
953
00:40:05,611 --> 00:40:07,612
How about a drink while I wait?
954
00:40:09,073 --> 00:40:10,615
Water or orange juice?
955
00:40:10,616 --> 00:40:13,660
Uh, never mind.
956
00:40:13,661 --> 00:40:15,495
So, uh...
957
00:40:15,496 --> 00:40:17,997
how are the kids doing?
958
00:40:17,998 --> 00:40:21,584
Oh, they're perfect little monsters.
959
00:40:21,585 --> 00:40:24,254
Tanner's five now. Penny's three.
960
00:40:24,255 --> 00:40:26,923
Oh, ain't that a blessing.
961
00:40:26,924 --> 00:40:29,968
It is, but they have
zero interest in bedtime.
962
00:40:29,969 --> 00:40:32,512
And there's the dog
always digging up the yard.
963
00:40:34,181 --> 00:40:36,182
How much sun does your lawn get?
964
00:40:36,183 --> 00:40:38,309
I don't know. Plenty.
965
00:40:38,310 --> 00:40:41,438
Seed it with perennial ryegrass.
966
00:40:41,439 --> 00:40:44,065
And you want to lightly water it
967
00:40:44,066 --> 00:40:47,986
and put up a temporary fence so
the dog can't get back to it.
968
00:40:47,987 --> 00:40:50,155
Color me impressed.
969
00:40:50,156 --> 00:40:53,283
What can I say? I like grass.
970
00:40:55,244 --> 00:40:58,204
No, seriously, how do you...
how do you know all that?
971
00:40:58,205 --> 00:41:00,874
I was a groundskeeper.
972
00:41:00,875 --> 00:41:05,254
I worked with gardens and lawns
back in the day.
973
00:41:06,547 --> 00:41:08,048
Robby.
974
00:41:10,092 --> 00:41:11,844
Got a sec?
975
00:41:14,472 --> 00:41:17,140
- Dr. Langdon.
- Dr. Al-Hashimi.
976
00:41:17,141 --> 00:41:19,184
How's triage looking?
977
00:41:19,185 --> 00:41:20,894
Donnie and I have it under control.
978
00:41:20,895 --> 00:41:23,146
Good. I want you to wrap up
what you're doing out there
979
00:41:23,147 --> 00:41:24,564
and join us back here.
980
00:41:24,565 --> 00:41:27,150
We're expecting more diverted
traffic from Westbridge.
981
00:41:27,151 --> 00:41:28,401
Will do.
982
00:41:28,402 --> 00:41:30,487
And I just want to say,
I think it's great
983
00:41:30,488 --> 00:41:32,739
that you're in
the Physicians' Health Program.
984
00:41:32,740 --> 00:41:34,991
I know it's a big commitment.
985
00:41:34,992 --> 00:41:39,078
Uh, yeah, it was hard at the beginning,
986
00:41:39,079 --> 00:41:41,581
but, you know, I'm almost done
with year one now.
987
00:41:41,582 --> 00:41:44,792
Only four more years to go.
988
00:41:44,793 --> 00:41:46,586
Penny for your thoughts.
989
00:41:46,587 --> 00:41:49,005
Oh, they're
way more expensive than that.
990
00:41:49,006 --> 00:41:51,174
I'm on a budget. Take it or leave it.
991
00:41:51,175 --> 00:41:53,635
My day is not turning out
the way that I expected.
992
00:41:53,636 --> 00:41:56,804
We had a callout. Langdon was available.
993
00:41:56,805 --> 00:41:59,182
I was sort of hoping to be
on my sabbatical
994
00:41:59,183 --> 00:42:00,850
when he came back.
995
00:42:00,851 --> 00:42:02,519
You two were very close.
996
00:42:02,520 --> 00:42:04,437
Maybe this is the universe's way
997
00:42:04,438 --> 00:42:07,106
of telling you it's time
to clear the air.
998
00:42:07,107 --> 00:42:09,150
Maybe it is.
999
00:42:09,151 --> 00:42:11,111
Maybe it isn't.
1000
00:42:15,282 --> 00:42:18,201
Okay, so, um, we'll need
to keep you for the day
1001
00:42:18,202 --> 00:42:22,872
for your IV antibiotics and
to monitor your oxygen level.
1002
00:42:22,873 --> 00:42:26,544
Okay.
1003
00:42:31,549 --> 00:42:33,383
What if...
1004
00:42:36,262 --> 00:42:39,348
I have been making myself vomit?
1005
00:42:41,225 --> 00:42:43,726
Well...
1006
00:42:43,727 --> 00:42:46,313
bulimia is treatable.
1007
00:42:48,107 --> 00:42:50,275
I was going to stop.
1008
00:42:50,276 --> 00:42:52,361
I stopped before.
1009
00:42:54,822 --> 00:42:58,408
My family gathers around food.
1010
00:42:58,409 --> 00:43:01,369
We eat when we're celebrating.
We eat when we're mourning.
1011
00:43:01,370 --> 00:43:02,787
We just eat.
1012
00:43:02,788 --> 00:43:04,205
But then I got to college,
1013
00:43:04,206 --> 00:43:06,624
and it was all about how you looked.
1014
00:43:06,625 --> 00:43:08,919
That's a lot of pressure.
1015
00:43:13,299 --> 00:43:16,175
I started vomiting.
1016
00:43:16,176 --> 00:43:18,761
Everyone said I looked great.
1017
00:43:18,762 --> 00:43:20,930
So I went to the gym more.
1018
00:43:20,931 --> 00:43:24,642
I didn't need to purge as much.
1019
00:43:27,146 --> 00:43:28,855
Last year, I went through a breakup.
1020
00:43:28,856 --> 00:43:32,483
It all came back.
1021
00:43:35,988 --> 00:43:37,363
You're...
1022
00:43:37,364 --> 00:43:41,117
doing long-term damage to your body.
1023
00:43:41,118 --> 00:43:44,954
And it doesn't just go away on its own.
1024
00:43:44,955 --> 00:43:47,415
It's okay to ask for help.
1025
00:43:47,416 --> 00:43:48,583
We can set you up
1026
00:43:48,584 --> 00:43:50,668
with our eating-disorder
program upstairs.
1027
00:43:50,669 --> 00:43:54,422
- It's here in the hospital?
- It's an outpatient program.
1028
00:43:54,423 --> 00:43:56,049
You'd meet with a therapist
1029
00:43:56,050 --> 00:44:00,179
for individual and group therapy
once or twice a week.
1030
00:44:01,430 --> 00:44:04,683
Would you be open
to meeting with a therapist?
1031
00:44:06,310 --> 00:44:08,561
I guess.
1032
00:44:08,562 --> 00:44:10,688
Do you have any preference
for type of therapist...
1033
00:44:10,689 --> 00:44:12,774
male, female?
1034
00:44:12,775 --> 00:44:15,735
If there's a Black woman, I'd like that.
1035
00:44:17,029 --> 00:44:19,364
Yeah, we can arrange that.
1036
00:44:21,492 --> 00:44:23,327
Thank you.
1037
00:44:26,497 --> 00:44:28,581
That was a good catch.
1038
00:44:28,582 --> 00:44:30,375
Black women tend to go underdiagnosed
1039
00:44:30,376 --> 00:44:32,001
when it comes to eating disorders.
1040
00:44:32,002 --> 00:44:34,087
- Really?
- Yeah, unfortunately.
1041
00:44:34,088 --> 00:44:37,006
You know, I thought I had an
eating disorder in high school,
1042
00:44:37,007 --> 00:44:39,425
and so I did a lot of research
on the subject.
1043
00:44:39,426 --> 00:44:42,345
I didn't... no, I just...
1044
00:44:42,346 --> 00:44:45,556
My sister and I were
really picky eaters growing up,
1045
00:44:45,557 --> 00:44:47,100
you know?
1046
00:44:47,101 --> 00:44:49,310
Color and texture.
1047
00:44:49,311 --> 00:44:51,145
Vegetables and fish.
1048
00:44:51,146 --> 00:44:52,980
Oh, eggs.
1049
00:44:52,981 --> 00:44:56,192
Slimy okra, asparagus...
ugh, disgusting.
1050
00:44:56,193 --> 00:44:57,652
Drove our parents crazy.
1051
00:44:57,653 --> 00:45:00,321
Oh, eggs, weird.
1052
00:45:00,322 --> 00:45:01,614
It's not that weird.
1053
00:45:01,615 --> 00:45:04,742
I got to catch up on my charting.
1054
00:45:04,743 --> 00:45:06,160
Ah.
1055
00:45:06,161 --> 00:45:09,372
You know, if... if you want
to talk, I'm around.
1056
00:45:09,373 --> 00:45:10,540
Talk about what?
1057
00:45:10,541 --> 00:45:12,166
Being an R2?
1058
00:45:12,167 --> 00:45:13,710
Way harder than intern year.
1059
00:45:13,711 --> 00:45:15,086
Oh, yeah, um...
1060
00:45:15,087 --> 00:45:18,506
yeah, overseeing
the med students, the interns,
1061
00:45:18,507 --> 00:45:20,466
having no time to do my own charts.
1062
00:45:20,467 --> 00:45:22,885
Yeah, just wait
until you get into Medical,
1063
00:45:22,886 --> 00:45:24,429
Surgical, and Cardiac ICU.
1064
00:45:24,430 --> 00:45:26,389
I stands for "intense."
1065
00:45:26,390 --> 00:45:29,308
Somehow that seems
like an understatement.
1066
00:45:29,309 --> 00:45:32,061
Well, it does help you
grow your clinical skills,
1067
00:45:32,062 --> 00:45:34,105
you know, caring
for the sickest patients.
1068
00:45:34,106 --> 00:45:36,441
Tell that to these charts.
1069
00:45:36,442 --> 00:45:39,403
Um, dictate. Helps you go faster.
1070
00:45:42,156 --> 00:45:45,450
Oh, uh, what happened with
our patient from Westbridge?
1071
00:45:45,451 --> 00:45:47,285
You never grabbed me for his troponin.
1072
00:45:47,286 --> 00:45:49,829
Mr. Samba... it was a posterior STEMI.
1073
00:45:49,830 --> 00:45:52,165
What? Didn't show on the 12-lead.
1074
00:45:52,166 --> 00:45:53,750
Oh, usually doesn't.
1075
00:45:53,751 --> 00:45:57,003
And I think most clinicians
would have missed it.
1076
00:45:57,004 --> 00:45:58,254
But you didn't.
1077
00:45:59,840 --> 00:46:01,633
Guess I got lucky.
1078
00:46:03,177 --> 00:46:05,970
Whatever, Fuckleberry.
1079
00:46:05,971 --> 00:46:08,431
Okay, I'm sorry. Did I do
something to bother you?
1080
00:46:08,432 --> 00:46:09,767
Nope.
1081
00:46:11,769 --> 00:46:14,479
Okay.
1082
00:46:14,480 --> 00:46:16,230
- Yo.
- What's up?
1083
00:46:16,231 --> 00:46:19,442
I got a bounce-back.
You remember Debbie Cohen?
1084
00:46:19,443 --> 00:46:21,652
Not really. I've seen
16 patients this morning.
1085
00:46:21,653 --> 00:46:23,488
The restaurant worker with cellulitis
1086
00:46:23,489 --> 00:46:25,782
- on the dorsum of the foot?
- Yes, yes, she's on Keflex.
1087
00:46:25,783 --> 00:46:27,366
I marked the border.
1088
00:46:27,367 --> 00:46:30,913
Yeah, I got a hot pack on it,
but, uh, you should take a look.
1089
00:46:34,625 --> 00:46:36,459
Hi. Dr. Langdon.
1090
00:46:36,460 --> 00:46:39,170
I wasn't expecting
to see you back so soon.
1091
00:46:39,171 --> 00:46:41,672
- Meds upset your stomach?
- Uh, no.
1092
00:46:41,673 --> 00:46:44,675
The pain got worse,
and you said to come back
1093
00:46:44,676 --> 00:46:47,220
if the redness spread
outside the Sharpie line.
1094
00:46:47,221 --> 00:46:49,014
Let's take a look.
1095
00:46:50,974 --> 00:46:52,392
Ah.
1096
00:46:58,607 --> 00:47:00,024
It looks like the infection
1097
00:47:00,025 --> 00:47:02,068
isn't responding
to the pills I prescribed you,
1098
00:47:02,069 --> 00:47:04,570
so we need to get you
on some IV antibiotics
1099
00:47:04,571 --> 00:47:06,614
and get you back to the ED now.
1100
00:47:06,615 --> 00:47:08,491
Uh, i-is it bad?
1101
00:47:08,492 --> 00:47:11,160
Not if we can get a handle on it.
1102
00:47:11,161 --> 00:47:13,196
- MRSA?
- Or maybe worse.
1103
00:47:13,198 --> 00:47:17,729
Sync and corrections by btsix
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